A GUIDE to HEALTH THROUGH THE Various Stages of LIFE. Wherein are Explained, I. The different Degrees and Changes of Age, the prin- cipal and inevitable Causes of OLD AGE, and finally of our Dissolution; with a Chronological and Hi- storical brief Account of long LIVES from before the FLOOD to this present Time. II. The Nature, Properties, Qualities, and Influence of AIR. Of Aliments; the Choice of them; their Power upon Human Bo- dies, with their good and bad Effects. Of Sleeping and Waking; of Motion and Rest; of Retention and Ex- cretion; and of the Passions of the Mind. III. Of the Definitions, Di- agnosticks, Prognosticks, and Curative Indications, both Medicinal and Dietetical; of Acute and Chronical Dis- eases incident to Human Bodies; with the Nature and Use of BATHING and FRICTIONS. The whole illustrated with useful ANNOTATIONS, methodically and succinctly digested, and con- firmed by the Authority of the most celebrated Authors, both Ancient and Modern. By BERNARD LYNCH, M. D. Pugnandum tanquam contra Morbum, sic contra Senectutem. Crc. de Senectute Optima quæque dies miseris mortalibus ævi Prima fugit: subeunt Morbi, tristisque Senectus: Et labor. & duræ rapit inclementia mortis. VIRG. Lib. III. Georg. THE SECOND EDITION. LONDON: Printed for M. COOPER in Pater-noster-Row. 1754.  TO Dr. JOHN BEAUFORD. Sir, THE Friendshlp you shew'd gd me in the Infancy of my Practice has been too essen- tially useful to me ever to be forgotten; and it is with great Self-Satisfaction that I take this pub- lick Opportunity of acknowledg- ing the Obligations I lie under to you. My Interest in Town was not A2 only iv DEDICATION. only strengthened and extended by the Share you were seen to take in it, but my Knowledge was enlarged by my Converse with you, and my Prac- tice was formed by my Observation of yours. I carefully examined the Modus of Practice here, of the most Emi- nent of the Profession, when I first came to Town, intending to shape my own with that which should seem to me the most conformable to the Sentiments of the Great Hippo- crates; and finding none more na- tural and uniform than Yours, I took it for my Model, and have continued it ever since with all the Success I could hope for. The Profession of Physick is held in higher Esteem in this, than any other Country in Europe; and no wonder; because none can produce so learned a Body of Physicians. But among that Body, more learned and skillful than any other in the World, your v DEDICATION. Your long Experience, Sir, sets you in the first Class of it. This is a Truth unquestioned, not only by the Publick, but even by those of the Profession. You have a natural Right to the Patronage of the following Work, being founded chiefly on your own Maxims, and originally begun that I might have a publick Opportunity of owning your Favours, and doing Justice to your Merit. How I have succeeded in the Choice and Con- texture of my Subject, I submit to the Publick with the utmost Defe- rence; but however I may have fail'd in the Opinion of other learned Men, I have too often experienced your In- dulgence, not to flatter myself that you will view all Inaccuracy of Stile and Diction, and other as minute Imperfections, with your usual Can- dour and Good-nature. As for more capital Errors, I shall most readily own and reform any such, and most A3 grate- vi DEDICATION. gratefully thank any friendly Hand that shall be at the Pains of pointing them out to me. I am, with the greatest Sincerity, SIR, Your obliged, and most obedient humble Servant, Stanhope-street, June, 1744. BERNARD LYNCH. (VII) PREFACE. WHERE a Title-Page is so expres- sive of the Contents of a Book as the foregoing, a Preface might seem unnecessary; and I should think it so, if Custom did not seem to exact that a Bill of Fare should be serv'd up to the Company before they sat down to Table. To comply then with the Humour of this modern Tyrant, I must in- form the courteous Reader, that the sole End of my Labour was to inform the Uninform'd and to erect such Lights as might help them to form such a Judgment of their own Con- stitutions, as should prevent their fancying themselves in a worse State of Health than they are, and running after every Empirick, who pretends to the Knowledge of Catholi- cons, or universal Remedies. These are the Bane of all Societies; and tho' Quacks are soon detected, yet as the Succession of them is so very constant and rapid, the Commonal- ty for the most part, see not the Injury done to them, nor the Wrong they suffer. This is a Misfortune to be lamented, but diffi- cult to be removed, whilst Man is prejudic'd A4 in viii The PREFACE. in Favour of Novelty, and in Disfavour of the Regular Physician, who can't afford to bellow the Fruits of his hard Labours on the Public promiscuously. There is one Thing in the following Sheets which the Author owns to have labour'd more than any Part of his Subject, which is the Doctrine of Non-naturals, the Knowledge of which, he thinks, no reasonable Man who values his own Health should be ignorant of; and which he presumes to say, has been more obscurely treated heretofore, than it ought to have been, or indeed he believes it was de- sign'd it should be. In treating of acute and chronical Diseases, there are general Remedies, but except in one or two Occasions, such as the Bite of a mad Dog, and some Consumptions, there are no formal Recipes, which, it is found by Expe- rience, are generally productive of more Evil than Good. For the general Ignorance, I may say Infatuation, is such, that the Vulgar too often make material Mistakes in the Pre- paration of the most plain and simple Reci- pes. Besides, that as the Nature of Diseases and Constitutions is so various and different, not to mention the Climate, Air, Season, Age, and a thousand other differing Circumstan- ces, it would be too presuming for the Au- thor to take upon him to prescribe for every particular Distemper. He would not do so great a Wrong to the Illiterate, nor, to use the learned Boerhaave'ss Words, Would do any ix The PREFACE. any thing so prejudicial to the noble and ge- nerous Science of Physick, or expose it to Re- proach, as they must inevitably do, who pre- tend to adapt a particular Remedy to gene- ral Diseases. Having mention'd the ever-famous and-to- be-rever'd Boerhaave, the Author takes this Opportunity of owning his Obligations to him, not only in his Practice, but in this Work particularly. He has all along kept that Great Man in his View, nor has he been un- mindful or neglected any other eminent Wri- ter in Physick, either ancient or modern. He has frequently quoted their Words, and al- ways endeavour'd to conform himself to the Sentiments of the most approv'd Authors. And that his Gratitude to all such great Men as well as Justice may be seen, he has an- nex'd a Catalogue of such Authors as he owns himself indebted to in the Compilation of the following Treatise, thinking this Method more orderly and eligible than a constant Quotation. A A LIST of the Authors. Ægineta, Paulus. Anhornius. Arbuthnot. Boerhaave. Boyle. Borelli. Baglivius. Blondell. Bonetus. Baynard. Boutius. Barlow. Celsus, Aurel. Cornel. Celius Aurelianus. Cheyne. Duretus. Diodorus Siculus. Default. Etmuller. Floyer, Sir John. Galen. Hippocrates. Hugens. Hales. Halley. Hook. Keil. Lommius. Laurentius. Leeuwenhoek. Lister. Livy. Malpighi. Mead, Richard. Morton. Newton, Sir Isaac. Oribassius. Paree, Ambrose. Prosper, Alpinus. Pliny. Quincy. Ruyschius Riverius. Romer. Rowning. Ramazini. Robinson, Tancred. Solomon. Sydenbam. Seneca. Sanctorius. Suetonius. Torricellius. Van Helmont. Verulam. Willis. Wainright. Waldschmidius. A A LIS of the SUBSCRIBERS. A. ARundel, the Rt. Hon. Lord Arundel, the Hon. Tho- mas, Esq; Aston, the Hon. James, Esq; Astley, Mr. Apothecary, 2 Books Aston, George Joseph, Esq; Andree, M. D. Addis, Mr. Apothecary Asbridge, Mr. Adean, Mr. James Allanson, William, Esq; B. Beaufort, His Grace the Duke of Butler, the Hon. John, Esq; Bartholomew, M. D. Bennet, Philip, Esq; Mem- ber for Bath Burnham, Mr. Boult, Mr. Attorney at Law Boudon, Mr. Apothecary Benion, Mr. Apothecary Beauford, John, M. D. Butler, M. D. Bodkin, Mr. Valentine Brown, William, Esq; Barrabee, Mr. Bird, Edward, Esq; Bostock, M. D. Beaumont, Mr. Apothecary Beetenson, Mr. Surgeon Brewerster, Tho. M. D. Brett, Mr. Nathanael Bernardeau, Mr. 3 Books Bradshaw, James, Mr. Button, Mrs. Barwell, Mr. Bolney, Mr. Henry Blake, Andrew, Esq; Blake, D. Esq; Barry, M. D. Buckeridge, the Rev. Mr. Thomas Bateman, the Hon. Capt. Boswell, Mr. Thomas Backas, Mr. Apothecary Betts, Mr. John Bostock, Mr. Henry Bradley, Mr. Boyle, Henry, Esq; Butcher, Mr. Apothecary Bannister, Mr. Charles Bower, Archibald, Esq; Bridgen, Mr. Robert Bridgen, Mr. Thomas C. Cavendish, The Rt. Hon. Lord James Clarke, Mr. xii A LIST of the SUBCRIBERS. Carrol, Mr. Corless, Mr. Alexander Carmault, Mr. Coleman, Mr. Constable, Mr. John Cary, Esquire, Surgeon. Cheeke, Mr. Apothecary Cheeke, Mr. Apothecary Cibber, Colley, Esq; Caldwell, Mr. Robert Chittick, Mr. Surgeon Clempson, Mr. Coughlan, Mr. Cumming, Rev Mr. Wil- liam, A. M. Chettey, Mr. William Connel, Michael, M. D. Cooper, Mr. Apothecary Clarke, Mr. Apothecary, 2 Books. Currer, Mr. Jun. D. Dillon, The Rt. Hon. the Lady Frances Viscountess Dowager Dillon, The Rt. Hon. the Lady Bridget, Viscountess Dowager Dawkins, Esq; Member for Woodstock Davis, Mr. William, Sur- geon Dorrel, Mr. Daffy, the Hon. Capt. Draper, Mr. Apothecary Death, Mr. Apothecary Deschamps, Mr. Doyley, Mr. Edward, At- torney at Law. Delany, the Revd. Mr. Duggin, Mr. John Dumbleton, Mr. Daniel Duggin, Mrs. Davis, Mr. E. Ewer, Mr. Eliott, Mr. Apothecary Eyre, Mr. Edward Ebrall, Mr. Apothecary Emet, Mrs. Egan, Mr. F. Fairfax, The Rt. Hon. the Lady Viscountess Firebrace, Sir Cordell,Bart. Kt. of the Shire for Suf- folk Fisher, Mr. Thomas Fowler, Mr. Apothecary Foot, Mr. Asher, Apothe- cary Firmin, Mr. Farrel, Mr. Francis, Mr. George Frazier, Mr. Apothecary Farrel, Mrs. Farrel, Mr. Apothecary Fort, Mr. Francis Firmer, Mrs. Hellena Farrin, Mr. John Freeman, Samuel, Esq; Fitzgerald, Mrs. G. Graham, the Reverend Mr. 3 Books Gammon, Mr. Robert, Apothecary Goodacre, xiii A LIST of the SUBCRIBERS. Goodacre, Mr. Apothecary Godfrey, Mr. Ambrose, Chemist Gardiner, Mr. Thomas Griffin, Mr. Philip Garvan, Francis, Esq; Gibbon, The Rev. Dr. John H. Hemet, Mr. Operator for the Teeth to his Royal High- ness the Prince of Wales Harrison, Mr. Apothecary Hoddy, Edward, M. D. Hodgson, Mr. Apothecary Hernon, Mr. Apothecary, 4 Books Hudson, Mr. Apothecary Henley, the Rev. Mr. A. M. Harriott, Mr. Surgeon Hawkins, Mr. Barnaby H—M—Mrs. Harrow, Mr. Robert Hibber, Mr. Haward, Mr. Watkinson, Attorney at Law Hayrick, Mr. Apothecary Horseman, M. D. Hall, Mr. I. Jones, Mr. Tho. 2 Books Jayer, Mr. Apothecary, 2 Books Izard, Mr. James, M. D. Jernegan, M. D. Jernegan, Henry, Esq; K. Kilby, Robert, Esq; Kirwood, Mr. William, Surgeon Kingsley, Mr. Keating, Mr. King, Mr. Maynard Kitchen, Mr. L. Litchfield, The Rt. Hon. the Earl of Lainsborough, The Rt. Hon. Lord Viscount Lainsborough, The Rt. Hon. the Lady Viscountess Lynch, Sir Henry, Bart. Lynch, Robert, Esq; Lynch, The Rev. John. S. T. P. Dean of Can- terbury Lynch, George, M. D. Lynch, Robert, A. B. Lynch, Francis, Esq; Lynch, Mr. Nicholas Lynch, Mr. Isiodore Lynch, Mr. William Lynch, Mr. Thomas Lloyd, the Hon. Capt. Lyster, Mr. Apothecary Leake, Mr. Langley, Mr. L'Herondell, the Rev. Mr. Lawley, George, Esq; Littlejohn, Alexander, Esq; Lister, Richard, Esq; Kt. of the Shire for Salop Loukup, George, Esq; Lewis, Mr. Lucas, xiv A LIST of the SUBCRIBERS. Lucas, Mr. Jeremiah Lane, James, Esq; Lawson, Esq; M. Mannington, Mr. Monins, The Rev. Mr. Ri- chard, A. M. Middleton, Capt. Christo- pher, Esq; Maul, Mr. Apothecary Marshal, Mr. Surgeon Macdonough, D. D. Montague, Mrs. Morgan, Mr. Apothecary Mills, John, Esq; Maud, Mr. Apothecary Maud, Mr. William Monkeman, Mr. Attorney at Law. Manby, Mr. Apothecary Mann, Mr. Thomas Macket, Wilmer, Esq; Mills, John, Esq; 20 Books Martin, Thomas, Esq; Metcalf, Mrs. 2 Books Morehead, William, Esq; Maurin, Mr. Metcalf, Mr.Roger, Surgeon Mayfield, Mr. Thomas Mitchel, Mr. Apothecary Mitchell, Mr. Apothecary Mitchel, Mr. Francis, Sur- geen Macartey, Alexander, Esq; Manley, Apothecary N. Nebot, Mr. Balthazar Nevil, Mr. John, Apothecary Noone, Mr. John Nesbit, Mrs. Nelson, Rev, Mr. Rector of Oakley O. Orton, Mr. Oliver, Mr. Nicholas P. Parsons, Mrs. Parker, Mrs. Pack, Mr. Daniel Pile, George, M. D. Pearson, Mr. Poulson, John, Esq; Prude, Mr. Apothecary Palmer, Mr. Benjamin Popham, Edward, Esq; Member for Wilts Pakington, John, Esq; Pakington, the Hon. Capt. R. Rust, Mr. Rawlins, Mr. Apothecary Rossel, The Rev. Mr. Sa- muel Raikes, Mr. Apothecary Richardson, Mr. Radford, Mr. William Reynolds, Mr. Christopher, 2 Books Robinson, Tancred, M. D. Rivett, Thomas, Esq; Raoult, Mr. Surgeon Rankin, Mr. Thomas Redfern, Mr. S. xv A LIST of the SUBCRIBERS. S. Sweet, Mrs. Rebecca Street, Mr. jun. Scott, Mrs. Sadler, Daniel, Esq; Smith, Mr. Sedgwick, James, Apothe- cary Scrooby, Mrs. Elizabeth Savage, Mrs, Anne Savage, Mr. George Savage, Mr. William Smith, Mr. Edward Sherwood, Mr. Noah, Sur- geon Simmons, Mr. Edward SherifFe, Mr. Shepard, Mr. Smithson, William, M. D. Sams, Mr. Henry Smith, Thomas, Efq; Schamberg, Mayer, M. D. Schamberg, Isaac, M. D. Seed, Mr. Shelton, Mr. Richard Stubbs, Mr. William, At- torney at Law. Snowden, Mr. Stuart, James, Esq; Stuart, Simeon, Esq; Shaw, Mr. Smith, Mr. John Shipton, John, Esq; Stainforth, Mr, George, Merchant T. Tash, Mr. Thompson, Thomas, M. D. Turbut, Mr. Benjamin Thompson, Francis, sen. Esq; Turnball, Mr. William Thomas, James, Esq; Thompson, John, Esq; Thompson, Francis, Esq; Turner, Mr. Tonge, Mr. Trant, James, Esq; Trant, John, Esq; V. Venables, Mr. Vaughan, Mr. Attorney at Law Umfreville, Edward, Esq; W. Wharton, Her Grace the Dutchess of Whiteall, Mrs. Wilton, Mr. Wilford, Mr. West, Lewis, Esq; Wilson, Edward, Merchant Williams, Mrs. Walker, Mr. Wilson, Mr. Thomas Wilson, Mr. John Wells, Mrs. Mary Wilson, Mr. John Wilson, Mr. Edward Webb, Thomas, Esq; Westby, Robert, Esq; Wilmot, Mr. Z. Zincke, C. F. Esq; ERRA- ERRATA. Page 35. Line 17, after wholsome Food, add, probably they might. Page 214. Line 21, for immediately read intimately. (xvii) THE CONTENTS. PART I. Of the different Degrees and Changes of Age; the principal and inevitable Causes of Old Age; and, finally, of our Dissolution; with a brief chronological and historical Account of long Lives, from the Creation to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life, with a Description and Definition of Old Age. OUR Bodies subject to Changes page 1 Man's Life divided into se- veral Periods ib. The Egyptians Opinion of Ages 2 The Pythagoreans Doctrine of Numbers ib. Five remarkable Changes in Man's Temperament, viz. Infancy, Adolescency, Youth, and Manhood, and old Age ib Temperament what, Note *, ib. Infancy, Adolescency, Youth, and Manhood described 3 Old Age begins at fifty, and is divided into three Pe- riods ib. The first is called Verdant 3 The second begins at Seven- ty 4 The third is called Decrepid ib. The Pains and Miseries of de- crepid old Age, according to the Royal Prophet ib. An allegorical Description of decrepid old Age, according to the Royal Author, So- lomon 5 The same explained 6 Some Men old at forty 7 A great many young at sixty ib. The different Qualities of Constitutions ib. a The xviii The CONTENTS. The melancholick Constitu- tion grows old sooner than any of the rest—p. 8 Females grow old sooner than the Males—ib. Hippocrates's Opinion con- cerning the same—ib. Sloth and Idleness soon bring on old Age—ib. The Causes of different Tem- pers or Constitutions—ib. The Proportion of the Parts of the Body, and their Con- formation, contribute to the Difference of Constitutions 9 The different Tempers of the Parts of the Body, in re- spect of one another—10 Sexes and Age make a Diffe- rence in Constitutions ib. Women colder than Men—ib. Infants and Children hot and moist—ib. Heat decreases in old Age—ib. Different Climates, and the Manner of living, are Causes of different Consti- tutions—11 The Definition of Old Age—ib. The same explained—ib. The great Secret and sole Method of long Life, is, to preserve the Blood and Juices in a due State of Fluidity and Thinness—12 Nothing will bring a Person to the State of universal Hardness and Stiffness of the Fibres, and a Viscosity and Thickness of the Juices, than indulging in strong high Meats and strong Li- quors—13 The only Method of pro- curing a contrary State of the Solids and Fluids—14 All the Parts constituting a human Body are made up of small Fibres—ib. The Divison of the Fibres becomes so small at last, as to exceed the Power of Imagination—15 CHAP. II The principal and inevitable Causes of Old Age, and of our Dissolution. The Causes of the Alteration of our Bodies, and of our Dissolution, are either ex- ternal or internal—16 The internal Causes are two—ib. The internal Causes what—ib. The Principles of our Com- position what—17 Animal Actions distinguish- ed into vital, natural, and animal—ib. Vital what—ib. Natural actions what—ib. Animal Functions what—ib. The Principles of our Com- position being duly distri- buted through the whole Body, may be called an E- quilibrium between the So- lids and Fluids—18 Their Alliance is of short Duration, and why—ib. The xix The CONTENTS. The inevitable Causes of Old Age, and of our Disso- lotion—p. 19 Farther Particulars necessary to be considered to prove the same, concerning the Nutrition, Growth, and De- crease of the Body—ib. to 28 The internal Causes of our Dissolution are born, grow, and are nouristied with us, and will bring on gradually and inevitably old Age, and destroy the Body at last—28 All the great Promises made with Assurance, as to the Prolongation of Life for many hundred Years, are vain and imaginary, being unsupported both by Rea- son and Experience—ib. External Causes of our Disso- lution, which are likewise inevitable—ib. Other external Causes, which are accidental, as Wounds, Fractures, &c.—29 CHAP. III. An historical Account of Long Lives, from the Creation to the present Time. Men lived many hundred Years before the Flood—30 None of the Fathers attained to the Age of a thousand—ib. This Length of Life was not peculiar to Grace or the holy Line only—ib. There are eleven Generations of the Fathers to the Flood 31 Of the Sons of Adam by Cain, eight Generations only—ib. The Length of Life was re- duced to one half imme- diately after the Flood, in the Post-nati only—ib. Noah and Sem, who were born before the Flood, each of them liv'd 600 Years—ib. Of the Ages of Abraham, Isaac, Jacob, Ismael, and Sarah ib. Of Joseph, Levi, Moses, Aaron, and Phineas, Grand-child of Aaron—32 Of Joshua, Caleb, and Job—33 Of Isaiah the Prophet, and Tobias the Elder and the Younger—34 Of Epimenides the Cretan, and Xenophanes the Colophonian 36 Of Gorgias the Sicilian, and Democritus of Abdera—37 Of Terentia, Cicero's Wife—39 Of Simeon the Son of Cleophas, called the Brother of our Lord, and Bishop of Hie- rusalem; and Aquilla and Priscilla, St. Paul's Fellow- helpers—42 Of St. Paul the Hermit, and St. Anthony the Monk—43 The Popes of Rome, and their Number to this Time—44. Dando of Illyrinm, reported to have liv'd 500 Years—45 Hippocrates of Cos, the Prince of Physicians, Euphrenor the Grammarian Seneca and a2 Joannes xx The CONTENTS. Joannes de Temporibus, a Native of France p. 46 Of Cornaro the Venetian, and William Postell, a crazy Frenchman 47 The surprizing Age of Henry Jenkins, a Yorkshireman ib. Of Thomas Parr, a Shropshire- man 48 Francisco Lupatsoli, Venetian Consul at Smyrna 49 Remarkable Instances of Ab- stemiousness, Continency, and many other Virtues in the Life of Aurenzebe, one of the late Great Moguls ib. to 52 Richard Lloyd, born within two Miles of Montgomery ib. John Bailes of Northampton 53 The Western Islands of Scot- land remarkable for long Lives ib. Mrs. Hudson's abstemious Life described ib. Mr Johnston's Life 54 A remarkable Inscription on the Tomb-stone of Mar- garet Scot, who liv'd 125 Years ib. Of Margaret Paten's great Age 55 —Bright, of Ludlow in Shropshire, likewise ib. Mrs. Agnes Milbourn's long Life, very remarkable for the great Number of Chil- dren she had by one Hus- band ib. Instance manifestly proving Milk to be of salubrious, safe, and sweet Nourish- ment ib. Temperance and a cool Diet are absolutely necessary to the Prolongation of Life 56 Man' Life has stood much a- about the same Standard of Years, from the Time of Moses to our Days ib. The Continuation and Num- bers of Successions of Ge- nerations make nothing as to the Length or Brevity of Man's Life ib. People live longer when the Times are barbarous, and they fare less deliciously, and are more given to Bo- dily Exercises; but shorter in civiliz'd Times, People abandoning themselves to Luxury and Ease ib. The great Abridger of Age was undoubtedly the De- luge 57 There were Men of Gigantick Stature before the Flood; but no such have been pro- duced any where since ib. The immediate Condition of the Parents conduces very much to the Length or Shortness of the Life of their Offspring 58 The best Rule is to use mo- deration in all things 59 Conjugal Love more condu- cive to Health and long Life than an unlawful one ib. The best Time for Genera- tion ib. PART xxi The CONTENTS. PART II. Introduction to the Six Nonnaturals. CHAP. I. Of the Nature of Air. Air defin’d—p. 60 Air the principal Instrument of Nature in all its Opera- tions—62 The Lower Parts of the Air are impregnated of particles ib. Air is differently impregnated in different places of the Surface of the Earth, which must considerably alter its State—ib. Water, Earth, and Salts of all Kinds, are Ingredients of Air—63 Other Contents of Air—ib. Vegetables of all Kinds per- spire Particles, which float in the Air—64 Animal Perspiration and the Effluvia of all their other Excrements, are Ingredi- ents of the Air, which of- ten infect that Part of the Atmosphere, and produce pestilential Disease—ib. Doctor Hale's computation of Animal Perspiration, and how it may infect the Air—ib. The Air in great populous Cities, in Camps, or near Numbers of dead Carcasses, in a hot fultry Season, may be infected so far as to dis- posed the People to putrid and malignant Fevers—6; the Inhabitants of Countries where great Numberss have been slain in Battle, and left unburied, were soon after infested with pestilen- tial Distempers—ib. Several Instances to prove the same—66 It is of the utmost Consequence to every one, to take care what kind of Air they live in—ib. The first Consideration in building Houses and Cities 67 All high Hills and Mountains are damp, and Nests of Minerals, and Covers for Reservoirs of Rain-water—ib. Rain the Origin of Rivers, and Fresh-water Springs—ib. Dew is not mere Water, but a Collection of watry, oily, faline and volatile Sub- stances exhaling from the Earth—68 Dews of different Places are of a different Nature—ib. Why Air soon corrodes the Bricks and Tiles of House, and rots the very Hangings of Rooms in some Coun- tries—69 Air in some Places impregnat- ed with arsenical Steams—ib. The Steams of Sulphurs and Charcoals extremely per- nicious to human Bodies—ib. a3 Sul- xxii The CONTENTS. Sulphureous Vapours infest Vegetables, and render the Grass pernicious to Cattle 70 How the sulphureous Steams and Vapours of Mines affect the Miners—ib. Why Diseases are more fre- quent and more dangerous in Cities than in the Coun- try—ib. Why the close and confin'd Air of Prisons, Bays, and Harbours, often produces mortal Diseases—71 To what the great Mortality that is so often in Camps, and Sieges, is chiefly owing ib. Infects and their Eggs often float in the Air we breathe in—ib. Why Infects floating in the Air are often the Cause of many grievous Diseases—72 There are Showers of Rain sometimes in Africk, affect- ing the Inhabitants with Shivering?, a ltd Infects found in the Drops of these Showers—ib. Air in most Places contains near the same Quantity of Water—73 All the different Ingredients of the Air are digested and attenuated ly the Heat of the Sun, and constantly agi- tated by Winds, which mix the Air of different Regions together—74 The particular Causes of Thunder and Lightning—ib. The wonderful Effects of Lightning—75 The Opinion of Philosophers upon these strange Effects ib. A Thunderbolt what, Note * ib. The Rays of the Sun are the true Cause of infinite varie- ty of Ingredients contained and floating in the Air—77 Light is not above ten Minutes in passing from the Sun to the Earth—ib. The Earth is 10,000 of its own Diameters distant from the Sun—ib. The Velocity of Light to that of a Cannon Ball, will be as 25 Years to 10 Minutes ib. The Effects of the Rays of the Sun collected in the Fo- cus of a burning Glass upon Gold, which is unalterable by any artificial Fire—ib. The Rays of the Sun are ca- pable to abrade and file off from the most solid Bodies, small Particles lighter when separate than the least com- pounding Particle of Air 78 CHAP. II. Of the Properties of Air. The Properties of Air what p. 78 Galileus was the first Lisco- verer of the Gravity of Air 79 The specifick Gravity of Air according to Sir Isaac New- ton and Dr. Halley—ib. Specifick Gravity what—ib. Note * xxiii The CONTENTS. Air may possess a Space 520, 000 times greater at one time than another 80 The Specifick Gravity of the Air cannot be exactly de- termined ib. Air readily enters into the Vessels of Animal Bodies 82 The same Thing happens in Vegetables and Liquids 83 The Globules of the Blood contain Air 85 Elasticity is a Property in Air which it never loses 89 The Solids and Fluids of Ani- mals contain more Air in them in Proportion than any other Substances—90 Fluidity is a Property in Air which cannot be destroy'd 91 Air a Fluid in constant Mo- tion 92 The difference between Flui- dity and Liquidity ib. Air is compressible and dila- table 93 Divisibility a Property of Air 94 CHAP. III. Of the Qualities of Air. The Qualities of Air what 95 Heat is a Quality relative to our Senses 96 The Spirit of Wine in Weather- Glasses is affected with the least Alerations of Heat or Cold 97 Why Languid and Hysterick People suffer in hot Wea- ther ib Excessive hot Air capable of reducing animal Substances to a State of Putrefaction 98 Dr. Boerhaave's Experiment upon a Sparrow and a Dog ib. Perspiration what 99 Air not cool'd by the Motion of Winds 102 Great Mischief arising from keeping the Air of the Rooms of People in Fevers too hot 103 Cold condenses the Air in Pro- portion to the Degrees of it 104 Cold suppresses Perspiration 105 The fatal Extremities of Cold in Greenland ib. The Effects of extreme Cold or extreme Heat 106 The Effects of moist Air ib. Dryness, a Quality in Air producing different Effects to those of moist Air 109 The Doctrine of absorbing Air thro' the Pores of the Skins of living Creatures demonstrated 111 CHAP. IV. Of the Influence of Air upon human Bodies. Hippocrates knew more of the Influence of Air than all his Predecessors and Suc- cessors 113 xxiv The CONTENTS. Hipocrates's Advice concern- ing Air—ib. —Could foretell the Diseases from ths Weather 115 The Affair of Generation is influenc'd by Air—116 The different Shapes, Com- plexion, and Tempers of Mankind influenc'd by Air 117 The different Forms of Go- vernment, and even the Courage of People, is ow- ing to the Influence of Air ib. Air the Cause of most Dis- eases—118 Astronomy useful in Physick 119 The Constitution of the Air according to Hippocrates 120 Dr. Arhuthnot's Explanation of Hippocrates and others, concerning the Influence of Air—124 The whole Constitution of the Spirits, Humours, and the Body, depends upon Air—147 What we are to do when the Air is corrupted—148 What regards ancient People concerning Air—ib. CHAP. V. Of Aliments in general. The first Stage of Digestion, and how it is perform'd 150 The second Stage of Diges- tion—155 The most subtil Parts of the Food pass immediately in- to the Blood by the absor- bent Vessels of the Inte- stines—156 The last Stage of Digestion 161 CHAP. VI. Of the Choice of Aliments. All Animals are made either immediately or mediately of Vegetables—p. 164 Vegetables consist of Salt, Oil, Spirit, and Earth—165 Of different Tastes—ib. Of the properest Food of the vegetable Kingdom.—166 Of the Qualities of Barley, Wheat, Oats, Rice, Rye, Millet, Panick and Maise 167 Of Peas, Beans, Apples, Pears, Peaches, Apricocks, Plumbs, and Mulberries—168, 169 Of Gooseberries, Currants, Cherries, Strawberries, O- ranges. Citrons, Limons, Grapes and Figs—170 Of Quinces, Pomegranates, Tamarinds, Capers, Olives, Almonds, Walnuts, Hazle- Nuts, Chesnuts, Pompions, Cucumbers, Gourds, and Melons—171 Of Pot-Herbs—172 Of Artichokes, Asparagus, Parsley, and Celery—ib. Of Spinage, Beet, Sallads, xxv The CONTENTS. Potatoes, Turnips, Car- rots, Parsnips—173 Of Garlick, Onions, Rock- ambole, Shalot, Leeks, Radishes, Horse-radishes, Cresses, Mustard, Truffles, Morelles, and Mushrooms 174 Of Marjoram, Basil, Savory, Thyme, Rosermary, Sage 175 Of the Qualities of Tea, Coffee, and Chocolate—175, 176, 177, 178 Animal Food more nourish- ing than Vegetable—ib. Animal Diet is anti-acid—179 Animal Flesh differs accord- ing as the Animal is terre- strial, aquatick, or am- phibious, and Fishes abound with more alkaline Salt and Oil than terrestrial animals ib. The only Way of having found and healthful animal Food—180 The Flesh of Animals too old, unwholsome—181 Salt Fish produces gress Hu- mours, and bad Juices—ib. Why the Flesh of wild Ani- mals keeps longer uncor- rupted than that of tame ones—182 Flesh boiled, wholsomer for weak Stomachs than roasted ib. Why Meats bak'd or fry'd, are bad—183 Of Lamb, Veal, Kid, and Beef—ib. Of Mutton, Rabies, young Hares, Pork and Bacon 184 Of Brawn, Deer, Cream, Butter. Marrow and Cheese 185 Milk, a most noble, nourish- ing, and wholsome Food l66 A proper Diet for Women that give suck, or Nurses 187 Whey, good for hot Consti- tutions and Scurvies 188 How to know the different Nature and Qualities of Birds or Fowls in general ib. Of Duck, Capon, Pigeons, Pheasants, Pullets, and Geese—189 Of Turkey, Partridges, Plo- vers, Blackbirds, Larks, Sparrows, Peacocks, and Starts—190 Of Thrushes, Quails, Turtle Doves, Woodcock, Snipe, and all other long-billed Birds—191 Of Fish in respect of Flesh, and why it is in general hard of Digestion ib. General Rules concerning Fish 192 Of Eels, Carp, Lampreys, Pike, and Sturgeon—193 Of Crabs, Lobsters, Oysters, Turbut, Soles, Place, Perch, Tench, Gudgeons, and Smelts—194. Of Flounders, Salmon, Trout, Cod-fish, Haddock, Skate, Thornback, Barbel, Mac- karel, Herrings and Sprats 195, 196 Vegetables and Animals that come soonest to Maturity are lightest of Digestion. ib. The larger and bigger the Vege- xxvi The CONTENTS. Vegetable, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested 197 Sea Fish or Animals harder to be digested than Land Ani- mals 198 Vegetables and Animals a- bounding with oily, fat, and viscid Substance, are harder to digest than those of a drier, fleshy, and more fibrous Substance ib. Of the Nature and Effects of Rock and Sea Salt 199 Of Honey, Oil and Vinegar 201, 202 CHAP. VII. Of the Power of Aliments upon human Bodies, with their good and bad Effects. Aliment what 203 The Art of preserving Health consists in a Mediocrity of Diet 204 Substances which stimulate the folid Parts, produce the greatest Alterations in animal Bodies. 205 The solid Parts of animal Bodies may be contracted variously by Diet 206 The more sulphurous or chy- mical Oil any Spirit con- tains, the more destructive it proves to the Constitu- uon, as Rum and distill'd Spirits of Annifeeds, &c. ib. Austere acid Vegetables have a Quality of contracting, and strengthening the Fi- bres without a great many of the bad Effects of di- stilled Spirits 207 Warm Water the best Liquid for relaxing the Fibres ib. How the Qualities and Quan- tity of the Fluids of a hu- man Body may be chang'd by Diet 208 Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies either by Food or Sickness 210 The Juices of found Animals consist of Salts of a pe- culiar Nature, neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline ib. Acrimony in the Blood con- sists of three Sorts, acid, alkaline, and muriatic or briny 211 The proper Diet for the Cure of the acid Acrimony 212 The Diet proper in the alka- line and briny Acrimony ib. Several Sorts of Antiscorbu- ticks proper in an alkale- scent State of the Fluids 213 Drink, an essential Part of our Food, and the chief In- tentions of it 214. Pure Water answers all the Intentions of Drink, best of any Liquor ib. The Usefulness of Water for the Purposes of human Life 215 Water the best and most wholsome xxvii The CONTENTS. wholsome Drink in gene- ral, some few Cases ex- cepted—ib. Of Malt Liquors—216 Of strong Beer—ib. Of the Nature of fine Ales, or Home-brew'd, and how they are fin'd, which is pernicious, if not poison- ous to Health—ib. Yorkshire, Nottingham, Welch, and all fine Ales brew'd for Sale, destrudlive to Health—217 The frequent Use and Excess of distilled spirituous Li- quors, is become a Vice of so shocking a Nature among the People in general—ib. The poisonous Qualities of di- stilled Spirits consider'd—218 The direful Effects of the fre- quent Use of Dram-drink- ing explain'd—219 The great Calamity of Dram- drinking farther consider'd 220 Next to Drams, no Liquor de- serves to be stigmatized and more detested than Punch ib. The principal Ingredients of Punch separately consider'd 221 When a Cordial may be use- ful 222 A Sot the most contemptible Character in human Life—ib. The melancholy Effects of Drunkenness explain'd—223 A short Account of different Wines in general—224 Strong made Country Wines prejudicial—225 The Conclusion, concerning Wine, and all other strong Liquors—ib. CHAP. VIII. Of different Constitutions, and the Diet proper for each. A general Method as to Diet, without Regard to parti- cular Constitutions absurd 226 Enumeration of the several Sorts of Constitutions 227 Qf the Debility of the Fibres ib. The Causes and Signs of weak and lax Fibres assign'd—228 A Regimen for those of weak fibres—229 The Effects of too rigid a state of the Fibres—230 Rigidity what, and likewise the Signs of such a consti- tution—ib. The Regimen in such a State 231 The Definition, Cause, and proper Diet of plethorick Constitutions—232 Of sanguinecus Constitutions and their Diagnostick Signs 233 The Diet proper for such Con- stitutions—235 A saline Constitution of the Fluids in an animal Body, is either acid, alkaline, muria- tick, or briny—ib. Of acid Constitutions and their Effects—236 Of Constitutions subject to an alkaline Acrimony—237 xxviii The CONTENTS. The Causes and Symptoms of such Constitutions—238, 239 The Regimen for such—240 The Causes and proper Diet for the muriatick or briny Scurvy—ib. Of phlegmatick Constitutions, their Causes, Signs, and proper Diet—241, 242 Of fat or oily Constitutions, their Causes, Symptoms and proper Diet—243, 244, 245 Of atrabilarian or melancholy Constitutions, their Signs, Causes, Effects, and proper Diet—246 to 250 The grand Secret of Health consists in keeping an Equi- librium between the Solids and Fluids—ib. Aphoristical Rules of Diet in the various Stages of Life 251 to 258 CHAP. IX. Of Sleeping and Waking. Sleep, what—258 The Use, Benefit, and Causes of Sleep—261 The natural Cause of Sleep 263 The Effects of two much Watching—ib. Late Meat suppers prejudicial to Health—264 The Effects of too much Sleep—266 Of sleeping in the Day-time, or after Dinner—267 The ordinary Time allowed for Sleep—268 The properest Time for sleep- ing 268 Nothing more pernicious to the Constitution, than watching by Night and sleeping by Day—ib. Rules to be observ'd in regard to the Position or Posture of our lying in Bed—270 CHAP. X. Of Motion and Rest. The use of Motion and Rest 271 The Necessity of Motion or Exercise mechanically proved—273 to 282 Of the Effects of Musick—283 Its wonderful Effects in cur- ing the Bite of the Taran- tula, Note *—ib. The Effects of too much Rest—286 The absolute Necessity of La- bour and Exercise for the Preservation of Health far- ther consider'd—ib. The bad Effects of too much Labour or Exercise—287 Of general Exercises—ib. Riding of all Exercises the best—ib. Of particular Exercises ap- propriated to certain Parts of the Body—28 Conditions to be observ'd what regard to Exercise—29 CHAP. xxix The CONTENTS. CHAP. XI. Of Retention and Excretion. What Things are to be ex- creted or evacuated, and what retain'd—291 The Cause of costive Stools 292 The best Proportion of the gross Evacuations to the Quantity of Food taken in ib. Purging Stools how they dis- cover the Badness of the Regimen we use—293 The Reason why Mercury will purge instead of sali- vating—294 That the same Reason will make appear why Restrin- gents and Opiates prove purgative—ib. A dangerous Mistake in rear- ing up Children—ib. Loose and purgative Stools discover intemperate Eat- ing—295 The Mischief arising to Hy- sterical and Vapourish Peo- ple, by perpetually cram- ming and gobbling the richest and strongest Food, and highest Cordials—ib. The common Cause of Head- Aches, Stomack-Aches, and Colicks—296 The right Method of bracing relax'd Nerves—ib. An uncommon Evacuation both by Stool and Urine, and the Causes of it—297 Urine, and what it con- sists of—299 Unite of a bright Amber Co- lour the best—300 The Effects of Urine too long retained—ib. The Effects of too great an Evacuation of Urine—301 Of the different Tastes, Smell, Colour, and Quantity of Urine—ib. Of high-colour'd, foul, and turbid Urine—302 Of dark-brown, or dirty red- colour'd Urine—ib. Of bloody, mattery, or whey- ish Urine—303 Obstructed Perspiration the Cause of most acute Di- seases, and the Effect of chronical ones—ib. Catching of Cold what, and how dangerous—ib. A present, easy Remedy a- gainst it—304 Certain Indications of Per- spiration's being deficient or obstructed, with Direc- tions how to remedy the same—ib. The Semen what, and the Effects of moderate Coition 305 Immoderate Coition and its bad Effects—306 The Menses a necessary Eva- cuation, and what,—307 Of Sweat and the Nature of it—308 Sweat different from insensible Perspiration—ib. Of the Saliva, or Spittle, and the Use of it—309 Of Tobacco and its Effects 310 Of the Mucus or Snot, and Tears—311 Of Ear Wax and its Use—312 CHAP. xxx The CONTENTS. CHAP. XII. Of the Passions or Affections of the Mind. The Essence and Causes of the Passions not consider'd, but their Effects and Influ- ence upon Human Bodies 312 The Manner how the Mind operates upon the Body 313 How the Passions of the Mind consume the Spirits and disorder the Body—ib. Joy and Anger render Body lighter—314 Fear and Sorrow increase the Weight of the Body—315 The Passions to be consider'd as physical Agents ib. An Enumeration of the chief Passions of the Mind—ib. Of Love (properly distinguish ed into three Kinds) and its Effects—317 Of Hatred and its Effects—320 Of Shame, Hope, Despair, and their Effects—321 The Passions are properly di- vided into acute and chro- nical—323 The Effects of acute Passions ib. The Cause of Blushing—ib. The Cause of Sighing—324 The Effects of the Suddenness of the Passions when ex- treme—ib. Of chronical Passions—ib. The Effects of chronical Pas- sions—325 The Passions have a very great Influence upon Health—ib. The Advantages of Spiritu- al Love with regard to Health—326 It banishes all those Vices winch must ruin Health, and gives continual Joy and Serenity, inseparable from Health—ib. The Conclusion—327 PART III. CONTAINING, The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of Bathing and Frictions. The Introduction—329 CHAP. xxxi The CONTENTS. CHAP. I. Of Fevers, both in general and particular. A Fever, what—333 Sydenham's Definition—ib. Boerhaave's Sentiments—ib. The Symptoms of Fevers in general—ib. The general Cure of Fevers 334 Of the Symptoms—ib. The Benefit of giving a Vo- mit in Fevers—335 When a Purge may be given with Advantage—336 The Cause of Fevers accord- ing to Hippocrates—ib. A Rule of Diet in Fevers—337 A Division of Fevers—ib. Of an Ephemera and putrid Fever, what—338 The Causes of a putrid Fever ib. The Diagnosticks and Prog- nosticks—339 Of a continent or remitting Fever—340 Of a spurious remitting Fever, and its Prognosticks—341 Of a simple remitting Fever—ib. The Method of Cure—342 A Division of continual Fevers into Burning and Slow Fe- vers, with the chief Symp- toms and Prognosticks—343 The Regimen—344 The Method of Cure—345 Of a Calenture, and of Slow Fevers—346 Of Catarrhal Fevers—ib. The Method of Cure—347 Of Intermitting Fevers—348 The Method of Cure—349 Of Spurious intermitting Fe- vers, and the Cure—351 The proximate Cause of In- termitting Fevers—352 Of Burning Fevers—ib. Great Variety of Malignant Fevers—353 Prognosticks and Cure of Ma- lignant Fevers—354 Of Spotted fevers; their Symptoms, Prognosticks, and Cure—357 CHAP. II. Of the Cure of the most urgent Symptoms attending Fevers. Of Rigor or Shivering in Fe- vers—358 Of Feverish Heat, and the Cure—359 Of Thirst, Anxieties, and Vo- miting in Fevers—360, 361 Of a Looseness in Fevers—363 Of a Strangury, and profuse Sweats in Fevers—364, 365 Of a Pain in the Head, Watch- fulness, Coma, and Deliri- ums in Fevers—366, 367 Of Convulsions in Fevers—368 Of Weakness in Fevers—369 Of inflammatory Eruptions in Fevers—370 Of the Small-Pox; its diffe- rent Stages and Cure, from 371 to 380. CHAP. xxxii the CONTENTS. CHAP. III. Of inflammatory Diseases attended with a Fever. Of a Phrensy, or Inflamma- tion of the Brain—382 Of a Quinsy; its different Sorts, and Cure—384 Of a Pleurisy—386 Of a Peripneumony, or In- flammation of the Lungs 389 An Empyema, what—391 Of a Paraphrenitis, or Inflam- mation of the Diaphragm 393 Of an Inflammation of the Stomach—ib. Of an Inflammation of the Liver—395 Of an Inflammation of the Mesentery—400 Of an Inflammation of the Guts, Symptoms and Cure 402 Inflammations of the Kidneys 405 Of an Apoplexy—409 CHAP. IV. Of Chronical Distempers. Of a Palsy—413 Of an Hemiplegia, and a Pa- raplegia—415 The Cure—416 Of an Epilepsy, or Falling- Sickness—417 The Causes Various—ib. Of Melancholy Madness, and the Causes—421 Of Madness from the Bite of a Mad-Dog—425 A new and sure Method of Cure—429 Of the Scurvy—432 The Cause—433 Of a Cachexy, or ill Habit of Body—435 The Signs, and Cure—436 Of a Consumption—439 Of the concomitant Cause of a Consumption—441 The Method of Cure, from 449 to 452 Of a Dropsy—452 Of the Gout—456 The Effects of Abstinence in the Gout—461 Of Rheumatism—ib. The Cause and Cure—462 Of the Stone and Gravel—463 CHAP. V. Of the Nature and Use of Bathing and Frictions. Of Cold Bathing—467 Necessary Rules to be observ'd before Cold Bathing—470 Wherein Cold Bathing is in- jurious—471 The Use of warm Bathing—473 The Use and Effects of hot Mineral Baths, such as that famous one in Somersetshire 474 Of Frictions and their good and bad Effects—476 A (1) A Guide to Health, &c. PART I. Of the different Degrees and Changes of Age; the principal and inevita- ble Causes of Old Age; and, final- ly, of our Dissolution. To which is annex'd A brief, chronological, and historical Account of LONG LIVES, from before the Flood to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life; with a Description and Definition of Old Age. As our Bodies are subject to Changes and Alterations, from the Minute we come into the World; so the Physicians, regarding the most ap- parent and sensible Changes only, have divided man's whole Life into several Periods, which A they 2 A GUIDE to HEALTH Part I. they call Ages: The Egyptians reckon'd as many as there are ‡ Septenaries in a hundred; for they were of Opinion, that Man's Life could not exceed that Term. The Pythagoreans, who were very super- stitious in the Doctrine of Numbers, have publish'd in their Writings, that we undergo remarkable Changes every seven Years, as well in regard to the Temperature of the Body, as the Qualities of the Soul; all which must be referr'd to the Excellency and Perfection of the Number Seven. But I will not enter into Disquisitions upon Numbers in this Place; it is enough for me to have the Concurrence of all the most cele- brated Authors, that Man, according to the natural Course of Life, undergoes five remark- able Changes in his * Temperament, and passes five Ages or Periods; that is, Infancy, Ado- lescency, Youth, Manhood, and Old Age. Infancy is hot and moist; but the Moisture is predominant, and keeps the Heat in such Subjection, that it can no way shew its Effects. It ‡ Septenarius, or Septennium, containing the Space of seven Years. Some of the Antients reckon'd every Constitution underwent some remarkable Change in every such Revolution, whence the seventh Year was call'd critical, or climacterick Year. * Temperament is that Diversity in the Blood of different Persons, whereby it is apt to fall into some certain Combina- tions more in one Body than another, whether into Sanguine, Choler, Phlegm, or Melancholy; from whence Persons are said to be of a sanguine, cholerick, phlegmatick, or melancholy Tem- perament or Constitution. Of all which I shall speak more at large hereafter. Part I. thro' the various Stages of Life. 3 It continues to the thirteenth or fourteenth Year. Adolescency follows, which is likewise hot and moist, but the Heat begins to be predo- minant; for we see its Sparks shine and lighten every where. In Males the Voice then begins to grow loud and hoarse; they spread and dilate every way, and cast their first Downs. In Females the Breasts grow visibly harder and larger, the Blood is in Motion thro' the whole Body, and pushes on all Sides till it finds Passage. This Period extends to the Age of four or five and twenty, which is the Term limited by Nature for Growth. This is succeeded by Youth, which is full of Heat, Vigour, and Agility: It runs to thirty- five or forty. In this Age the Body comes to its full State, and the Fibres, Membranes, and Bones to their due Solidity. This is what is call'd Manhood, and is the most temperate of the Ages of Man, participating of the four Extremes equally, and extending to the fiftieth Year; where Old Age begins, which com- prises the Remainder of our Lives. Now this last Period of Man's Life may be divided into three Stages; but I pass over that which is call'd Senium ex morbo, that is, Old Age brough on by Sickness. The first is call'd Verdant: It is accompa- nie with Prudence, and is full of Experience, and fit for governing Commonwealths, and managing Affairs of Importance. The se- A2 cond 4 A GUIDE to HEALTH Part I. cond begins at Seventy, and is attended with several little Ailments, and is cold and dry. As to the first, there are such apparent Marks of it, that none ever doubted it; for if we touch old Men of those Years, we shall find them generally very cold in all their Muscles; they have no lively or Vermillion Colour; all their Senses are weaken'd, and they are subject to a great many cold Distempers: But as to the other Quality, Dryness, some have endea- vour'd to dispute it, saying that this Period is moist, but not dry. To this Galen replies, in his first Book de Sanitate Tuenda, that old Men have all those Parts dry which are moist in Children; that is, the solid Parts, upon which the whole Constitution depends. This is even the Opinion of the Moderns, and what we should follow; for Leanness, Wrinkles, Hardness of the Nerves and Skin, the Stiff- ness of the Joints, are sufficient Demonstra- tions of this dry Temperament at that Age. At length comes the last Step of Old Age, and is call'd Decrepit; in which, according to the Royal Prophet, there is nothing but Pains and Grief; for all the Faculties of the Soul and Body are weaken'd, the Sentiments dull and heavy, the Memory lost, the Judg- ment defective. This Last Period of Old Age is describ'd in the twelfth Chapter of Ecclesiastes, under so beautiful an Allegory, that nothing can excel it; and as the Royal Author was the greatest Philosopher and Naturalist that ever wrote, I will Part I. thro' the various Stages of Life. 5 will therefore present the Reader with his Description of this Stage of Life at large, which, besides its Beauty, will likewise serve Us for Instruction and Counsel. Remember, says he, thy Creator in the Days of thy Youth, while the Sun, or the Lights or the moon, or the Stars be not darkened, nor the Clouds return after the Rain. In the Day when the Keepers of the House shall tremble, and the strong Men shall bow themselves, and the Grinders cease, because they are few; and those that look out of Win- dows be darkened, and the Doors shall be shut in the Streets, when the Sound of the Grinding is low, and he shall rise up at the Voice of the Bird, and all the Daughters of Musick shall be brought low. And when they shall be afraid of that which is high, and Fears shall be in the way, and the Almond-tree shall flourish, and the Grashopper shall be a Burden, and Desire shall fail, because man goeth to his long home, and the Mourners go about the Streets. Then shall the Dust return to the Earth as it was: and the Spirit shall return to God that gave it. This is the Description of Stage of man's Life, which is admirable. In decrepit old Age, the Sun and the Stars are darken'd; that is, the Eyes of Man, which are grown dim; nor the Clouds return after the Rain; A3 that 6 A GUIDE to HEALTH Part. I. that is, after they have been weeping a long time, they seem to have thick Clouds before their Eyes. The Keepers of the House shall tremble; that signifies the Hands and Arms, which have been given to Man for the Defence of his whole Body. And the strong Men shall bow themselves; that is, the Legs, which are the Columns that support the whole Building. And the Grinders cease; that is, the Teeth, which grind and chew the Aliments. And those that look out of the Windows be darken'd; that is, the Eyes, which are troubled with Cataracts, and several other Disorders incident to the Sight of decrepit old People. And the Door shall be shut in the Streets, when the Sound of the Grinding is low; those are the Chops, which cannot open to chew, or the Canals thro' which the Aliment us'd to pass, but are now grown straight and narrow. And be shall rise up at the Voice of the Bird; that is, decrepit old People cannot sleep, and are always awaken'd by the Cock's Crowing. And all the Daughters of Musick shall be brought low; that is, their Voice, which fails them. And the Almond-tree shall flourish; that is, the Head, which is all white. And the Grashopper shall be a Burden; that is, the Legs, which are swoln, &c. Having now describ'd the Ages terminated by Years, I would not however be so far con- fin'd to the usual Number into which Man's Life is divided, as if Youth and Old Age must intirely depend upon it; We ought rather to regu- Part I. thro' the various Stages of Life. 7 regulate ourselves by the * Temperament, or Nature of our Constitution: for we may call every Man that is cold and dry, an old man; there are a great many such at forty, and a great number of young Men at sixty. some Complexions fail sooner, and others later. The sanguine are of long Duration, be- cause they have a deal of Heat and Moisture, which Constitution or Temper is most com- modious to Mankind, and qualifies them best for Action, and is therefore most consistent with Health and long Life; whereas the contrary Temper, viz. cold and dry, soon tends to Decay and Death; for the sooner a Body wi- thers and dries away, the sooner it grows old, and draws near its Dissolution. This Heat and Moisture hath also its several Degrees, but these Qualities are best when moderate; those which differ and recede from that Me- diocrity, are called hot and moist, hot and dry, or cold and moist, and cold and dry, tho' all in general are hot and moist in some Degree. These differences of Tempers are com- monly distinguish'd by the Denominations, which I have observ'd already of Sanguine, Choleric, Phlegmatic, and Melancholic Con- stitutions, according tothe Nature and Dis- position of the Juices in the several Bodies, where the excrementitious Discharges answer thereto. They whose Blood is of a mode- rate Templer, between hot and moist, are called sanguine; those who exceed in beat, A4 and * Temperament, See Pag. 2. Note * 8 A GUIDE to HEALTH Part I. and whose Blood is dryer, are called Choleric; those who are cold and moist, Phlegmatic; and lastly, those who are cold and dry, Me- lancholic; and this last Temper or Constitu- tion grows old sooner than any of the rest. As to what regards the Sexes, the Fe- male, generally speaking, grows old sooner than the Male, which Hippocrates justly ob- serves, in his Book concerning those Chil- dren who are born at the End of the seventh Month. The Females, says he, are later in forming and growing in the Womb than the Males; but when they are out of it, they grow faster, have earlier Understanding, and are sooner old, on account of the weakness of their Bodies, and their manner of living. Weakness hastens their Growth, and brings them likewise sooner to old Age; for as the Plants which are short-liv'd grow in a few Minutes, so the Bodies which have no long Duration, soon come to their Perfection. Their manner of living likewise contributes very much to their growing old soon, as they most commonly lead an unactive life; for nothing brings us sooner to old Age than Sloth and Idleness. As to the different Tempers and Constitu- tions of Men, they depend, in a great mea- sure, not only upon the various Dispositions of the Humours contain'd in the Body, but also on the peculiar Conformation and Struc- ture of the noble Parts, and their various Proportions in respect to each other, which disposes Part I. thro' the various Stages of Life. 9 disposes them to breed Humours of diffe- rent Kinds and Dispositions; and endows them with various Qualities, according to the several Alterations they undergo in diffe- rent Bodies, and the Proportion of such ani- mal Fluids differently fermented, exceeding or falling short in Degrees of Digestion; or being variously vitiated by the assimilating Qualities of Humours already contain'd, or of fresh Food taken into the Body, which may pervert the Disposition of the Fluids al- ready contain'd in the Blood Vessels. The Proportion of the Parts of the Body, and their Conformation, may contribute to the difference of Constitution, as they sepa- rate and discharge Humours, not only diffe- rently prepar'd, but in greater or less Quan- tities: Thus, if the Heart be larger in Pro- portion to the Body than the rest of the Parts, the Blood must circulate more briskly, and with greater Force; if the Liver be large, and separate a great Quantity of Bile, the Chyle and Blood must be more bilious; and as the Stomach digests differently, the blood must be supplied with Nourishment in greater or less Quantities, more or less di- gested, and so occasion Sanguine, Choleric, or Phlegmatic Constitutions. Thus the noble parts contribute to the different Temper of the whole, as well as other particular Parts themselves. Hence it is; that different Parts of the Body are, in respect of one another, esteem'd to 10 A GUIDE to HEALTH Part. I. to be of different Tempers; as the Heart, up- on account of its Situation and constant Mo- tion, may be reckon'd one of the hottest Parts of the Body. The others reckon'd of a hot Temper, are the Liver, the musculous Flesh, the Spleen, the Kidneys, Lungs, Veins, Arteries, and Fat. The cold Parts are, the Bones, Cartilages, Ligaments, Tendons, Nerves, Membranes, Spinal Marrow, and the Brain. Those which are accounted moist, are the Fat, Marrow, Brain, Breasts, Testicles, Lungs, Spleen, Kidneys, musculous Flesh, Tongue, Heart, and the softer Nerves. The dry Parts are, Bones, Cartilages, Ligaments, Tendons, Membranes, Arteries, Veins, and hard Nerves. There is moreover another difference in the Tempers or Constitutions of human Bodies, in respect of Age and Sexes; thus Women are naturally colder than Men, too much Heat being supposed apt to consume and vi- tiate the tender Nourishment of Infants, which is to be prepar'd in the Mother. Age likewise alters Constitutions, according to the several Stages and Periods, as I have ob- serv'd before; thus Infants and Children are hot and moist. Youth more temperate, Men and full-grown Persons hot and dry; where- as in old Age the Heat decreases, and Nou- rishment is dry'd up for want of its usual Supplies. Another thing that makes Constitutions differ, is the difference of Climates, the manner Part I. 11 thro' the various Stages of Life. 11 manner of living, the nature of the Food they use, and the Liquors wherewith the more solid Parts of the Food are diluted; but for a more particular Account of different Constitutions, see Part II. Chap. IX. where I treat of the Diet proper for each respe- ctively. Having hitherto given the Reader an Ac- count of the different Degrees and Changes of Age, as likewise a Description of decrepit old Age, supported by the Authority of the wise Solomon; and lastly, of the Causes and Nature of different Constitutions, I shall now finish this Chapter with the Definition of it, which will be of singular Use to such as will observe the Precepts hereafter men- tion'd, in order to preserve Health and long Life. The incomparable Sanctorius, most ele- gantly and concisely defining old Age, says in Aphorism xxxv. Sect. v. Senectus est univer- salis fibrarum durities, &c. that is, old Age is an universal Hardness of the Fibres, &c. which implies; that when there is a greater Waste of the nervous Fluid than can be repair'd, then the component Machinulœ * of all the Fibres of the human Body, for want of a Sufficiency of this animal Oil or Fluidt are harden'd and dry'd, the Pores are thereby straiten'd * Machinulœ signifies in Anatomyy the various Textures, Combinations and Decussations of the Fibres, compounding the Muscles, Nerves, and Membranes of the Body; which is only a Diminutive from the Word Machine. 12 A GUIDE to HEALTH Part I. straiten'd and obstructed, by which means the natural Heat is stifled, and at last Death en- sues; hence it is, that the nearer a Person is brought to this State of an universal Hard- ness of the Fibres, &c. by any means what- ever, the farther such a Person may be said to be advanc'd towards old Age. Wherefore the great Secret and sole Me- thod of long Life, is to preserve the Blood and Juices in a due State of Fluidity and Thinness whereby they may be capable of making all those Circulations and Rounds thro' the animal Fibres, wherein Health and Life consist, with the fewest Rubs, and least Resistance that can be. But notwithstanding all our Efforts, Time and old Age will stiffen and fix our Solids at last; for Age and Time, by weakening the Appetite and Concoctions, impairing the natural Heat, which consists in a brisk and extended Circu- lation of the Fluids to all the Parts of the Body, by the converting those Juices into solid Substances, and thereby fixing and hardening these Solids, and depriving them of their due Elasticity; so the remaining Fluids circulate slower, and with less Force, and seldom reach the Extremities and smallest Ves- sels, but only pass slowly through the larger Vessels..And tho' with all these unavoidable Circumstances, both the nutritious Juices, the serous and globular Part of the Blood be- come viscid, thick, and gluey, so that the Circulation must stop, and come to an end at last; yet it is certainly in a great measure in Part I. thro' the various Stages of Life. 13 in our own Power to put a Stop to the too quick Approaches of such an irremediable Period, by keeping our Juices in a due State of Fluidity and Thinness, and to render them such, if they are not corrupted to an extreme Degree; so that the remainder of Life be not too short to undertake such a Work; for it is very certain, that we may dilute and thin any Fluid, that has an Inlet and Outlet. And the smaller and finer the Parts of any circulating Liquor are, the less Force it will require to set it a going, and to continue its Motion: And it is just even so in animal Bodies; for the more fluid and thinner the Juices are, they will not only circulate with less Force, and with less Resistance or Pain, but they will likewise preserve, by their Cir- culation, the Solids the longer from harden- ing and stiffening. Now, as nothing brings a Person sooner to that State of universal Hardness and Stiff- ness of the Fibres, and a Viscosity and Thick- ness of the Juices, than indulging in strong high Meats, which the concoctive Powers cannot divide small enough to be converted into red Globules of Blood, or circulate thro' the small Vessels, but overload them with corro- sive urinous Salts, which run into Clusters, and first obstruct, and afterwards tear and break these small vessels, and likewise in swilling of strong Liquors, which by their caustick Quality dry up, burn, and destroy the tender and delicate Fibres of the Solids; I therefore 14 A GUIDE to HEALTH Part I. therefore I say, as nothing but such an Indul- gence, and such long-continued Excesses, and obstinately persisted in, can so soon produce such a State of the Fluids and Solids, and consequently bring on many fatal chronical Diseases, according to the particular Habit, Make, and Constitution of the Person: So it is evident, that the only Method and most effectual means that can solidly and thorough- ly accomplish the contrary State of the Blood and Juices, is to render them thin, sweet, and in a continual flowing Condition, by taking the contrary Measures, in keeping to a strict Regimen of a fluid, thin, spare, plain, and lean Diet; for as Dr. Cheyne justly ob- serves, No voluptuous and lazy Person, unless be had an original Constitution of BRASS, ever liv'd to a great Age; and even then, as his Life has been more Misery and Pain, than ever a SOBER GALLY-SLAVE endur'd, his End, and the latter Part of his Days has been RACK and TORTURE, HORROR and DESPAIR. So that Longœvity is scarce ever found but among the abstemious. As all the Parts of the human Body are made up of Fibres, which are small, trans- parent, solid, and elastick, or springy Threads or Filaments, of which mention is made in the foregoing Definition of old Age, and which have been sufficiently demonstrated by Physician and Anatomists already; yet it will not be improper to give some Account of them here, for the sake of as many of the English I Readers Part I. thro' the various Stages of Life. 15 Readers as may be unacquainted with either Physick or Anatomy, and for whose Benefit I have chiefly compiled this Treatise. Therefore these Fibres, or small Threads, that constitute the human Body, are of diffe- rent Sorts; some are soft, flexible, and a lit- tle elastick ‡, and these are hollow like small Pipes, or spongious, and full of little Cells, as the nervous and fleshy Fibres. There are others more solid and flexible, but with a strong Elasticity, as the membranous and car- tilaginous Fibres; and a third Sort hard and inflexible, as the Fibres of the Bones. And of all these some are very sensible, as those of the Nerves, Blood-vessels, Membranes, Ten- dons, and Muscles; and others are destitute of all Sense, as those of the Bones; some so very small as not to be easily perceiv'd; and others, on the contrary, so big as to be plain- ly seen; but most of them, when examin'd with a Microscope, appear to be composed of still smaller Fibres, and may be divided still into less; and indeed this Division proceeds so far, that at last they become so incredibly small as to exceed all the Power of Imagina- tion; but Reason will shew us, there must be an End. Now these simple Fibres do first constitute the Substance of the Bones, Cartilages, Liga- ments, ‡ Elastick or springy, signifies a Force in Bodies, by which they endeavour to restore themselves to the Posture from whence they were displace by any external Force. 16 A GUIDE to HEALTH Part I. ments, Membranes, Nerves, Veins, Arteries, and Muscles. And again, by the various Texture and different Combinations of some, or all these Parts, the more compound Organs are fram'd, such as the Lungs, Stomach, Liver, Legs, and Arms, the Sum of all which makes the human Body. CHAP. II. The principal and inevitable Causes of OLD AGE, and of our DISSOLUTION. I Shall shew in this Chapter, with what has been already said, such things as alter our Bodies, and whatever makes them grow old, and brings us at last to our Dissolution. The Causes, then, of the Alterations of our Bodies, and likewise of our Dissolution, are either external or internal: These last are born with us, and always attend us, even to the Grave: The others come from without us, surround us on all Sides, and, tho' we can guard ourselves against some of them, there is however an infinite Number of them which we cannot escape. The internal Causes which come into the World with us, are two, viz. the Contrariety of the Principles of which our Bodies are composed, and the Animal Actions or Func- tions of the human Body The Ch. II. thro' the various Stages of Life. 17 The Principles of our Composition are, 1. A Water or Phlegm. 2. A volatile Fluid or Spirit. 3. A saline Matter or Salt, both Volatile and fix'd. 4. A fat Substance or Oil, otherwise call'd Sulphur. 5. An Earth, or Caput Mortuum. But the Spirit being only a Mixture of Phlegm and Salt, these five may be properly reduced to four †. The Animal Actions, or Functions, which happen in all the Parts of human Bodies, by the Motion of the Humours in their distinct Vessels, and the Effects they have upon one another, are distinguish'd into vital, natural, and animal, Those call'd vital so much con- duce to preserve Life, that they are of abso- lute Necessity; as the muscular Action of the Heart, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions thro' their proper Organs; and also the Veins, Arteries, and Nerves. The Natural Actions are those that so alter our Aliment, as that it may become Part of our Substance; and such are the Actions of the Bowels, vessels and Humours that receive, re- tain, move, change, mix, separate, apply, discharge, and consume. The Animal Functions are such as, when perform'd, the Understanding conceives Ideas of Things, united to that Action; or the Will is either concern'd in exciting such Actions, or mov'd by them when excited: Such are B the † Boerhaave Institutiones Medic. de Natura & Part. Sang. 18 A GUIDE to HEALTH Part I. the Touch, Taste, Smell, Sight, Hearing, Per- ception, Imagination, Memory, Judgment, Reason, Passions of the Mind, and voluntary Motions. From hence we may know, that Health is such a Disposition of the Body as fits it to exercise all its Actions, and that all the Effects of those Actions respect determinate Motions, and the Change made in our Ali- ment. The Principles of our Composition just now mention'd, being duly distributed thro' the whole Body, may be call'd an Equilibrium between the Solids and Fluids of a Person in Health; or, which is the same thing, an exact Ballance of Contrarieties, making a kind of Agreement or Harmony amongst themselves, in order to mix and unite; wherein each of them quits something of its Sovereignty, and reduces itself to a Mediocrity, which is call'd Temperament. But this Alliance is of short Duration; for the Body, by the Actions inse- parable from Life, suffers such a gradual Change, that the smallest Vessels become stiff, and the minutest grow together into Fibres, unfit for the Humours to pass thro' them; the greater Vessels become hard and narrow, and all are contracted, and, being compress'd, grow together, which occasions Dryness, and Un- aptness to Motion in old People. By this means the Actions of the small Vessels are de- stroy'd, and the Humours stagnate and grow thick in them, and the Fibres adhere toge- ther: Thus the most subtile Parts of the Juices Ch. II. thro' the various Stages of Life. 19 Juices are wanting and dissipated, Digestion is weaken'd, Nourishment is deficient, and the grosser Humours only circulate thro' the large vessels slowly, and support Life alone, with- out the Animal Action till at last these Changes bring on Death from Old Age, the Successor of perfect Health; which happens sooner if the Actions of Life have been violent, but later if moderate; and this is one of the Causes of our Dissolution: It is inevitable, and we bring it with us from the Womb, But, in order to make this more evidently ap- pear, it is necessary to consider the following Particulars concerning Nutrition, Growth, and Decrease of the Body. As there is an Aptness to Motion requisite in the Vessels, Muscles, and Fibres of the hu- man Body, in order to enable it to make due Use of all the Motions of its Humours, Ves- sels, and Muscles, without Detriment there- unto; So, for this Purpose, the Parts which are coherent, should be partly free from Con- tact, and partly remain in it, which cannot be, unless the greater Parts consist of the smallest, thinest, and shortest ones; nor will that happen again, unless a renovating Hu- mour passes continually betwixt them, to hin- der their growing together; therefore, as the whole human Body is flexile, and subject to Changes from Contact, of Necessity it ought to consist of small Vessels. But this very Motion, being continually and violently perform'd, in Vessels of such a B2 tender 20 A GUIDE to HEALTH Part I. tender Fabrick, the least Parts must of neces- sity be thereby worn off from the Solids; and thence, being mix'd with the Liquids, be mov'd round by the perpetual Circulation of the Juices, as well as by the Action of the Muscles, and exhale. In the mean while the Fluids, being ground small by the continual Attrition of their Parts, and drove to the Ves- sels thro' which they exhale or transpire, are quite excluded out of the Body; and thus the Animal Body, from the very Condition of its Frame, is soon destroy'd. Therefore it is requisite, for the due Con- tinuance of Life, that as much Matter, and of the same Kind, should be continually re- stored to the Humours and solid Parts, as was lost by those Motions, which Action is call'd Nutrition. The Humours that are worn away, are again supplied, as to their Matter, by Air, Meat, and Drink. As to the Qualities re- quir'd, those are produced by the concurring Assistance of all the Parts of the Body, and by means thereof applied to the Vessels where they are wanting. Every solid Part of the Body is composed of other less Solids, very like the greater; the Vessels, of smaller Vessels; and the Bones, of smaller Bones. And this manner of Structure proceeds beyond all the Limits of Sense, as- sisted by what Art soever, as Malpighi, Ruysche, Leeuwenhoek, and Hook, have de- monstrated by accurate Experiments: yet this Divi- Ch. II. thro' the various Stages of Life. 21 Division scarce seems to proceed ad Infinitum, as appears by the Nature of the Nourishment and Fluids themselves. Moreover Microscopes, Injections, the least imaginable Wounds, Vesicatories, Comsump- tions, and the withering away of the Body, inform us, that our solid Parts, in respect of the Humours, are but very small; for it is al- most demonstrable, from the Consideration of the Rise and Generation of the Vessels, and the Resolution of the greater Canals into their least constituent Parts, that the whole solid Mass of our Bodies is almost wholly compos'd of mere Nerves, consider'd in their primary Composition and Communication. And truly all that Mass, except an incre- dible small Particle, at first grew together, from those which were before the most sub- tile Liquid of the Colliquamentum or Fluid, almost all which goes to compound the Body, being much like the nervous Fluid, according to Malpighi; for the White of an Egg does not nourish, before it has been long brooded upon, till that thick clammy Humour has pass'd thro' a vast many Degrees of Fluidity, by several Changes, to fit it at last for the Purposes requir'd; but even then, when it comes to supply the Embryo, it is very thick, and must be much more subtiliz'd in its Ves- sels and Bowels. The first tender solid Parts being made out of this most subtile Humour, which are then almost fluid, they pass again thro' a vast many B3 diffe- 22 A GUIDE to HEALTH Part I. different Degrees of Solidity, before they ar- rive at the Perfection of solid Parts; as ap- pears from Malpighi's Experiments upon Eggs, and the incomparable Ruysche's upon Embryos and Fœtuses, and even from the differ rent Parts themselves. Hence it appears, that the solid Parts, in their first Origin, differ only from Liquids, whence they spring, by Rest, Cohesion, and their Figure; therefore such a Particle, while fluid, will become Part of Solid, to be form'd thereof, as soon as the Power that causes it to cohere with the other solid Parts, shall act, by what means soever it be. This Cohesion of the Parts is best pro- duc'd in a Fibre already form'd, if there be a sufficient Place in the Solid, left by that Particle which was lost, and at the same time, another Particle in the Fluid of equal Bulk, Figure and Nature, and endow'd with suffi- cient Force to thrust it in, or fit it to that Place. Therefore there will be a true Nutrition of the Solids in the smallest Vessels, which, by Addition, become greater; that is, in the Nerves or Vessels like them; which, since it cannot be perform'd without a Liquid be brought into those Vessels, seems very plain, that the most immediate matter of Nourish- ment is the most subtle, nervous Fluid, or some other like it; and therefore appears to be perform'd and produc'd from the last and most refin'd Actions of Nature; and that it may Ch. II. thro' the various Stages of Life. 23 may be well perform'd, all the preceding Actions ought to be perfect. The Chyle therefore may fill the greater Vessels, but cannot recruit the solid Parts; but being attenuated, alter'd, rarefied, mix'd, and made fit to pass thro' some Vessels, by the force of Respiration in the Lungs, it is render'd the more proper indeed, but still not fit Matter for this Purpose. However, by the repeated Effects of the Lungs, Bowels, and Vessels, it becomes a white, tenacious, forming Liquor, almost Without Smell, thickens by the Heat of the Fire, or in Spirit of Wine; being then like the White of an Egg, and called Serum; and therefore is such a Fluid, as has all the requi- sites which ought to be in that Humour; whereof Experience teaches us, that all the solid Parts of an animal Body are constantly made or form'd, only by Incubation, or a constant Heat and Digestion. Thus then the Matter is brought a Degree nearer, but yet is not quite fit for Nutrition; much less is red Blood, which never enters the smallest Vessels. But as the Heat of Incubation, so the action of the Viscera and Vessels, occasions divers Changes on this circulating Serum, till Part of it is turn'd into such a subtle Humour as is here requir'd; and being consumed, it is again supplied, and this at length becomes the true and immediate Matter of Nourish- ment; which, how simple it is, how insipid, B4 or 24 A GUIDE to HEALTH Part I. or without Smell, will appear from the Fire, Putrefaction, or the Art of Chymistry, for it leaves behind but a pure and exceedingly light Earth. Nor can this Matter be prepar'd, without undergoing the foremention'd Alterations: But the same Humour may, by too often and repeated turns of Circulation, grow sharper, or lose its Liquidity, and become thick; be- ing drain'd of its oily Parts, and render'd pun- gent by Salts, and then it is unfit for this Use; which may, perhaps, be partly dis- charg'd by Perspiration, and partly by Urine. Therefore there is a necessity of new Chyle, and consequently of Aliment, to supply this Nourishment. As to the Manner how, and the Cause why Nutrition is perform'd, that will appear from what follows. The Humour being forced forwards, thro' a full, conical, cylindrical, elastic, or stiff and rigid Tube, if it flows from a broad Part into an narrower, or with a Resistance against its Motion, it will endeavour to extend the Sides of the Canal, according to its longer Axis; and this happens all over the Body, ex- cept in the Veins, and the Cavity of the Re- ceptacles. And by this Force, tho' small, be- ing constant and repeated, the Vessels will by Degrees, and insensibly be lengthen'd; and by growing longer, will become thinner, and soon be more and more attenuated: By this means, the utmost Extremities of the Vessels, which are smallest, will be less coherent, and next Ch. II. thro' the various Stages of Life. 25 next to a State of Dissolution. And thus the Extremities of the Vessels will be ren- der'd much finer and weaker, and little different from Fluids. Whilst therefore this Motion perpetually proceeds in a continual Propulsion, it must necessarily happen, that the last Particles of these very fine Tubes being worn away, will again put on the form of a Liquid, in what- ever Part of the Body they remain; and then the smallest Parts, which compose the finest Fibres, by their Union will be so mutually separated from one another, as to leave small Intervals in those Places where they before grew together; and this will constantly hap- pen every where, as long as Life continues, especially where it is strong, and the Action of the Body violent. But the same Humour wherein all this happens, contains a great many such Particles as were separated or lost, which it carries, ap- plies, and adapts to these very Intervals, with that very Force with which it endeavours to break the Vessels, and then fixes, fits and fastens those intercepted Particles in these Cavities; so that they grow together as the former: for the Matter, the Preparation and Application thereof, with the Force of Mo- tion, will always continue the same; and therefore what is lost will be easily restor'd, and so the solid Parts remain as they were, that is, they are nourish'd and preserv'd con- tinually, And 26 A GUIDE to HEALTH Part I. And this shews the wonderful Wisdom of our Maker, that the same Cause which in- evitably destroys, shall also at the same time repair the Structure of our Frame; and that too according to this Rule, that the greater the Loss, the larger shall be the Supply; and that those Parts, which by the Actions of the Body are first worn, are always the first sup- plied. It is plain then, that the more tender those Vessels are, the newer, and the nearer to the moving Cause, so much the easier they are stretch'd, distended, destroy'd, and re- new'd; and consequently, the nearer our Bodies are to their Origin, the more they grow and increase. Whilst this Action goes forwards, the greater Vessels are more distended by the Li- quor they contain; but at the same time, the small Vessels, which being interwoven, com- pose the Membranes of the greater, are more compressed, dried, and grow nearer together which adds Strength to the Fibres, at the Expence of vascular Property; so that in time our Vessels turn to hard Ligaments, and the Humours become firm and solid. By a Concurrence of these Causes, the Solids be- come strong, hard, stiff and thick. There- fore the vast number of Vessels that are in an Embryo, gradually decrease as Age comes on; and for the same reason, on the other hand, as Weakness decreases, Strength increases; and so in young Persons, the Quantity and Vigour Ch. II. thro' the various Stages of Life. 27 Vigour of the Humours exceed that of the Solids; but in old People, the Solids in Quantity and Strength exceed the Liquids; from whence plainly appears the manner of the Increase, Decrease, and Death of the Body, merely from old Age, with the Causes and different Appearances thereof. Whoever therefore considers this whole Account, and then compares these Accidents which happen to the Body therewith, will clearly perceive this to be the State of the Case; for the whole Cuticle every where per- petually scales off, perishes, and renews again; the Hair, Nails, Teeth, shav'd, par'd, cut off or wore, grow afresh; and Parts of the Vessels and Bones taken away, in a short time return on every side; and if the Filth in the Extremities of the Vessels throughout the whole Body, that is either worn off, or collected there by Exhalation, be view'd in Water with a Microscope, after being eva- porated or diluted, it appears to consist of Solids and Fluids; and the same when ob- tain'd by Washing, Rubbing, or Abrasion, ex- hibit the like Appearance. From hence appears the Reason why the Fabric of our Solids is not dissolv'd by the liquid Contents; and why our Machine con- tinues so long fit for Motion; why, when the Nerves are by any means corrupted, the Part to which they lead, loses its Nourish- ment; why in an Embryo there are no So- lids, in a Fœtus few, and in very old People a 28 A GUIDE to HEALTH Part I. a vast many; so that even the Nerves, Ten- dons, Arteries, and Receptacles in those, first become cartilaginous, and then bony. It is therefore evident from the foregoing Particulars, that the two internal Causes of our Dissolution already mention'd, viz. The Contrariety of the Principles of our Fabric, and the animal Actions or Functions of the human Body, are born, grow, and are nou- rish'd with us, and that, gradually and in- evitably, they bring on Old Age, and destroy the Body at last: nor can all the Physicians in the World guard us against them; for the great Promises made with Assurance, as to the Prolongation of Life for so many hun- dreds of Years, are vain and imaginary, be- ing unsupported both by Reason and Expe- rience: Of this Tribe are Van Helmont's Primum Ens, Paracelsus's Elixir Proprie- tatis; the Primum Ens of Animals; all those precious Liquors, that potable Gold, those Conserves of Rubies, Emeralds, Elixirs of Life; that fabulous Fountain, that was reported to make People grow young, can- not hinder us from Decay and Old Age. Nor is it likely that Life should be prolong'd even by the best Methods in Nature, so many Years as the Chymists pretend by their Art; but their own Experience is a Proof of their Temerity and Inability herein. There are other Causes of our Dissolution, which are external, and likewise inevitable; for as our Bodies consist of three dissipable Sub- Ch. II. thro' the various Stages of Life. 29 Substances, one of which is subtile and airy, the second liquid, and the third solid; so we must necessarily have something that pro- ceeds from without us, in order to repair them, otherwise our Lives could subsist but a few Minutes. That which repairs our Substance is called Aliment, and is threefold. Air, Meat, and Drink; the first nourishes the spirituous Sub- stance, the second the Liquid, and the third the solid Substance. But this triple Aliment, tho' never so pure, has yet always something unlike our Nature, which can never be assimilated to either our Juices or Solids, which must then become excremen- titious; and where an Excrement is genera- ted, and being detain'd in the Body, con- sequently alters it, and causes an infinite number of Diseases; by which means our Bodies are variously chang'd and affected, and often finally brought to an intire Disso- lution. I pass over all the other external Causes, such as too violent Exercises, an unactive and sedentary Life, long and continual Watch- ings, those Passions of the Mind which are most capable of making us grow old, as Fear and Sadness, &c. I say nothing likewise of all accidental Causes, such as Wounds, Fractures, &c. I have only endeavour'd to demonstrate, that the living Creature must necessarily grow old and decay; that he nourishes the natural Causes of Death in himself, and that there I are 30 A GUIDE to HEALTH Part I. are likewise some external ones, which are inevitable. I thought proper to insert in this Place a Chronological and Historical succinct Account of long Lives, from before the Flood down to the present time; with a true and short Character or Elogy of each, faithfully col- lected from the Records of both sacred and profane History; which perhaps, may prove useful as well as entertaining to the Reader. Herein he will observe, not only the Ne- cessity of Temperance towards attaining long Life, but that the length of Life by the running on of Ages, or Succession of Generations, has not in the least abated, from the Time of Moses to our present Days; for the Term of Man's Life has stood near about fourscore Years of Age ever since, as will appear by the following Account. CHAP. III. An Historical Account of Long Lives from the Creation to the present Lime. BEFORE the Flood, Men liv'd many hundred Years, as the Holy Scriptures relate; yet none of the Fathers attained to the Age of a thousand. Neither was this length of Life peculiar only to Grace, or I the Ch. III. thro' the various Stages of Life. 31 the holy Line; for there are eleven Genera- tions of the Fathers reckon'd to the Flood, but of the Sons of Adam by Cain, only eight Generations; so that the Posterity of Cain seems to have liv'd longer. But this length of Life, immediately after the Flood was reduc'd to one half, in the Post-nati only: for Noah, who was born before the Flood, equalled the Age of his Ancestors; Shem also lived six hundred Years. Afterwards, three Generations from the Flood being ran, the length of Man's Life was brought down to a fourth Part of the Primitive Age, that is, to about two hundred Years. Abraham lived a hundred and seventy-five Years, a Man of great Virtue, and was ab- stemious, and prosperous in all things. Isaac arriv'd at the Age of an hundred and eighty Years; a chaste Man, who enjoy'd more Quietness than his Father. But Jacob, after many Crosses, and a numerous Progeny, liv'd a hundred and forty-seven Years; a patient, gentle, religious, and wise Man. Ishmael, a military Man, liv'd an hundred thirty-seven Years, and always observ'd Temperance to be his only Guide for obtaining Health and long Life. Sarah, whose Years only amongst her Sex are recorded, died in the hundred and twenty- seventh Year of her Age: she was a beautiful and virtuous Woman, a singular good Mo- ther and Wife, and yet no less famous for the Liberty from, than Obsequiousness towards her 32 A GUIDE to HEALTH Part I. her Husband. Joseph also, a prudent and politick Man, passing his Youth in Affliction, afterwards advanc'd to the Height of Ho- nour and Prosperity, liv'd an hundred and ten Years; he was sober, chaste, and reli- gious Man. But his Brother Levi, who was older than him, attain'd to an hundred thirty- seven Years; he was a Man that was revenge- ful, and impatient of Reproach or Affront, yet always temperate and moderate in his eat- ing and drinking. His Son liv'd almost to the same Age, as also his Grand-child, the Fa- ther of Aaron and Moses: they were both strictly moderate in their way of living. Moses liv'd an hundred and twenty Years; a stout and virtuous Man, yet the meekest upon Earth, but of very slow Speech; how- ever he pronounces, that the Life of Man is but seventy Years; but if of a more than or- dinary Strength, eighty; which seems gene- rally to be the Term of Man's Life even at this Day. Aaron, who was three years elder, died the same Year with his Brother Moses: he was a Man of a readier Speech, and of a more easy Disposition, but less constant; he was religious, abstemious, and moderate in his Actions of Life. Phineas, Grand-child of Aaron, out of extraordinary Grace, may be collected to have liv'd three hundred years; if so be that the War of the Israelites against the Tribe of Benjamin, in which Expedi- tion Phineas was consulted, was perform'd in the Ch. III. thro' the various Stages of Life. 33 the same order of Time in which the Hi- story has ranked it; he was a Man of most eminent Zeal and Virtue. Joshua, a martial Man, and an excellent Commander, and always victorious; yet he was religiously sober and moderate, and lived to be an hundred and twenty Years of Age. Caleb, who observ'd Temperance, was his Contemporary, and seems to have lived as long as he did. Ehud the Judge, liv'd to the Age of an hundred Years; for after the Victory over the Moabites, the Holy Land remain'd under his Government eighty Years; he was a bold and an undaunted Man, and one that in a great measure neglected his own Life for the good of his People, and was like- wise a strict Observer of Temperance. Job liv'd after the Restauration of his Happiness, an hundred and forty Years, being before his Afflictions of such an Age, as to have Sons at Man's Estate; he was a politick Man, eloquent and charitable, and the true Emblem of Patience. Eli the Priest liv'd ninety-eight Years; a corpulent Man, and of a calm Disposition, and indulgent to his Children. But Elizeus the Prophet seems to have died when he was above an hundred Years old; for he is found to have liv'd after the Assumption of Elias sixty Years, and at the time of that Assumption he was of those Years, that the Boys mock'd him, by the Name of Bald- head; he was a severe and vehement Man C against 34 A GUIDE to HEALTH Part I. against Vice and Luxury, and a Contemner of Riches. Isaiah the Prophet seems to have liv'd to the Age of an hundred Years; for he is found to have exercised the Function of a Prophet seventy Years together, the Years both of his beginning to prophecy, and of his Death, being uncertain; he was a Man of admirable Eloquence, and an evangelical Prophet, full of the Promises of God, and of the New Testament, as a Bottle with sweet Wine. Tobias the elder, liv'd an hundred fifty- eight Years; the younger, an hundred and twenty-seven; both of them were merciful Men, and great Alms-givers; they were like- wise abstemious and moderate in all their Actions. It seems, that in the Time of the Capti- vity, many of the Jews who return'd out of Babylon, liv'd to great Ages, seeing they could remember both the Temples, there be- ing no less than seventy Years between them, and wept for the Unlikeness of them. Many Ages after that, in the Time of our Saviour, liv'd old Simeon, to the Age of ninety Years; a devout Man, and full both of Hope and Expectation. Also Anna the Prophetess, who could not possibly be less than an hun- dred Years old; for she had been seven Years a Wife, about eighty-four years a Widow, besides the Years of her Virginity, and the Time that she liv'd after her Prophecy of our Ch. III. thro' the various Stages of Life. 35 our Saviour; she was a holy Woman, and passed her Days in Fasting and Prayer. As to the long Lives mention'd in Heathen Authors, they have no Certainty in them, both for the intermixture of Fables, to which these kind of Relations were very liable, and for their false Calculation of Years. And we find nothing of Moment of the Egyptians in those Works that are extant, concerning the length of Lives; for their Kings, who reign'd longest, did not exceed fifty, or live and fifty Years, which is no great Matter, since many at this Day live to those Years. But the Arcadian Kings are fabulously re- ported to have liv'd very long; and, as that Country was Mountainous, full of Flocks of Sheep, and produc'd most wholsome Food; but when Fable is the only Guide, there can be no Certainty. Numa King of the Romans liv'd to the Age of eighty; he was a peaceable and con- templative Man, and much devoted to Reli- gion. Marcus Valerius Corvinus compleated an hundred Years, there being forty-six Years between his first and sixth Consulship; he was a Man full of Courage, affable, popu- lar, and always fortunate and sober, observ- ing constantly a cool and moderate Diet. Solon of Athens, the Law-giver, and one of the seven Wise Men, liv'd above eighty Years; a Man of high Courage, popular, and well affected to his Country; he was also C2 learned, 36 A GUIDE to HEALTH Part. I. learned, given to Pleasures, but always mo- derate in his Diet. Epimenides the Cretan is reported to have lived an hundred and fifty- seven Years: this Matter is mix'd with a prodigious odd Relation; for he is said to have slept fifty-seven of those Years in a Cave. Half an Age after, Xenophanes the Colopho- nian lived an hundred and two Years, or ra- ther more; for at the Age of twenty five Years he left his Country, seventy-seven com- plete Years he travel'd, and after that return'd: A Man no less wandering in Mind than in Body; for his Name was chang'd, for the Madness of his Opinions, from Xenophanes, to Xenomanes; a Man no doubt of a vast Conceit, and that minded nothing but Infinitums. Pindarus, the Theban, lived to eighty Years. He was a Poet of an high Fancy, singular in his Conceits, and a great Adorer of the Gods, but a sober Man. Sophocles, the Athenian, attain'd to the like Age; a lofty tragick Poet, given over wholly to Writing, and neglectful of his own Family. Artaxerxes, King of Persia, lived ninety- four Years; a Man of dull Wit, averse from the Dispatch of Business, desirous of Glory, but rather of Ease. At the same time lived Agesilaus, King of Sparta, to eighty-four Years of Age; a moderate Prince, as being a Philosopher amongst Kings; but notwith- standing ambitious, and a Warrior, and no less stout in War than in Business. Gorgias, Ch. III. thro' the various Stages of Life. 37 Gorgias, the Sicilian, was an hundred and eight Years old. He was a Rhetorician, and a great Boaster of his Faculty, one that taught Youth for Profit. He had seen many Countries; and, a little before his Death, said, that he had done nothing worthy of Blame since he was an old Man. Protagoras of Abdera lived ninety Years: This Man was likewise a Rhetorician; but profess'd not to teach so much the liberal Arts, as the Art of governing Commonwealths and States; not- withstanding he was no less a Wanderer in the World than Gorgias already mention'd. Isocrates, the Athenian, lived ninety-eight Years: He was likewise a Rhetorician, but an exceeding modest Man, one that shun'd the publick Light, and open'd his School only in his own House. Democritus, of Abdera, reach'd to an hundred and nine Years: He was a great Philosopher, and, if ever any Man amongst the Grecians, a true Naturalist; a Surveyor of many Countries, but much more of Nature. He was also a diligent Searcher into Experiments, and, as Aristotle objected against him, one that follow'd Similitudes more than the Laws of Arguments. Diogenes, the Sinopean, lived ninety Years, was a Man that used Liberty towards others, but Tyranny over himself; he lived upon a coarse Diet, and was a Pattern of Patience. Zeno, of Citium, wanted but two Years of an hundred; a Man of high Mind, and a Contemner of other Men's Opinions. He C3 was 38 A GUIDE to HEALTH Part I. was also a Man of great Acuteness, but yet not troublesome, chusing rather to take Men's Minds than to enforce them; the like where- of happen'd afterwards in Seneca. Plato, the Athenian; attain'd to eighty-one Years; a Man of great Courage, but yet a Lover of Ease. He was in his Notions sub- lime and full of Fancy, neat and delicate in his Life, rather calm than merry, and one that carried a kind of Majesty in his Counte- nance, and a strict Observer of Moderation in his Diet. Theophrastus, the Ethesian, lived eighty Years; a Man of sweet Eloquence, and sweet also for the Variety of his Subjects, and who selected the pleasant Things of Philosophy, and let the bitter and harsh go. Carneades of Cyrene, many Years after, attain'd to the like Age; a Man of fluent Eloquence, and one who, by the acceptable and pleasant Variety of his Knowledge, delighted himself and others. But Orbilius, who lived in Cicero's time, no Philosopher nor Rhetorician, but a Grammarian, lived to the Age of an hundred Years. He was first a Soldier, then a School- master; a Man by Nature tart both in his Tongue and Pen, and severe towards his Scholars. Quintus Fabius Maximus was Augur sixty- three Years, which shew'd him to be above eighty Years of Age at his Death; tho' it is true, that in the Augurship Nobility was more respected than Age. He was a wise Man, Ch. III. thro' the various Stages of Life. 39 Man, and a great Deliberator, and in all his Proceedings moderate, not without Affability, severe. Masinissa, King of Numidia, lived ninety Years; and, being more than eighty- five, got a Son. He was a daring Man, and trusting to his Fortune, who in his youthful Days had tasted of her Inconstancy; but in his succeeding Age was constantly happy. But Marcus Porcius Cato lived above ninety Years of Age; a Man of an Iron Body and Mind. He had a bitter Tongue, and loved to cherish Factions. He was given to Hus- bandry, and was, to himself and his Family, a Physician. Terentia, Cicero's Wife, lived an hundred and three Years. She was a Woman afflicted with many Crosses; first with the Banish- ment of her Husband, then with the Diffe- rence betwixt them, and lastly with his last fatal Misfortune. She was also very often troubled with the Gout. Luccica, the Actress, must needs exceed an hundred by many Years; for it is said, that she acted a whole hundred Years upon the Stage; at first perhaps representing the Person some young Girl, and at last of some old decrepit Woman. Galeria Copiola, a Player also and Dancer, was brought upon the Stage very young, but in what Year of her Age is not known; and ninety-nine Years after, at the Dedication of the Theatre by Pompey the Great, she was shewn upon the Stage again; not now for C4 an 40 A GUIDE to HEALTH Part I. an Actress, but for a Wonder; neither was this all, for after that she was shewn a third time upon the Stage in the Solemnities ce- lebrated for the Health and Life of Augustus. She is reckon'd to have liv'd sober and vir- tuous from her Youth. There was another Actress somewhat in- ferior in Age, but much superior in Dignity, who liv'd very near ninety Years, I mean Livia Julia Augusta, Wife of Augustus Cæsar, and Mother to Tiberius (for if Au- gustus's Life was a Play, as he himself would have it, as when upon his Death-bed he charg'd his Friends that they would give him a Plaudite after he was dead) certainly this Lady was an excellent Actress, who could carry it so well with her Husband, by a dis- sembled Obedience, and with her Son, by Power and Authority; she was an affable Woman, and yet of a Motherly Carriage, pragmatical, and upholding her Power. But Junia, the Wife of Caius Cassius, Sister to Marcus Brutus, was also ninety Years old; for she surviv'd the Philippic Battle sixty- four Years. She was a magnanimous Woman, in her great Wealth happy; in the Calamity of her Husband and near Relations, and in a long- Widowhood, unhappy; yet much ho- nour'd by all, for her Sobriety and Virtue. The Year of our Lord seventy-six, hap- pening in the time of Vespasian, is memora- ble, in which we shall find as it were a Ca- lendar of long Lives; for that Year there was Ch. III. thro' the various Stages of Life. 41 was a Taxing; (now Taxing is the most au- thentic and truest Informer as to People's Ages) and in that Part of Italy which lies between the Apennine Mountains and the River Po, there were found an hundred and twenty-four Persons, that each of them ei- ther equalled or exceeded an hundred Years of Age; namely, fifty-four Persons of an hun- dred Years each; fifty-seven Persons of an hundred and ten; two only of an hundred and twenty-five; four Men of an hundred and thirty; four more of an hundred and thirty-five or seven; three Men of an hun- dred and forty. Besides these, Parma in particular pro- duc'd five, whereof three fulfilled an hun- dred and twenty years each, and two an hundred and thirty. Bruxels produc'd one of an hundred and twenty-five years old, Placentia one aged an hundred and thirty- two. Faventia one Woman, aged an hun- dred and thirty-two. A certain Town situ- ated in the Hills about Placentia, then called Velleiacium, afforded ten, whereof fix ful- filled an hundred and ten Years each, and four an hundred and twenty Years of Age each. Lastly, Rimino one of an hundred and fifty years, whose Name was Marcus Aponius. And it will not be amiss to ac- quaint the Reader here, that all upon this foregoing List observ'd Temperance and So- briety during most part of their Lives. As 42 A GUIDE to HEALTH Part I. As there are but few found among all the Grecian, Roman, Gallick and German Em- perors to our Days, that have lived to the Age of fourscore Years, and none that ex- ceeded ninety; I will not therefore trouble the Reader with any farther Account of them, but proceed to the Princes of the Church. St. John, an Apostle of our Saviour, and the beloved Disciple, liv'd ninety-three Years; he was rightly denoted under the Emblem of the Eagle, for his piercing Sight into the Divinity, and was as a Seraphim among the Apostles, in respect of his burning Love. St. Luke the Evangelist compleated eighty- four Years; an eloquent Man, and a Tra- veller; St. Paul's inseparable Companion, and a Physician. Simeon the Son of Cleo- phas, called the Brother of our Lord, and Bishop of Hierusalem, liv'd an hundred and twenty Years, tho' he was cut off at last by Martyrdom; he was a stout Man, constant, and full of good Works. Dionysius Areopagita, Contemporary to St. Paul the Apostle, liv'd ninety Years; he was called the Bird of Heaven for his sub- lime Divinity, and was famous as well for his holy Life, as for his Meditations. Aquila and Priscilla, first St. Paul's Hosts, and afterwards his Fellow-helpers, lived together in happy Wedlock at least to an hundred Years of Age apiece; for they were both alive under Pope Xystus the first; a noble Pair, Ch. III. thro' the various Stages of Life. 43 Pair, and prone to all kinds of Charity, who among their other Comforts, which doubt- less were great to the first Founders of the Church, had this added, to enjoy each other so long in a happy married State. St. Paul the Hermit lived an hundred and thirteen Years; his Diet was so slender and strict, that it was thought almost im- possible to support human Nature therewith; he passed his Days in a Cave, only in Medi- tations and Soliloquies, yet he was not illi- terate, or an Idiot, but learned. St. Hie- rome, by the Consent of most Writers, ex- ceeded ninety Years of Age; a Man power- ful in his Pen, and of a manly Eloquence, variously learn'd, both in the Languages and Sciences, also a Traveller, and lived strictly to- wards his old Age in a private State, and not dignified; he had high Spirits, and shined far out of Obscurity. St. Anthony the Monk lived to the Age of an hundred and five Years; his Life was au- stere and mortifying, notwithstanding he lived in a kind of glorious Solitude, and ex- ercised a Command, having his Monks under him, and besides many Christians and Phi- losophers came to visit him as a living Image worthy of their Veneration, on account of his holy Life and pious Works. St. Athanasius exceeded the Term of eighty Years; he was a Man of invincible Constancy, commanding Fame, and not yielding to the Frowns of Fortune; he was free towards the Great, 44 A GUIDE to HEALTH Part I. Great, gracious and acceptable to the People, wise and couragious in delivering himself from Oppositions, and always leading an abstemi- ous and religious Life. The Popes of Rome are in number to this Day 246; but of so great a number, few only have attain'd to the Age of 80, or up- wards, as I could find recorded in History: yet the full Age of twenty-eight of the first Popes was intercepted by the Prerogative and Crown of Martyrdom. John, the twenty-third Pope of Rome, ful- filled the ninetieth Year of his Age; he was abstemious and frugal, an Enemy to Luxury, and acquir'd a good deal of Riches and Trea- sure for the Support of the Church; he al- ter'd many Things much for the better. Gregory the twelfth, created in Schism, and not fully acknowledg'd Pope, died ninety Years old; of him, in respect of his short Papacy, there is nothing found in History to make a Judgment upon, but that he liv'd strictly virtuous and abstemious. Paul the third lived eighty-one Years; he was a temperate Man, and of profound Wis- dom and Learning, greatly skill'd in Astro- nomy, and always careful of his own Health. Paul the fourth liv'd eighty-three Years; he was a Man naturally tart, and somewhat severe, and a little prone to Anger; his Speech was eloquent and ready, his Diet was always lean, thin, and cool, by which means he kept Ch. III. thro' the various Stages of Life. 45 kept his Passions under Subjection, and ar- riv'd at that good old Age with all his Senses. Gregory the thirteenth liv'd to the same Age, and was absolutely a good and great Man, found in Mind and Body, politick, tem- perate, religious, full of good Works, and a great Alms-giver. The following Instances are more promis- cuous in their Order, and more doubtful as to the Certainty of their Ages. King Argan- thonius, who reigned at Cadiz in Spain, live an hundred and forty Years, according to some Historians, of which he reigned eighty Years. Cyniras King of Cyprus, living in the Island then called the happy and pleasant Island, is affirmed to have lived an hundred and sixty Years. Two Latin Kings in Italy, the Father and Son, are reported to have lived, the one eight hundred Years, and the other six hundred: But this Account is de- liver'd unto us by certain Philologists, who tho' otherwise credulous enough, yet they themselves have suspected the Veracity of this matter. Others record some Arcadian Kings to have lived three hundred Years; the Coun- try no doubt is a Place apt for long Life, but the Relation is justly suspected to be fabu- lous. One Dando, in Illyrium, is reported to have lived without the Inconveniency of Old-Age, to five hundred Years; but the ju- dicious Reader will make the necessary Al- lowance. Hippocrates 46 A GUIDE to HEALTH Part I. Hippocrates of Côs, the Prince of Physici- ans, lived an hundred and four Years, or ac- cording to some, an hundred and nine: He was skill'd in the several Particulars requisite for the Knowledge of Physick, and provided with numerous Observations of his own, composed out of the whole a System of Physick, and was the first that truly deserved the Title of Physician; He joined Learning and Wisdom together, was most conver- sant in Experience and Observation, and did not hunt after Words, but severed the very Nerves of Science, and so taught them. Enphrtœnor the Grammarian grew old in his School, and taught when he was an hun- dred Years old. Seneca, according to some accounts, lived to an hundred and fourteen Years of Age. But Joannes de Temporibus, among all the Men of our latter Ages, according to common Fame and vulgar Opi- nion, lived the longest, even to a Miracle; his Age being reputed to be above three hundred Years: He was a Native of France, and followed the Wars under Charles the Great. Among the Venetians there have been found a great many long Livers, and those of the more eminent fort of the People; but the most memorable is that of Cornaro, who being in his Youth a sickly Person, be- gan first to eat and drink by measure, to a certain Weight, to recover his Health there- by; this Cure, by Use, turn'd into a Diet, that Ch. III. thro' the various Stages of Life. 47 that Diet into an extraordinary long Life, even of an hundred Years and better, with- out any Decay in his Senses, and a constant Enjoyment of his Health. In latter times, William Postell, a French Man, lived to an hundred and twenty Years; he was a Man somewhat crazy, and of a Fancy not altogether sound, a great Travel- ler and Mathematician. Henry Jenkins, a Yorkshire Man, attain'd the Age of one hundred sixty-nine Years; he was twelve Years old when the Battle of Flowden-field was fought, which happen'd upon the 9th of September, in the Year of our Lord 1513, and departed this Life the 8th of December 1670, at Ellerton upon Swale, This Henry Jenkins was a poor Man, could neither Read nor Write; there were also four or five in the same Parish where he then liv'd, that were reputed all of them to be an hundred Years old, or within two or three Years of it, and they all affirm'd he was an elderly Man ever since they knew him, for he was born in another Parish, and before any Registers were in Churches, as it is thought. In the last Century of his Life be was a Fisherman, and used to wade in the Streams. His Diet was coarse and sower, but towards the latter End of his Days, he begg'd up and down. He hath sworn in Chancery and other Courts to above 140 Years Memory, and was often at the Affixes at York, whither he generally went on foot. It 48 A GUIDE to HEALTH Part I. It was likewise affirm'd by some of the Country Gentlemen, that he frequently swam in the Rivers after he was past the Age of an hundred years. * Thomas Parr was a poor Countryman of Shropshire, whence he was brought up to London by Thomas Earl of Arundel and Surry, and died at the Age of 152 Years, 9 Months, after surviving nine Princes. Nov. 6, 1635, being open'd after his Death by Dr. Harvey, his Body was found still very fleshy, his Breast hairy, his Genitals unimpaired, and they served to confirm the Report of his having undergone public Censures for his In- continency. At the Age of one hundred and twenty he married a Widow, who owned he acted the Part of a Man, and that for twelve Years after. He had a large Breast, Lungs not fungous, but sticking to his Ribs, and distended with much Blood; his Face livid, having had a Difficulty of breathing a little before his Death, and a lasting Warmth in his Arm-pits and Breast after it. His Heart was great, thick, fibrous and fat; the Blood in the Heart blackish and diluted, the Carti- lages of the Sternum not more boney than in others, but flexible and soft; his Viscera were sound and strong, especially his Stomach; and it was observ'd of him, that he used to eat often both by Day and by Night, taking up with old Cheese, Milk, coarse Bread, * An Abstract of Dr. Tancred Robinson's Letter, giving an Account of Jenkins's Age. Small- Ch. III. thro' the various Stages of Life. 49 Small-beer, and Whey; and which is more remarkable, he eat at Midnight a little be- fore he died. All his inward Parts appear'd so sound, that if he had not chang'd his Diet and Air, he might in all Probability have liv'd a great while longer. His Brain was en- tire and firm; and tho' he had not the Use of his Sight, or of his Memory, several Years before he died, yet he had his Hearing and Apprehension very well, and was able, to the 130th Year of his Age, to do any Husband- man's Work, even Threshing of Corn. * Francisco Lupatsoli, a Venetian Consul at Smyrna, lived 113 Years, and had by his Wives and other Women, fifty Children; he drank nothing but Water and Milk, some- times a small Sherbet; his usual Diet was small Soups of Flesh, sometimes of Bread, Water and Figs. He saw at that Age with- out Spectacles, and could bear well; he drank neither Tea, Coffee, Chocolate, nor any fermented Liquor, as Mr. Ray, then En- glish Consul there, relates; and farther adds, that he saw a Tooth cut in his upper Gum that great Age. In the Life of the great Aurengzebe, one of the late Moguls, we have such a nota- ble and shining Example of Abstemiousness, Continency, and many other Virtues, as may well recommend this Royal Infidel to the Admiration and Imitation of all Christian Princes upon Earth; wherefore I make no D Doubt * Phil. Trans. No. 44. p. 886. 50 A GUIDE to HEALTH Part I. Doubt but the following Account of that Emperor will no less instruct, than entertain the Reader. There was no Part then of this great Prince's Time, which he did not assign to some useful Purpose; for early in the Morn- ing, before break of Day, he bathed, and spent some Hours at his Devotions; then having eaten a little Rice or Sweat-meats, he shut himself up with his Secretaries, and before Noon he gave publick Audience to his Sub- jects; after which he pray'd again, and then went to Dinner, his Table being furnish'd only with Rice, Herbs, Fruits, or Sweet- meats, for neither Flesh or Fish, or any strong Liquors were ever brought before him. In the Afternoon he gave Audience again, which being over, he prayed a third and a fourth time; and the remainder of the Day, till two Hours after it was dark, he spent in the private Concerns of his own Family; then he supp'd, and slept afterwards only three Hours, after which, it is said, he read the Al- coran, and pray'd all the remaining Part of the Night. And here we have a remarkable Instance of what vast Advantage an abste- mious regular Course of Life is towards pro- curing Health and long Life, and rendering a Prince always fit for the most important and intricate Affairs; for this Emperor, not- withstanding he was an indefatigable Hearer of Causes, and constantly directed the Af- fairs of so vast an Empire, and conquer'd se- veral Ch. III. thro' the various Stages of Life. 51 veral large Kingdoms, lived without con- tracting any Distemper; neither his Judg- ment, Memory, or other Senses, were at all impair'd when he was ninety Years of Age. Aurengzebe, it is true, had several hundreds of fine blooming Girls in his Haram, or Seraglio, as all Eastern Princes have; but these seem to have been kept only for State, or in Conformity with the Custom of the Country; for it is related of him, that even in his Youth, having singled out a young Lady in the Haram to lie with him one Night, and she had dressed and prepar'd herself to receive her Royal Lover, the King coming into the Apartment at the appointed Hour, instead of going to Bed, fell to read- ing, and between his Books and his Devoti- ons he passed the whole Night, without ever taking Notice of the expecting Lady. When the Eunuch came the next Morn- ing to acquaint the Emperor that his Bath was ready, which is ever used by the Maho- metans when they have been with their Wo- men, the Lady answer'd, There was no need of a Bath, for the Sultan, had not broke Wind, intimating that he had been at his Prayers; for if a Mahometan has the Mis- fortune to break Wind at his Prayers, then he immediately bathes, looking upon himself to be too much polluted to go on with his Devotions, till he has washed off the Impu- rity contracted by such an Accident. D2 From 52 A GUIDE to HEALTH Part I. From this short Account of the Life of a Mahometan Prince, we may learn an exceeding useful Lesson, worthy of being imitated by all Christian Princes and others, who value Health and long Life; for notwithstanding he was depriv'd of the Light of Gospel Truth, yet so strong were his Notions of a Supreme Being, that he most constantly and, fervently adored that Being, by which means he led a Life religiously abstemious, conquer'd and regulated the Surges of the rest of his Pas- sions, amidst so many Allurements and Temp- tations of numbers of fine blooming Ladies, vast Riches, Power and Grandeur, which he always had at his Will without Controul, and like a true Christian Hero, preferr'd the Ado- ration of his Creator, and the Preservation of his Health, to all the Pleasures which his vast Dominions and great Power could afford him. Richard Lloyd, born within two Miles of Montgomery, was aged 133 Years within two Months; he was a strong, strait, and upright Man, wanted no Teeth, had no grey Hairs, could hear well, and read without Glasses; he was fleshy, and full cheek'd, and the Calves of his Legs not wasted or shrunk, could talk well, and was of a tall Stature: his Food was Bread, Cheese, and Butter, for the most Part, and his Drink Whey, But- ter-milk, or Water, and nothing else; but being persuaded by a neighbouring Gentle- woman to eat Flesh Meat, and drink Malt Liquors, Ch. III. thro' the various Stages of Life. 53 Liquors, soon fell off and died. He was a poor labouring Man in Husbandry, and the Truth of his great Age has been confirm'd to Dr. Baynard and others, by a produc'd Copy of the Register. John Bailes of Northampton, was 128 Years and a half old when Dr. Baynard ex- amin'd him: he was a short broad-breasted Man; his Food was for the most part brown Bread and Cheese; he cared not much for Flesh Meats; he was never drunk in his Life, and his Drink was Water, Small-beer, and Milk. He told the Dr. that he had buried the whole Town of Northampton, except three or four, twenty times over; strong Drink, says the old Man, kills them all. He was a sensible old Fellow, and had no Dis- ease but Blindness, which Misfortune he did not experience above four or five Years be- fore his Death. Mr. Martin, in his Description of the Western Islands of Scotland, says, that Do- nald Roy, who lived in the Island of Sand, where they have neither Physic nor Physi- cian, died lately in the hundredth Year of his Age, and was able to travel and manage his Affairs till about two Years before his Death. He makes mention of one that died some Years before, aged one hundred and forty; and of another, who, they said, died at one hundred and eighty Years of Age. Mrs. Hudson, Mother to Mr. George Hud- son, a Sollicitor in Chancery, lived an hundred D3 and 54 A GUIDE to HEALTH Part I. and five Years, and then died of an acute Disease, by catching Cold: her Eyes were so very good, that she could see to thread a Needle at that great Age; her Food was little or nothing else all her Life-time, but Bread and Milk. Mr. Johnston, the Father of Dr. Johnston of Warwick, who was always a strong and lusty Man, died at an hundred and eleven Years: his usual Drink was Milk and Ale, or Milk and Small-beer mix'd together. An Inscription on the Tomb-stone of Margaret Scot, who died at Dalkeith, twelve Miles from Newcastle, Feb. 9, 1738. Stop, Passenger, until my Life you've read, The Living may get Knowledge by the Dead. Five times five Years I liv'd a Virgin Life, Ten times five Years I was a virtuous Wife; Ten times five Years I liv'd a Widow chaste, Now, tir'd of this mortal Life, I rest. I, from my Cradle to my Grave, have seen Eight mighty Kings of Scotland, and a Queen. Four times five Years the Common-wealth I saw. Ten times the Subjects rose against the Law. Twice did I see old Prelacy pull'd down, And twice the Cloak was humbl'd by the Gown. An End of Stuart's Race I saw: no more, I saw my Country fold for English Ore. Such Desolations in my Time have been, I have an End of all Perfection seen. 2 Margaret Ch. III. thro' the various Stages of Life. 55 Margaret Paten, born at Locknugh near Paisly in Scotland, died in St. Margaret's Workhouse Westminster, June 26, 1739, at the Age of one hundred thirty-eight Years, and enjoy'd the Use of all her Senses to her very last Hours. She lived the most Part of her Life upon Oat-bread, Butter, Milk, and Roots, especially in her own Country; but here in England she indulg'd herself with the moderate Use of Flesh, and fermented Liquors. January 1743, died at Ludlow in Shrop- shire, one Bright, aged one hundred and five, who had his Memory and Eye-sight to the last, insomuch that he could discern to pick a Pin off the Ground. He was called the se- cond old Parr, and was born and always liv'd in the same County; his Food was, for the most part, coarse Bread, Cheese, Milk, Butter, Small-Beer, of Water. February 1743, died in St. Luke's Work- house, London, Mrs. Agnes Milbourn, one hundred and six Years of Age; she had 29 Sons and a Daughter by one Husband, 20 of whom she has had following her to Church at a time for several Years, but out-lived all her Children and Grand-children, save only one Grand-son. She religiously observ'd Temperance, and always avoided the Use of Spirituous Liquors as Poison; her usual Drink was Milk, Ale, or Small-Beer. From these Instances it is manifest, that Milk is of a salubrious, safe and sweet Nou- D4 rishment, 56 A GUIDE to HEALTH Part I. rishment, as also by the many Nations be- fore and since the Flood, that eat much of it, and lived to great Ages, of which num- berless Examples may be found both in sa- cred and profane History, to confirm the Doctrine of Temperance and a cool Diet, as absolutely necessary to the Prolongation of Life; but, as Dr. Baynard rightly observes, if an Angel from Heaven should come down and preach it, one Bottle of Burgundy, or a full flowing Bowl of Bunchy would be of more Force with this Claret-stew'd d Gene- ration, than ten Ton of Arguments to the contrary, tho' never so demonstrable and divine. By what has been said thro' the Course of this Chapter, we see, that from the Time of Moses to our Days, the Term of Man's Life has stood much about the same Standard of Years, (a few Lives here and there being ex- cepted:) so it evidently appears, that the Con- tinuation and Number of Successions of Ge- nerations, make nothing to the Length or Shortness of Life, tho' a great many People imagine the contrary. It is certain however, that there are Times in all Countries, where- in People are longer or shorter liv'd: longer, for the most part, when the Times are barba- rous, and Men fare less deliciously, and are more given to bodily Exercises: shorter, when the Times are more civiliz'd, and People abandon themselves to Luxury and Ease. Therefore from what has been hither- to Ch. III. thro' the various Stages of Life. 57 to advanc'd, it is likewise evident to a De- monstration, that Temperance, moderate Ex- ercise, and a cool Diet, are absolutely requi- site for the Preservation of Health and long Life, as I shall shew more at large in the Sequel. The same, no doubt, happens in other li- ving Creatures; for neither Horses, Oxen, nor Sheep, are abridg'd of their usual Ages, even at this Day; and therefore the great Abridger of Age was certainly the Deluge; and perhaps some notable Accidents, such as Inundations, universal Droughts, Earthquakes, or the like, may produce the same Effect again. And the like Reason may be given, in re- gard of the Dimension and Stature of hu- man Bodies; for they are not lessen'd by the Succession of Generations, notwithstanding what Virgil (led by the vulgar Opinion) di- vin'd, that After-ages would bring forth less Bodies than those in his time; whereupon he says, Grandiaque effossis mirabitur ossa Se- pulchris; that is, After-ages shall admire the great Bones dug out of ancient Sepulchers. But tho' it is not denied that there were, some time before the Flood, Men of Gigantic Stature, (the Bones of such as, for certain, have been found in ancient Sepulchers and Caves in Sicily, and else where:) yet for these last three thousand Years, a Time whereof we have authentic Records, no such have been produc'd in those Places, nor indeed any where else; for which Reason it is evident, that they are very 58 A GUIDE to HEALTH Part I. very much mistaken, who are wholly carried away with an Opinion, that (by Succession of Ages) there is a continual Decay, as well in the Term of Man's Life, as in the Stature and Strength of his Body; and that all things decline, and change to the worse. Therefore, as the Succession of Generations contributes little or nothing, either to the Length or Brevity of Life, as appears from what has been said already, yet the imme- diate Condition of the Parents, without doubt, conduces very much to it; for some are be- gotten of old Men, some of young Men, some of middle-aged Men; again, some are begotten of healthful Fathers, and well dis- posed, others of diseased and languishing ones; again, some of Fathers after Repletion, or when they are drunk; others after Sleeping, or in the Morning; others again, after along Intermission of Venus, some upon the Act repeated; again, some in the Fervency of the Father's Love; others after the cooling of it, as happens in long-married People. The same things ought to be consider'd on the Part of the Mother; to which we must add her Condition during her Pregnancy, as concerning her Health, her Diet, and man- ner of living; the time of her bearing in the Womb, as to the seventh, eighth, ninth, or tenth Month. But to reduce all these things to a Rule, how far they concern long Life, is difficult; for those things which we often conceive to be the best fall out to the con- trary; Ch. III. thro' the various Stages of Life. 59 trary; as for Instance, that Alacrity in a Generation that begets lusty and lively Chil- dren, will be less profitable to long Life, be- cause of the Acrimony and inflaming of the Spirits, which soon dissipate, and leave the Body dry and wither'd: so that the best Rule is to use Moderation in all things, conjugal Love rather than an unlawful one; the best time for Generation being in the Morning, or after a due Concoction of our Aliments, and after Sleep, but never when the Body is in a languishing or sickly or too much fatigued. A GUIDE (60) A GUIDE to HEALTH, &c. Part II. INTRODUCTION. AS the principal and inevitable Causes of Old Age, and finally of our Dissolu- tion, are three, viz.* the Contrariety of the Principles of our Composition, the Actions in- separable from Life, called Animal Actions, and the Excrements, which are unavoidably engender'd by Aliment in our Bodies; there- fore we must (if we would preserve the Body in a good State, and guard ourselves against the too quick Approaches of old Age) dispose these three things in such a manner, that the Harmony and Union of our Princi- ples, which are called Temperament, be well Supported, that the Spirits which are dissi- pated every Moment be repair'd, and the Excrements retain'd in the Body be expell'd. All this may be easily obtain' by the means of a good Regimen, without the Assi- stance of any Medicine: and this Regimen com- prehends many things, which are all reduc'd * See the Explication of these three things at large, in Chap. II. Part. I. INTRODUCTION. 61 to fix general Heads. They are called, by the Physicians, Nonnaturals; because, if we manage them with Dexterity, and make proper use of them, they preserve Health, and may be called Naturals; but if they are abused, or fall short, or exceed a just Proportion in the least, they cause Distem- pers, and, in that Sense, may be said to be against Nature. These Nonnaturals are, Air, Meat and Drink, Sleeping and Watch- ing, Motion and Rest, Retention and Excre- tion, and the Passions of the Mind; of which I shall now discourse in order. CHAP. I. Of the Nature of AIR. IN order to account for the different Ef- fects, and Influence of Air upon Hu- man Bodies, in the following Discourse, it is necessary to premise in this Place, that Air, (according to its Nature, and the Idea we can form of it) is, that thin and invisible Fluid, in constant Motion, wherein we breathe and move, encompassing the Earth and Seas on every side, and containing the Vapours, Clouds, and other Meteors; the whole Body of which is called the * Atmo- sphere; * From the Greek Words, 'AΓμòs a Vapour, and εφûeα., a sphere; so that Atmosphere in English, is a round Body of Vapours; and such is the Air surrounding the Earth, as being constantly repleat with Vapours exhaled by the Rays Of the Sun. 62 A GUIDE to HEALTH Part II. sphere; and that it is the principal Instrument of Nature in all its Operations: for no Ve- getable, Animal, Terrestrial, or Aquatic can be produced, live, or grow without it: So that Air is the chief Instrument in the Genera- tion, Resolution, Accretion and Corruption of all terrestrial Bodies; for it is certainly true, that it enters into every Composition, more or less, of all Fluids and Solids, all which produce great Quantities of Air. The lower Parts of the Air, in which all Animals live and breathe, are impregnated with an infinite Variety of the Effluvia, Steams, and Particles of terrestrial, aqueous, metal- line, vegetable and animal Substances, which, by Attrition, become so small and light as to float in it. Hence it is evident, that the Air must be differently impregnated in different Places of the Surface of the Earth, which produce considerable Alterations in its State, whereby human Bodies are differently affect- ed, as will plainly appear heareafter. Water being an Ingredient of the Air, is continually exhaled, and as continually de- scends; for when the Air is overcharged with it, it returns again, and falls upon the Surface of the Earth, in Rain, Hail, Snow or Dew; but the Dew falls chiefly when the Sun is down. Earth, when calcined, flies off into the Air; and the Ashes of Vulcanos or burning Mountains: Likewise Salts of all kinds are ingredients of Air; for even fixed fossil Salts may Ch. I. thro' the various Stages of Life. 63 may be digested, and thereby rendered volatile, and evaporate into the Air. There are besides Particles of all Minerals whatever in the Air; even Gold, the most compact and heaviest of them, can be evaporated and exhaled into Air, as will be made appear in the latter End of this Chapter. The Smoke and Fumes which are raised by natural or artificial Fires, all vanish into the Air. The Steams of fermenting Liquors, and the poisonous Fumes of Mines, impreg- nated with sulphureous Exhalations, and combin'd with different Salts, or Metalline Particles, which are stinking, oily, and in- flammable, evaporate into the Air, and make up part of its Contents; which must neces- sarily so alter its Constitution, as to render it not only insalubrious, but even pernicious to every Animal that breathes in it. The watery Exhalations, with the fragrant and volatile Spirit of all Vegetables, being Ingredients of the Air, contribute very much towards its Salubrity, or Insalubrity, as well when growing, as when cut down and in a decaying State; for the most volatile parts of Vegetables will evaporate into the Air, by a Degree of Heat much less than that of Sum- mer; as is evident both by Chymistry* and the sense of our own Smelling; for spicy Odours are smelt at a great Distance from the Countries where the Spices grow; so that the Quantity of vegetable Perspiration must be very considerable in Summer-time; and by * Boerhaave Chem. vol. 2. Process. I. 64 A GUIDE to HEALTH Part II. by the Reverend Dr. Hale's * Experiments we are farther convinced, that Vegetables of all kinds perspire Particles which float in the Air, and are either wholsome or destruc- tive to human Bodies, according to their dif- ferent Qualities. Hence we may infer, that upon the account of the Perspiration of Vegetables, the Summer Air must be very different from that of the Winter. Animal Perspiration is another Ingredi- ent of the Air, as well as the Effluvia of all their other Excrements, which oftentimes in- fect that Part of the Atmosphere, as to pro- duce pestilential Diseases. The Perspiration of a human Body, according to Mr. Hale's, ‡ Computation, is about I-50 Part of a Inch in 24 Hours all over the Surface of the Body; and the Quantity of the Moisture, by Respi- ration from the Lungs, he computes at 9792 Grains, or I. 39, in 24 Hours; § the Surface of the Body he computes at 2160 square Inches, or 15 square Feet consequently the Surface of the Skins of 2904 such Bodies, would cover an Acre of Ground, and would make an Atmosphere of the Steams of their own Bodies about 71 Foot high in 34 Days, which would be- come Pestiferous in a Moment, if not dis- persed by Winds. The great Quantity of Animal Substances imbibed into the Air, farther appears from this, I that * Hale's Veg. Stat. p. 49, 50. ‡ Veg. Stat. p. II. Exp I. § Hæmast. p. 326. p. 328. Ch. I. thro' the various Stages of Life. 65 that all the Excrements of all the Carcasses of Animals, such as those that are burnt, those that are exposed later, and those that Are buried, in length of Time all vanish in- to Air at last, except a small Quantity of Bones, which turn into Earth. From hence we may infer, that living in great and populous Cities, or in Camps, or near Numbers of dead Carcasses in a hot or sultry Season, may infect that Air so far, as to dispose the People to putrid and malignant Fevers, of which we have several instances in History, too tedious to insert in this Place. And though Nature makes use of all pos- sible Means to preserve the Mass of this he- terogeneous Fluid, wherein we breathe, in a wholsome State; yet it must necessarily hap- pen, that the Air of particular Regions, Sea- sons and Places may differ very much in the Proportions of the Mixture of Ingredients already mentioned; so that such Air must affect human Bodies variously, by such Ex- cesses or Defects; For Air, when too moist, affects us with one Class of Diseases; and when too dry, with another. Air impreg- nated with the Effluvia of Animals, espe- cially of such as are rotting, has often pro- duced pestilential Diseases in that Place, as we find by Experience: for the Inhabitants of such Countries, where great Numbers of Men have been slain in Battle, and left unburied, were soon after infested with pestilential Distempers; as that which hap- E pened 66 A GUIDE to HEALTH Part I. pened * at Massanissa, where 80,000 Persons were destroyed, and at Utica, wherein 30,000 Persons died of the Plague. That menti- oned by ‡ Livy, which invaded the greatest Part of Italy, owed its rise to the dead Bodies of the Romans and Fidenates left unburied in the Field of Battle. The Plague mentioned by Ambrose Paree, 1562 §, was occasioned by Carcasses thrown into a Ditch. Great Quantities of dead Locusts driven into the Sea, by Winds, and from thence cast up in Heaps on the Shore by the Waves, produced the same Effects, as Diodorus Siculus relates: And likewise the Steams of great Quantities of corrupted Vegetables have produced the like Effects in their Neighbourhood. The Steams and Effluvia of human living Crea- tures are extremely corruptible, as has been observed already; and likewise the Water in which human Bodies wash and bathe, by keeping, smells cadaverous, a great part of which evaporates into the Air. From hence we may conclude, that it will be of the utmost Consequence to every one, to take care what kind of Air it is they sleep and wake, breathe and live in, and are per- petually receiving into the most intimate Union with the Principles of Life; for as the Air being attracted, received into our Bodies, and mixed with our Fluids every Instant * Sane. August, lib. 3. de Civit. Dei Cap. 31. ‡ Histor. Roman. § Lib. 21. de Peste. Ch. I. thro' the various Stages of Life. 67 Instant of our Lives, any ill Quality abounding in it, so continually introduced, must in Time cause fatal Effects in the Animal Oeconomy. The first Consideration then, in Building of Houses and Cities, should be* to make them open and airy, and well perflated; therefore we should never build upon high Hills, very near any great Confluence of Water, or in the Neighbourhood of any great Mines, near Beds of Minerals, or on marshy or mossy Foundations; but either in a champaign Country, or on the side of some small Eminence, sheltered from the North and East Winds, or upon a light gravelly Soil. The best Method of finding out the Nature of the Soil, will be known from the Plants and Herbs that it produces, and from the Nature of the Waters that spring out of it, which ought to be sweet, clear, light, soft and tasteless. All high Hills or Mountains are damp, for it is common to see it rain or snow on Mountains, when the Valleys below are clear, dry, and serene. All great Hills are Nests of Minerals, and Covers for Reservoirs of Rain- Water, and the Clouds are only great Fleeces of ratified Water floating in the Air, and these high Hills intercepting them, are com- pressed into Rain or Dew, and are con- stantly straining down the Chinks of the Mountains into the Sea and other Reser- voirs of Water; and Rain is allowed to be the Origin of Rivers and Fresh-Water E2 springs. 68 A GUIDE to HEALTH Part II. Springs. Moreover, these Mountainous Places are always exposed to great and almost con- tinual Winds; and where any great Con- course of Water is, the Air must needs be always damp there, because the Sun is per- petually exhaling Dews and Vapours from these Waters. Dew is another Ingredient of the Air, which is not mere Water, but a Collection of the watry, oily, saline, and volatile Sub- stances, exhaling and transpiring from the Earth, and are not to be seen, as long as they are agitated by the Sun, but in its Ab- sence, and as soon as the Air cools, they become visible; and as the Air is a thin or rare Body, it cools much sooner than the Earth, which continues to transpire this Substance after Sun-set; and a great deal of it falls down again in the Form of Wa- ter, by the Cold of the Night; for it is ob- servable, that when there is no Wind, there is a Coat of this Vapour generally to be seen Surface of the Earth. Dew then, being a Composition of all the Substances that are exhaled from that Tract of Earth, must of consequence be ve- ry different in different Tracts of Ground, for which Reason, according to the learned Boerhaave ‡, the Chymists can never agree about the component Parts of it; be- cause they make their Experiments upon Dows of different Places, and consequently of a different Nature of Ingredients; for in ‡ Chym. vol. I. pag. 471. Ch. I. thro' the various Stages of Life. 69 in some Places it produces such volatile and explosive Salts, as to break Glasses in Distil- lation; in others it stains the Glass like the Colours of the Rain-bow, which nothing can efface. In some Countries, as in Bermuda *, the Air being impregnated with corrosive Salts of different kinds, will corrode the Bricks and Tiles of Houses, and even rot the very Hangings in Rooms, as has been observed by many. The Perspiration of metalline acid Salts from certain Places of the Earth, which, upon the account of their Gravity, rise only to a certain Degree of Height, are exceedingly offensive when taken in by the Breath; for they either contract the Vesicles, or immediately coagulate the Blood in the smaller Vessels, which creep along the Surfaces of the little Aërial Bladders of the Lungs, that Are in immediate Contact with the outward Air; and such are those arsenical Steams in the Grotto Del Cane near Naples, and in some Mines in Carniola, Campania, and at the Cape of Good Hope. Of all the Collection of Ingredients in the Air, none are more pernicious to human Bo- dies, than Sulphurs; and also Charcoal Steams confined in close Places, such as Cellars and Caverns under-ground, will suffocate Ani- mals in a Moment; but when sulphureous Vapours abound too much, then kind Nature fets them on Fire by Lightning. Sulphureous E3 Vapours * Boerhaave Chym. vol. I. p. 494. 70 A GUIDE to HEALTH Part II. Vapours likewise infect Vegetables, and ren- der the Grass and Herbs very pernicious to the Cattle that feed upon it, as Mr. Jones * and others relate. The † Observations of the Learned made on several Mines, give an Account, how the sulphureous Steams and Vapours differently affect and frequently destroy the Miners who work in them; some fall into Convulsions, Faintings, Palsies, and apoplexies; others are instantly suffocated; and others again are kill'd by Explosion, resembling in its Nature that of Thunder or Gunpowder, as soon as the sulphureous Matter takes Fire: yet it must be allow'd, that Sulphur in itself, is neither un- wholsome nor unfriendly to the Lungs; for the Exhalations from Tracts of Earth abounds ing with Sulphur, are esteem'd wholsome in the open Air, such as those about the City of Naples; but it must be observ'd, that these Exhalations are in the free and open Air, and not in too great Abundance, and in all Probability unmix'd with any other perni- cious Salts, which those in Mines must be im- pregnated with. From what has been said already, in Page 65 and 66, it must follow, that the Air in great and populous Cities differs very much from that in the Country, and that it is from offensive Smells and Fumes, among other things, that Diseases are more fre- quent * Philos. Trans. vol. 2. p. 101. and likewise Philos. Trans. abridg. vol. 2. p. 180. ‡ Philos. Trans. vol. 2. p. 575. Ch. I. thro' the various, Stages of Life. 71 quent and more dangerous in the former than they are in the latter. Great Calms have often preceded the pestilential Constitutions of the Seasons; hence the close and confined Air of Prisons often produces mortal Diseases; and in Bays and Harbours,the Crews of Ships turn sickly, that would be healthy in the open Seas; and the great Mortality that is so often in Camps is chiefly owing to offensive Smells and Steams; for nothing contributes more to the Production of Distempers than the infected Air that they breathe in, occasion'd by the Filth which is the necessary Attendant of such Places; especially at Sieges, where the cor- rupted Particles of dead Bodies, both of Men and Beasts, fill the Air with an intolerable Stench. Besides, the Effluvia and Steams of Perspiration exhal'd into the Air, from the Bodies of Men and other Animals, must so charge that Air, as to encrease its Weight very much; and at the same time the Heat of the Camp will weaken its Spring so considerably, as to render it very unfit for Respiration; for thereby the Blood will remain unbroken in the Lungs, and so dispose the People to those Distempers, occasion'd by a Viscidity in the Blood; such as malignant Fevers, Dysenteries and Agues. According to the learned Boerhaave and others, the Eggs of Infects, and even Infects themselves very often are floating in the Air, and are so small as to be generally invisible by the Assistance of the best Microscopes, E4 which 72 A GUIDE to HEALTH Part II. which render the Air very unwholsome, and are often times the Cause of many grievous Diseases, being suck'd in with our Breath, and swallow' down with our Food; and the low and marshy Grounds are most commonly subject to be infected with them; for there we always find great Quantities of Flies and other Infects. Caterpillars and o- ther Infects, which eat up and destroy the Leaves of Trees and Plants, are proba- bly produced by the Eggs of those Infects floating in the Air; otherwise we cannot easily conceive how they can be generated in the Plants themselves. Historians relate, that there are Showers of Rain sometimes in Africk which affect the Inhabitants with Shiverings, and that there are Infects found in the Drops of these Showers; hence it appears that there are Infects in the Air, though not visible to the naked Eye: for it has been ob- serv'd, by the Help of Glasses, that in part of a Room illuminated with the Beams of the Sun, Flies are seen sometimes darting like Hawks upon a Prey. Tho' the Air on or near the Surface of the Earth is impregnated with an infinite Num- ber of heterogeneous Particles, as appears evi- dently by what has been said already; yet the wise Author of the Universe has so temper'd this Mixture, as to render it wholsome to all the Animals that live and breathe in it, except in some few accidental Cases; for doubtless pure Air without any such Ingredients would be Ch. I. thro' the various Stages of Life. 73 be very unfit for Animals and Vegetables to subsist in; therefore, in order to render salubri- ous this Element wherein we breathe, infinite Wisdom has so ordained, that the whole Mass is never overcharged with these Contents; for as human Creatures are unable to bear Ex- cesses of any kind, such as too much Heat, too much Dryness or Moisture, there is a con- tinual Circulation of Water and other Ingre- dients in the Air, and in mostPlaces the Air contains near the same Quantity of Wa- ter: for as the Sum of all the Force of the Sun upon the same Surface of Land and Water, and the Heat of the Surface of Earth within the Year is very near uniform, consequently the Quantity of Exhalation is the same: And as the Air has a Power of imbibing and su- staining only certain Quantities of Water with other Ingredients, and the Sum of all the Quantity that falls from the Air over the Surface of the Earth in Rain, Hail, Snow, and Dew, is the same; yet, by accidental Causes, such as Winds, the Stoppage of the Clouds by Tracts of Mountains, more of these Exhalations or Vapours may be carried and fall in one Place than another. This Water is again carried, by its natural Gra- vity, in Streams into the Sea, and other Reser- voirs of Water, and from thence again exhal'd, of which there is only left a sufficient Quantity for the Nourishment of Plants and Animals, the Perspiration of whose Bodies is again exhaled; and this Circulation is constantly main- 74 A GUIDE to HEALTH Part II. maintained and directed by the wise Order of Divine Providence. And all these different Ingredients of the Air are digested and atte- nuated by the Heat of the Sun, and they are constantly stirr'd and agitated by Winds, which mix the Air of different Regions together. There are likewise Fermentations in the Air, which are succeeded by violent Motions and Explosions in Thunder and Lightning; by which Means the redundant sulphureous Steams, and other pernicious Particles are destroyed and consumed in those Storms. The particular Causes of Thunder and Lightning seem to be nothing else than the Sun exhaling moist Particles into the Air, these condense and gather into Clouds, and when these inclose a Quantity of sulphureous, nitrous and bituminous Exhalations, and like- wise Salts of various Sorts, Acids and Alka- lies, extracted both from the Earth and Ocean, which being violently agitated by the Oppo- sition of Heat and Cold, and the Motion of the Air, operating upon those sulphureous and nitrous Particles, together with a watery Mat- ter, till at last they ferment and are kindled; then the Fire bursts open the Cloud with Ex- plosion in Thunder and Lightning, where the Passage is most easy, and the Cloud not able to make any farther Resistance: Sometimes the Opening is very wide, and stands a smali time, with a firey Edge about it; the Cloud is then dash'd with great Violence, the Air assisting with its Motion, and the sulphureous Matter Ch. I. thro' the various Stages of Life. 75 Matter breaks out again in various Sounds: the first Discharge being over, presently suc- ceeds a second, and this is back'd with a thirds fourth, fifth, &c. as long as the Store of combustible Matter holds out to maintain the Fire, till at last the Equilibrium of the Air is perfectly restored. The Effects of Lightning are wonderful; it being a most subtile and refin'd Matter, will sometimes burn a Person's Cloaths, while his Body remains unhurt; and on the con- trary, it will sometimes break a Man's Bones, while his Cloaths and Flesh receive no Harm. In like manner it will sometimes melt or break the Blade of a Sword in the Scabbard, and the Scabbard remain un- touch'd. It has drank up Vessels of Water, the Cover being left untouch'd and no other Token remain'd. Gold, Silver, and Brass, have been melted, and the Bags wherein they were contain'd not burnt, nor even the Seal off Wax defac'd. Marcia, Queen of the Romans, was Thunder-struck when she was big with Child, which was killed in her Womb, and she receiv'd no Harm. The Reason of these strange and contrary Effects, Philosophers can but conjecture at, imputing it to the different Figure and Qua- lity of the Particles of the * Lightning, as 2 to * There is a fort of Stone or Mineral, which is vulgarly called a Thunder-bolt, and it is thought, that it falls from the Clouds in a Clap of Thunder, and thereby great Mischief is done many times. But this is a vulgar Error; for the Stone seems to resemble more an artificial than a natural Producti- on, 76 A GUIDE to HEALTH Part II. to the Rarity and Thickness of the Fire; for the more subtile penetrates more easily, and the thicker with more Difficulty; whence the latter does more Harm than the former; and tho' it produces various and wonderful Effects, yet it is of such singular Use to the Inhabitants of the Earth, that they could scarce subsist without it; for it clears the Air, destroys and consumes all the redundant and noxious Steams and Particles that float in it, breaks the Clouds, and sends down Rain up- on the Earth. * It is certain, from undoubted Experiments, that the Air near the Surface of the Earth is more or less impregnated with all those Heterogeneous Particles already mention'd, and a great many more not possible to enu- merate. And in truth it cannot be otherwise, by the known Laws of Nature; for by what means soever a Body becomes divided, till some of the Particles become less than the component Particles of Airy and by that means become lighter, they will be elevated into the Air, until by their * Coalescence, their Gravity be so much encreased, as to fink on, by the Make and Figure of it; and being most common- ly found where Sepulchers have been, makes the Learned in- cline to think, that they are some Remains of Antiquity, and were formerly of Use in War and Arms, which was cu- stomary with the Ancients to bury with their Ashes. See Rowning's Comp. System, p 146. Part II. and Philos. Trans. No. 313, 316, 319, 331. * Coalescence, is the gathering together and uniting into a sensible Mass, those minute Particles floating in a Fluid, which were not before visible in it. Ch. I. thro' the various Stages of Life. 77 sink them again to the Earth. And for the Production of such wonderful Effects, even in the hardest and most solid Bodies, we need have Recourse to no other Cause than the Rays of the Sun; for as it has been demon- strated by † Astronomical Observations, that Light is not above ten Minutes in passing from the Sun to the Earth, and as the Earth is at least 10,000 of its own Diameters distant from the Sun; therefore it must run 1000 of these Diameters in a Minute, which is above 100,000 Miles in a Second. So that if a Bullet, moving with the same Velocity with which it leaves the Muzzle of a Cannon, re- quires 25 Years to pass from the Earth to the Sun, as Huygens ‡ has computed it, then the Velocity of Light, to that of a Cannon- Ball, will be as 25 Years to 10 Minutes; therefore we may expect proportionable Ef- fects from such Particles, notwithstanding their exceeding Smallness. And we may guess at the Effects of the Rays of Light separate- ly, by what we can observe when collected in the Focus of a burning Glass; for no Body, tho' ever so hard and compact, is able to resist their Force: even Gold, which is un- alterable by any artificial Fire, may be * * vi- trified by the concenter'd Rays of the Sun, one † Mr. Romer's Observations on the Eclipses of the Satellites Of Jupiter. ‡ Huygens in his Treatise upon Light and Gravity. He was a celebrated Mathematician. ** Vitrified, made or chang'd into Glass by the Force of Fire 78 A GUIDE to HEALTH Part II. one Part of it exhaling into the Air, as the other is turned into Glass; and that in a few Seconds of Time, according to Mr. Blundel and others. Hence it appears, that the Rays of the Sun are not only capable to abrade and file off from the most solid Bodies, such small Par- ticles as will be render'd lighter when sepa- rate, than the least compounding Particle of Air, but also by the Celerity with which they will be reflected, will thereby be capa- ble to carry into the Air such little Collec- tions of Matter, as are in Fact heavier than the Air they mount up in, which, when the Force impressed becomes less than will im- pel them higher, they must necessarily fall down to the Earth again, which will vari- ously affect human Bodies, both in their As- cent and Descent, according to their different Nature and Properties. CHAP. II. Of the Properties of AIR. THE Properties of Air are, Gravity, Elasticity, Fluidity, and Divisbility. They are so called, because they constantly remain in the whole Mass and in every part of it. The Ch. II. thro' the various Stages of Life. 79 The Gravity of the Air was first dis- cover'd by Galileus, by trying to what Height Water might be raised by pumping; and when he found it could not be raised higher than 33 feet, justly concluded, that it was from the Counter-ballance of the Weight of the Air that it was raised so high. The * specifick Gravity then of Air, when the Barometer † stands at 30 Inches, according to Sir Isaac Newton's Observations, and Dr. Halley s, is to that of Water, about 1 to 800, and to that of Mercury as 1 to 10,800; So that the Air we breathe in, *Specifick Gravity, is the appropriate and peculiar Gravity or Weight which any Species of natural Bodies have, and by which they are plainly distinguishable from all other Bodies of diffe- rent Kinds, when compared with them: And it is not im- properly called relative Gravity, to distinguish it from absolute Gravity, which encreases according to the Proportion of the Bulk or Bigness of the Body weighed. Thus, if a Body weighs a Pound, one as big again will weigh two Pounds; and let the Bodies be of what Nature or Degree of Specifick Gra- vity soever, a Pound of one will be as much as a Pound of the other absolutely considered. Thus a Pound of Feathers is as heavy as a Pound of Lead; but if we consider Lead and Feathers relatively, the specifick Gravity of the former will be much greater than the later; or Lead, Bulk for Bulk, will be much heavier than Feathers, and Gold heavier than Lead. † Barometer is a Glass Tube or Instrument to measure the height of the Atmosphere by; it is about three Feet in Length, and 1/16 or 2/10 of an Inch bore, seal'd up at one End, and at the other End it is fill'd quite full of Quicksilver, and thus immersed in a small Vessel of Quicksilver, that will fink down in the Tube, or run out into the Vessel, till it remains in the Tube between 28 and 31 Inches perpendicular height; and this Column of Mercury in the Tube, is equal in Weight to a Column of Air of the same Basis, and of the Height of the Atmosphere, and consequently is suspended by it; which therefore by its rising higher or falling lower, shews the proportionally greater or lesser Weight or Pressure of the Atmosphere 80 A GUIDE to HEALTH Part II. in, takes up 10,800 times the Space that the like Quantity of Mercury would. And the Honourable Mr. Boyle proves by Experi- ments †, that the Air without any adven- titious Heat, may, by the Force of its own Spring, possess 13,000 times the Space it does when pressed by the incumbent Atmo- sphere; and therefore may possess a Space one hundred forty-five Millions, and six hun- dred thousand times greater than the same Weight of Mercury; and that by the Ad- dition of Heat, it may be forced to fill a Space much larger. And if we consider that the Air we breathe in, may be compressed into 40 times less Space than that which it now fills; therefore Air may possess a Space 520,000 times greater at one time than ano- ther. The Gravity of Air counterpoises a Co- lumn of Mercury from 27 1/2 Inches to 30 1/2, the Gravity of the Atmosphere varying some- times 1/10, which are its utmost Limits, so that the specifick Gravity of the Air cannot be exactly determined. And the Account that Dr. Halley gives of the Causes of the Variation of the Gravity of the Air, seems very clear and conclusive; for they must either proceed from the Air's being more or less charged with Quantities of ponderous Ingredients in one Time and Place, which, as has been said in the former Chapter, arc plentifully exhaled into ‡ Boyle's Tracts about the wonderful Rarefication of the Air. Ch. II. thro' the various Stages of Life. 81 into it, or by its being accumulated more in one Place than in another by Currents of Winds; thus contrary Currents of Air com- ing to the same Place, must accumulate the Air in that Place, and consequently raise the Mercury in the Barometer; but two Currents of Air from the same Place, must link the Air in that Place, and consequently the Mer- cury in the Barometer. This is very possible in Liquids, and hap- pens even in the Motion of the Tides; for if there was a perfect Calm always, the Equi- librium could only be charged by the greater or smaller Quantity of ponderous Ingredi- ents in the Air; in Confirmation of which it is discovered, that where the Winds are not variable, as near the Line, the Al- terations of the Barometer are very small; And these Variations of the Air's Weight cannot proceed from letting its ponderous In- gredients fall, as in great and heavy Showers: Tho' it is certain, that a heavy Body falling through a Fluid, during its Descent, does not press upon it, but by the Resistance which the fluid gives to its Motion in Descent; but the Decrease of the Atmosphere's Weight during the fall of Rain, Snow, or Hail, is not pro- portionable to this Cause, therefore cannot be accounted for from it. As the incumbent Atmosphere is fluid and heavy, it presses equally upon the Surface of a human Body, with a Weight equal to a Column of Mercury, whose Basis is F equal 82 A GUIDE to HEALTH Part II. equal to the Surface of a Human Body; and Altitude, that of the Barometer, as in a mid- dle-siz'd Man, with a Weight of 32,000 Pounds; for as it is possible for the Air to vary 1/10 in its Weight, so that such a human Body must sustain a Weight of 3,200 Pounds Weight more at one Time than at another; and if the Mercury varies only one Inch in Height, there will be a Difference of about 1000 Pounds Weight: Such Alterations would affect both the Solids and Fluids of hu- man Bodies very much, were it not that the Ballance between the Air within and that without the Body is quickly restor'd, by the free Communication that is between them; so that these Changes are suffered without any sensible Inconvenience to healthful Peo- ple. This proves the ready Admission of the Air into the Vessels of human Bodies, and the Egress of aërial Particles from within the Body, in each Case of the Variation of the Weight of the external Air, from less to more, or from more to less; for if this Bal- lance between the external Air, and that within the Body was not kept, the Fibres and Fluids being elastick, in case of an In- crease of the Weight of the external Air, both the Fluids and Solids would be too much compress'd; and in case of a Decrease of this Weight, they would be dilated with a painful Sensation, and endanger the Life of the Individual; for the Fall of the Mercury in Ch. II. thro' the various Stages of Life. 83 in the Barometer is the same with the Ex- suction of so much Air in the Air-pump; and the Rise of the Mercury the contrary. This Alteration happens in Vegetables and in fermenting Liquors, as well as in Animals; and how these considerable Changes are made by Heat, Cold, or great Winds in fermenting Liquors, is an Observation of every one con- versant with them; for all these Changes are brought about by altering either the Weight or Spring of the circumambient Air: It is for this Reason like wise, that se- veral People, by their Akings and Pains, can foretell any considerable Change of the Wea- ther; for their Blood being more rarefied at the approach of wet Weather, or high Winds, will more forcibly press upon the sensible Membranes of the Body, so as to cause Pains that they were free from before: And this the rather happens, because the Blood hereby becomes not in the least the more fluid; for Froth, which is only Water blown into Bubbles by Air, is less fluid than Water itself; and the Globules of the Blood be- ing blown larger by the contained Air, when the Pressure of the external Air is removed, the Blood then is rendered less fluid, and will pass through the Capillaries with great Difficulty. A Fluid must have its Parts small, smooth, spherical, or approaching thereunto, and of equal Density, if the Fluid be homogeneal *, F2 accord- * homogeneal is such Particles as are pure, entire, un- mixed, and altogether like one another. 84 A GUIDE to HEALTH Part II. according to Borelli ‡: and it is not neces- sary that the Parts of a Fluid should be in Motion, because it is neither apparent that the Parts of all Fluids are so, nor that the Parts of some solid Bodies are not so; there- fore, the Blood in this rarefied State is rather less, than more fluid, in which Condition it will remain, whenever the Gravity of the Air is lessen'd, or its Spring weakened, by any Cause whatever. There is no Liquor that can be blown up into Bubbles, but what is somewhat viscid, and the more tenacious the Parts of any Liquids are, the fitter it is for this Use; for the Bubbles will be both larger and more lasting; for Example, a Mixture of Soap and Water may be blown into Spheres or Bubbles above six Inches in Diameter; and human Blood con- sists of Parts like what is in such a Mix- ture; for there are watry, oily, and saline Particles in the Blood, as is evident to our Senses: And that the Blood is blown into such little Spherulœ beyond dispute, is what may be observed with a Microscope in the Tail of a Fish; for the Globules of Blood being too large to pass through the smallest Arteries, they change their spherical* Fi- gure to a spheroidal † one; and when they come into a wider Channel, they recover their former Figure again. Now as it is the Property ‡ Borelli de motibus à gravitate factis, Præpos. p. 142. * Spherical, round like a Ball. † Spheroidal, an oblong Sphere or Ball. Ch. II. thro' the various Stages of Life. 85 Property of an Elastick Body alone, that when its Figure is changed, to recover it again; and nothing being Elastick but Air, or at least, what contains Air in it; it is a plain Reason that the Globules of the Blood must contain Air in them. From what has been said, it appears, that whenever the Blood is too viscid, so that the Force of Cohesion be not greater than that by which the Air contained in the Blood endea- vours to expand itself, in such a Case the Person will be more sensibly affected by the Alteration of Weather; from hence better Indications may be taken both for the Cure and Prevention of those Diseases that pro- ceed from a Viscidity in the Blood, than from any other Source whatever. Human Species can live in Air of very dif- ferent Gravity; for the Air in the same Place may differ 1/10 in Weight, the Variation of the Mercury in the Barometer being so much; but what is still more extraordinary, human Creatures can live in Airs, where the difference of the Weight is double; for Exam- ple, in the Bottom of deep Mines, where the Mercury stands in the Barometer at 32 Inches, and at the Top of the highest Mountains, supposing 'em to be 3 Miles high, the Mercury then mud stand at a little above sixteen inches. Notwithstanding human Creatures can sus- tain such a Difference of Weight or Pressure of Air, as (in the common Variation of Gra- F3 vity 86 A GUIDE to HEALTH Part II. vity in the same Place) makes the Difference of Pressure upon a Person of a middle Size 3600 Pounds Weight, and in the Difference of Height in the Bottoms of Mines, and at the Tops of the highest Mountains the Dif- ference of 18000 Weight; which Difference of Pressure or Weight must produce great Alterations in the bending or stretching of the Fibres, and in dilating the Fluids of a Human Body: For in the case of a greater Weight, the Fibres will be more strongly braced, and the Fluids will be rendered more compact; and, as has been observed already, were there not a free Communication between the outward Air, and that within the Animal Fluids, these Alterations would be insupportable; for the Animal would be, in such a Case, as in an Air-pump with the Exsuction of half the Air; in which Case the Blood would boil up and expand itself to a very great Degree, by having so much of the Pressure of the outward Air taken off. And it seems very reasonable, that in di- minishing the Force of the Pressure of the outward Air upon human Bodies, the Fibres thereby will be rendered more un- braced, and consequently must create a Weakness in Muscular Motion; which is the Reason, in a great Measure, that People breathe shorter and with more Difficulty than usual, in going up to the Tops of high Hills and Mountains; for the Air in ascend- ing is a great deal lighter than at the Bot- 2 tom, Ch. II. thro' the various Stages of Life. 87 tom, and by the Diminution of the Pressure of the Air upon the Muscles, less Exercise puts People out of Breath; and likewise the Over-ballance of the Air contained in the Cavity of the Breast, may help to produce this Effect But then perhaps it will be said, that the Inhabitants of Mountains are not weaker nor less active than those of lower Situations: In answer to which it must be observed, that the Excess of Coldness of the Air on the Tops of Mountains above that of the low Countries, counter-ballance the less Weight of the Air, and braces the Fibres more strongly: Another Reason is, that such as live in a rarer or lighter Air, as on high Mountains, are accustomed to the Exercise of a greater muscular Strength; as in the Case of Birds performing their Motions in a thinner Fluid, must always use a greater muscular Strength, which, though Nature has accustomed them to the Use of this Ele- ment, must strengthen their Fibres; for which Reason tame Birds cannot fly so well as wild ones. The Alterations of the Pressure of the Air in its Gravity and Elasticity, must pro- duce proportional vibrating Motions, both in the Solids and Fluids of human Bodies; and when these Variations are frequent and ex- treme, such violent Motions of the Fluids and Solids must cause great Changes in hu- man Bodies; for which there was no Ne- cessity of having recourse to any occult or F4 hidden 88 A GUIDE to HEALTH Part II. hidden Qualities in the Air, as a great ma- ny have imagined; and though the Air does not much hurt the Animal Fibres, by the Softness of its Contact; yet the alternate bracing and unbracing of the Fibres strongly, may produce these Changes; and such Al- terations are not only producible by the Va- riations of the Air's Gravity and Elasticity, but likewise by its Qualities, such as Heat, Cold, Moisture and Dryness, which will be the Subject of the next Chapter. * Elasticity is another Property of the Air, which is a Force equal to its Gravity; for, as the Honourable Boyle and others have proved by Experiments, the smallest Bubble of Air by its Elasticity or Spring can bal- ance, resist, and equiponderate the whole Atmosphere of equal Density, as far as it is exposed thereunto; for otherwise it would be more compressed than in Fact it is; and by these two Qualities of Gravity and E- lasticity, and the Alterations of them, the Air produces great Effects in living Creatures; for by these, Respiration is performed, and the Equilibrium or Ballance is kept between the outward Air and that contain'd in the Vessels of the Body. True * Elasticity or Springiness, which most Bodies have more or less, is a Power in a Body to return to its first Place and Condition, as a Stick which is forcibly bent; and the Air has it in a very remarkable manner, which being compressed, it endeavours with a very great Force to restore itself to its former State. Ch. II. thro' the various Stages of Life. 89 True Air never loses its Elasticity, as Steel, Wood and other Bodies do; yet it exerts it only when it is collected into a Mass; which is confirmed by the Air-Gun; for Mons. De Roberval of the Royal Academy of Sciences, having let his Air-Gun remain charged for the Space of 16 Years, found on discharging it, that the Air's Elastick Force was not at all abated, but produced the same Effect as at first *. By this Elastick Force the Air insinuates itself into the Spaces of Liquors not sufficiently filled with it already; there it remains divided in its minutest Par- ticles, and as it were in a fixed State, till it is expanded by Heat, or the incumbent Pres- sure is taken off, and then it is collected in- to greater Masses, and exerts its Elasticity in Proportion to the Diminution of the in- cumbent Pressure. The Elasticity of the Air has been suffi- ciently demonstrated by various Experiments of the Air-pump, and otherwise: One very plain is this; an empty Bladder, the Neck of which being tied round fast, that no Air could either get in or out, and being put into the Receiver of an Air-pump, and the ex- ternal Air therein exhausted, the small mat- ter of inclosed Air in the Bladder, will, by its own proper Spring or Elasticity, gradual- ly expand itself, and at last will so extend the Bladder as to burst it: Thus also the Air compressed in a Wind-Gun, will, by its Elas- tick * Hist. de l'Academ. Roy. 1695. p. 368. 90 A GUIDE to HEALTH Part II. tick Force (being discharged) drive a Ball through a Board at several Yards Distance, in the same manner as with Gun-powder. The Solids and Fluids of Animals contain more Air in them in Proportion, than any other Substances; and Animal Solids contain more Air than Fluids; and they contain a greater Proportion of Air than any other watery Fluid: For example, Blood contains 1/27 Part of its Weight in Air, and 33 times its Bulk; whereas 54 Inches of Well-water yield only 1 Inch of Air; but Spaw and Pyrmont Wa- ters yield double the Quantity of Air, to that of common Water; and therefore the Activity of Steel and Mineral Waters is owing to some aërial Particles in them; for when these are evaporated, the Waters become insipid, and without any Virtue, by the Quantity of Air lost, which the Blood and other Fluids of Animals contain, as has been often demonstrated by Experiments of the Air-pump; for they will expand them- selves in an exhausted Receiver to a great Degree, in the same Manner as in the Ex- periment of the Bladder just now mention'd. Hence the Alteration of the Weight and Spring, or elastick Force of the Air, which dilates and expands proportionably the Liquors, with which the external Air communicates, must produce sensible Effects in animal Fluids; for as Air is a principal Instrument in the Animal Oeconomy, and consequently a prin- cipal Ingredient in the Composition of all animal Ch. II. thro' the various Stages of Life. 91 animal Substances, it must in a particular man- ner affect animal Bodies, and by its Changes differently influence all their Operations. Fluidity is a Property of Air, which can- not be destroy'd or congealed like Water or other Fluids, by any Power of Art or Na- ture hitherto known: and this Property of Fluids arises from the exceeding Tenuity or Smallness of the constituent Particles of such Bodies, and their Disposition to Motion, from the Sphericity or Roundness, and Lubri- city or smooth Slipperiness of their Figures, whereby they can easily slide over one ano- ther's Surfaces all manner of Ways, and can touch but in few Points; so that Particles thus modified, must always produce a fluid Body or Substance, as Water, Fire, &c. No Coagulation, Fermentation, or Condensation of any Mixtures where Air resides, have ever destroy'd its Fluidity; for it preserves it in Cold 44 Degrees greater than any natural Cold, which Property is absolutely necessary to an Element, in which both Animals and Vegetables live and grow. As Water is a Fluid much denser or thicker than Air, it supports and keeps together the Bodies of larger Animals than Air can do. The Air is pellucid or transparent to such a Degree as not to be discernible even by the best Microscopes, by reason of the great Po- rosity thereof; for the Pores and Interstices of the Air being so very great and large, it not only admits the Light in right Lines, but in such 92 A GUIDE to HEALTH Part II. such great plentiful Rays, that the Brightness and universal Lustre thereof, not only renders the Air diaphanous or transparent, but en- tirely hinders the Opacity or Darkness of the very small Particles of Air from being at all seen; and the whole Body of the Air must consequently be invisible. But notwithstand- ing the Minuteness of the Particles of Air, many thicker Fluids will pass where it can- not; for Oil, Water, and Liquids will enter thro' Leather, which will exclude Air. That Air is a Fluid in constant Motion, may be easily perceiv'd in that Part of a Room illuminated by the Rays of the Sun, entering at a small Hole or Crevice, where- in the visible and floating Corpuscles or Atoms are in continual Motion; likewise a constant undulatory Motion in the Air may be seen by the help of a Telescope; and these Undu- lations or Wavings of the Air to and fro, affect small and tender Bodies, but not so much as to alter their Figure. The Difference between Fluidity and Li- quidity is, that the former is a general Name for all Bodies whose Parts yield to the small- est Force or Impression; and thus a Quan- tity of Sand as well as Water, is called a Fluid: But what is properly called a Liquid or Liquor, is only that Kind or Species of Fluids which cleaves to the Touch, or sticks to the Finger, &c. or, as may be said, wets it, as Water, or any kind of Juices do: And the Reason of this Difference is owing to Ch. II. thro' the various Stages of Life. 93 to the exceeding Smallness of the Particles of Liquids above those of fluid Bodies; and also to their Ponderosity or Weight: for by these means, the Particles of Liquids enter the Pores of the Body which touches them, and by their Gravity or Weight, cohere or stick to, and abide therein, and cause Wetness. Air is compressible as well as dilatable; for it can be compressed into a less Compass, and smaller Volume, like a Fleece or Lock of Wool, either by its own Weight, or by any other Force; which Weight or Force being remov'd, it immediately recovers its former Bulk and Dimensions again by its Spring. Heat will encrease the Force of the Elasti- city of the Air to a prodigious Degree, accord- ing to the Experiments of Mr. Boyle, as has been observ'd in the Beginning of this Chap- ter. To prove which by an easy Experiment, take a Bladder entirely empty as you think, and tie the Neck of it very well with a Pack- thread, and lay it before the Fire, the Heat will presently so dilate and rarefy the little Air inclosed, as to make it extend the Blad- der to its utmost Stretch, and if continued, will break through it with a Report like that of a Pistol. That Air also may be com- pressed by Art, so as to take up but 1/60 Part of the Space it possessed before, has been prov'd by Numbers of Experiments made by Boyle and others; for farther Proof and Sa- tisfaction thereof, see Sir Isaac Newton's Op- tics, p. 342. Divisi- 94 A GUIDE to HEALTH Part II. Divisibility is a Property of Air, by which living Creatures move in it without much Resistance; for it is always divisible by the smallest Force imaginable. Fishes and Birds move thro' their respective Element after the same manner; and Fishes may be called the Birds of the Water; they pass thro' an Ele- ment which is 800 times thicker than Air, as has been observ'd in p. 71; for which Reason Fishes must employ a Force propor- tional to the greater Resistance of the Fluid. On the other Hand, a great deal of the Force of Birds is employ'd to support themselves in a much thinner Fluid; but the Bodies of Fishes are poised or equilibrated with the Water in which they swim. However Air has some Degree of Tenacity or Adhesion, by which its Parts attract one another, as is ma- nifest by the round Figure of Water-Bubbles, which attract and run into one another; and at the same Time the Particles of Air, by their Elasticity, have a Power in other Cir- cumstances, of flying off from one another, which two Properties are consistent, as may be seen in Light. The Resistance of Air is very considera- ble in Bodies swiftly moving thro' it, or by its swift Motion against Bodies. In the first Case, the Resistance increases in the dupli- cate Proportion of the Swiftness of the mov- ing Body; that is, the Resistance is a hun- dred times greater when the Velocity is but ten times; so that for this Reason, if light Bodies are moved with great Swiftness, the Air's Ch. II. thro' the various Stages of Life. 95 Air's Resistance will throw them back in another Direction. Air moving with Rapidity, as in violent Storms or Winds, produces very sensible Ef- fects in human Bodies, to which if we add the Motion of the Person moving opposite, then the Pressure will be very considerable; hence Walking or Riding against great Winds is a great and laborious Exercise, the Effects of which are a Redness and Inflamma- tion of all the Parts exposed to the Air, be- ing like the Effects produc'd by a soft Press or Stripes, Heat and Drowziness. CHAP. III. Of the Qualities of Air. THE Qualities of Air are Heat, Cold, Dryness, and Moisture; they are called Qualities of the Air, because they are change- able, and do not constantly reside in the whole Mass, nor in the Parts thereof. By these variable Qualities of Heat, Cold, Dryness, and Moisture, the Air must of Ne- cessity produce various Alterations in human Bodies. For if we consider, that human Blood is a Fluid continually warm, and in- closed in a Composition of thin and flexible Tubes, to which the outward Air has Admit- tance 96 A GUIDE to HEALTH Part II. tance or Entrance by the innumerable Pas- sages of the Pores of the Body: Again, if we consider this Machine, with its inclosed Fluids steaming and reaking hot thro' num- berless Pores, and often changing Situation, sometimes within, sometimes without Doors, and exposed to the hot, cold, dry, or moist Air, and all the various Alterations that oc- cur in that Element; the Changes which must happen to a human Body in such Cir- cumstances, must be very considerable, and far greater than we generally suppose or ima- gine; for besides the real Influence of the circumambient Air, human Bodies are affect- ed by these Changes with a painful or plea- sant Sensation, which they have not always in their Power either to escape or possess. Heat is a Quality relative to our Senses excited in the Mind, by a great and swift Agitation of Particles of the hot Body ex- erting its Action or Influence on us; so that Heat in us is only the Idea thereof; and in the hot Body, Activity and Motion, and no- thing else: for no Heat is sensible, unless the Particles of the Body which act upon us, be greater than the Motion of the Organ or Part of the Body acted upon. But when the Motion of the Particles of the Body acting, is less than that of our Organs of feeling, then it causes in us the Sensation or Idea of Cold, which is only a Privation or less Degree of Heat or Motion. The Ch. III. thro' the various Stages of Life. 97 The Spirit of Wine in Thermometers * or Weather-Glasses, is affected with the least Alterations of Heat and Cold; and therefore is the best Guide to know the Variations of the Weather, tho' the Degrees marked in the Tubes of them do not exactly measure their Quantity. The natural Heat of a grown Person is 92, and of Children 94 Degrees; but no Animal can live long in Air of 90 Degrees, or near the natural Heat of the Body. The Rarity or Thinness of the Air ren- ders it more sensible of the Alterations of Heat and Cold, than any other Fluid what- ever; for the least Increase of Heat dilates it, but a Diminution thereof contracts it im- mediately. The Degrees of Expansion of the Air cannot be determin'd; for the great- est Heat will not totally expel it, but by this continual Expansion and Contraction, by different Degrees of Heat, it is kept in con- stant Motion. Heat, but not so great as to destroy ani- mal Solids, relaxes the Fibres, and rarifies the Humours; whence proceeds the Sensation of Faintness and Weakness, and whence lan- quid and hysteric People suffer in a hot Day; for the Fluids are dilated, as is manifest to both the Sight and Touch, and the external G Parts * Thermometer or Weather-Glass, is a Glass Tube filled with Spirit of Wine of a red Tincture: It is an Instrument of great Use in the Hands of skilful Persons, in discovering the Degrees of Heat and Cold in Air, animal and vegetable Bo- dies, Liquids, Hot-Beds, &c. 98 A GUIDE to HEALTH Part II. Parts swell, and are plumper in hot than in cold Weather. Excessive hot Air is capable to reduce ani- mal Substances to a State of Putrefaction, and therefore very hurtful to the Lungs in parti- cular; for the Blood, by its Circulation thro' the Lungs, is heated to a degree so as to render it spumous; and the Surface of the Vehicles of the Lungs being exposed to the external Air, which has a free Communication to it; so that Refrigeration by cool Air is one, tho' not the principal Use of Air in Respiration: but when the outward Air is many Degrees hotter than the Substance of the Lungs, it must necessarily destroy and putrify the Solids and Fluids: Which is confirm'd by an Ex- periment of the learned Dr. Boerhaave, who relates, that he put a Sparrow into a Sugar- Baker's drying Stove, where the Air was heated 54 Degrees more than the natural Heat of Human Blood, which died in two Mi- nutes; a Dog being put in began to pant very much for Breath in seven Minutes, and in a Quarter of an Hour express'd very great Un- easiness; soon after he grew very faint, and ex- pired in 28 Minutes; he drivell'd a great Quan- tity of red Foam most part of the Time, which stunk so intolerably that a labouring Man that went near it was almost struck down in- stantly with the Stench. Dr. Boerhaave ob- serves in this Experiment the direful Effects of this Degree of Heat, how soon it occasion'd a most acute Disease, with violent and mortal Symptoms; Ch. III. thro' the various Stages of Life. 99 Symptoms; and how suddenly the Humours were changed and thoroughly putrified in 28 Minutes: He moreover observes, that these were not the mere Effects of the Heat of the Stove; for if the Flesh of a dead Animal had been hung up there, it would have dried, and not turn to a pestilential Corruption; which must arise from the Friction caused by the Circulation of the Blood through the Lungs, and being not in the least refrigerated, as in this Case. By the Degrees of the Heat of the Air act- ing upon Human Bodies, the Quantity of * Perspiration both sensible and insensible is regulated; for, by the Journals of the industri- cus * Perspiration is twofold, sensible and insensible; by the first is meant what we discharge by Spittle, Sweat, Urine and Stool; by the latter is understood what is imperceptibly exhaled or expell'd through the whole external Skin of the Body, as also from that of the Mouth, Nose, Jaws, Larynx, Lungs, Gullet, Stomach, Intestines, Bladder and Womb; so that the Quantity of it exceeds that of all other Excretions join'd together; for when the Body is strong and healthy, and after moderate living, especially in a warm Climate, such as Italy, that which is discharged insensibly by the Pores of the external Skin, Mouth, Nostrils, &c. is five Eighths of what is taken into the Body in Meat and Drink. It will not appear incredible, that animated Bodies should thus perspire, when we find by Mr. Boyle's Experiments, that he has observ'd the like even in the most solid and inanimate Substances. Besides, we see the Air, when return'd in Respiration from the Lungs, brings along with it a Vapour, which in cold Weather con- denses into considerable Drops. We likewise find that a Fin- ger, or any other Part of the Body, or our Breath, applied to a Glass, or polish'd Metal, will presently moisten and tarnish it. This perspirable Matter, according to the learned Boer- haave, is a Mixture of Phlegm, volatile Salt, and Oil, in cer- tain Proportions; and after a long Course of Circulations in G2 all 100 A GUIDE to HEALTH Part II. ous and learned Dr. James Keil of Northamp- ton, it appears, that the Perspiration in Eng- land scarcely equals all the other Excretions, and that in Summer it is near double to that in Winter; whereas we find, by the incom- parable Sactorius's Aphorisms, that the Per- spiration in Italy the Year round is to all the other Evacuations as five to three, and pro- bably the Proportion may be still greater in hotter Climates; and yet the same Author tells us in Aphorism vii. Sect. I. that the Quantity of insensible Perspiration varies ac- cording all the Forms of the Animal Fluids, is deprived of all that can be of farther Use to any Part of the Human Body; and is secreted by the capillary Arteries, and passes off insensibly and almost invisibly through the Pores of the Skin, and other Parts of the Body. But whenever this Evacuation is either dimi- nish'd or obstructed, it is almost an infallible Indication of Dis- eases, and probably the Cause of them, likewise. And Nature has so provided, that if by any external Cause this Evacuation is hinder'd in any one Part, it is always increased in another, or otherwise a Distemper will ensue; for which Reason when the Coldness of the Air, which more immediately affects the outward Skin, or any thing else lessens the Discharge of insen- sible Perspiration that Way, either the sensible Evacuations are increased, as commonly the Urine, or greater Quantities are carried off by Respiration from the Lungs and Parts about the Mouth, as we see in frosty Weather, like Smoak out of the Mouth; or else it is perspir'd into the Cavities of the Stomach and Guts, which afterwards is discharged by breaking of Wind either upwards or downwards: For as long as the Im- pulse within remains the same, wherever there is the least Re- sistance, there will be always the greatest Derivation of the perspirable Matter. And from hence it is, that we so fre- quently find, when the Body is more than usually exposed to the external Cold, Gripings, Loosnesses, Colics, and great Uneasinesses in the Bowels, which is nothing else but some Part of the perspirable Matter, that ought to have passed the outward Skin, check'd by the Cold, and by an opener Pas- sage Ch. III. thro' the various Stages of Life. 101 cording to the Differences of Constitution, Ages, and Countries, Seasons, Distempers, Diet, and the rest of the Non-naturals: Which must occasion a great Diversity of Constitutions and Distempers, according to the different Climates; for the serous Part of the Blood is carried off by Sweats or sensible Perspiration, in far greater Quantities in hot Countries, than in cold or temperate Cli- mates, which must consequently render the Crassamentum or fibrous red Cake of the Blood larger; hence we may know the Reason why the Blood of People residing in those hot G3 Coun- sage within thrown off that Way. Leeuwenhoek by the Help of Glasses, has discover'd the Texture of the Scarf-Skin to be scaly; and that those Scales cover one another in several Lays, more or less, according to the different Thickness of the Scarf- Skin in the several Parts of the Body; and that in the Com- pass of one cuticular Scale he reckons there may be 500 Excretory Channels, and that one Grain of Sand will cover 125000 Orifices; and that from these a most subtile Humour continually transpires in all the Parts of the Body; which was first observ'd by the incomparable Sanctorius, to whom alone the Glory and Perfection of this Discovery is entirely owing. Insensible Perspiration therefore, both as to the Matter and Quantity of it, is so absolutely necessary to the Health of a human Body, that a Distemper can neither be removed, nor Health preserv'd, unless it be rightly digested and discharg'd; For which Reason it ought to be of the utmost Concern to a Physician not only thoroughly to acquaint himself with the Nature of this Evacuation, but likewise thoroughly to know by what Means it is to be promoted or lessen'd, according to the several Exigencies of his Patients, either for the Preservation or Recovery of their Health: For according to the last men- tion'd Author, in Aphorism ii. Sect. I. ' If a Physician who ' has the Care of another's Health is acquainted only with ' the sensible Supplies and Evacuations, and knows nothing of ' the Waste that is daily made by insensible Perspiration, he ' will only deceive his Patient, and never cure him unless by ' Accident.' 102 A GUIDE to HEALTH Part II. Countries is commonly thick and black when drawn from any Part of a human Body, as Experience teaches. Air is not cooled by the Motion of Winds, but by the Air of cooler Regions that they bring along with them; for the Thermometer will not change by Winds or by the strongest Blasts of Bellows, unless it is blown through Ice or some other Body colder than Air, ac- cording to Mr. Boyle's Experiments, but then such a Blast will sink it considerably. Winds cool animal Bodies by driving away the hot Steams that surround them; for if we sup- pose that the Heat of a human Body is 90 Degrees, and the Heat of the Air 48, by blowing off the hot Steam, then the animal Body will be surrounded with an Atmosphere of 48 Degrees, and consequently near the one half of its natural Heat taken off in a Second of Time. Therefore, if immediately after Ex- ercise we rest in a cold Air, we run a great Hazard of falling into great Diseases, of which there has been frequently woeful Instances, especially such Distempers as affect the Lungs, as Inflammations, Asthmas, Pleurisies and Ca- tarrhs; for this Change of their Atmosphere happening every Second of Time, is, much the same thing as putting on a cold Suit of Cloaths every such Time. Therefore, as human Bodies may be cool'd by Air cooler than their own Temperament, so there may be great Use made of tempera- ting feverish Heat by the outward Air, pro- 2 vided Ch. III. thro' the various Stages of Life. 103 vided it be done with Caution; which is very well known by Experience, as in inflamma- tory Diseases, such as the Small-Pox, Measles, &c. scarcely can any Liquor taken inwardly cool human Blood sooner than cool Air; for, by its Admission into the Pores of the Skin, and its being in immediate Contact with the Vesicles upon the Surface of the Lungs, it cools the Blood in a very little Time: So that great Mischief frequently happens by keeping the Air of the Rooms of People in Fevers too hot, by depriving them, in the first Place, of the Benefit of being refresh'd by it, and in the next, by the bad Effects of animal Steams pent up in the Room, which spoil the Air and destroy its Elasticity or Spring. Therefore it is the Opinion of the most celebrated Phy- sicians, that renewing and cooling the Air in a Patient's Room, by giving it a free Admis- sion, in opening the Door sometimes, the Bed- Curtains, and in some Cases the Windows, or letting it in by Tubes or Pipes, in order to change the hot Atmosphere about the Patient, (provided the Intention of keeping up a due Quantity of Perspiration is not disappointed) and in general the right Use and Manage- ment of the Air, is one of the principal Parts of a Regimen in all inflammatory Diseases; but, through the Ignorance and scrupulous Care of Nurses, in so material a Point as this, the Distemper is frequently increas'd, lengths en'd, and at last proves fatal; and this Mi- stake proves far more dangerous to strong, G4 vigorous. 104 A GUIDE to HEALTH Part II. vigorous, compact, and heavy Constitutions, than to lax ones; according to this Axiom, Heat is detain'd in proportion to the Density of Bodies. Cold is a Privation or Diminution of so many Degrees of Heat, as I have observ'd al- ready in Page 96, and it produces a propor- tionable Abatement of the Effects of Heat; so that, from what has been said already con- cerning hot Air, the Effects of cold Air may be inferr'd. Cold Air, according to Philoso- phers and Naturalists, is the immediate Cause of freezing; it first begins in the Air, by congealing the watery Particles in it; but the Effects of this Cold sometimes do not reach so far as to freeze the Water on the Sur- face of the Earth; as in Summer Hail and Icy Showers. Cold condenses the Air in proportion to the Degrees of it; and likewise contracts animal Fibres and Fluids, which are denser; for as Cold braces the Fibres, not only by its con- densing Quality, but likewise by congealing the Moisture of the Air which relaxes; so for this Reason Animals in cold Weather. are of less Dimensions than in hot Weather. Extreme Cold produces at first a pricking Sensation in human Bodies, and afterwards a glowing Heat, or a small Degree of Inflam- mation in all the Parts of the Body exposed to it; and by bracing the Fibres more strongly, thickening the Fluids, and stimulating, it pro- duces Strength and Activity in human Bodies, of Ch. III. thro' the various Stages of Life. 105 of which healthy People are very sensible in clear and frosty weather. Now, if the Effects of cold Air be so con- siderable upon the Surface of the Body, why may not they be much more so upon the Lungs, wherein the Blood is much hotter, and the Membranes or Coats very thin, and in immediate Contact with the external Air? But were it not that the warm Air is not alto- gether expell'd out of the Lungs in Expira- tion, the Contact of the cold Air would be insupportable to human Creatures; and the Effects of cold Air in producing Inflammations of the Lungs in all Nations is common, espe- cially upon the blowing of cold north-easterly Winds in Europe, or north-westerly Winds in America. Cold suppresses some of the grosser Parts of the perspirable Matter, by which Means a great many Salts, that would b exhaled in warm Weather, are detain'd, by contracting the Pores of the Skin, and cooling the Blood too much in the Vessels that are exposed to the Air; as also by Stimulus the cold Air vel- licates and inflames these Vessels, as has been obser'd already, and at the same time pro- ducing Scurvies with dismal Symptoms, being a Distemper of cold Climates; the fatal Ex- remities of which we may see in Captain James's Journals, in Gerat de Veer'd a Hol- lander, and in Captain Middleton's, and in those of many others, who have win- ter'd in Greenland, and other cold Coun- tries; for the Cold that froze their spirituous I Liquors 106 A GUIDE to HEALTH Part II. Liquors produc'd almost the same Effect in their Blood, by reducing the animal Substan- ces of some to a gangrenous State, with Mor- tifications of their Limbs and Gums, being oblig'd to cut off the putrid or rotten Flesh; a total Incapacity of chewing, not capable to move themselves, and intolerable Pains in many Parts of the Body, with black and blue Spots and Blisters on their Skins; and by sup- pressing Perspiration, and retarding the Cir- culation of the Blood, others were seiz'd with Giddiness, Sleepiness, Pains in the Bowels, Looseness, Bloody-Fluxes, Iliack Passions, and a Mortification in the Guts; but seldom any Loss of Appetite, which is very surprizing: All such dismal Symptoms could not be attri- buted to the Effects of Salt Provisions, in as much as they frequently had fresh both ani- mal and vegetable. Extreme Cold or extreme Heat will de- stroy animal Substances, or reduce them to a gangrenous State, but with this Difference, that a Degree of Cold that will produce a Mortification in living Bodies, will preserve those that are dead from Putrefaction; and in order to produce such a Change, there must be a Concurrence of Heat and Motion in the animal Fluids with the Stimulus of the Cold to produce the Change; for which Reason, Blisters cannot be raised on dead Bodies by the strongest blistering Plaisters imaginable. Moisture is a Quality of Air which affects animal Bodies in relaxing and lengthening their Ch. III. thro' the various Stages of Life. 107 their Fibres; for it has been often demon- strated by Experiments, that the single Fibres both of Animals and Vegetables are lengthen'd by moist Air, and that it relaxes is likewise evident from daily Experience upon Leather, Vellum, Paper, and a Drum. By cold Bath- ing there is a momentary Contraction of the Fibres of the Body effected by the Cold- ness of the Water only, and the Sensation of which works as a Stimulus in human Bodies; but the Water in its own Nature would re- lax, and continually does so, if we remain too long in it; which is the Reason that Peo- ple using the Cold Bath are order'd not to stay in above half a Minute, or a Minute: and warm Water relaxes a great deal sooner than cold, and Swimming fatigues and dispi- rits more by relaxing the Fibres than Exer- cise. Air, by the Assistance of Moisture, will sooner insinuate itself into the Pores of Bo- dies than otherwise; for a dry Bladder will sooner burst than let Air pass thro' it, but when it is moisten'd it easily passes. Yet Moi- sture diminishes the Elasticity of Air, for in rainy Weather it is less Elastic; so that Moisture relaxes human Fibres, by weaken- the Spring of the Air; but dry Air will lessen those Effects, or produce their Con- traries, such as bracing and contracting the animal Fibres, which were before both re- lax'd and lengthen'd by too much Moisture. And a great many Symptoms which People are 108 A GUIDE to HEALTH Part II. are sensible of in moist or rainy Weather, are chiefly owing to the Relaxation of the Fibres by moist Air, by which means they lose some Degree of their elastic Force for cir- culating the Fluids; hence arise those Aches and Pains which are felt in the Parts of the Body, where the Circulation of the Fluids is not perfect, as in Cicatrices, or Scars of Wounds, old Sprains, Dislocations, or bruised Parts. Likewise a moist and foggy Air, espe- cially where the Country is low and marshy, will so weaken the Tone of the Vessels, as to hinder a proper Discharge of what ought to be carried off by insensible Perspiration, ac- cording to Sanctorius *; and particularly weaken those of the Lungs, by which means the Viscidity of the Blood will be increased; hence arise Coughs, Catarrhs, Consumptions, Asthmas, Pleurisies, Head-aches, Dulness, and Stupidity, Epilepsies, Hoarseness, cuta- neous Eruptions, pale and languid Complexions: and such People are also subject to scorbutic Habits, weak Appetites, Fevers of different kinds, Diarrhœas, Dysenteries, and Drop- sies.† When the Air is overcharg'd with Va- pours near the Surface of the Earth, and when * Med. Stat. Sect. 2. Aphor. 8. † Hippoc. Aph. 16. lib. 3. & lib. de Aëre, Aqua & Lo- cis; in which last Book Hippocrates tells us, that the Phasians, who inhabited a low and marshy Country, were frequently subject to the above-mention'd Distempers, and which is commonly, and almost always the Fate of all such Situations, as both History and Experience teach. Ch. III. thro' the various Stages of Life. 109 when those Vapours are more in a falling than in an ascending State, it is then properly called moist Air; tho' the Body of the Air may contain more Water in it at other times; but then the Water and Air are more intimately mix'd, and the Vapours are higher, and a less Quantity of them in contact with our Bodies; so that Air in such a State may be justly called dry; and sometimes the Air may be said to be in a State of exhaling and imbibing, and at other times in a State of precipitating its Waters and other Contents. Dryness is another Quality of Air, by which it produces Effects contrary to those of moist Air: and as dry Air exhales and imbibes volatile Spirits, and Oils of animal Bodies, so it does consequently influence Perspiration. But great Dryness is capable of changing the very Texture, as well as the Si- tuation of the Pores of the Skin of human Bodies; and either extreme Dryness, or ex- treme Moisture have very often proved dan- gerous, if not fatal to human Bodies; and tho' our Bodies are not capable of bearing Excesses of any kind, yet of the two, ex- treme Dryness has been found most destru- ctive to animal Bodies. By the Properties and Qualities hitherto enumerated and explain'd, Air must pro- duce very great Alterations in human Bodies; for it does not only operate by outward Contact, but we likewise imbibe it at all the Pores of the Body, as is evident by what has been 110 A GUIDE to HEALTH Part II. been said already; otherwise the Air could not have a free and constant Admittance in- to the Body, and consequently the Ballance between the outward Air, and that within the Vessels, could not be so quickly restor'd; and it is upon the due Ballance of the Air within and without the Body, that the Life of ail Animals depends. The Skins of Animals dry'd exclude Air; but those of living Creatures being moist and oily, it will easily pass thro' them; for where- ever there are Emissaries, there are also ab- sorbing Vessels: And to prove this Assertion farther, many Bodies a great deal thicker and heavier than Air, such as Mercury, Spanish Flies, and Garlick, &c. readily enter the Pores of the Skins of animal Bodies. So that while we perspire, at the same time we ab- sorb part of the outward Air; and the Quan- tity of perspir'd Matter, discover'd by the Method of weighing, is only the Difference between that and the Air absorb'd; therefore after great Labour and Abstinence, which produces an Emptiness in the Vessels, and consequently a great Diminution of Perspi- ration, it is very probable, that in such a Case, the Quantity of the Air absorb'd may exceed that of the perspir'd Matter: which must be true, if Sanctorius's and Dr. Keil's Journals of Perspiration be faithful and ex- act; for there is an Instance in the Doctor's Journals, of a Person's growing 18 Ounces heavier by absorbing Air. The Doctrine of absorbing Ch. III. thro' the various Stages of Life. 111 absorbing Air thro' the Pores of the Skins of living Creatures, was taken for granted both by Hippocrates, Galen, and their Followers, which has been since confirm'd and demon- strated by that accurate and most ingenious Observer of Nature, Mr. Hales, in many Bodies, particularly in Vegetables, by plain and easy Experiments; by which it appears, that Air freely enters thro' the Bark, Stem, Leaves, and all the Surface of Vegetables. By absorbing external Air, with all its Qua- lities and Contents, many great Effects must necessarily follow, and many sudden Altera- tions happen in human Bodies; and nothing can account more clearly for epidemical Distempers seizing People inhabiting the same District of Land, and who have nothing else in common that affects them, except Air, which is confirm'd by * Hippocrates, † Sy- denham, and many others. * Hippocrates, Epid. lib. 3. Sect. 3. & lib. de Aëre, Aq. & Locis. † De Febribus Intermit. Thucydid. lib. 2. p. 130. 147. Diod. Sicul. p. 101, 102. Hallerius libel. de Peste, p. 577. Hippoc. lib. de Flatibus, p. 297. & lib. 6. de Morb. po- pular. Sect. 8. p. 1199. CHAP. 112 A GUIDE to HEALTH Part II. CHAP. IV. Of the Influence of AIR upon Human Bodies. THE Influence or Power of the Air up- on human Bodies is as different as the Diversity of the Weather, Seasons, Climates and Countries; but the true Knowledge of it is very obscure and imperfect, especially in that Part which will be always difficult to find out, that is, the different Qualities of the Air, and the manner of their acting upon human Bodies; yet if Journals of Diseases, compar'd with the Weather, had been kept for some Centuries in many Places and Kingdoms, we should at last have come to more than a conjectural Knowledge of this important Matter. The divine Hippocrates, after a Series of many Years indefatigable Practice and just Observations, has left us in his Books of Epidemics, and third Section of Aphorisms, an inestimable Treasure of Golden Rules to go by for this Purpose; and tho' he had nei- ther * Barometer, † Thermometer, nor ‡ Hy- groscope * Barometer, See Page 79. Note ‡. † Thermometer, vid. p. 97. Note *. ‡ Hygroscope is a useful Instrument to be made several Ways, for-measuring the Moisture and Dryness of the Air. Ch. IV. thro' the various Stages of Life. 113 groscope, to measure either the Weight, Heat, Cold or Moisture of the Air by, yet knew more of the Influence of Air on human Bodies, than all his Predecessors and Succes- sors put together; for none of them ever made such just and curious Observations up- on Airy and its Effects, as he did, which plainly appears in his Works: he judg'd only according to Reason and his Senses, which are surer Guides than the Thermometer, in re- spect to the Effects of Heat and Cold upon our Bodies; for by the Thermometer, stagnant Water is of the same Degree of Heat as the ambient Air, but if apply'd to our Bodies, we shall feel it much colder; therefore, Air abounding with more or less watery Particles, is colder or hotter to our Senses, tho' the Thermometer still remains at the same Height.* This sagacious Great Man tells us, that ‖ Whoever would understand Physic, it is first necessary to understand the Seasons of the Year, and then their Effects on our Bodies; and that † we ought to know the Constitutions of the Air, what they are, and in what Times and Regions they mostly appear. He says likewise, ‡ That Distempers seldom arise from any other H Cause * According to Lord Verulam's Observations, Water seems colder than Air; and the Froth of any Liquor seems warmer than the Liquor itself; and the Powder of any solid Body, warmer than that solid Body, tho' the Thermometer still proves the same Degree of Heat in each to be alike. Hist. Nat & Experiment. de Ventis, cap. de forma Callidi, p. 143. ‖ Hippoc. lib. de Aëre, Locis & Aquis, p. 280. † Hip. lib. 4. p. 1138. de morb. Epidem. ‡ Hip. lib. de Flatibus, p. 297 114 A GUIDE to HEALTH Part II. Cause than the Air; for either it is too much or too little, or abounds with infectious Filth. He tells us in another Place ‖, That the Air is to he consider'd as to its Heat or Cold, Thickness or Thinness, Dryness or Moisture, and their several Changes. According to his Instructions, we are like- wise § to consider the Situation, Air, and Water of a City, in order to come at the Knowledge of their popular Diseases, and their Seasons: for Instance, that Cities ex- posed to the ‡ hot Winds, such as blow be- tween the rising and setting of the Sun in Winter, to which Situation such Winds are peculiar, and at the same time are defended from the Northerly Winds, abound with Water of a saltish Taste, which as it comes from above, must needs be warm in Sum- mer, and cold in Winter; but Cities that are well situated as to the Sun and Winds, and at the same time supply'd with wholsome Water, are free from many Distempers, which those in different Circumstances are subject to, as has been already mention'd: that if the Summer proves dry, the Diseases are of a shorter Duration than in a wet one in which they prove obstinate, and apt to de- generate into Suppurations, Heat and Moi- sture in the Air producing Putrefaction: that Defluxions, ‖ Idem de morb. popular, lib. 6. p. 1199. § Hip. lib. de Aëre, Locis & Aquis. ‡ Hippocrates means in this Place a Southerly Situation, and the Winds that blow from thence. Ch. IV. thro' the various Stages of Life. 115 Defluxions, much Phlegm, and Hoarseness are occasion'd by cold Weather: that Deflu- xions from the Head, and Disorders of the Belly, from Phlegm distilling downwards, producing Fluxes, were the Effects of the Winter, which made Women subject to Miscarriages, and Children to Convulsions; likewise such as were exposed to Cold, sub- ject to Inflammations of the Eyes and Lungs. This great Man could foretell the Diseases from the Weather, and says, that Heat coming upon a wet Season will produce se- rous Defluxions upon the Head and Belly, and acute Fevers. That cool Weather, about, the Dog-Days, if not succeeded by a tem- perate Autumn, is dangerous for Women and Children, producing Quartan Fevers, and from these they fall into Dropsies: if the Winter is mild and rainy, and succeeded by Northerly Winds in the Spring, it will be dangerous for Women that happen to be with Child, producing Abortions, likewise Deflu- xions upon the Lungs, Dysenteries and Co- licks in the Phlegmatick, and Inflammations in those that are Bilious, because of the Heat and Dryness of their Flesh; and that Ob- structions after Relaxations produce Palsies, and sometimes sudden Death in old People. A rainy Summer and Autumn must; needs make a sickly Winter; burning Fevers will happen in People above 40 and Phlegmatic; in the Bilious, Pleurisies, and Inflammations of the Lungs: but if the Summer be dry with H2 Northerly 116 A GUIDE to HEALTH Part II. Northerly Winds, succeeded by a wet Au- tumn with Southerly Winds, Head-aches and paralytick Diseases are likely to happen in the Winter; likewise Hoarseness, Stuffings in the Head, Coughs and Consumption: but a dry Autumn with Northerly Winds is pro- fitable to phlegmatic Constitutions, and ex- tremely hurtful to the Bilious, the watery Parts which dilute the Gaul being exhaled. He says farther, that whoever considers these Things, may know before-hand the greatest Part of what will happen from the Changes of the Seasons, and advises to con- sider the Constitution of the Air in Opera- tions of Surgery; excepts against cutting for the Stone in the Solstices *, especially in the Summer Solstice. The divine old Man goes still farther, and says, that the Affair of Generation is influ- enc'd by the Difference of the Constitutions of the Air, and that such a Variety should thus happen in the Formation or Mixture of the Semen, which is not always the same in the same Person, in Summer and Winter, in wet Weather and dry, that it is oftener cor- rupted in the Formation or Mixture of it, where the Seasons change frequently, than where * Solstice is the Time when the Sun being come to either of the Tropical Points, is got farthest from the Equator, and seems to be at a stand for some Days before it returns back, which happens twice a Year in the Summer and Winter. The Summer Solstice is when the Sun entering the Tropick of Cancer on June 11, makes the longest Day, and the shortest Night. Ch. IV. thro' the various Stages of Life. 117 where they remain pretty near alike. He likewise attributes the different Shapes, Com- plexions, Tempers of Mankind, and even their different Forms of Government, to the Influence of the Air: that the fertile Coun- tries of Asia, upon the account of moderate Heat and Moisture, produce large and hand- some Animals; and that the Softness of their Climate disposes them to Mildness and Effeminacy, not enduring Labour or Hard- ships of any Kind, like the Greeks, frequent Changes in the Body, produced by Labour and the Alterations of the Weather exercis- ing both Body and Mind; for which Reason the Asiaticks are less bold and couragious, they are slavish and subject to Masters, and tho' they are forc'd, yer they are not willing to quit their Ease and Families, or to endan- der their Lives for the Power and Wealth of others, in Expeditions from which they are to reap no Advantage to themselves: that on the contrary, the Greeks and Northern Asi- aticks were bold, hardy, and full of Courage; and that, being at their own Disposals, wil- lingly underwent Dangers and the greatest difficulties, because the Reward of the Vic- tory was to be their own. He says besides, that as the Equality of the Temperature of the Seasons render'd the Asiaticks indolent and lazy; so the great va- riety of Heat and Cold, by differently affect- ing Body and Mind, render'd the Europeans couragious and active; Activity, Labour, and H3 Exercise 118 A GUIDE to HEALTH Part II. Exercise begetting Bravery, and Bravery begetting Laws to secure Property; and being govern'd by such, they were enabl'd to reap the Benefit of the Fruits of their In- dustry, which those that live under Abso- lute Monarchy are not capable to enjoy: Here this great and wise Man expresses his Dislike to Despotick Government. The Phasians *, says he, are tall, soft, bloated and pale, on account of the excessive Moisture of the Air they breathe; for their Country is marshy, hot, watery, woody, and subject to violent Showers at all Seasons, and such Effects proceed from lax Fibres occasi- oned by excessive Moisture; but such as in- habit Mountainous Places, where they are of a large Make, have a variety of Weather, and are bold, fierce and active; and the Inha- bitants of fertile Plains, with stagnating Waters, are the reverse; for a fat Soil produces dull and heavy Understandings. The Inhabitants of barren and dry Soils, with cold Winters, are passionate, warm in their Tempers, posi- tive, proud, and of a quick Understanding. In one of his Books ‡, he attributes the Causes of all Diseases, especially of the Pesti- lential, to proceed from the Influence of the Air: And in another Place †, he far- ther * The Phasians were Inhabitants of the City Phasis, in the ancient Kingdom of Colchis, upon the eastermost Side of the Black Sea, between Georgia and Circassia, not far from the ancient Sauromatœ. ‡ Hippoc. lib. de Flatibus. † Hippoc. lib. de Morbo Sacro. Ch. IV. thro' the various Stages of Life. 119 ther affirms, that Air gives Sensation, Life and Motion to all the Members of Animal Bodies; for which Reason he strenuously re- commends Astronomy as an essential Part of the true Knowledge of the Art of Healing; and says, that if any one should think it to be only Meteorological Speculations, he may soon learn, if he can part with his Opinion, that Astronomy is so far from being of little Use in Physick, as to be of the greatest; for as the Seasons change, so do the Constitutions of Men likewise §: And to prove the Useful- ness of Hippocrates's Doctrine and Opinion in this Particular, we need only consult a Treatise of a Cotemporary learned Author, who is not only an Honour to his Country, but likewise an Ornament to his Profession, wherein we shall find not only the Usefulness of Astronomy in the Art of Physick, but likewise the Influence of Air upon human Bodies geometrically de- monstrated †. Hippocrates goes on still farther in the same Book, and says, that where the Variety of the Weather is oftenest, and the Diffe- rence between the Seasons greatest, there the Nature, Customs, and Habits of the People will be found most different, which are the principal Causes of all the Changes in Nature; and next to these, the Country wherein we are brought up, and the Waters we are obliged to drink; for we H4 shall § Hippoc. in his Book of Water, Air, and Situation. † Richardus Mead de Imperio Solis & Lunæ in Corp. Hum. 120 A GUIDE to HEALTH Part II. shall generally find that the Complexions and Manners of the People correspond with the Nature of their Country. He has left us a curious History of Diseases, and the Weather, in his valuable Books of Epidemics, from whence he drew many useful and nice Observations; and where we may see a vast Conformity between the Constitution of the Air, and that of Dis- tempers, throughout the whole Work. The Constitution mentioned in his 1st Sec- tion, was a wet Autumn, the Winter dry, with southerly Winds and very little norther- ly, the Spring cold, with southerly Winds, a little wet, a cloudy and dry Summer, with little or no northerly Winds to cool the Air; in this Constitution he observ'd some few burning Fevers of a good sort, some with Hæmorrhages; a great many had Swellings behind both or one Ear, but generally with- out a Fever, and disappear'd without much Inconvenience or Suppuration. The Constitution of the next Year, related in Section the Second, was a wet Autumn, with northerly and southerly Winds; the Win- ter was moist and affected with cold norther- ly Winds, attended with great and heavy Showers of Rain and Snow, and a cold and northerly Spring, both watery and cloudy; the Summer not very Scorching, and was continually affected with northerly Winds, and a great deal of Rain fell again sudden- ly; so that the whole Year being cold and moist, Ch. IV. thro' the various Stages of Life. 121 moist, and attended with northerly Winds for the most part, produced Inflammations of the Eyes in the Spring, and in the Summer, Co- licks, Fluxes of the Belly, with Bilious Purg- ings, and sometimes Bilious Vomitings with Phlegm and indigested Food, some with Cat- tarrhous Fevers, others again without Fe- ver or Confinement; but they all in gene- neral sweated, Moisture being then so redun- dant every where. In the Autumn and Winter continual Fe- vers appear'd; there were likewise diurnal, nocturnal, tertians, semitertians, some quar- tans and erratick Fevers; besides some were afflicted with Catarrhs and Defluxions upon their Joints; Convulsions were also frequent among Children; all such Diseases being the natural Product of a Cold and Moist Year, affected by too much Moisture in the Air, which human Bodies continually breathe and imbibe. He tells us in his third Section, that the Constitution of that Year was a cold dry Winter attended with northerly Winds, as was likewise the Spring and Summer till to- wards the beginning of the Dog-Days, then scorching Heats and Droughts continu'd till Autumn, which prov'd to be moist and rainy: This Year was remarkable for Paraplegias or Palsies, which were epidemical in the Winter; likewise Hæmorrhages of all Kinds and Dy- senteries reign'd in the Spring and Summer, be- ing the Effects of a Constriction of the Fibres, oc- 122 A GUIDE to HEALTH Part II. occasion'd by too much Cold and Drought; burning Fevers with Delirium and Thirst, be- ginning with Shiverings, Watchings, Nauseas, and Anxiety continued, which were most dan- gerous and fatal to young and vigorous Peo- ple, especially in the Autumn, but most of all in the Winter, when the Hæmorrhages ceas'd. In his Second Book he attributes the great Frequency of Carbuncles and other large Pustules of the putrid kind in Summer to the great suffocating Heats attended with Calms and Moisture; and that Sweats suc- ceeded Showers, because Moisture relaxes the Fibres of the Body; that inflammatory Dis- cases, such as burning Fevers, Pleurisies, &c. are most violent in a dry and hot Summer; that in constant and settled Weather and Seasons, the Distempers will be more equal and of a good Sort and easily determined; but that if the Weather is variable they will likewise be irregular and resolv'd with difficulty; that the Diseases of the Spring are least destruc- tive of any of the other Seasons: He like- wise remarks that a mild Winter, attended with southerly Winds, a dry Spring, and a moist Summer with small Rains, produced Fevers, and Tumours or Swellings behind the Ears. In his third Book he observes a kind of a Pestilential Season, which proceeded from a hard Winter, a rainy warm Spring, succeed- ed by an excessive hot Summer with little or no Winds; it was notable for all inflam- matory Ch. IV. thro' the various Stages of Life. 123 matory Pimples and Eruptions upon the Skin, and likewise for all Distempers of the putrid Kind, such as Erysipelas, Aphtas and Ulcers in the Mouth and Throat, burning Fevers with Deliriums, Tubercles upon the Private Parts, Inf animations of the Eyes, Carbuncles, Swellings in the Groins, Abscesses and Defluxions upon the Joints, some with Suppurations of Pus well digested, and others again with a copious Running of putrified Matter of different sorts. He remarks in his sixth Book, that the frequent Alterations of the Winds from South to North, are very often the Cause of Inflammations of the Lungs and other Parts of the Body; and that, generally speaking, the Nature of the Diseases is determined by the Seasonableness of the Weather, as it happens sooner or later, either dry, cold, hot, moist, and attended with Winds or otherwise. From these few Instances, we may easily discover the great Genius, Sagacity, and In- dustry of this Divine old Man, as likewise with what Assiduity and Integrity he apply'd himself to study the Nature and Influence of the Air upon human Bodies; wherein he suc- ceeded better than any one of his Profession: And if his Successors had laid aside all their ri- diculous, and, as I may fay, absurd Hypotheses, together with their useless metaphysical Specu- lations, and followed the same Method with the same Perspicuity and Honesty as he did, to this present Time, we then should have had more than 124 A GUIDE to HEALTH Part II. than a conjectural Knowledge, both of the Nature and true Causes of Diseases, especial- ly of Epidemics, which at this Time puzzle even the greatest Physicians. Therefore Rea- son join'd with Observation is the only cer- tain Method we should pursue in order to come at the true Knowledge of Diseases and their Cure; for it evidently appears in the Annals of Physick, that the small Num- ber of Physician who have happily attended to it, made so considerable a Figure in their Profession, that they will always shine, even to the latest Posterity. The ingenious Dr. Arbuthnot having ex- plain'd Hippocrates and others upon the Sub- ject of the Influence of Air on human Bo- dies and Diseases, so accurately well, accord- ing to Mechanical Principles, that nothing can excell it; therefore, I thought it not only proper, but likewise very useful and necessary to give the Reader an Abstract of what he says upon that Head in this Place. He observes, that as this Subject has not been treated of by modern Physicians with that Accuracy it deserves, Observations of that kind are but few, and there is no Series of them in any Country: What would give most Light in this Matter, is a Collection of Observations in Countries where both the Qualities of the Air have great Excursions towards Extremes, where the Seasons and these Excursions, and the Diseases depending upon Ch. IV. thro' the various Stages of Life. 125 upon them are regular. Egypt is a Coun- try which answers all these Intentions in some Degree: It is situated between Ethi- opia, the Mediterranean Sea, Arabia and Barbary, which lie, in the Order mention'd. South, North, East, and West of it. Grand Cairo, where Prosper Alpinus, a very emi- nent Physician, practis'd and made his Ob- servations, lies in 30 Degrees Northern La- titude, as Ptolomy says, 6 Degrees beyond the Tropick of Cancer. This great City is situated at the Foot of the Mountains of the Stony Arabia, which lie towards the East. It is quite expos'd to the north- erly Winds which blow over the Mediter- ranean: Southerly of it there is a hot sandy Soil; so that the Alterations of Heat and Cold, as the Winds blow North and South, over the Mediterranean, or over this hot Sand are excessive, and the Alterations of Heat and Cold from the other Winds but small, lying near the Tropick; and as it is a sandy Soil, fructify'd only by the Slime of the River Nile, without Rain, there is hardly any humid Perspiration from the Ground itself, the Air receiving Mois- ture only from the watery Surface of the Nile during the Inundation, or from the Vapours brought from the Mediterranean by the northerly Winds. From these Causes the Air is extremely hot, and the tropical Heats would be insuffe- rable, were it not for the Northerly Winds. And 126 A GUIDE to HEALTH Part II. And in fact, the Heats are sometimes so ve- hement, that the Inhabitants defend them- selves from them by many Contrivances, such as Fountains in the middle of their Houses, Pipes to convey fresh Air by Grottos, and high Edifices, by which their Streets are shelter'd from the Sun, and a temperate Diet. During the tropical Heats *, the Air is sometimes so much moisten'd and cool'd by the Notherly Winds, and the watery Surface of the Nile, that the acute and pestilential Distempers are check'd by this Constitution of the Air: the Inhabitants often suffer from Catarrhous Distempers, more than in North- ern Countries, their Bodies being more de- licate, and their Pores more open by the pre- ceding Heat. As to their Seasons, their Spring lasts from the Beginning of January to March; their Summer is double, the first, from the Begin- ning of March to the Solstice †, and the se- cond, from the Solstice to the Beginning of September; and this second Summer is more constant, healthy, and less scorching than the first, by reason of the difference of the Winds, and other Causes hereafter mention'd. Their Autumn lasts September and October; and their Winter, November and December. The extreme Heat of the first Summer proceeds from the hot Winds which blow from * Tropical Heat, see p. 116. Note *. † Solstice is likewise explain'd in the same Note. Ch. IV. thro' the various Stages of Life. 127 from the South and South-East, called by the Inhabitants Campsin from their Conti- nuance of fifty Days; tho' they have no determin'd Time, but last sometimes more than three Months, and reign March, April, and May; they blow over the Sands, which they raise in Clouds, sometimes so as to darken the Sun: during this Time, many epidemi- cal Diseases rage, especially Inflammations of the Eyes, a Fever, which the Inhabitants call Demelmuia, attended with a Delirium, and proves often mortal in a few Hours, and even the Plague itself. And this extreme Heat has sudden Interruptions of Cold, which renders the Inhabitants still more unhealthy, and they live under Ground during the Campsin. The Heat during the Months of June and July, which by the Course of the Sun should be the greatest, is so moderated by the Northerly and moist Winds blowing over the Mediterranean, and by the overflowing of the Nile, that the Inhabitants grow heal- thy, and sow their Seed in the Months of September and October, Their Winter has seldom any Snow, Frost, or Rain, or any thing besides Dew, unless in some Places bordering upon the Mediterranean, and re- ceiving Clouds from thence. So that the reigning Winds in Egypt are the Southerly, blowing as it were from an Oven; and the Northerly, moist and cold over the Mediter- ranean, and this last perhaps two Thirds of 2 the 128 A GUIDE to HEALTH Part II. the Year, and during the greatest Solar Heats. Another Cause by which both the Heat and Drought of the Air is temper'd, is the overflowing of the Nile, which rising in the Mountains of Ethiopia, bends its Course Northerly thro' a Tract of Land near 30 Degrees. By the Rains falling in those Mountains, the Nile has ever since the Me- mory of Man begun to swell the 17th of June New Stile; and it rises every Day about 8 or 10 Inches, and begins to fail in August, and decreases till May, when it is in a man- ner stagnating. The Limits of its Height are, from 26 the highest of all, to 18 the lowest, in Cubits; the middle 24; 18 is a Height barely sufficient to make an Inunda- tion. Its Water not only refreshes the Air with a kindly Moisture, but is the most de- licious Drink in the World, when purify'd by the Deposition of its Sediment, being of itself a Cure for most Distempers, where Dilution, a Diuresis or Sweating is necessary, as Prosper Alpinus found by Experience. There are several remarkable Things in the Constitution of the Egyptian Air; for the Perspiration of the Soil, which is sandy and barren, cannot affect the Air very much, the Exhalations being mostly either from the Surface of the Inundation, or the Mud and Slime after it is over. The natural Heat and Dryness of the Air, and the Change from that to cooler Moisture; the Abate- ment Ch. IV. thro' the various Stages of Life. 129 ment of the Tropical Heats by Northerly Winds; the Extremity of Heat and Drought, by the Southerly Winds blowing over Sands, and the Moisture again induc'd by the Clouds from the Mediterranean, and the Inundation; the Exhalations from stagnating and putrid Water, when the Inundation is quite over; and lastly, the Temperance and regular Diet of most of the Inhabitants, must give a fair Experiment of the Effects of Air upon hu- man Constitutions. And accordingly, those who labour and live hard, and cannot defend themselves from the Injuries of the Wind, mostly hot and dry, are extreamly lean and squalid. The Rich, by a plentiful and nourish- ing Diet, and preserving themselves from the Heat and Drought, by Bathing, Relaxation of their Fibres by drinking the Water of the Nile, are often fat. The Air of Egypt having no noxious Qualities from the Perspiration of the Ground, Were it not from the accidental ones above- mention'd, would be extremely wholsome; and the People who know how to defend themselves from those Accidents, live to great Ages. The frequent Changes of Heat and Cold, Moisture and Drought, produce all the Distempers of the Catarrhous Kind, and Arthritick Diseases; and by the strong Per- spiration, Leprosies, even Elephantiasis, The Effects of a hot dry Air by a Southerly Wind, blowing over a sandy Country, are felt strongly; inflammatory Distempers, es- I pecially 130 A GUIDE to HEALTH Part II. pecially a raging Fever with a Phrenzy, called Demelmuia, mortal in a few Hours: they feel likewise all the good Effects of the A- batement of this Heat and Drought by Nor- therly Winds, and the overflowing of the Nile. They are likewise subject to all the Diseases from putrid and stagnating Water, and Exhalations from Heat after the Inunda- tion is over, and these are often pestilential. Pestilential Distempers are frequent in Egypt, and what I think demonstrates the Plague to be Endemial * to that Country, is its regular Invasion and going off at cer- tain Seasons, beginning about September, the time of the Subsidence of the Nile, and end- ing in June the time of the Inundations. In the first Case, are all the Causes productive of Putrefaction, Heat, and putrid Exhala- tions, and no Winter Frost to check them. But what is wonderful, the Plague, and the Fevers from the Heat of the Campsin, go off by the Northerly Winds, and the over- flowing of the Nile: and the wholsome Qua- lity of Northerly Winds for checking pesti- lential Distempers, has been observ'd by all ancient Physicians, And to shew that the Plague depends upon the Temperature of the Air, Prosper Alpinus takes Notice, that up- on the swelling of the Nile, the Infection, and * Endemial or Endemick, is a Disease that infects a great many in the same Country, proceeding from some Cause pe- culiar to the Country, or the Place where it reigns, such as the Scurvy to the Northern Climes, the Plague to Turkey and Egypt. Ch. IV. thro' the various Stages of Life. 131 and even the Danger from infected Cloath and Furniture goes off; besides the cooling of the Air, the Northerly Winds may dissipate the stagnating Vapours, and the running of the Nile the stagnating Waters. Hippocrates and Galen have both observ'd, that the Etesiæ, or Northerly Winds blowing in Sum- mer, made a wholsome Season; but this Ob- servation is more sensible in hot Countries than in ours. Boutius, a very learned and sagacious Phy- sician, has left us a Description of the Air and Diseases of the Inhabitants of Java: it is situated under the Line, and is very hot; it is likewise moist, from the great Quantities of Rain and stagnant Waters; and from Heat and Moisture, and Salts produc'd from those Qualities, the putrifying Quality of the Air is very manifest in rotting of Cloaths, and rusting of Metals. From these Qualities the Air feels to human Bodies piercing and active; and as all the Inhabitants of hot Countries have that Sensation of the penetrating Qualities of Air, Cold after great Heats, which proceeds chiefly from the Pores of their Skin being relaxed before by Heat, such Bodies must imbibe Air faster. In Java, as in Egypt, the Northerly Winds render the Air wholsome, by abating The extreme Heat; some Land Winds carry- ing along with them the stagnant Vapours, are often otherwise. The Soil being here fruitful and rich, emits Steams, consisting of I2 volatile 132 A GUIDE to HEALTH Part II. volatile and active Parts, which fructify the Soil, but are hurtful to human Bodies. The Seasons here cannot be distinguish'd by their Heat, by reason of the Smallness of their Latitude: there are only two, what may be called Winter is the rainy Season; this Season is attended with Diseases which de- pend upon Putrefaction. The Inhabitants measure their Seasons of Heat and Cold by the times of the Day; the Mornings and Evenings are cooler by the Absence of the Sun, and by the Sea Breezes; the scorching Heat of the middle of the Day makes that Time unfit for Business. The popular Diseases here are, a kind of Palsy, called by the Inhabitants Beriberium, the Cause of which is evidently cold Air, imbib'd by the Pores of the Skin, extreamly relaxed by Heat before, and therefore in- vades such as incautiously expose themselves to the Morning Air, or throw their Bed- clothes off in the Night. Another Disease, called * Catalepsis, is likewise popular in this Country, proceeding from the penetrating Qualities of the Air imbib'd by relax'd Bodies, which renders the Patient rigid like a Statue, and dies in a few Hours. Diarrhœas and Dysenteries are common from the same Cause, by sudden Suppression of Perspiration. It is a Matter of Observation, that great Heats exalt the Bile, by exhaling the watery Particles which dilute it, by a strong sensible Per- * Catalepsis, is a convulsive Disease like an Apoplexy. Ch. IV. thro' the various Stages of Life. 133 Perspiration; and therefore the Cholera Mor- bus †, and other Diseases of the Liver, are common and fatal in the East-Indies; and from diseased Livers, Dropsies and Atrophies are frequent in Java: and in this Country Fevers are seldom intermitting, but conti- nual, with Phrensies, and other dreadful Symptoms, as during the Campsin in Egypt, proving mortal in a short time. It seems agreeable to Reason and Expe- rience, that the Air operates sensibly in forming the Constitutions of Mankind, the Specialities of Features, Complexion, Tem- per, and consequently the Manners of Man- kind, which are found to vary much in dif- ferent Countries and Climates. As to Fea- tures, what an infinite Variety arises from the Combination of the Parts of a human Face! so that since the Creation of the World, per- haps there were never two, upon a narrow Inspection, that perfectly resembled one ano- ther; for there are Faces not only individual, but Gentilitious and National; European, Asiatick, Chinese, African, Grecian Faces, are characteris'd: and this Diversity of Na- tional Features and Shapes is not altogether the Effect of Propagation from the same ori- ginal Stock; for it is known by Experience, that Transplantation, changes the Stature and outward Shape both of Plants and Animals. I3 Hippo- † Cholera Morbus, is a convulsive Motion of the Stomach and Guts, whereby the bilious Excrements are discharg'd in great Plenty, both upwards and downwards. 134 A GUIDE to HEALTH Part II. Hippocrates makes great Account of the Influence of the Air upon the Fœtus, both before and after Birth. He is of Opinion, that the great variety of European Faces, is owing to that of the Air and Seasons, as has been observ'd in another Place, there being such great Excursions in the Extremities of Heat and Cold, that their Offspring is as it were begot and brought forth in different Climates. That the Shape of Animals should be modi- fy'd by the Air, is in no Ways unaccountable; for an Animal growing, expands its Fibres in the Air as a Fluid, which by a gentle Pres- sure resists the Motion of the Heart in the Expansion and Elongation * of the Fibres; and tho' the Fibres of several Animals shoot as it were in this Fluid, according to their original Shapes, yet such a Fluid resisting by its Pressure, is, in respect to the Animal, like a soft Mold, in which the Body is form'd; and therefore, according to the Quantity of its Pressure, depending upon its most perma- nent State of dense, rare, hot, cold, dry, moist, must have some Influence in forming the outward Figure of such a Body in a State of Acretion or Growing : besides this out- ward Pressure, the Air being mix'd with the Animal Fluids, determines their Condition as to Rarity, Density, Viscosity, Tenuity, and several other Qualities. That * Lengthening. Ch. IV. thro' the various Stages of Life. 135 That the Complexion depends much upon the Air, is plain from Experience; the Com- plexion of the Inhabitants of several Coun- tries being fair, swarthy, black or adust, ac- cording to the Degrees of Heat, Drought, Moisture, or Coolness of the Air they live in; for the Inhabitants of Countries in great Latitudes are generally fairer than those that live nearer the Sun. That the Temper and Passions are influ- enc'd by the Air, is no less certain: People of delicate Nerves and moveable Spirits, are often joyful, sullen, sprightly, dejected, hope- ful, despairing, according to the Weather; and these Changes happen in stronger Con- stitutions, but pass unobserv'd. There are Days in which the intellectual Faculties of Memory, Imagination, Judg- ment, are more vigorous; therefore it seems probable, that the Genius of Nations de- pends upon that of their Air; for Arts and Sciences have hardly ever appear'd in very great or very small Latitudes. The Inhabitants of some Countries succeed best in those Arts which require Industry and great Application of Mind; others in such as require Imagi- nation: from hence some Countries produce better Mathematicians, Philosophers, and Mechanics; others better Poets, which be- sides the Rules of Art, require Imagination; and it seems, that Labour is more tolerable to the Inhabitants of colder Climates, and Liveliness of Imagination to those of hot. I4 There 136 A GUIDE to HEALTH Part II. There are two Things common to all Mankind, Air and Aliment, and both differ very much in their Qualities, in different Countries and Climates but those of the Air perhaps are more different than those of the Aliment or Food. In perusing the Accounts of the Temper and Genius of the Inhabitants of different Countries, we dis- cover in them a great Uniformity, even tho' the Race has been chang'd; for the Temper of the Gauls, describ'd by Cæsar and other Writers, is much the same with that of the present French, of which there is a remark- able Instance in the Misopogon of the Em- peror Julian; he tells us, that he had passed a Winter at Paris, where there were more Comedians, Dancers, and Fiddlers, than there were Citizens besides. And I believe if a Race of Laplanders were transported thither, in a few Years they would be found in the Con- dition describ'd by the Emperor Julian. If we consider the Causes assign'd by Hip- pocrates, of the different Temper of the Inhabitants of different Climates, we shall find them sufficiently proportion'd to their Effects. In Northern Countries, where the Alterations of the Height of the Mercury in the Barometer, and consequently of the Weight of the Air, are frequent and great, the Fibres of human Bodies are in a continual oscillatory * Motion from a Pressure of 1200, 1800, * Oscillatory Motion is properly the Swing or Motion of a Pendulum of a Clock, and thence comes to be used for all tremulous or undulating Motions having Resemblance thereto. Ch. IV. thro' the various Stages of Life. 137 1800, nay, 3600 more at one time than another; and tho' this, by the Softness and Rarity of the Fluid, is insensible, and not painful, it is a sort of Exercise, which the Inhabitants of Countries where the Variation of the Height of the Mercury is small or no- thing, do not feel. By the Difference of the Tension of the Fibres, the whole nervous System and the animal Spirits are in some manner affected; And let us consider again the Extremes of Heat and Cold in great Latitudes, operating after the same manner, relaxing and con- stringing the Fibres by turns, and the ex- treme Cold acting likewise as a Stimulus, in consequence of which we find an Activity and Tolerance of Motion and Labour in dry frosty Weather, more than in hot; whereas the People within the Tropicks are constantly in the State of our hottest Weather. Therefore, whoever considers Mankind in such different Circumstances, will find, that the Temper both of their Body and Mind must be different, and that a greater Varie- ty in the Oscillatory Motion of the Fibres of Northern People, must produce the same in their Spirits; and therefore a proportional Inequality in their Passions, and consequent- ly greater Activity and Courage. That the Inhabitants of Climates, where the Difference of the Weight, Heat and Cold of the Air is but small, feel only the Changes 138 A GUIDE to HEALTH Part II. Changes of the Tension of their Fibres pro- ceeding from Drought and Moisture, being free from the Agitations and uneasy Sensa- tions of northern People, proceeding from the Causes above-mention'd; and the Mo- tions of their Fibres and Spirits being more uniform, they may be for that Reason, and from excessive Heats, lazy and indolent. That the Constitutions of Mankind differ according to the Qualities of the Air in which they live, is an uncontested Matter of Fact, and depends upon obvious Causes: For as Hippocrates observed, that the In- habitants of moist Countries were bloated, leucophlegmatic, and dull, from the Rela- xation of their Fibres, and the Moisture im- bib'd with the Air; and contrary Causes must; produce contrary Effects: Heat indeed relaxes the Fibres, but by absorbing the Moisture may likewise harden, and render them more solid: For the Bones of Ani- mals in hot Countries are more solid, and specifically heavier than those in cold Cli- mates, as may be seen in comparing the Bones of the Limbs of African Horses with those of northern Countries. The Blood likewise in hot Countries is thicker and blacker, by the Dissipation of the serous Part by sensible Perspiration, which is Matter of Fact well attested by Physicians who have practised in those hot Countries: And from this black adust State of their Blood, they are Atrabilarious; for great Ch. IV. thro' the various Stages of Life. 139 great Heats exalt the Bile, by dissipating the Moisture which dilates it; but Bile, of itself, is the most unperspirable of Animal Fluids, for it stops at the Surface of the Skin, and discolours it. There is some Anology * between Plants and Animals, and both are longer in coming to Maturity in cold and moist Air; for the prolifick Age of Mankind is much earlier in hot than cold Countries, the Females be- ing in that State at ten Years of Age. And the Inhabitants of warm Countries are not subject to be fat, for a strong Perspiration keeps an Animal from being so; yet a copi- ous Diet and Inactivity will always occa- sion Exceptions from the general Rule. Cold and moist Air must necessarily pro- duce phlegmatic and lax Constitutions, and by stopping Perspiration, with a copious Diet, accumulate the Animal Oil: But dry and cold Air in a Degree tolerable to human Bodies, which is a state of our Winter Frosts, creates a strict or tight Constitution of the Fibres, and all the Effects thereon depending, as Vigour and Activity, &c. As the Force of human Bodies is limited, they are not capable of bearing Extremities of any kind, of too great Rarety, Density, Heat, Cold, Moisture, or Drought in the Air. From the same cause human Bodies do * Analogy is the Relation which one Thing bears to ano- ther. 140 A GUIDE to HEALTH Part II. do not easily sustain violent and sudden Changes, which agitate the Fluids and Solids too much; for as the State of our Fluids and Solids change with the Air, violent Alte- rations in the latter produce the same in the former. For Example: Suppose such a State of the Air as makes a great Stric- ture of all the external parts of the Body, and consequently an Abatement of the Cir- culation in the Vessels exposed to the Air, and in those which immediately communi- cate with them: Suppose again, the Air is suddenly changed from this State to one which violently relaxes the Fibres; by their Relaxation it is possible that the Vessels which were destin'd before to carry the Serum or Lymph, may admit the Blood, which is an inflammatory State: Accordingly we find, that inflammatory Distempers of several kinds are rise in moist and warm Weather, preceded by hard and lasting Frosts: Frosts stop the Perspiration of the Earth, which being restored by Thaw, fills the Air with an unusual Quantity of Vapours, which affect human Bodies, not only by Relaxation, but as they imbibe them with the Air. Cold both congeals the Fluids and con- stringes the Solids; for it acts like a small Li- gature upon the Vessels affected with it, by which the Circulation through the Vessels is retarded; the natural Effect of which is a greater Secretion of Serosity through the Glands Ch. IV. thro' the various Stages of Life. 141 Glands contiguous; for the Extremities of the Vessels near the Glands being press'd, they cannot so plentifully carry off the re- fluent Fluid, by which there must be a greater Flux of Liquor towards the Glands, and consequently a greater from its Emuncto- ries; therefore Catarrhs, or serous Defluxions upon all the Parts of the Body, but especially from the Glands of the Head and Throat, are a natural Effect of Cold. Obstructions by Cold in the outward Parts of the Body, drive the Blood pressing with greater Force upon the inward Parts, and in- crease Heat, and likewise may occasion a Siziness in the Blood: And Cold, by sup- pressing the Perspiration of Salts in the Blood, by congealing the Blood, and likewise by a painful Stimulus corroding the Skin, is apt to produce Scurvies, and other cutaneous Erup- tions, and in extremity is capable of freezing the Fluids, and reducing Animal Substances to a gangrenous State. Cold Air is also capable of rendering in- flammatory Distempers with cutaneous E- tuptions more dangerous, by hindering the Relaxation of the Skin; as the Small-pox is found to be most fatal during hard Frosts, and cold north-easterly Winds. Cold Air likewise, by its immediate Contact with the Surface of the Lungs, is capable of abating or stopping the Circulation of the Blood, and bringing them into an inflammatory State, and by producing Catarrhs and Coughs, is 142 A GUIDE to HEALTH Part II. is productive of all the Effects of such De- fluxions upon the Lungs, as Ulcerations, and all Sorts of Pulmonick Consumptions. Hot and moist Air producing Relaxations, and consequently an Abatement of the Force of the Solids in propelling the Fluids, must produce Stagnation, Tumours, and Putrefac- tion in the Liquids, and all the other Diseases depending upon a lax State of the Fibres: Hippocrates observed such Diseases always consequent upon a moist Constitution of Air with southerly Winds, which are warm; and the same has been often observed here in England. As Perspiration is the last Action of per- fect Animal Digestion, that Constitution of Air which suppresses Perspiration, must hinder Digestion; therefore cold and moist Air must be hurtful to the Stomach: And as Catarrhs and Coughs are the Effects of cold and moist Air, and those habitually affecting the Lungs, they often produce pul- monick Consumptions; yet it seems probable, that where those Consumptions are a po- pular Disease, they proceed from some par- ticular Acrimony in the Air of that Country, affecting that tender Organ by immediate Contact, and perhaps most of the Glands of the Body; for our Consumptions are for the most part scrophulous, and scrophulous Distempers are common in this Country. And where the Air is charg'd with any saline acrid Particles, they will naturally co- agulate Ch. IV. thro' the various Stages of Life. 143 agulate the Fluid where they touch; and from the abundance of Mineral Waters of all Sorts in England, it may be inferr'd, that there are abundance of Mineral Steams, which are capable of producing such Distempers. From what has been said on the Subject of the Influence of Air upon human Bo- dies, it is plain that no vitious State, either of the Solids or Fluids, but is producible by the common Properties and Qualities of Air, and their Changes and Combinations. By the Qualities of the Air, the solid Parts may be stimulated: For example, the Sti- mulus of extreme cold Air is very sensible. Heat, or any Quality of Air, so excessive as to produce a painful Sensation, acts as a Stimulus: And what obstructs the Passages of the Vessels which communicate with the Air, is stimulating, by increasing the Force of the Heart and Fibres to overcome the Obstruction; this either Cold or Moisture may do, which often produce, first a Chil- ness, and then a succeeding Heat, which are feverish Symptoms. Many volatile Particles floating in the Air, as the Odoriferous Ve- getables, act as a Stimulus, and produce Heach-Achs, as we often find. That the Fibres are constring'd and re- lax'd by the Alterations of the Properties and Qualities of the Air, has been already de- monstrated; and that the Fluids may be Vitiated in the same manner, is no less plain: That the Blood may be condensed by 144 A GUIDE to HEALTH Part II. by Heat, by absorbing the most fluid Part; That a certain Degree of Heat will attenuate, and a greater coagulate the Serum; and that Heat in general is capable of producing great Acrimony and putrid Fevers of all Sorts, is true from Experience: And any Degree of Heat greater than that of a human Body will do so; for our natural Heat is near the Degree of Coagulation. Cold likewises condenses the Fluids in immediate Contact with it; and is capable of producing Siziness and Viscosity of the Blood: And by the same Causes Acrimony of all Sorts, to the De- gree of Putrefaction, is producible by Air. Evacuations of all Sorts, from all the glandulous Parts of the Body, are producible by the Stoppage of Perspiration by Cold; for there is no diuretick Medicine that works so strong in a Flux of Urine, as a Suppression of the perspirable Matter in hysterical Cases. Cold likewise promotes all Catarrhs and Coughs; and moist Air, Diarrhœas, and copious Secretions from the Glands of the Guts, without which Evacuations, Stoppage of Perspiration produces a Plethora or Ac- cumulation of the Humours in the Vessels. From these Considerations it appears, that die Diseases, especially the Acute of any Sea- son, chiefly depend upon the Constitution of the Air, by which they are modified as to their Rifeness, Duration, Degrees of Danger, their particular Symptoms, Circula- sons and Periods; In which we must not only Ch. IV. thro' the various Stages of Life. 145 only consider the present, but likewise the preceding State of the Air; because, as they are more similar, or contrary, so the Alterations produced in human Bodies are more or less violent; particularly it will be found, that sudden Changes from the Ex- tremes of Cold and Dry, to Heat and Mois- ture, are Causes which operate strongly in modifying the Diseases of that Season. That long and excessive Heats, by inducing Weakness, are apt to stamp the Succeeding Fevers with nervous Symptoms: That such a dry Constitution of Air, as is apt to con- tract the Skin, and obstruct its Pores, makes the Crisis by sweating more difficult; and perhaps the different Periods of Fevers, Quo- tidian, Tertian and Quartan, may depend upon a preceding greater Viscosity, or Ob- struction in the Vessels, produced by the Constitution of the Air: That the more dangerous State of the Small pox, and other inflammatory cutaneous Eruptions, depends upon the Air; and it seems very plain, as it induces a greater Laxity or Stricture of the Fibres, or creates Obstruction in the Vessels of the Skin. That Diseases of the Lungs, as far as they are not the product of bad Diet, depend chiefly upon the Qualities of the Air, seems evident; for the Lungs are expos'd to the outward Air, which has an immediate Ad- mission into the Air-bladders, and perhaps into the Blood-vessels; and whatever Effect K the 146 A GUIDE to HEALTH Part II. the Air has upon the Skin, this must be ex- pected upon the Lungs in a particular Man- ner. Thus far I thought necessary to give the Reader an Abstract of the ingenious Dr. Arhurthnot's Explanations of Hippocrates, and others, on the Subject of the Influence of Air upon human Bodies. But to conclude, I shall only add; that of all the Causes that are capable of altering our Bodies, no one is so necessary and so sudden as the Air; the Necessity of which is evident from the use of Air in Respiration; for if it happens, that any of the chief Or- gans appropriated either for the Entrance or Reception of Air receive any great Injury, the Animal dies suddenly by Suffocation; whereby it manifestly appears, that Air and Life in perfect living Creatures are insepe- rable. According to Hippocrates, natural Heat is preserv'd by moderate cool Air; for if you take away the Air from Fire, it will not burn, but will immediately be extinguish'd: and our Spirits, which are the principal In- struments of the Soul, are generated and nourish'd by Air, and supported by its going in and out; and it is principally for this Rea- son that our Bodies are every where perfora- ted or porous, that our Arteries are continu- ally beating, and that Nature has made such admirable fine Mouths to the two Vessels called the Lungs; so that the Air is as ne- cessary Ch. IV. thro' the various Stages of Life. 147 cessary to a living Creature as the Soul it- self. As to the Suddenness of the Air, we feel it every Moment; for it instantly ascends to the Brains by the Nose, and traversing almost an infinite number of minute Passages, which are to be seen in the admirable Net-work of animal Bodies; proceeds to the inmost Re- cesses of the Body, and descends with incre- dible Velocity into the Lungs by the Mouth, and thence to the Heart: it likewise pene- trates the Pores of the Skin insensibly, and enters the Arteries by Transpiration, as far as the deepest Cavities of our Bodies; it sur- rounds us always, and never abandons us one Minute; so that we must constantly imbibe or suck it in whether we will or not. The Divine Hippocrates, being thoroughly acquainted with the Power of Air upon hu- man Bodies, tells us in his Epidemicks, and in the second Book of Diet, that the whole Constitution of the Spirits, Humours, and the Body, depends entirely upon the Air. Therefore the Choice of good Air, and a pleasant Habitation, must always claim the first Rank in the Regimen of Health; so that such as would preserve their Health, and obtain a long Life, ought to know the Good- ness of the Air, as well in regard to its Sub- stance as to its Qualities. As to its Substance, when it is pure and has no Seeds of Corruption, and that it is K2 not 148 A GUIDE to HEALTH Part II. not impregnated with malignant Vapours pro- ceeding from dead Bodies, or from the Sinks or common Shores of great Cities, or stand- ing Waters; or from the sulphureous Exha- lations of Mines, combin'd with different Salts, or metalline Particles, which are stink- ing, oily, and inflammable, of which I treated at large already in Part II. Chap. I. But if the Air happens to be corrupted or infected, and that we cannot remove as soon as we would, it must be purified with artifi- cial Fires made of Rosemary, Juniper, Lau- rel, Cyprus, and Perfumes made of Aloes- wood, Juniper-berries, and other Aromatics; likewise the Steams of Vinegar correct the Malignity of the Air in a surprizing man- ner. As to the Qualities of the Air, all Ex- cesses of Heat, Cold, Moisture and Dryness, are pernicious; for which Reason we should chuse moderate Air if possible; therefore serene Air moderately hot and dry, blowing from clear inland Places, or from Rivers with a gentle Breeze, free from sudden and great Changes, open and rural, purg'd of salt and oily Exhalations, is generally the best to preserve Health. As to what regards ancient People, a warm Air is certainly the best for them, and their Chambers should never be without Fire, es- pecially in the cold Seasons of the Year; for it is experimentally true, that their State of Health is much better in Summer than in Winter; Ch. IV. thro' the various Stages of Life. 149 Winter; because they always carry the Win- ter along with them. Their Bed-Chambers should be in the upper Apartments, and their Houses open to the East, that the Morning Sun might enter their Rooms: there should likewise be an opening on the North Side, in order to let in Air from that Side, and by that Means to purify the Air, and expel all noxious or offensive Steams and Vapours out of their Chambers. CHAP. V. OF ALIMENTS in general. ALIMENT includes all that is taken in as Meats and Drinks, from whence Nourishment is expected, which is what sup- plies Nutrition. And what comes under this Term is threefold: First, all that passes in the first Stage from Mastication, or Chewing, the Chyles's Entry into the Blood is so call'd. And Secondly, the Apposition of new Parts in the Room of those wore off by Action. Thirdly, when the Chyle after various Circu- lations with the Blood, is deprived of all that can be of farther Use to any Part of the Body, it is carried both sensibly and insensibly through the Emunctories of the Body. K3 The 150 A GUIDE to HEALTH Part II. The first State of Digestion. The first is carried on in the following Manner: The Parts of Food being divided by Chewing, and moisten'd with Spittle, that it may be render'd softer in order to undergo a farther Comminution, is thrust down into the Sto- mach; wherein, by the Assistance of the con- tinual Motion arising from the musculous Coats of the Stomach, and of Respiration, by which the * Diaphragma alternately presses the Stomach downwards, the Parts of the Food soften'd by the Saliva or Spittle, and other serous Liquors from the Glands, is shook about, ground and divided into yet smaller Parts, until it acquires such a Fine- ness as is requisite, together with the glandu- lous Fluids and Liquors drank down, for composing that milky Fluid call'd Chyle ‡. But here we are to observe, that the Parts of the Food are not dissolv'd into essential Parts, or Elements, whether chymical or any other, by the Assistance of any Ferment in the Sto- mach; that is to say, by a Separation of some Parts of different Kinds combined together, and an Union of other Parts that were before separated, as it happens in all Fermentation of Wine, wherein tartarous Particles, before united * Diaphragma, or Midriff, is a transverse Muscle which separates the Thorax or Chest from the Abdomen or Belly; in the Middle it is membranous; the Gullet, the great Artery, and the great hollow Vein all pass through it: It conduces to Respiration with other Muscles, and pressing upon the Guts helps forward the Secretion of the Excrements. ‡ Chyle is that milky or Emulsion-like Juice, which the Food is immediately converted into by Digestion. Ch. V. thro' the various Stages of Life. 151 united with others, are separated; and Parti- cles of Phlegm and Oil, before in Separation, are brought nearer together, and form a true Spirit. But by the Concoction that is perform'd in the Stomach, the Food is divided into integral Parts, not differing from what they were be- fore, only in obtaining a lesser Bulk; altoge- ther in the same Manner as Coral is grinded upon a Marble with Water, and reduced to an impalpable Powder, whose Parts are only small Pieces of Coral, and not any Principled into which Coral is resolv'd. For the Proof of which there is no need of any other Argu- ment, than that in the Stomach and the In- testines of the larger Fish, that devour and digest the lesser, the Chyle is nothing else but a Liquor filled with the Fibres of the devour- ed Fish, as may be easily discerned with a Microscope; or the small Parts of Fibres no way differing from the larger, only in Magni- tude, that is, indigested Pieces of Flesh. The Chyle being thus elaborated in the Stomach by its alternate Contractions, and the Force of the neighbouring Muscles, is thrown out into the Intestines, at its Entrance into which it is diluted with the Bile and pancreatic Juice: which Liquors undergo no manner of Effervescence * with the Chyle, or with one another, but are smoothly and K4 quietly * Effervescence signifies an intestine Commotion produced by mixing two Bodies together that lay at rest before; attend- ed sometimes with a hissing Noise, Frothing, and Ebullition For 152 A GUIDE to HEALTH Part II. quietly mixed therewith, and with each other, as appears by many Experiments; and by their Means the Chyle is render'd more fluid. Hence it follows, that the Parts of the Food, in some measure dissolved by the Motion of the Stomach, but not sufficiently separated from each other, thro' want of a due Quan- tity of Fluid, every one yet being in some measure in Contact with one another, pass over the Pylorus * into the Guts; and when these greater or less digested Particles cannot be strain'd in any considerable Quantity into the Lacteals † by reason of their Magni- tude, they are yet thrust farther into the in- testinal Tube ‡, and therein putrify, as they are out of the Limit of Circulation, which begins at the Lacteals: For all Things, such as the Flesh of dead Creatures, Herbs, &c. that are capable of Putrefaction out of the Animal, are capable of Digestion in it. Hence For Example, Acids, such as Juice of Limons, Spirit of Nitre, &c. and Salt of Wormwood, Tartar, or other Alka- line Substances, being mixed together, will produce an Efferve- scence or Ebullition, * Pylorus, or Janitor, the right Orifice of the Ventricle or Stomach, which sends the Food into the Guts. † Lacteals are long and pellucid Vessels or Veins, which arise from all Parts of the small Guts, from whence they re- ceive the Chyle, and run to the Glands of the Mesentery. They are call'd Lacteals of the first Sort, being so very small; and from thence they convey the Chyle to the common Receptacle, and being larger are call'd Lacteals of the second Sort, and thence it is carried into the Thoracick Duct, and from that into the Blood in the left Subclavian Vein. ‡ Intestinal Tube, the hollow Pipe of the Guts from one End to the other, which is divided into six Parts. Ch. V. thro' the various Stages of Life. 153 Hence it is certain, that Digestion is much more effectually and expeditiously perform'd in the Day-time, or when we are awake, than in the Night, or during Sleep; because while we wake we breathe thicker, and the Diaphragma and Muscles of the Belly, and even the whole Body is more exercised, and consequently the Stomach is oftener com- press'd. It also follows, that by gentle walk- ing, or while we exercise ourselves in any mo- derate Motion, Digestion is more effectually and expeditiously performed, than while we fit in Idleness and without Motion; and still much better than when we fit hard at Study, because by this Means the Mind is so diverted, that our Respiration then is rarer, even than in our Sleep, and the Muscles are thereby less contracted: And that we digest better in Winter than in Summer, is a Confirmation hereof; because in the Winter, to drive away the Sense of Cold, we are oftener put upon Exercises and greater Activity of Body than in the Summer Season; as likewise, because the Muscles and solid Parts are more tense, and consequently stronger in their Contractions and Attritions *. But as for a Ferment in the Stomach, ac- cording to the wrong Notions of some, whe- ther it be Spittle or Serum ouzing out from the Glands of the Stomach, it cannot contri- bute any thing to the Digestion of the Food, any farther than by softening it, whereby it is * Rubbing, grinding. 154 A GUIDE to HEALTH Part II. is capable of being farther divided. Neither do any Liquors flow into the Stomach in order to promote Digestion; but Digestion, that is, the Motion of Chewing, Swallowing, and of the Stomach, are the Cause why these Li- quors are press'd out, and that they drain into the Stomach: For that those Liquors contri- bute nothing farther to Digestion than by softening the Food, is manifest from hence, that if Herbs or Meat be mixed with them in any convenient warm Place as warm as the Stomach, but without Motion, they will never be changed into Chyle; so that it is sur- prizing that any should ascribe to the Serum of the Blood, as it is excerned by the Glands, a Faculty of changing solid Meats into the Form of Chyle, when it is evident that Serum is not a fit * Menstruum for the Solution of Bread, Meat, or Herbs. But this whole Af- fair will be much better understood from con- sidering Boyle's Machine for Digestion, where- in, without the Help of any Ferment, but by the Assistance only of Warmth, and the Pres- sure of rarefy'd Air confined, Bones and Flesh, with the Addition of a small Portion of Water, are turned into a Jelly; where no- thing is wanting to its being made real Chyle, but the rough Superficies of a Body to grind and often shake it about. The * All Liquors are so call'd which are used as Dissolvents to extract the Virtues of Ingredients by Distillation, Infusion Decoction, &c. Ch. V. thro' the various Stages of Life. 155 The Chyle being thus made, washes over the Pylorus into the intestinal Tube, where, by its peristaltic Motion *, and by the Pressure of the Diaphragma, and the Muscles of the Abdomen †, the thinner Parts are strained through the narrow Orifices of the Lacteal Veins, while the grosser Parts continue their Progress downwards until they are quite eject- ed by Stool. What passes through the Lacte- als is carried by them into the Glands of the Mesentery ‡, where they receive a fine thin Lymph from the ‖ Lymphaticks, whereby the Chyle is diluted so as to pass easier the rest of its Course: For beyond the first Glands they unite in larger Canals, and those in still larger, until at last it enters the common Receptacle of the Chyle, which is a kind of Bason form'd for it by the Union of the Lacteal and Lym- tick Vessels. From thence it ascends thro' the Thoracick † Duct, and is thence discharg- ed into the Blood in the left Subclavian Vein, and therewith descends into the right Ventri- cle of the Heart, where it is but imperfect- The second stage of Digestion. ly * Alternate Motion of Contraction and Dilatation, com- monly tending downwards. † The Belly, which contains the Stomach, Guts, Liver, Spleen and Bladder. ‡ A membranous Part in the lower Belly, to which the Guts are connected. ‖ Are slender pellucid Tubes arising in all Parts of the Body, which permit a thin transparent Liquor to pass through towards the Heart, which shut like Flood-Gates upon its re- turning. † A Canal through which the Chyle passeth from the Lac- teals the Blood. 156 A GUIDE to HEALTH Part II. ly mixed; and in its Passage it receives the Lympha from all the upper Parts of the Body. But here I must observe, that the most subtil Parts of the Chyle pass immediately into the Blood by the Absorbent * Vessels of the Intestines, which discharge their Contents into the Mesaraick Veins, the Largeness and Number of which demonstrate the same, for they are numerous and vastly larger than their corre- spondent Arteries; and wherever there are † Emissaries, there are likewise Absorbent Vessels: for Example, by the Absorbent Ves- sels of the Skin, Mercury will pass into the Blood. But Mr. Hale's ‡ Experiment proves this beyond despute; and if we consider the Straitness of the Thoracick Duct, and the Slowness of the Passage of the Chyle by the Lacteals thro' it, and at the same time the great Quantity of some Liquors and several other Things, which pass in a very small Time by Urine, and give it a Flavour and Taste; by an easy Calculation we may be able to de- monstrate, that such a Quantity could not pass, into the Blood by the Thoracick Duct in so short a Time. For which Reason, thin and liquid Ali- ments are-most proper, when immediate Re- freshment is requir'd, to cheer up the Spirits after great Abstinence and Fatigue; and the same * Which suck in. † Vessels which throw out a Liquid. ‡ Hœmast. Pag. 123. Exp. 14. Ch. V. thro' the various Stages of Life. 157 same Reason may be likewise given, why Chalybeat Waters are a proper Remedy in Hypochondrical Disorders, and in most Ob- structions in the Mesenterick Glands, Liver, and Spleen; for their subtle Parts are taken immediately into the Mesaraick Vessels, and from thence carried directly into the Liver and Spleen. The Chyle first mixes with the Blood in the lest Subclavian Vein, as I have already men- tioned, and enters with it into the right Ven- tricle of the Heart, where they are very im- perfectly mixed; from thence they are pro- pelled * into the Lungs, which are the chief and first Instrument of Sanguification, or making Blood: For the Wind-pipe is divid- ed into a great Number of Branches, call'd Bronchia, and these end in small Air-Blad- ders dilatable and contractible, which are ca- pable to be inflated by the Admission of Air, and subside at the Expulsion of it. The Pulmonary Artery and Vein pass along the Surfaces of these Air-Bladders in an infinite Number of Ramifications or Branchings, like a Net-work ‡. A great Number of those Air-Bladders form what are call'd Lobuli, which hang upon the Bronchia like Bunches of Grapes upon a Stalk; and these Lobuli constitute the Lobes of the Lungs, which al- ways sink in Water before they have been in- * Driven forwards. ‡ Malphig. de Pulmon. Epist. 1, 2. Tab. I. Fig. 1, 2, 3. 158 A GUIDE to HEALTH Part II. inflated with Air, but after it has once enter- ed them, they will always swim in it; by which Means we may know whether Children are born dead or alive. The crude Mixture of the Blood and Chyle passes from the right Ventricle of the Heart, through all the Ramifications of the Pulmo- nary Artery; and the more Ramifications there are, the Mixture will still be render'd the more perfect; yet this is not all, for as this Mixture of the Blood and Chyle passes through the arterial Branches, it is press'd by two con- trary Forces; first, that of the Heart driving it forward against the Tubes; secondly, the Elastick Force of the Air pressing it on the opposite Side of those Air-Bladders, along the Surface of which this arterial Tube creeps. By these two opposite Forces the Parts of the Liquor are more intimately mix'd and compress'd together, and by the Ingress and Egress of the Air the Vessels are alternately compress'd and dilated, by which Means the Liquor is still farther attenuated, dissolv'd, mixed, and almost assimilated with the Blood, but not so perfectly as to serve the animal Purposes; for it is very well known by Experi- ments of Blood-letting, that sometimes eight Hours after eating, some of the Chyle remain'd unmixed with the Blood, swimming a-top like an oily Substanee. The wonderful Mechanism of Nature in converting our Aliment into animal Sub- stances, Ch. V. thro' the various Stages of Life. 159 stances, consists principally in two Things; first, in mixing constantly with it animal Juices already prepar'd; and secondly, in the Action of the solid Parts, as it were churning them together. This is evident, considering the vast Quantity of Saliva * mix'd with the Aliment in chewing, the Liquor of the Stomach, the Bile †, and Pancreatick Juice ‡, the Quantity of the Lymph § from the Mesenterick Glands, and from the Lym- phatick Vessels of the whole Body; so that the Juices of an animal Body are as it were new distill'd, being excreted out of their respective * Saliva or Spittle, is a thin Liquor secreted immediately from the arterial Blood: it is of a soapy Nature, and conse- quently is attenuating, resolving, penetrating, and cleansing, being composed of Salt, Oil, Water, and Spirit, all which can be extracted from it. Too great a Discharge of it by smoaking or chewing of Tobacco has often prov'd fatal to People of thin Habits of Body, by falling into Decays. † Bile or Gall is of two Sorts; the Cystick, or that con- tain'd in the Gall-Bladder, and the Hepatick, which flows immediately from the Liver. The Cystick Gall is thick, of a yellow Colour, and intensely bitter. The Hepatick Gall is more fluid, and not so bitter; both Sorts are saponaceous, and like Soap, take out Spots from Wool or Silk. Its Use is to sheath or blunt the Acids of the Chyle descending from the Stomach into the Intestines; likewise it is the principal Dis- solvent of the Aliment, and when it is peccant or deficient, there can be no right Digestion. ‡ Is an Humour like the Saliva or Spittle, secreted from a conglomerate Gland called the Pancreas or Sweet-bread, situated at the bottom of the Stomach, and lies across the Belly, reaching from the Liver to the Spleen, separating about a Pound of Liquor in 12 Hours. Its Use is to dilute the Gall, and to temper its Bitterness and Acrimony after it has done its Office, and likewise to dilute the Chyle, with other Liquors in the Guts. § Lymph is the most spirituous and elaborated Part of the Blood, continually flowing from the lymphatick Vessels. 160 A GUIDE to HEALTH Part II. respective Glands and Vessels, and admitted again into the Blood with the fresh Aliment: during which time the solid Parts act upon the Mixture of Aliment and animal Juices, in order to make the Mixture still more in- timate and compleat; so that we may com- pute that our Aliment, before it gets into the Blood, is mix'd probably with four times the Quantity of animal Juices. From whence we may conclude, that an Animal whose Juices are unsound, or solid Parts weak, can never be duly nourish'd; for unsound Juices can never duly repair the Fluids and Solids of an animal Body, and without a due Action of the solid Parts, they can never be well mixed; and as the Stomach, the Intestines, the Muscles of the lower Belly, all act upon the Aliment: Besides, as the Chyle is not suck'd, but squeez'd into the Mouths of the Lacteals, by the Action of the Fibres of the Guts, it is evident, that the Chyle is peccant in Quantity or Quality, when these Actions and Organs are too weak; and whatever strengthens the Solids, must help Digestion. Hence it appears, that Diarrhœas and strong Purgings must spoil the first Digestion, because of the great Quantities of animal Fluids which are thereby expell'd the Body, such as, the Saliva, Mucus *, and all the Liquors * Mucus, is that slimy Liquor or Moisture, which daubs over and guards the Bowels, and all the chief Passages in the Body; and it is separated by the mucilaginous Glands in most Parts of the Body. Ch. V. thro' the various Stages of Life. 161 Liquors that are separated in the Glands of the alimentary Duct †, both Sorts of Gall, the Pancreatic Juice, Lymph, and sometimes Blood. Considering therefore the Quantity of these Secretions, it will plainly appear, that almost the whole Juices may be carried off by purging; and when those Liquors, destin'd by Nature to mix and convert the Aliment into an animal Liquid, are expell'd out of the Body, the Digestion cannot be so Well perform'd. Hence follow Consump- tions, Dropsies, and often an Obstruction of the Mesenterick Glands, which is a great Im- pediment to Nutrition; for the Lymph in those Glands is a necessary Constiuent of the Aliment before it mixes with the Blood. The Mixture of the Blood and Chyle, after its Circulation thro' the Lungs by the pulmonary Arteries, being brought back into the left Ventricle of the Heart, is thence, by the Force of the Heart, drove into the Aorta ‖ quite thro' the whole The last Stage of Digstion. L Body: † The whole Passage from the Mouth to the Fundament. ‖ Aorta, is the great Artery which proceeds from the left Ventricle of the Heart, and carries the Blood thro' the Body, and every Particle of the Body receives some Branch from it, except some of the solid Parts of the Liver, which receive the blood from the Vena Portœ. The Arteries are elastick Channels or Tubes, endued with a contractile Force, by which they drive the Blood still forward, it being hinder'd to go backward by the Valves of the Heart. They are also coni- cal Vessels, that is, tapering and diminishing by Degrees, with their Bases or upper and broader Part towards the Heart; and as they pass on, their Diameters grow still less and less, and consequently the Celerity of the Motion diminishes by the Increase of the Friction of the Fluid against the Sides of the 162 A GUIDE to HEALTH Part II. Body: and thus the Aliment, circulating thro' the animal Body, is at last reduc'd almost to an imperceptible Tenuity or Thinness, before it can serve the animal Purposes, in nourish- ing both the Fluids and Solids; and after various Circulations, and when it is depriv'd of all that can be of farther Use to any Part of the Body, it is carried off, both sensibly and insensibly, by the Emunctories * of the Body. But for farther Satisfaction concern- ing Nutrition, Growth, and Decrease of the Body, turn to Part I. Page 19, to 28. By the foregoing Doctrine it is evident, that Acrimony and Tenacity or Glewiness, are the two Qualities in what we take in- wardly most to be avoided; for Acrimony or Sharpness destroys the capillary Vessels, and when it is so great as to affect the solid Parts, the Sensation of Pain is intolerable. As the Tubes; and without this Motion, both the Blood and Chyle would soon be converted into one solid Mass; but on the contrary, by its Continuance, the Fluid being compressed by the Sides of the Tube, especially in the small Vessels, where the Points of Contact are more, the Blood and Chyle are still more intimately mix'd, and by Friction attenuated; by which means the Mixture acquires a greater Degree of Fluidity and Similitude of Parts. Hence appears the Neces- sity of Exercise to promote a good Digestion. And the Strength of the Aliment ought to be proportion'd to the Strength of the solid Parts of tire Body; for as Animals that use a great deal of Labour and Exercise, have their solid Parts more elastick and strong, they can bear, and ought to have stron- ger Food, too thin Nourishment being quickly dissipated by the vigorous Action of the solid Parts. * Are those Parts of the Body where any thing excremen- titious is seperated, and collected to be in readiness to be ejected. Ch. V. thro' the various Stages of Life. 163 As to the Viscidity or Glewiness of what is taken inwardly, when the peristaltick Motion of the Guts is so weak, as not to be able to propel or drive it forward, the Consequence is dange- rous, and often fatal to the Life of the Indi- vidual; for when the Tenacity of any Sub- stance exceeds the Powers of Digestion, it will neither pass, nor be converted into Ali- ment; whereas hard Substances will pass undissolv'd. Moreover, the Mouths of the La- cteals in People of weak and lax Constitutions may permit Aliment too acrimonious, or not sufficiently attenuated, to enter; but the Sphincters † in such as have strong Fibres will shut against them. Besides, a viscid Mucus may shut up the Mouths of the Lacteals, by which means the Chyle will pass by Stool, and the Person falls into an Atrophy or Decay of Flesh. Wind with Distention of the Bowels are Signs of bad Digestion in the Intestines, and likewise Diarrhœas, which proceed from Acrimony, Laxity of the Bowels, or Obstructions of the Lacteals. Those Parts of the Body where the Circu- lation of the Fluids, and the elastick Force of the Fibres are both smallest, must be most subject to Obstructions; and such are the Glands, which are the Extremities of Arte- L2 ries † Sphincter, is a Name ascrib'd to such Muscles as draw up, strengthen, and keep shut the Parts, such as the Sphinc- ter of the Bladder, Womb, Anus, &c. 164 A GUIDE to HEALTH Part II. ries form'd into cylindrical ‡ Vessels. Hence we may easily perceive, that too solid or vis- cid Aliment must be very hurtful to scrophu- lous and consumptive Persons. Having endeavour'd to give the Reader an Idea of animal Digestion, by shewing how our Aliment is converted into animal Substance, in as succinct a manner as could be in so nar- row a Compass: I shall now proceed in the same manner to give an Account of the Choice of them, that what is either beneficial or hurtful may be easily seen, according to the Nature and Difference of Constitutions. CHAP. VI. Of the Choice of ALIMENTS. AS all Animals are made either immediate- ly or mediately of Vegetables §, that is, by feeding on them, or on Animals that are fed on Vegetables: I shall therefore begin with the Vegetable Kind. Vegetables ‡ Cylindrical, in Anatomy, signifies Vessels that are so shaped, as not to be narrower at one End than another, but that all their Parts are equally distant in all Places from their Center; or which is the same thing, that they are of the same Diameter in all Places, contrary to conical Vessels, which are tapering and growing narrower. § Vegetables are such natural Bodies as grow and increase from Parts organically form'd, as Trees, Plants, and Roots, &c. but have no proper Life or Sensation. Ch. VI. thro' the various Stages of Life. 165 Vegetables are proper Food enough to re- pair Animals, as they consist of the same Parts with animal Substances, such as Salt, Oil, Spirit, Water, and Earth, all which are contain'd in them, and may be extracted from them. Their Salts are capable of re- solving the coagulated Humors of a human Body; and of attenuating, by stimulating the Solids, and dissolving the Fluids: Salts like- wise promote Secretion. Oils also relax the Fibres, and are Lenient, Balsamick, and abate Acrimony in the Blood; and by Virtue of this Oil, Vegetables are nutrimental; for this Oil is extracted by animal Digestion, as an Emulsion from Seeds by a Pestle and Mortar. But Aromatick Plants, tho' they abound with Oil, yet it is not soft and nutritious, and when mix'd with a Spirit, is too heating. Tastes are Indexes or Marks of the different Qualities of all Sorts of Aliment; and diffe- rent Tastes proceed from different Mixtures of Salt, Oil, Water, and Earth, but princi- pally from the Spirit and Oil, mix'd with some Salt of a particular Nature. A Mu- riatick or briny Taste, is produc'd by a Mixture of an acid and alkaline Salt; for Spirit of Salt being an Acid, and Salt of Tar- tar, which is an Alkali * when they are L3 mix'd * The Word Alkali comes from an Herb called by the Egyptians Kali. This Herb they burnt to Ashes, and boiled them in Water, and after having evaporated the Water, there remain'd a white Salt, which they called Alkali. It is cor- rosive, and will produce Putrefaction if apply'd to the Flesh, and 166 A GUIDE to HEALTH Part II. mix'd, produce a Salt like Sea-Salt, bitter and acrid, differing only by the sharp Particles of the first being intangled or involv'd in a greater Quantity of Oil than those of the last. Acid or four, proceeds from a Salt of the same Nature without a Mixture of Oil; and in austere Tastes, the oily Particles have not disentangl'd themselves from the Salts and earthy Parts, for such is the Tastes of unripe Fruits. In sweet Tastes, the acid Particles are so attenuated and dissolv'd in the Oil, as to produce only a small and grateful Sensation and Titillation; but in oily Tastes, the Salts seem to be entirely disentangled. As Vege- tables contain acid or alkaline Salts, so they produce different Effects upon human Bodies, and are to be used according to the different Constitution of the Body at that time, as will appear by what I shall say hereafter. The properest Food of the vegetable King- dom that Mankind make Use of, is taken from the mealy Seeds of some culmiferous or Stalk-bearing Plants, as Barley, Wheat, Oats, Rice, Rye, Mays, Panick, and Millet; or from some of the Pulse or Leguminous Kind, such as Pease and Beans, &c. and as those are Seeds containing the most elaborate Part of and ferments with Acids, as all lixiviate Salts will do, which are Anti-acids, that is, contrary to Acidity. As for acid or four Salts, one has a Notion of from Taste, Sourness being one of those simple Ideas which one cannot more plainly describe; so that whatever being mix'd with an Acid, causes an Effervescence or Ebullition, is called Alkali. Ch. VI. thro' the various Stages of Life. 167 of the Plant, they are oily, and consequent- ly proper to be converted readily into an animal Emulsion or Chyle: Besides, their Oil is not highly exhalted and hot, as that of the aromatical and acrid Plants, but on the contrary, mild, benign, and nourishing to the human Body. Barley is detergent, emollient, and expe- ctorating, and it was first chosen by Hippo- crates as proper Food in inflammatory Dis- eases. Wheat is the properest of any Grain for Bread, which, if not entirely purg'd from the Bran, is laxative and stimulating to the Bowels. Oats are cleansing, resolving and pectoral, which being outwardly apply'd mix'd with Batter, will dry Scabs on the Head. Rice, which two thirds of Mankind per- haps feed on, is most kindly nourishing and benign, good in Hæmorrhages, or Fluxes of Blood, and proper for consumptive Persons; but the Bread made of it is more acid and tess nourishing than that of Wheat. Rye is more acid, laxative, and less nou- rishing than Wheat. Millet is cleansing, diuretic, and therefore good in Distempers of the Kidneys. Panick is opening, and boil'd with Milk temperates Acrimony. Mays affords strong Nourishment, but not being so easily brought to a Fermentation as other Grains, is more viscous or glewy, and L4 conse- 168 A GUIDE to HEALTH Part II. consequently harder to digest. All the fore- mention'd Plants are highly Acescent †, ex- cept Pease and Beans. Pease are mild, and demulcent in a great Degree, being depriv'd of all aromatick Parts. Green Pease are very pleasant to the Taste, and provoke Appetite; but they are injurious to many, being full of aërial Particles, creating Flatulency when dissolv'd by Digestion. They are alkalescent §. Beans cleanse and fatten, and resemble Pease in most of their Qualities, but are more windy, and occasion sometimes Colic Pains, and disturb the Head. The French or Kid- ney-Beans are best, being less windy. People that live a sedentary Life should not feed much upon Pease or Beans, by reason of their Viscosity creating top much Flatulency. The mealy Parts of the above-mention'd Plants dissolv'd in Water for constant Food, is too viscid an Aliment, and for that Reason justly condemn'd by Hippocrates; and upon that Account, Mankind have found the means to make them more easy of Digestion, by fermenting and making some of them in- to Bread, which is the lightest and properest for † See Note following. § Substances which are not perfectly Acid, but naturally turn so, are called Acescent; and Substances that are not per- fectly Alkaline, but naturally turn so, are called Alkalescent. See the Explanation of Alkali in Note *, p. 165. These two Qualities in Bodies are not merely imaginary, but have very different and contrary Effects upon human Bodies. Ch. VI. thro' the various Stages of Life. 169 for human Food; for the Leaven, by its acid Salt, divides the slimy and oily Parts of the Meal. The next Sort of vegetable Substances that Mankind feed upon, are Fruits of Trees and Shrubs: They all contain an essential Salt, combin'd with Earth, Water, and Oil, much elaborated; and their different Qualities are known by their sharp, sweet, four, or styptic Taste. Apples are pectoral, cooling, laxative, and open the Breast; they differ considerably in Kind, and their Qualities are easily known by their Taste. Pears have most of the same Qualities, but they are more cordial, by their high Fla- vour, than Apples. Peaches are likewise cordial and pectoral; the best are those that are odoriferous, well colour'd, and full ripe. Apricocks quench Thirst, excite Appetite, provoke Urine; their Kernels are good against Worms, and excellent for the Heart-burning: unless they are mellow and full ripe, they are rather somewhat styptick. Plumbs purge Choler, extinguish Heat, take away Thirst in Fevers; but they are bad for weak and cold Stomachs, and for phlegma- tic Persons, and such as are subject to Colics. Those of the austere Kind are astringent. Mulberries are pectoral, and correct a bi- lious Alkali. Gooseberries 170 A GUIDE to HEALTH Part II. Gooseberries extreamly ripe are lenient; but unripe, they are both sour and astrin- gent. Currants are good in spitting of Blood, ex- treamly cooling, and somewhat astringent. The Jelly or Rob of Currants mix'd with Water, is an excellent Drink in bilious Fevers. Cherries are cooling and laxative, and their Kernels are good for the Gravel in the Kid- neys. Strawberries, by their fragrant Smell are Cordial. Their Juice mix'd with that of Li- mons in Spring-Water is an admirable Drink in bilious Fevers. Oranges that are sweet are more relaxing than the Seville Oranges; but these last are an excellent Remedy for the hot Scurvy. The sweet Oranges increase Choler. Citrons or Limons excite Appetite, stop Vomiting, cut gross Humours, are good in Fevers, and their Juices are more cooling and astringent than those of Oranges. Grapes taken in moderate Quantities when ripe, help the Appetite and Digestion; but in great Quantities, they dissolve the Gall too much, and produce Fluxes; and dry'd they are pectoral. Figs are great Correctors of Acrimony, they are good in Coughs and Hoarseness; they are likewise extremely emollient, relax- ing the urinary Passages, diuretick, and good in bloody Urine. Quinces Ch. VI. 171 thro' the various Stages of Life. 171 Quinces are often useful to weak Stomachs, and good in stopping Fluxes of Blood. Pomegranates likewise, containing an astrin- gent Juice, are extremely cooling. Barberries and Medlars are useful in Bloody-Fluxes. Tamarinds are cooling and astringent, yet laxative to the lower Belly. Capers are astringent and diuretick; they excite the Appetite, and are good for phleg- matic and melancholy People. Olives are Anti-acids, or contrary to Aci- dity by their Oil; but all oily Substances be- get an Acrimony of another Sort. Almonds are pectoral, especially the Oil. Walnuts are cordial and Anti-hysteric, and promote Perspiration in a small Degree. Hazle-Nuts are in some Degree good against spitting of Blood; but they are very hard to be digested, they cause Wind, Coughs, and Pains in the Head. Chesnuts are good against some Female Weaknesses, and afford very good Nourish- ment. There are other Fruits of the low pomise- rous Kind, which contain a great deal of cooling and viscid Juice, combin'd with a ni- trous Salt, which renders them often offen- sive to the Stomach; and such are Pompions, Cucumbers, Gourds, and Melons; tho' the last, when good, have a rich Juice, and some- what aromatick; they are diuretick, and there are Instances when eaten in great Quan- tities, 172 A GUIDE to HEALTH Part II. tities, to have thrown People into bloody Urine: they are likewise cooling and refreshing, good for hot Stomachs, and the Kidneys; they ought to be taken fasting. The Juice of Cu- cumbers is too cold for weak Stomachs, and ought not to be taken by such as have thin and poor Blood. Among the alimentary Leaves, the Pot- Herbs afford an excellent Nourishment: Of those are all the Cole or Cabbage Kind, which are emollient, laxative, and resolvent, and for that Reason proper against Acidity. There are likewise amongst the Pot-Herbs some * Lactescent Plants, as Lettuce, Endive, Ci- chory, and Dandelion, which contain a milky Juice extremely wholsome, resolvent of the Bile, anodyne, cooling and diuretick, and very useful in the Distempers of the Liver. Artichokes are pleasant to the Taste, pro- voke Urine, and contain a rich, nutritious and stimulating Juice; they are good against Aci- dity. Asparagus is opening and diuretic; by the fœtid Smell it gives the Urine, it is suspected to be hurtful to the Kidneys; it is likewise good against Acidity. Parsley provokes Urine, the Courses, cleanses the Kidneys, and removes Obstru- ction and Wind; but it is bad in Bloody- Fluxes. Celery contains a pungent Salt and Oil; it is diuretick and aperient, and exceeding good for cold Constitutions. Spinage * Vegetables containing a milky Juice. Ch. VI. thro' the various Stages of Life. 173 Spinage is emollient or opening, good in Inflammations. Beet is emollient, nutritive, and relaxing, good in hot and bilious Constitutions. Sallads of all Sorts, mix'd with sweet Oil and Vinegar, are good for hot and strong Constitutions; because they are cooling, diu- retick, and emollient; but they are not pro- per for phlegmatick or weak Constitutions, or those that are subject to Colics or Indige- stion. Of the alimentary Roots, some are pulpy, and very nutritious; as Potatoes, Turnips, and Carrots, &c. Potatoes, of all Roots in general, are the best and most nourishing for healthy People, and there are Instances enough to prove the same both in Ireland, and in other Provinces, where two Thirds of the Husbandmen, and meaner Sort of People, constantly feed upon them, and are the principal Part of their Food; yet they are healthy, active, and vi- gorous, and for the most Part live long. Turnips are very nutritious, good in Con- sumptions, Asthmas, and all Diseases of the Breast; they are emollient and diuretick. Carrots are fattening, they provoke Urine, and the Menses, and likewise help to open Obstructions; but they are windy, and there- fore not proper for colicky or weak Sto- machs. Parnisp is a very nourishing and palatable Root; it fattens, and is a Provocative; it opens, 174 A GUIDE to HEALTH Part II. opens, attenuates, and cleanses; but it is hard to digest, and not good for asthmatick and consumptive People. There are other Roots which abound with an acrid, volatile Salt; as Garlick, Onion, Rockambole, Shalot, Leeks, Radishes, and Horse-radishes: They contain a pungent, vola- tile Salt and Oil; they are extremely diure- tick, and when stimulating Diureticks can be safely used, they are very effectual. Experience teaches, that Garlick is a very excellent Remedy in Dropsies, Jaundices, and in Asthmas proceeding from a cold and viscid Phlegm. Cresses and Mustard contain likewise, in their Degrees, a pungent Salt and Oil, as well as the last mention'sd Roots; and as all of them subdue Acidity, they are very improper in Cases where the Blood is too much dissol- ved, as in spitting of Blood, and bloody Urine, or where the Blood or Juices have a Tendency to a State of alkaline Putrefaction; and in general they are fitter for cold Con- stitutions and old People, than for the young and sanguine. Mustard indeed is a very powerful Remedy in viscid and cold phleg- matick Cases. The Fungous Kind, as Truffles, Morelles and Mushrooms, contain an Alkaline volatile Salt, and an exalted Oil of a grateful Savour; but are heating, and the best Method of cor- recting them is by Vinegar: Some of them being poisonous, render the rest justly suspi- cious; Ch. VI. thro' the various Stages of Life. 175 cious; the poisonous Sort operate in a suffo- cating Manner, in which Case the best Re- medy is Wine, or Vinegar and Salt, and vo- miting as soon as possible. There are Vegetables used by Mankind in Seasonings, which afford an exalted aroma- tick Oil, and of a spicy Nature, as Marjoram, Basil, Savory, Thyme, Rosemary, Sage and Mint: They are heating, and most of them hard to digest: Other Spices of a more power- ful Nature, as Nutmeg, Mace, Cinnamon, Cloves, Ginger and Pepper, abound with a high exalted Oil and volatile Salt, by which Principles they are heating, and act powerfully upon the Fluids and Solids, by stimulating the Solids and resolving glutinous and fat Sub- stances: They are all proper in phlegmatick cold Constitutions. But Sage being a stimu- lating, drying, and astringent Plant, when used in great Quantities will produce Disorders like Drunkenness; therefore the Infusion or Tea made of it is very improper in all inflamma- tory Fevers as a Diluter. Of Tea, Coffee, and Chocolate. As the Infusions and Deco- ctions make so considerable a Part of Aliment at present, especially among the Female Sex, it will not be improper to say something of their Qualities in particular. Of Tea, Coffee, and Chocolate. Tea, by its Manner of affecting the Organs of Taste and Smell, affords very little of a vo- latile Spirit its bitter and astringent Rosin or fix'd Oil cannot be extracted by Water, but requires 176 A GUIDE to HEALTH Part II. requires rectify'd Spirit of Wine for that Pur- pose. The most active Principles of it that can be extracted by Infusion are the most se- parable Parts of its Oil or Gum, and Salt. Its Salt and Gum are astringent, as appears by mixing it with Chalybeat-Waters, which will produce a Tincture of the same Colour as that of Oak-leaves; it is * Acescent, as appears by its affecting Stomachs troubled with Acidity, which Disorder it will rather promote than correct: By its astringent Quality it moderate- ly helps to correct the relaxing Quality of the warm Water; and by its styptick and stimu- lating Quality, it affects the Nerves, very of- ten producing Tremors. By the frequent drinking too great Quantities of it, as is now become a common Practice, it will relax and weaken the Tone of the Stomach; from whence proceed an Inappetency, Nausea, Reachings or Vomitings, Indigestion and Sickness at the Stomach; and generally speak- ing, a pale and wan Complexion, with a Weakness of the Nerves and Flabbiness of the Flesh, the Solids and Fluids being thereby deprived of their proper Nourishment. Hence we may easily perceive, how perni- cious Tea-drinking may prove to the Seden- tary, especially the Female Sex, who for the Generality have weak and tender Nerves; but as Milk abates some of the fore-mention- ed bad Qualities, by rendering it softer and nu- tritious, and Sugar as a Salt, encreases it stimu- lating * See Note §, Page 168. Ch. VI. thro' the various Stages of Life. 177 lating Quality, it may be a proper Breakfast e- nough, as a Diluent, to those who are strong, and live full and free, in order to cleanse the alimen- tary Passages, and wash off the scorbutick and urinous Salts from the Kidneys and Bladder. But Persons of weak and tender Nerves, as I have just now observ'd, ought carefully to avoid and abstain from it, as from Drams and cordial Drops; for such fall into Lowness, Trembling and Vapours, upon using it with any Freedom, by its Irritation on the tender and delicate Fibres of the Stomach *. As to Coffee, it is a meer Calx, or a kind of burnt Horse-Bean, but lighter on the Sto- mach and somewhat of a better Flavour; and what is extracted from it by hot Water, is the most separable Parts of its Oil, which of- ten appears at the Top of the Decoction. This Oil is volatile, and affords very little Nourish- ment, producing all the bad Effects of a vola- tile Oil and aromatic Acrimony, such as Heat, Dryness, Stimulation, Tremors of the Nerves; for which Reason, it has been deem'd to cause Palsies, Watchfulness, Leanness, and destroy masculine Vigour: Hence it is very plain, that it must; be pernicious to hot, dry, and bilious Constitutions, and only beneficial to Phlegmaticks, if moderately us'd; but when drank in too great a Degree of Strength or M Qua- * For further Satisfaction herein, see Dr. Thomas Short's learned and elaborate Dissertation upon Tea, in which the Author has not only given us the Natural History of the Plant, but likewise its Analysis, with great Skill and Industry. 178 A GUIDE to HEALTH Part II. Quantity, it will prove destructive even to phlegmatick Constitutions. Chocolate is undoubtedly much the best of the three; for its Oil appears to be both rich, nutritious and anodyne *, and is as soft as that of Sweet-Almonds: This Oil combin'd with its own Salt and Sugar renders it saponaceous † and detergent; by this Quality it often helps Digestion and excites the Appetite; and is only proper for some of the leaner and stronger Sort of phlegmatick Constitutions, and some ancient healthy People, who are accustom'd to bodily Exercise. There are other Preparations of Vegetables by Fermentation, whereby they are changed into spirituous Liquors, which are, or may be called by the general Name of Wines; Such fermented Liquors have different Qualities from the Plants that produce them; for no Fruit taken crude has the intoxicating Quality of Wine. Of these Liquors I shall take par- ticular Notice, after I have given the Reader a short Account of the Nature of animal Diet, as far as it regards the Nourishment of Human Bodies. Animal Food is more easily converted into animal Substance than Vegetables; and there- fore more nourishing to human Bodies: And the † Easing, or taking away Pain. ‡ Sope is a Mixture of Oil and fix'd alkaline Salt, and in common Use its Virtues are cleansing, penetrating, attenuat- ing, and resolving; so that any Mixture of an oily Substance with Salt maybe call'd a Sope; hence Bodies of this Nature are call'd Saponaceous. Ch. VI. thro' the various Stages of Life. 179 the Nature of Animal Diet must depend up- on the Nature, Age, Food, and other Cir- cumstances of the Animal we feed upon. The Animal as well as Vegetable Juices are in their greatest Perfection, when the Ani- mal is full grown; for young Animals par- take of the Nature of their tender Food, as Sucklings of Milk, &c. All Animal Diet in general is anti-acid, or contrary to Acidity or Sourness; because no found Animal has any acid Salt in it, as has been often prov'd by Experiments. Those Animals that feed upon other Animals have their Flesh and Juices more alkalescent, that is, more anti-acid than those that live upon Vegetables; such are most Fishes, all Birds which feed upon Worms and Infects, several kinds of Water-Fowls, Woodcocks, Snipes, and several kinds of small Birds; which, for that Reason, afford a more exalted Nou- rishment than those that feed upon Grain or other Vegetables. Animal Flesh differs according as the Ani- mal is terrestrial, aquatick, or amphibious; and the same Species of Animals differs accord- ing to the Soil and Air it lives in, and the Food which it takes; as those that live in Mountains and Marshes; the Flesh of Oxen, Sheep, Deer and Hogs in different Pastur- age. Fishes abound more with alkaline Salt and Oil than terrestrial Animals; for which Rea- son they are sooner corrupted: And amphibi- ous Animals partake somewhat of their Na- M2 ture 180 A GUIDE to HEALTH Part II. ture by feeding upon them, and are therefore oily; and notwithstanding the Redundancy of Oil in Fishes, yet they do not increase Fat so much as Flesh-meat, by Reason of their watery Quality; and as Fish and Water- Fowls are highly alkalescent, and abound with a great deal of rancid Oil, they should be always qualified by a due Quantity of Salt and Vinegar. The most healthy Animals afford the best Aliment, and the Castrated are better than those that are not so; and the only Way of having found and healthful animal Food, is to leave them to their own natural Liberty in the free and open Air, and in their own pro- per Element, with Plenty of Food and due Cleanness, and a Shelter from the Inclemency of the Weather when they have a Mind to retire to it. Therefore we should never make Choice of cramm'd Poultry, or stall-fed Butch- er's Meat for our Food, did we consider the foul, gross, and filthy Manner in which they are confin'd, and the stinking, putrid, and unwholsome Food with which they are fed, especially Poultry and Hogs; for we may be well assured, that perpetual Foulness and Cramming, gross Food and Filthiness will rot the Juices, and mortify the muscular Sub- stance of human Creatures, and consequently can do no less in Brute Animals, and thus make even our Food Poison. Besides, stall-fed Cattle and cramm'd Fowls are often diseas'd in their Livers. The same may be likewise said Ch. VI. thro' the various Stages of Life. 181 said of Plants and Vegetables, forc'd and pro- duced by Hot-beds. Animals, Herbs, Fruits and Corn are to be chosen in high Places, such as are refresh'd with wholsome Winds and cherish'd with the warm Beams of the Sun, and where there are no Marshes, Lakes, and standing Waters; for in such Places they are quickly corrupted; and likewise the Flesh of all Animals that live in Fens and standing Pools are to be avoided, such as Ducks, Geese, &c. The Flesh of Animals too old is unwhol- some, being hard, dry, sinewy, and of little Nourishment, and hard to be digested; and on the contrary, such as are too young abound with too much Moisture, and are full of Su- perfluities, and therefore cannot nourish so well as an Animal full grown, in as much as they partake of the Nature of their tender Food, as I have observ'd already. Salt Fish produces gross Humours, and had Juices in the human Body; for it dries much, and breeds many Superfluities, and is of little Nourishment; it occasions Thirst, Hoarseness, Acrimony, or Sharpness in the Blood, and Erosion of the small Fibres, Pains, and all the Symptoms of the Muriatick or briny Scurvy, upon account of the Salt, which is unalterable in all the Circulations of the human Body, and therefore very improper Food for all Constitutions, except some strong labouring People, and even in those it will pro- duce very bad Effects, if they feed upon it M3 for 182 A GUIDE to HEALTH Part II. for a Constancy, as we see in Sea-faring Peo- ple. The same may be said of Salt Flesh. The Flesh of Birds is lighter, drier, and easier digested than that of four-footed Beasts, and for that Reason, more agreeable to those of a studious Profession, who exercise the Mind more than the Body; for as they are more easily digested, so they breed better Blood, that is, clear, clean, and full of Spi- rits, which is fit for the Exercises of the Mind. The Flesh of the wild Kind of Animals, such as frequent Woods, high open Places, and Mountains, is better than that of tame ones, having more Exercise and no Confine- ment, have their Juices more elaborated, and their Flesh will keep longer uncorrupted; be- cause they live in a better Air, and feed upon what they like best without Constraint; for the same Reason their Fibres are harder, es- pecially when old. This Rule in some mea- sure holds true with Fishes; for Sea-fish and River-fish living in an Element more agitated, are better than those in Ponds. For these Reasons Hippocrates commends the Flesh of the wild Sow preferable to the tame; and doubtless the Animal is more or less healthy, according to the Air it lives in; for the Flesh of the same Species differs very much, as the Animal lives in Marshes or Mountains. Flesh boil'd is more wholsome (especially for weak Stomachs) than roasted; for boiling draws more of the rank and strong Juices from Ch. VI. thro' the various Stages of Life. 183 from it, and renders it more diluted, lighter, and easier of Digestion, tho' not so nutritive; but on the other hand, roasting leaves it ful- ler of the strong nutritive Juices, harder to digest, and wanting more Dilution *; there- fore those who eat the Flesh of full-grown Animals, ought to eat it well boil'd, if their Digestion is weak. They who live upon young animal Food, which is best for weak Stomachs, ought to eat it roasted, and lessen the Quantity in respect of the same Food boil'd, but they must dilute it more; for as roast Meat has a stronger Flavour, more Nourishment, and lies more compact in the Stomach; so it will require to be more di- luted with some small Liquors to soften its more rigid and crisp Fibres. Meats bak'd, fry'd, and broil'd, generate nauseous Humours and Crudities in the Sto- mach, and are very difficult to be digested, tho' they are very nourishing. Lamb, Veal, and Kid, afford excellent Nourishment, and are easy to be digested, and therefore proper Food for those of a se- dentary Life and studious Professions. Beef affords great Nourishment to those that labour and exercise much, and generates much Blood; but it is too strong for tender, weak, and sedentary People, especially when Stall-fed, and very large; for Grass Beef and M4 Mutton * Dissolving or making thinner any Substance, with the addition of Fluids or Liquids, which are called Diluents or Diluters. 184 A GUIDE to HEALTH Part II. Mutton are lighter than Stall-fed Oxen and Sheep. Mutton breeds good Blood, nourishes ex- ceeding well, and is easily digested; and by Experiment is found the most perspirable of all animal Food, and Hogs-Flesh and Oysters the least. Rabits are of a good Nourishment, they consume the superfluous Moisture and Phlegm in the Stomach, and the Flesh is not near so dry as that of a Hare, and therefore nou- rishes better, and is much easier to be di- gested. Young Hares are very sweet and pleasant to the Stomach when well dressed, they are good for such as are too fat. It is said, that the Blood of a Hare fry'd and eaten, is good against the Bloody-Flux, inward Im- postumations, and the Gravel in the Kid- neys; and that the Brains of a roasted Hare cures Tremors, and facilitates the breeding of Teeth in Children; but the Moderns justly despise such whimsical and groundless Pra- ctice. Pork and Bacon afford great Nourishment, but as they feed the foulest of any Creature, and their Juices are the rankest, their Sub- stance is the most surfeiting; and as they are the most subject to † cutaneous Diseases and Putrefaction of any Creature, they are highly injurious to valetudinary, sedentary, and stu- dious People; for they cause the Gout and Stone † Diseases of the Skin, such as Pimples, Scabs, Mange, &c. Ch. VI. thro' the various Stages of Life. 185 Stone in Kidneys, Scurvy, and cutaneous Eruptions. The Flesh of sucking Pigs is endued with the same bad Qualities, tho' not in so great a Degree. Brawn made of the Flesh of young Boars is tolerable good eating, having not so much Slime and excrementitious Moisture as Pork, Pig, and Bacon; but the hard and horny Part is very difficultly digested. Deer affords good Nourishment, and is apt to make lean such as are too fat, accord- ing to the Observations of some Authors, but I very much doubt the Veracity of such As- sertions, for it seems even contradictory to say, that whatever affords good Nourish- ment, shou'd render corpulent and fat People, thin or lean. Of all the Parts of Birds and other Beasts, some are better than others; for all the Ex- tremities, as the Head, Neck, Feet, and Tail, in respect of the rest, are of a hard, viscid, and gross Nourishment; but the Parts about the Wings, Back and Breast, are better, and more savoury. Cream, Butter, and Marrow, are all leni- ent and nourishing: Marrow is excellent in the dry Scurvy with crackling of the Bones, where it performs its natural Office in moisten- ing them. Cheese that is new fattens, tastes pleasant- ly, and is not very injurious to the Stomach, especially Cream-Cheese, which is the best and most wholsome when newly made. Cheese 186 A GUIDE to HEALTH Part II. Cheese of no kind is good for Children or weak People, for it lies too heavy in the Stomach, is apt to breed Slime and Worms in Children, and it ought to be eaten only after Meals, to close up the Mouth of the Stomach at such times; but too much of it is bad at any time, especially old Cheese, for it occasions Thirst, inflames the Blood, and is often the Cause of the Gravel and Stone in the Kidneys or Bladder; therefore it is only proper for Mechanics and labouring People, or those that are strong and healthy, and use much Exercise. Milk is a most noble, nourishing, and wholsome Food; it is neither Acid nor Al- kaline; but when there is an Acid and Al- kali mix'd in it, they presently manifest themselves by their Fermentation and Con- flict. Milk, after standing some Time, na- turally separates into an oily Substance called Cream, and a thinner, blue, and more pon- derous Liquor called skimm'd Milk, and nei- ther of these Parts is naturally acid or alka- line, nor in the least acrimonious; for being dropp'd into the Eye, they cause no manner of Pain or Sensation of Sharpness; but by standing too long, they will turn both sharp and four. Milk is a kind of Emulsion, or white animal Liquor, resembling Chyle, after it has been mixed with the Spittle, Bile, and pancreatick Juices, &c. is easily separated from them again in the Breasts. A Ch. VI. thro' the various Stages of Life. 187 A Nurse that would abstain from all acid vegetable Food, from Wine, and Malt Li- quors, and feed only upon Flesh, and drink Water, her Milk, instead of turning sour, would become putrid, and smell like Urine; so that an alkalescent Diet †, (as is often the Case of Nurses in great Families) Subjects the Child to Fevers; but on the other hand, the Milk of poor People that feed upon an § acescent vegetable Diet, subjects the Child to Diseases that proceed from Acidity in the Bowels, such as Colics, Gripes; the Symp- toms of such a Constitution are a four Smell in their Excrements, four Belchings, Disten- sions or Swellings of the Bowels, and Pale- ness of the Flesh. The Cure of both Diseases is effected by a Change of Diet in the Nurse, that is, from Alkalescent to Acescent, or contrary ways, as the Case requires. But the best Diet for Nurses is a Mixture of both, and no Nurse should give Suck after twelve Hours fasting; for then her Milk is apt to turn yellow, which is an early Sign of a Fever in the Nurse. It appears from the fore-mention'd Quali- ties, that Milk is a very proper Diet for hu- man Bodies, especially for thin, hectical, and emaciated † Alkalescent Diet is the Flesh, Broths, and Juices of all Animals, both Terrestrial and Aquatick, which in a found State have no manner of Acid in them, as is very well known by Experiments. § An Acescent vegetable Diet, is taken from Plants, Fruits, and their Juices, and all fermented Liquors, which are either actually acid, or naturally turn so. 188 A GUIDE to HEALTH Part II. emaciated People, and where Acrimony in the Blood and Juices is to be subdued or avoided; but it is not proper for those that are troubled with the Colic or Stone, neither is it proper in Obstructions of the Vessels, it being void of all saline Quality. Whey is good for such as are of a hot Con- stitution, it quenches Thirst, promotes Sleep, and of all Drinks is the most relaxing, and is a powerful Remedy in the hot Scurvy. The different Nature of Birds is known by the Time, Age, Food, Place, and Air they live in; because Domestick as well as Wild Fowl, grow lean, and feed little at the Time of their coupling. And some Birds are best in Spring or in Summer, at which Time they feed upon Corn; others in Autumn, because they eat Grapes, Figs, Apples, Berries, and such like. Others again are best in Winter, such as Thrushes. Blackbirds, wild Geese, Cranes, and all Water Fowl. Some live on Worms, Infects, and Fish, as Woodcocks, Snipes, &c. but most feed on Grain, as Pigeons, Doves, and all Dome- stick Fowls, and the like: Some are nourish'd on Land, others in Rivers, Lakes, and in the Sea, and a great many Birds feed upon Herbs; and it is very remarkable, that the Flesh of wild Fowl has always the Taste of such Things as they feed on, as Fish, Slime, Mud, Worms, and other Infects. Mountain Fowls are always preferable to the rest; besides, castrating or cutting a Fowl, renders Ch. VI. thro' the various Stages of Life. 189 renders it fat and sweet, as appears in the Flesh of Capons; and the Flesh of young Birds is always better than that of old ones. Duck is the hottest of all tame Fowl; the Wings and Liver are the best, but of hard Digestion, and gross Nourishment; it is good in cold Weather for strong Stomachs, and such as labour much. Capon nourishes better than all other tame Fowl, and breeds good Blood and Juices in the human Body. Pigeons afford good Nourishment; they are very hot, and therefore only proper for old and phlegmatic People, or such as labour much, who generally speaking, will digest any Food without any Trouble or much Dan- ger. Pheasants are very agreeable to human Na- ture; they comfort and strengthen the Sto- mach, afford great Nourishment, and fatten very much. Pullets nourish exceeding well, are easily digested, and generate good Blood and found Juices; but old Hens are dry, hard to be di- gested, and afford little Nourishment; and the Flesh of a Cock is drier, hot, and sul- phurous, and therefore very improper Food for any Body, and fit for nothing else than to make Broth of it, with a little Mutton, Veal, or both. Geese, especially the young Geese, afford good Nourishment; but old ones, that feed and live in Fenny Places, are coarse, and hard 190 A GUIDE to HEALTH Part II. hard to be digested, and not fit Food for tender People, or weak Stomachs. Turkey is good Food, and affords good Nourishment, but harder to be digested than Capon or Pullet; yet a Turkey-Pout is deli- cate eating, breeds good Blood, and is easily digested. Partridges afford good and sweet Nourish- ment, and are easily digested; they fatten, and likewise dry up the superfluous Moisture of the Stomach, and contribute much to the Preservation of Health, their Flesh being bet- ter than that of Pullets. Plovers, especially the Grey Sort, are good wholsome Food, and afford good Nourish- ment, only they are somewhat of melan- choly Juice, according to some Writers. Blackbirds nourish sufficiently when they are fat and young; but they are hard of Di- gestion. Larks, if they are fat, nourish well, and are easily digested; they are best in Autumn and Winter. Sparrows, when young, afford good Nou- rishment, and are reckon'd to be Provoca- tives; but they are not easily digested. Peacocks nourish poorly, and are of a hard and slow Digestion, and breed melancholy Blood, therefore not worth any Body's eat- ing. Stares, if young and fat, nourish pretty well, but old ones are good for nothing. Thrushes Ch. VI. thro' the various Stages of Life. 191 Thrushes nourish very well, and are easily digested, and the Mountain Thrushes are the best. Quails are very nourishing, and pleasant to the Taste, they are likewise good for melan- choly People; but some Authors say, that they cause the Cramp, and falling Sickness, with which it is said, this Bird is troubled. This, by the by, I take to be only the ground- less Opinion of some credulous and whimsi- cal Writers. Turtle Doves nourish exceeding well, and are easily digested; they are good for the Stomach, and, according to some Authors, quicken the Understanding. Woodcock, Snipe, and all other long-billed Birds that suck only animal Juices, or that feed upon Worms and other Infects, have their Juices more elaborate and exalted than those of Pullets, Turkeys, Pheasant or Partridge; and for that Reason they are much harder to be digested, tho' they are very nourishing. Fish in respect of Flesh is less nourishing, because it is gross, phlegmatic, cold, and full of watery Superfluities. The old nourish better than the young, and those that live among Stones, Rocks and Gravel, are best. Fish in general are hard of Digestion; for they feed upon one another, and their Juices abound with an alkaline Salt, that corrupts the Blood and causes chronical Diseases; for it is very remarkable, that those who live much 192 A GUIDE to HEALTH Part II. much on Fish are afflicted with the Scurvy, Breakings-out upon the Skin, and other Dis- eases of a foul Blood: Besides, a true Sign of their Indigestion is, that every Body finds him- self more thirsty and heavier than usual after a full Meal of Fish, tho' ever so fresh; and is commonly forc'd to have Recourse to a Dram of some Spirit or other to carry them off. The following Rules concerning Fish may be of use to the Reader. First, That all fresh Fish should be eaten hot, and to eat less of Fish than of Flesh- meat. 2dly, Not to eat them too often, nor after great Labour and Exercise; for then they easily corrupt; neither should they be eaten after other solid Food. 3dly, Fish and Milk are not proper together; nor are Eggs to be used unless with Salt-Fish. 4thly, Great and slimy Fish are better pickled than fresh; and observe, that the clearer and deeper the Water is, the better are the Fish that are nourish'd therein. 5thly, Sea-Fish are whol- somer than fresh water Fish; for they are hotter and not so moist, and their Nourish- ment comes near that of Flesh-meat. 6thly, Of all Sea and River Fish, those are best that live in rocky Places; next to these, in gravel- ly or sandy Places, in sweet, clear, and run- ning Water, where there is no Filth: but those Fish are bad that live in Pools, muddy Lakes, Marshes, and in any still or muddy Water. 7thly, Amongst all the Fish both Sea Ch. VI. thro' the various Stages of Life. 193 Sea and River, those which are not too large are the best, and which have not hard and dry Flesh, that taste and smell well, and are crisp and tender, and have many Scales and Fins. 8thly, Fish are bad for cold and phlegmatic Constitutions, and only proper for hot and choleric People. The best Way of dressing Fish is to broil it; to boil it is the next, and to fry it is the worst. Eels for want of Exercise are fat and slimy; they are of a delicate Taste, and nou- rish very much; but they offend the Sto- mach, and are hard to be digested, and be- ing used too often, are apt to breed the Stone in the Kidneys and Bladder, and occasion the Gout and Spasmodic Disorders; therefore whoever eats much of them, and often, en- dangers his Health. Carp of all Pond-fish is certainly the best, and the most noble, being of a very pleasant and grateful Taste, and nourishes well, in whatsoever manner it is eaten. Lampreys are of great Nourishment; they are of a most delicate Taste, and are al- so Provocatives; but they are hard of Di- gestion, and bad for gouty People, and such as ate troubled with Convulsive Disorders. Pike is a clean, sound Fish, and nourishes very much; but is of hard Digestion. Sturgeon nourishes well, and excites Ve- nery; but is very hard to be digested. Of the Spawn or Row of this Fish pickled, is N made 194 A GUIDE to HEALTH Part II. made what is called Caveer, which excites Appetite, and makes Liquor relish well. Crabs and Lobsters are much of the same Nature; the Broth of them is good for thin and emaciated People, for they nourish very much; but they are, like all other Shell-Fish, hard to be digested. Oysters are very nourishing, and preferable to all Shell-Fish, and ought to be eaten al- ways before Dinner, and never to drink spi- rituous Liquors upon them, which harden them in the Stomach, and prevent their being digested. They are likewise very hard of Di- gestion when stew'd; therefore the Substance of them dressed in that manner is very im- proper for weak Stomachs. They cure the Heart-burn proceeding from Acidity or Sour- ness in the Stomach, and are proper Food in such, and many other Cases. Turbut, Soles, and Plaice, are highly com- mended among Sea-Fish; for they have de- licate Flesh, and afford very good Nourish- ment, are not easily corrupted, nor hard to be digested. Pearch are reckon'd fine Fish; but they have soft, moist, and tender Flesh; they nourish but little, and are full of Excremen- titious Juices, therefore they are not near so good as People imagine them to be. Tench are very nourishing, but hard of Di- gestion. Gudgeons and Smelts, of all small Fish are the best; they are wholsome Aliment, easily digested, Ch. VI. thro' the various Stages of Life. 195 digested, and may be as safely given to sick People as Whitings unless they are fry'd. Flounders are good wholsome Aliment enough, and proper now and then as a Change for sickly People, and weak Stomachs, as they are not hard to be digested. Salmon is grateful to the Palate, and very nourishing, affords good Juices, but is too luscious to make a hearty Meal upon it, or live on it for any considerable Time. Trout is delicate eating, nourishes very well; the biggest, and such as is bred in gra- velly Rivers, and sweet running Waters, is best. Trout is good for hot and young Peo- ple, but bad for those that are decrepid, and for phlegmatick Constitutions. Cod-Fish, when fresh and in Season, is very good Nourishment, and not hard to be di- gested; but if it be dry or Salt, it is gross Food, and of hard Digestion. Haddock is much of the same Nature, but drier, yet it affords very good Nourishment. Skate and Thornback are Fish of good Nourishment, and delicate eating, when rightly manag'd; for if they are newly taken and dressed, they are scarcely digestable even by the strongest Stomachs; but if they are too stale, then they smell Urinous, and are in a State of Putrefaction. Barbel is very pleasant to the Palate, and the little ones are better than the great, and such as live in stony Places, and clear running N2 Waters; 196 A GUIDE to HEALTH Part II. Waters; but their Flesh being hard, are not easily digested. The Roe of this Fish is care- fully to be avoided, it having the Quality of a strong Cathartick. Mackarel are very agreeable to the Taste; but their Flesh being hard, dry, and easily cor- rupted, is of little Nourishment, hard of Di- gestion, and therefore not proper Food for tender, weak, or sickly People. Herrings afford a great deal more Nou- rishment than the former; but their being so very hard of Digestion, renders them im- proper for every Body, except some hard la- bouring People. Sprats newly catch'd, and being either boiled or broil'd, afford good Nourishment, and are very agreeable to the Taste; but they are windy, and for that Reason not pro- per for such as are subject to Flatulency. Here it will be very necessary to give At- tention to the following Particulars in the Choice of our Aliments. 1. That those Vegetables and Animals that come soonest to Maturity, are lightest of Di- gestion: thus the Spring Vegetables, such as Asparagus, some Sorts of Sallading, and Strawberries, are more easily digested than Pears, Apples, Peaches, and Nectarines; because they have less of the Solar or Sun-Fire in them; for their Parts are united by a weaker Heat, that is, with less Velocity, and besides they contain little or no strong or fix'd Salts. 2. Among Ch. VI. thro' the various Stages of Life. 197 2. Among Animals, the common Poultry, Sheep, Kids, Hares, and Rabits, &c. which come to their Maturity, and propagate their Species in the same or a few Years, are much more tender, and readily digested, than Cows, Oxen, Boars, &c. for the Reason already given; and because their Parts cohere less firmly. And it is observable, that Vegetables which are longest in ripening, that is, whose Juices contain most of the Solar Heat in them, their fermented Juices produce the strongest vinous Spirits, such as Grapes, El- der-Berries, and the like: and that Animals, which are longest coming to Maturity, their Juices yield the most rank and most fœtid Urinous Salts. 3. That the larger and bigger the Vege- table, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested. Thus a large Onion, Apple, or pear, and large Beef and Mutton, are har- der to be digested than the lesser ones of the same Kind; not only, as their Vessels being stronger and more elastic, their Parts are brought together with a greater Force; but also, because the Qualities are proportionably more intense in great Bodies of the same Kind. Thus a greater Fire is proportionably more intensely hot than a lesser one; and likewise, the Wine contain'd in a larger Ves- sel becomes stronger than that contain'd in a lesser, and consequently the Juices of larger Vegetables and Animals are more rank N3 than 198 A GUIDE to HEALTH Part II. than those of smaller ones of the same Kind. 4. Sea-Fish or Animal's, are harder to di- gest than Land Animals; because, generally speaking, their Food is other Animals; and the Salt Element in which they live, renders their Flesh more firmly compact, Salts having a stronger Power of Cohesion † than any other Bodies. And for the same Reason, salt- water Fish is harder to digest than fresh-wa- ter Fish. 5. Vegetables and Animals, that abound with oily, fat, and viscid Substance, are har- der to digest than those of a drier, fleshy, and more fibrous Substance; because oily and fat Substances commonly elude the Force and Action of animal Digestion, especially in such as have little Exercise and weak Stomachs; for their Parts attract one another, and unite more strongly than any other Substances, ex- cept Salts; inasmuch as their Softness and Humidity relax and weaken the Tone and Force of the Stomach, the Fat and Oil be- ing shut up in little Bladders, that are with Difficulty broken and separated. Thus Nuts of all Kinds, as they contain a great deal of Oil, pass thro' the Alimentary Duct almost undi- gested; for the same Reason, Olives are more difficult to digest than Pease, and fat Meat than the lean of the same. 6. That all Vegetables and Animals of a strong, pungent, and aromatic hot Taste, are harder ‡ Sticking together. Ch. VI. thro' the various Stages of Life. 199 harder to digest than those of a softer, mild- er, and more insipid Taste; because such Substances abound with a great deal of Salts, or an Oil extremely active and heating; for high Relish comes from abundance of Salts and exalted Oils. A great deal of Salts sup- poses such Vegetables and Animals as are a long time coming to Maturity; and where Salts abound, the Fibres are dryer, harder, and more firmly in Contact with each other; for that Reason they are more difficultly sepa- rated, and harder to be digested. But however, Sea-Salt, or Rock-Salt, being fixed and of the same Nature, of all Season- ings is the best, without which no Food is good, and is used by Mankind in their Ali- ments for the following Reasons. 1. That thereby the Food may descend easier into the Stomach, and render it more savoury. 2. Be- cause it resists Putrefaction; consuming by its Dryness, that Moisture whereby Putrefaction might have been occasion'd. 3. It excites the Appetite, and digestive Faculty, and pre- vents Nauseating. 4. It dissolves, attenuates, and dries up the superfluous Moisture, pro- vokes the Bowels to discharge the Excrements, and is therefore used in Clysters and Supposi- tories. Besides, as all animal Substance contain no fix'd Salt, they want the Assistance of those, in order to promote Digestion, which preserve them both within and without the Body from Putrefaction; and as these fix'd Salts pass unalter'd thro' all the Strainers of a N4 human 200 A GUIDE to HEALTH Part II. human Body, the moderate Use of them is very proper to preserve Bodies through which they pass from Corruption. But on the other Hand, the immoderate Use of Salt produces a Multitude of woeful Disorders; such as Melancholy, Vapours, and bad Nourishment; it dries up the Blood, and causes the Muriatick, or Briny-Scurvy, Scab- biness and Itchy Ring-worms or Tetters, and even the Leprosy, with a great many other foul Humours and Eruptions in the Face and other Parts of the Body; and likewise it occasions Obstructions in the Urinary Passages, which oftentimes produce Ulcerations, Stone, and Gravel in the Kidneys and Bladder. And it will easily appear, that Salt can produce all these bad Effects, if we consider that Salts consist of hard and plain Surfaces, and in all Changes recover their Figure, and unite the most firmly of all Bodies whatever; for their plain Surfaces bring many Points in- to Union and Contact, and their Hardness and constant Figure render them durable and un- alterable; and thereby the active Principle, and Origin of the Qualities of Bodies, if in a Strict Sense there be any such Thing as a Principle; and when they approach within the Sphere or Limits of one another's Activity, they firmly unite in Clusters, all which ren- der the Separation of their original Particles the more difficult, and by that Means they obstruct the cuticular Glands, which are the Emunctories or Strainers of the whole Body, thro' Ch. VI. thro' the various Stages of Life. 201 thro' which not only the peccant Humours pass, but likewise the greatest Part of the Li- quors we drink, after having convey'd the Aliments into the Blood, being part of their Office, and in the next Place to dissolve the saline or terrestrial Particles to be carried off thro' the Glands of the Skin and Kidneys. So that when Salts adhere and unite in Clusters in the excretory Ducts of the Glands of the Skin, or the Kidneys, in the former they stop and pen in between the Scales of the * Scarf-skin the excrementious Humours, which ought to be carried off by insensible Perspiration, and thereby corrode the Skin, and produce Scur- vies, and other cutaneous Eruptions; in the latter, they cause Inflammations, Ulcera- tions, Suppression of Urine, and, as I have ob- served before, Stone and Gravel. Thus we may plainly see, how the immoderate Use of Salt is capable of producing not only all the disorders already mentioned, but likewise a great many more in the animal Oeconomy, Honey is the most accurate or exact Pro- duction of the vegetable Kind, perform'd by the Bee, being a most exquisite vegetable Soap, resolvent of the Bile, balsamick and pectoral: It is likewise detersive and opening, provokes * It is the outermost Covering of the Body, and is that soft Skin which rises in a Blister upon any Burning, or the Application of a Blistering-Plaister. It sticks close to the Surface of the true Skin, to which it is tied by the Vessels which nourish it, tho' they are so small as not to be seen. 202 A GUIDE to HEALTH Part II. provokes Urine, and cleanses its Passages, and is excellent for old and phlegmatick People of a cold Constitution; for it warms the Sto- mach, moves the Body, resists Corruption, and breeds good Blood; but sometimes it causes Wind and Gripes in some Constitutions. Oil of Olives is sweet and pleasant, and very agreeable to Nature; and it is best when two Years old, and ought to be made of ripe Olives. Oil of Sweet Almonds, when fresh drawn, is next to it in Goodness, and much properer for Sick People, it being of a cooler Nature, and more easily digested, tho' not so agreeable to the Palate. Oil fattens, and taken in great Quantities, is excellent to expel Poison by vomiting, and by sheathing the Coats of the Stomach from its corrosive Salts; but eating Oil too often destroys the Appetite, because all Oils are very hard to be digested, as I have already proved. Vinegar: The best is that which is made of the best Wine: It is an Acid of very pe- culiar Quality, different from that of all other Acid; for it is cooling, and yet not coagu- lating; for it gently dilutes the Serum of the Blood, as has been often proved by Experi- ments. It is inciding, digestive, and opening. It is good against the Redundancy of Bile, and to extinguish the Heat of Choler and Thirst. It strengthens the Gums, excites the Appetite, removes Obstructions, helps Diges- tion, and is good for hot Stomachs, and re- sists Ch. VI. thro' the various Stages of Life. 203 sists Putrefaction; therefore it is very useful a- gainst pestilential Diseases, especially in Time of the Plague: But too much Use of it breeds melancholy Humours, injures the Nerves, emaciates some Constitutions too much, offends the Breast, and makes People look old and withered, with pale Lips. CHAP. VII. Of the Power of Aliments upon human Bo- dies, with their good and bad Effects. ALL Bodies which can be changed into the Fluids and Solids of our Bodies by the animal Powers, are called Aliment, as has been observed in the first Paragraph of Chap. VI. And to take it in the largest Sense, by Aliment is understood every Thing which a human Creature takes in common Diet, as Meat, Drink; and Seasoning, as Salt, Spice, Vinegar, &c. Our Food therefore consists, not only of such Particles as are proper for the Nourishment and Support of the Body, but likewise contains in it certain active Principles, such as Salts, Oils, and Spirits, &c. which are endued with such Properties, as both to vellicate and sti- mulate the Solids, to quicken the Circulation, and by attenuating the Fluids, render them more 204 A GUIDE to HEALTH Part II. more fit to undergo the necessary Secretions of the Body. The Art then of preserving Health, and obtaining long Life, chiefly consists in a Mediocrity of such Diet as neither increases the Salts and Oils, so as to produce Distem- pers, nor too few, so as to suffer the Solids to become too much relaxed; and if this desirable Medium be attained, by following the common ordinary Diet of the healthiest People in any Country or Climate; that is then, indisputably, the best Method in general to prefer Health. For it is certainly true, that the infinitely wise Creator has provided Food proper and peculiar to every Country and Climate, which is best for the Support of the Creatures he has placed therein, as may be seen by the Chear- fulness and Health of the middling Sort of People of all Nations, who use only a simple Diet, without lusting after voluptuous or fo- reign Delicacies. Yet the Diseases of human Bodies often require Substances of more active Principles than what are found in common Aliment, in order to produce sudden Altera- tions; but where such Alterations are not necessary, the same Effect may be obtained by the repeated Force of Diet, with more Safety to the Body, where the sudden Changes are less to be apprehended. The smaller Ac- tivity of the Aliment is compensated by its Quantity; for according to the Laws of Mo- tion, if the Bulk and Activity of Aliment and Medicines are in reciprocal Proportion, the Ef- fect will be the same; for they both only bring about Ch. VII. thro' the various Stages of Life. 205 about the Effect, by acting either upon the So- lids or Fluids, or upon both; upon the first, by stimulating, contracting, or relaxing; upon the last, by attenuating, coagulating, or ren- dering them acrimonious or mild, or by in- creasing or diminishing their Motion through the Vessels. That all these Actions can be performed by Diet as well as Medicine, is evident from Reason, Experience, and in some Cases by ocular Demonstration; as in Chirurgery, in Wounds and Sores, where the Influence of Diet upon them is plainly seen; for a Diet too relaxing weakens the Spring of the Ves- sels so much, that they cannot sufficiently re- sist the Influx of the Liquid, and so begets a a Fungus, or proud Flesh; and when too as- tringent, it produces a Cicatrice, or callous Substance. The Effects of warm Water and mealy Substances in relaxing; of Spirits, in stopping Hæmorrhages, or Fluxes, and conso- lidating the Fibres; the Power of Alkaline Absorbents in subduing Acidity, and Oil in stopping Perspiration, is very well known to both Physicians and Chirurgeons. All those Substances which stimulate the solid Parts, produce the greatest Alterations in animal Bodies; for violent Sneezing pro- duces Convulsions in all the Muscles of Re- spiration, and an universal Secretion of all the Humours, as Tears, Spittle, Sweat, Urine, &c. And even all this Alteration can be pro- duced by the tickling of a Straw or Feather; there- 206 A GUIDE to HEALTH Part II. therefore acrid or sharp Substances, that are minute enough to pass into the capillary Tubes, must stimulate the small Fibres, and irritate them into greater Contractions. And many Things which we take as Food, or with our Food, have this Quality in some Degree: Such as the Juices of acid Vegetables, fermented Liquors, especially sharp Wines, and ferment- ed Spirits; aromatical Vegetables, as Savory, Fennel, Thyme, Garlick, Onions, Leeks, Mus- tard, all which abound with a volatile pungent Salt; and, in short, all Spices in general, and all Vegetables, which being corrupted, easily re- solve themselves into a fœtid, oily, alkaline Substance. The solid Parts of an animal Body may be contracted variously: First, by dissolving their Continuity. For as a Fibre is cut through, it contracts itself at both Ends; therefore all Things that are so sharp as to destroy the small Fibres, must contract them. Secondly, Whatever empties the Vessels, gives Room to the Fibres to contract; so that Abstinence produces this Effect in the best Manner: And whatever shortens the Fibres, by insinuating itself into their Parts, as Water in a Rope, contracts them; and fermented Liquors pos- sess this Quality in a great Degree. The more sulphurous or chymical Oil any Spirit contains, the more pernicious it proves to the human Body, because it is harder to be wash'd away by the Blood; therefore Brandy is more easily carried off than Spirit of Ju- niper; Ch. VI. thro' the various Stages of Life. 207 niper; and that than Spirit of Annise-seed or Rum. Compound aromatical Spirits destroy, first, by their fermentative Heat; 2ndly, By their oily * Tenacity: 3dly, By a caustic Quality residing in all Spices apt to destroy the solid Parts. However these Qualities may tender them proper in some Cases, taken in small Quantities. Austere acid Vegetables have this Quality of contracting and strengthening the Fibres, without a great many of the bad Effects of distilled Spirits, such as all Sorts of Sorrel, the Virtues of which consist in an acid, astrin- gent Salt, which is a Sovereign Remedy a- gainst a putrescent, bilious Alkali; and seve- ral kind of Fruits, as Quinces, some Sorts of Pears, with the Marmalades made of them; likewise Medlars, Capers, Barberries, Pome- granates, and Purslain, all such are easily distinguish'd by a rough and styptic Taste. And amongst Drinks, austere Wines, unripe Fruits likewise have the same Quality; but they are apt to cause foul Eruptions on the Skin, to obstruct the Nerves, and occasion Palsies. Relaxing the Fibres, is rendering them flexible, or easy to be lengthen'd without Rup- ture or Breaking, which is perform'd only in the capillary vascular Solids. Of all Liquids endued with this Quality of relaxing, warm Water is the first; and next to it, the watery Decoctions and Infusions of Mealy * Adhering or sticking together. 208 A GUIDE to HEALTH Part II. of Mealy Vegetables, or Grains, as Oats, Bar- ley, &c. likewise all sweet and mild Garden Fruits, and almost all Pot-Herbs, as Spinage, Beets, Cabbage, Coleworts, and all that Class; lactescent Plants, such as yield a milky Juice, as Lettuce, Succory, and Dandelion, if un- fermented, for Fermentation changes their Nature; also fresh oils of mild Plants, or Nuts, Cream, Butter, Marrow, and Whey; all which Things help to weaken and relax the Fibres, and are therefore proper Reme- dies for a too rigid, strong, or elastic State. The Qualities of the Fluids of a human Body can be likewise chang'd by Diet; as by attenuating or diminishing the Cohesion of the Particles of the Fluid: and the Cohesion of the Particles depends upon the Weight and Quantity of Fluids; therefore Abstinence and a slender Diet attenuates or thins them, be- cause emptying the Vessels gives room to the Fluid to expand or dilate itself. Besides, whatever penetrates and dilutes at the same Time, as Water impregnated with some pe- netrating Salt, attenuates very powerfully; and the great Effects of medicated Waters may be justly ascrib'd to this Quality; likewise all saponaceous Substances composed of Oil and Salt, such are Honey, and the Robs and Gellies of most Fruits; Vinegar and Honey mix'd is a powerful Resolvent. All stimula- ting Substances, by increasing the Motion of the Blood, attenuate, unless they increase the Motion Ch. VII. thro' the various Stages of Life. 209 Motion so much, as at last to produce Coagu- lation. The second manner of operating upon the Fluids is by thickening the Blood, which is perform'd by dissipating the most liquid Parts of it by Heat, or by insinuating some Sub- stances which make the Parts of the Fluid cohere more strongly: and the acid, au- stere Vegetables just now mention'd, have this Quality of condensing the Fluids, as well as strengthening the Solids. Another manner of operating upon the Fluids, is by increasing or lessening their Quantity: and the first is effected by a plen- tiful Diet, and the Suppression of Evacuations; the latter, either by a spare Diet, or promo- ting the animal Secretions, that is, expelling the Fluids out of the Body; which may be perform'd by Substances that are laxative, as animal Oils, fresh Butter, Cream, Marrow, or fat Broth; the Oils of mild Vegetables, as that of Olives, Almonds, and the Fruits themselves; likewise all oily and mild Fruits, as Figs, and most Garden Fruits, by the Salts they contain, lubricate the Intestines; and some saponaceous Substances which stimulate gent- ly, as Honey, Hydromel, or boil'd Honey and Water, and even brown Sugar. Besides, Sub- stances that are diuretick, are proper for this Intention, such as Whey, and Salts of all Kinds, Parsley, Celery, Sorrel, Chervil, As- paragus, Eringo, and Nutmegs, &c. O Acrimony 210 A GUIDE to HEALTH Part II. Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies, either by Sickness, as in Cachexies, or ill Habits of Bodies, and Scurvies, &c. or by Diet that is either briny or acid, which con- sists of two Sorts, that is, of Things natural- ly acid, or render'd so by Fermentation; or alkaline aromatick Substances, consisting of Salts, and highly exalted Oils intimately uni- ted, which by increasing the Velocity of the Blood beyond what is natural, occasions an Attrition of the Parts, and thereby disposes the Blood and Juices to an alkaline Acri- mony. But the Juices of found Animals consist of Water impregnated with Salts of a peculiar Nature, which are neither acid, nor perfect- ly volatile; for, in the Evaporation of hu- man Blood by a gentle Fire, the Salt will not rise, but only the Spirit and Water, nor per- fectly fix'd; for human Blood calcin'd, yields no fix'd Salt, nor is it a Sal Ammoniac; for that remains immutable after repeated Distil- lations, and Distillation destroys the ammonia- cal Quality of animal Salts, and turns them alkaline. So that it is a Salt neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline, nor yet quite ammoniacal; but soft and benign, approaching nearest to the Na- ture of a Sal Ammoniac. Hence we may easily perceive, that the elementary Salts of found Animals are not the same as they appear by Distillation; for these Alte- Ch. VII. thro' the various Stages of Life. 211 rations are produc'd by Fire: and those Salts are of a peculiar, benign and mild Nature in healthy Persons, who have * vital Force to subdue all the Substances they feed upon; but in such who have not that vital Force, or commit some Errors in their Diet, these Salts are not sufficiently attenuated, and retain their original Qualities, which they discover in Cachexies, or ill Habits of Bodies, Scurvies of several Kinds, and many other Distempers; the Cure of which chiefly depends upon the Choice of Aliment with Qualities opposite to the Nature of these Salts. Acrimony in the Blood commonly consists of three Sorts, according to the Nature of the Salts in which it resides; that is, either Acid, Alkaline, Muriatic, or briny, as in the Sea- Scurvy; but this last approaches more towards the alkaline State, and admits of the same Cure. Acid Acrimony resides chiefly in the first Passages, that is, the Stomach and Inte- stines, proceeding often from the Weakness of Digestion, and the too long Duration of Vegetables, and Milk, or fermented Liquors the Stomach. All animal Substances are alkalescent; and of Vegetable Substances some are acid, others alkalescent, and each Sort is to be used according to the two different In- tentions hereafter mention'd. O2 The * By vital Force, is understod the Sum of all these Pow- ers in an animal Body, which convert; his Aliment or Food in- to its own Nature. 212 A GUIDE to HEALTH Part II. The proper Diet for the Cure of the acid Acrimony, are Vegetables of all Kinds, as Garlick, Onions, Leeks, and Celery; the an- tiscorbutick Plants, as Cresses, Brooklime, Scurvygrass, &c. Carrots, Turnips, Pota- toes, Eringo Roots, Asparagus, Horse-radish, Mustard, and Cabbage. All animal Substan- ces being likewise Alkalescent, or contrary to Acidity, are also very proper Food in this Disorder, more particularly all Fishes of the Shell-kind. Water, by its diluting Quality, subdues Acidity very powerfully. Oils are Anti-acids, so far as they blunt Acrimony; but as they are sometimes hard of Digestion, they may produce Acrimony of the alkaline Sort. The alkaline Acrimony being opposite to the former, is cur'd by a proper Diet made of the Decoctions of farinaceous or mealy Substances, especially such as are made of Oats are proper, as having an acescent Qua- lity. Therefore this alkaline Acrimony requires a plentiful Use of Vinegar, and acid Fruits, such as Oranges, which contain a Juice most effectual in the Cure of the muriatic or briny Scurvy of Sea-faring People; the Juice of Lemons is likewise proper, and more cool- ing and astringent than that of Oranges: and in this Case all the mild Antiscorbuticks are indicated, as Sorrel, Cichory, Endive, Lettuce, and Apples, &c. and of Liquids Whey. On the contrary, all the acrid Antiscorbuticks, as Horse-radish, Mustard, and Scurvygrass, &c. are very hurtful in this, and all other hot Scurvies. Other Ch.VII. thro' the various Stages of Life. 213 Other Sorts of Antiscorbuticks proper in this alkalescent State of the Fluids, are called Astringents, such as Pomegranates, Capers, and most of the common Pickles prepar'd with Vinegar, And as the Extremity of Al- kali is Putrefaction; so all acid Substances, and Sea-Salt, resist such a putrescent Quality in the Fluids; but as the latter is a sharp solid Body, and unalterable in all the Circulations of the animal Body, and when it is taken constantly in a Diet of Salt Meat in too great Quantities, (as I have taken Notice of in the latter End of the preceding Chapter) it breaks the Vessels, produces Erosions of the solid Parts, and all the Symptoms of the briny Sea-Scurvy, which is to be cur'd by acid Ve- getables, and not by the hot Antiscorbutics, as I have just now observ'd. There are other Sorts of Substances which are proper in the Cure of both Sorts of Acri- mony, which are demulcent or mild, because they sheath these sharp Salts, as farinaceous or mealy Pulse, such as Pease, Beans, Len- tils; native Oils of Animals, as Cream, But- ter, Marrow. Likewise all Plants that are without Smell or pungent Taste are demulcent; and also all the alimentary Parts of found Ani- mals; for none of their Juices will hurt or smart either the Eye or a fresh Wound. As Liquors make a considerable Part of our Aliment, it will not be improper to give a short Account of their principal Qualities in O3 this 214 A GUIDE to HEALTH Part II. this Place, before I treat of different Consti- tutions, with the Diet proper for each in Par- ticular. Drink being an essential Part of our Food, is either Water, Milk, or Whey; or ferment- ed Liquors, such as Malt Liquors of different Sorts, Cyder, Wines, or a Mixture of these: And as the chief Intentions of Drink are, 1st, To moisten and convey our Food into the Stomach, and the Nutriment thereof to the respective Parts of the Body, and to allay Thirst; 2dly, To dilute the Blood, that it may circulate through the minutest Vessels; 3dly, To dissolve and carry off; by Urine and Perspiration, the superfluous Salts we take in our Food, which are unalterable in a human Body, as I have observ'd in one or two Places already: so pure Water answers all these Intenti- ons best, except in some few Cases hereafter mentioned; for no Liquor that we drink will circulate so well, or mix with our Fluids so im- mediately as Water; because all other Liquors we drink are impregnated with Particles that act strongly either upon the Solids or Fluids, or both; but as Water is the only simple drinkable Fluid, and being altogether inac- tive, so it is the fittest and most innocent Li- quor for diluting, moistening, and cooling; which are the chief Ends of Drink pointed out to us by Nature: Besides, nothing will dissolve Salts and carry what is superfluous of them out of Body, so well as pure Water, that Ch. VII. thro' the various Stages of Life. 215 that being the proper Menstruum or Vehicle for dissolving all Kinds of Salts. The benign, mild, and other useful Qua- lities of Water plainly shew, that it was de- sign'd by the most wise Creator for our com- mon Drink; and, without doubt, was the primitive original Drink: And happy had it been for Mankind that other mix'd and arti- ficial Liquors had never been invented; for Water is so necessary to our Subsistence, that we could not live a Moment without it; be- cause this Element furnishes all the fluid Parts of our Humours, without which they could not circulate; and it dissolves all the Salts in the Blood, whereby some are carried to their pro- per Places within the Body, and others to proper Emunctories for their Expulsion from it. It serves to prepare our Food, and then for a Vehicle to convey it out of the Stomach into every little Meander of the Body, both for Health and Nourishment: So that Water alone is sufficient and effectual for all the Purposes of human Wants as to Drink. Therefore it is evident from what has been said, that Water is the best and most whole- some Drink in general; but in some Constitu- tions, where something is necessary to warm and act as a Stimulus, then fermented Li- quors taken in Moderation are proper, such as Beer, Ale, Cyder, Wine, &c. the Quan- tity and Choice of which depends upon the Age, Constitution, and Manner of Living of the Drinker; for in Youth, Milk, Water, or O4 Whey 216 A GUIDE to HEALTH Part II. Whey are the properest, and in a middle Age a little more generous Liquors may be some- times allow'd; but most of all in old Age; for according to the old Saying, Lac senûm est Vinum, Wine is old Men's Milk. As to Malt Liquors, small Beer well boil- ed, and of a due Age, is the best for common Drink; otherwise it must be very hurtful to Persons of weak Nerves and flow Digestion; for by fermenting anew in the Bowels it will fill the whole Cavity of the Belly with Fumes and Vapours, which will at last produce very bad Effects in a weak Constitution. As for strong Beer, it should be made of Water that will bear Soap; be well hopp'd and boil'd, that it may keep till all the gross and viscid Parts fall to the Bottom of the Vessel, without the Help of any pernicious Composition for fining Liquors, too frequent- ly made Use of to the Destruction of thou- sands; for it is very notorious, that all your fine Ales, or Home-brew'd, as they are call'd, have neither due Age or Hops enough to cla- rify of their own Accord, being brew'd one Week and drank the next, or soon after; so that the Seller is obliged to have Recourse to some Art or other to fine them down, which is very often with unslack Lime, or at best a Mixture of Ising-glass *, and other Ingredients * Is a very strong Glew, made of a Kind of Fish catch'd in great Quantities in Rivers in Hungary and other Parts: It is used by Cabinet-makers, and sometimes ordered as a Medicine to stop Fluxes and Seminal Weaknesses; but it is very improper for Ch. VII. thro' the various Stages of Life. 217 very destructive, if not poisonous, to many Constitutions: Besides, these Liquors are of so agglutinating and thickening a Nature, as to produce Stone, Gravel, Gout, Bloatedness, and great Thirst, with the Loss of Appetite: And to prove the agglutinating Qualities of all such Liquors, it is experimentally known, that they make excellent Bird-lime; and when simmer'd for some Time over a slow Fire, make the most sticking and best Plaister for old Strains. We have likewise convincing Reasons to have the same Opinion of the Yorkshire, Not- tingham, and Welch intoxicating Ales; and, in short, all fine Ales brew'd for Sale: For it is certainly true, that all these fine Liquors, far fetch'd and dear bought, have always some- thing in their Composition hurtful to our Con- stitution, more than meer Water, Malt, and Hops; therefore I would advise all those, who have any Regard for their own Health or Lives, to avoid, as much as possible, the use of all such Liquors, and more especially the valetudinary, sedentary, studious, and contem- plative People; and, in fine, all such as have weak Nerves and slow Digestion. As the frequent Use and Excess of Drams, or distill'd Spirituous Liquors, is a Vice of so horrid for such as are otherwise in good Health; for the constant Use of it will produce Gravel, Stone, Blotches, and Eruptions on the Skin, by glewing up as it were the Urinary Passages, and likewise stopping insensible Perspiration; and, in short, it will produce the same bad Effects in human Constitutions, as the common Glew used by Joyners and Carpenters. 218 A GUIDE to HEALTH Part II. horrid a Nature in itself, and now become epidemical, not only among Mechanicks and Tradesmen, but among Persons of the brightest Genius, and finest Taste and Accomplish- ments; and, alas! even among the finest Part of the Creation, I mean the Fair Sex; and those of them too, which is still more a- stonishing, who are in all other Respects blameless, and of the strictest Virtue! I say, as the Case is so, it will not be improper to explain the poisonous Qualities and direful Ef- fects of such pernicious Liquors, which de- stroy Millions, both in Body and Soul. Let us then consider, that distill'd Spirits are but an Accumulation of fine Salts and light Oil, compacted together into the smallest Bulk; the Salts are so hard and solid as naturally to re- tain their Heat and Activity the longest, into which Water cannot enter; the Oil † is so inflammable, that it most readily receives Heat and Fire, and by that Means defends the Salts from the Power of Water over them: So that in the continued Distillation of Spirits, this † They are guilty of a gross Error, who imagine that the more oily any distill'd Spirit is, the more wholsome it will prove to the Constitution; for they do not consider that it is a very subtile, sulphurous, chymical, inflammable Oil, blended with Portions of very fine Salts, raised by the Force of Fire, and that it is quite different in its Nature and Quality from the benign and pectoral Oil of Olives or Sweet Almonds, or any other express'd Oils produced without Fermentation or Fire. Hence it is evident that Rum, or double-distill'd Spirit of Annise-seeds, and Spirits distill'd from aromatick Plants, are much more difficult to be digested and carried off than Brandy, or Spirit of Juniper; and that for no other Reason, than that they contain too great a Quantity of burning Oil. Ch. VII. thro' the various Stages of Life. 219 this Action of the Fire is so strong as to re- duce the Spirits at last into liquid Flames, which will, of their own accord, evaporate in visible Flames and Fumes. Besides, it is observable that every Thing that has pass'd the Fire so long a Time as to divide and penetrate its Parts as far as it pos- sibly can, retains ever afterwards a corrosive and burning Quality. This is manifest from the firey and burning Touch and Taste of new- distill'd Spirits; as also from the burning of a Lime-stone, which retains its heating and drying Quality ever after, tho' extinguish'd by Water. Hence it will manifestly appear, that run- ning into the frequent Use and Habit of Dram- drinking will as certainly kill as Laudanum, or Arsenick, tho' not so soon; for such Li- quors contract, harden, and consolidate many Fibres together, abolishing many Vessels, or Canals in the Body, especially where the Fi- bres are the tenderest, as in the Brain, by which Quality they destroy the Memory and intellectual Faculties, abrade and wear off the villous Coat of the Stomach, and thereby ex- pose its nervous Coat to the Insults of the most firey, corroding, saline, and caustick Particles of the Spirits; by which means the Springi- ness or Elasticity of the Fibres is so weakened, that the whole Stomach becomes at last soft, flabby, and relax'd. Hence a Loss of Appe- tite, and an Inability to digest the small Quan- tity of Food that is taken in; whence arise Cru- 220 A GUIDE to HEALTH Part II. Crudities, Nauseas, Vomitings, Tremors, ner- vous Convulsions, Consumptions, Dropsies; likewise Gout, Stone, Rheumatism, raging Fe- vers and Pleurisies, which for the most part nothing but Death alone can remove at last. What a melancholy Scene do we daily be- hold, in all Parts of this great Capital, of Numbers of miserable Creatures, render'd not only useless to themselves, to their Families, Friends and Relations, but likewise burthen- some to the Publick, and a Scandal to both Chri- stianity and the rest of their Fellow-Subject! And all this great Calamity entirely ow- ing to the Folly of a bewitching Habit of Dram-drinking. And what is still most sur- prising, we see even the Moral, and the Sen- sible, bound in these Chains and Fetters, that nothing less than Almighty Grace, or the un- relenting Grave can release them; for they are deaf to Reason, and to their own Experi- ence, and even to the express Words of the Scripture, which says, That the Drunkard shall not inherit the Kingdom of Heaven. From this Doctrine it will appear, to the Evidence of a Demonstration, that next to Drams, no Liquor deserves to be stigmatized and detested more than Punch; for it is a Composition of such Parts, that not one of them, except the pure Water and Sugar, is wholsome, or friendly to any Constitution, espe- cially to valetudinary, tender, weak, and studious People. The chief Ingredient being either Arrack, Rum, Brandy, or Malt-Spirits, and all Ch. VII. thro' the various Stages of Life. 221 all of them rais'd by Fire, from the fermented Juices of Plants brought from hot Countries, or which have born the Heat of the Sun longest in our own Climate; for it is observable that Vegetables, whose Juices have most Solar Heat in them, their fermented Juices yield the strongest Spirits in Distillation. The other principal Part of the Composition being sour Juice of unripe Oranges or Li- mons. And if we consider, that the Juice of a Crab-Apple, of unripe Goosberries, or Grapes, or even the Juice of Sorrel, would come up at least to their Virtue in extinguish- ing the Heat of the burning Spirits, if not to their Flavour; And yet every body who is not depriv'd of his Senses, must know how destructive an Ingredient such Juices would be to the fine Fibres of the Stomach and Bowels. For it is evidently true, even from Experi- ence, that all fermenting Juices, such as these are in a very great Degree, must be highly injurious to the human Constitution; for meeting with Crudities in the Bowels, they must raise a new Struggle or Fermentation there, and so fill up the whole Cavities of the Body, with acrid Fumes and Vapours, which is ex- tremely prejudicial to the Bowels, especially when the Constitution is tender and weak. And in the West-Indies, where the People are forced to drink much Punch, by reason of the Violence of the Heat, and for Want of other proper Liquors there, tho' the Limons and 222 A GUIDE to HEALTH Part II. and Oranges are in full Perfection, yet the Inhabitants are universally afflicted with ner- vous and mortal Dry-Gripes, Cramps, Pal- sies, and Convulsions, which kill them in a few Days, and all intirely owing to this poisonous Mixture, Punch. Notwithstanding what I have advanced against the deliterious † Qualities of Drams and Punch, at least when taken for any Con- stancy, or in any great Quantity, for some Poisons are only so by their Quantity, yet I would not be understood here to discourage the innocent Means of enlivening Conversa- tion, promoting Friendship, comforting the Sorrowful, and raising the drooping Spirits, at proper Times with a chearful Glass of some good wholsome Liquor or other; for the Sober can receive no Prejudice from a mode- rate Use of Liquors: On the Contrary, it will help to invigorate and re-establish the Constitution, especially after the Fatigues of Labour or Study. Neither am I against the taking a proper cordial Dram sometimes, as in an actual Fit of the Colick or Gout in the Stomach; or upon a full Meal of Fish, Pork, &c. when a Glass of good Wine cannot be had. But the Frenzy of being given to the too frequent Use and Excess of Liquors, is abo- minable; for a Sot is the lowest and the most contemptible Character in human Life; and as for the Profligate, the Sensual, and Vo- luptuous, † Poisonous. Ch. VII. thro' the various Stages of Life. 223 luptuous, they are past reclaiming, and there- fore deserve no Advice, at least they will take none. However, I present them here with a short Sketch of the Effects of Drunkenness, to contemplate upon at their Leisure, if they can spare any Time from the bewitching Folly of sotting and drinking. The Effects then of Drunkenness render the Blood inflamed into a Gout, Stone, and Rheumatism, raging Fevers, Pleurisies, Small- Pox, or Measles. 2. The Passions are enraged into Quarrels, Murder, and Blasphemy; the Juices are dry'd up; and the solids scorched and shri- velled. 3. A Resolution of the Nerves, Cramps, and Palsies. 4. Inflation of the Belly and Dropsies. 5. Redness and Rheums, with an Inflamma- tion in the Eyes. 6. Tremblings in the Hands and Joynts, Head-Aches, Quinsies, and Scurvies of all Kinds. 7. Sicknesses at the Stomach, with four Belchings, Reachings and Vomitings. 8. A furious and unmanageable Disposition to Lust, which hurries them to the base and sordid Company of Harlots, and impure Wo- men, by whose Means they most commonly acquire a foul Disease, under which they often labour for the greatest Part of the Remainder of their Lives, in Shame and Tor- ments; 224 A GUIDE to HEALTH Part II. ments; nay some become incurable, and even rot by Piece-meal, before their Dissolution. 9. A Decay of Memory and Understanding, Loss of Credit and Reputation. 10. An Unfitness for Business, or the Dis- patch of the Affairs of Life; and a Readiness of discovering all Secrets. These, with a great many more, are the bitter Fruits of Drunkenness, even in this Life; and in the next, according to the express Words of holy Writ, will be re- warded with everlasting Miseries, as being thereby excluded the Kingdom of Heaven. A short Account of different Wines in gene- ral. As it would be endless to enter into a long Account of the diffe- rent Qualities of all Sorts of Wines, therefore I shall only say in gene- ral, that all the light Wines, of a moderate Strength, due Age, and full Maturity, are much more wholsome for the Constitution, and preferable for Conversation, Cheerfulness, and Digestion, than the rich, hot, strong and heavy Wines: For the light Wines inflame the Juices of the Body less, and go off the Stomach with less Difficulty; they likewise afford longer Time for Conversation and Cheerfulness, with less Danger. Red Port Wine is strong and astringent; but white Port and Spanish Wines are stimu- lating and attenuating. French Wines are lighter, and not so strong as the Portugal and Spanish Wines; which renders them 2 whol- Ch. VII. thro' the various Stages of Life. 225 wholsomer for thin and dry Constitutions. Fine old Rhenish and Moselle Wines are very wholsome, especially the Former, which is exceedingly good for most Constitutions. Strong made Country Wines are prejudicial to all Constitutions, being very windy, heavy, and heady, taken in any considerable Quan- tity; therefore it is surprising the extreme Fondness People of the better Sort in England have run into, for such Liquors; and for no other Reason that can be thought of, than the only one the Vulgar give for drinking Brandy or Gin, that they sooner intoxicate them. The last Thing I have to say concerning Liquors, is, that Wine, and all other strong Liquors, are as hard to digest, and require as much Labour of the concoctive Powers, as solid and strong Food itself; and this is not only evident with respect to Persons of weak Stomachs and Digestion, but also from strong and healthy People, who only drink either water or Small Beer at their Meals, and shall be able to eat and digest almost double the Quantity of what they could, did they drink strong Liquors. Therefore it appears very Plain, that we should always drink very little strong Liquors at our great Meals, otherwise we must certainly impair the Constitution, and load it with various Diseases at last; for such Liquors, by their Heat and Activity, hurry the Food unconcocted into the Habit of the Body, and by that Means lay a Founda- P tion 226 A GUIDE to HEALTH Part II. tion for Fevers, Colicks, and several chronical Distempers. CHAP. VIII. Of different Constitutions, the Diet proper for each. ALthough I have given an Account of Tem- peraments or Constitutions in general in the Begining of Part I. Chapter I. of this Treatise; yet it will be necessary to treat of them in a more peculiar Manner in this Place, that every one may easily know the Nature of his own in particular. And as I have explained the Na- ture and Qualities of Aliment, in the two preceding Chapters, with their good and bad Effects upon human Bodies, it will be like- wise necessary to lay down Rules of Diet pro- per for each Constitution in particular, in this Chapter, by which Means it will not be diffi- cult for any one to observe a sure and easy Method in regard to what may be either use- ful or prejudicial to his own Constitution in particular, in order to preserve Health and prolong Life; or when impair'd, to restore it again, which are the chief Ends of the noble Art of Physick. A general Method as to Diet, without re- gard to particular Constitutions, is absurd. 3 The Ch. VIII. thro' the various Stages of Life. 227 The most common Difference of human Constitutions proceeds either from the solid † Parts, or from the different State of the Fluids, (as I hinted in the first Part of this Book.) From the former, as to their different Degrees of Strength and Tension; for in some Constitutions they are too lax and weak, in others they are too strong and elastick; from the latter, as they consist of Water, Spi- rit, Oil, Salts, and earthy Parts, they differ according to the Redundance of the Whole, or of any of the said Ingredients in particular; and for which Reason they may be justly called either plethorick, sanguine, phlegmatick, saline, oily on fat, earthy or melancholick Con- stitutions. The Fibres of the Solids in a human Body are too weak and lax, when the Cohesion of their Parts is so small, that they may be re- solved or broken by a Force not much greater than what happens commonly in the Body of a healthy Person; and when the Weakness of the Vessels or Organs, proceeding from a too small Cohesion of their constituent Parts, renders them unable to discharge the com- mon Functions of Life, consider'd in a State of Health. And notwithstanding there is a Debility or Weakness of Fibres in Infants, yet it is no P2 Disease, † The Solids of an animal Body are composed of small Fi- bres or Threads, which may be divided into still less; and this Division proceeds so far, as that at last they become so incre- dibly small, as to exceed the Power of Imagination; but Reason tells us that there must be an End at ast. 228 A GUIDE to HEALTH Part II. Disease, because they lengthen by the Influx of the Liquids, which is the Cause of their Growth; but in grown Persons, when their Fibres cannot any more give way or stretch, they must either break or lose their Spring. The common Causes of Weakness of the Fibres are, either a Defect or great Loss of the nutritious Juices; for if there is not a Sufficiency of Blood, the Chyle cannot be ea- sily assimilated to nourish the Fibres. And People who lose great Quantities of Blood daily, by Blood-letting or otherwise, become dropsical; for when a Fibre, which is natu- rally elastick like a Bow, loses its Spring, it is only passive, and consequently useless to the Individual. Likewise Nourishment too glu- tinous or viscid to be subdued by the concoc- tive Powers of Digestion. Also a sedentary and lazy Life; for Motion or Exercise en- creases the Circulation of the Fluids, and of Course an Application of the solid Parts to- gether. People who live healthy in a dry Air, commonly fall into Diseases that depend upon weak and relax'd Fibres when in a moist one. Lastly, a natural Weakness from the Frame and Constitution of the Body, which is too often the Case. The Sign of weak and lax Fibres are, a weak Pulse, Paleness, flabby and soft Flesh, Palpitations of the Heart, Bloated- ness, Lassitude, and scorbutical Spots; Coldness of the Skin, four Belchings upon taking vegetable Food, or foul Eructations, like that of The Signs of weak Fibres. rotten Ch. VIII. thro' the various Stages of Life. 229 rotten Eggs, after eating animal Food, are also Signs of weak Fibres in the Organs of Diges- tion; likewise Atrophy, or a Decay of the Flesh, which indicates a Destruction or Ob- struction of the Vessels that convey the Nou- rishment; and Dropsies proceed from a Weak- ness and Laxity of the Fibres, as having lost their Elasticity or Springiness to return the Fluid. And, in short, most of all the chro- nical Diseases proceed from Weakness and Laxity of the Fibres. Therefore the chief In- tention of Cure must be to restore the Tone of the solid Parts; for all other Attempts, without this, will prove fruitless. So that they who have weak Fibres ought to forbear all great Evacuations, especially Bleeding, viscid Substances, and all other Food hard of Digestion; they Should likewise avoid a sedentary Life and moist Air as much as possible: They should eat often, but in small Quantites, of such Things as are nourishing, and of easy Digestion, as Milk, Broth, and Jellies made of Flesh Meat, Rice Gruel, Pa- nadas, &c. And their Drink should be some of the light Wines of due Age and Maturity, mix'd with Water, for Water alone is too re- axing; or any good Wine with acidulated and Steel Waters, such as Pyrmont or Spaw, &c. They should likewise use in their Diet austere or acid Vegetables, if their Stomachs can tolerably bear them; such as Pears, Plumbs, Quinces, Pomegranates, Barberries, Medlars, Sorrel, Purslain, Burnet, Tama- P3 rinds. 230 A GUIDE to HEALTH Part II. rinds, Limons, Capers, or any other Pickles they like best. The Fibres are too strong and too elastick, when the Cohesion of their Parts is in such a Degree of Rigidity or Stiff- ness as renders them inflexible to the Causes they ought to yield to, so as to pre- serve the Animal in Health; for too great Elasticity is not only a Quality by which they resist against being lengthen'd, but likewise they restore themselves, by that Means, with too great a Force and Pressure upon the moving Fluids, to the Detriment of the Ani- mal. Too strong Fibres. Rigidity of the Vessels or Organs is such a Degree of Cohesion as prevents their being ex- panded so far as is necessary to carry on the vital Functions *, as usual in a true State of Health. And the Rigidity of the Fibres must necessarily produce a Rigidity of the Vessels and Organs, because the Fibres make up their constituent Parts. The Cause of such a State, besides the na- tural Frame and Constitution of the Body, is old Age, in which the Fibres are conspicu- ously rigid and dry; or too long a Course of such Diet as strengthens the Fibres too much; likewise hard Labour or Exercise. Signs. The Signs of such a Constitution are, a hard, dry, hairy, scraggy, and warm * Vital Functions are the muscular Action of the Heath, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions through their pro- per Organs; and also the Veins, Arteries, and Nerves. Ch. VIII. thro' the various Stages of Life. 231 warm Body., without a Disease, with firm and rigid Muscles, a strong Pulse, Activity and Promptness in the animal Actions *; and such Constitutions are most subject to inflam- matory Diseases. Their Diet should be Things contrary to those already mentioned in the State of too great Laxity of the Fibres; that is, of such Things as are emol- lient and cooling, the Pulps, Jellies, Juices, Mucilages, and Decoctions of Vegetables that are softening and relaxing; such as all Pot- herbs of the emollient Kinds, Lettuce, Ci- chory, Spinage, Beets, Carrots, Barley, Rice, Mays, Millet, Pease, and Beans; animal Oils, such as Cream, Butter, Marrow, and all Things which relax or increase Fat, refrain- ing always from Things season'd with Spice, and with as little Salt as possible, for Salt har- dens the Fibres: Their animal Food should be boil'd Meat and Broths without Seasoning, preferable to any other Form: Their Drink should be Water, Barley-water, Milk and Water, or Whey; avoiding all fermented Spirits and austere Wines, and Pickles of all Kinds, all which are extremely hurtful to such Constitutions. Bathing in warm Water The Regimen. P4 often * Are such, as when perform'd, the Understanding con- ceives Ideas of Things united to that Action; or the Will is either concerned in exciting such Actions, or moved by them when excited; such are the Touch, Taste, Smell, Sight, Hearing, Perception, Imagination, Memory, Judgment, Rea- son, Passions of the Mind, and voluntary Motions. 232 A GUIDE to HEALTH Part II. often is beneficial to such, but immoderate Labour or Exercise very injurious. How the Fluids act upon the Solids of a human Body, so far as to cause Diversities of Constitutions and Diseases, is accounted for in the following Pages, in treating of different Constitutions. The Definition. A plethorick Constitution is such as abounds with too great a Quan- tity of laudable and good animal Juices; the Causes of which are strong Organs of Digestion and Chylification, a good Stomach, plenty of nourishing Diet, little Exercise, much Sleep, Laziness or want of muscular Motion, a moist Air, and a Suppres- sion of some of the usual Evacuations, especially that of Perspiration. Therefore the Cure proper for this Constitution, is to avoid the Causes of it, just now mentioned, and use a more sparing Diet, greater Ex- ercise, and proper artificial Evacuations, in order to restore the natural ones; for The Cause. The Cure. This Constitution is subject to a Stoppage of the Circulation, by too great a Weight of Blood upon the Heart; Rupture of the Ves- sels, Suffocation, and sudden Death. But it is to be observed, that long Abstinence is not proper in the Cure of such a Constitution; for in that Case the most fluid Parts of the Blood fly off, and the grosser remain in the Vessels. Likewise frequent Bleedings, in small Quantities, often increases the Disorder, by augmenting the Force of the Organs of Di- gestion. Ch. VIII. thro' the various Stages of Life. 323 gestion, and by that Means promote Fatness. Persons of such a Constitution should al- ways avoid all oily and too nourishing Sub- stances; therefore Vegetables, being less nou- rishing than animal Food, are more proper; and, by the same Rule, to feed upon Fish pre- ferable to that of Flesh-meat. A sanguine is that Constitution is that which abounds with a great deal of good Blood; and the common outward Sign of such a Constitution, is a florid Colour in the Complexion, a Ful- ness and Blueness of the Veins, and a particular fair and lively Colour of the Skin, without Paleness. Those of a sanguine Con- stitution are subject to frequent Bleedings at the Nose and other Parts, and Inflammations of the Lungs, Impostumations, and often to scrophulous or evily Diseases. Definition. Diagnostick Signs. The Blood is the most universal Fluid in the animal Body, from which all the rest of the Juices are derived; for the red Part of it differs from the Serum, the Serum from the Lymph, the Lymph from the nervous Juice, and that from the several other Humours that are separated in the Glands. The red Globules of the Blood are elastick, and one Globule will break into six small ones, and then turn yellow; those yellow Globules break into others less, and so proceed till they become white and transparent at last; for the Vessels which admit the smaller Globules to pass, cannot admit the larger without a Rupture, 234 A GUIDE to HEALTH Part II. Rupture, or some other Disorder. So that as the Blood circulates thro' the smaller Chan- ness, the Redness will disappear more and more. A strong and free Motion of the Blood will occasion a Floridness upon the Skin of such Constitutions; for such a strong Motion will force the red Part of the Blood into more ca- pillary Vessels, Besides, another Cause com- monly concurring is the greater Transparency of the Vessels, occasioned by the Delicacy and Thinness of their Coats, which is evident from the large Veins of sanguineous Constitu- tions appearing blue and transparent, by the Colour of the Blood circulating in them. And if the Vessels are in a State of too great Rigidity, so as to be inflexible, a strong Motion of the Blood will occasion a Rupture of them, with Hæmorrhages; especially in the Lungs, where the Blood is more abun- dant, and the Vessels more delicate: But if the Vessels yield instead of bursting, the Per- son is subject to the Inconveniences of a faulty Circulation; that is, the Blood forces into the Vessels appointed to carry Serum or Lymph, from whence proceed Inflammations and Obstructions. And as the Delicacy and Thinness of the Vessels run through the whole Body, it must affect the Glands and Lympha- ticks, as well as the Blood-vessels; so that such Constitutions must be subject to glandu- lous and evily Tumours, and Ruptures of the Lymphaticks. The Ch. VIII. thro' the various Stages of Life. 235 The Diet of such Constitutions should be cooling and relaxing, with Moderation in the Quantity of all Things, They ought to avoid every Thing that acce- lerates the Motion of the Blood, as violent Exercise and Watching; likewise they ought to abstain from the Use of all Things that a- bound with an acrimonious Salt, as Onions, Garlick, Leeks, Mustard, and the hot Herbs used in Seasoning, and all Spices in general; but Vinegar is exceeding useful to such as will use it constantly with their Food, for it will very much abate their florid Colour. The Regimen. For more particular Directions, as to the Diet proper in this Constitution, I refer the Reader to the Diet prescribed for the Cure of Rigidity and Elasticity of the Fibres, which answers this Intention in every Particular. A saline Constitution of the Fluids in an animal Body; is either acid, alkaline, or muriatick †. A Saline Constitution It has been proved in the foregoing Chapter, that the Juices of a found Animal are nei- ther acid nor alkaline; for all the Solids and Fluids of such, even fed with acescent or acid Substances, yield no Acid; because the vital Force of such Animals converts the acid Sub- stances they take in Food, into soft nutritious animal Liquids of their own Nature. A Cow fed with Daisies, Trefoil, and Sorrel, will give Milk in which there is not the least Aci- dity; but if the vital Force is weak, it is not sufficient † Briny. 236 A GUIDE to HEALTH Part II. sufficient to subdue the Acidity of the Food taken in. Therefore as there is no Acid naturally in a found Animal Body, but what must be ta- ken in by Food; so that if it be not subdued in the Passages of the Chyle, it will get into the Blood; and if there is not a due Quantity of Blood, and a sufficient Strength of Circu- lation to subdue it, it will infect the Fluids, so as to produce various Distempers. The Effects of a Constitution subject to Acidity, are sour Belching, a crav- ing Appetite, Sourness in the Sto- mach, with Pains; Green-sickness, the Case of a great many Girls craving after earthy Substances, such as Clay, Chalk, Meal, Cynders, &c. Colick Pains about the Navel, Dry Gripes, such as those in the West-Indies, chiefly occasioned by too great Quantities of the Acid of Lime-Juice in their Punch, with a great deal of other Acids in their Sea- sonings. The Colicks in Infants proceed from Acidity, and the Air expanding itself in the fermenting Food in the Stomach; the true Signs of which are a sour Smell of the Excre- ments, acid Sweats, Paleness of the Skin, and oftentimes Convulsions, from Acidity passing into the Blood, and affecting the tender Fi- bres of the Brain. Eruptions of the Skin, such as Scurvy and Itchy, and even Leprosies, are produced by feeding much and often upon acid unripe Fruits, and mealy Substances that are acescent. Effects of an acid Consti- tution. The Ch. VIII. thro' the various Stages of Life. 237 The most subject to this Disorder are Chil- dren, by reason of the Weakness of their Fibres and Digestion, and a Milk Diet; like- wise such as lead a sedentary Life; and others again, who eat and drink much Bread and Wine, and acid Vegetables; and lastly. Ar- tificers, who deal much in the Preparations of Acids. As Acidity is not the natural State of the Fluids in an animal Body, but introduc'd into the Habit by Food; so it is to be cur'd by Aliment of a contrary Quality, for which the Reader is referr'd to the Diet proper for acid Acrimony, in the foregoing Chapter, Page 212. All anti-acid Medicines being ineffectual without a proper and continued Diet of the same Nature, here I must observe, that an Abstinence from strong fermented Liquors is absolutely necessary in the Cure of this Dis- order; and likewise that Acidity in the In- fant may be cur'd by a Flesh-Diet in the Nurse. An alkaline Constitution of the Fluids in a human Body is opposite to the former, and abounds with alkaline Salts, the Nature and Quality of which I have explain'd in Note *, Page 165, which see. And tho' no Animal unputrify'd, when burnt, produces any alka- line Salt, yet being putrify'd, it produces a volatile Alkali; so that in a found Animal no true Alkali is found, as I have observ'd A Constitution subject to an alkaline Acri- mony. in 238 A GUIDE to HEALTH Part II. in the preceding Chapter; but when an Ani- mal degenerates from a true State of Health, by such Diseases or Food as increases the At- trition and Heat of the Fluids, the animal Salts that were before mild and benign, now become almost of an alkaline Nature; for found human Blood when first drawn, is so mild as not to make an Eye, or a fresh Wound smart; but let it stand in a Degree of Heat equal to that of a human Body, and it will grow fœtid in three Days time, and produce a volatile rancid Oil, as likewise a volatile alkaline Salt, which will ferment with Acids; so that the Blood in the Vessels, after it has passed thro' almost infinite Degrees of Circu- lation, may come to that State at last, which is the Case in pestilential and malignant Fe- vers, where neither the Strength of Nature or Art can prevail to save the Life of the In- dividual. All animal Substances being de- priv'd of Life, and exposed to the Air, turn presently alkaline of their own Accord, and consequently will soon putrify. Causes. The Causes of such a Constitution are commonly a plentiful and con- stant Use of animal Diet, such as Fish and Flesh, and all Vegetables which abound with an acrimonious Salt, such as Mustard, Onions, Leeks, Spices, and all hot and pungent Anti- scorbuticks, &c. likewise a plentiful Use of Salts in general, for all animal Salts are alka- line; and tho' Rock and Sea-Salts are of a mix'd Nature, yet they increase the Disorder. All Ch. VIII. thro' the various Stages of Life. 239 All Animals that live upon other Animals have their Juices more alkalescent than those that live upon Vegetables, and for this Reason Fishes are more alkalescent than terrestrial A- nimals, for they putrify sooner in the open Air; and no Person is able to support a Diet of Flesh and Water without Acids, such as Salt, Vinegar and Bread, without falling into a putrid Fever. Another Cause of this Distemper is a vigo- rous Action of the Vessels thro' which the Fluids circulate; for which Reason the strong and healthy, and young People, are more in danger by pestilential Fevers, than the weak and old; for violent animal Motion by Attri- tion produces this alkaline State. The Symptoms of such a Constitu- tion in any great Degree, are Heat, Thirst, foul Belchings, Foulness of the Tongue and Palate, a bitter and hot Taste in the Mouth, Sickness, Loathing, bilious Vomi- tings, Stools with a cadaverous Smell, Pains in the Belly. Besides, such a State dissolves the Blood, and disposes it to Putrefaction, hinders Nutrition, for no Chicken can be hatch'd of a rotten Egg; and likewise the Blood turning Acrimonious, corrodes the Vessels, producing Hœmorrhages. Eruptions on the Skin, dark, livid, Lead-colour'd, and of a gangrenous Nature, and likewise a hot Scurvy, and al- most all Distempers of the Inflammatory Kind. Diagnosticks. The 240 A GUIDE to HEALTH Part II. The Diet of such Persons ought to be a plentiful Use of acid Sub- stances, such as much Bread, and Seasoning of Vinegar, and all other Acids without Spi- ces, and live much upon Food made of Grain or mealy Substances; in short, they should live on such a Diet as is describ'd for an alkaline Acrimony in the foregoing Chap- ter. The Regimen. Plethorick Constitutions are apt to fall into this alkaline State of the Fluids, which is more hurtful than that which proceeds from Aci- dity; for the Bile being redundant, is the strongest Anti-acid, and when it is raised to a high Degree, and acrimonious, is sufficient to produce all the terrible Symptoms of ma- lignant and pestilential Fevers, as is mani- festly evident from the Experiments that were made at Marseilles in Time of the Plague; and nothing subdues the Acrimony of the Bile more than the acid Diet already men- tion'd, so that by a timely Use and Applica- tion of such Remedies, many fatal and dan- gerous Diseases might be prevented. A briny State of the Blood. A muriatick or briny State of the Fluids, which is common among Sailors, is commonly introduc'd into the Habit of the Body by too great Quanti- ties of Sea-Salt; and its usual Symptoms are a Salt Taste in the Spittle, Itching, and red Breakings out of the Skin, a lixivial Urine with a fat Substance swimming on the Sur- face of it. The Ch. VIII. thro' the various Stages of Life. 241 The Cure of this Disorder is per- formed by the constant Use of a Diet of fresh and unsalted Things, watery and cooling Liquors acidulated; mealy and emol- lient Substances, with a plentiful Use of acid Fruits; Sower Milk, Butter-Milk, avoiding all Spices, and the hot Antiscorbuticks of the pungent Kind: In a Word, the Diet ordered in the Alkaline Acrimony in the foregoing Chapter is proper in this Case. The Cure. A phlegmatick Constitution is such a State of the Fluids, wherein Phlegm or a cold, viscous watery Humour predomi- nates; and the Causes of it are, commonly viscid Food, such as mealy Substances unfermented, and taken in great Quantities; for the Flower of all Sorts of Grain, mix'd with Water, make a Paste that sticks like Glue, having an Oil in them which causes a Cohesion of their Parts toge- ther; the frequent Use of unripe Fruits; like- wise great Loss, or Want of Blood, which preserves itself and the Food, by constant Motion, from Coagulation; a Weakness and Indigestion in the alimentary Passages, by which the Food is rendered slimy and vis- cous; a Defect, or Want of Bile, which is the principal Resolvent of the Food; and a Stagnation of the Fluids, from a Weakness of the Instruments of Excretion; for if the Phlegm stagnates, it must grow viscid by the Heat of the Body. Definition. The Causes. Q Like- 242 A GUIDE to HEALTH Part II. Likewise Tumours and Inflations of the Belly, with Paleness, are Signs of a phlegma- tick Constitution; as when a Child grows pale, and his Belly swells, which happens to those that are rickety, there must be cer- tainly tough Phlegm in the Intestines, which shuts up the Mouths of the Lacteals, and prevents the Nourishment from getting into the Blood. But no Cause whatever produces a Viscidity in the human Fluids, more than a sedentary Life, and Laziness, and no Reme- dy more effectual than good Labour and Ex- ercise. The Cure. Cold phlegmatick Constitusions ought to use constantly an alka- lescent Diet; likewise well fermented Bread, and fermented Liquors; for Fermentation re- moves the Viscidity of all mealy Substances; and high seasoned Food is proper for them; likewise Spices, Salt, Garlick, Leeks, Onions, Thyme, Rosemary, Savory, Marjoram, Basil, Mustard, and all the hot and pungent Anti- scorbuticks; for all these being highly alka- lescent, exalt the Bile, which is necessary in this Case, whereby the Viscidity of both the Aliments and Fluids of the Body is dissolved. Their animal Food, both Fish and Flesh, should be nourishing, and easy to be digested; their Drink should be good fermented Li- quors, hot mineral Waters, and generous good Wines, such as will put the Blood into a vigorous Motion. But for farther Satisfa- ction herein, see what is said of alkalescent Sub- Ch. VIII. thro' the various Stages of Life. 243 Substances, both animal and vegetable, in the foregoing Chapter. A fat or oily Constitution is so very well known to every one, as to the Symptoms, that it needs no Description, and falls in with the pletho- rick and phlegmatick Constitution already de- scrib'd; it being but one Species or Sort of Cor- pulency, as there is often Bulk without Fat, from a great Quantity of muscular Flesh, which is the Case of robust People; for an Animal in the Course of hard Labour appears to be very little else than Bones, Vessels and muscular Flesh; but let the same Animal remain long at Rest, with tolerable good Food, it will probably double almost its Weight and Bulk, and this additional Surplus is nothing but Fat or Oil. A fat Con- stitution. The common Causes of this Dis- order, besides a particular Family Disposition of the Body are, first, strong Or- gans of the first Digestion, and a Laxity of the Fibres of the circulating Vessels, especi- ally those about the Membrana Carnosa ‡ ; for by the Action of those Fibres of the Vessels upon the Fluids, if they are duly elastick, the oily Parts of the Chyle are intimately mixed with the Blood; but when this Action is not strong enough, and that the Chyle is The Cause. Q2 ex- * The fleshy Membrane, is a fat Sort of a Membrane, in some Parts thick and musculous, in other Parts thin with many Ducts of Fat in it, and covers all the nervous and fleshy Parts of the Body, and is interwoven with an infinite Number of Blood-Vessels. 244 A GUIDE to HEALTH Part II. extremely redundant, then the thicker Oil is never intirely subdued by Circulation, and so turns Fat. 2dly. Great Quantities of oily Nourishment, Milk, Butter, and oily fer- mented Liquors. 3dly, All Things which pro- duce Coldness in the Skin, so as to stop Per- spiration, by which Means the fat or oily Parts are congealed, which Heat dissolves and attenuates; for the Inhabitants of cold and moist Countries are generally fatter than those of warm and dry Climates. But the most common Cause of all is, too great Quantity of Food, and too little Motion or Exercise; that is to say, Gluttony and Laziness, for which a spare Diet and Labour is the best Re- medy. Fat or Oil in all Animals, in due Propor- tion, is very necessary for both the Motion and Nourishment of the Fibres; but too great Abundance of it is very prejudicial to the hu- man Constitution; for it is an Impediment to the Motion of the Joints, rendering them more heavy, by filling the Spaces occupy'd by the Muscles when they contract and swell; it subjects them to all the Distempers depend- ing upon a defective Motion of the Blood; and as the Want of a due Quantity of Motion of the Fluids increases Fat, so the Disease seems to be the Cause of itself. It endangers them in all inflammatory Dis- eases; for a Fever resolves many Things which do not circulate, and among others the Fat, which mixing with the Blood, becomes vola- tile, Ch. VIII. thro' the various Stages of Life. 245 tile, and causes an Acrimony much more dan- gerous than the saline one; for Salts can be dissolved and diluted with Water, but Oils cannot: And it is manifest that Fat is dissolved by Fevers, if we consider the great Loss of it which People undergo in such Dis- eases. But among the many Inconveniencies and other bad Effects of a fat or oily Consti- tution, there is one Advantage to such as arrive at an advanced Age, that they are not subject to a Stricture and Hardness of Fibres, which is the Effect of old Age. As Gluttony and Laziness are, for the most part, the Causes of a fat Constitution, such People ought to eat sparing- ly, sleep little, and use much Exercise; in which the Cure of such a Disorder chiefly consists. The Regimen. Substances which heat moderately, abound- ing with acrid and pungent Salts, are proper in this Case; such as Horse-Radish, Mustard, Garlick, Leeks, Onions, Spices, and all the aromatick Plants us'd in Seasoning; likewise Saffron, all Seeds that expel Wind, Meats well season'd with Salt, Pepper and Vinegar, are all proper to dissolve Fat, and carry it off by Perspiration; but the only Inconveni- ency they have, is, that they create Thirst, whereby great Quantities of Liquids are drank, which increase the Disorder, by diluting and relaxing the Solids too much. They should avoid all oily Nourishment, and use Honey, ripe Garden Fruits of an acid Q3 Taste. 246 A GUIDE to HEALTH Part II. Taste, and the astringent sub-acid Vegetables mentioned in the Cure of a weak and lax State of the Fibres, in the Beginning of this Chapter; for the Fibres of fat People are com- monly too lax. Their Drink should likewise be the same as is there mentioned, to which I refer the Reader. Tea and Coffee are also useful, as they dilute and stimulate moderately; but the frequent Use of oily spirituous Liquors, as Rum, Anniseeds, &c. is extremely hurtful, because they increase Fat; a moist Air is like- wise prejudicial to fat People, by relaxing the Fibres and stopping Perspiration both sensible and insensible. Definition. An earthy Atrabilarian, or melancholy Constitution, is such a State of the Fluids, wherein the spirituous and most fluid Parts of the Blood are dissi- pated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body. Diagnosticks. The Signs of such a State, or a Tendency thereto, are known by Darkness, or Lividness of the Complexion, Leanness, Dryness of the Skin, and a quick penetrating Genius, with a slow Pulse and Respiration; Obstructions of the Belly, and a Difficulty of being purged. The Causes. The Causes of it are all such as expel or evaporate the most volatile and subtile Parts of the Blood, and fix the rest: As great Applications of the Mind to some Ch. VIII. thro' the various Stages of Life. 247 some Objects or other, such as may produce great Joy or Sadness, both which equally ex- pel and dissipate the Spirits; likewise great Exercise or Labour in hot Weather, with un- quenched Thirst; also Food of hard Dige- stion, such as dry'd and salted Fish or Flesh, unripe Fruits, unfermented mealy Substances, or the immoderate Use of spirituous Liquors. The Effects of such a Constitu- tion of the Fluids are Stagnation, Obstructions, Acrimony, Putrefactions, Visci- dity, and an imperfect Secretion of the Gall, a defective Circulation in the Vessels, especi- ally in the lateral Branches appointed for the Separation of the more fluid Parts; hence arise viscid and insufficient Secretions in the Glands: Likewise the Motion of the Blood through the mesenterick and * celiack Arteries being too slow, produce various Disorders in the lower Belly and † hypochondriack Regions; hence Persons are denominated Hypochondria- cal. And the Signs of most of these Disorders of the lower Bowels, arising from too slow a Mo- tion of the Blood through the said Arteries, are, a Sensation of Weight, Anxiety, Repletion, and a bad Digestion, from whence different Sorts of Food acquire such a State in the alimentary The Effects. Q4 Passages, * Arteries in the lower Belly needless to be described in this Place. † Are the two Regions lying on each Side of the Tip or Extremity of the Breast-Bone or Sternum, and those of the Ribs; which contain in one the Liver, and in the other the Spleen. Hence Disorders of those Viscera, especially of the Spleen, are called hypochondriacal Affections. 248 A GUIDE to HEALTH Part II. Passages, as they affect of their own Nature; that is, acid, if the Diet be of acid Vegetables; and alkaline, if of animal Substances, espe- cially Fat, which remains rancid, so as that the Spittle will flame in the Fire sometimes; and all this Indigestion owing to the Inactivity of the Gall, which likewise occasions a Co- stiveness of the Belly, and a Difficulty of be- ing purged. This State of the Fluids will at last affect the tender Vessels of the Brain, by the Visci- dity of the Matter impacted in them, and thereby endanger the Imagination; and like- wise produce Corruption in the Bowels of the lower Belly at last. Hence it is evident, that such a Disorder is not to be removed by active Remedies *, no more than Pitch or Dirt sticking to a Skain of Thread is to be taken away by Violence; but the Viscidity should be gently attenuated, diluted, and carried off gradually, by a pro- per continued Course of Diet, avoiding al- ways all heating Substances, which still eva- porate and dissipate the volatile and fluid Parts more; therefore Waters impregnated with some of the pungent Salts, as that of Nitre, Tartar, &c. are found to be of great Effect in this Disorder. Their * Are such Medicines as produce sudden Alterations in the Body, by their penetrating and stimulating Qualities, acting upon the Fluids or Solids, or upon both, either inwardly ta- ken, or outwardly applied. Ch. VIII. thro' the various Stages of Life. 249 Their Diet should be light, easy of Di- gestion, moistening, and resolvent of the Bile, such as Honey, the Juices of ripe Fruits, emollient Pot-herbs, light Broths of animal Food, Lettuce, Spi- nage, Cichory, and Dandelion; and their Drink ought to be Water, Barley-water, and Whey. For farther Instructions herein, see the Diet directed for the Rigidity of the Fibres in this Chapter, which is likewise very- proper in this Case. The Regimen. One Thing to be observed is, that the Diet ought to be contrary to the particular Acri- mony residing in the Fluids, which might have occasioned the Disorder; for if it pro- ceeds from Acidity, then an animal Diet is altogether proper; if from an alkaline Acri- mony, the contrary Method must be used; which may be easily distinguish'd, by ob- serving what has been already said of acid and alkaline Constitutions, to which I refer the Reader. As there is a continual Dissipation or Waste in all animal Bodies, insensibly; so the fre- quent Repetition of Meat and Drink is ne- cessary, not only for repairing the Fluids and Solids, but likewise for preserving the Fluids from a putrifying alkaline State, which they would acquire by constant Attrition, without being soon and sufficiently diluted with fresh Chyle. Hence it appears, that long Fastings or Abstinence may be the productive Cause of great Distempers, especially in hot and bilious 250 A GUIDE to HEALTH Part II. bilious Constitutions; and very prejudicial to acid Constitutions, occasioned by the uneasy Sensation and Vellication produced in the Stomach. Therefore the Quantity of Food necessary to preserve our Bodies in a due State of Health and Vigour, ought to be divided into Meals at proper Intervals of the natural Day, that the former Food may be digested before any more be taken in, and at such a Distance from Bed-time that our Digestion may be almost finished before we sleep; by which Method neither the Organs of Digestion, nor the Blood- vessels will be overloaded, nor the Fluids too long deprived of a fresh Supply of nutritive Chyle, Hence the grand Secret of Health conists in keeping an Æquilibrium † between the Fluids and Solids; for when the Fluids move so equally, that they do not press upon the Solids with a greater Force than they can bear; and, on the other hand, when the Solids resist and act upon the Fluids so equally, that there is no uneasy Sensation, the Person is then in good Health; and whatever is in our Food or Actions that destroys this Æquilibrium, ei- ther by relaxing or contracting the Solids too much, or by attenuating or rendering the Fluids too viscid or acrimonious, must pro- duce the Effects already mentioned under each of those particular Heads, which see. From † An exact or due Ballance. Ch. VIII. thro' the various Stages of Life. 251 From what has been hitherto said of the Nature and Effects of Aliment, as also of the Nature and Difference of Constitutions in par- ticular, with the Diet proper for each, it will be as easy to determine Rules of Diet in the different natural healthy States, as in the mor- bid or sickly States of human Bodies; there- fore I thought it both useful and necessary to lay down here some general easy Rules, for the Benefit of those who value Health and long Life; but with this Caution, that Re- gard must be always had to the Nature of the Constitution in particular. I. Infancy requires a thin and copious nou- rishing Food, such as lengthens their Fibres, without breaking or hardening them, by rea- son of their Weakness and State of growing; so Milk answers this Intention best. II. The Solidity, Strength, and Quantity of the Food, ought to be in Proportion to the Strength of the Solids, Labour, and Ex- ercise of the Body; for such as labour and exercise much, have their solid Parts stronger and more elastick; therefore they require stronger Food, and more in Quantity, than those that are in their declining Age, or those that lead a sedentary or studious Life. III. Youth being still in the State of Growth, their Diet ought to be emollient and relaxing, plentiful, and without Acri- mony. IV. In the State of Manhood the Diet should be solid, with a sufficient Degree of Viscidity; 252 A GUIDE to HEALTH Part II. Viscidity; and their chief Drink Water, with a Quantity of fermented Liquors at Times, proportioned to their natural Constitutions. V. Ancient People require a Diet resem- bling that of Children, often repeated, and little at a Time, emollient and diluting, with a little Wine sometimes; because in old Age the Fibres harden, many Canals or Vessels are abolish'd, and the Solids grow together; from whence arises Dryness, Weakness, Im- mobility, Debilty of the vital Force of Di- gestion, Loss of Teeth, and Depravation of chewing, which terminate in Death at last. VI. Excess in Meat and Drink is to be avoided; for a little Food well digested and assimilated, preserves the Body stronger and more vigorous, than Superfluity. VII. We should not eat, because the cu- stomary Time for it is come, unless our Ap- petite be so too; for to load the Stomach with a fresh Supply upon a Semi-digestion of the former Meal causes Crudities, and a foul Sto- mach, which must overload the Blood, and thereby produce Diseases. VIII. It is better to eat twice a Day with Moderation, than to make one over-large Meal, tho' one abstains double the usual Time for Compensation; however, if one transgresses at any Meal, let such abstain from the next, or let it be a very slender one. IX. Variety of Meats, and made Dishes, destroy a Multitude of People; for they pro- long Appetite far beyond what Nature requires, and Ch. VIII. thro' the various Stages of Life. 253 and by that Means over-charge the Stomach. Besides, different Meats have different Quali- ties, and some are sooner digested than others; whence arise Crudities, and a depraved Di- gestion: Therefore we ought to avoid Feasts and Banquettings as much as possible; for it is more difficult to refrain from good and deli- cate Cheer when present, than from the De- sire of it when away. X. A temperate Diet preserves from diseases; for such are seldom ill, but when they are, they bear it better, and are sooner recovered. 2dly, It lengthens Life, and mitigates the Agonies of Death. 3dly, It arms the Body against external Accidents, such as Heat, Cold, Labour; and if afflicted with Wounds, Dislocations, or Bruises, they are much sooner and easier cured. 4thly, It maintains the Senses intire and vigorous, and moderates Peoples Passions and Affections. 5thly, preserves the Memory, sharpens the Wit and Understanding, and allays the Heat of Lust. XI. Galen, recommending a temperate diet, says, that those of a weak Constitution from their Mother's Womb, may attain to an extreme old Age, by Help of a sober and moderate coarse Diet; and that too without diminution of Senses or Sickness of Body; and says farther, that tho' he never had a healthy Constitution of Body from his Birth, yet by using a proper Diet after the 27th Year of his Age, he never fell into any Sickness, 2 unless 254 A GUIDE to HEALTH Part II. unless now and then into an Ephemera, that is, one Day's Fever, occasioned by Fatigue or Weariness. And it is very well known, that Galen lived to an hundred Years of Age. XII. In the Winter and Spring we require a greater Quantity of solid Food, and less Drink, than in the Summer and Autumn; because in the cold Season our Stomachs are hottest, and we sleep a great deal more; for as the Cold increases, so our Heat for the most Part recedes to the central Parts of the Body. And the Reason we require less Drink in Winter is, that then our Bodies are moi- ster, like the Seasons; and likewise, that the Cold hinders the watery Vapours to be per- spir'd, and so turn into Humours in the Body. But in Summer what is wanting in Meat or solid Food, may be taken in Drink, and moist cooling Nourishment; for then the Body is dry, and the inward Heat is distri- buted thro' all the Parts thereof, and Perspi- ration is so considerably increased by the ex- ternal Heat, that the watery Vapours or Effluvia are exhal'd and carry'd off thro' the Pores. XIII. The same Rules for eating serve al- so for drinking, the chief Intention of which is to allay Thirst, to moisten and convey the Food in the Stomach, and the Nutriment thereof into the respective Parts of the Body; to dilute the Blood, and dissolve the super- fluous Salts, and carry them off both by Per- spiration and Urine. But for farther Satis- faction Ch. VIII. thro' the various Stages of Life. 255 faction herein, see the Particulars of the Use and Intentions of Drink, in the latter End of the foregoing Chapter. Here I must observe, that moist Food, such as Broths, Pottage, Soop, and boiled Meats, require little Drink, and the solid only a Sufficiency to moisten and convey it into the Stomach, and prevent Obstructions; there- fore they who drink much at Meals, especial- ty strong Liquors, incur a double Inconveni- ency; for first, by causing the Food to float in the Stomach, which ought to reside in the Bottom, they hinder Digestion, and by moistening the upper Orifice thereof too much, by which means it is kept open, it thereby occasions Vapours and Fumes to a- scend and disorder the Head. Secondly, it causes the Aliment to pass too soon out of the Stomach, crude and indigested; whence arise Fluxes in the Bowels, and putrid Cru- dities of the Blood in the Veins and Arteries. XIV. It is very prejudicial to eat or drink too much, or fast too long, or do any thing else that is preternatural; for whoever eats or drinks too much, must be sick, or vitiate his Juices at last. XV. Growing Persons have a great deal of natural Heat; therefore they require a great deal of Nourishment, otherwise the Body will gradually waste. XVI. Hippocrates fays, that a Person can- not be healthy, and digest his Food well without Labour, and that the Quantity and Quality 256 A GUIDE to HEALTH Part II. Quality of Diet must bear a due Proportion to the Labour. XVII. Young, hot, strong, and labouring People, may feed on Meats that afford a hard and gross Juice, such as Beef, Bacon, powder'd Flesh and Fish, hard Cheese, Rye- Bread, and hard Eggs, &c. which may nourish slowly, and be digested by Degrees; for if they did eat things of light Nourish- ment, either their Meat would be too soon digested, or else converted into Choler. XVIII. When a Person is sick or distemper'd, his Meats should be of contrary Qualities to his Disease; for Health itself is but a kind of Temper gotten and preserv'd by a conve- nient Mixture of Contrarieties. XIX. Fat Meats are only good for dry Stomachs; for in sanguine and choleric Sto- machs they are soon corrupted; and in Phleg- matics they procure Looseness, and hinder Retention. XX. Such as are of hot Constitutions, should abstain from violent Exercises, use Bathing in tepid Water, feed upon Mays, Pot-Herbs, and a cooling moist Diet. XXL. The Quantity of Food that Is suf- ficient, the Stomach can perfectly concoct, and answers to the due Nourishment of the Body; hence it is evident, that we may eat a greater Quantity of some Meats than of others of a more hard Digestion. XXII. The Difficulty lies in finding out an exact Measure; but eat for Necessity, and not for Ch. VIII. thro' the various Stages of Life. 257 for Pleasure, for Lust knows not where Ne- cessity ends. XXIII. If a Person is dull and heavy after Meat, it is a Sign he has exceeded the due Measure; for Meat and Drink ought to re- fresh the Body, and make it cheerful, and not to dull or oppress it. XXIV. If we find those ill Symptoms, we are to consider, whether too much Meat or Drink occasions them, or both, then we ought to abate by little and little, till this Inconve- nience is remov'd. XXV. Pass not immediately from an ir- regular Life to a strict; and precise one, but by Degrees; for ill Customs come by Degrees, and are to be wore off gradually; for all sud- den Alterations in Extremes, either of Re- pletion, Evacuation, Heat or Cold, are dan- gerous. XXVI. Acids taken in too great Quanti- ties, especially such as are austere, as unripe Fruits, produce too great a Constriction of the Fibres, and thicken the Fluids; hence Pains, Rheumatism, and Gout, Paleness, Itch, and other Eruptions of the Skin. XXVII. Spices taken in too great Quantities produce Thirst, Dryness, and Heat, quicken the Pulse, and accelerate the Motion of the Blood, and dissipate the Fluids; hence Lean- ness, Pains in the Stomach, Loathings, and Fevers. XXVIII, Strong Liquors, especially distill'd spirits, taken in great Quantities, intoxicate. R contract, 258 A GUIDE to HEALTH Part II. contract, harden, dry, and stimulate the Fibres, and coagulate the Fluids; they like- wise corrode and destroy the inward Coat of the Stomach and Intestines. XXIX. A Diet of viscid Food, such as un- fermented mealy Substances, Peas, Beans, Lentils, &c. creates Flatulency, and Crudi- ties in the Stomach, Obstructions in the small Vessels of the Guts, and in the Mouths of the Lacteals and Glands: Hence Tumours and Hardness of the Belly, Paleness of the Skin, and Viscidity in the Fluids. XXX. An oily Nourishment relaxes the Solids, and particularly the Stomach and In- testines; it creates foul Belchings, Loathings, oily and bitter Vomitings; obstructs the ca- pillary Vessels, by hindering the Entrance of the watery and fluid Part, with which it will not mix; it produces Thirst and Inflamma- tions. CHAP. IX. Of Sleeping and Waking. SLEEP is a Cessation of the external Senses from Action; for, when waking, we walk, talk, move this or that Limb, &c. but in a natural or undisturb'd Sleep, there is 2 no- Ch. IX. thro' the various Stages of Life. 259 nothing of all these Actions; that is, when awake we perform several Motions by the voluntary Contractions of our Muscles; when asleep, those Muscles are only contracted, Whose Action is involuntary, or does it by a Habit, without the Intervention of the Rea- soning Faculty; such are the muscular Actions of the Heart, Breast, Lungs, and Arteries, &c. so that at this Time there is a kind of Re- laxation of the moving Fibres of the several Members of the Body. And this is one great Design of Sleep, to recover their former Force to the Parts overstretch'd by Labour or Motion; for when we compose ourselves to Rest, we must put our Body into that Pos- ture which favours most the particularly Weary'd Limbs. In the next Place it is very evident, that in Sleep there is not only a Rest and a Suspension from acting in most of our bodily Organs, but likewise of our Thinking Faculty too: That is, a Cessation from such Thoughts as, when awake, we are exercised about, which we re- flect upon, and Will to imploy our Mind with. For tho' Dreams are Thoughts, yet they are imperfect and incoherent ones; and are either so faint and languid Representations, as to be consistent with our Sleep, or else, if they be strong and lively, they are the Inter- ruption and Disturbance of it. From whence it will follow, that the Mo- tion of the arterial Fluid must be more se- R2 date 260 A GUIDE to HEALTH Part II. date, even, and regular, in the Time of sleep- ing than waking; for besides the various Al- terations it receives in this latter State, from the several Passions of the Mind, the very Contractions of the Muscles themselves, in the Exercises of the Body, will forward its Course differently and more unequal; where- as in Sleep the Motion of the Heart, Arte- ries and Veins is stronger, slower, more equal, and full; likewise Respiration is deeper, stron- ger, slower, and more equal, by which Means the Blood circulates and digests more commo- diously, and Secretion, Perspiration, and the Distribution of Nourishment are more success- fully carried on; the Humours circulating quicker through the Blood-vessels and the Parts near the Heart, but slower through the Sides of the Body, and the remote Parts, as well as the Muscles. Hence it also comes to pass, that the In- flux of the nervous Fluid into the Organs of the Body, as also its Reflux towards the Brain, is in Sleep either none, or very in- considerable; for it is muscular Action and Sensation that required this Fluid to be thus determined this Way or that, which are in this State hardly any: And yet, by the Arri- val of Blood at the Brain, this Juice will still be separated there, fit to be deriv'd into its Tubes and Canals; so that by this Means there will be a new Production, or a kind of Accumulation or laying up in Store, of Spi- I rits, Ch. IX. thro' the various Stages of Life. 261 rits, in order to perform our animal Func- tions. Thus we may look upon the Time of waking as the Time of wearing out, or the Destruction of the animal Fabrick; and the Time of Sleep, as that in which it is repaired and recruited; not only upon account of what has been just mentioned concerning the ner- vous Fluid, but also with regard to all other Parts of the Body, as well fluid as solid: For Action must necessarily impair the Springs and Organs; and in Motion something is continually abraded or fil'd off from the con- tractile Fibres, which cannot otherwise be restored, than by their being at Rest from Tension. Besides, the regular and steady Course of the Blood, as has been observ'd, in Sleep, is by far more fit and proper for Nu- trition, or an Apposition of Parts to the Ves- sels; which an uneven Hurry of Nourish- ment is more apt to tear off and wash away. The Use and Benefit of Sleep Sleep is occasioned, promoted, and increased by eating and drinking, in removing the Stimulus or painful Sensation of Hunger and Thirst, when the Stomach is empty, or by drinking plentifully, especially of strong Liquors; but some can- not sleep for a long Time when they drink much, because the Spirits are thereby too much heated and enraged. It is also encouraged by much or long con- tinued Labour, the Spirits being too much The Causes of Sleep. R3 dissapted 262 A GUIDE to HEALTH Part II. dissipated and exhausted. In like manner, after the taking of Opium, or other sleepy Things, we are disposed to sleep; because they seize the Spirits by their volatile Oleosity; also a quiet Disposition of Mind; a Body free from Motion, and unaffected by external Objects; by Excess of Heat, Cold, or Care; and by all such Causes as hinder the Protru- sion or Impulse of the Blood into the glandu- lous Part of the Brain, or its Passage through its Vessels, and the necessary Separation of Spirits, and the Derivation of them into the Nerves, being the Organs of Sensation, and the Muscles serving to voluntary Motion; and the Reflux of them towards the Sensorium Commune †. Sleep is hindered by a continual Mixture of Water, or hot Liquors, with the Blood, or any sharp Thing that vellicates or twinges the Nerves of the Brain; also by violent Pas- sions of the Mind, or the Brain's being di- sturbed by any internal or external Cause. Therefore it appears from what has been said, that Sleep is such a State of the Brain, wherein the Nerves do not receive from it so large or so strong an Influx of Spirits, as is required for the Organs of Sense and volun- tary Motions to perform their Actions with Ease and Quickness. The † The Seat of Common Sense, is-in that Part of the Brain, in which the Nerves, from the Organs of all the Senses, are terminated, which is in the Beginning of the Medulla Oblon- gata, and not in the Glandula Pinealis, as Des Cartes and o- thers would erroneously have it. Ch. IX. thro' the various Stages of Life. 263 The most immediate Cause here- of is perhaps the Defect of a subtile Spirit, which requires a long Time to prepare it, and being now spent and ex- hausted; so that the finest Vessels being emp- tied and flagg'd, for a Time fall together; or there is too great a Flux of thicker Blood im- pell'd to the Cortex of the Brain, so that the Medullary Part is compress'd, and the Motion of the Spirits hindered; therefore the natu- ral Cause of Sleep is every thing that may produce these two Particulars. The natural Cause of Sleep Therefore if we consider the Na- ture, Necessities, and Advantages of Sleep, already mentioned, we may easily perceive how too much Watching will deprive the Solids of that due Supply of Spi- rits so absolutely necessary to enable them to perform their several Functions; and that for want of a good Digestion Perspiration will be very much obstructed, which must render the Body dull and heavier; for, according to Sanctorius, “ interrupted and unquiet Sleep “ lessens the Quantity usually thrown off by “ Perspiration about a third Part:” * And likewise, “ whatsoever hinders Sleep, hinders “ also the Perspiration of that digested Matter, “ which ought to exhale;” § because interrupted Sleep keeps the Fibres in that Degree of Ten- sion, which is not suitable to forward the Juices to the Extremities, and let the Matter of Per- spiration go off by the Pores of the Skin: The Effects of too much Watching R4 For * Aph. 5. Sect. iv. § Aph. 8. Sect. iv. 264 A GUIDE to HEALTH Part II. For whatsoever hinders that easy Relaxation necessary for found Sleep, must likewise hin- der Perspiration; so that full, heavy, and luxurious late Suppers must hinder it; be- cause such a Load in the Stomach will keep the Fibres upon the stretch, and conse- quently our Sleep will be uneasy and inter- rupted, until that be removed. It is therefore very certain, that according as our alimentary Organs are easy, quiet, and not overloaden with Food, our Sleep is found, sweet, and refreshing; for if any Per- son not labouring under a Disease, is restless in his Sleepy it must arise from his Stomach's being overcharg'd with indigested Food, or Crudities not carry'd off by proper Exercise; or his Intestines are filled with Wind, Choler, or superfluous Chyle: and the restless Nights which are generally ascrib'd to Vapours, are entirely owing to the said Causes. There- fore all those that would preserve their Health, and lengthen out their Days, ought to avoid large and late Meat-Suppers; especially the sedentary, studious, and such as have little or no Labour or Exercise, should eat very light or no Supper; if any, it ought to consist of some vegetable Food; neither ought they to go soon to Bed after any Sup- per whatever. And such People in general should give Attention to this Aphorism of the Schola Salernitana, Somnus Ch. IX. thro' the various Stages of Life. 265 Somnus ut sit levis, sit tibi cœna brevis: Viz. That your Sleep may be sweet, let your Supper be light. Immoderate Watching and want of Sleep, produces Diseases of the Head, corrupts the Temperature of the Brain, causes sometimes Madness, inflames the Humours, generates and excites a saline Acrimony in the Blood and Juices; hence arise cutaneous Eruptions of different sorts; likewise the want of mo- derate Sleep occasions bad Digestion, fills the Stomach with Crudities, and dissipates the Spirits, by which means a thorough Waste and Decay of both the Solids and Fluids suc- ceed at last. Sanctorius observes, that * “ They who “ sleep well and do not dream, perspire “ well; and on the contrary, they who “ dream much perspire less.” Because dream- ing is a State between sleeping and waking, therein, altho' the Mind does not exercise such a Power over the Body, as to direct its Motions in the same Degree as when awake, yet by its Attention to those confused Ideas which pass thro' it, the Solids are kept in some Degree of Contraction, greater than is agreeable with found Sleep; and therefore Perspiration, which depends upon a settled Relaxation, cannot be perform'd so well at such times, as when in quiet and profound Sleep * Aph. 27. Sect. IV. 266 A GUIDE to HEALTH Part II. Sleep, neither have they that Refreshment, Lightness and Agility, which spreads all over the Body, and principally the Brain, as those who sleep quietly without dreaming. The Effects of too much Sleep. Long and superfluous Sleep is very pernicious to both the Mind and the Body; for it chills the Body, weakens the natural Heat, breeds phlegmatic Humours, and fills it with Crudi- ties; whence arise much Sloth and Lazi- ness, the Parent of many Diseases; it like- wise fixes the Spirits, and renders them flug- gish and stupid; it dulls the Understanding, hardens the Excrements, and makes the Body costive, which is frequently the Cause of va- rious Distempers. In short, superfluous Sleep is neither good for the Body nor the Mind, nor for Business; for he who sleeps too much is but half a Man, Sleep rendering him in all Points like a dead Man, except his Digestion and the Pulsation of his Arteries; for he nei- ther sees, hears, speaks, or understands, and is absolutely depriv'd of all Reason, which for the Time is a perfect Death. Besides, too much Sleep occasions in both found and firm Bodies a Shortness of Breath, and is a constant Fore- runner and Disposition to an Apoplexy, Le- thargy, Palsey, and Numbness, by hindering the seasonable Evacuations of the Excrements, causing them to remain too long in the Body. Sanctorius is very clear on this Head, and says, * in one of his Aphorisms, “ By too “ much * Aph. 50. Sect. IV. Ch. IX. thro' the various Stages of Life. 267 “ much Sleep both the inward and outward “ Parts grow cold, the Humours are obstru- “ cted and render'd unperspirable, and the “ whole Body heavier.” So that by the very same means by which moderate Sleep is serviceable and necessary, too much of it proves injurious; because too much Relaxa- tion overcharges the Nerves with too thick and too great a Quantity of Juices, which instead of rendering them fitter for Motion, clogs them, and makes them less capable of recovering their Springs afterward; so that when once the Solids fail, the Fluids of course slacken in their Motions, by which means the natural Heat decays, and the Flesh grows cold, and they themselves be- come also more fizy or gluey; for which Reason they suffer less to pass off thro' the Pores by insensible Perspiration, or otherwise, and consequently the Body is render'd heavier. Sleep in the Day time, or after Dinner, is not to be allow'd, unless a Person has ac- custom'd himself to it, or has not rested Well the Night before, or if he perceives a kind of Lassitude or Weariness in his Limbs; in such Cases, I say, one may sleep an Hour, or half an Hour after Dinner, and even it is slow Digestion; for according to Sanctorius *, “ An Hour's Sleep at Noon after a Meal, “ sometimes occasions the Body insensibly to “ perspire a Pound, and sometimes half a “ Pound: * Aph. 37. Sect. IV. 268 A GUIDE to HEALTH Part II. “ Pound: a Pound when any of the per- “ spirable Matter of the former Day has “ been retain'd; when not, but half a Pound.” This is recommended as a most excellent Re- medy in weak People for imperfect Digestion, and there is a great deal of Reason why it should be of Service; because such an addi- tional Help every Day, may compensate for the Deficiencies of the last Night's Perspi- ration; but they must not be too free with this Practice, who are inclin'd to grow fat or phlegmatick. For according to the same Au- thor *, “ Immoderate Sleep after Dinner in- “ jures all the Bowels, and obstructs Perspi- “ ration.” So that altho' a little Sleep at such Times, and in the Cases above-mention'd, upon a full Stomach may be of Service, by perspi- ring what did not sufficiently pass off the Night before; yet if it be continued too long, there will such a Quantity of indigested Mat- ter follow, as will be too gross to pass, and consequently stop up the excretory Ducts of the Body, and thereby occasion very conside- rable Disorders. The ordinary Time allow'd for Sleep is seven Hours; for that Time seems sufficient for perfecting Digestion, and recruiting the Spirits; but some require more Sleep, and some less: So Children, antient People, Cho- lerick and dry Constitutions require more, be- cause it moistens and restores the Spirits; but fat * Aph. 66. Sect. IV. Ch. IX. thro' the various Stages of Life. 269 fat and phlegmatick Constitutions of all People should sleep the least, for Reasons already given. As nothing seems more directly pointed out to us by Nature, than the Day for Exercise and Labour, and the Night for Rest; so the fittest Time for Sleeping † is about four Hours after Supper, for then the Stomach is not loaded with Food, the first Concoction being then perfected, and by this Time the Chyle has got into the Blood; so that such a a quiet and relaxed State as Sleep produces, is most necessary to both Nutrition and Per- spiration: and the fittest Time for that Pur- pose is in the Night; because the Damps, Vapours, and Exhalations, which are rare- fy'd by the Heat of the Sun in the Day-time, are now condensed, and fall down upon the Surface of the Earth again, which must ob- struct the Pores of the Body, and consequent- iy hinder Perspiration, if exposed to such Damps by Night-watchings, or unseasonable Sittings-up; and this is one of the principal Causes of various Diseases, both acute and chronical, which soon break and shatter the Constitution, shorten Life, and beget a de- crepid Age; so that Watching by Night, and sleeping by Day, is of the most pernicious Consequence to Health and long Life, and plainly contrary to the Indications or Dictates of Nature, and the Constitutions of our Body. Therefore † This is conformable to Aph. 28. Sect. IV. of Sanctorius. 270 A GUIDE to HEALTH Part II. Therefore all those who value Health and long Life, ought carefully to avoid Night Damps and Dews, and unseasonable Watch- ing or Sitting-up, but go to Bed by eight, nine, or ten, and rise betimes in the Morn- ing, that is, by five or six; for according to the old Proverb, Surgere diluculo saluberri- mum est; that is, To rise betimes is most con- ducive to Health. The following Rules ought to be carefully observ'd in regard to the Position or Posture of our lying in Bed. In the first Place, we should never lie too close or too warm, which may obstruct the Fumes and Vapours neces- sary to be exhal'd from the Body; and we should always lie with our Heads a little raised, to prevent the Food from rising from the Bottom of the Stomach, to its upper Orifice. Secondly, We should never sleep upon our Back; because thereby we prevent the usual Excrements of the Brain, which are dis- charg'd by the Nose and Mouth, from fall- ing upon the Windpipe and Back-bone; but if we sleep upon our Back, we over-heat the Reins, by being pressed between the Inte- stines and the Bed, and thereby oftentimes produce Stone and Gravel, and send many Fumes and Vapours to the Head. Thirdly, It is necessary to take our first Sleep upon our right Side, to prevent the Liver's pressing the Stomach, then replenish'd with the Food we took in at Supper, which must Ch. IX. thro' the various Stages of Life. 271 must happen if we lie on the left Side. Be- sides, by sleeping first on the right Side, what is concocted of the Food descends gradually and easily out of the lower Orifice of the Stomach into the Intestines, and then the Liver comes underneath it, and is instead of a Chasing-Dish to it, which promotes Di- gestion very much. After this, we should turn to the left, that thereby the Steams and Vapours retain'd on the right Side may ex- hale. And lastly, when we go to Rest, we ought not to stretch our Joints, but rather bend them a little; for as * Galen observes, The Ease of the Muscles consists in a mode- rate Contraction. CHAP. X. Of MOTION and REST. BY Motion, I mean here Exercise and Labour, as Walking, Riding, Running, playing at Ball, &c. They encrease natural Heat and consume the Crudities of the Body; for it is very certain, that all Sorts of Ali- ment tho' never so pure, have yet always something in them unlike our Nature, which can never be assimilated to either our Juices or Substance; so that some Excrement must always * Galenus, lib. 1. de motu Musculari. 272 A GUIDE to HEALTH Part II. always then remain in every Concoction, which being retained in the Body, may pro- duce a Multitude of various Diseases: But the grossest Excrements are discharged by a sensible Evacuation, and the most subtile are insensibly dissipated and resolved by Exercise or Labour. This made the divine Hippocrates very justly say, in his Book of Diet, that “ One “ cannot preserve Health, except he joins “ Exercise with his Diet; for the one repairs “ what is lost, and the other dissipates what “ is superfluous.” Hence moderate and re- gular Exercise prevents Repletion, which is often the Parent of many Diseases; by en- creasing the natural Heat, it keeps all the Ca- nals of the Body open, and free from Ob- structions; it renders the Body supple; pre- pares and disposes all the Superfluities for both Secretion and Excretion, as well in general as in particular; it likewise fortifies the Nerves, and strengthens all the Joints which is con- firm'd by the great Hippocrates, in his Epi- demicks, saying that, “ As Sleep is proper for “ the Bowels, so is Exercise for strengthen- “ ing the Joints.” Celsus also tells us, that “ Idleness makes the Body dull and heavy, “ but Labour strengthens and renders it firm “ and active; Laziness makes us soon grow “ old, but Exercise preserves Youth a long “ Time †.” To † Lib. I. Caput I. Ch. X. thro' the various Stages of Life. 273 To prove the Necessity of Motion or Exer- cise, for the Preservation of Health and long Life, it will be necessary to observe, that a human Body, as it comes under the Conside- ration of a Physician, is merely a Machine. Considering it therefore in this Manner, it is divided into Solids and Fluids; the Solids are vascular, and have continually propell'd thro' them some Liquor or other necessary for the Purposes and Support of the Machine: And these circulating Fluids are of different Kinds, arising from the different Agitations and Ve- locities impress'd upon them by the Vessels which circulate them. But in this View they have a necessary De- pendence upon each other; for as the Disten- sion and Power of Restitution in the Vessels, is owing to their being duly moisten'd by some convenient Fluid, separated and dispensed to them from the Blood, which is the common Promptuary of all the animal Juices; so likewise that due Constitution of the Blood, which fits it for yielding some of its Parts for that Use, depends upon its certain Degrees of fluidity, which are always as the Contraction of its circulating Vessels: But yet even in this the Solids have the principal Share; be- cause, as that Power by which the Blood is Preserv'd in a due Crasis or Constitution is de- rived from itself, that is, of beflowing upon the Solids a Juice necessary for the Preserva- tion of their Springs, yet that Constitution enabling it to afford such a Power, being pri- S marily 274 A GUIDE to HEALTH Part II. marily derived from the Actions of the Solid upon it, the chief Spring or Rise of Motion is in the Solids. To know therefore the most ready Ways of altering the Constitution of the Fluids, is to find out the most convenient and effectual Means of influencing the Contractions of their Vessels; but this cannot be done, without knowing first upon what Texture and Me- chanism of Parts their Powers of Contraction and Distension depend. And in order to come to any Certainty of this Matter, we are to consider, that it is very well known, that any Membrane or Ves- sel may be separated or divided into very small Fibres and Threads, when just taken out of the Body, and that these Threads may be drawn out a considerable Length beyond what is natural to them without breaking, and that when such external Force which so distended them is removed, they will again, by their Elasticity, restore themselves to their former Dimensions. And it is farther like- wise known, that these Properties of Disten- sion and Contraction are preserved in them by a convenient Moisture; because, if one of these Threads be dried, it will immediately lose it, so that upon the Application of any Force to stretch it, it will break; as also its being soak'd too much in Liquor will render it flaccid; as likewise destroy its Elasticity or Power of Restitution when distended. But Ch. X. thro' the various Stages of Life. 275 But what is exactly the constituent Tex- ture, or what are perfectly the Shapes and Arrangement of those Parts which compose an animal Fibre, is scarce possible to be justly determined; because they are too fine to be perceived by the naked Eye, or even by the Help of the best Microscopes when very mi- nutely divided; which Division proceeds so far at last, that the component Fibrillœ be- come so incredibly small, as to exceed the Power of Imagination; but Reason con- vinces us that there must be an End. However, as to the present Enquiry con- cerning the Effects of Motion or Exercise on the Solids and Fluids of a human Body, it will be sufficient, with what has been al- ready said, that it is known to a Demonstra- sion, that all the Fibres in a living Body are in a State of Distension; that is, they are drawn out into a greater Length than they would be in, if separated from any Part, and taken out of the Body; which is easily de- monstrated, by cutting transverse, or dividing of a Nerve or Artery, which are intirely a Composition of the Threads we are now speaking of; for immediately we see the di- vided Parts run up and leave a great Distance between them, as in Wounds, and the Fluids contained in them upon such Contraction, to be so squeez'd out; and this also makes it ap- pear, that their natural Distension is owing to some Fluid being propell'd into the Vessels which they compose, with a greater Force S2 than 276 A GUIDE to HEALTH Part II. than their Endeavours of Restitution, so far as to obtain a close Contact of all their transverse Surfaces, but yet lesser than that which is necessary to distend them, so far as to bring them to Coincidence, for in such a Case the Vessels would break. In the next Place then, this State of Di- stension of the Fibres must necessarily leave some little Vacuities or Interstices between all their transverse Surfaces, which Vacuities will continue as long as the longitudinal Sur- faces of their component Parts continue so close to one another, as to prevent the En- trance of any foreign Matter between, how subtile soever, for the same Reason as when the Embolus of a Syringe is drawn, and the Pipe is stopp'd, there must needs be a conti- nual nisus restituendi, or an Endeavour of Contraction. There is also a farther Necessity of being supported in such a State of Disten- sion; because, if they were closely in Contact with each other in all Parts, they could not be put into, and continue in those undulatory Motions, which they are always in, in a living Body, without being very much al- ter'd both in their Figures and Contextures. But it being manifest that all the animal Fibres are continued by the perpetual succes- sive Impulse of the Fluids, in such undulatory Motions; besides this Necessity of their being distended, they also must be continually moi- sten'd with some convenient Fluid, otherwise their continual Attritions against one another would Ch. X. thro' the various Stages of Life. 277 would soon wear out, and render it difficult to move them. The Fluid likewise suited for this Purpose must be very fine and subtile, because other- wise it cannot be insinuated into all the In- terstices the Fibres, without separating their Parts so far as is inconsistent with the Contexture and Mechanism of a Fibre, al- ready described; and the Parts also of this Fluid must not only be very subtile, but like- wise soft and yielding, whereby the Motions of the Particles against one another may be Maintained the better; and also as by a Ce- ment, that they may be prevented in their receding from each other in their longitudinal Surfaces, so far as to admit of no foreign Matter to insinuate itself between their trans- verse Surfaces, in such Quantities as to hinder their Re-union when Occasion may require it. From what has been said it will appear, that the most natural Consequence of Mo- tion, will be the breaking still smaller and smaller the component Particles of that Fluid, which is dispensed to the Fibres to lubricate and facilitate their Motions; which Commi- nution will be continued till it is rendered so fine, as to fly off at last at the Surface of the Body, being of no farther Use to Nature, whenever it happens to get there, and by that Means must be there continually made a Waste of, and that merely by such an Attrition of the Parts, as necessarily arises from their due S3 Dis- 278 A GUIDE to HEALTH Part II. Discharge of the vital Functions; and that Matter, which thus insensibly flies off, is the true Matter of insensible Perspiration, the Exhalation of which is absolutely necessary for the Preservation of Health and long Life. But this Waste makes it necessary that there be a continual Supply of what is lost; and this is made from what is taken in by the Stomach, which, after divers Digestions and Alterations, at last is mixed with the Blood, and there fitted for some of the finest Parts to pass through the Glands constituted for that Purpose in the Brain, which from thence are dispens'd through the whole ner- vous System, in such a Manner, as constantly to keep up a due Supply of this animal Fluid. Yet there is another Way by which the Fibres receive fresh Supplies, and that a much nearer; for, according to their natural Con- structures, it is very likely that even in the Stomach, and throughout the whole Passage of the Food into the Blood, the most subtile Parts of what is taken in, which are soon se- parated from the rest, and ready fitted for this Use, may, when they chance to strike against any of the Interstices of a Fibre, be laid hold on, and by Degrees convey'd into the Substance of the Thread; for it is certain the most subtile Part of the Chyle passes imme- diately into the Blood by the absorbent Ves- sels Ch. X. thro' the various Stages of Life. 279 sels * of the Intestines, as I have observed in another Place, which discharge themselves into to the Mesaraick Veins †, and from thence are convey'd directly into the Liver and Spleen. Besides, this is farther supported by com- mon Experience, by which it is evident, that the Solids are invigorated with fresh Recruits of Spirits, immediately upon taking into the Stomach such Meats and Drinks as are spiri- tuous, and contain in their Composition plenty of Particles very fine and active, and easily to be divided from the rest: And thus every one, Upon eating a good Meal, or upon drinking of any spirituous Liquor, especially if it be after long fasting, or a large Expence by hard La- bour or Exercise, finds himself immediately, as soon as it is in his Stomach, raised with new Spirit and Vigour; which could by no Means happen, were the Solids to obtain these Re- cruits altogether from the Chyle's passing through the Lacteals to the Thoracick Duct, S4 and * Are Vessels which suck in. † They are Branches of the Vena Portœ, interspersed in great Numbers in and upon the Laminœ of the Mesentery, which is a membranous Part in the lower Belly, to which the Guts are connected, and they carry the Blood back to the Liver: Their Largeness and Number demonstrate what in said above; for they are numerous and vastly larger than their correspondent Arteries; besides, wherever there are Emissaries, which are little Vessels which throw out a Liquid, there are likewise absorbent Vessels; for Example, in the Skin, by the absorbent Vessels of which Mercury will pass into the Blood. Moreover Birds, which have strong and large Breasts, small Bellies, and their Ribs upon their Backs, have no Lacteals nor Thoracick Duct, and their Aliment passes immediately into the Mesaraick Veins, by which Means they receive their Nourishment intirely. 280 A GUIDE to HEALTH Part II. and thence into the Blood; because it is im- possible that what a Person finds himself so soon recruited by, should in so short a Time have gone through the usual Digestions and Cir- culations, which require some Hours for that Purpose, according to Sanctorius, and a great many Authors of undoubted Authority. Upon a View of what has been said, with what ease may be explained, how the Body, by moderate Exercise, is rendered lighter up- on a twofold Account! Because, in the first Place, there is occasion'd by it a Substraction of its absolute Weight, as it assists Digestion, and by breaking the Matter to be perspired finer; secondly, it promotes the Discharge of that Matter through the Pores; and because by the Vibration of the Solids, at the same Time, there is a larger Quantity of fresh Spi- rits taken up by them from the circulating Blood, both by the Secretion made of them in the Brain, and in the Manner they are convey'd by the absorbent Vessels just now explained, whereby the Fibres become more invigorated, and so much the more able to carry on a due Discharge of all the vital Functions, inso- much that the Body will not have the Sense or Perception of so much absolute Weight as before. Moreover, the Muscles and Ligaments are cleared of their Excrements by Exercise; that is, whatever superfluous Particles of the digested perspirable Matter may adhere to them, is by Motion dislodg'd and shook of: And Ch. X. thro' the various Stages of Life. 281 And the Spirits are rendered finer; that is, such Parts of the nervous Fluid as are just re- ceived by the Fibres, are by the Actions of their component Threads broke smaller, and tendered fitter for the Purposes of the whole Body. Upon this View likewise it will be easy to account for some Disorders this Fluid is likely to fall into, or how it is most liable to be di- stemper'd; which is very plain, that it must be either by becoming too gross and sizy, or too fine or exhalable. The first may be occasioned by a want of sufficient Agitation or Motion in the Solids, whereby its Parts attract each other, and form viscid Cohesions, in the same Manner as it happens in the Blood in the same Case, which renders the Motions of the constituent Threads of the Fibres very difficult and troublesome, and sometimes so obstructs or blocks up those little Vacuities or Interstices between their transverse Surfaces, which are necessary for the Support of their Elasticity, as to prevent, in a great Measure at least, their Power of Resti- tution when they are distended; as happens in a Leucophlegmatia, Anasarca, and such like Disorders, where the Springs of the Fibres are so much destroy'd, that by any small Pressure upon a Muscle, the Impression will sometimes remain a long Time before their constituent Threads can recover their natural Dimensions; or, as it is commonly express'd, the Part will pit. The 282 A GUIDE to HEALTH Part II. The other Disorder of this Fluid, oppo- site to the former, is, its being broke too fine; which will render it so exhalable as to fly off in greater Quantities than the concoctive Power in the Stomach is able to recruit or supply; and this is often brought about by too violent Exercise, too large Evacuations, or drinking too great Plenty of spirituous and hot Liquors, whereby the Constitution of the Blood is so far weaken'd, as not to give due Resistance to the Constractions of the Vessels which circulate the Juices, whereupon they vibrate quicker, and break the nervous Juice too fine; which brings on a Hectick, and Death, if not timely remedied. As to the first of these Disorders, it is evi- dent that it is to be remedied by giving brisker Motions to the Solids, and encreasing the Vi- brations of the contractile Vessels, in which how far Exercise may be useful, is evident from what has been said already; for every Thing which acts as a Stimulus comes under this Head; and their Efficacy is chiefly to be determined by their greater or lesser Power of stimulating, shaking, and contracting the Fi- bres, which Exercise rightly pursued produces more efficaciously, and with less Danger, than any other Method whatsoever. For by such Means the component Threads of the Fibres are so put in Motion, as to loosen such Parts of the animal Oil, as are obstructed in their Interstices, and by Degrees break them small enough for Expulsion; and a fresh Ch. X. thro' the various Stages of Life 283 a fresh Stock of such Spirits will be supply'd, as will restore them to their natural Springs. As to the latter Disorder, it is to be re- moved by a Diet that agglutinates, and gives a greater or stronger Consistence to all the Fluids, and by all such Means as check the in- ordinate Motions of the Solids. So that upon the Whole it is evident, that to keep from ei- ther of these Extremes, Care is to be taken to maintain a just Ballance between the elastick Force of the Solids and the Resistances of the circulating Fluids, in which true Health con- sists; because, if the Equilibrium is lost on either Side, the Body cannot but fall into some Distemper; and in this consists the whole Art and Business of a rational Practice, to know when to add to, or substract from, the Resistances of the Fluids, and when to check or spur the Motions of the Solids; as also to be well acquainted with the various Methods by which all these Intentions may be brought about. And here I cannot omit just taking Notice, how wonderfully the Effects of Musick in some extraordinary Cases are hereby account- ed for; and tho' Musick, strictly speaking, may not be deem'd Exercise, unless it be so to those who exercise it themselves; yet it will manifestly appear otherwise, if we consider, that according to the Nature and Contexture of an animal Fibre or Thread, it is very plain that the least Stroke imaginable upon it, must move its component Fibrillœ in all their 284 A GUIDE to HEALTH Part II. their Parts; therefore every Wave or Undula- tion of the Air, which is made by a musical Instrument, gives the Fibres of the whole Body more or less correspondent Concussions, according to their Degrees of Tension, where- by all the component Fibrillœ are successively moved from one to another throughout the whole Thread; and consequently the Spirits are not only raised and made finer, but like- wise the other animal Fluids are also more briskly agitated, and their preternatural Co- hesions and Viscidities destroyed: All which plainly prove, that Musick is not only good Exercise for the Mind, but likewise very use- ful for the Body, by the agreeable Concus- sions and Thrillings we sensibly perceive from it in all the fleshy Fibres of the Body. Hence Musick has this Advantage above any other Exercise, that those Concussions made upon the Fibres thereby are short, quick, and easy, whereupon the nervous Fluid is not only more briskly agitated, but also the natural Contexture of all the animal Threads are better preserved, being never o- verstrained hereby, as they frequently are with other Exercises: Therefore upon this View the extraordinary Effects of Musick in several Diseases, as that of the Bite of a ta- rantula *, &c. ceases to be a Wonder, and it * Among all the wonderful Effects ascrib'd to the Power of Musick, none is more surprising and important than that of curing the venomous Bite of the Italian Spider, called the Tarantula. The Part bitten is soon affected with a very acute Pain, Ch. X. thro' the various Stages of Life. 285 it rather comes to be admired that it is not much more brought into Use here for the Be- nefit of valetudinary and weakly Constitu- tions, as it is in Italy and other Countries, and that even by the Direction of their Phy- sicians. What has been said farther explains that common Effect of Exercise, in its giving al- ways, conformable to Hippocrates's Opinion, a greater Firmness and Strength to the Solids; for the more a Fibre is kept in Action, the clearer it will keep its component Parts from the Lodgement and Adhesion of any foreign and superfluous Matter upon them, by which Means whenever it is distended or stretch'd, there will be the more Room for each Par- ticle to draw up again, and consequently its Return will be with greater Force; but the Exercise which produces this Effect, is such only as does not exceed the Powers of the Con- Pain, and a few Hours after with Numbness; upon which ensues a profound Sadness, and a Difficulty of Respiration; the Pulse grows weak, the Sight is disturbed, and the Person loses Knowledge, Sense, and Motion. The Doctor is in vain con- sulted; the Musician here alone performs the Cure; he tries a Variety of Airs, and when he happens to hit on that Har- mony that accords with the Patient, he begins to move by Degrees, and keeps Time with his Fingers, Arms, Legs, and Body; then he raises himself up and dances, increasing in Strength and Activity. This dancing Fit continues six Hours, or a Day, or sometimes two Days. When the Musick ceases, the Person gives over dancing, and is put to Bed. And this Process is repeated till the Patient is recovered, which is by little and little; and every sick Person has a particular Tune or Air, and always a very brisk or sprightly one. See Der- ham's Physico-Theology, Book IV. Chap. iii. and Malcolm's Musick, Chap. xiv. Sect. 3. &c. 286 A GUIDE to HEALTH Part II. Constitution; for too much Exercise destroys the Solids, by consuming the Fluids too much. But on the contrary, by too much Rest and Inactivity every Part will lose its Strength, and the less it is mov'd, be still render'd less able for Motion. And upon this Account it is that we see daily such a very great Diffe- rence between active and stirring Persons, and such whose Circumstances of Life in- ures them to Labour and Exercise, and those whose Inclinations and Condition indulge them in Ease and Inactivity; for the for- mer are strong, hardy, and healthful, but the latter tender, weakly, and diseas'd. From the Doctrine of this Chapter, it is manifest to a Demonstration, that there is an absolute Necessity for Labour and Exer- cise, to preserve the Body any time in a due State to maintain Health, and prolong Life: For let whatever Diet be pursued, though never so well adjusted both in Quantity and Quality, and let whatever Evacuations be used to lessen the Disorder, or any Succeda- neum or Equivalent be proposed to prevent the ill Effects; yet our Bodies are so made, and the animal Oeconomy so contriv'd, that without due Labour or Exercise the Juices will thicken, the Joints will stiffen, the Nerves will relax, and on these Disorders, chronical Distempers and a shatter'd old Age must soon ensue. And Ch. X. thro' the various Stages of Life. 287 And tho' light Food may in a great mea- sure prevent the thickening of the Fluids, yet it cannot do it sufficiently without Exer- cise; nor can it at all keep the Fibres in due Tension, for to that Purpose Exercise is ab- solutely necessary: Even the joint Power of warm Air and light Food, cannot supply the Place of Exercise in keeping them pliant and moveable, and preserving them from growing hard and stiff. But we should al- ways avoid too much Labour or Exercise, as I have just now observ'd; for Sanctorius tells us, “ That by too much Exercise the Fibres “ become hard, whence old Age proceeds, “ which is an universal Hardness and Stiff- “ ness of the Fibres *.” There are general and particular Exercises; the former, which move and stir the whole Body, are Walking, Dancing, Fencing, Run- ning, Leaping, Bowling, Tennis, Pumping, Riding a Horseback, or in a Coach, &c. of all which Walking is the most natural, and would be also the most useful, if it did not exhaust the Spirits of weakly Constitutions too much; but Riding is certainly the most manly, the most healthy, and the least labo- rious and expensive of the Spirits of any, shaking the whole Body, and thereby pro- moting an universal Perspiration and Secre- tion of all the Fluids; to which may be added the various Changes of the Air thro' which they so quickly pass, the Alterations of * Aph. 35. Sect. V. 288 A GUIDE to HEALTH Part II. of which become as it were a new Bath, and by that means variously stimulating the Fibres to brace and contract them; besides the different Objects or new Scenes, which at the same Time amuse the Mind. The immortal Sydenham laid so great a Stress on Riding, that he thought he could not only cure slight Consumptions, but an almost desperate Tabes, attended with nocturnal Sweats, and a violent Diarrhœa, by Riding alone; nor did he believe Mercury more ef- fectual in the Cure of the Venereal Disease, or the Bark in intermittent Fevers, than Riding was in a Consumption. Those who cannot ride may use a Coach, Chaise, or Chair, which is the only proper Method for lame, old, and decrepid Persons, as well as for those who are so young, that they are not able to manage their own Exer- cise. There are also particular Exercises appro- priated to certain Parts of the Body; as Shooting, for the Breast; Talking, Singing, Hollowing, Blowing the Horn, or Wind-In- struments, for strengthening, opening, and clearing the Lungs; Tennis or Foot-ball, for those who have weak Arms or Hams; Bowl- ing or Skettles, for the Reins and Loins; Riding, for weak Nerves and Digestion, and those troubled with Head-aches. In short, there is no one particular Part of the Body, but might be strengthen'd and kept in due Plight by Labour or Exercise rightly Ch. X. thro' the various Stages of Life. 289 rightly appropriated to the particular Organ; for it is very remarkable, how the several different Limbs of labouring Men are streng- then'd, and render'd fleshy and nervous, as they happen to be most employ'd in their different Occupations: so the Thighs, Legs, and Feet of Chairmen; the Arms and Hands of Watermen; the Backs and Shoulders of Porters, grow thereby thick, strong, and hard in time; for it is very certain, that using any Organ or Member frequently and forcibly, brings Blood and Spirits into it, and by that means is render'd plump and strong. The following Conditions ought to be ob- serv'd with Regard to Exercise, in order to render it the most beneficial that may be. The first, that it be upon an empty Stomach, for then all the Matter which is digested enough for Perspiration, will thereby be easily discharg'd; but Exercise on a full Meal is very pernicious, for it subverts the Stomach, and forces the Aliment from thence crude and indigested, and so hurries it into the Veins and Habit of the Body, whereby Secretions are precipitated, and the found Juices are carried off with the corrupted Hu- mours; hence arise frequently putrid Fevers, Pleurisies, Head-achs, weak Eyes, and a general Cacochymy, or a vitiated Constitu- tion. Secondly, the Morning Exercise is always the best, for then the two Concoctions are finish'd; and Hippocrates is very clear upon this Head, T in 290 A GUIDE to HEALTH Part II. in one of his Aphorisms, wherein he says, Let us exercise before eating. But it should be moderate and equal; I call that Exercise moderate which is not tiresome, and equal when all the Parts of the Body are equally mov'd. Thirdly, They that are lean should exer- cise only ad Ruborem, that is, till the Body and Spirits are gently heated, for that will help to fatten them; but they who are fat may exer- cise ad Sudorem, that is, till they sweat, for that will help to melt down Part of their Fat, and consequently extenuate the Body. Fourthly, We must carefully avoid drink- ing any cold Liquors after violent or great Exercise, or when we are hot and sweating, which Heat and Thirst intice us to do; the dangerous Effects of which, are chilling and almost extinguishing the remainder of the Heat which is left in the inward Parts, and surfeiting the Blood and Juices, by mix- ing cold Drink with the Fat, which is at that Time partly melted and floating in the Body. Fifthly, Another great Error to be avoid- ed is, drinking of strong and spirituous Li- quors after hard Labour or Exercise, in order to avoid the former Inconveniencies, not con- sidering that we thereby incur another, which is over-heating and drying our Bodies, too much heated and dry'd before; but to avoid both, and to refresh the Body at the same time, the best Way is, first to rest a while warm, Ch. X. thro' the various Stages of Life. 291 warm, if we can conveniently, and then to drink a Draught of warm Ale or Beer, with a little Mace and Sugar in it, or some other innocent Supping, analogous in Heat or Warmth to that of our Bodies, by which means the Blood and Spirits will soon settle, and be refresh'd, and so the Limbs after Rest will be enabled with Ease to undergo new Labour. Sixthly, We should carefully avoid catch- ing of Cold after Exercise, by retiring into a warm Room, or some convenient Shelter from the Injuries of the Weather. CHAP. XI. Of RETENTION and EXCRETION. THE Things to be excreted or evacua- ted, and retained, are the Excrements of the Belly, Urine, insensible Perspiration, the Semen, and the Menses; for these must be regulated, and evacuated in due Time, and in due Quantity, all which conduce very much to the Preservation of Health and long Life, otherwise they will injure it, and bring on a Multitude of various Diseases. There- fore in a natural and healthy State, we should go to Stool once in 24 Hours, and the Fœces should be of a due Consistence, that is, some- T2 what 292 A GUIDE to HEALTH Part II. what soft, and stick together, according to the old Saying, Oportet sanorum sedes esse configuratas; that is, The gross Excrements in healthy Persons ought to be of such a Con- sistence, as to take the Impression of the Guts. They who are costive, and otherwise not well, have either over-heated their Bodies with spirituous Liquors, or have fasted too long, or eaten too sparingly, or they have too slow a Digestion, or too great Weakness of the Intestines; and by that means the Food is retain'd too long before the Mouths of the Lacteals, and is thereby over-drain'd of its Moisture, and harden'd. The best Proportion of the gross Eva- cuation to the Quantity of the Food we take in, is about the third Part; for they who much exceed that, have the Mesaraick Veins stopt or obstructed, and so cannot be nou- rish'd; and if it exceeds it, 'tis certain that the Body wastes, unless the Matter of some Disease be thereby evacuated; or else, if they have purging Stools, they have eaten too much of Things too strong for their Powers of Digestion; for it is very certain, that superfluous Nourishment leaves too much Chyle in the gross Excrements, which fermenting in the Guts, stimulates them so as to become purgative. But if the Looseness be not violent, and the Appetite remains good, it is not to be suddenly and rashly stopp'd; for Nature thereby frequently prevents, and often times rids Ch. XI. thro' the various Stages of Life. 293 rids herself of many a Disease, which upon an unadvised Astriction would be riveted in the Body; and therefore the Rule is, first cleanse and then close. But if it be too vio- lent and frequent, and the Stomach thereby decay'd it must be carefully and speedily remedied; and in this Case Advice is very necessary, for it is easy to commit an Error, but the Consequence is dangerous. Here I cannot omit inserting an Abstract of some few Passages out of Cheyne's Essay of Health and Long Life, which are admi- rable upon this Subject, and very worthy of every Body's Perusal. ' I have often ob- ' serv'd, says he, that a full Meal of strong ' Meat, as Fish, Beef, Pork, baked Meat, ' or made Dishes, in tender Persons goes off ' with the Hurry and Irritation of a Purge, ' leaving the Bowels instated, colick'd, grip'd, ' and the Spirits sunk to the last Degree. ' The Food by its various Mixture, Weight, ' and Fermentation, Stimulating all along ' from the Stomach to the Rectum *, and ' being scarce ever drain'd of its Chyle, ' without affording any Nourishment to the ' Body, runs off thus crudely, and becomes ' equal to a total Abstinence from Food for ' a long Time. And hence we have a most ' infallible Rule, † a Posteriori, to judge ' if we govern'd ourselves in our Diet in T3 ' Pro- * The straight or last Gut. † A Posteriori, i. e. after the Trial has been made. 294 A GUIDE to HEALTH Part II. ' Proportion to the Necessities of Nature, ' and the Forces of our concoctive Powers. ' This is the very Reason why the Bark ' over dosed, and given to Persons of weak ' Digestion, so constantly purges them, and ' why Mercury given either inwardly, or ' by Frictions, runs off in violent Purging, ' and cannot be raised into a Salivation; to ' wit, the not adjusting the Doses to the ' Strength of the stomach and nervous Fi- ' bres; for the Bark naturally binds, and ' Mercury naturally rises to the most § per- ' vious Glands. ' And in this Sense I myself have frequent- ' ly observ'd in weak and scrophulous Bowels, ' even Diascordium and Venice Treacle to ' purge: whereas, had the Doses been duly ' proportion'd, or had they begun by un- ' der-dosing, and taken a little longer time, ' they might have been effectually answer'd, ' as I have often experienc'd without ever ' failing. ' 2. There is a very great Error commit- ' ted in Nurses and Parents in rearing up ' young Children; the perpetual Gripes, ' Colicks, Loosenesses, hard Bellies, Choak- ' ings, Wind and Convulsive Fits, which tor- ' ment half the Children in England, are en- ' tirely owing to the too great Quantities of ' too strong Food, and too rank Milk, thrust ' down their Throats by their over-laying ' Mothers § Pervious, i. e. the easiest or readiest Way to be passed through. 295 thro' the various Stages of Life. Ch. XI. ' Mothers and Nurses; for what else do their ' slimy, their gray or chylous, their blackish, ' and cholerick Discharges, the Noise and Mo- ' tion in their Bowels, their Wind and Choak- ' ings imply, but Crudities from superfluous ' Nourishment? This is so certain, that they ' are universally and infallibly cur'd by testa- ' ceous Powders, which only absorb sharp Cru- ' dities; by Rhubarb Purges, which at once ' evacuate and strengthen the Bowels; and by ' Milk Clysters, Issues, and Blisters; and by ' obstinately persisting in these and the like, ' (intended to evacuate and strengthen the ' alimentary Passages) and a thin, spare and ' nutritive Diet; for nothing nourishes but ' Food duly concocted. ' 3. I have often heard valetudinary and ' tender Persons, and those of sedentary Lives, ' and learned Professions, complain of Head- ' achs, Sickneses at the Stomach, Colicks and ' Gripes, Lowness of Spirits, Wind and Va- ' pours; and yet pretended they were very ' moderate and abstemious in their Eating ' and Drinking; but upon Enquiry, I con- ' stantly found these very Persons pursued ' with purging Stools, which was an evident ' Proof to me, that they had taken down ' more than they wanted, or could digest: ' for 'tis universally certain, that those that ' do not exceed, must have either Costive, ' or at least Stools of a middle Consistence. ' There is nothing more ridiculous, than ' to see tender, hysterical and vapourish Peo- T4 ' ple, 296 A GUIDE to HEALTH Part II. ' ple, perpetually complaining, and yet per- ' petually cramming, crying out, they are ' ready to sink into the Ground and faint ' away, and yet gobbling the richest and ' strongest Food, and highest Cordials, to ' oppress and overlay them quite. The pro- ' per Remedy in this Case, is first, to cleanse ' the fœtid Abyss, and then to preserve it ' clean, by cutting off all the Inlets of Pu- ' trefaction. This will require a little Cou- ' rage, Labour and Pain; but the future ' Ease and Sweetness will more than abun- ' dantly recompence them; for there is no- ' thing more certain, than that the Head-achs, ' Colicks, and nervous Pains and Disorders, of ' those born found here in England, univer- ' sally proceed from Idleness and Fulness of ' Bread. 4. ' Those who pretend to cure themselves ' of nervous Disorders, or any other chroni- ' cal Diseases, or preserve themselves from ' them, or lengthen out their Days, must ' under-dose themselves, even tho' they ' should undergo the Pain of Costiveness; ' for it is impossible the Nerves of those who ' have slippery Bowels, should ever be braced ' or wound up; for there the Cure must be- ' gin where the Evil began, and must be ' communicated thence to the rest of the ' System; as a Rope-maker begins the Twist at ' one End of the Rope, and communicates ' it to all the other Parts. ' Our Ch. XI. thro' the various Stages of Life. 297 ' Our Access to the Nerves of the Sto- ' mach and Bowels, is obvious and open; to ' the rest the Way is difficult, and far about. ' And since a Relaxation, Weakness, and ' want of Spring in the Fibres, is the Origin ' of all nervous Distempers, no Medicines ' but such as contract, stiffen, wind up, and ' Shorten them, can remedy this Evil; and ' they must necessarily contract and bind up ' the Fibres of the Stomach and Guts, as the ' Parts they first approach and exert their ' Virtue upon. And he who without firm ' Bowels, thinks to cure a nervous Distemper, ' labours as much in vain, as he who would ' keep a Fiddle-string soaking in Oil and ' Water, to make it vibrate or play off a fine ' Composition of Musick. 5. ' There happens also an Evacuation ' both by Stool and Urine, to some weak ' Persons of relax'd Nerves, that extremely ' alarms them, and is not so readily account- ' ed for in that Part of Physick, which teaches ' the Causes of Diseases. It is when either ' a white transparent, viscid Substance like ' Gelly, is constantly voided by the Bowels, ' more or less; or when a white, milky, gluey ' Substance like Cream or laudable Matter, ' settles in the Urine. Both these Appearances ' are commonly ascrib'd to an Ulcer in the ' Guts, or in the Kidneys; and yet I am ' very certain, there is neither Ulcer or true ' Matter in either Case, as I propose them. ' For where there is violent and acute Pain, ' or 298 A GUIDE to HEALTH Part II. ' Matter of different Colours or Mixtures, ' there very possibly may be, nay certainly ' there is an Ulcer. But in the Case I here ' intend, there is very little or no Pain, no ' hectical Paroxysms, which always attend an ' inward Ulcer; no bloody or sanious Mix- ' tures, which always betray the inward Sore; ' no fœtid Smell to imply Corruption. ' The first Case I take to be either an ' Obstruction of some of the Lacteals, where- ' by the Chyle cannot be carried off in any ' sufficient Quantity, but passing thro' the ' Guts, and its more watery Part being eva- ' porated, it becomes thick and gelatinous, ' and is thrown off at last with the Remains ' of the Food; else it must be an Obstru- ' ction of those Glands of the Guts, by ' which a viscid Matter for lubricating of ' them is commonly secerned, by the Im- ' prisonment and Evaporation of which Mat- ' ter it thickens and turns like a Gelly (as it ' does by Cold or Over-feeding, in the Glands ' of the Mouth, Throat, and Windpipe) and ' at last, by squeezing of the Guts is thrown ' off. And in the same manner, I take that ' milky Substance subsiding in the Water, in ' such a Case as I have mention'd, to arise ' from a Relaxation of the Glands of the ' Kidneys and Bladder, and other urinary ' Passages; and that both are to be cur'd the ' same Way as other nervous Distempers are ' cur'd; viz. by a proper Regimen of Diet, and Ch. XI. thro' the various Stages of Life. 299 ' and a Course of contracting, strengthening, ' and volatile Medicines.” The second Evacuation is by Urine, be- ing a serous Humour strain'd in the Kid- neys, which comes with the Blood (which it diluted) to the Reins by the Arteries of the Kidneys, but is separated from it as ex- crementitious, and that continually, as Part of the Blood is constantly driven to the Kid- neys to nourish them. The Urine contains not only the watery Part of the Blood, but the sharpest Salt, which is most subtile and volatile, and nearly of an alkaline Nature, render'd exceeding volatile. In the watery Part there is also a fœtid Substance contain'd, and a viscid Oil so attenuated, that it readily mixes with Wa- ter, and is scarce separable from it; which may therefore in some Measure be called a Spirit. The natural Salt of Urine is of a lixivi- ate, soapy Disposition, and much like Sal- ammoniac, yet in some Respects different from it: It also contains a fix'd Salt, of the Nature of Sea-salt, being composed of a li- xiviate one, and a nitrous; of which Nature is that which swims in the Blood, the nitrous Parts being imbibed into it thro' the Lungs in Inspiration; so that the Salt in Urine in a found State, is neither acid, alkali, ammoni- cal nor briny, but of a peculiar Disposi- tion. But 300 A GUIDE to HEALTH Part II. But as Urine is a * Lixivium of the Salts contained in a human Body, and the proper Mark of the State and Quantity of such Salts; therefore very certain Indications may be taken from the Condition of Urine, to discover both the State of our Constitution, and the Regulation of our Diet; and tho' the Salts of human Urine be neither acid nor alkaline, as I have just now observ'd, yet by the violent Motion of the Blood, as in burn- ing and putrid Fevers, &c. they may be turn'd alkaline, and even corrosive; and when they begin to turn so, they affect the small and tender Fibres of the Brain more sensi- bly than any other Part of the Body. When the Urine is of a bright Amber Colour, and of a moderate Thickness, with a light Cloud hanging in it, and in Quantity of about three Quarters of the Liquor taken in, it is best, and a certain Sign of a due Con- coction, a just Proportion of Food, and a to- tal Riddance of Repletion and Crudities; for they who live moderately, use due Exercise, and enjoy a perfect State of Health, always evacuate such Urine. But when it is retain'd too long, either by the Fault of the Kidneys or Bladder, or because the Matter of it is not sufficiently separated from the Blood, or that it is kept too long in the Bladder thro' Laziness or Bash- fulness, (as is often the Case) it occasions Stone and Gravel, and sometimes Blotches and Erup- tions * Lixivium, i. e. Lye, such as that of Soap. Ch. XI. thro' the various Stages of Life. 301 tions upon the Skin, Dropsy, fainting, and sleepy. Diseases, with a great many other Disorders, too tedious to enumerate in this Place. If there be too great an Evacuation of Urine from any Cause whatsoever, by taking away the Serum, or watry Parts of the Blood, it will occasion a Stagnation of the Humours, encrease Heat, an unextinguishable Thirst, Crudities, and many Evils of the like Na- ture; and by depriving the Blood, and carry- ing out of the Body the most nutritive Parts, produce an Atrophy, or a total Decay, as in a Diabetes, and Death at last. The Urine differs both in Taste, Smell, Colour and Quantity, according to the Diffe- rence of Ages, Constitutions, Sexes, Seasons of the Year, and Alterations of their Way of living, and Diversity of Medicines; so that they who live freely, and make Quan- tities of pale, or limpid and sweet Urine, it is a manifest Sign that their Perspiration is ob- structed; that neither the first nor the two last Concoctions * have been rightly perform'd; and that the Chyle has not been sufficiently attenuated, nor the minutest Secretions duly made by the lesser Drains of the Body, and that the urinous Salts are still retain'd in the Habit. The * Concoction in an animal Body is three-fold; the find is confin'd to what Alterations are made of the Food in the Stomach and Intestines; the second is applied to the Alterati- ons made of it in the Blood-Vessels; and that made in the Nerves, Fibres, and minutest Vessels, is not improperly called the third and last Concoction. 302 A GUIDE to HEALTH Part II. The Cure, as to Diet, consists in living re- gular, that is, in eating and drinking less, and using more Air and Exercise, drinking freely of small warm White-Wine Whey; likewise a little Gascoign's Powder, or Sir Walter Raleigh's Confection will be proper at the same time, in order to set Perspiration to rights again. High-colour'd, foul, and very turbid Urine in small Quantities, proceeds from either an immoderate Use of strong or spi- rituous Liquors, or from too great abundance of Salts retain'd in the Body; which must be remedied by diminishing the Quantity of their Flesh Meats, and drinking small Li- quors, or Water with their Wine, otherwise they will hurry themselves into some acute Inflammatory, or dangerous Chronical Dis- ease. Dark Brown, or dirty Red-colour'd Urine, without any Sediment, and in small Quan- tity, in acute Distempers is always a sure In- dication of insurmountable Crudity, high Inflammation tending to a Mortification, and a dying Weakness in Nature: But in those who labour not under any visible Disease at the Time, it is a certain Sign of almost a total Weakness of the digestive Powers, an inseparable Cohesion of the component Parts of the Blood, and a Deadness in all the ani- mal Functions; in which Case, a Physician's Advice is highly necessary. A Ch. XI. thro' the various Stages of Life. 306 A bloody, mattery, wheyish Urine, or that with Films, Bits of broken Membranes, or white Gravel, denote or Gravel, or Symptoms of an Ulcer somewhere in the urinary Passages. Fat, which is observ'd upon the Top of the Urine, especially of consumptive People, signifies a wasting of the Body. The third Excretion or Evacuation to be consider'd is insensible Perspiration, which is imperceptibly discharg'd through all the Pores of the Skin, and other Parts of the Body, being the Recrements of the second and third Concoctions, divested of all that can be of any farther Use to the Parts of the Body; the free and full exhaling of which, is as necessary to Health as any of the gros- ser Evacuations, being in Quantity at least equal to all that is evacuated both by Stool and Urine; and an Obstruction thereof is ge- nerally the Parent of all acute Distempers, as it is a Consequence of all chronical Dis- orders. But having fully treated of this Matter in another Place already, for far- ther Satisfaction herein, I refer the Reader to Page 99. Note *, Part II. Nothing hinders and obstructs Perspiration more than catching of Cold, which is nothing but great Quantities of moist Air impreg- nated with nitrous Salts imbib'd through the Passages of Perspiration, by which means not only the Blood and Juices are thicken'd, but likewise insensible Perspiration is obstructed, and 304 A GUIDE to HEALTH Part II. and immediately a small Fever, and a Hurry in the whole animal System succeeds; which oftentimes lays a Foundation for Consumptions, Obstructions of the great Viscera †, and an universal Cachexy, or ill Habit of Body. Therefore, in order to remedy this Disorder, and prevent the ill Consequences of it, we should lie much longer in Bed than usual, drinking small warm White-Wine Whey plentifully, with some few Hartshorn-drops, Posset-drink, Water-gruel, Barley-water, or any other warm small Liquors, taking twenty Grains of Gascoigns Powder Night and Morn- ing, and at the same Time living low upon Spoon-meats, Pudding, Chicken, and drink- ing every Thing during the Height of the Illness warm; but if any Cough or Spitting should encrease, Bleeding should be perform'd, and to take now and then a little Sugar- Candy, Oil of Sweet Almonds, or a Solution of Sperma Ceti, to render Expectoration free and easy; and afterwards to be cautious of going abroad too soon, and without being well cloathed. Gripes, Purging, Colical Pains, much belching of Wind, Low-spiritedness, Yawning and Stretching, are sure and certain Indica- tions that Perspiration is deficient or ob- structed; therefore, in order to remove these Disorders, we must have recourse to a greater Degree of Exercise and Abstinence, and to some gentle Purge or other, such as Sena † Viscera, signify any of the Bowels or Intrails. 305 thro' the various Stages of Life. Ch. XI. Sena and Manna, or Rhubarb, &c. to clear the first Passages of the Load that oppresses them, otherwise the Person will suffer at last; and, as Sanctorius observes, Wind in the Body is nothing but Perspiration † ob- structed. The fourth Evacuation to be considered is the Semen, consisting of a white, hot, spiri- tuous, thick, clammy, and saltish Humour, which is elaborated in the Testicles and Epi- didymes, out of the purest and most spiritu- ous Parts of the Blood. Considering it there- fore in this Light, Moderation in Coition is absolutely necessary, both for the Preserva- tion of Health as well as Pleasure; for in Immoderation we do not consult Delight, but Lust, and lose the Pleasure by being too in- tent upon it: And it is certainly true, that those Parents who are most continent, have more and the most healthful Children; for they meet their Pleasure by Necessity: In these it cheers the Heart and Spirits, and makes them breath free and easy; it appeases Melancholy and Sadness, mitigates Anger, and disposes to Rest. But then that Mode- ration receives its Difference very much from the different Temperature of Constitutions; for less is sufficient for the Melancholy and the Cholerick, the Old and Emaciated; but more for the Sanguine and Plethorick, and those of a middle and flourishing Age: The Feverish if in any kind of Constitution must a- U void † Aph. xiii. Sect. 3. 306 A GUIDE to HEALTH Part II. void it, and likewise they who are subject to the Gout, and Diseases of the Joints. On the other Hand, the immoderate Use of Coition not only hinders Perspiration, by keeping the Fibres too strait, and lessening the Passages, and thereby giving rise to all the Dis- orders which attend an obstructed Perspira- tion, but likewise it disorders and weakens that due Tension and Elasticity of the Solids, upon which depends a right Discharge of all the animal Functions. I say, therefore, what- ever weakens this Disposition of the Solids, cannot but very much prejudice the whole Constitution. And that all violent Actions, such as that of immoderate Coition is, are de- structive to the Textures of the Solids, can- not be doubted; for their constituent Fibres or Threads will not only be much injured in their Contextures, but also that animal Oil or Spirit which nourishes them, and facilitates their Motions, will be so much press'd out and wore away, as to disable them very much afterwards in their natural Motions; and the Body will be, by that means, so weaken'd and dispirited, that the several Parts will not be able to discharge their respective Offices, whereby Digestion, Concoction, and all the natural Evacuations will be disordered. Hence follow a Dissolution of Strength and Spirits, Dulness of Memory and Understand- ing, Dimness of Sight, Diseases of the Nerves and Joints, as Palsies, and all kinds of Gouts, Weakness of the Back, and Consumptions; Seminal Ch. XI. thro' the various Stages of Life. 307 Seminal Weaknesses, and sometimes bloody Urine; a deprav'd Appetite and Head-achs, with a great many other Disorders needless to be mentioned here; and, to conclude, there is nothing that so wonderfully shortens hu- man Life, as the immoderate Use of Venery. In the fifth Place we are to consider the Menses as a necessary Evacuation, which are Excretions of arterial Blood every Month from the Womb: They begin usually when young Maids grow ripe at fourteen, and sometimes at twelve, but very seldom before: They cease naturally in pregnant Women, and those past bearing Children, and likewise those that give suck; yet it happens some- times that pregnant and suckling Women have them. The Quantity of them ought to be in pro- portion to the Quantity and Heat of the Blood; but, generally speaking, a certain Quantity cannot be limited, for some have a great many, and some but a few; nor do they continue upon all alike; some have them two Days, some three, some four, some six or eight Days. They that have them too much are weak- en'd, and their Blood being rendered crude, watery, and pale, are subject to Faintings and Waste: Those in whom they are sup- press'd, become hysterical and breath diffi- cultly, look pale, and lose their Appetite, and fall into Fevers, Inflammations, and a U2 great 308 A GUIDE to HEALTH Part II. great many Diseases, both acute and chroni- cal, if they are not timely remedied. There are other Excretions which could not conveniently come in under the foregoing general Heads; such as Sweat, Spittle, Mucus or Snot, Tears, and the Wax in the Ears. Sweat is a thin serous Fluid, mix'd with some Sulphur, a good deal of briny, but more volatile Salt, and a very little Earth: And the same Properties being found in Urine, we may conclude, 1. That Sweat and Urine may supply each other's Defects: Accordingly we find, that as Sweat is promoted, the Excre- tion of Urine is diminished, and on the con- trary. 2. That they may be provoked by the same Remedies: Thus Diaphoreticks, or such Medicines as promote Sweat, fail- ing to answer their Intention, prove Diu- reticks; that is, purge by Urine. 3. That Sweat carries off many of the sharp Salts, with which the Blood abounds, and by that means may accidentally prevent or cure many Distempers, is not to be doubted. Sweat therefore differs very much from, insensible Perspiration; for if it be encreased, and its Vessels enlarged, Perspiration must unavoidably be diminished, and its Vessels compress'd. Perspiration also is turn'd into Sweat, by violent Motion, and too much Heat, tho' by moderate Motion and gentle Heat it is very much promoted; but nothing can be more serviceable to promote it than gentle Friction of the Skin for some Time Night Ch. XI. thro' the various Stages of Life. 309 Night and Morning, as I shall observe in a another Place. The Saliva or Spittle, (of which I have given a Hint before) is a thin transparent Humour, almost void of Smell and Taste, which will entirely evaporate by Heat, but not curdle; and when shaken affords a ropy Froth. It is separated from the purer Part of the arterial Blood or Serum by the Glands; and when a Person is hungry it flows in great Quantities, and is then more fluid and sharp; after long fasting it is very penetrating and de- tergent; it ferments with Bread, Meal, or Sy- rup, and promotes Digestion. Men, as well as Brutes, swallow it in Health, and likewise wWhen asleep: When too much of it is spit out, it occasions loss of Appetite, slow Dige- stion, and an Atrophy or Consumption. It is composed of Water, Salt, Oil, and Spirit, all which can he extracted from it, which ren- ders it saponaceous, or of the Nature of Soap. This Fluid then being press'd out of the Glands, lays the first Foundation of assimi- tating the Food to the Body, and promotes the Mixture of oily and aqueous Substances, and a Solution of saline ones: It also pro- motes Fermentation, excites an intestine Mo- tion of the Parts of the Food in the Stomach; so that Digestion could not be perform'd without it. Therefore as this Fluid is of such great Use, when mixed with our Food, it ought not to the U3 lavishly 310 A GUIDE to HEALTH Part II. lavishly spit away; for when it is swallow'd, having perform'd its Office in the Mouth, and being return'd into the Blood, it is still far- ther improved by repeated Circulation and Digestion; and when separated in the Glands again, is highly amended. Hence it is manifest, that they who im- mediately upon eating fall a smoaking or chewing of Tobacco, as is generally the Custom here, and that even among People of the better Sort, commit two very great Errors, highly destructive to their own Constitutions : 1st, In diverting the Saliva or Spittle from its natural Offices, by spitting it away in smoaking or chewing, being one of the chief Menstruums, or Medium, for promoting Di- gestion, as I have just now demonstrated. 2dly, In using that stupifying American Hen- bane upon a full Stomach, which, besides the great Injury it does Nature, in depriving her too much of that necessary Fluid the Saliva, has also an intoxicating opiate Quality, by which (as all other Opiates do) it destroys the Appetite and hinders Digestion, the Truth of which is evident to all good Practitioners in Physick, Therefore, I sincerely advise all those who have any Regard for the Preserva- tion of their own Health, to avoid carefully this pernicious Custom, and never to smoak but upon an empty Stomach, or at least till the greatest Part of the Food is out of it, which always requires some Hours after eat- ing; and, even then, no Body except gross and 311 thro' the various Stages of Life. Ch. XI. and phlegmatick People, should smoak at all; because lean, thin, scraggy, dry, and cholerick Constitutions are heated and dry'd too much by it, which throws them oftentimes into Consumptions or other Decays. Mucus, or Snot, is a clammy and viscid Humour, which flows from the Extremities of the olfactory Nerves * through the Os Cri- briforme † into the Nostrils and Palate: It also signifies that slimy Liquor, or Mucilage, which daubs over and guards the Bowels, and lubricates the chief Passages in the Body from being corroded by any saline or sharp Hu- mours; but the Superfluities of it are excreted by the Nostrils and Intestines. Tears are a serous Humour, prepared out of the arterial Blood in the Lachrymal Gland ‡, and are of a saline, watery, clear, and smooth Disposition, discharged always in a small Quantity, but more plentifully when the Eye is rubbed or compressed by the Orbìcular Muscle ‖. This Humour serves to moisten, U4 wash, * Are those Nerves which give the Sense of Smelling. † It is a Bone full of small Holes, like a Sieve: It is also called Os Ethmoides, situated in the Middle of the Basis of the Os Frontis, or Forehead-Bone. ‡ It is a pretty large conglomerate Gland or Kernel, being broad, compress'd, rough, and placed within the Orbit, to- wards the outward Angle of the Eye, near the rough Chink, and inclosed in Fat; is endowed with Arteries, Veins, Nerves, Lymphaticks, and Ducts, which carry a Humour to the Eye prepared from the arterial Blood. ‖ It is the Muscle which serves to join the Eye lids toge- gether, contracting them like a Sphincter, and by a strong Contraction presses the Ball of the Eye, and squeezes out Tears upon the external Superficies of the Eye, which is thereby cleansed of its Filth, and the Eye itself washed. 312 A GUIDE to HEALTH Part II. wash, and render the Eye slippery, and pre- vents it from sticking to the Eye-lids: It like- wise serves to wash off any Filth or external Bodies, which, by adhering to the Eye, might cause Pain, or darken the Sight; but if this Humour be too much, so that it cannot be received by the Lachrymal Points *, it flows from the Eyes, and is called Tears. Cerumen, or Ear-wax, is the Excrement of the Ears, which sweats or ouzes out of the Cartilages and Glands bordering upon the Ears: It consists of Abundance of Salt and Sulphur, which gives it its Bitterness: It serves to hinder Dust, Motes, cr little Ani- mals from getting into the Ears. CHAP. XII. Of the Passions or Affections of the Mind. I Shall briefly treat of the Passions here, not as a Natural Philosopher, but as a Physician; therefore I shall not consider their Essences and Causes, but their Effects and In- fluence * They are Holes in the Bone of the Nose, by which the Matter that makes Tears passes to the Nostrils; but if these Holes grow hard and are stopp'd, from an Ulcer in one of the Glands in the Corners of the Eyes, thence arises a Fistula Lachrymalis. Ch. XII. thro' the various Stages of Life. 313 fluence upon human Bodies, and how their Regulation conduces to the Preservation of Health and long Life. For as to the Manner how the Mind or Thought operates upon the Body, or how such a Constitution of the Humours can affect the Passions of the Mind, and what that Tye or Bond of Union is, be- tween the Mind and the animal Fluids, is a Mystery unreveal'd to Man, being, at least mechanically, not reducible to Reason, it be- ing impossible to represent and delineate, as we do corporal Substances, the several Steps and Ways of Procedure of those Agents, which can by no means be brought under the Notice of our Senses, only in their Effects; and therefore we cannot have any Notion of the Procedure by which they are brought a- bout, as we can have of all those affected by physical Agents. But as it is certain that the Passions of the Mind do influence very much and alter the Constitution, especially when very sudden and intense, so far as necessarily to bring it under the Physician's Care, still the wisest must herein be contented to e- stablish his Rules upon Observation and Expe- rience only. There is nothing more remarkable, than that violent Passions of the Mind waste and consume the Spirits, and plunge the Consti- tution into great Disorders; and this they seem to bring about by universally stimulating, irritating, and twitching the Nerves and Fibres, in such a Manner as disturbs their re- gular Contractions: And altho' we cannot positively 314 A GUIDE to HEALTH Part II. positively tell, either how Thought can pro- duce such an Alteration in the Humours of the Body, or how such a Constitution of the Humours can affect the Passions of the Mind; yet if by constant Observation and Experi- ence it can be found, that such a Passion or Temper of the Mind is always attended with such Consequences in the Constitution; and that such a particular Temperature of the Constitution always affects the Mind with such particular Passions and Dispositions, it will very sufficiently afford a Ground of Certainty to any considerable Person, in his Reasoning upon their Consequences, and in the Mea- sures which ought to be taken in remedying the Disorders of either. For Instance, if Joy or Anger are always found to render the Body lighter, tho' we cannot tell how these particular Passions do first modify any particular Parts of the Body, so as to produce that Effect, yet it being plain how physical Agents do the same, it will be most reasonable to conclude, that these do it also by the same Means; that is, thus far we know, that an Invigoration, or an Increase of the contractile Force of the Solids, will promote Digestion, increase the Evacuations, and render the Body lighter. Therefore we have the greatest Reason to believe, when we see the same to be the Con- sequences also of a Person's being passionate- ly angry or very merry, that these Disposi- tions of the Mind (altho' we know not how) do Ch. XII. thro' the various Stages of Life. 315 do give that particular Modification likewise, and Degree of Tension to the Fibres, as Cold- bathing, a cold clear Air, or moderate Ex- ercise, when we see them attended with the same Consequences. But as we know these physical Causes have this Effect, by contracting and shaking the Fibres of the Solids, and thereby promoting their Power of Elasticity, and breaking the animal Juices finer; so it ought to be con- cluded, that these Passions of the Mind do likewise give the same Modifications to the Fibres, by which the same Effects are pro- duced. In like Manner, if Fear and Sorrow are found to be attended with an Increase of Weight in the Body, it is reasonable to think that they do it by the same Means as by which all those physical Agents produce the same Effect; that is, by slackening the Fibres too much, diminishing Digestion, and conse- quently by lessening the Evacuations. Therefore when any Passion of the Mind is said to have this or that Effect upon the Body, we ought to consider that Passion only as a physical Agents that is, as it contracts or slackens the Fibres, and as it increases or di- minishes the Evacuations; but in this we are guided only by Observation and Experience, which is very sufficient to a Person of any tolerable Judgment. The chief Passions of the Mind, from whence all the rest proceed, are Joy, Grief, Anger, 316 A GUIDE to HEALTH Part II. Anger, Love, Hatred, Shame, Hope, and Despair. Joy or Mirth is a Delight arising from some Good we suppose we have obtained; and this, above all the rest, conduces to Health, at least if it be moderate; for it keeps the Fibres in their natural Tension, assists the Secretion and Derivation of the Spirits to all Parts of the Body, and consequently pro- motes the Circulation and Digestion, and raises thereby a plentiful Perspiration, and renders the Body lighter; but immoderate Joy is very injurious, and proves sometimes mortal, the Spirits being thereby too much raised, and by the Suddenness of the Passion too much rarefied beyond their natural Stan- dard. Grief or Sorrow is a troublesome Languish- ment afflicting the Mind, arising from the Apprehension of some Ill happened or befall- ing us: By it the Spirits in the Brain and Nerves move slowly and very feebly; so that it produces a great Weight in the Breast, Suf- focation, and oftentimes Death, when sud- den and extreme. Anger is the Desire of Revenge, upon the Apprehension of some Injury done or offer'd to us: By it the Spirits are violently agitated in the Brain and Nerves: It encreases the natu- ral Heat, and, if moderate, it may be useful sometimes, in order to stir up a brisk Circula- tion of the languid Fluids in a cold and phlegmatick Constitution, by which means the Ch. XII. thro' the various Stages of Life. 317 the Body is rendered lighter; that is, it will then perspire better: But, on the contrary, Anger is pernicious to hot, dry, and cholerick Constitutions; because, in such it will dissi- pate the Spirits and dry the Constitution too much. Love is a certain Passion of the Mind, ex- cited in the Soul by the Motion of the Spirits, arising from an Object which we judge to be good, convenient, delectful, and amiable; so that the proper Effects of Love consist in this: That we consider ourselves as united to the Object we love, and that it is, as it were, ano- ther Part of us. Love may be properly distinguished into three Kinds: 1. The first is spiritual, as the supreme Love of the blessed Author of our Being, (to which our Love to all other created Beings is subordinate, at least it ought to be so,) which is that Union, Tendency, Biass, and Impulse of the Soul and other Spirits towards their blessed Creator, without any indirect Ends, without Deceit or Dissimulation, for his own Sake; because he is infinitely good, infi- nitely amiable, and infinitely perfect, abstract- ing from all other Considerations, even that of our own Happiness, in the Enjoyment of, or Union with him. Yet it is certain that these two, our Love to God and our own Happiness, cannot be actually separated: And this Love was communicated by him to them in their original Formation, by Virtue of which they constantly tend, press, and urge to unite; and, if 318 A GUIDE to HEALTH Part II. if Obstacles were removed, would unite with one another, and so be all united with their omnipotent Maker. But now, alas! this principle of the intelligent Soul, in this her lapsed State, being drowned in Sense, chain'd and setter'd by Ignorance and Perverseness, drawn and hurried away by the Devil, the World, and the Flesh, is disabled from exert- ing this inherent and innate Principle of Re- union, and wants sufficient Light on the Understanding, and a right Turn of the Will, to be put in a Capacity of exercising it; but in its proper Vacuity, and being freed from these Letts and Impediments, it would unite with its first Author, the Centre and Rock out of which it was hewn, and mount to- wards him like an Eagle towards the Sun. And even in this our lapsed and forlorn State, there remain evident Footsteps of this innate Principle still uneffaced; such are the Checks of Conscience, natural Affection, and the universal Desire of Immortality, and the Dread of Annihilation; and the Worship be- stow'd by all Nations, who are not sunk into mere Brutality, on some superior and invi- sible Powers: I say, these are Remains of this Principle, and its Operations, sufficient to shew its Reality à posteriori, as the Laws of Analogy, and the Nature and Attributes of the first Being, shew it à priori. For the Au- thor of Nature, who created intelligent Beings only in order to make them happy, could not leave them to so many different Attractions, without Ch. XII. thro' the various Stages of Life. 319 without implanting into their Essence and Sub- stance, as an Antidote to so many Distrac- tions, an infinite Tendency, Bent, and Biass to- wards Beings of the same Nature, and towards himself, who was the Cause and Object of their Felicity: And those, who admit of Revela- tion, cannot doubt of it a Moment. Moses * calls it, a Law engraven on the Heart of Man; and St. Paul †, the greatest Perfection of human Nature; whatever Men of Self-love and carnal Minds may think of it otherwise. The Second is Human, towards particular Persons and Things, as Parents, Wife, Children, Friends, or Things. Towards the first, Love ought to be sincere, hearty, constant, begotten, continued for their Sakes, and not for our own; but yet it should be limited and subor- dinate, Submission to the Will and Love of God: That to Things is not to be fixt, but changeable, as Necessity requires for our Support and Use; because the Things themselves are so, which we are to love, as if we loved them not, according to the Apostle. The third Sort of Love, is that which is shewn from one Sex to another, and ends in Matrimony: This is naturally imprest upon us, and it is carefully to be preserved from Dotage and Lust; for when it takes Fire from the last, it is never permanent, but soon cloys itself, and vanishes upon Satiety: Rea- son is here lost, which is the principal Cause of so many unhappy Marriages we so fre- quently * Deut. xxx. 14. † 1 Cor. xiii. 320 A GUIDE to HEALTH Part II. quently see. As to Dotage, it is an impotent and unreasonable placing of the Affection up- on another, which gradually draws all the Faculties, both of the Soul and Body, into a Languor and Consumption, oftentimes pro- ducing Lunacy or Madness. However foreign this metaphysical Specula- tion, concerning spiritual Love, may seem to a physical Treatise about Health, which I pro- posed to avoid in the Beginning of this Chap- ter; yet having seriously and attentively con- sider'd the Matter since, I found it both use- ful and necessary; because, if we steadily be- lieve it, and reduce its natural Consequences to Practice, it will not only become the most effectual Means to prevent Diseases, but also the most powerful of any Thing to promote Health and long Life, which I shall evidently make appear, before I finish this little Chap- ter. Hatred is the Apprehension of an Object which we judge hurtful or inconvenient; It is likewise Sorrow for the Good, and Chearfulness for the Ill of another. It occasions a slow and unequal Pulse; a sharp and stinging Heat, intermix'd with Cold piercing the Breast; the Stomach ceases from its natural Office, so that the Food being thereby crude and indi- gested, produces Nauseas and Vomitings, or is converted into corrupted Humours in the Habit of the Body, which are oftentimes the Parent of many grievous Diseases. Shame Ch. XII. thro' the various Stages of Life. 321 Shame is an Uneasiness of Mind upon Ac- count of having done something that is un- seemly, or that lessens one's Esteem among others: It is likewise a great Apprehension of Scandal: The Humours and Spirits being thereby variously agitated and confounded, frequently plunges the Body into fatal Dis- orders. Hope is a Desire of some future Good, which seems difficult to be obtained, but yet possible. By it a great Flow of Spirits tends to the Heart, which quickens its Pulsation, and accelerates the Motion of the Blood. And this Affection oftentimes prevents the ill Effects of other Passions, such as those of Grief or Sorrow, Hatred and Despair, &c. Despair is a Passion of the Mind arising from the Apprehension of some Good, which we judge impossible to be obtained. In De- spair the Pulse is generally very obscure, un- equal, and sometimes almost lost and creep- ing, the spirituous and most fluid Parts of the Blood being dissipated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body, which at last affect the tender Vessels of the Brain, by the Vis- cidity of the Matter impacted in them, that thereby the Imagination is disordered. Thus dark Melancholy, slow and long Grief hope- less love, and presumptuous Pride (which is a violent Degree of Self-Love) impair the Body, by causing the proper Times of ne- cessary Food and Exercise to be neglected, X and 322 A GUIDE to HEALTH Part II. and thereby depriving the natural Functions of their usual Supplies, overworking and wearing out some Part of the nervous System, and leaving the other, as it were, to rust, and so become too rigid and stubborn for want of Use: Besides, some of the Passions, as Pride, Love, and Grief, when immoderate and in- tense, terminate oftentimes in Lunacy and Madness; nay farther, even the Frequency and daily Increase of wanton and common Self-Murderers, are chiefly produced by these inordinate Passions, and their blasphemous and frantick Apologies grafted on the Prin- ciples of Infidels, and propagated by their Disciples, scarce known or heard of, at least not practised, in any Christian Nation but this, and her Daughters; for it is a manifest Truth, that those who have no Notion or Thought of a future State, with regard to either Happiness Misery, cannot have the true Love of God; and therefore such will always give a full Scope to all the Excesses of their brutish Passions, till at last, through some Disappointment, or Despair in gratifying their Sensualities, they most atrociously lay violent Hands upon themselves, contrary to the very Dictates of both the Law of Nature and their own Reason, revealed Religion being always a mere Phantom in the Thoughts of all such unhappy Wretchess; and thus, alas! they wantonly destroy both Body and Soul at once. The Ch. XII. thro' the various Stages of Life. 323 The Passions may be divided very properly into acute and chronical, in the same Manner, and for the same Reason, as Diseases are. The acute Passions, either pleasurable or painful, produce much the same Effect, and act much after the same Manner, as acute Diseases do; for they cause a brisk and lively Circulation of the Fluids, and brace up and contract the Solids for some Time. Thus sudden Joy, Grief, Pleasure, or Pain, stimulate and contract the nervous Fibres, and the Coats of the animal Tubes, and thereby accelerate the Motion of the included Fluids, for the same Time; but as the Motions of the Heart and Lungs are involuntary, they produce their more immediate Effects upon them; so that both sudden Joy and Grief occasion short and quick Breathing, and a small and fre- quent Pulse. A sudden painful Idea renders a quicker Circulation of the Blood, whereby a greater Quantity of it is thrown upwards, through the larger Branches of the great Artery, from the Heart, and makes it appear in the super- ficial Vessels of the Face, Neck, and Breast, which prodcues what we call a Blush. Thus we see that the Reasons why we sigh upon some Occasions, and blush at other Times, depend upon the different Structure of the Heart and Lungs, being the Organs of Pul- sation and Respiration; for a quick surprizing Pain of the Mind acts immediately upon the Heart, because its Motion is altogether invo- X2 luntary; 324 A GUIDE to HEALTH Part II. luntary; so that any sudden Contraction takes Place there directly, to accelerate the Pulse. On the other Hand, we have some Power o- ver the Breathing; for we can retain it for a little while; because, when we think in- tensely, our Attention is partly the Cause of retaining our Breath, from whence proceeds Sighing rather than Blushing. The Effects of the Suddenness of these Passions being thus accounted for; yet when they become extreme, they drive about the Blood with such Violence, that Nature is o- verwhelm'd, like a Mill by a very great Flood; insomuch that what drove it only brisker round before, intirely stops it now, and renders the Complexion pale and ghastly. Thus sudden and great Fear or Grief so much convulse the whole System of the Nerves, that they alter the very Position of the Parts sometimes, and fix them in another Place; so that in a great Fright the Hair stands upright, and the whole nervous System becomes so stiff and rigid, that they lose their Elasticity; by which Means the animal Functions cease from all Motion, and then Fainting, and oftentimes Death succeeds. Chronical Passions are called all those slow Passion of a long standing, which, like chro- nical Diseases, waste, wear out, and con- sume the nervous System; for those Nerves which are necessary for administering Ideas to the Imagination, being constantly employ'd, are impair'd, broken, and worn out; and the rest, Ch. XII. thro' the various Stages of Life. 325 rest, for want of being used, become stiff and unactive, dull and destitute of a sufficient Quantity of warm Blood and due Nourish- ment, as I have observed already; so that the whole Fabrick languishes, and runs into a total Decay at last. But as the Passions, when slow and long continued, relax, unbend, and dissolve the nervous Fibres too much, so the violent and sudden ones contract, stretch, and bend them in too great a Degree, by which means the Fluids are hurried about with violent Rapi- dity; so that all the Secretions are either stopp'd by the Contractions, Cramps or Con- vulsions produced by those Passions, or are precipitated crude and indigested into the Ha- bit of the Body, and so beget, or at least dispose it to, Inflammations, Fevers, and Mor- tifications: For Example, a sudden and high Degree of Anger, Hatred, and Malice, are but Degrees of Frenzy, and that is one kind of a raging Fever. Hence it is evident, that the violent and sudden Passions, which I call acute, are more dangerous to Health than the slow and continued chronical ones, as a- cute Diseases are more pernicious than chro- nical. From what has been said, it is manifest that the Passions have very great Influence on Health, being of such Force as not only to hurry us into Numbers of Diseases, but like- wise to bring upon us oftentimes sudden and unprovided Death, But if we would prevent X3 the 326 A GUIDE to HEALTH Part II. the ill Effects, and totally extirpate all the Evils arising from our Passions, we must necessari- ly lead a sober and virtuous Life; make use of our Reason, which, assisted with the Di- vine Spirit, is able to keep down the Surges of all our Passions, and is given us, by the in- finitely wise Creator, to be a Check and Bridle to prevent and restrain all their Extravagance: So that notwithstanding the great Force of our Passions, yet are we not left without a sufficient Power of Resistance; but to yield to them for want of exerting that Reason, by which we might restrain them, would be base Cowardice, unworthy a rational Being, and the blackest Ingratitude to the glorious Author of all Happiness. Towards him all our Thoughts should be bent; in him all our Hopes should center: Nor should our Affec- tions cease flowing to him incessantly, not only as he rewards and recompences Virtue, but as it is a Remedy against all those various Diseases that are ingender'd by Excess in the Passions; For as the Love of God is a sove- reign Antidote against all other Miseries, so, in particular, it prevents effectually all the bodily Disorders the Passions produce, by keeping them within due Bounds; and, by that unspeakable Joy and perfect calm Serenity and Tranquillity it gives the Mind, becomes the most powerful of all the Means of Health and long Life. Therefore, if thou wouldst enjoy good Health, love thy Creator, keep thyself virtuous, and regulate thy Passions. I shall Ch. XII. thro' the various Stages of Life. 327 I shall conclude this Chapter with an ex- cellent Passage upon this subject, from Dr. Cheyney's Essay on Health and Long Life, which, in his own Words, is as follows. ' If Men would but observe the Golden ' Mean in all their Passions, Appetites, and ' Desires; if in all their Thoughts, Words, ' and Actions, they would but mind, I will ' not say the End of their Being and Exi- ' stence here, but the End to which their ' Thoughts, Words and Actions tended in ' their last Resort; and lastly, if in the Gra- ' tifications of their Appetites, Passions, and ' Desires, they followed the uncorrupted ' Dictates of Nature, and neither spurred her ' on beyond her Craving, nor too violently ' restrain'd her in her innocent Biass; they ' would enjoy a greater Measure of Health ' than they do, have their Sensations more ' delicate, and their Pleasures more exqui- ' site, live with less Pain, and die with less ' Horror. For had it not been for the Lewd- ' ness, Luxury and intemperate Gratificati- ' ons of the Passions and Appetites, which first ' ruined and spoiled the Constitutions of the ' Fathers, whereby they could communicate ' only a diseased, crazy, † and untuneable ' Carcass to their Sons; so that with the ' World's Decay, vicious Souls and putrified ' Bodies have, in this our Age, arriv'd to ' their highest and most exalted Degrees; I ' say, had it not been for these Evils, there X4 ' never † The Temperature of Humours in an animal Body. 328 A GUIDE to HEALTH Part II. ' never had happen'd so much Sickness, Pain ' and Misery, so many unhappy Lives, and ' such wretched Ends, as we now behold ' among Men. ' But even in this our lapsed Estate and ' Condition, had the Dictates of Nature and ' Reason, not to say Religion, been follow- ' ed, we might have passed our Days in In- ' dolence (at least from chronical Distem- ' pers) if not innocent Pleasures, arrived at ' a good old Age, with our Senses free, and ' our rational Faculties clear, and at last de- ' parted in Peace, as a Lamp goes out for ' want of Oil. And let the Gentlemen of ' Wit and Fire, of Banter and Sneer, hug ' themselves ever so much in their boasted ' Tranquillity and Security, gratify their Pas- ' sions, Appetites, and Humours to the full, ' and despise Futurity and Whining; I dare ' promise when the Farce is ended, and the ' last Minutes are drawing on, they would ' prefer a Life thus led, and an End so calm, ' to all the Pleasures of Lewdness and Sen- ' suality, and the Bounces of a false and ig- ' norant Security.” A (329) A GUIDE to HEALTH &c. Part III. CONTAINING The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of BATHING and FRICTIONS. INTRODUCTION. BEFORE I proceed upon Fevers, as mention has been so often made of acute and chronical Diseases, it will not be improper to give the English Readers a clear Account of their Nature and Difference in this Place. Acute Diseases then are such, as within some short limited Time have their Periods either of a perfect Crisis and subsequent Re- covery, or of putting an End to Life and the 330 The INTRODUCTION. the Disease both together; and they are there- fore called quick, sharp, or acute Diseases, being attended with an increased Velocity of the Blood; the Symptoms of which are more violent, their Duration shorter, and their Periods more quick, terminating either in a sudden Death, or a Victory over the Distem- per, and they are generally limited within forty Days. But those Diseases that run out longer be- come chronical, whose Periods are more slow, their Symptoms less severe, and their Duration longer: and they likewise would, by the Course and Efforts of Nature, and the animal Oeconomy, have their Periods, and terminate at last, if fresh Fuel had not been frequently added to them by Intemperance and Debauchery; for the Viscidity of the Fluids, and the Laxity of the Fibres, would be removed in time, by proper Remedies and a due Regimen, and so People would recover in these as well as in acute Disorders. But as this requires long Time, much Care, and great Caution, Patience, and Perseve- rance; and so long and continual a Course of Self-denial, that few People are willing to undergo it; so that it is become the Reproach of both Physick and Physicians, that acute Cases are cured by themselves, or rather that Nature cures them, and that chronical Dis- orders are never cured, as a great many do falsly The INTRODUCTION. 331 falsly assert: for in acute Cases, Art and Care judiciously and timely applied, will always asswage the Symptoms and Suffering, and like- wise forward Nature to the Relief she points out, and hasten the Crisis, which it will con- stantly bring about if the Disease is not too great for the Constitution; and even then it will allay the Pain, and lay the Patient gently down. And as for the last Case, if due Care be had to follow seasonably the Advice of an honest and experienced Physician, certainly a Period may be brought about in most chro- nical Diseases, provided the great Viscera or Bowels are not spoiled and destroyed. And the Fault is commonly in the Patient him- self, who will not, or cannot deny himself for a sufficient time to bring about the Cure. There are some chronical Diseases indeed, such as either by having been gone too far, or by being hereditary, and interwoven with the Principles of Life, are never to be radi- cally cur'd or got over: and these last must rest contented with that Measure of Health their original Frame will admit of. Yet I am morally certain, that if the Rules and Directions set down in this Treatise, be care- fully and constantly observ'd and steadily pur- sued, very few chronical Distempers but will receive such Relief and Ease by them, as to render the remainder of Life tolerably easy, and free from grievous Sufferings; and that is 332 The INTRODUCTION. is all that is left for Art to do in the above- mention'd Case. But in other chronical Dis- eases, where the Bowels are not quite vici- ated, and taken in due time, by observing and steadily following the same Rules, would in- fallibly bring about a perfect Cure. In acute Diseases, a quick Pulse is a cer- tain and distinguishing Sign; but in chroni- cal Cases it is slow: and the first consumes the Fluids, and wears out the Solids in a short Time; but the last will require a lon- ger Time to produce the same Effects. Some acute Diseases terminate sometimes in chro- nical ones; and some chronical Distempers towards the last fatal Period of Life turn acute. CHAP. (333) CHAP. I. Of FEVERS, both in general and particular. A Fever is an inordinate Motion, and too great an Effervescence of the Blood, attended with Cold first, and afterwards with Heat, Thirst, and other Symptoms, whereby the animal Oeconomy is variously disturb'd; or according to our En- glish Hippocrates, Dr. SYDENHAM, ' A Fever is nothing else but the ' Effort of Nature to free herself of some ' morbifick Matter, which she finds injuri- ' ous, in order to establish a better Health.” A Fever what Sydenham's Definition. The learned Boerhaave says, that a Fever is the most frequent Di- stemper that happens, an inseparable Com- panion of Inflammations of all kinds, and is ever attended with a manifold variety of Symptoms. Boerhaave's Sentiments. In every Fever from an internal Cause, the three chief observable Symptoms are, first, an universal Trembling, then a quick Pulse, and an increased Heat, various as to Time and Degrees. When the Symptoms are very urgent, and very hastily make their Progress, the Fever is called acute; but when more mild and gentle, it is deno- The Symptoms. minated 334 A GUIDE to HEALTH Part III. minated a slow Fever. And a Fever almost always begins with a sort of cold Shivering, soon after the Pulse growing quicker, affords the primary Diagnostick * of a Fever; so that an increased Velocity of the Contraction of the Heart, together with a greater Re- sistance at the capillary Vessels, make up the Idea of an acute Distemper, which may be produced by an infinite number of Causes. The Health of the Patient seems to be the primary Aim of Nature in Fevers; notwith- standing, Fevers often end in Death, and sometimes they degenerate into some other Diseases. The general Cure. The general Cure of Fevers is summarily comprehended in con- sulting the Strength of Nature, in correcting and discharging Acrimony from the Blood, in dissolving gross Humours, and expelling them, and in mitigating the Symptoms: and if we perceive the Symptoms to run high, and Nature to grow exorbitant, we moderate it by enjoining Abstinence, a slender and cool- ing Diet, drinking tepid Water a little aci- dulated, Bleeding, cooling Clysters, &c. But if Nature seems to be too sluggish, she is to be excited by Cordials, Aromaticks, and Vo- latiles, &c. Of the Symptoms. The Cause of the Fever be- ing taken away, the Symptoms will cease, in as much as they primarily de- pend * Is that Judgment of a Disease that is taken from the pre- sent Symptoms, and Condition of the Patient. Ch. I. thro' the various Stages of Life. 335 pend upon it; so that if they can be born without Danger of Life, they scarce require any particular Cure, nor many times are they to be interrupted without great Caution; but if they be unseasonable, and too violent, they are to be mitigated with proper Reme- dies, due Regard being had to the Cause and State of the Distemper. In the beginning of Fevers, if the Stomach has a natural Inclination to cast, it is abso- lutely necessary to give a Vomit; for else in the Progress of the Fever, a Looseness will be apt to break forth, which may be of dan- gerous Consequence: and the proper time to give an Emetick is indeed in the Beginning; however, if it should happen to have been omitted, it may be given at any time of the Distemper, provided there be sufficient Strength to bear the Operation, and after it some Anodyne, or quieting Medicine. After- wards, if Bleeding be not indicated, and there be no Looseness, a Clyster may be ad- minister'd every other Day, until the tenth or twelvth, at which time Nature inclining towards a Crisis, in my Opinion, some warm- ing Medicines may be given to hasten the Concoction. If the feverish Ebullition pro- ceeds regularly, and in due order, there seems to be no need of giving any Medicines at all; for as much as the Depuration of the Blood is wholly and solely the Work of Nature. The Benefit of ex- hibiting a Vomit. Commonly 336 A GUIDE to HEALTH Part III. A Purge may be given towards the End with Advantage. Commonly about the 15th Day, if there be a laudable Se- paration in the Urine, and a Re- mission of the Symptoms, a gentle Purge ought to be given, left the no- xious Humours secreted from the Blood be- ing absorbed again into it, should cause a Re- lapse; notwithstanding it is sometimes requi- site to defer the purging until the 17th Day. From repeated Trials, I affirm, that no- thing does so certainly and powerfully cool the Body as Purging after Bleeding; and any one may find it in Experience true, that it abates and allays a Fever beyond any Re- medies whatever, both as it cleanses the In- testines, and prepares the Way for an Ano- dyne. Sydenham in his Schedula Monitor ria. The Cause of Fevers. The Cause of a Fever, accord- ing to Hippocrates, De Medic. Vet. ' is not Heat alone, but Heat ' and Bitterness together, Heat and Acidity, ' Heat and Saltness, and an innumerable other ' Combinations in the Blood.' It is however known by Experience, that Persons from found and perfect Health, where there has been neither Plethora, nor any ill Habit of Body to cause it, have fallen into a Fever; because some very extraordinary Change in the Air, or an Abuse in some of the rest of the Non-natural have happen'd; therefore found Bodies on such Occasions may, and are seized with a Fever, in order that their Blood Ch. I. thro' the various Stages of Life. 337 Blood may acquire a new State and Condi- tion to accommodate itself thereby to the Al- teration of the Air, and the Way of Living, &c. By how much the more acute a Fever is, by so much the more sparing and slender the Diet ought to be; for in Fevers, tho' they lie many Days without eating any thing, it is so much the better, for no one ever starv'd to Death in a Fever; but rather upon eating and drinking the Fever would be exasperated; because in taking of Food, the Appetite prescribes the Rule, the Quantity, the Quality, and the Time. A Rule of Diet. The most natural and general Division of Fevers is into Essential and Symptomatick. Division of Fevers. An essential Fever is such, whose primary Cause lies in the Blood itself, which derives its Original from no other Distemper of the solid Parts of the Body, or is any way de- pending on them, and this is properly called a Fever. A symptomatick Fever is a secondary Fe- ver, which does not properly subsist of it- self, but owes its Original to the Disorder of some particular solid Part, and most com- monly depends on some remarkable Inflam- mation, from whence the Variety of inflam- matory Fevers so called. An essential Fever is divided into a Diary or Ephemεra, a continual, continent or re- mitting, and an intermittent Fever. Y A 338 A GUIDE to HEALTH Part III. A Diary or Ephemera, so called by the Greeks, is the least compound of Continual Fevers, which doth begin, increase, arrive at its Height, and decline within the Space of 24 Hours: It is occasion'd by the scorching Heat of the Sun, too much Exercise, or by some other Error committed in the Non- naturals. The Cure is easily perform'd by Abstinence, Rest, and Diluting. But if the said Fever lasts several Days, it is called a continual, not putrid Fever: Its Causes, Signs, and Cure, are the same, and chiefly require large Bleeding, and a cooling Diet and Medicines. A continual putrid Fever, call'd by the Greeks, Synochos, is that Sort of Fever which is continual, without any distinct Paroxysms or Remis- sions, but for many Days continues much the same, until it has run its full Length, and then its Period is determin'd; and it is distinguished from the preceding, by its being * putrid: of this Kind are malignant Fevers, pestilential Fevers, and even the Plague it- self. A putrid Fe- ver what. It proceeds from the following Causes, as flight Inflammations, an Obstruction of the Bowels, a Constriction of The Causes. the * A Fever is said to be putrid, where the Humours or Part of them have so little circulatory Motion, that they fail into an intestine one and putrify, as is commonly the Case after great Evacuations, or great and excessive Heat, where there is such a Scarcity of Spirits, that the Solids cannot suf- ficiently vibrate. Ch. I. thro' the various Stages of Life. 339 the Pores of the Skin, a Stoppage of almost all the capillary Vessels, and a very sharp Acri- mony in the Fluids. It is known by an intense Heat even to the Touch of the Finger or Hand, by a Pulse not only feverish. but at the same time unequal and inordinate; a thick, red, turbid Urine, and crude with- out any Sediment; from a hot and sanguine Constitution, Age and Complexion. Diagnostick Signs. This Distemper is more dangerous and mortal, as the Pulse is weaker, quicker, more unequal in Strength, more irregular as to Time, and more inter- mitting in its Stokes; as Breathing is more difficult, frequent, short, with a great Mo- tion of the Nostrils, the more painful about the Vitals, and the more inordinate in its Time; as Weariness and Weakness are greater, the Tossing of the Body more fre- quent; as the Urine is higher colour'd, thick- er, muddier, with the least Sediment; or as the same is thinner, more watry, more spar- ing, and difficultly retained; as the Patient trembles and shakes more, chiefly in his Hands and Lips, shy of being felt, plays with his Fingers and Hands, and as it were catches at Flies, or some Things he fancies to see upon the Bed-clothes, and about him; and as his Eyes appear more sorrowful and moist with involuntary Tears. Moreover, when the Pa- tient labours much in his Sleep, and wakes worse after it; when either livid or purple Prognostick Signs. Y2 Spots 340 A GUIDE to HEALTH Part III. Spots appear upon the Body, the Sides of the Belly stiff and blown up, then Death is at hand. Continual putrid Fevers commonly require Bleeding in the Beginning, according to the Strength and Constitution of the Patient; but Malignant and Intermitting Fevers seldom admit of it: And in the Progress of all Fevers, when they draw near the Height, Bleeding is prejudicial, according to the unanimous Opinion of the Antients: For Cœlius Aure- lianus, Celsus, and the rest, allowed Bleed- ing only in the first three Days of a Fever, and not after; but there is no general Rule without an Exception. As for the Cure of the Symptoms, or ra- ther the Mitigation of them, which are more than ordinary pressing, they shall be account- ed for in another Place, where I shall treat of the Symptoms of Fevers in general: But here I must observe, that, in a putrid Fever the Patient ought to dilute plentifully with subacid Liquors, and take such Medicines as resist Putrefaction, such as the Juice of Le- mons and Salt of Wormwood made up into Draughts, or Mixtures, &c. A continent or remit- ting Fever. A continent or remitting Fever, called by the Greeks, Synechos, is in fact a continual Fever in regard to its Duration, tho' not in Degree: For it continues many Days together without Intermission; but then it has its periodical Returns of Exaspe- ration and Remission, either every Day, or every Ch. I. thro' the various Stages of Life. 341 every other Day, but no thorough Intermis- sion; nor has it any cold Shiverings, after the manner of Agues or Intermittents. About the End of every Paroxysm, when the Violence of the Fever begins to remit, Sweats general- ly ensue, and the Urine, which during the Height of the Fit was intensely high-colour'd, in these Intervals of Remission usually depo- sits a laudable Sediment, which is the true Characteristick of a continent or simple re- mitting Fever. There is likewise a spurious Kind of remitting Fever, which is attended with outrageous Symptoms of the nervous Kind, imitating Rheumatisms, Pleu- nisies, Colicks, and other inflammatory or spas- modick Distempers: It also often affects the glandulous Parts, producing from thence ma- nifold Excretions, causing Vomitings, Cholera Morbus, Diarrhœa, Bloody-flux, &c. which greatly obscure the fundamental Signs of this Fever, rendering the Paroxysms or Fits un- certain as to their Access and Duration: For by how much more the Evacuations and Pains, now mention'd, are augmented, by so much the febrile Heat is diminish'd and the Pulse weaken'd, and vice versa. Of the Spurious A simple remitting Fever, as such, and as long as it remains such, is very seldom, if ever, mortal; for before it be- comes fatal it changes its Type and Kind, and degenerates into a continual malignant Fever. But the spurious Kind, tho' it is not in its Prognostick. Y3 own 342 A GUIDE to HEALTH Part III. own Nature mortal, yet on the Account of the violent Symptoms accompanying it, it pretty frequently proves so. The more regu- lar the Fits are in point of Time, and the longer the Remissions are, the less dangerous they are, and vice versa. The Evacuations which Nature makes in these Fevers seldom procure any Benefit, they being for the most part symptomatical. But the critical and salutary Evacuations are ei- ther by Sweats or Spitting; the first is the quickest, tho' the latter is equally certain, yet slow and troublesome. During the In- crease of the Distemper, it is a bad Sign if the Urine gradually changes thin and pale, and the Pulse becomes quicker, weak, and staggering, &c. On the contrary, a strong and constant Pulse, Urine much tinctured with Redness, and full of Settlement, particularly when there is a laudable Sediment, and the Distemper is come to the State or Height, they are good Signs. The Cure. A simple remitting Fever gives way to the Bark, as certainly as an intermitting one: For the feverish Ferment in both is almost the same. The Efficacy of the same Medicine in curing a spurious remit- ting Fεver, is almost as certain as in a simple one, provided it be rightly administer'd, Re- gard being had to the more violent Symp- toms; but it has not so quick an Effect, be- cause the Distemper is greater and stronger, and therefore requires a greater Quantity of the Ch. I. 343 thro' the various Stages of Life. 343 the Medicine: So that the radical Care of these Fevers consists in the regular giving and Repetition of the Peruvian Bark, with due Regard to a proper Diet in all such Diseases. It will be necessary, in order to establish a rational Method of Cure of con- tinual Fevers; to have Regard to the Division of them into burning and slow Fevers, because the Method of treating each of these is vastly different. A Division in- to burning and slow Fevers. Of a Burning Fever. In a Burning Fever the Person is affected with a most ardent Heat, a Dryness of the whole Skin, of the Nostrils, Ears, Mouth, and Tongue: Respi- ration is thick, difficult, and quick; the Tongue dry, yellow, black, rough, and burnt up; Thirst unquenchable, sometimes going off suddenly without any other good Sign; an Aversion from all Sorts of Aliment; a Nau- seating, Vomiting, Anguish, Uneasiness, a great Weariness, a little Cough, a hollow Voice, a Delirium, Phrensy, obstinate Wake- fulness, Dozing, Convulsions; and on the odd Days a renewing and increase of the Fever. The chief Symptoms. A Burning Fever very often kills on the third or fourth Day; it seldom gets over the seventh, if it be a perfect Causus: It often goes off with an Hœmor- rhage, which if but small and sparing on the third or fourth Day, the Fever commonly proves mortal: This may be foretold from Progno- sticks. Y4 the 344 A GUIDE to HEALTH Part III. the Patient's complaining of a Pain in the Neck, Heaviness of the Temples, Dimness of the Sight, a Working and Labouring of the Heart and Lungs without any Sense of Pain, involuntary Tears, without any other fa- tal Signs, Redness of the Face, and Itching of the Nostrils; but if it happens on a critical Day, it is most advantageous. A Solution of this Fever also on a critical Day, may be expected by Vomiting, Looseness, Sweating, much Urine, spitting thick Phlegm; but growing worse on the second or fourth Day is a very bad Sign, on the sixth not so bad: Black Urine, thin and small in Quantity, is mortal; spitting of Blood and bloody Urine, are mortal; a Difficulty of swallowing is a bad Sign; nothing worse than Coldness of the extreme Parts; the Face red and sweaty, is bad; a Swelling behind the Ears and not ripening, is mortal; the Belly too loose, fatal; a Trembling turning to a Delirium, ends in Death. This Fever often changes to an In- flammation of the Lungs, with a Delirium attending it. The Regimen in such a Fever is, keeping the Air of the Room pure and cool, untainted with Fire, or Smoke, or the Breaths of many People; and they ought to have no more Bed-cloaths than barely defends them from Cold; their Curtains ought to be kept open, so as to renew the Air; and their Posture in lying as erect as they can well bear. Regimen. Their Ch. I. thro' the various Stages of Life. 345 Their Drink should be cool, mild, sub- acid, tepid, given in moderate Quantities, and often, as Water with Juice of Lemon or Tamarinds. Their Aliment out to be light, of mealy Vegetables, as Water-gruel, Prepa- rations of Barley, with some Juice of Lemon; Rice boil'd in Whey and strain'd; roasted Apples in the Progress of the Disease; a little toasted Bread sometimes, with Rhenish Wine and Water; Jelly of Currants; Broaths and Jellies made of Animal Substances, and quali- fied with Juice of Lemon or some other Acid, may be sometimes allowed. Bleeding is requisite in the Be- ginning of the Distemper, if there be the Signs of a Plethora, or of a particular In- flammation, or that the Heat is intolerable, the Sweat too great, a Revulsion be necessary, the Symptoms very urgent, and hardly to be master'd by any other Means; in these Cases Bleeding is of an absolute Necessity. Some- times also gentle and cooling Clysters are to be given, as often as the Heat of the Distemper or Costiveness shall require them. Diluents will likewise be proper, and Nitrous Me- dicines, and such as very gently loosen the Belly. The Cure. Here it will not be improper to take parti- cular Notice of what Walschmidius says, viz. A malignant Fever often in the Beginning ap- pears in the Shape of a Causus or burning Fever; so that a Physician ought to be cautious lest he should fall into a Mistake about it; therefore let 346 A GUIDE to HEALTH Part III. let him be diligent to inform himself, whether the Patient complains of an Anxiety or Uneasi- ness at his Heart, a sudden Loss of Strength, and other grievous Symptoms: Let him also examine the Urine, &c. for the Cure of these Fevers is very different. A Calenture is a Fever peculiar to Mariners, of a high inflammatory Nature. Those that are seiz'd with this Distemper are affected with a peculiar Sort of Delirium; for they frequently say they will walk into the green Fields, which they always seem to have in View, thinking they are just going into them, and, unless they are kept by Force, they jump into the Sea; and that is an inseparable Sign of this Distemper. Young lusty Men, of a sanguine Complexion, are most subject to it. The Cure chiefly consists in plentiful bleed- ing and diluting. Of Slow Fevers. Slow Fevers, tho' they are not so acute as the Burning or Putrid Fevers, yet they are however continual, as they constantly afflict the Patient labouring under them; but they pass through their several Stages more slowly, for which reason they are of a longer Conti- nuance, and the Symptoms not so violent. Catarrhal Fevers. In the Class of Slow Fevers we may justly reckon Catarrhal Fe- vers, which in the Beginning and Increase are attended with a Catarrh, a Run- ing at the Nose, a Cough, Hoarseness, &c. These Ch. I. thro' the various Stages of Life. 347 These Fevers are for the most part gentle and slow in the Day-time, and commonly some- what worse in the Evening: They are also attended with great Weariness of the Limbs, and the Symptoms continue, with an Increase of the Running at the Nose and Cough, till the Distemper rises to its highest Pitch, when the Matter of the Catarrh is ripen'd, and the Mucus becoming thicker, is discharged, and the Fever goes off. The Seat of this Disease is in the Conglobate Glands †, more particu- larly occasioned by some Obstructions in the Pituitous Glands. A Decoction of Sassafras, with Li- quorish-root and Raisins, is very pro- per in Catarrhal Fevers, on account of the Acrimony of the Humours; likewise the Juice of Turnips, with a little Sugar; Vola- tiles and gentle Sudorificks; a Solution of Gum Arabick, and whatever besides is pro- per in Coughs and Hoarsenesses, will be like- wise useful in this Case. The Cure. Besides the fore-mentioned, there are likewise Lymphatick or Pitui- tous Fevers, occasioned by the Fault of the Lymphatick Fever. Pituita † A Conglobate Gland is a little smoofh Body or Kernel, wrapp'd up in a fine Skin, by which it is separated from all the other Parts, only admitting an Artery and Nerve to pass in, and giving Way to a Vein and excretory Canal to come out. Of this Sort are the Glands in the Brain, as the Pi- tuitous Gland, the Pinealis Gland, the Glands of the Mesen- tery, Groin, Testes, and Labia: All the rest of the Glands in the Body are called conglomerated Glands, being composed of many conglobate Glands, tied together and wrapp'd up in one common Membrane. 348 A GUIDE to HEALTH Part III. Pituita of the Conglomerate Glands, which discharge their Juice into some certain Cavity, of which the Parotid Glands and the Pan- creas are remarkable, discharging the Liquors separated into the Mouth and Intestines, and consequently into the Mass of Blood; which Humours, when vitiated, become viscid, salt, and sharp, produce these Fevers, which are likewise sometimes not improperly call'd Scor- butick Fevers. Continual Acute Fevers, and sometimes Intermittents, degenerate into these Slow Fevers, and sometimes into Hecticks; and the Original of these Fevers is most com- monly in the Stomach, proceeding from In- digestion and Crudities. The Cure Therefore a gentle Vomit, as well in the Beginning as in the Increase of these Slow Fevers, ought to pave the Way for the Cure; and afterwards the Viscidity and Acrimony to be corrected; and the Symptoms are to be mitigated, and the Stomach to be strengthen'd, &c. for which Purpose vitro- lated Tartar, Testaceous Powder, Diaphore- ticks, and Volatile Salts, &c. are proper. Of Intermitting Fevers. An Intermitting Fever is a præ- ternatural Heat, kindled in the Blood by an unusual Expansion of the Spirits, returning at certain Periods. In this kind of Fever a Chilness, Shivering, Heat, and Sweats successively follow one another. The Fit is attended with an universal Sickness, Nause- The Definition. ousness, Ch. I. thro' the various Stages of Life. 349 ousness, and Vomiting; Pain of the Head, Loins, &c. The Paroxysm or Fit is very acute, but the Distemper in itself generally more or less chronical. A simple Intermitting Fever is easily known, for it discovers itself of its own Accord; and how great a Variety soever there may be of them, let them be either Quotidians, Tertians, Quartans, &c. the morbifick Ferment of all is the same, which certainly yields to the Force of the Peruvian Bark, if duly and skillfully administer'd. The common Species of Intermitting Fe- vers are simple Quotidians, Tertians, and Quar- tans; double Quotidians, Tertians, and Quar- tans; half Tertians, half Quartans, &c. There are likewise Intermitting Fevers which return every fifth, sixth, or seventh Day. Intermitting Fevers in this Country are sometimes very obstinate, often returning in spite of all Remedies; and by long Continu- ance they degenerate into Hepatical Fevers, and many chronical Distempers, as Jaundice, Dropsy, Schirrus's, and Scurvies; therefore in this Disease a right Method, both of Me- dicines and Diet, is very necessary. We should begin the Cure with a Vomit, or Purge, according to the Strength, Age, and Condition of the Patient, and afterwards administer the Bark often between the Fits, in good large Doses; but if the Patient's Strength and present Case will not allow of a Vomit or Purge, then the Bark should be given, 350 A GUIDE to HEALTH Part III. given, without any previous Preparation at all; and there is a different Regimen to be used during the Continuance and Absence of the Paroxysm, and in the Paroxysm itself, during the Rigor or cold Fit, the Heat and the Sweat. During the Rigor nothing is more proper than a Draught of warm Water, with a little Rhenish Wine, or Juice of Lemon and Su- gar, which dilutes and relaxes at the same Time, and will make the Symptoms wholly abate, and terminate the cold Fit sooner, and throw the Patient into a Sweat, than the warmest Cordial. In this Case likewise strong Frictions of the Extremities relieve very much; Proper Care must be taken to shorten the Pe- riod as much as possible, and by warm Dilu- ents a little acidulated, to bring on the Sweat soon, but not to push it beyond its due Mea- sure; because an Intermitting Fever of itself relaxes and weakens the Body extremely. Between the Fits too great Abstinence is hurtful, as much as too great Repletion. As Intermitting Fevers are often of long Conti- nunace, extreme Abstinence is impracticable, and would reduce the Patient to a Condition not to be able to sustain the Shock of the next Attack. Between the Fits, such Substances as tem- per, correct and subdue the bilious Alkali, as acid Substances, nitrous Salts, small thin Wines, Chicken-Broth with Juice of Lemon, Wine with Bitters infus'd, are proper. Ex- Ch. I. thro' the various Stages of Life. 351 Exercise, to as great a Degree as the Pa- tient can bear, is extremely beneficial between the Fits. Bleeding in Intermitting Fevers seldom does any Good, but oftentimes a great deal of Harm; yet the Patient's Condition is to be considered in this Case. But there are spurious Intermitting Fevers, as was observ'd of Remittents: Their Symp- toms are sometimes very urgent and violent, and their fundamental Signs are disguised un- der the Appearance of some other Distem- per, as Vomiting, Diarrhœa, and some great Pain, &c. The true and genuine Sign of the real primary Distemper being chiefly known by the Exasperation and Remission of those violent Symptoms, and by the Urine of a Brick-dust Colour; but these spurious or illegitimate Intermittents creating a great Variety of direful Symptoms, such as enor- mous Vomitings, Griping, Looseness, Cholera Morbus, Colicks, Pains in the Side like pleu- ritick Pains, Apoplexies, Pains on one Side of the Head, Spasms or Cramps, nephritick Pains, &c. Notwithstanding the great Va- riety there may be of these Disor- ders, in their manifold Shapes and Forms, yet they all depend upon one and the same Ferment, and are certainly cured with that one fovereign Antidote the Peruvian Bark, if prudently administer'd, as well as any other Intermitting Fever. The Cure. No 352 A GUIDE to HEALTH Part III. Prognostick. No one has been known to die of an Intermitting Fever, except it be in the cold Fit, that Excess of Coldness arising from a Viscidity in the Blood, and an absolute Oppression of the Spirits. The proximate Cause of In- termitting Fevers. After an accurate Examination into the whole History of Inter- termitting Fevers, the proximate Cause is assign'd to be the Visco- sity of the arterial Liquid, there happening at the same Time some Cause or other for a quicker and stronger Contraction of the Heart, and a Dissolution of the stagnating Viscidi- ties. Boerhaave. Having thus far treated of Benign Fevers, I shall now proceed to give the Reader a suc- cinct and clear Account Of Malignant Fevers. Diagnostick. The first Sign of a Malignant Fever, is a remarkable Loss of Strength on a sudden, without any mani- fest Cause, with a weak Pulse: The external Heat is not so violent as in some other Fevers; the internal Heat is rather greater. It is attend- ed from the very Beginning with obstinate Watchings, and anxious Uneasiness: The Sick complains and shews the Region of the Stomach, or the Heart; the Urine is not unlike that of a Person in Health; the Coun- tenance looks hideous sometimes, and much changed from the natural State, sometimes of a livid Colour. The Reason why the feverish Heat and Ebulli- Ch. I. thro' the various Stages of Life. 353 Ebullition in these Fevers, is not do great as in other Fevers, is entirely owing to the Ma- lignity which has seiz'd the Blood; and is rather a Sign of some great Disorder of the Spirits, which are greatly affected, and as it were sphacelated or deaden'd, than of any Disturbance in the Humours; or it may be sometimes the said Disorders may be propa- gated into the Humours, especially the Blood, from the malignant Taints; from which arises great Confusion, and an inordinate in- testine Motion, which indeed produce an in- ternal Heat, but is not carried so sensibly to the external Parts. By this means Nature being, as it were, oppress'd, is not able to exert those Symptoms more regularly, which are agreeable to, and might attend the Dis- ease. There is a great Variety of Malignant Fe- vers, on account of the Diversity of their Symptoms: In some there are very remark- able cutaneous Efflorescencies; in some more abundantly, in others less; and in some no such Appearances at all; others, in fine, are attended with other kind of Symptoms. Some assert, from microscopical Observa- tions, that in all malignant Fevers and gan- grenous Ulcers, there is so great a Putrefac- tion of the Blood, that it gives Occasion for the Generation of a Multitude of little Worms, from whence they believe the great Variety of Symptoms so vexatious do arise; but these Worms cannot be bred without a preceding Z Putre- 354 A GUIDE to HEALTH Part III. Putrefaction; and the Blood in Malignant Fe- vers is preternaturally fluid, insomuch that when it is let out of the Body it will not co- agulate as usually; but this is the Product of the Distemper, and not the Cause. The very naming a Malignant Fever strikes a Terror into Mankind; because all Malignant Fevers are very dangerous, and as to the Event very uncertain; which made Galen assert that Malignant Fe- vers will not admit of a Prognostick. Deaf- ness in the Beginning portends the greatest Danger, but in the Height of the Distemper it is a favourable Symptom; but bleeding at the Nose and a Looseness through the whole Course of the Distemper, are very bad Signs: And it is almost always reckon'd a very bad Symptom when they employ their Hands as if they were catching Flies, or picking up Straws or Bits of Threads. If on or about the eleventh Day Buboes arise in the Groin, it betokens well, and terminates the Fever. The Prog- nosticks. The Cure, according to Etmuller and others. Malignant Fevers by no Means admit of Bleeding; for the more malignant they are, the more Mis- chief it would do, and the farther from the Beginning the worse. Vomits in the very Beginning of the Distemper are a- bove all Things exceedingly proper; but then they should be given before any cuta- neous Eruptions appear, otherwise the Op- portunity is lost; and afterwards the Cure is to be endeavoured by Medicines, and Sub- Ch. I. thro' the various Stages of Life. 355 Substances that procure Sweating, Nature herself teaching us so much; for frequently Sweating carries off the Cause and Fewel of the Distemper. The greater the Malignity is, the more Sudorificks, or sweating Medicines, are to be employ'd, regard being always had to the Nature of the Distemper, and its Diversity, as also the Strength of the Patient. Sudori- ficks are to be given at least three or four Times in twenty-four Hours; Analepticks and moderate Acids are to be used in the in- termediate Times, amongst which dulcify'd Spirit of Nitre is very good; also Tincture of Saffron extracted with sweet Spirit of Nitre; likewise the Juice of Citrons and Quinces; &c. Camphire is a noble Alexipharmick, but every Body cannot bear the Use of it, espe- cially some Women, and studious Men, whose animal Spirits are easily moved and dissipated. Blisters are of singular Use in the State or Height of the Distemper. The volatile Salts of Hartshorn, and of Vipers, are Sudorificks, and resist Malignity; and here the Mistura Simplex of Paracelsus takes Place, as well as in all pestilential Fevers, being a very noble Remedy. Its Dose is from one Dram to two, to be given once in six or eight Hours, a proper Vehicle. Notwithstanding Bleeding in this Disease has been, and is accounted dangerous by a great many Practitioners, it only proves so when it is triflingly performed; for if a large Z2 Quantity 356 A GUIDE to HEALTH Part III. Quantity of Blood be taken away in the very Beginning, it secures the Party from Danger. But Bleeding had better been quite omitted, than not to be performed to a large Quantity, even almost to Fainting; and to prevent Fainting the Patient ought to be let Blood in his Bed. It is to be minded, that where there is a Plethora, or the Patient is of a strong Constitution, more Blood may be taken a- way than in a weakly or a phlegmatick Con- stitution. After a sufficient Evacuation by Bleeding, plentiful Sweating must be pro- cured by proper Medicines and Drinks, such as Venice Treacle, Mithridate, Diascordium, London Treacle, Camphire. Lapis Contrayerva, Pulvis ad Guttetam, Sir Walter Raleigh's Confection, Treacle-water. Plague-water, Ca- stor, Saffron, Cochineal, &c. Of these and the like many excellent Sweats may be fram'd into either Bolus's, Draughts, or Mixtures, interlac'd with nitrous Medicines and Acids, according to the Exigency of the Case. When Spots appear, neither Bleeding, Vomiting, nor even Glysters are to be administered, but Su- dorificks and Blisters. If the Blood tends to a Dissolution, sweat- ing Medicines and spirituous Cordials are very improper; but Emulsions, acidulated Drinks, and the like, with Bezoarticks, Nitre, and gentle astringing Remedies, in order to re- duce the Humours to their natural Texture and Firmness. Their common Drink ought to Ch. I. thro' the various Stages of Life. 357 to be acidulated with Juice of Lemon, Spirit of Sulphur, Elixir of Vitriol, &c. Of Spotted Fevers. A Spotted Fever is a very ma- lignant one, in which, besides the Symptoms common to other ma- lignant Fevers, there is a very remarkable Weariness of the whole Body, an universal throbbing and pricking Pain: The Spots ap- pear sometimes the fourth Day, but oftener about the seventh, especially on the Breast and Shoulder-blades, then on the Belly, Legs, Arms, and Neck, seldom in the Face. Not only Spots, but likewise large Marks, black and blue, sometimes appear; and in the De- clension of the Distemper sometimes a Spitting comes on, which carries it off. The Symptoms of a Spotted Fever. The Spots in the milder Sorts of this Fever are florid and very red, like Flea-bites: Afterwards they grow pale, yellow, and so disappear: The more red they are, the better: On the contrary, those that are of a livid or pale red, or appear blackish, are the worst. If they strike in again, it foretells a great deal of Danger. Prognosticks. These Distempers are contagi- ous, and sometimes epidemical or spreading: They are very danger- ous; for of those that are seiz'd with it, more die than recover. They are contagious. Spotted Fevers being a Species of the Malignant, the same Indications of Cure are here required as were mentioned The Cure. Z3 above 358 A GUIDE to HEALTH Part III. above for the Cure of malignant Fevers in general. If the Spots strike in too soon, Vesicatories are to be employ'd; upon which, tho' we are not to expect the Spots to appear again, yet in some Measure the Blistering answers the End of their not appearing, and sometimes very happily prevents the dire- ful Symptoms in the nervous System. No Evacuation of the Bowels must be attempted, such as Vomiting or Purging, or even by Glysters, as long as there is any Appearance of the Spots. CHAP II. Of the Cure of the most urgent Symptoms attending Fevers. Rigor in Fevers. THE Coldness and Shiverings which happen in the Beginning of acute Fevers, are owing to a Diminution of the Contraction of the Heart, the Circu- lation then being less quick, and the Blood actually stagnating in the extreme Parts, and pressing upon the Heart, creates great Anxie- ties, and may produce polypose Concretions about the Heart, and in other Parts of the Body; therefore a Rigor or Coldness encreases an Inflammation. Those who die of Quartan, Fevers, Ch. II. thro' the various Stages of Life. 359 Fevers, die in the cold Fit; and in truth, there is no Mischief but what may proceed from a Rigor of long Duration; for if it re- mains long, sudden Death sometimes ensues; and therefore the greater and longer such Coldness is, the more dangerous is the Fever. In such Rigor or Coldness, all warm Cor- dials and stimulating Substances are improper; for the first acting with Force upon the right Ventricle of the Heart, may drive the Blood with too much Force thro' the Lungs; and stimulating Substances, by contracting the Vessels, often increase Symptoms, which are best reliev'd by drinking warm Water with a little Rhenish-Wine, wherein a little Nitre is dissolved; likewise strong Frictions of the extreme Parts are very useful in this Case. See farther in the Cure of intermitting Fe- vers. The Degree of feverish Heat may be known by the Thermoscope, the Sensation of the Patient, the Intense- ness of the red Colour of the Urine, the Siziness of the Blood, the Dissipation of ths fluid Parts, which renders it thicker; the Hardness, Strength, and Frequency of the Pulse, which makes the Friction or Rubbing the stronger, to which the Heat is proportio- nal, the bad Disposition of the Humours, the Temperament of the Body. Feverish Heat. This Heat is moderated by Bleed- ing, by muscular Rest, by mode- rate Ligatures, which compress the Veins The Cure. Z4 only, 360 A GUIDE to HEALTH Part III. only, and often remov'd from Joint to Joint, by a mechanical Reason retard the Circula- tion; of such Sort is dry Cupping, Bathing the lower Parts, watery Liquors for Drink, not cold but warm; subacid, as Jelly of Cur- rants dissolv'd in tepid watery Liquors, De- coctions of mealy Substances acidulated, Sub- stances that are Anodyne, Substances which dissolve Concretions, such as Sugar, Honey, and the simple Oxymel; plentiful diluting, and restoring as much Water to the Blood, as is dissipated by the Heat; all demulcent and relaxing Substances, cooling the Air in the Room, opening the Curtains, and removing too heavy Bed-cloaths. All stimulating and styptick Substances are to be avoided; because they increase the Force of the solid Parts. Lenient Glysters and Emulsions are also use- ful to mitigate such an excessive Heat. Caution. But great Care is to be taken left by cooling too much, the Spirits shoul'd receive a sudden Damp, and by that means be depriv'd of their Elasticity, whereby the burning Fever might unwarily be changed into a malignant one, which has been many a time the Case. In Thirst, attending Fevers, the Liquors should not be drank quite cold; for cold Liquors by constringing the Glands of the Palate and Throat, do not quench Thirst so well as Liquors moderately warm: In this Case acidulated small Liquors should be plentifully drank. All Salts in- Thirst. crease Ch. II. thro' the various Stages of Life. 361 crease Thirst, except Nitre, and dulcify'd Spirit of Nitre mix'd with Water, or the Patient's common Drink, is useful in this Case; so are Barley-Water and Emulsions, except in great Weakness and Flatulencies of the Stomach; in such Case Water mix'd with a small Quantity of Rhenish-Wine is best of all. In these Anxieties which at- tend Fevers, when the cold Fit is over, in such a Case a warmer Re- gimen may be allow'd; because Anxieties in Fevers often happen by Spasms, or Convul- sions from Wind, therefore Spices are useful. And in those Anxieties, saponaceous Sub- stances which dissolve the Blood are proper, as ripe Fruit, and especially Honey, Sugar, &c. Anxieties in Fevers. Sickness and Vomiting may be owing to an original Surfeit, and is one of the most troublesome Symp- toms attending Fevers; because it renders the Patient incapable of taking any thing. It is often prevented by giving a gentle Vomit, or cur'd by promoting the Vomiting for a while by warm Water, or thin Chicken-Broth; for which Purpose likewise Carduus Tea drank in large Draughts may do very well; but if it does not of itself succeed well, half a Dram of Salt of Vitriol, or a Spoonful of Oxymel of Squills, may be given with the Posset. Sickness and Vomiting. During 362 A GUIDE to HEALTH Part III. During the Symptom, acid Liquors, and even such as are austere and astringent, are to be used; because such strengthen the re- laxed Fibres of the Stomach; for which Pur- pose the following Julap is very effectual. Take of Salt of Wormwood 4 Scruples; of fresh Juice of Lemon, 2 Ounces; mix, and when Ebullition is over, add to it of Barley Cinnamon Water, 3 oz. of Mint-Water and Nephritick Wa- ter, each 1 Ounce; Spirit of Saffron, half an Ounce; Syrup of Quinces, 1 Ounce; mix for a Julap, of which let the Patient take 2 or 3 Spoonfuls every 3 Hours, or oftner. Diluting, and sometimes relaxing the Belly, and carrying the bilious Salts downwards, often cures this Symptom. And Attention is to be given to the Appetites of Patients in this and many other Cases, who sometimes covet odd things which have relieved them, as Salt, Vinegar, &c. Vomiting from a bilious Cause is cured by acidulated small Liquors; and vomiting from some putrid Cause, by Salts of all Sorts; and in such a Case, Water-Gruel with Cream of Tartar, Rhenish Wine with Water, Jelly of Currants, Marmalade of Quinces, Sorrel boil'd in Broths well skimmed from Fat, are exceeding beneficial. But Ch. II. thro' the various Stages of Life. 363 But if the Vomiting proceeds from a phlegmatick Cause, Spices and Bitters will relieve; for the Counterpoison must be adapt- ed to the Cause: As for Example, in Poison from sublimate Corrosive and Arsenick. In the first, alkaline Substances are properest; in the second, oily Substances are fittest, in both Diluents are proper. It will not be dif- ficult to judge of the Cause by what the Pa- tient throws up from the Stomach, Whether a Vomit may be safely or properly given, must be judg'd by the Circumstances; for if there be any Symptoms of an Inflamma- tion of the Stomach or Lungs, a Vomit is extremely dangerous. A Caution in giving Vomits. A Diarrhœa or Looseness some- times happens in Fevers, which proves often a dangerous and fatal Symptom; and this Evacuation is not the genuine Motion of Nature for its Relief, but arises rather from the Impetuosity and Vio- lence of the Distemper, or the stimulating Acrimony of the Humours, which in reality is a symptomatical Diarrhœa, and ought to be stopt; for it weakens, excoriates, and in- flames the Bowels, occasioning bloody Fluxes, thickening the circulating Juices, and ex- hausting the Strength of the Patient very much; however, a critical Diarrhœa is not to be stopt, for fear of incurring the same Dangers. A Looseness in Fevers. 2 Attention 364 A GUIDE to HEALTH Part III. Attention should be given to the Cause: If it proceeds from Acidity, it is to be cured by Anti-acids; but as in Fevers the Cause is more commonly alkaline and bilious, acid or four things relieve best; and it happens some- times, that oily Substances by blunting the Acrimony will do a great deal of good in Diarrhœas; for oily Substances of themselves do not irritate or provoke Loosenesses, they only lubricate or make the Bowels slippery. Vomiting, by evacuating the irritating Cause, often cures Diarrhœas. Anodyne Substances are proper, and gene- rally speaking, solid and dry Food rather than liquid. The white Decoction of burnt Hartshorn is very proper for common Drink, and absor- bent testaceous Powders mix'd with Diapho- reticks, are likewise very useful in the Case; and lastly, we may have Recourse to Venice Treacle, Diascordium, &c. But it is obser- vable in general, that Laxness of the Body in the beginning of Fevers is better than over Costiveness, but in the Progress of the Di- stemper it is worse. Strangury in Fevers. A Dysuria or Strangury in Fe- vers is very troublesome. The com- mon Emulsions are very proper to mitigate the Ebullition in burning Fevers; and commonly they very much asswage this vexatious Symptom; as likewise Oil of sweet Almonds, with Syrup of Marsh-mallows, or a Solution of Sperma Ceti: also a Solution of Ch. II. thro' the various Stages of Life. 365 of 1 Ounce of Gum-Arabick in a Quart of Barley-Water for common Drink, is an ex- cellent Remedy, especially when this Symp- tom is occasion'd by Blistering. Profuse Sweats which happen in Fevers, either in the Beginning of the Disease, or at any other Time before the Crisis, and before the Signs of Concoction appear, are symptomatical, and oftentimes Colliquative: They proceed from a Laxity of the Vessels, and too vehement a Circula- tion of the Blood, and ought therefore to be restrain'd by Art; for they are very trouble- some to the Patient, and they exasperate the Distemper, in depriving the Blood of its most fluid Parts, thicken and often cause Obstru- ctions; so that it is a very bad Practice to push Sweating too much in Fevers, except in such as are pestilential Profuse Sweats. In profuse Sweats, Care should be taken by diluting, to restore the Liquid which the Blood loses, and to use the Methods advised already in too great Heat, by taking away some of the Coverings of the Bed, and ad- mitting of cool Air, and using a Diet mo- derately astringent, and mild Acids, &c. Tinctura Antiphthisica, on Account of the Sugar of Lead in the Composition, is esteem'd an efficacious Remedy for suppres- sing such Sweats; and likewise Sage is very good in the Case of profuse Sweats. A 366 A GUIDE to HEALTH Part III. Pain of the Head. A violent Pain in the Head, Back, or in the Limbs, especially in the beginning of Fevers, requires Bleeding; and if that does not relieve, it will be proper to give a gentle Vomit if the Sto- mach be foul, otherwise a laxative Glyster may suffice. Watchfulness is a Symptom in Fevers, which is sometimes called a Coma Vigil, and often precedes too great Sleepiness, and is perhaps the most ill-boding Symptom of a Fever; therefore the Cause is to be narrow- ly enquir'd into; if it proceeds from too great Heat and Dryness, cooling and moisten- ing things are to be administred; if Pain be the Cause, we must endeavour to asswage it by proper Remedies, avoiding Opiates, with- out an absolute Necessity, especially about the time of the Crisis, when the Physician may perceive great Restlessness and Inquie- tude in the Patient; for it should be always remember'd as a Maxim, that a Space of time before the Crisis happens, is the most troublesome, Nox ante Crisin est molestissima. Other Expedients in this Case are, extreme Care to keep the Patient from Noise, and whatever makes any strong Impression upon his Senses, and some of those Helps used in a Delirium, for this is an Approach towards it; a moist softening Diet, ail Preparations of Barley, Emulsions of Poppy Seeds and Al- monds, Aliment of Lactecescent or milky Plants, especially Lettuces, Decoctions of Scorzonera Ch. II. thro' the various Stages of Life. 367 Scorzonera Roots, Almond Cream, and what is called Winter-Flummery, used as Aliment; Tea made of Cowslip Flowers, relaxing gent- ly the Belly. Coma, or Sleepiness in Fevers, is di- rectly contrary to the fore-mentioned Symp- tom Wakefulness; the Patient has a continual Propensity to doze or sleep, sometimes with a real Sleep, and often without it. A Coma will proceed either from a Pressure upon the Original of the Nerves in the Brain, by too great Repletion; or from a Penury or Waste of Spirits by too great Inanition. Coma. Old People are subject to Comas by the Glewiness of the Fluids circulating in the Brain, which being resolved by the Fever, obstruct the small Canals of the Brain: But in young People it commonly proceeds from Fulness, and is best cur'd by Bleeding and re- laxing the Belly. The Sign of such a Fulness is, a red Countenance and inflamed Eyes; but if it proceeds from a glutinous Oil, it ought to be resolved by Water, nitrous Salts, Soaps, Subacid Liquors, and Blisters, not forgetting the Use of sharp Glysters. In a feverish Delirium there is a small Inflammation of the Brain; therefore any- thing which increases the Circulation in the Lower Parts, and diminishes the Pressure on the Brain, is beneficial; as bathing the Feet in warm Water; nothing relieves the Head more than the Piles, therefore Suppositories of Honey, Aloes, and Rock-salt ought to be Delirium made 368 A GUIDE to HEALTH Part III. made use of; relaxing by emollient and wa- tery Substances, both in Drink and Glysters, especially Barley, Cream, and Barley-gruel, are to be frequently used: Likewise Bleeding in the Foot, and Blisters will be of great Ser- vice in this Case. Of Convulsions in Fevers. Convul- sions. Nothing is of more Importance than rightly to know the Cause and the Seat of this Distemper, which is com- monly very obscure. In Infants Convulsions commonly proceed from Acidity in the Sto- mach and Intestines, which are cured by Ab- sorbents, such as testaceous Powders of all sorts, and gentle Purges and Glysters; but in such indeed Convulsions attending Fevers are not altogether so dangerous. Convulsions arising from Acrimony in the Stomach, or from any thing vellicating a Nerve in its Extremity, and not in its Origi- nal where it rises from the Brain, are not very dangerous; but Convulsions, which pro- ceed from too great Evacuations, as great Hæmorrhages attending Fevers, are very dan- gerous, and frequently mortal. Convulsions proceeding from an Inflamma- tion of the Membranes of the Brain are com- monly fatal: The Symptoms attending such are, a great Heat and Thirst, a hard Pulse, and a Delirium; so that the Remedies, and even those from Diet, are to be used accord- ing to the particular Seat of the Distemper; for Ch. II. thro' the various Stages of Life. 369 for if it be from the Stomach, such Aliments as are contrary to the particular Acrimony, Acid, Alkaline, or Oily, impacted there, as in the Case of Vomiting, already described. But if they arise from something obstructed in the Brain, such Convulsions are generally cur'd by Diluting, Relaxing, Revulsions, and softening both the Fluids and Solids, and using such Substances especially as open the Belly; and in general the Regimen prescribed in a Delirium or Coma: For it would be a Folly to rely here on the Medicines, which, by their pompous Titles of Anti-spasmodick and Anti-hystericks promise a specifick Cure; besides, all Volatiles, spicy and cordial Sub- stances, are here destructive. Of Weakness in Fevers. A feverish Weakness proceeds from too great Fulness in the Beginning, and too great Penury or Inanition in the latter End of the Distemper; for whatever stops or retards the Circulation of the Fluids in the smallest Vessels, especially those in the Brain, produces this Symptom, which either of the Causes now mentioned will certainly do; And those two Causes require a different Method of Cure; for in the first, emptying and diluting is re- quisite; in the latter, a more plentiful Nou- rishrnent, the Use of Wine diluted with Wa- ter, and Spices in small Quantities, Jellies, Broths qualified with some gentle Acid, un- less there be Signs of Acidity; but in that Weakness. Aa Case 370 A GUIDE to HEALTH Part III. Case the Diet should be contrary to that Symptom; in which Case Viper Broth, and all other Broths are both anti-acid and nourishing. In Weakness from too great a Loss of Blood, Wine and Food which is easily digested and assimilated or converted into Blood, is pro- per; for a small Quantity of Blood often- times brings the Patient into a Dropsy. Fric- tions of the Limbs relieve Weaknesses, as they promote a Flux of Juices and Spirits in the Joints and Limbs, by which Means they will bring Nourishment to those Parts. Fat People are most subject to the Symp- tom of Weakness in Fevers; because the Fat, being melted by the Heat of the Fever, Part of it obstructs the small Canals or Vessels, and consequently produces this Symptom; which is evident from the great Loss of Fat such Persons sustain in Fevers, by the Laxity of the Fibres, and the Emptiness of the smaller Vessels; and therefore such should be treated with particular Care, for after due Evacua- tions they ought to dilute plentifully both by Drink and Glysters, avoiding all fat and oily Things, and using Sugar, Honey, and ripe Fruits. Of inflammatory Eruptions in Fevers. In all these of any Kind whatever, as Small- Pox, Meazles, Purples, Scarlet-fever, Ery- sipelas, or St. Anthony's Fire, the Intention of Diet ought to be, to avoid strong Sudorificks, or sweating Things, which push out too great a Quan- Ch. II. thro' the various Stages of Life. 171 a Quantity of the Matter upon the Skin; to use cooling and temperate Diluters, which will keep the Matter moveable, so that it may be secreted from the Blood; to keep warm during the Eruption; and that the Diet be cool; for which Reason the moderate Use of Acids, as Juice of Limons, &c, are necessary; and above all things Bleeding must not be omitted. A due Attention to the few Rules above- mentioned, in the several Symptoms, will prove successful in the Cure of most Fevers. Of the Small-pox. Notwithstanding I have taken notice just now of Eruptive Fevers in general, yet as this is one of the most dangerous and universal that infests Mankind, I shall treat of it in this Place in particular. Therefore, the greatest and most important Steps for the Recovery of the Patient must be made at the Time of the Invasion, or first State of this Distemper; wherefore it is very necessary to know the first Symptoms of it; for many have suffer'd by mistaking it for another Disorder. In general, young People who have not had the Disease, ought to be very care- ful in avoiding Irregularities in their Diet; because the Small-pox which seizes such Per- sons often proves fatal. This Disease is like- wise more dangerous as the Fluids are more heated and dissipated, and the Solids more Aa2 strict 372 A GUIDE to HEALTH Part III. strict and compacted, and consequently it is more so, as People are advanced in Years. First Stage. The first Symptoms are a Chilness and Rigor, succeeded by a Fever and constant Heat, a certain Splendor or Shining- in the Eyes, with a little Moisture, which is very observable in Children; a great Pain in the Head, with Drowsiness, Dullness, and Sleepiness; a Pain in the Back in some, but Pains in the Limbs in all; Anxiety, Inquie- tude notwithstanding their Drowsiness; loath- ing Sickness at the Stomach, Vomiting, and Convulsions in Infants shortly before the E- ruption; and the Blood taken away the first Time, florid; but on the second, third, and fourth Time it appears sizy, like that of pleu- ritick People. Therefore it is manifest that in this State the Distemper ought to be treated as any other inflammatory Disease, by such Methods as if it were possible to hinder any Suppuration at all; and to resolve and digest as much of the feverish Matter as possibly we can; for the longer the Eruption is a coming, and the fewer when it comes, the Disease is less dangerous; therefore all the Methods practised in the Be- ginning of inflammatory Distempers are here necessary and proper, with a particular Care of cleansing the alimentary Passage by Vomit- ing and Glysters, the Impurities of which will otherwise be carried into the Blood. The learned Boerhaave says, that as there is not yet found any particular Antidote to the poisonous Ch. II. thro' the various Stages of Life. 373 poisonous Quality of this Disease; but that if any such could be found, as he is of Opinion it may, it must be in Antimony and Mercury brought to a great Degree of Penetrability, without being too corrosive by a Saline Acri- mony, but well united; for the Effects of Mer- cury on all Ulcerations are notorious. In the first Stage then of the Small-pox, the whole Habit of the Body ought to be relax'd both inwardly and outwardly, and a free Perspiration through the Pores of the Skin, without violent Sweats be promoted; the Viscidity or Glewiness of the Fluids taken off by Diluters: All these Things may be affected by Glysters, Fomentations and Gargles, and a plentiful life of Drinks often repeated, made of thin Water-gruel and other mealy Decoc- tions, and such like cooling Liquors, with nitrous and acid Salts, or some other acid Sub- stances mix'd with them, such as the Juice of Oranges, Limons, Tamarinds, and other sub- acid Fruits, &c. no Flesh to be allow'd, un- less some small Chicken-broth at Times; the Air ought not to spoiled by Heat, or the Bed- Clothes so thick and heavy as to produce great Sweats. For more People are lost in the Small-pox, by being thrown into large and violent Sweats in the Beginning of the Eruption, than by any other Errors committed at all other Times: The Reason is, because great Sweats drain the small Blood-Vessels of the necessary Fluid, by which Circulation is hinder'd and the Blood Aa3 coagu- 374 A GUIDE to HEALTH Part III. coagulates, by which Means the Inflamma- tion is hurried on into a Gangrene, without being able to furnish the necessary Work of Impostumation in the Glands of the Skin, or of being dissipated by other proper Means. Second Stage. When this Disease has run off its first Stage, which is call'd by the learned Boerhaave, that of Contagion, it enters into the second, in the following Manner: The Skin of the Head and Face first, then of the Hands and Arms, and lastly of the Body and lower Parts, are mark'd with little red Points like Flea-bites; thereupon the Symp- toms abate, and the red Pustles increase every Hour in Largeness and Number; they con- tinually rise higher and higher, inflame more, and the Skin is stretch'd; they begin to pain and to burn ; the Circulation is interrupted, and Perspiration hinder'd; hence a great Re- turn of the Humours towards the inward Parts; a Fever arises, with Anxieties, Diffi- culty of Breathing, a Pain in the Jaws, some- times a Quinsy, a Looseness, Bloody-flux, Bloody-urine, Spitting of Blood. The Parts of the Skin free from Pustles are red and in- flamed, painful and hot; all which, or most of which, when they have lasted four, five, or six Days, are now intirely suppurated, and converted into as many small Impostumes. And this is likewise call'd by the above-men- tioned Author, the Stage of the Inflammation until the Suppuration: It lasts (according to the Difference of the epidemical Season, and that Ch. II. thro' the various Stages of Life. 375 that of the Patient, the Greatness and Vio- lence of each particular Case, and the Regi- men hot or cold made use of) most times four or five Days; so that the Suppuration is compleated about the eighth Day, reckoning from the first Beginning; and the Blood, if let out of a Vein, is extremely inflamed. From what has been said, the Diagnosticks and Prognosticks of the second State of the Small-pox may be learned, and the Rationale of it, and all its Symptoms, which will be plainer still by observing the following Rules. 1. The gentler the State of Contagion, that is, the first Stage, the easier likewise is the in- flammatory State, which is the second Stage of the Distemper. 2. The slower the Pustles break out, the longer therefore the State of Contagion, so the easier and milder is the whole Course of the Disease through all its Stages. 3. The fewer, more distant, bigger, more remote from the Face, whiter and afterwards the yellower the Pustles are, and the later they appear, so much the better Event they promise. 4. The more in Quantity, more mix'd and intangled, the less in Bulk those that stand single, the more they appear upon the Face, tawny or black, and the quicker they grow, so much the worse. 5. The more the Matter of the Pimples is like to kind and perfect Pus, the better. Aa4 6. The 376 A GUIDE to HEALTH Part III. 6. The more the Matter in the Pimples resembles a gangrenous Ichor, the worse. 7. The more the Space between the Pim- ples appears red, is hot, stretch'd, and swell'd about the Time of their impostumating, so much the greater Hopes, because it is a Sign of the Circulation's being preserved there. 8. But the more that same Space looks paler, or grows tawny or black, so much the worse; for there follows a mortal Quinsy or Peripneumony, unless a thin Salivation, or a great Swelling of the Hands or Feet doth ensue: The Reason is, because the Circula- tion of the Fluids is cut off in those Parts, and drove back and increased in the internal nobler Parts. 9. If in the Space between the Pimples there appear purple Spots, it is a sign that a mortal Gangrene is at hand or present. The Indication in this second State of the Disease, is different according to the different Time that the Disease has lasted, and is like to last: for in the Beginning of the external Inflammation shewing itself, it appears rea- sonable to endeavour to prevent its proceeding to an Impostumation, as has been observed already; or, if that be neglected, Care ought to be taken that the Suppuration be as lit- tle as possible, and promoted slowly and far from the Head; which may be effected, first, by keeping the Patient to the thinnest Diet, which at the same time resists Putrefaction, Secondly, by giving him diluting, soft and sub- acid Ch. II. thro' the various Stages of Life. 377 acid Drink. Thirdly, Medicines that prevent the making of much Pus or Matter, such as are opening and diluting, in great Quantities and often given; likewise Blisters applied to the Hollows of the Feet and Legs. Fourthly, A cool Regimen, and chiefly by the Admis- sion of pure and fresh Air, (as was observed in the first State) and at the same Time co- vering the Limbs and lower Parts of the Body warm. Fifthly, If the Distemper pro- ceeds too violently on the fifth Night, a gentle Opiate may be safely given to an Ad- vantage, and repeated every Night to the End of the Disease, if the Lungs are not too much oppress'd, and Respiration very diffi- cult. After the running off of the second Stage follows the third State, being that of Impostumation, during which it increases and arrives at its Height: In this the Pustles, already purulent, grow larger every Day; then they ripen, turn white, yellow, and break on the third or fourth Day of this State. Then the whole Skin, and its subjacent Fat, abound with a moveable Pus or Matter; it is dried exter- nally, and inflamed in every Part free from Matter or Pus: Hence, from the Impedi- ment of Perspiration and Circulation, from the Irritation of the membranous and nervous System, from the absorbing of the Pus into the Veins, there comes on a Fever of the worst Kind, with the worst Symptoms; and if this Third Stage. puru- 378 A GUIDE to HEALTH Part III. purulent Matter mix'd with the Blood is moved long, it putrefies: Hence, according to its falling upon different Parts of the Body, it produces cruel and scarce superable Effects, such as Deliriums, Phrensies, Quinsies, Peri- pneumonies, Pleurisies, Vomitings, Bloody- fluxes, Inflammations of the Liver, Impos- tumations of the same; Boils, Tumors, Ab- scesses, and Stiffness of the Joints; a Wasting, Consumption, and a great many more Evils. In this third State great Care ought to be taken to promote the Discharge of the Pus to the external Part, driving it from the In- ternals; which may be effected by relaxing the Skin with lukewarm softening Fomenta- tions, and often; constantly walking and gargling the Mouth and Throat; drinking much of warm, cordial, detergent, and o- pening Decoctions, which are contrary to Pu- trefaction; injecting daily a gentle, diluting, emollient, and laxative Glyster, and to be kept long; or sometimes a gentle Purge with Rhu- barb and Manna; dieting upon thin Broths duely salted and acidulated; allowing now and then a moderate Glass of good generous Wine; giving also a sufficient Dose of Syrup of White Poppies, or some other Opiate, a- gainst any violent or troublesome Symptoms that may arise. If the Small-pox proves to be of the worst Kind, and that there is rather a gangrenous Ichor than laudable Pus, that almost the whole Skin is beset with it; hence it may easily Ch. II. thro' the various Stages of Life. 379 easily appear, why this Disease is often so un- avoidably fatal, notwithstanding all the pos- sible Care taken; and it will be yet much plainer to any one acquainted with Dissections, that as the external Skin is full, so the Eyes, all the Membranes of the Nostrils, all the Covers of the Mouth, the Wind-pipe, the Bronchia, the Stomach, the Gullet, Intes- tines, Liver, Spleen, and Lungs, are full of the like Pustles; and hence he will under- stand what has been said, and see what is re- quisite for the Cure. Thus far the Senti- ments of Boerhaave concerning the Small- pox. The Greatness and Danger of this Disease is estimated by the Quantity of Pimples on the Face and Head; therefore the Matter ought to be solicitated to the lower Parts by all possible Methods, especially the Legs, by Fomentations, Bathing, Blistering, and, thro' the whole Course of the Disease, keeping the Feet and Legs warm; the Breast and Head not any more cover'd than to keep them from the Injury of the cold Air. During the filling and ripening of the Pustles the Diet may be allow'd a little more plentiful, but yet not hot or inflammatory, with the due Use of anodyne Things, or such as allay Pains and Restlessness. In this State every Thing that abates Acrimony is proper; and, where the Circumstances of the Patient require it, a Spoonful or two of good White Wine, twice or thrice a Day, may be likewise useful. The 380 A GUIDE to HEALTH Part III. The Diet in this State should also be adapted to the particular Symptoms of the Disease, as cleansing, attenuating, and expectorating; and to promote spitting by Diureticks. When the Temperament, Age, high Pulse, and especially Watchfulness and Delirium re- quire Bleeding in any other Case, why not in this State? which is known to have been used with great Success; for a great many Vessels in this State are almost unpassable by the Fluids; and those who die of this Distem- per have inward Inflammations, especially in the Lungs, all which seem to justify that Bleeding is necessary in the Case. But the gangrenous Disposition which ap- pears in the malignant Sort, is a Reason against it; for hardly any Thing will avail in ex- treme malignant Cases. In such malignant Kinds, all that is left, is, at least to endeavour to evacuate the peccant Matter by other Ways, as Blistering and Stools, procured by Lenitives not irritating, which would only hurry the Humours and increase the Fever. For farther Particulars concerning this dreadful Distemper, see the celebrated Sy- denham's Account of the Distinct, Confluent, and Anomalous Small-pox, which nothing can excel. The Meazles and Scarlet Fever, (tho' not near so dangerous) require much the same Regimen, and the same Method of Cure, as the Small-pox, the Scarlet Fever not differing from the Meazles, except it be in the Manner of Ch. II. thro' the various Stages of Life. 381 of the Efflorescence only, insomuch that it may not improperly be called the Confluent Meazles, for the Efflorescence in the Meazles makes its Appearance in different Figures and Shapes, from whence the Skin is diversify'd with several Colours; whereas in the Scarlet Fever the Skin is spread all over with one con- tinued Inflammation and Redness. CHAP. III. Of Inflammatory Diseases with a Fever. NOW those inflammatory Distempers are to be considered, which being attended with an acute Fever, do besides induce a sin- gular Inflammation of this or that Organ of the Body, the depraved Function of which gives a Name to each particular Disease of that Kind; such are the Phrensy, Quinsy, Pleurisy, Peripneumony, the Inflammation of the Breast, of the Diaphragm, Stomach, Li- ver, Spleen, Mesentery †, Guts, Kidneys, Bladder; of the Joints, as in Rheumatisms; and of the Surface of the Body, as in the Meazles, Scarlet Fever, and Small-pox. Of † A membranous Part in the lower Belly, to which the Guts are connected. 382 A GUIDE to HEALTH Part III. Of a Phrensy, or Inflammation of the Brain. True or symp- tomatick. A Phrensy is either essential or symptomatick: An essential or true Phrensy is when there is a primary Inflammation of the Brain, or ra- ther of the Meninges ‡, with a Delirium and an acute Fever. The Symptomatick Phrensy, or Phrenitis, is occasioned by a Translation of the febrile Matter or Inflammation, &c. from other Parts upon the Brain. A true Phrensy kills the third, fourth, or seventh Day, or else it produces Madness, a Lethargy, or Coma; and a Phrensy coming upon a Peripneumony, or the Iliack Passion, is mortal; upon the Small-pox, is very dan- gerous. This Disease, of all others, requires the most powerful Remedies without any Delay, which are able to remove the Inflammation of the Arteries of the Brain, and are chiefly to be taken from the general Cure of Inflam- mations in Fevers, describ'd in the foregoing Chapter, observing at the same time the fol- lowing Rules. Copious Bleeding, by opening the tempo- ral Arteries, or more Veins at once, in the Foot, Throat, and Forehead, with large Ori- fices, are the most effectual Remedies. Great Quantities of cooling Decoctions ought to be given ‡ Are Membranes which cover and embrace the Brain, and they are called the Dura Mater, and the Pia Mater, or Meninges. Ch. III. thro' the various Stages of Life. 383 given often and warm, with large Portions of Nitre. Then cooling Purges, and at the Time of their working, to give Draughts of diluting nitrous Liquors. Sometimes Glysters of the like Kind, with lenitive Electuary, or Honey, or any such Openers may be given. Solliciting the Blood to other Parts of the Body; therefore tepid Bathings of the lower Parts, and emptying the Piles with Leaches, relaxing Fomentations apply'd to the Veins, which carry the Blood from the Head, re- lieve in this Disease. We should likewise ap- ply Blisters and Cupping-glasses to the inferior Parts; Blistering the Back, and even the Head sometimes, in phlegmatick Constitutions espe- cially, has been found useful. The Body ought to be kept moderately cool, and set upright if possible, for the warm Air of the Bed exagitates the Blood. But if the Phrensy has been occasioned by a pre-existent inflammatory Distemper in some other Part, it ought to be carefully minded, whether the Nature of that Illness will bear the Applications above-mention'd; which if not, then it ought to be cured ac- cording to the Method peculiar to that ori- ginal Distemper, always adding the Reme- dies that divert from the Head, and that are externally apply'd. The Diet ought to be slender, of mealy Substances, as Water-Gruel acidulated, or subacid ripe Fruits, with their Jellies, the Drink small, diluting and cooling, Barley- Water, 384 A GUIDE to HEALTH Part III. Water, and the Decoction of Tamarinds are all necessary and useful. For farther Satis- faction herein, see the Articles of Delirium and Watchfulness in the preceding Chapter. Of a Quinsy. A Quinsy without a Tumour almost always mortal. There are two Species of it; the first is without any sensi- ble Tumour either externally or internally; but the other Species of a Quinsy is attended with a Tumour. The first Sort is commonly the Conse- quence of some very long continued Disease, chiefly after very large and often re- peated Evacuations. It is accompa- nied with a Paleness, Dryness, and Thinness of the Jaws; because for the most part the Nerves and Muscles of those Parts being relaxed, are most times paralytick, and it is a Sign almost always that Death is just- at hand. It is seldom cur'd, and then only with Remedies which fill the empty Vessels with good vital Nourishment, and things that warm and strengthen the Body in general. The Cause. The Signs. The Cure. A Quinsy with a Tumour of various Sorts. The other Species of the Quinsy, viz. with a Tumour in the Throat, occasioning a Dif- ficulty of Breathing and Swallowing, may be of various Sorts; sometimes it proceeds from a Serosity obstructing the Glands, which may be watery, œdematous, or schirrous, ac- cording Ch. III. thro' the various Stages of Life. 385 cording to the different Degrees of the Vi- scidity of the Humours, sometime inflam- matory, which Inflammation will sometimes terminate in a Suppuration, or Gangrene. The Regimen and Cure in those Quinsys, which proceed merely from watery, œdematous, and thin catarrhous Hu- mours obstructing the Glands, must be first, to use such warm Liquors as relax gently, soften and moisten these Glands; Secondly, such Medicines as carry off the redundant Serum, by Stools, Sweat, and Urine; or by stimulating, and opening the Emunctories of these Glands to secern the stagnated Hu- mours, which may be obtained by the Ap- plication of Cataplasms, Gargles, Injections with Syringes, and by lessening the Quan- tity of the Lympha with Masticatories, Bli- sters, and smart Purges that will promote watery Stools. The Cure. In a mere watery Tumour, the Diet may be more warm than in inflammatory Kinds; and therefore the moderate Use of Wine of- ten relieves the Patient. But a Difficulty of Breathing and Swallow- ing, proceeding from Schirrosities of the Glands, is not to be cured any other Way than by extirpating the Schirrus, which alone will be a safe Remedy: or the Surgeon must with Prudence endeavour to fix a Cau- stick in the middle of the Tumour, to eat the same out; which is feasible enough when the Seat is near the Jaws. Bb In 386 A GUIDE to HEALTH Part III. In the inflammatory Species of a Quinsy we ought, by all means possible, endeavour to procure a Resolution: First, By large and repeated Bleedings. Secondly, The Belly must be loosened stoutly with either Purges, or purging Glysters frequently injected. Thirdly, By a very thin and slender Diet, such as Whey with Tamarinds boiled in it; Decoctions and Emulsions of farinaceous Vegetables moderately acidulated, and such as abound with a cooling nitrous Salt. Fourth- ly, By Medicines of the nitrous and acid Kind. Fifthly, By soft, warm Vapours con- stantly receiv'd upon the Part, bathing and fomenting the Feet, and Derivations by Bli- sters. When Swallowing is totally abolish'd, the Patient may be nourish'd by nourishing Gly- sters, which is known to have been done for a whole Week, after which the Tumour sup- purated. If the Inflammation ends in a Gangrene, the Case proves generally mortal, except it be only in the Tonsils, Uvula, and Palate, and reach no farther, which Parts may be separated, and the Patient recover. Of a Pleurisy. Diagnostick. A Pleurisy is an Inflammation of the Pleura, being a double Mem- brane which covers all the Cavity of the Breast; tho' that is hardly distinguishable from Ch. III. thro' the various Stages of Life. 387 from an Inflammation of any other Part of the Breast, which are all from the same Cause, a stagnant Blood; for there is no Part of the Internal Integuments of the Chest, which is not capable of being seized there- with, whether it be the Pleura or the Me- diastinum; and therefore the pricking Pain may be felt in any Part of the Breast: But most commonly it attacks the Sides, and this having a Fever join'd with it, is a true Pleurisy; but if such a Pain affects the su- perior intercostal Muscles, it is called a spu- rious Pleurisy. In a true Pleurisy, Bleeding large- ly, and often repeated in the Begin- ning ought to be perform'd, and that by a large Orifice; and the Rule is, to repeat Bleed- ing so often until there appears no longer any Siziness on the Top of the Blood: and at the same time, Fomentations and Leniments may be used externally. For internal Use, Di- luters, Resolvents, Coolers and Lenients that will asswage Pain, are proper; and all such Things should be taken warm, and in great Quantities. The Cure. Sometimes the Part inflamed tends to a Suppuration, which is known by the obsti- nate Violence of the Pain and Fever, &c. and continuing longer than the 4th Day. That an Abscess is form'd may be known by a fre- quent shivering, a Remission of Pain, Short- ness of Breath, and being able only to lie on one Side, which is the Side that is affected. Bb2 When 388 A GUIDE to HEALTH Part III. When the Abscess is broken, the purulent Matter falls into the Cavity of the Chest, and increases by the Discharge from the Ul- cer, which produces an Empyema, of which I shall give an Account hereafter. But some- times the Part affected becomes schirrous, with an Adhesion of the Lungs and Pleura; hence an Asthma and dry Cough, an incura- ble Distemper, unless perhaps there may be some Relief had from much Exercise and Riding. Sometimes a Pleurisy turns to a Gangrene, which causes sudden Death; that a Gangrene is begun, may be known from the Delirium, the livid Colour of the Chest, a sort of bi- lious Spitting, and from a Cessation of Pain. The Prog- nosticks. Hippocrates observes, that if in Beginning of a Pleurisy, within the space of three Days, the Spit- ting is Bloody, it shews that the Distemper will be but short; if the Spitting of Blood comes on later, the Distemper will likely run into a greater Length. He adds, that if Pleuritick Persons do not expectorate, an Ab- scess will be form'd in fourteen Days; and such may be freed from that, if they can fully discharge the Matter by spitting in forty Days from the Time of the Rupture of the Abscess, otherwise they fall into a Consump- tion. In this Distemper the Spitting is to be regard- ed more than the Urine; and a Pleurisy that seems slight in the Beginning, and proceeding so Ch. III. thro' the various Stages of Life. 389 so till the fifth Day, but growing worse the sixth, is commonly mortal. When the Sup- puration is made, or Matter form'd in a Pleurisy, the Side must be open'd to let out the Matter. Of a Peripneumony. A true Peripneumony is an Inflammation of the bron- chial and pulmonary Vessels, or of the whole Body of the Lungs, or of one Lobe only. If the whole Lungs are affected the Case is desperate, and deem'd incurable; because the Circulation must be stopt, and no Blood can flow back into the Heart; the others sometimes admit of a Cure. It is to be treated after the same Manner, and with the same Remedies as a Pleurisy, and most commonly it has the same Event. A true Peripneumony or Inflammation of the Lungs. If the Inflammation be not dis- cussed in fourteen Days Time, an Abscess will be formed; the Signs of which are Shiverings, an Abatement of the Pain, and a low Pulse, Difficulty of Breathing, Thirst, and a slight Fever still remaining in the Evenings, &c. Upon this sometimes a sudden Suffocation happens from an Eruption of the purulent Matter into the Wind-pipe; some- times it is evacuated by spitting it up in great Quantities; or, if the Rupture so happens, it falls into the Cavity of the Chest, from whence proceeds an Empyema, a Phthisis, &c. Prognostick. Bb3 Lastly, 390 A GUIDE to HEALTH Part III. Lastly, the purulent Matter is absorbed by the pulmonary Veins, and is mix'd with the Blood; and by means of the Circulation, is deposited in some one of the Viscera, as the Liver, the Spleen, the Brain, &c. Hence it comes to pass that peripneumonick Abscesses happen about the Ears, Legs, or Hypochon- dria, where if they suddenly disappear, and the Peripneumony returns, the Case is mor- tal. The Type of a spurious Peri- pneumony. A spurious Peripneumony com- monly proceeds from a thick pi- tuitous Matter, generated in the Mass of Blood, which gradually settling itself on the Lungs, forms the Distemper. Old People, and such as are of pituitous, cold, catarrhous Constitutions, and such as are troubled with Defluxions of Rheums, are more subject to this Distemper than others. It creeps on unawares upon People with a fallacious Lenity at first; they are slightly in- disposed, complaining of a sort of Weariness and Debility; they seem to be dispirited; they grow short-breath'd, and feel an Op- pression of the Breast; but as the Disorder is hardly considerable enough to raise any great preternatural Heat or Fever, they are not apprehensive of any Danger: After a while however they are seiz'd with Shiverings and a small Fever, from whence the Difficulty of Breathing and great Weakness increase, and Death approaches, which surprizes the By- standers, Ch. III. thro' the various Stages of Life. 391 standers, the Urine and Pulse having not such a sudden Change. This Distemper is cured by the following Method; first, let the Pa- tient be blooded out of a large Vein; second- ly, a Glyster ought be given every Day, till it appears that the Lungs are eased; thirdly, his Diet ought to be of thin Flesh Broths, Jellies with some Juice of Lemon or Oranges; his Drink also small, of Water and Honey; fourthly, to use diluting, cleansing, and gently opening Apozems, often and in large Quan- tities, bathing the Legs and Feet, and ap- plying many Blisters, The Cure. Of an Empyema. An Empyema is a Collection of purulent Matter in the Cavity of the Thorax most commonly occasion'd by the Rupture of an Abscess, produced by a Pleurisy or Peripneumony: It is known, if for twenty Days after the Beginning of the Inflammation there has been no Expectora- tion; from a dry Cough, a Weight on the Diaphragm *, being able to lie only on one Side; from a fluctuating Noise of the Pus or Matter upon moving the Body, a slow Fever, Redness in the Cheeks, Hollowness of the Eyes, Heat in the Tops of the Fingers, Crook- edness of the Nails, and a Tumor of the Belly. Empyema what. Bb4 As * It is a tranverse Membrane, which separates the Thorax or Chest from the Abdomen or lower Belly. 392 A GUIDE to HEALTH Part III. The Cure. As to what relates to the Cure of an Empyema, when it is once known that there is a Rupture of an Abscess of the Lungs, Pleura, Diaphragm, or the Mediasti- tium †, or Pericardium ‡, endeavours must be used to discharge the Matter by Expec- toration, by the urinary Passages, or by Stool, if Nature offers to do it those Ways; for if purulent Mttter appears in the Urine, let diu- retick Medicines be given; if purulent Stools happen, laxative Purges; if Spitting offers, expectorating Medicines: Some make Issues with Causticks betwixt the Ribs. For inter- nal Use, Balsamicks, Vulneraries, Decoctions of the Woods, Jellies of Hartshorn, and Ground-Ivy, are very much commended. But if all Remedies fail, the Cure must be attempted by an Aperture of the Thorax, with a proper Instrument on the Side affected, between the 4th and 5th, or 5th and 6th Ribs, counting from the lowermost, drawing off the Matter gently and gradually: From the Nature of the Pus, when taken out, and other Circumstances of the Patient, one may deduce a Prognostick of what may likely be the Event. If the Empyema be of a long standing, and the Strength of the Patient exhausted, the Hair of the Head falling off, and there be a colliquative Looseness, the Habit of the Body † Is a Membrane which divides the Lungs and other Vi- scera of the Breast into two Parts. ‡ A Membrane which surrounds the whole Substance of the Heart. Ch. III. thro' the various Stages of Life. 393 Body tabid, &c. the Operation of the Para- centesis will serve only to hasten Death. Of a Paraphrenitis, or an Inflammation of the Diaphragm. A Paraphrenitis is a Disease much like a Pleurisy, wherein the Diaphragm, or at least part of it, is really inflamed; and this is what happens more frequently than is commonly- believed, mistaking it for another Distemper, It is known by a continual Fever, an exqui- site Pain very much increased upon Inspira- tion, by which it is distinguish'd from a Pleu- risy, in which the greateft Pain is in Expira- tion; besides, the Breath is fetch'd deep, quick, and suffocating, and seems only to be performed by the Motion of the Breast; It is likewise attended with a Delirium, Fury, and an involuntary Laughter, and Convul- sions; and altho' the Whole of the Distem- per is known, yet it is generally mortal. This Distemper terminates as Pleurifies and Peripneumonies, but a great deal more fatal; If it suppurates the Pus, it is evacuated into the lower Belly, where it produces Putrefac- tion, and a most miserable and painful Death. The Regimen, if any can be successful, ought to be the same as in Pleurisies, and the Cure likewise. Of an Inflammation of the Stomach. As other Parts of the Body, so may likewise the Stomach he seized The Signs. with 394 A GUIDE to HEALTH Part III. with a true Inflammation: The Symptoms and Effects are a burning, fix'd, and pungent Pain in the Stomach, attended with an acute continual Fever, a great Exacerbation of this Pain the Moment after swallowing any thing, succeeded with Vomiting, a painful Hickup and great Anxiety, unquenchable Thirst, want of Sleep, and a continual Tossing of the Body; these are succeeded with Deliriums, and most times Convulsions, ending in Death. The Causes. The Causes of these Symptoms are those common to all Inflamma- tions in general, a natural Weakness, and perhaps Erosion of the Coats of the Stomach, by acrid Substances taken as Aliment and Medicines. Care must be taken rightly to distinguish between an Inflammation of the Stomach, and that of the Liver: In the for- mer the burning Pain and Heat seem to lie deeper; when the Liver is inflamed the In- flammation is more limited, and the Symp- toms are milder. If this Disease is not speedily cured, it soon proves fatal; for People commonly die of it the third or fourth Day; and sometimes indeed, tho' seldom, it tends to a Suppuration, and the Abscess breaks either into the Cavity of the Stomach or lower Belly and even then they hardly ever escape. Of all Diseases this requires most a total Abstinence from any Thing that has Acrimo- ny in it; even the nitrous cooling Salts, which are Ch. III. thro' the various Stages of Life. 395 are beneficial in other Inflammations, irritate too much in this; likewise Vomits, all Cor- dials of volatile and spicy Substances; spiri- tuous Liquors are no better than Poison, and Milk generally curdles. Aliments must be given frequently, and by Spoonfuls at a time, for any Distension of the Stomach increases the Inflammation. A thin Gruel of Barley, Oatmeal, Whey with very little Sugar, or Honey, or Chicken- broth, are proper Aliments; Whey, emol- lient Decoctions of Barley-water, and Emul- sions, are proper Drinks; and it has been found by Experience, that Chalybeat Waters have been agreeable to the Stomach in this inflammatory State. If there happens an Im- postume, Honey, and even Honey of Roses, taken inwardly, is a good Cleanser, and a De- coction of Comfrey Roots is healing; Speedy and effectual Bleeding, Fomentations, and Glysters have the same good Effect in this as in other inflammatory Distempers, Likewise the same Regimen and Remedies ought to be used in a Schirrus or Cancer of the Stomach; tho' nothing will prove quite effectual. The same Method is to be pursued in the Inflam- mation of the Spleen, Pancreas, and Caul. Of the Inflammation of the Liver. As other Bowels and Parts of the Body are capable of Inflammations, so is the Liver likewise; but as the Hepatical or Liver Ar- tery, and the Vena Portæ, carry the Blood into 396 A GUIDE to HEALTH Part III. into the Liver, the first being very small, and the Motion of the Blood being slow in the last, are the Reasons that Inflammations in the Liver are not so frequent as in some other Parts of the Body; but when they happen they are extremely dangerous, unless they take up but a small Part of the Liver; and such happen more frequently than is thought of. Diagnostick Signs. The best Cautions, both in Diet and Cure, may be taken from the Causes and Symptoms of this Di- stemper, which, besides the general Causes of Inflammations, are extreme Fatness; for Fat dissolved by Heat and Inflammation obstructs the Vessels of the Liver very suddenly; and Cattle fatten'd by good Pasturage, after vio- lent Motion or Running, sometimes die sud- denly, in such the Liver is found to be in- flamed and corrupted. An atrabilarian a- dust Temper of the Blood and Gall, an acri- monious or purulent Matter, stagnating in some other Organ of the Body, is more easily deposited upon the Liver than any other Part, especially if it is attended with the Use of hot and spicy Aliments, spirituous Liquors, great Heat and a Fever; Erosions of the Vessels by the Acrimony or Sharpness of the Gall, or Obstructions by Viscidity; likewise any Callosity, Schirrus, or Stone generated in the Liver; Thirst long endured, being sud- denly chill'd by cold Air, cold Water, or drinking cold Liquors after great Heat; Vo- mits Ch. III. thro' the various Stages of Life. 397 mits given injudiciously, when the Liver is already unsound, which, if they do not re- move the Obstruction, exagitate the Liver too much; inveterate hypochondriacal Diseases; are all Causes which may produce Inflamma- tions of the Liver. In such a Case therefore, the Liver being swell'd, compresses the Stomach, Diaphragm, and all the neighbouring Viscera of the lower Belly, stops the Circulation of the Juices, the Generation and Excretion of the Gall, and all Digestion; produces numberless bad Symp- toms, as the Jaundice, with all the Distem- pers depending upon it; for the Liver re- ceives the refluent Blood almost from all the Parts of the Abdomen or lower Belly, and is the chief Instrument of all the Digestions which are there made. A slow Fever, which is more or less acute; an Inflammation and pungent Pain on the Region of the Liver and Diaphragm; a Tension of the Hypochondres especially on the Right Side; Yellowness of the Skin and Eyes, and a saffron-coloured Urine, are Signs of an inflammatory Disposition of the Liver. This Distemper terminates as other Inflammations, being cured either by Resolution, Concoction, and Ex- cretion of the morbid Matter; or it ends in an Abscess, Schirrus, or Gangrene: When it suppurates, the purulent Matter is discharged sometimes by Stool, sometimes by Urine, sometimes by Expectoration, and sometimes Prognostick. it 398 A GUIDE to HEALTH Part III. it is dischargcd by manual Operation. For when a Tumor rises and grows to the Peri- toneum, and forms there an outward Impos- tume of the Liver, easily discernable, then it is opened with a burning Iron, or with Caus- ticks; afterwards the Wound is widen'd with gentle corrosive and suppurating Applica- tions, untill there is a Penetration made into the very Bag or Vomica, which is in the Body of the Liver; then it is treated as an Ulcer, and cleansing internal Medicines are duely administer'd at the same Time. Indication of Cure. But during the first State of the Disease, that is, before there are any Signs or Suspicion of Impostumation, the Regimen should be cooling, resolving Li- quors taken inwardly, as Whey with Sorrel boil'd in it; outward Fomentations and fre- quent Injection of emollient and diuretick Glysters, Bathing, and Frictions, relax and render the Matter fluid and moveable; Honey, with a little Rhenish Wine or Vinegar, in- wardly taken, is likewise proper; also the Juices and Jellies of some ripe Garden-Fruits are useful, and those of some Plants of a milky Juice, as Dandelion, Endive, and Let- tuce, are Resolvents. Bleeding in the Be- ginning, especially in the Foot, will not be improper. Violent Purges hurt, but gently relaxing the Belly relieves. Diluters, with nitrous Salts, are beneficial, and Tamarinds boil'd in Water or Whey: Bloody Stools, not in a great Degree, or when streak'd with Blood, Ch. III. thro' the various Stages of Life. 399 Blood, ought not to be stop'd, because they help to resolve the Disease; and oftentimes Bleeding at the Nose produces the same good Effect. The Fever attending is often carried off by Urine, therefore diuretick Substances, that are not highly pungent and stimulating, are use- ful in this Case; and Sweating by high Cor- dials ought not to be attempted; but encourag- ing and promoting it with warm diluting Li- quors is proper. The Case is deplorable when the Inflam- mation of the Liver terminates in an Abscess, unless it points and appears outwardly, so that it may be open'd; for if the Matter be eva- cuated into the Lower Belly, it produces woeful Symptoms, as Putrefaction, or an in- curable Bloody-flux, &c. When the Pus or Matter of an Ulcer in the Liver grows thin and ichorous, it corrodes the Vessels, (for the Liver, of all the Bowels, is the most friable, and the easiest crumbled or dis- solved) and it is frequently carried into the Mass of Blood, and rejected by vomiting, with a cadaverous Smell, attended with great Thirst; but if it is carried downwards, it produces a purulent colliquative Looseness: In which Case the constant Use of subacid Decoctions, and other Substances of the acid Kind, relieve the best. If this Distemper happens to produce a Cancer, or Schirrus, as sometimes it does; yet the latter is not absolutely incurable, be- cause 400 A GUIDE to HEALTH Part III. cause it is experimentally known that Grass and fresh Pasturage has cured it in Cattle, and some opening Plants have produced the same Effect sometimes in Mankind, as those of the lactescent or milky Plants already men- tioned, with a great many other Vegetables too tedious to insert in this Place. But it is to be observed, that the Diet re- commended here is likewise necessary in the Jaundice, and all Distempers of the Liver; and also an Abstinence from all such Things as induce Putrefaction, especially salt Fish and Flesh, and above all strong Liquors. Of an Inflammation of the Mesentery. Inflammations and Tumors of the Mesen- tary, (being a Membrane in the Lower Belly to which the Guts are connected, and through which all our Nourishment is convey'd to the Blood,) are frequently the Origin and Foun- dation of many obscure and latent chronical Distempers, which greatly afflict People la- bouring under them, and perplex those who undertake their Cure as well. Diagno- stick. Persons affected with these Disorders complain of Pain about their Back and Loins, sometimes in the Belly about the Navel, with Gripings, yet these Pains are commonly periodical and chronical; and every now and then comes on a small wandering Fever, and the Ch. III. thro' the various Stages of Life. 401 the Pains come and go, having their Remis- sions and Exacerbations. When an Abscess in the Mesentery suppurates and breaks, it causes sometimes remarkable Shiverings and Shakings, which are followed by febrile Heats, and then the purulent Matter is most commonly discharged by Stool. Abscess. The Body in this Case gradually wastes, the Breathing grows more than usually difficult; and every now and then they complain of something that is very troublesome to them, which they cannot well explain: They tell you, that it lies deep in their Belly about the Navel, or below it; they are most commonly very much troubled with Wind. These Tumours oftentimes continue many Years, being turn'd schirrous and strumous. Prognostick. When the Disorders of the Mesen- tery are of a long standing, they are cured as other chronical Diseases, such as chachectick and hypochondriack Affections: Yet they are to be treated with Caution, and gently without any Violence. Externally, Em- plastrum de Cicuta cum Ammoniaco, de Ranis cum Mercurio, &c. are convenient. Inter- nally, Medicines that open Obstructions, such as Millepedes and Preparations of Steel, &c. likewise Remedies against strumous Distem- pers are proper, and opening of the hœmor- rhoidal Veins by Leaches; but rough Purges are hurtful, and Glysters are useful. The Cure. Cc Of 402 A GUIDE to HEALTH Part III. Of the Inflammation of the Guts. The Intestines or Guts, chiefly the small ones, are very often seiz'd with the like acute Inflammation in their Membranes, as the Stomach, from Causes common to all Inflammations carried thither; or from the Matter of acrimonious or sharp Drink, Aliments, high Sauces, Medicines or Poisons reaching those Parts, and detain'd in the Foldings of the Valvules and sticking to them; also from a sharp, putrid and fœtid, purulent, ichorous, gangrenous, bilious Mat- ter, convey'd hither from the Gullet, Stomach, Liver, Spleen, Pancreas, and Caul, which sticks also to them and corrodes them; or lastly, from a Convulsion filling them with Wind. The Cause. Symptoms. The Symptoms are a total Stop- page of the Passage, a vehement fix'd burning Pain, irritated by Things taken in- wardly; when any thing touches the Part af- fected, it excites Vomitings, sharp griping Pains, with Wind in other Parts of the Bowels; and the Consequences of such an Inflammation are the Iliac Passion, or what is vulgarly call'd the Twisting of the Guts, but in fact is either a Circumvolution or In- sertion of one Part of the Gut within the other; an Impostume, Gangrene, Schirrus, Cancer; a very acute Fever, with great Weakness from the Fierceness of the Pain, and a very sudden Death. It Ch. III. thro' the various Stages of Life. 403 It is of the utmost Importance to know what the Causes of Colicks are; for as they are various, so the Remedies in one Case are quite opposite and destructive in the other; for spicy, warm, carminative Things, which are given in Colicks proceeding from a phlegmatick or cold Cause, are Poison in an inflammatory one; but they may be distin- guished by the Fever, high Pulse, Thirst, and high-colour'd Urine attending the In- flammation. As to the Heat, tho' it is like- wise great by the Violence of the Pain, yet the Extremities grow cold; and besides, there is a hidden Prostration of Strength, or Weak- ness, attending this inflammatory Colick more than any other. This Disease requires a speedy Remedy, or none; for otherwise it terminates in an Iliac Passion, and Mortification of the Bowels very soon; therefore plentiful Bleeding, and fo- menting and relaxing the Bowels with emol- lient warm Liquors, both taken inwardly by the Mouth, and by Glyster injected hourly, is the most sovereign Method that can be made use of; yet it has been known, that Acids have relieved in very desperate Cases, as Juice of Lemons taken by the Mouth, and Vinegar and warm Water given in Glysters, have saved the Patient; by Reason of the con- tinual Vomiting, Opiates likewise to quiet the Convulsions are oftentimes necessary; also Warm Fomentations, even of warm Animals applied to the Belly, are extremely useful. Cc2 When 404 A GUIDE to HEALTH Part III. When the Inflammation happens to be in the Lower Guts, it is not so dangerous; and even when it suppurates it will admit of a Cure; for then it can be come at by proper Medicines in the Form of Glysters; and in the latter End of such a Case Chalybeat Wa- ters are very beneficial. If the Patient lives three Days, the Acute- ness of the Pain abates; and if a Shivering or Chilliness affects the Body, it is a Sign of a Suppuration, and in some few Days the Mat- ter flows either into the Cavity of the Belly, producing all the Symptoms which happen in an Impostumation of the Liver, or into the Cavity of the Guts, and causing a purulent Bloody-flux, and often a Consumption, Si- nus's and Fistulas; in which Case Whey and Chalybeat Waters are proper Drinks. The Aliment ought to be of such Substan- ces as generate little or no Excrements, as Broths of Flesh-meat, with Scorzonera, Par- sley, or Fennel boil'd in them: Goat's Whey is likewise excellent in the Case; but fat and oily Substances generally do harm. If the Fever continue with clammy Sweats, Paleness, an ichorous Loosness, fœtid, black, or like the Washings of Flesh, a small inter- mitting Pulse, and at last a Cessation of Pain totally, they are Signs of a Gangrene, and Death at hand. But if none of the foremention'd Signs hap- pen, and that the Fever abates, and the Per- son complains of a Weight, dull Pain, Stop- page Ch. III. thro' the various Stages of Life. 405 page of the Excrements, a Schirrus is form- ing, which increases daily, and may terminate in a Cancer; which Purging, and indeed all Medicines irritate: The Patient in such a Case may protract a miserable Life with an exact thin Diet of Whey, Broths, and such Things as produce no Fæces, or by nourish- ing Glysters. Inflammations of the Kidneys. The Kidneys as well as other Parts of the Body are subject to Inflam- mations: Which may be known from a pungent, burning, inflammatory Pain in the Region of the Kidneys, a Numbness, or dull Pain in the Thigh on the Side affected; likewise Colick, Wind, Vomiting, an acute continual Fever, Urine sometimes totally sup- press'd, often made in small Quantities, high colour'd; and which is worse, sometimes very watry and quite pale without any Sedi- ment. As to the outward Sensation of Heat, the Extremity of Pain oftentimes produces a Coldness in the extreme Parts, which is very consistent with inflammatory Distempers. Diagnostick Signs. This is produced by all the Causes of a general Inflammation directed to the Kidneys; and therefore, whatever ob- structs the Blood in the Extremities of the Arteries of the Kidneys, will produce this Distemper; a Wound, Bruise, Abscess, Swel- ling, Lying often long on the Back, too vio- The Cause. Cc3 lent 406 A GUIDE to HEALTH Part III. lent Motion, especially walking, or hard rid- ing in hot Weather; and whatever obstructs the Passage of the Urine into the Pelvis, Ureter, or Bladder, as a viscid Matter, Gravel or Stone; likewise every thing which forces the gross Parts of the Blood into the urinary Passages, as Heat, hard Riding, Straining, too great Fullness of Blood, and especially sharp and forcing Di- ureticks; and lastly, a convulsive and invo- luntary Contraction of the small Vessels of the Kidneys, if long continued. Coffee-colour'd Urine is not a dangerous Sign; for it proceeds from the Mixture of a small Portion of Blood with the Urine, and oftentimes it prognosticates a Resolution of the obstructed Matter, and the Expulsion of Gravel, or a Stone after great Pain; but pale Urine is a Symptom which portends the Di- stemper to be more lasting and dangerous. The Cure is to be perform'd by plentiful and repeated Bleeding, avoiding carefully at the same time all stimulating Diureticks, which in this State would increase the Dis- ease: Afterwards the Expulsion of the ob- structing Matter is to be promoted by emol- lient and soft Liquors plentifully drank, and by Glysters of the same kind frequently inject- ed; by Bathing and outward Fomentations, by opiate and anodyne Substances, which both ease and relax the Fibres; and those soft Liquors should be drank plentifully not- withstanding the frequent Vomitings; for Vomiting is an Effort of Nature in order to pro- Ch. III. thro' the various Stages of Life. 407 promote the Expulsion of the Gravel, Stone, or any other obstructing Cause. Therefore Whey, and in a great feverish Heat, Butter-milk; likewise Emulsions of Barley and Poppy Seeds, Honey in Whey and Water, are all very proper Liquors for this In- tention; also a moist and soft Diet, Rest, and keeping out of a warm Feather-bed, and par- ticularly avoiding lying upon the Back. If the Pains or Convulsions be very urgent, without waiting for the Effects of other Re- medies, Opiates with due Caution ought to be given; but when the Gravel, Stone, or any other obstructing Cause is separated from the Kidneys, soft express'd Oils, and oily Substances relax the Passages; and if the Pain proceeds only from Gravel, or a Stone, then oily Substances may be safely join'd with sti- mulating Substances, as with Juice of Lemon, Juniper-Water, and some diuretick Syrup, as that of Marsh-mallow, &c. In this Case the Jolting in a Coach, and such-like Motion may be used with Advantage. If the Pain is protracted beyond se- ven Days, an Abatement of the Pain, its changing into a Beating or Throb- bing, often-returning Shiverings, a Heaviness or Numbness of the Part, are Signs that Matter is a forming, which when made will appear in the Urine; in which Case, soft and balsamick Substances are the most beneficial; for if the Matter remains long, the Case is in- curable. Progno- sticks. Cc4 Some- 408 A GUIDE to HEALTH Part III. Sometimes it happens to terminate in a Fistula, with which the Person may live many Years in no great Uneasiness. All Bal- samicks are good in Ulcerations of the Kid- neys: Likewise Butter-milk not quite sour has been deem'd a Secret in the Cure of Ulcers of the Kidneys, and Steel-waters have proved very beneficial to some; Spruce-beer is also a good Balsamick in such a Case; and soft Malt Liquors are preferable to Wines. Inflammations of the Kidneys terminate sometimes in a Schirrus, or large Stone. But a sudden Remission of the Pain, with cold Sweats, a weak and intermitting Pulse, Hick- up, no Urine, or in very small Quantity, black and fœtid, are sure Signs of a Mortifica- tion and ensuing Death. Regimen. The Regimen of those who are subject to nephritick Disorders may be in some measure collected from what has been above-mention'd; and such ought to be ex- tremely careful of the Choice of their Li- quors; for sharp Wines which abound with Tartar, are very hurtful; soft Malt Liquors, not stale, are certainly much better to be made use of, and some of the softest diure- tick Substances often mention'd already; and to avoid acrimonious Things in their Food, use moderate Exercise, and not lie too hot, soft; nor much upon the Back. Of Ch. III. thro' the various Stages of Life. 409 Of an Apoplexy. This Distemper is a sudden Sus- pension of all the Senses, both ex- ternal and internal, and a Privation of all voluntary Motion, by the Stoppage of the Flux or Reflux of the animal Spirits through the Nerves destin'd for those Motions, com- monly attended with a strong Pulse, and dif- ficult Breathing, with Snoaring, together with an Appearance of a deep and continual Sleep. Definition. The most common Causes of A- poplexies are a particular Conforma- tion of the Body, as a short Neck; for there are some Persons who have fewer Vertebræ in their Necks than others; polypous Concre- tions of the Blood, an inflammatory Spissi- tude of it, a thick, glutinous, or pituitous Blood, and a dull Inactivity of the whole Mass; a gross, plethorick, fat, or phlegma- tick Constitntion; whatever hinders the Mo- tion of the Blood thro' the Arteries of the Brain, as Tumours arising within the Cra- nium, or Polypus's, especially about the Heart, attended most commonly with an unequal Pulse, a Vertigo, and sometimes a momentary Loss of the Eye-sight; old Age, attended with a glutinous, cold, catarrhous, leucophlegmatick Constitution; for in suck the Forerunners of an Apoplexy are, Dulness, Inactivity, Drowsiness, Sleepiness, Slowness The Causes. of 410 A GUIDE to HEALTH Part III. of Speech, and giving Answers, Vertigoes, Tremblings, Oppressions in Sleeping, Night- Mares, Weakness, Wateryness, and Turgi- dity of the Eyes, a great Fulness of Blood, with its Velocity increased by Heat and vio- lent Motion, a high Diet, and Spirituous Li- quors, a partial and imperfect Circulation of the Blood towards the lower Parts; the Effusion and Pressure of any Serosity, or Blood upon the Ventricles of the Brain, which is the most common and immediate Cause of Apoplexy; violent Passions and Affections of the Mind. The immediate Fore- runners of an Apoplexy are most commonly a Vertigo, Staggering, Loss of Memory, Stu- por, Sleepiness, a Noise in the Ears, and a deep and laborious Breathing. To these may be added, Extravasations of the Blood or Serum from Contusions or Concussions, oc- casion'd by external Violence, and an innu- merable other latent Causes. The Division of Apoplexies into sanguine- ous and pituitous is of Use, but then it is not an exact and perfect Division; because there are other Kinds, viz. serous, atrabilarious, and polypous Apoplexies, &c. Prognosticks. A slight Fit of an Apoplexy is carried off by a plentiful, warm, and equable Sweat, a great Discharge of thick Urine, a Flux of the Piles, or of the Men- ses, by a Looseness, or a great Fever coming upon it. If the Apoplexy be more severe, it usually terminates in a paralytick Disorder of Ch. III. thro' the various Stages of Life. 411 of some Part of the Body, or of all one Side, which is called a Hemiplegia; or sometimes of all the Body below the Head, which is called Paraplegia, and is seldom curable, but al- ways leaves behind it a great Defect of Me- mory, Judgment and Motion. An exquisite Apoplexy soon carries off the Patient; it is seldom known that they live beyond the se- venth Day. The Cure is to be varied ac- cording to the Difference of the Causes; for if occasion'd by a cold phlegmatick Cause, we ought immediately to endeavour that the Pressure of the glutinous Siziness may be diverted from the Head, by Derivation into other and opposite Parts, and universal Evacuations: for this Intention, Blisters, Causticks, Frictions, Ligatures, Anti- phlegmaticks, sneezing Medicines, and all sharp and stimulating ones are to be used, as Emeticks, strong Purges, and sharp purging Glysters. Yet in the Use of all these the Mischief is oftentimes increased, the Matter being there- by more violently moved and afterwards fix'd, and the Strength sinking under the Evacua- tions; therefore in endeavouring a Resolu- tion, we ought to insist upon Evacuations and Revulsions, as much as the Case will bear; whence the Rule of Hippocrates, Bleeding except it relieves, kills; and Celsus says, that it kills or cures. But if the Apoplexy pro- ceeds from a hot Cause, and that the Dis- The Cure va- rious. temper 412 A GUIDE to HEALTH Part III. temper seems inflammatory, then presently take a large Quantity of Blood out of the Jugular Veins, and repeat it as often as there is Occasion; by which, if the Distemper is curable, some Relief will arise. A Loose- ness is by all means to be promoted, and we are to give Diluters, Attenuants and Diure- ticks at the same time, keeping the Patient as much as we can out of Bed, especially from lying down. As the Applications in the Fit are of a medicinal Kind, it being too acute a Disease to admit of any Helps from Diet, yet that may be of great Use for Prevention; there- fore a thin, slender, cool, and regular Diet, opposite to the particular Symptoms above- mention'd, will be useful; so that the Regi- men is to be varied according to the Cause of the Disease, which may be collected from the Constitution of the Patient in these Apo- plexies, which depend upon a sanguineous Cause; the Regimen prescrib'd in a sangui- neous Constitution, in Part II. of this Trea- tise is proper. Fat and phlegmatick People, who are very subject to this Distemper, ought to give Attention to the Rules set down in the same Place, in their Case; and as there are Apoplexies from inveterate Gouts, the Re- gimen of such must be different from both, as I shall explain hereafter in treating of the Gout, the Intention being to translate the Gouty Matter upon the Extremities of the Body: and all those who have a Disposition to Ch. III. thro' the various Stages of Life. 413 to this Distemper, ought never to go to Bed with a full Stomach, nor to lie with their Head low. CHAP IV. Of Chronical Distempers. Of a Palsy. A Palsy is a Resolution or Relaxa- tion of the nervous Parts from their natural Tone, by which means their Motion and Sense, either one, or both, all over the Body, or in some particular Part or Parts, are impair'd, so as to be unable to exert their natural Functions. Definition. The best Rules of Diet in this Disease are taken from the Know- ledge of its Causes; for whatever stops either the Flux of the Spirits, or that of the Blood to any Part, induces a Palsy, for both are necessary for Sensation and Motion; such are all the Causes of an Apoplexy, an Epilepsy, extreme and lasting Pains, the Suppression of usual Evacuations, either natural or mor- bid, Translations of diseased Matter in acute Distempers, whatever distends, distorts, com- presses, or contracts the Nerves; strong and The Causes. strait 414 A GUIDE to HEALTH Part III. strait Ligatures, Luxations, Fractures, any Inflammation in the Integument, or mem- branaceous Sheath of a Nerve, especially in the Plexus, where they are tied together; likewise serous Defluxions, Excess in astrin- gent Aliment, chiefly unripe Fruits, drink- ing too much warm Water, is weakening and relaxing; also Excess in Tea or Coffee; extreme Heat or Cold, poisonous Fumes of Arsenick or Mercury. This Distemper is more or less dangerous according to the Cause, or the Extent and Seat of the Disease; for when the original of it is in the Brain, it is most dangerous; when it seizes the Heart or Organs of Breathing, it is fatal; because Life cannot be continued a Moment without the Use of those Parts. Difficult to cure. A Palsy succeeding an Apoplexy, Convulsions, the Colick, and other Affections of the Brain or nervous System, if it does not grow better in a little time, or give Way to Medicines, it commonly remains incurable. Regimen. The Regimen in this Distemper should be warm, attenuating, con- sisting of spicy and cephalick Vegetables, such as produce a feverish Heat; because such are necessary to resolve the Viscosity of the Fluids. Of such as consist likewise of an acrid, volatile Salt and Oil, as Mustard, Horse-Radish, &c. stimulating by Vomits, sneezing, relaxing the Belly by purging, and diluting strongly at the same time, promoting Sweat 415 thro' the various Stages of Life. Ch. IV. Sweat by such Motions as can be used, or other Means, and strong Frictions are here very useful; but Bleeding is to be used or omitted according to the Symptoms which affect the Brain: It relieves indeed, in any inflammatory Disposition of the Coat of a Nerve, yet it is not convenient in general for all Persons; for some Paralyticks are cold, and others of a hot Constitution; therefore Remedies ought to be of a different Kind, as is usual in the Scurvy itself. The most noted Medicines in this Case, are of Vipers, Amber, Earth-worms, Wood- lice, Emets, Antimonials, Mercurials, Steel Preparations, the Antiscorbutick Juices, with compound Horse-radish Water, and Juice of Oranges, Gum Guaiacum, Tincture of Amber, Spirit of Hartshorn with Amber, Bezoar Mineral, &c. And externally, Fo- mentations, Liniments, Cupping-glasses, Bli- sters, nettling the Members affected; also putting the relax'd Part into Grains, after the Wort is drawn off, or into the Belly of a Beast newly killed; or lastly, an artificial or natural Bath, as that in Somersetshire; like- wise Issues and Setons are proper in this Case. Of an Hemiplegia and a Paraplegia. A Hemiplegia is when only half of the Head, and of the rest of the Body on that Side is affected, after the manner of an Apo- plexy. A 416 A GUIDE to HEALTH Part III. A Paraplegia or Paraplexia, is, when the whole Body, except the Head, is affected by reason of the Spinal Marrow's being ob- structed; and more commonly this and a Hemiplegia are secondary Distempers, tho' sometimes they are primary; Sense and Mo- tion, or both, are either entirely lost, or much impaired. When either of those Distempers imme- diately follow an Apoplexy, Epilepsy, and o- ther Diseases, they are commonly called Pal- sies; but a Palsy is a different Distemper, as plainly appears by what has been said of it already. The Cure. Vomiting and purging are proper in all Paraplegia's, to cleanse the first Passages; and Bleeding is necessary in plethorick Bodies. In the next Place Sudo- risicks are very useful, mix'd with Specificks; a Decoction of Sassafras with Rosemary and Juniper-Berries is very proper; and for the rest of the internal Medicines for the Cure of these two Distempers, use those directed in an Apoplexy and Palsy. A Fomentation made with a Decoction of Emets and their Hillocks in common Water, used every Day to paralytick Limbs, often proves very bene- ficial, and sometimes procures present Re- lief, by restoring the Parts to their natural Strength. Of 417 thro' the various Stages of Life. Ch. IV. Of the Epilepsy or Falling-sickness. An Epilepsy is a Convulsion or convulsive Motion of the whole Body, or of some of its Parts, with the Loss of both internal and external Senses, attended with violent Concussions and reciprocal invo- luntary Motions of all or some of the Muscles, with alternate Rest, and new Insults thereof. It is called the Falling-sickness, because the Persons affected with it fall suddenly upon the Ground. The Definition. The Causes of this Distemper are various; sometimes an hereditary or Family Disposition from Parents; a sudden Fright of the Mother when with Child of the Patient; an ill Affection of the Brain by Wounds, Bruises, Blows, or Con- tusions; Abscesses, acrimonious Serum, bony Excrescencies of the Inside of the Skull, its pressing down upon the Brain; Inflammation, Corruption, or Corrosion of the Meninges or Membranes of the Brain; Repletion or Ful- ness, Heat, Drunkenness, intense Study, Ter- ror; all violent Affections and Irritations of the Nerves in any Part of the Body; especially by acrimonious Things in the Stomach or Bowels, by Worms, by Teething, and Aci- dity in the Stomach in Infants; by some Contagion or purulent Matter after acute Diseases; likewise by Suppression of usual Evacuations, as the Menses, Piles, and Urine, &c. also by hysterical Affections contracted The Causes various. Dd by 418 A GUIDE to HEALTH Part III. by Accidents in Lying-in; and often by too great Inanition or Weakness, occasioned by want of due Nourishment; by Fragments or Splinters of Bones, or sharp Instruments hurting the Meninges or Brain, or Quicksilver carried thither any how; by the Caries of a Bone, black Choler, or venereal Ulcers cor- rupting or corroding the Meninges or any Part of the Brain. Hence it is evident, that different Medi- cines and different Indications are requisite to cure this Disease, according to the known Variety of the Cause, the peccant Matter, and the Place to which the Remedy ought to be applied, and by which the Evil is to be eradicated: Hence likewise is sufficiently ex- posed the Vanity of the celebrated Specificks and Methods, which boasting idle People do brag of in this Disease. And it is also evident, that the proximate Cause of all true Epilepsies is always the too great Action of the Brain upon the Nerves serving for Motion, and the Privation of that in the Nerves dedicated to Sensation; and that the Causes which create the reciprocal Paroxysms are many in Number and Va- riety. The Cure. The Intentions in the Cure of this Disease must be different, ac- cording to the Cause, as I have just now ob- served: Bleeding and plentiful Evacuations, when there is a Plethora or inflammatory Dis- position in the Brain, are necessary; and Ali- ments Ch. IV. thro' the various Stages of Life. 419 ments that are without Acrimony, demulcent, avoiding every thing which stimulates, and taking such Things as are opposite to the par- ticular Acrimony that causes the Distemper; relaxing the Belly without irritating. In acute and periodical Pains to take anodyne Sub- stances; but if the Disease be the Conser quence of an hysterical Disposition, a warmer Regimen is necessary, in which Case anti- hysterick Medicines are proper. If the Cause is in the Stomach, generally Anti-acids re- lieve; if they are not flatulent or windy, se- veral have been cured by a Milk Diet; but in Case of Acidity in the Stomach it will do Harm. When the irritating Cause is in some outward Part of the Body, it is proper to e- radicate it by Suppuration; if it proceeds from Gnawings and Irritations of Worms, Teeth, sharp Humours turning Milk sour and curdled like Cheese, or any other Acid in Infants, Diacodium or Diascordium given them unseasonably, or the Contagion of the Small-pox in the first State: Hence the tes- taceous Powders, Anodynes, Paregoricks, An- tihystericks, all Medicines against Worms, and a seasonable Cutting of the Gums, and car- rying off the acrimonious Matter from the Bowels by gentle Purges; then all these, I say, become, by their Operation, Anti-epilep- tick Medicines. But if the Cause proceeds from a Stoppage of the usual Evacuations, as the Menses, Cleansings in Women, the Piles, or Urine, &c. Dd2 it 420 A GUIDE to HEALTH Part III. it may be remedied by dissolving the viscid Matter, and opening the Obstructions: In this Case Blisters, Issues made with Causticks, Steel Preparations, forcing Medicines, such as provoke the Menses and open the Piles, and Diureticks are all proper. An Epilepsy from Inanition or Weakness may be cured by a nourishing Diet, easy of Digestion, and a proper Use of nervine Me- dines; and the following are reckon'd amongst the anti-epileptick Specificks; Native Cinna- bar, Wild Valerian, Male Piony Roots and Seeds, Flowers of Lilies of the Vallies, Seeds of Rue, Misletoe of the Oak, Castor, Cam- phire, Rosemary, Earth-worms prepared, the Gum and Wood of Guaiacum, the Salt and Oil of Amber, Peacocks Dung, with a great many more too tedious to enumerate in this Place. Epilepticks ought to breath in a pure Air, untainted with any Steams, even such as are very fragrant; and their Diet should be nou- rishing, of easy Digestion, avoiding Hogs Flesh, Water Fowls, and all Vegetables that are pungent, windy, and, generally speaking, all Fruits, especially Nuts; they should use but little Wine, and none if they have not been accustomed to it; they ought not to turn round nor stand on Precipices, to keep regular Hours for Eating and Sleeping, for every unusual Thing is a Stimulus: But of all Things, the most necessary is to avoid the Occa- 421 thro' the various Stages of Life. Ch. IV. Occasions of violent Passions of the Mind, and keeping themselves chearful. Of Melancholy Madness. That Disease is called by Physicians a Me- lancholy, under which the Patient labours long, and is obstinately delirious without a Fever, and always intent upon one and the same Thought. This Disease arises from that Malignity in the Blood and Humours, which the Ancients have called Black Choler; and tho' this Dis- ease begins in the Mind, yet it renders the Choler black in the Body very soon. It will be therefore necessary to give a small Sketch of this wonderful Disease, the Doc- trine of which is supposed to be so obscure, that Antiquity is unjustly blamed for it. If the most fluid Parts of all the Blood be dissipated, and leave the less moveable united in the Body, then will the Blood become thick, black, fat, and earthy; and this Defect is called by the Name of an atrabilarian Humour, or melancholy Juice. The Cause whereof is whatever expels the most fluid Parts of the Blood, and fixes the rest: A violent Exercise of the Mind; the dwelling Night and Day upon one and the same Object; a constant Wakefulness; great Motions of the Mind, whether Joy or Sorrow; great and laborious Motions of the Body, often repeated, chiefly in a very hot and dry Air; to these may be The Causes. Dd3 refer'd 422 A GUIDE to HEALTH Part III. refer'd immoderate Venery; rough, hard, dry, earthy Aliments, long used without Motion or Exercise of the Body to digest them; the like Drink; Parts of Animals dried in Smoak, Air, or Salt, chiefly of old and tough ones; unripe Fruits, and mealy and unfermented Substances; astringent coa- gulating, sticking, and cooling Medicines, and slow Poisons of the same Nature; hot Fevers hanging about long, often returning without a good Crisis, and going off without the Help of diluting Means. When this Evil, already bred in the Blood, and produced by the abovementioned Causes, does yet infect equally all the circulating Mass of Humours, it will produce some Diseases, which will appear immediately, and are most- ly as follow: The Colour of the Patient in- ternally and externally is first paler, yellower, and more tawny; livid, black with like Spots; the Pulse flower; the Circulation through the Blood-vessels free, more sparing through the Side-vessels and less free; hence a slower, less, and thicker Separation of all the secretory and excretory Humours, and a less Wasting of them; a lessen'd Appetite; a Leanness, Sorrowfulness, Love of Solitude, all the Affections of the Mind violent and lasting; an Indifferency to all other Matters; a Laziness as to Motion, and yet a very great and earnest Application to any Sort of Study or Labour. Its Ch. IV. thro' the various Stages of Life. 423 Its Matter therefore is the Earth and thick Oil of the Blood united and closed up toge- ther, which is worse in its Effects, and more difficult to cure, according to its Degrees of Fluidity, Softness, Dryness, Thickness, inti- mate Mixture, and Time of being so. Hence the Diagnosticks and Prognosticks are plain enough, and the Rationality of the Cure does also occur easy enough from these Principles. Thus far I have transcribed the learned Boer- haave's Sentiments of this Distemper. The atrahilarian Constitution, or a black, viscous pitchy Consistence of the Fluids, which most frequently produces this Disease, makes all the Secretions difficult and sparing; the Intention therefore ought to be to render the Humours fluid, moveable, and carry them out of the Body, especially the Bile, which is viscous; but Sudorificks are not here so pro- per, because they thicken. Therefore the Diet prescrib'd, Chap. VIII. Part II. in an atrabilarian Constitution, is very proper in this Case, to which I refer the Reader. The learned Author just now mentioned relates an Instance of a Patient, who, by a long Use of Whey, Water, and ripe Garden- Fruits, evacuated a great Quantity of black Matter, or Choler, and recover'd entirely his Senses. Cold Bathing, and especially a sud- den Immersion into the Sea, has produced very good Effects by acting upon the Nerves and Spirits. Dd4 Madness 424 A Guide to Health Part III. Madness proceeding from a Plethora, or too great Fulness in young, strong, hale Peo- ple of a hot Constitution, is cured by plenti- ful Bleeding, Purging, Vomiting, and other Evacuations, with Diluters; and the Weak- ness which succeeds Madness requires a more refreshing and warm Diet, and especially the Use of Chalybeat or Steel Waters. If this Distemper continues long, it pro- duces Foolishness, Epilepsies, Apoplexies, fu- rious Madness, Convulsions, Blindness, won- derful Fancies; for some will imagine them- selves to be Beasts, or to be earthen Vessels, or they will fancy themselves dead; others will crow like a Cock, believing themselves to be such a Creature; others laugh, sing, cry, sigh, groan and belch; others obstinate- ly refuse to eat any Victuals, as believing they are actually dead; some think themselves Kings, Prophets; others a Grain of Wheat, Grass, or Wax: Sometimes they have great Evacuations of Urine, clear like fair Water; at other times very thick; a Retention, mulation, and often a sudden Excretion of bloody Fæces in the Vessels of the abdominal Viscera or Belly; an obstinate Costiveness, with a thin and frequent Spitting, and they can endure to be without Sleep, Aliment, or Fire, even to a Wonder. This Distemper grows worse upon taking Medicines that weaken and evacuate roughly, or such as put the Fluids into a violent Mo- tion; therefore the curative Indications will be Ch. IV. thro' the various Stages of Life. 425 be to bring the Fluids of the Brain and Nerves into a good Order; by withdrawing, first, the Mind from the usual Object to others contrary to the same, and raising art- fully, if possible, another Passion of the Mind, contrary to the melancholy one; by siding sometimes with them in their false and de- prav'd Fancies, or often opposing the same with great Force. Secondly, By opening, softening, inciding, and stimulating the Obstructions, or the Cause, or the EfFects of a false Imagination, with Mineral Waters, Whey, Water and Honey, Splanchnick, Hepatick, or Anti-hypo- chondriack Medicines and Decoctions; like- wise Waters made with the Addition of lixi~ vious or compound Salts, especially Nitre; also loosening Mercurials, Vomits, Motions, Exercise, and Riding; and Medicines which cleanse and purge the Womb, or the Piles, Bathings, Ointments and Plasters, and easing the Symptoms by Bleeding, plunging into cold Water, and using Carminatives and Opi- ates sometimes. Of Madness from the Bite of a Mad Dog, or any other Creature, called Hydrophobia. The Fury or Madness mostly proceeding from the Bite of Mad-Dogs is call'd Dog- Madness; and from that terrible Symptom of dreading Water, an Hydrophobia. It 426 A GUIDE to HEALTH Part III. It almost ever arises from other Animals, which were first mad, and that by Contagion; tho' also sometimes of its own accord in some acute Fevers, as has been observed, and is well attested. Almost all sorts of Animals may be affected with this Evil, and by their Contagion infect others, and even Men. Dogs, Cats, Wolves, Foxes, Horses, Asses, Mules, Oxen, Sows, Monkies, Turkey-cocks, and Men, all these being first mad themselves, have communicated the same Madness to others; but it is common to none so fre- quently as to Dogs, Wolves and Foxes, and it invades these chiefly from inward Causes, without catching it from any others. A hot Country, open and exposed to vio- lent Heats, or to very cold raw Weather; hot and dry Weather long continued; the living upon rotten, stinking and worm-eaten Meat; Want of Drink; Worms grown in the Kidneys, Guts, Brain, or the Inside of the Nostrils; all these are preceding Causes of Madness in Animals just now mentioned. The Symptoms of a Person infected with this Poison, after different Distances of Time, are much in the following Manner: The Place where he was bit pains him; then fol- low wandering uncertain Pains in other, but chiefly the nearest Parts; a Weariness, Hea- viness, and Slowness succeed in the whole System of the Muscles; his Sleeps are disturb- ed, uneasy, all with Frights, Convulsions and Catchings in the Tendons; he is continually restless, Ch. IV. thro' the various Stages of Life. 427 restless, sighs, looks dejected, and affects to be alone; and it is much after this Manner that this Disease begins and finishes its first Stage. Then all the foregoing Symptoms are in- creased, and there follows besides a prodigious Narrowness and Pressure about the Heart and Chest, Breathing is difficult, and accompanied with Sighs; he frequently shakes all over; his Hair stands an end, and trembles all over at the Sight of Water, or any sort of Liquors, or even at the Sight of transparent Things, or reflecting like Looking-Glasses; he loses his Appetite entirely, yet he can swallow any thing that is very dry and solid: The Touch of any Moisture, chiefly with his Lips or Tongue, creates an incredible Anguish, Tremors, vio- lent Convulsions, and a Raving; he vomits tawny glewish Choler, or green, like Leeks; he grows very hot, feverish, sleepless; is trou- bled with a Priapism; and he thinks disor- derly of Things quite foreign and unusual. Thus it goes on, and here ends its Second Stage. But afterwards every thing grows constant- ly worse; for he soon lolls out his rough and dry Tongue, gapes wide, speaks hoarse, has a great Drought, grows raving and fu- rious at every Attempt to drink, and at the Sight or Touch of all Drinkables and Liquors; he gathers Froth in and about his Mouth, endeavouring the spitting of the same upon the By-standers, and that even against his Will; bites and snaps at every thing within his 428 A GUIDE to HEALTH Part III. his Reach, and that likewise involuntarily, nor yet to be witheld from those; he gnashes his Teeth with Froth, snarling like a Dog; his Pulse and Breathing begin to fail, cold Sweats break out on all Sides; he raves in the highest Degree, notwithstanding which he is all the while sensible, and is afraid that he shall unwillingly hurt the By-standers. Hence you may always reckon upon his dying (within the fourth Day from the first State of his Illness, convulsed with a most terrible Anguish upon drawing his Breath. As Brevity, and the want of Leisure and Room at present, oblige me to proceed to the Method of Cure without any farther Disqui- sition about the Nature of this dreadful Con- tagion, I present the Reader with the follow- ing short, easy, and in all Probability the most infallible Method hitherto discover'd. A French Physician of the University of Bourdeaux, and a Gentleman of Note and great Merit in his Profession, has publish'd a Treatise * some few Years ago, in which there is a Dissertation on the Hydrophobia, wherein he candidly communicates a very rational Method of curing this terrible Con- tagion, after a new and easy manner, of which he has made several Trials, and always with the desir'd Success, as may be seen in his own Treatise at large; therefore as this Remedy * Dr. Desault's Treatise translated from the French, by John Andree, M. D. and printed for John Clarke, under the Royal-Exchange, Cornhill, 1738. Ch. IV. thro' the various Stages of Life. 429 Remedy he proposes (in all human Probabi- lity,) may prove successful and certain, (at least it bids the fairest of any hitherto known in the Art of Physick for that desirable End) I thought proper and necessary to communi- cate the same to my Readers, in order to impart it to all their Friends and Acquaint- ance. The Remedy consists of a Powder called Palmarius's Powder, and an Ointment made in the following manner. The Powder. Take of the Leaves of Rue, Vervain, Sage of Virtue, Plantane, Polypody, common Wormwood, Mint, Baum, Betony, St. John's Wort, lesser Cen- taury and Coraline, of each equal Parts; mix them, and reduce them to a Powder. The Ointment. Take one third Part of Mercury reviv'd from Cinnabar, one third Part of hu- man Fat, and as much of Hog's Lard, mix all very well till all the mercurial Globules disappear. Here I give you the Author's Method in administering the Powder and Ointment in his own Words. 'I 430 A GUIDE to HEALTH Part III. 'I order one Dram of the Powder (says he) 'in White-Wine every Morning; and 'Persons of the fair Sex, who cannot bear 'Wine, take it in a Draught of warm Wa- 'ter. 'In this Method I continue 30 Days with 'those who have been bit in an uncover'd 'Place, or have receiv'd some considerable 'Wound by the Bite; but to those who have 'been bit in a Place that was cover'd, and 'had only a few Holes made with the Teeth, 'I give the Powder only 20 Days. 'From the first Day of using the Powder, 'I make them administer a Friction of one 'or two Drams of the Ointment upon the 'Wound and neighbouring Part, and spread 'the Ointment all over the Part that was 'wounded. 'The Friction is repeated every other Day 'in the beginning, and after the third time, 'every third Day; after the 6th, every 4th, 'till two or three Ounces of the Ointment 'have been used; the Quantity of which 'ought to be proportion'd to the Strength, 'Age, Temperament, Sex, the Bite, &c. 'But when the Patient comes to me seve- 'ral Days after the Bite, for fear of Acci- 'dent, and to prevent the Rabies or Mad- 'ness, I order to make the Frictions every 'Day to four or five times, and increase the 'Dose of the Powder sometimes to half a 'Dram; afterwards I leave a Day or two be- 'tween to avoid a Salivation, which might 'ensue Ch. IV. thro' the various Stages of Life. 431 'ensue from the daily use of the Ointment, 'altho' but a particular Friction. 'In the last Place, I let him keep his 'usual Meals, forbidding him all Excess; for 'Experience proves, that they increase all 'other contagious Distempers. I let him 'drink Wine with moderation: I take Care 'that they be not left alone, and desire their 'Relations and Friends to keep them Com- 'pany, forbidding them to mention Madness 'to them, or mad Creatures. A more circumstantial Account of this Method may be seen in the Author's own Observations, to which I refer the Reader; but here I cannot omit observing, that if 20 or 30 Grains of native Cinnabar were added to every Dose of the Powder, the Cure might be thereby perform'd with much greater Certainty. As for his directing to make the Ointment with human Fat, &c. it is need- less; for the common strong salivating Oint- ment, which is always ready prepar'd in the Shops, is every bit as good, if not better. The Experiments of the ingenious Dr. James seem to confirm the Efficacy of the above Method, at leasst that of Mercury, in curing the Bite of a mad Dog; wherefore I beg leave to transcribe Part of the Conclusion to his New Method of preventing and curing the Madness caused by the Bite of a mad Dog, laid before the Royal-Society, 1741. 'Firft I would (says he) rub into the 'Place wounded as soon as possible, a Dram 'of 432 A GUIDE to HEALTH Part III. 'of the Ointment recommended by Desault. 'I would then give Turpeth Mineral by 'Way of Vomit, in a Dose proportion'd to 'the Age and Constitution of the Patient; 'and this I would repeat more than once, at 'Intervals, which would secure it from rais- 'ing a Salivation, always remembring to rub 'the Wound once in a Day, or oftener, with 'the Mercurial Ointment. 'But when thro' Neglect, any Symptoms 'of approaching Madness should appear, I 'would increase the Quantity of Mercurial 'Ointment, and give Mercury in some Form. 'or other internally, in as large Doses, and 'those as often repeated as could be done, 'without hazarding the Patient by a Saliva- 'tion too precipitate. 'In both Cases I would recommend the 'Cold-Bath, as a Thing of great Conse- 'quence, as soon as ever the Patient can 'make Use of it without Danger; but in 'this Case, as in all others, many accidental 'Circumstances will occur, for which it is 'impossible to lay down universal Rules; it 'must therefore be left to the Prudence of a 'Physician to guard against, and remedy In- 'conveniencies arising from particular Acci- 'dents. Of the Scurvy. It is impossible to define this Distemper by Words, containing any simple or distinct Idea; for it is rather a Name used to signify a Ch. IV. thro' the various Stages of Life. 433 a Multitude of Symptoms, different and sometimes opposite in their Causes and Cures. It is a Disease affecting the Inha- bitants of cold Countries, and a- mong those, such of them as inhabit marshy, fat, low, moist Soils, near stagnating Wa- ters, fresh or Salt; and it invades chiefly in the Winter Season, such as lead a sedentary Life, or live upon salted and smoaked Flesh and Fish, or Quantities of unfermented mealy Vegetables, and drink bad Water; and likewise such as are Hysterical or Hypochon- driacal, and sometimes such as have taken. great Quantities of the Bark, without pro- per Evacuations; so that from these Causes the best Rules for Prevention may be taken. The Cause. The Symptoms of this Distemper are a spontaneous Lassitude or Sensation of Weari- ness, being unrefreshed by Sleep, laborious Breathing upon small Motion, cold Swellings in the Legs, going off and returning; some- times Paleness, or a livid Colour in the Face, Spots on the Skin of various Colours, as red, violet-colour'd, yellow, or livid; oftentimes an ill Smell in the Mouth, and of the Breath, painful and bleeding Corrosions of the Gums, and by these Means the Teeth grow bare and loose; Fluxes of all Sorts, untractable Ul- cers, especially in the Legs, with a gangre- nous Appearance in the Skin; the Itch, dry and crusty Eruptions, and sometimes a small Degree of Leprosy; the Blood when taken away is black, grumous, and the red Part Ee without 434 A GUIDE to HEALTH Part III. without a due Consistence; the Serum very salt, and of a yellowish green; wandering Pains in the Limbs, increasing when warm in Bed, and sometimes a feverish Heat. These Symptoms arise from a bad Tem- perature of the Blood, either too thin, or too thick, being of a saline Constitution, either from an acid, alkaline, or Muriatick Cause, which requires very different and oftentimes contrary Remedies; for which Reason, See Part II. Chap. VIII. where I have treated of acid and alkaline Constitutions. The Scurvy of Seafaring People is generally cur'd by Acids, such as all Sorts of ripe Fruits, Lemons, Oranges, Butter-Milk; but all alkaline Spirits do harm; and acid Spirits, as that of Salt and Nitre are proper for them. If the Symptoms are attended with an ill Smell of any kind, either in the Mouth, Breath, or Urine, with Drought, Heat, Bleeding of the Gums, or of any kind, such a Disease will be cur'd by the Use of Acids, and none better than Whey; and in this Sort of Scurvy Steel Waters are commonly effectual. But if the Scurvy be muriatick or briny, occafion'd by a Diet of sait Flesh or Fish, the Plants commonly called Antiscorbutick, as Water-cresses, Scurvy-grass, and Brooklime, may be taken with Success, but always mix'd with Acids, as the Juice of Lemons and Oranges; and all the Pot-Herbs which are antiacid, as describ'd in Part II. Chap. VI. are a proper Diet in this Case; but if there be 435 thro' the various Stages of Life. Ch. IV. be a high Degree of Heat and Inflammation, all the hot Antiscorbuticks will be very im- proper. When a Patient is pale, cool without Thirst, with pale or natural colour'd Urine, and has made Use of an acescent Diet for any- time, that the Eruptions are not of a high inflammatory or livid Colour, then the warm Antiscorbuticks, animal Food, and Salts are necessary. In the Scurvy great Attention should be always given to the Condition of the Mouth, Gums and Teeth, from which the Nature and Degree of the Distemper may be pretty Well known. All sharp and strong Purges injure scorbu- tick Constitutions; but Lenitives are of great Service, and Bleeding is not proper, unless where the Symptoms are urgent and inflam- matory. Of a Cachexy, or ill Habit of Body. A Cachexy is so called from an ill Habit of the Body. It proceeds most commonly from the Intemperance of the Person, or the ill Cure of some preceding Disease; from a scirrhous Tumor of the Li- ver or Spleen, or from a too long and pro- fuse Flux of the Piles, or other Fluxes; from long continual Fevers, or intermitting Fevers ill cur'd; from a Surfeit, or too plen- tiful use of spirituous Liquors; from the Causes. Ee2 Green- 436 A GUIDE to HEALTH Part III. Green-Sickness, from an Obstruction, or too great a Flux of the Menses; from Aliments of unfermented mealy Substances, as Pease, or such as are coarse, fibrous, fat, sharp, watry, and rough; from Bodies that cannot be digested at all, as Clay, Cinders, Chalk, Sand, Tobacco-pipes, Lime, &c. from a Defect of animal Motion in lazy and idle People, and such as sleep too much. Signs. The Diagnostick Signs are a Paleness of the Face, with a livid, yellow, greenish, or ruddy Colour; and frequently with a tumid or bloated Habit of Body, a Sluggishness; there is also often a slow Fever, scarce perceivable by the Person that has it. Cure. The Cure is to be begun with a Vo- mit; but before a Vomit it will be ad- viseable to make use of saline Dlgestives to dissolve the Viscidities, as Cream of Tartar, vitriolated Tartar, Salt of Wormwood, Tin- cture of Salt of Tartar, Elixir Proprietatis with Tartar, and the absorbent testaceous Powders; but if an Emetick be not judged convenient in the Beginning, a Purge may be given, and repeated as need requires; and then after these Things have been done, we may advantageously proceed to the Use of Chalybeats, and Fuller's Ecphratick Mixture is a powerful Remedy in this Disorder. This Distemper sometimes disposes to Con- sumptions, Bloatedness, and Dropsies, and is attended often with Palpitations of the Heart; therefore 437 thro' the various Stages of Life. Ch. IV. therefore the Rules of Diet must be drawn from the Nature of the Symptoms. Of a Consumption. A Consumption is commonly defined to be a Wasting of the whole Body, arising from an Ulcer of the Lungs, but not justly; be- cause I have open'd the Bodies of several who died of this Distemper, whose Lungs I found without Ulcers, but full of Tubercles, Stones, and fabulous Matter; wherefore a Consump- tion is better defined to be a Wasting of the whole Body from a bad Conformation of the Lungs. Willis Pharmaceut. Rat. Part II. Sect. I. Chap. 6. A Consumption, or Marasmus, is a Wasting of the whole Body, or some of its Parts, aris- ing from a Distemperature of the Fluids, or from their Defection, or an unequal and dis- proportionate Heat. Dr. Christopher Bennet, in his Theatrum Tabidorum, translated by Quincy, Page 135. By these two last Definitions we see, that an Ulcer of the Lungs is neither the Ante- cedent, nor Concomitant Cause of a Con- sumption, but only a Symptom, as will evi- dently appear presently, in a few Passages ab- stracted from a Dissertation of a modern Au- thor *, supported by Reason and Observation, the surest and best Guides: afterwards I give the Reader his Method of curing this Di- Ee3 stemper, * Dr. Desault's Dissertation upon Consumptions. 438 A GUIDE to HEALTH Part III. stemper, which I found in many Instances to answer the Intentions he proposes. Before I declare the Causes of a Consump- tion (says he) I thought proper to give a Description of them in behalf of such as are not of the Profession who may read this Disser- tation. A Consumption attacks Youth sooner than other Ages; that is, from 18 till the 35th Year it makes its principal Havock. Hippocrates, Aph. 9. Sect. 5. Not that the other Ages are exempted from it, since we see consump- tive People under and above the Time set down in the Aphorism; but not so often. 1. Those who have a narrow Chest, a long Neck, high Shoulders, like Birds Wings, are most subject to it; of those Hippocrates speaks in his first Book of Epidemicks. 2. Those who have the Misfortune of be- ing born of consumptive Parents are very subjed to it; for this Distemper has this in common with many others, that it is propa- gated by Inheritance. 3. Such as are obliged to live with con- sumptive People, to wait on them, may con- tract it, if they are any ways inclin'd to it, for it is contagious; thus Women who attend their consumptive Husbands catch it of them, and Husbands of their Wives. The Disorder manifests itself, and makes its Progress in the following manner. The Patient seems to have a Cold, he is seiz'd with a dry Cough, which fatigues him most at 439 thro' the various Stages of Life. Ch. IV. at Night: Afterwards he brings up a well- digested Phlegm of a sweet Taste. Nevertheless as this Cough continues, as it exceeds the Bounds of a common Cold, as it goes daily increasing, as the Patient's Legs are observ'd to waste, and the rest of the Body in Proportion, as his Colour changes, and he grows pale and yellow, as the Phlegm changes Taste, and becomes a little bitterish, as some small Quantity of Blood is mix'd with it, as a slow Fever associates with it, with a Pain in the Breast, and in short, when he is at the Brink of the second Stage, he is frighted, and very much alarm'd. Besides these Symptoms which Authors have taken Notice of, and which establish the first Degree, I have always found a con- siderable Disorder in the Liver, so that an Obstruction in this Bowel plainly appear'd from its Hardness, and sometimes a great Pain. I am surpriz'd to see, that Authors have not taken Notice of this, which how- ever is a Symptom deserving of great At- tention, since it is of great Importance for the Discovery of the Cause of Consumptions, and of the Agreeableness of the Remedy I have to propose. Notwithstanding all the Remedies, Se- crets, and other Specificks, the Patient grows worse, and comes to the second Stage, which makes itself known by the Cough being stronger and more frequent by Night, by Night Sweats, which fatigue and drain the Ee4 Patient, 440 A GUIDE to HEALTH Part III. Patient, by the Quantity of Blood in his Spit- ting, and lastly he comes to spit Matter. The Leanness to which he was reduced by the first Degree, increases considerably in the second; the Fever, stronger and more violent, has even some Returns, with cold Shiverings, which encourages his taking the Bark regu- larly, to stop at least the Returns complicated with the slow Fever, and to continue the Medicines to heal the Ulcer, the Existence of which is no more to be doubted. His Nails grow crooked, and the Distemper, be- comes contagious in this Stage. Let us observe, that it is not always ne- cessary the Patient should spit Blood, to die consumptive; neither is it even necessary for the Patient to spit Pus to determine the Exis- tence of a Consumption, as I shall prove by Observations made at the opening of con- sumptive Bodies. The Cough, the Spitting of certain Phlegm without Blood or Pus, the Wasting, the nocturnal Sweats, and last- ly a Looseness, put an End to Life, it not being essential to this Distemper to spit Blood or Pus. The Patient at last comes to the third Stage; his Leanness is at the last Period; he resembles a Skeleton covered with a human Skin, which is hard, wrinkled, and rough; his Breath smells strong, and what he expec- torates stinks so that he loaths it; he brings up almost pure Matter, and his Life termi- nates with a Looseness. Let Ch. IV. thro' the various Stages of Life. 441 Let us now speak of the Causes of a Con- sumption: We shall divide them into con- comitant and antecedent. The concomitant Cause of a Consumption, I say, consists in Tubercles and Concretions form'd in the Sub- stance of the Lungs, and which are spread thro' its Lobes. These Concretions are like Hail-stones, and of different Dimensions. These Tubercles in the Lungs are real, and fall under the Cognizance of the Senses, and are no Supposition invented by a System- monger, to explain the easier his Hypothesis. That great Observator Hippocrates speaks of them in his Book de Morbis: He makes them of two Sorts; some crude, which do not suppurate; and others which suppurate, and leave an Ulcer. Etmuller, who has compiled the Opinions of the Moderns, has a whole Chapter de Tuberculis Pulmonum, Lib. II. Part. II. Cap. 8. p. 436. Read Morton's Book upon Consumptions, he never open'd a consumptive Body where he did not find them: He mentions them in almost every Passage; he imputes to them all the Disorder, and thinks they are the Source of all the Symptoms of a Consump- tion. Bonetus, in his Practical Anatomy, Lib. 2. Sect. 7. proposes several Observations collect- ed from Dissections of Bodies, where the Tu- bercles have been deemed the true Cause of a Consumption, and the Pus and Ulcers only as 442 A GUIDE to HEALTH Part III. as the Consequence of these same Tubercles suppurated and degenerated into Ulcers. But why should we look for Proofs in An- tiquity, why employ the Evidence of Fo- reigners? I appeal to all the Surgeons who have open'd consumptive Carcasses, and to the Physicians who have assisted thereat: Have they not regularly found in all these Tu- bercles, tho' less in Quantity in those who died of a long Consumption, they having had Time to melt away, and be confirmed by Ulceration? Some however have always remained, Death having prevented their Sup- puration. This being allow'd to be the con- comitant Cause of a Consumption, it will be easy to explain all its Symptoms. The dry Cough in the Beginning comes from the Pressure of the Tubercles upon the Ramifications of the Aspera Arteria, dis- persed through the Substance of the Lungs. Morton, p. 36. The same Irritations which this Compression makes in the Aspera Ar- teria, squeeze at length a Phlegm out of the Glands, spread about the internal Membrane of the Trachea; and the Cough, which in the Beginning was dry and hard, becomes moist, and throws up the Matter press'd out of the Glands by the Strength of the Cough. Mort. p. 34. The Difficulty of Breathing comes from these Tubercles, which fill up part of the Lungs, and lessen in Proportion the Quantity of Air which used to enter there; besides, the Com- Ch. IV. 443 thro' the various Stages of Life. 443 Compression they make upon the Ramifica- tions of the Aspera Arteria renders its Ad- mission more difficult. The Leanness and Wasting are the Effcts of these Tubercles, and not the Ulcer of the Lungs, as has been supposed; and as it is of the greatest Importance for the Indication, which should be pursued in this Distemper, to prove that the Ulcer is not the Cause of the Wastings, we shall insert here the follow- ing Proofs. 1. Hippocrates, in his first Book of Epi- demicks, acknowledges a Consumption with- out an Ulcer of the Lungs. Ægrotabant macilenti citra Pulmonum Ulcus: They were sick and wasted without an Ulcer of the Lungs. 2. Hippocrates has also observed, that Lean- ness has begun before the Rise of the Ulcer, and that it is even far gone when the Ulcer appears. Temporis autem progressu exaspe- ratur Pulmo, & intus ulceratur à Pituita inhœrente & putrescente, & gravitatem exhi- bet Pectori & Dolorem acutum ante & re- tro caloresque acutiores in corpus incidunt. It appears from these Passages of Hippo- crates, and especially the last, that the Wast- ing, Cough, Spitting, and slow Fever, have begun before the Ulcer comes on. Temporis autem progressu exulceratur Pulmo: It is only in the Course of the Distemper; temporis progressu, says he; in progress of Time. 3. Lastly, 444 A GUIDE to HEALTH Part III. 3. Lastly we prove by an invincible Rea- son, that the Ulcer of the Lungs is not the Cause of a Consumption. There have been Persons who died of a Consumption with the whole Train of Symptoms, yet during the whole Course of the Distemper never spit any Pus; and upon the opening of their Bodies no Ulcers were found in their Lungs, but Tubercles in great Numbers. For Proof of this Fact we shall introduce the Observa- tions † upon the Body of Mr. Clever, Mer- chant, of this City, and of a young Gentle- woman; and also Willis's Observations al- ready mentioned. The slow Fever depends as much upon the Obstructions of the Liver, as of the Lungs: When the Blood finds its Passage shut up in any Part, it rebounds in a greater Body into the other Vessels; besides, when the Blood, which has not been sufficiently broke in the Lungs, nor depurated in the Li- ver, does not give way, but resists the Im- pulse of the Heart and Arteries, it revives its Play, and occasions two or three Pulsa- tions, where one would be sufficient, if it did not resist, and was thin and fluid. The nocturnal Sweats are owing to the thick and gross Disposition of the Blood: When the Serum is not exactly mixt with the other Principles of the Blood, it easily escapes through the Pores. It † Observations of the Author in his Dissertation upon Consumptions, which see. Ch. IV. thro' the various Stages of Life. 445 It is easy to comprehend the Spitting of Blood: Who can now be surprised, that a Vein squeezed between two Tubercles should open and furnish some Blood in the Spittle? We are now come to the second Stage: Some Tubercles come to be inflamed; Matter is formed there; the Fever increases, as also the Difficulty of Breathing; the Tubercle bursts, and the Pus comes away like Spittle, which the Patient voids in abundance. But as the Pus which was contained in this Tubercle served its Neighbours as a suppurating Cataplasm, they are not long before they are inflamed, and come to Suppuration in their Turn, and the Lungs are thus destroy'd and ulcerate every Day more and more. And now the Distemper becomes contagious, the Suppuration of the Tubercle breeds Worms, which institute the Characteristick of the Ulcer. These Worms spread themselves a- bout the neighbouring Tubercles, as proper Beds for their Nourishment and Breeding, and by their Means it is that the Distemper be- comes contagious. [The Author has shewn, in his Treatise on Venereal Disorders, that all Infection pro- ceeds from Worms.] The Looseness comes from hence, that the Pores are destroyed by the Dryness of the Skin, which has begun with effacing the Pores of the insensible Perspiration, and now even stops up those which evacuate Sweat: The Serum not being well mixt with the Blood, 446 A GUIDE to HEALTH Part III. Blood, and finding no more its former Out- lets, falls upon the Feet and Legs, and after- wards upon the intestinal Glands, which brings on a Diarrhœa, and makes an End of Life. We come now to examine the antecedent Causes which produce Tubercles in the Lungs, and shall make it apppear, by an exact En- quiry, that they owe their Rise to eager and coagulating Juices, and not to sharp and cor- rosive ones. Authors tell us, and we see it confirmed by daily Experience, that Grief is a power- ful Cause to bring on a Consumption. The Soul being continually employ'd in Affliction about the Object which causes it, studies Night and Day to find out a Remedy: This continual Attention of the Soul employs the Spirits in the Brain, hinders their descending into the Stomach, the Appetite disappears, the Digestion suffers, the Chyle is sent gluti- nous and ill digested into the Blood, disposed to bring on Obstructions either in the Lungs or Liver. But the free Course of the animal Spirits is not only suspended in the Stomach, but also in the Organs of Respiration; for we see Per- sons under Affliction forget as it were to breathe to that Degree, that as the Blood stagnates in the Lungs, they are oblig'd to fetch at Intervals deep Sighs, which are called sorrowful Sighs. Besides, Ch. IV. thro' the various Stages of Life. 447 Besides, Grief suppresses the insensible Transpiration. Sanctorius, Aph. 2. Sect. 7. And Consolation restores it, Animi Consolatio liberam facit Perspirationem. Aph. 6. Sect. 7. For the same Reason Men of Letters, who keep their Spirits continually upon the stretch, by the Excess of Meditation are also subject to Consumptions, as Morton observes. The eager Wines, according to Etmuller, produce abundance of Consumptions in the Province of Moravia, as being very proper to form Coagulations and Concretions. [The Author mentions a Case in his Dis- sertation, which proves how apt this Cause is to bring on a Consumption.] Melancholick Persons, according to Mor- ton's Observation, are very subject to Con- sumptions, their Blood being disposed to form Obstructions and Tubercles: Likewise, pag. 27, he has oserved, that Cold is always the Cause of Consumptions. His Observation a- grees with that of Hippocrates, Frigus genitor est phthiseos pulmonis, scilicet, venulis a fri- gore constrictis ac convulsis. Cold is the Pa- rent of the Phthisis of the Lungs, viz. when the Veins are drawn together by Cold. Van Helmont has observed, that Steams of Spirit of Vitriol, and of Aqua Fortis, have sometimes occasioned Consumptions. This Effect proceeds from the Concretion of the Juices by these acid Vapours, which form the Tubercles. From 448 A GUIDE to HEALTH Part III. From this Enquiry into the Causes which are capable of producing Tubercles in the Lungs, it appears, that they owe their Ori- gin to acid and coagulating Juices; and if afterwards the Fluids grow pungent by stag- nating there, it is an Effect of the Part which alkalises them, in like manner as we see some Fruits change their Taste, according as they come near to be ripe or rotten. The Question then is, to look out for Re- medies which can dissolve and destroy these Tubercles. This is the Indication which you ought not to lose out of Sight: They are the Obstacles which you must either conquer or die. The Roman Hippocrates, Baglivius, in se- veral Places of his practical Writings, exhorts us to give aperitive Medicines in all the Dis- orders of the Breast; and Duretus, in his Coac. p. 423. says, that the urinary Passages are the Emunctories of the Breast, the Flux of Urine being augmented, procures a Di- version of the Phlegm, which otherwise would take its Course to the Lungs. These Authors not only propose that Indi- cation, but also the Remedies which I make use of to discharge it. Read Morton, p. 81. I don't at all doubt, says he, but by a pru- dent Choice and frequent Use of a thin and sharp Air, and by a long Use of balsamick, mercurial, and chalybeat Medicines and Mil- lepedes, but more especially of Mineral Wa- ters, and other anti-scrophulous Remedies, those Ch. IV. thro' the various Stages of Life. 449 those Tumors may as well be destroy'd in these Parts as any other, and the Patient be freed from a phthisical and scrophulous Disorder, as we have often found by Ex- perience. This is very certain, for all the English Consumptions, generally speaking, proceed from a scrophulous Disposition; therefore, in the Accesses of such a Distemper, aperitive and deobstruent Medicines, free from much Acrimony, with the mild Anti-scorbuticks, will always prove the most effectual Reme- dies; but whatever heats too much, disposes to Suppuration; and it is upon these Princi- ples that the Author establishes his Method of Cure in the following Manner. 'As soon as I am call'd to a consumptive 'Person of the first Degree, fatigued with a 'Cough, which at first was dry, and after- 'ward is become moist, which exceeded the 'Bounds of a common Rheum, accompanied 'with a slow Fever, Difficulty of Breathing, 'Leanness, &c. I examine immediately the 'Liver, where I constantly find a conspicu- 'ous Hardness and often a Pain. 'I afterwards examine if any general Me- 'dicines are indicated, in which Case I order 'the Patient to bleed and purge; I even 'repeat Bleeding when the Pain is violent, 'and if the Patient is young, heated with 'drinking of Wine, or spirituous Liquors, to 'prevent the Inflammation of the Tubercles. Ff 'Then 450 A GUIDE to HEALTH Part III. 'Then I apply a great Plaster of the Empl. 'Diabotanum upon the Region of the Liver, 'with which Mercury revived from Cinnabar 'is incorporated, or in default thereof the 'Empl. Vigonis cum Mercurio. Every Night 'I order the Plaster to be taken off, and the 'Quantity of a Dram of the Mercurial Oint- 'ment to be rubb'd in at the Swelling, and then 'the Plaster is put on again, which remains 'there Night and Day. 'Internally I give twice a-day the follow- 'ing Powder. 'Take of prepared Mars, Millepedes, 'Benjamin, red Coral and Crabs Eyes, 'one Scruple of each; mix all well to- 'gether to make into a Powder, to be 'taken in the Morning and to be re- 'eated at Night. 'Or made up into Troches in the following 'Manner: 'Take of Mars, Millepedes, Benjamin, 'Coral and Crabs Eyes, of each half an 'Ounce, Powder of Cinnamon three 'Drams, fine Sugar half a Pound; mix 'all together, and with the Mucilage 'of Gum Tragacanth made with O- 'range-flower Water, make Troches 'of two Drams each, of which let the 'Patient take one Night and Morning. 'After every Dose of the Powder or Tro- 'ches I order them to take a Draught of 'Ptisane Ch. IV. thro' the various Stages of Life. 451 'Ptisane made of Nettle-Roots, or Whey 'well clarified, with which I mix two Oun- 'ces of the Juice of Water-Cresses, and as 'much of the Juice of Chervil; or some Broth 'made of a Piece of Veal, Radishes, Cresses, 'Brooklime and Chervil, or an Infusion of 'Green Tea.' The Powder is in two great a Bulk, as he orders it, therefore it would be much a neater Way, and much easier for the Patient to take, if he had ordered the Steel, Millepedes, and Benjamin in a Bole with Syrup of Balsam, and the testaceous Powders in a Julap, or in an Emulsion of Sperma Ceti, to be taken by two or three Spoonfuls after each Bolus, and at other Intervals. This shews the Injudicious ness of foreign Prescribers in dosing their Me- dicines in a neat and proper Form, though otherwise never so learned. Our Author strenuously recommends Rid- ing twice a-day, in all Stages of a Consump- tion, if the Weather permits, the Usefulness of which he demonstrates from Observation, Reason, and Experience. In the first Stage of a Consumption he allows light Meats of easy Digestion without any Seasoning; but in the second Stage, he orders the Medicines to be taken three times a-day, and makes the Patient live upon Cow's Milk, boil'd and skimm'd, and mix'd with an equal Quantity of Green Tea, and sometimes without it, but a thorough Forbearance from all manner of Ff2 Flesh- 452 A GUIDE to HEALTH Part III. Flesh-meat: He likewise recommends the Use of Asses Milk, Chearfulness and Musick. Other Con- sumptions. As Consumptions are mostly occa- sioned by Tubercles in the Lungs, there are some also that owe their Origin to Obstructions of the Liver, Spleen, Pancreas, Mesentery, Kidneys, Womb, and Bladder, &c. The Knowledge, Prognostick, Effects, Cure, and Palliation are easily drawn from the distinguishing Marks of each parti- cular Bowel, of which no good Physician ought to be ignorant. For a more ample Account of the Nature and Cure of this lingering Disease, I refer the Reader to the Author's Observations in his Dissertation upon Consumptions. Of a Dropsy. When a watery Serum is shed out of its Vessels and received into Cavities, or when stagnating it distends its Vessels too much, it is called a Dropsy. Which may take place consequently wherever there are such serous Vessels, that is, in the whole Habit of the Body, and in each Particular thereof. Therefore this Distemper may happen wherever there are serous Vessels; an Hydro- cephalus or Dropsy of the Head, which is only incurable when the Serum is extravasated into the Ventricles of the Brain; and it is generally fatal in Infants, when the Sutures are closed and the Skull will yield no more. A Dropsy Ch. IV. thro' the various Stages of Life. 453 A Dropsy of the Breast is attended almost with the same Symptoms as an Empyema, and cured by the same Chirurgery. A Dropsy of the Lungs, either by Hydatides or Water-Bladders, or by Lympha extravasated in the Body of the Lungs. A Dropsy in the fore Part of the Windpipe like a Bronchocele. Likewise a Dropsy in the Oviarium, Testes, Scrotum, or Uterus. An Ascites, or Collection of Water in the Abdomen. First, in the Foldings of the Peri- toneum. Secondly, Between the Peritoneum and the Bowels. Thirdly, When the Water is contained in the membranaceous Coat of the Glands. Sometimes the Air is so rarified in the Tu- mor as makes it hard and tight like a Drum, and from thence it is call a Tympany. When the Tendon is from Air, it is easily distin- guished by the specifick Gravity of the Pa- tient, and so is Water. And when the Wa- ter or Lymph stagnates, or is extravasated under the Skin, it is called Anasarca. What- ever hinders the Return of the Lymph into the Veins, or breaks the Lymphatick Vessels, or obstructs the absorbent Vessels, so as the Lymph cannot be absorbed, or exhal- ed, produces a Dropsy; likewise any Stop- page of the Circulation will occasion a Dropsy, as by strong Ligatures or Com- pression. The most of the Causes are hereditary Dis- positions; drinking great Quantities of wa- Ff3 tery 454 A GUIDE to HEALTH Part III. tery Liquors, which are not discharged again; violent acute Distempers; stubborn Obstruc- tions of the Bowels; the Jaundice; obstinate intermitting Fevers; Bloody-fluxes; great Evacuations, especially of Blood; viscid Ali- ment and hard of Digestion; inveterate Scur- vies: But the most common and most perni- cious of all is the habitual and plentiful Use of spirituous Liquors. The Effects are a Swelling of the Legs at Night by Degrees, still rising higher; like- wise a Swelling of the Belly increasing; but in a Tympany, sounding and tense like a Drum; sometimes the Sensation and Noise of fluctu- ating Water; Shortness of Breath; Thirst; Urine in too small a Quantity; no Sweat; the stagnating Serum at last turns acrimonious, exulcerates and putrefies the Bowels, produc- ing most dismal Symptoms. The best Cautions and Rules of Diet may be drawn from the Enumeration of these Causes and Effects; for the Intentions to be pursued are in removing the Causes, as Ob- structions, dissolving the Viscidity or Glewy- ness of the Serum, and discharging it out of the Body. The Viscidity of the Serum is best correct- ed by such Things as contain abundance of alkaline and volatile Salts, Spices, acrimoni- ous pungent Vegetables, soapy Substances; and what has been prescrib'd in a phlegmatick Constitution, Part II. which see. The Ch. IV. thro' the various Stages of Life. 455 The only Contradiction in this is, too great Heat and Thirst, to which Attention is to be given, and indicates the Use of Acids, Juice of Lemons and Oranges, Sorrel, &c. And it may be taken for a general Rule, that when the Urine is high-colour'd Acids are proper, for they are contrary to that alkalescent State of the Humours, and resist the Putrefaction, which is the Product of acrimonious Serum. Their Drink should be sparing; but as the Thirst is sometimes insufferable, the Patient may be indulged the free Use of Spaw-water and Rhenish Wine: And the Aliment should be dry and diuretick; but Diureticks of the acid Kind are the best: Strong Frictions of the Skin are very beneficial, which attenuate and promote the Circulation of the stagnating Serum or Water. Vomiting in strong Constitutions has proved oftentimes very effectual; because the Con- cussion of the solid Parts dissolves and expells the stagnating Humours; and likewise Gly- sters of sharp and purgative Ingredients are very beneficial. Smart Purges are useful to carry off the Waters; but they should not consist of Vola- tiles, because such dissolve the Blood, which is pernicious. Abstinence from Drink is very beneficial, and eating dry Biscuit, which cre- ates no Thirst; likewise strong Frictions four or five Times a Day. When the Waters are carried off, the Diet ought to be such as stengthens the solid Parts, Ff4 allow- 456 A GUIDE to HEALTH Part III. allowing Spices and generous Wine, but espe- cially the Use of Chalybeat Waters, dry Food, and astringent Vegetables, Exercise, especial- ly Riding; and in general, such a Diet as ge- nerates good Blood. When the Serum stagnates long, it turns acrimonious, and commonly renders the Pa- tient feverish and thirsty; then acid or four Things are properest, both to prevent and cure these Symptoms, as they are specifically proper against that alkaline Putrefaction. For a more circumstantial and accurate Account of this Distemper and its Cure in every Par- ticular, consult the learned Boerhaave's Apho- risms upon it. Of the Gout. This Distemper is a very painful Illness, seated principally in and about the Ligaments of the Bones of the Foot and its Joints, seiz- ing Persons mod commonly in the Spring and Autumn; which when undisturbed com- monly runs its own natural Stage, and is usually the Companion of People of the mid- dle Age, of the Male Sex, Men of acute and deep Sense, who exercise the same much, and study late by Nights, such as lead a voluptu- ous and debauched Life, and at Night drink great Quantities of Wine or spirituous Liquors: Such as have been much addicted to Venery in their younger and unripe Years; large ple- thorick Men; such as are much used to Acids Ch. IV. thro' the various Stages of Life. 437 Acids, and cool their sweaty Feet too sud- denly; sweat in wet Stockings or Shoes; hence such as do hunt or ride much in cold Weather; and finally, such as have it by Inheritance from Parents, or lie much with gouty People. This Distemper may affect any membra- nous Part, but commonly those which are the most remote from the Brain and Heart, where the Motion of the Fluids is the slow- ed, the Resistance, Friction, and Stricture of the solid Parts the greatest, and Sensation of Pain by the Obstruction of the small Ves- sels and Dilaceration of the nervous Fibres extreme. The most common Seat of it is in the Foot, its Tendons, Nerves, Membranes, Li- gaments and Periosteum, or Membranes in- vesting the Bones. The Patient immediate- ly is sensible of a stretching, tearing, strait- ning Pain, gradually increasing and decreas- ing again, with a Moistness, Redness, Tu- mor, ending with a breathing Sweat, an Itch- ing, furfuraceous Skinning, or changing into a chalky Substance, which breaks the Vessels. By all which it appears, that the proximate Cause of this Disease is a vitiated Temper of the least, and consequently the nervous Ves- sels in the Body; and also of the Liquid which waters those nervous Parts; and more- over, that this Liquid here is defective by its Acrimony and by its great Viscidity, and the solid Vessels by too great Rigidity and Nar- rowness: 458 A GUIDE to HEALTH Part III. rowness: Whence it shews itself in Parts the most remote from the Brain, as resisting Motion the most, because of their Solidity, Hardness, Exercise, and Weight incumbent upon them. Now the immediate Origin of this Defect is from an Indigestion of the Bowels, which do not sufficiently attenuate or assimilate the Aliment into a Substance fit to supply the Nerves with Juices proper for them, which require a most elaborate Con- coction. The Cure therefore is impossible, unless wrought by such Medicines as are able to mend these Defects entirely. So that the Gout has hitherto been reputed incurable by Antients as well as Moderns, if except a few Quacks and boasting Empiricks in all Ages. From the same may be known, that Bleeding does not reach either the Matter, Seat, or Cause of the Disease: yet that same is sometimes found not only beneficial, but also necessary to cause a Revulsion, and lessen the most urgent inflammatory Symptoms that often attend it. As one of the Causes of the Gout is the Suppression of Sweat and Perspiration, so the procuring a due Degree of these seems to be the best Preventative of it; and if the Feet could be made to sweat in due time, it would prevent the Gout, which invades in such Constitutions of the Air as suppress Perspi- ration. Violent Ch. IV. thro' the various Stages of Life. 459 Violent Purges in the Absence of the Fit, by agitating the Humours too much, often hurt, and may draw the Gout into the Sto- mach if given during the Paroxysm. The best Diet is Abstinence from all man- ner of Acids, high Sauces, and Gluttony; the moderate use of such things as promote Perspi- ration, as aromatick Substances with volatile Salts, which relieve Gouty People, by ren- dering the Body perspirable; diluting Li- quors, taken in such a Degree as not to in- jure the Stomach or Bowels, Moderation in Food of a nourishing light Sort, that is easily digested, as likewise in the use of strong Liquors; Exercise without Fatigue, such as Riding constantly in a pure, open Country Air, and Frictions and Motions of the Parts often repeated; going to Bed early, and ly- ing long in the Morning. It will be likewise necessary to restore the lost Vigour in the Bowels, by carrying off the corrupted Liquid flowing yet in the Ves- sels, or stagnating in the Places already as- sign'd. To the first relates the Us of aro- matick, bitter, antiscorbutick Plants, and chiefly the Juice with a little Honey; the use of lixivious fix'd Salts taken in small Doses, and often repeated for a long time together, observing at the same time the Diet as above directed. To the second (that is, the stag- nating of the Humours) will be useful, 1. Volatile Salts long taken and in small Quan- tities, in the Morning sometime before rising, with 460 A GUIDE to HEALTH Part III. with a large Draught of some softening Apo- zem, and thereby promoting a gentle breath- ing Sweat for about an Hour together. 2. Warm Frictions with dry Cloths. 3. Repeated Doses from time to time of such Medicines as purge serous or watery Humours, taking a gentle opiate Draught the same Night. In the Fit of the Gout, as temperate and as cool and diluent a Diet as the Patient can bear, abstaining from Opiates, except when the morbid Matter is separting, otherwise the constant Use of them is injurious; keeping the affected Part warm without the Applica- tion of Plasters, or Cataplasms; for even such as are emollient, weaken and relax too much. It will be of the greatest Importance to know if any Disease proceeds from a Trans- lation of the gouty Matter; for the Me- thods, especially Evacuations, used in an ori- ginal Distemper, would be very improper in a gouty Case, where the Intention must be to draw the Gout down to the Feet by Blis- ters applied to the Thighs or Legs, and acrid inflammatory Cataplasms and Plasters. If a Person subject to the Gout, (except he has Chalk Stones) can bring himself en- tirely to a Milk Diet, he may by that means so change the whole Mass of the Juices of his Body, as to eradicate the Distemper. The Effects of Riding. The English Hippocrates, Syden- ham, in recommending Riding in the Cure of this Distemper, says, that if a Medicine could be known to any one, Ch. IV. thro' the various Stages of Life. 461 one, and he could conceal it, that would be as effectual for the curing this Distemper as Riding on Horseback is; and not only here, but in most other chronical Diseases, he might get immense Riches by it. And Dr. Lister likewise says, that one single Golden Rule of Ab- stinence pleases me beyond all things, Parva cibatio summœ Curœ sit, viz. Beware not to eat and drink too much, which is a thing every one ought to regard who has his Health at Heart; and this Abstinence is in all People's Power, in whatever State or Condition they are in, to be substituted in- stead of Exercise, when they have even lost the Use of their Feet. The Effects of Abstinence. Of the Rheumatism. This is a Distemper ally'd to the Gout and Scurvy, and is common in all the Northern Parts of Europe. Such are most subject to this Dis- ease as are of a sanguine Con- stitution, infected with some acrimonious De- fect, manly Age, plentiful Living, a sudden Cooling of a heated Body, Spring and Fall, Perspiration interrupted, an inflammatory Disposition, but appearing slower than in a Pleurisy. It begins with a continual Fever, causes a most terrible tearing Pain, increasing cruelly upon the least Motion, long continu'd and fix'd in one Place, seizing the Joints of Diagnosticks. any 462 A GUIDE to HEALTH Part III. any Limbs, but most particularly trouble- some to the Knees, Loins, and Rump-bone, tormenting and invading sometimes the Brain, Lungs and Bowels, with a Tumor and Red- ness of the Place, going off and returning again by Fits. The proximate Cause. The immediate Cause of this Distemper seems to be an Inflam- mation in the serous part of the Blood affecting the lymphatick Arteries, and for that Reason affecting those Parts where the Vessels are the smallest, but not fierce enough to change it into an Impostumation. The Blood, as in other inflammatory Cases, is sizy, the alkalescent Salts in the Serum a- bounding with coreaceous or leathery Concre- tions. The Cure. The Cure consists in repeated Bleedings, cooling, repeated Purges, always allaying the Pain those Nights after purging with gentle Opiates join'd with mild Sudorificks, bathing in warm Water, and Fomentations apply'd to the Parts, and Bli- sters when it is obstinately fix'd in one Place. As for the Diet, it must be cooling, dilu- ting, and chiefly Vegetable. The constant Use of Whey is most effectual in rhis Disease, likewise a Milk Diet for changing the saline Constitution of the Serum of the Blood, is very useful and proper. Cream of Tartar taken either in Whey or Water-Gruel, for several Days together, will abate the Pains and Swellings considerably, by Ch. IV. thro' the various Stages of Life. 463 by its Acidity correcting the alkaline Salts in the Blood. Of the Gravel and Stone. When any insoluble Matter stops in any Part of the Body, it gathers a Crust about it, which may grow into a Stone or stony Matter in any Part of a human Body; as a small Drop of concreted Blood may grow to be a Stone; for by the Evaporation of the most fluid Parts it grows hard, and by At- traction of new Matter it increases in Bulk. When these stony Concretions happen in the Kidneys, and are expell'd, or drop into the Ureters, they produce what is called Gra- vel; when they lodge and stick in the Body of the Kidneys, and grow to such a Bulk as not to drop into the Pelvis, or pass by the Ureters into the Bladder, they make the Stone in the Kidneys. But these Concretions hap- pen generally in the Kidneys and Bladder; and it is very certain, that if the Tartar and other Contents of the Urine were not con- stantly discharg'd, such Concretions would happen to all Mankind; for the Urine of most found Persons being inspected after it has stood a while with a Microscope, will discover a black Speck in it, which is Sand; and wherever this Sand sticks, it grows still bigger by the Apposition of new Matter. The 464 A GUIDE to HEALTH Part III. The chief Signs or Symptoms of a Stone in the Kidneys are a fix'd Pain in the Region of the Loins, continually heavy like a Weight in the Substance of the Kidneys, with a kind of Numbness in the Part; but the Stone passing out of the Pelvis or Bason of the Kidneys into the Ureters, a most tormenting Pain follows, of all the most severe; an In- flexibility of the Back Bone, by the Exten- sion and Compression of the Nerves; a burn- ing Heat in the Loins, a Numbness of the Leg of the same Side, by means of the Nerves being affected; a Retraction of the Testicle for the same Reason; the Urine either bloody, upon any hidden Jolt or vio- lent Motion, or thin and watry, and little in Quantity; but after the Stone is fallen into the Bladder, the Urine presently becomes very thick, turbid, blackish, and in great Quan- tity. Fleshy Filaments, or Matter voided by Urine, are suspicious Symptoms of a Stone in the Kidneys, especially if the Patient has been subject to voiding of Gravel. The Symptoms of a Stone in the Bladder, are, a Titillation about the Neck of the Blad- der, and Parts thereabouts; a Sense of Weight in the lower Belly under the Share-bone, and the Region of the Groin; a perpetual Desire of making Water, with a great Pain, espe- cially upon any hidden Motion, which causes a Concussion of the Bladder, a Dribbling dif- ficultly, and a hidden Suppression of Urine by the Stone's stopping the Orifice of the Bladder, Ch. IV. thro' the various Stages of Life. 465 Bladder, attended with great needing to go to Stool, and a burning Pain in the Urethra; sometimes a white Mucus or Slime in the Urine; this may happen without a Stone in the Bladder: But the most certain Sign of all is, when it can be most certainly felt with the Finger in Ano, or by a Catheter. The Regimen in the Cure of the Stone in the Kidneys, is, by diluting and soft Diure- ticks, both medicinal and dietetical, to try to expel it, if it is small enough to pass; but if it is brittle, it will often crumble and pass in the form of Gravel by those Means: If the Stone is too big to pass, nor will not crumble, the only Method is to come to a sort of Composition or Truce with it, and use a cooling and diluting Diet constant- ly, to hinder, as far as possible, its Increase; to use Diureticks that resolve gently, as Pars- ley, Fennel, Scorzonera, Mallows, Tea, Dan- delion, Cichory, Sassafras, Oats, Barley, Honey, Vinegar and Honey; likewise nitrous Salts, and dulcify'd Spirit of Nitre; but the most soft and cooling Diluent of all is Whey, and the Emollients are Decoctions of Marshmal- lows and Linseed-Tea. Bathing in warm Water, and Glysters, are proper; seasoning the Food with Sea-salt moderately will not be amiss, for the mode- derate use of it is resolving and diuretick; and the Belly, in all Cases of the Stone, should be kept lax and open. In a confirm'd Stone in the Kidneys violent Exercise or Motion is dangerous. Gg While 466 A GUIDE to HEALTH Part III. Stimulating Things not proper in the Beginning. While the Stone is passing, we should avoid the Use of all forcing and stimulating Things at first; but relaxing and lubricating the Passages, and quieting the spasmodick Disorders by O- piates, is by far the safest and best Method; and where Bathing cannot be performed, Ox- bladders, half full of warm Water, constantly apply'd to the Part affected, may be very usefully substituted; and Bleeding takes off the Tension and prevents an Inflammation better than any Thing, and is therefore very necessary, especially when the Symptoms are urging and violent: When the Parts are suffi- ciently relaxed, forcing Diureticks joined with Opiates will be properly given. The best Way to prevent the Generating of a Stone, is to keep the Body open by Whey, Broth, and a liquid Diet, especially for all such as are troubled with Gravel. When the Stone is fallen into the Bladder, all Endeavours must be used to make it pass as soon as possible, otherwise if it should happen to continue there long, it would in Time become a large Stone, which nothing but the Operation could cure. If all the Symptoms abate without finding the Stone, it is not certain that it remains still in the Bladder, because a very small Stone may pass by Urine insensibly; and if the Stone has passed, it is not certain that the Affair is over, for there are often more Stones remaining, and therefore the usual Remedies ought not to be discontinued. When Ch. IV. thro' the various Stages of Life. 467 When the Stone stops in the Urethra, emol- lient Fomentations ought to be apply'd to the Parts, and Oil injected; or in Case of Extre- mity, an Instrument with a Cavity in it, dipt in Oil, may extract the Stone. Irritations in the Membranes of the Bladder, occasioned by a Stone, may be mitigated very much by an Injection of Linseed Oil, or that of Sweet Almonds into the Bladder. CHAP. V. Of the Nature and Use of Bathing and Frictions. BATHING being either hot or cold, it will be necessary to enquire a little into the Nature of it, and what Alterations it produces in human Bodies, in order to know in what Cases and Constitutions the Use of it may be either beneficial or hurtful. There- fore I shall begin with Cold-Bathing, which was in the greatest Esteem with the Egyptians, Jews, Greeks and Romans, as evidently ap- pears by the Account given thereof in the Writings of Hippocrates, Galen, Suetonius, Seneca, Pliny, Oribassius, Celsus, Ægineta, and others, needless to make mention of in this Place; But they who require to be fully satisfied as to that Point, may peruse Floyer and Baynard on Cold-Bathing, wherein they will likewise find a great many Instances of surprising Cures performed by Cold-Bathing Gg2 in 468 A GUIDE to HEALTH Part III. in Rheumatisms, Palsies, Scurvies, Cachexies, Epilepsies, Gout, and Rickets, &c. It is experimentally known, that Cold contracts the Fibres, as I have observed in treating of the Qualities of Air, pag. 104. and the more suddenly it is applied to our Bodies, the more violently it operates: It has been likewise observed, pag. 87. that our Bodies undergo various Changes by the Al- terations of the Pressure of the Air, in its Weight and Elasticity: Now if we consider that Water is 800 Times heavier than Air, what Alterations must we not then expect and be sensible of upon bathing or plunging all over into cold Water? For the Cold and Weight of the Water and Atmosphere acting all together, must consequently first brace up and straiten the Fibres and Vessels conside- rably in the Surface of the Body, and those Parts adjoining to it, and those at the Center the least and latest; so that the Blood will be forced in great Plenty upon the Viscera or Bowels, where there is the least Resistance: for which Reason it is never safe for those to bath who have weak or ulcerated Bowels, without endangering Life. But those Ends which are compassed by a greater Weight or Pressure, are more effec- tually obtained by whatever encreases the Weight of the Water, or contracts the Fibres of the Body: Thus Sea-Water, by reason of the Salt it contains, is heavier and more preferable; upon which Account all the Humours in the Body must be propell'd with Ch. V. thro' the various Stages of Life. 469 with greater Force thro' the Vessels in which they circulate. Besides, the Tension of the Fibres being greater, their Vibration will be both quicker and stronger; so that the Blood and Spirits will not only move more swiftly through the Vessels, but also be much more ground and broken, digested and rendered fitter to pass the Glands and small Vessels: Moreover, as the Immersion into the Cold Bath mightily encreases the Blood in the Brain and Viscera, being forced thither where there is the least Resistance, whereby the Quantity of animal Spirits, of Urine, of Gall, of the pancreatick Juice, and of all other Secretions, will be very much encreas'd, these Humours being thrust forwards with greater Celerity, will probably remove any Obstruction that is not too long fixed and obstinate; for which Reasons, if we would have the Blood dis- solved, or any viscid Matter adhering to the Sides of the Vessels removed, or the Glands deterged, or a greater Quantity of Spirits se- creted, and moved with greater Celerity thro' the Nerves, or would force Urine, or remove Obstructions in the Liver, Spleen, pancreatick and mesenterick Glands, if they are not grown too obstinate (in which Case it is very dange- rous) we should order Cold-bathing. In fine, whatever is to be effected by bracing the Solids, invigorating and quickening their Vi- brations, and accelerating the Blood's Motion, is with Certainty to be had from the Use of Cold-bathing. All Diseases therefore from a viscid Blood, Gg3 and 470 A GUIDE to HEALTH Part III. and a Lentor in the animal Juices (if the Elasticity of the Vessels is not worn out with Age and Debauches) will find Relief from this Practice. Besides, whatever Inconveni- ences proceed from a bad Perspiration, or when Humours are thrown upon the Surface pf the Body, which cannot get through the Skin, this Method will relieve; for upon Immersion the whole nervous System is so shook, that the very Capillaries feel the In- fluence, and the minutest Passages are forced open by an encreased Velocity of the circu- lating Fluids, whereby the Skin will be cleared, and instead of retaining gross and a- crimonious Humours in the cuticular Glands, will promote insensible Perspiration; and this is the Reason why People are so brisk and chearful after Bathing. And it is for the Reasons already given, that Cold-Bathing is proper in most cutane- ous Diseases, Scurvies, Leprosy, Elephantiasis, Rheumatisms, Lameness, Sciatica, Melancholy, Madness; some Palsies, Cachexies, Icteric and Hydropic Cases, before the Distempers be too, far advanced; it likewise stops Hæmorrhages, Gleets, Fluor Albus; and cures also venereal Impotency and nervous Disorders. Necessary Rules to be observed before Cold- Bathing 1. To Bleed and Purge, and use such proper Diet and Medi- cines, both before and after Bath- thing, as your Physician knows to be suitable to your Disease and Constitution. 2. Not to bathe when hot and sweating, but cool; and not to stay in the Bath above two Ch. V. thro' the various Stages of Life. 471 two or three Minutes, as the Patient can bear it; and to go in and out immediately, on the first Bathing, after an Immersion of the whole Body, because staying in too long would relax the Solids too much, instead of contracting and strengthening them. 3. To use the Cold-Bath before Dinner fasting, or in the Afternoon towards Four or Five o'Clock: It is dangerous to go in after great Drinking, or a full Stomach. 4. To use Sweating with Cold-Bathing in Palsies, Rickets, and several Diseases affecting the Nerves with Obstructions. 5. In Windiness or Siziness of the Hu- mours, no Sweating is necessary, nor where Bathing is used for the Preservation of Health, or the invigorating of the animal Spirits. 6. Jumping in precipitantly, or throwing the Head foremost into the Cold-Bath, gives too violent a shock to Nature, and endangers too much the bursting some of the smaller Vessels; therefore the best Way is, holding by the Rope, to walk down the Steps as fast as one can, and when got to the Bottom, bending the Hams to shorten their Length, so as to bring their Heads a good Way under Water, and then popping up again to take Breath; and thus alternately for two or three Times, and out again, rubbing themselves very well with a dry Cloth, before they are dress'd. They who have weak or little Heat, and are much decay'd, ought not to venture on Cold Bathing; nor they who are intemperate, and have Wherein Cold Bath- ing is inju- rious. Gg4 eat 472 A GUIDE to HEALTH Part III. eat extraordinarily; because the Distribution and Consumption of an abundant Chyle being thereby stopp'd, must occasion Fevers or De- fluxions. If the Spirits are depress'd by Looseness, Vomiting, Venery, Watching, or any other Evacuation, we cannot well bear Cold Bath- ing; for the Spirits being weak, will be over- come by its Chilness. In the Fits of the Gout, Epilepsy, and in Inflammations of the Lungs or inward Parts, and in the Beginning of putrid Fevers, Iliac Passions, and the Gripes, Colicks, and dur- ing any Defluxion, Cold Baths are improper; for they hinder Expectoration, repell Pains, promote the present Defluxions, Fluxes, and Pains; but when these acute Diseases, or chronical Pains and Defluxions are ended, it may be safe and it is certain that Gout Pains are prevented by Cold Baths, and using to wash the Feet. Corpulency, unfound Viscera or Bowels, and inveterate Obstructions, forbid the Use of Cold Bathing; for first, in very fat Persons the Fibres are so stuffed round that they have not Room to vibrate or contract with the sud- den Squeeze of the Bath; and in unsound Viscera, or where any Part is much weaker than the rest, such an additional Force will press the Fluids upon that, very much to its Detriment, which may be either the burst- ing of the Vessels, or promoting the Discharge of some ill Humours upon that Part, which might otherwise drain somewhere else. in Ch. V. thro' the various Stages of Life. 473 inveterate Obstructions it is likewise improper, because the more violently the Fluids are pro- pelled, the more the Obstructions will be ri- veted and lock'd in. As the Pressure of Water is ren- dered more effectual by Cold, so its relaxing Power is augmented by a moderate Warmth; for a gentle Heat always relaxes the Fibres of our Body, it being plea- sing and agreeable to the Sense of Feeling. So that when we would have the Benefit of universal Relaxation, we ought to use a tem- perate Bath, which has only a mild Heat, like that of our Bodies, and is therefore less beneficial to cold Diseases, and less injurious to the Healthful, who use it chiefly to wash their Bodies, to temper the Natural Heat, and to take off Weariness. The Use of Warm Baths But temperate Baths have many physical Uses besides Cleanliness and Pleasure, and are observed to be beneficial in the following Cases. Tepid Baths moisten and warm; but if more hot, they heat and moisten less; they likewise open the Pores and promote a free Perspiration, and are proper in most Erup- tions and Foulnesses of the Skin, especially where the Obstructions will not yield to the Cold Bath; for they not only relax the Pores, but likewise dilute the obstructed Matter at the same time, in being absorbed by the cuti- cular Vessels. Warm Baths are proper in most scorbu- tick Habits, Sciatica, Rheumatism, Colicks, Gravel, 474 A GUIDE to HEALTH Part III. Gravel, Costiveness, Gripes, Stiffness of the Joints and Muscles, and in most Cases pro- ceeding from an obstructed Perspiration. Temperate Baths are useful in all hot In- temperies, and are likewise proper in the bi- lious, viscid, or acrimonious State of the Blood: But they are injurious in Fevers, Inflamma- tions, and in all acute Diseases, especially be- fore the Concoction of the Humours. In using the Warm Bath, the Diet in ge- neral should be easy of Digestion, thin and diluting, and in many Cases sweating in Bed after warm Bathing is necessary; but in this and in other Circumstances which may occur, the Patient is to consult his Physician. The naturally hot Mineral Baths, such as that famous one at Bath in Somersetshire, are much more powerful in curing Diseases and removing Obstructions, than the Artificial; the Waters of the former being impregnated with balsamic, volatile, stimulating, and sub- astringent Particles, which the last can never have by any Art or Contrivance whatever. These natural hot Mineral Waters are like a Fomentation, which both supples and strengthens the Parts of the Body all over at once, and by gently shaking and undu- lating the Fibres, helps forward the vital Mo- tions, which are ready to be at a Stand. In old Pains and Aches, which have been the Remains of nervous Distempers, and where some particular Part continues contracted, or has any Humours fix'd upon it, which it can- not dislodge, these Waters pump'd upon it hot from Ch. V. thro' the various Stages of Life. 475 from the Spring, do more towards a Cure than all the most efficacious Compositions of Medicines. Bathing all over in these Springs cannot but wonderfully open that almost infinite Number of secretory Orifices upon the Surface of the Body, and clear the cutaneous Ducts of the Matter which is apt to stick in them; by the opening of which Spiracula the Fluids of the whole Body have more Room to move in, and have proper Vents to reak out a great deal, which is of great Service to the Oeconomy to get rid of. These small Sulphur-Fountains likewise inwardly taken, to Astonishment warm and strengthen a decay'd Stomach, especially if relax'd and worn out almost with Luxury and Debauches: The most grievous Nauseas and Vomitings from these Causes have been re- moved by them: For they both soften again with proper Moisture the Fibres which have been render'd incapable to vibrate, by the Use of hot, burning, spirituous Liquors, and at the same time draw them into greater Tensi- ty; as a Cord which relaxes with over-drying, fills up and straitens upon the Contact and Attraction of a convenient Moisture. The small Share of fine Salt which likewise attends, and is as it were wrapped up in the Particles of Sulphur, cannot but contribute somewhat in restoring the Tone of such de- cay'd Parts. But besides the Benefit these do to the Stomach, they also carry along with them into the most remote Recesses of the Body 476 A GUIDE to HEALTH Part III. Body, a Balsamic of Nature's own Prepara- tion; whereby such Decays in the Stomach, or in any of the Viscera or Bowels, from Ab- scesses, Ulcerations, or any like Causes, are with great Success reliev'd; and particularly if they be of the Kidneys and Urinary Passages, because they wash through them in more plenty, than where they come by the ordinary Course of Circulation. Of Frictions. Friction, or Rubbing with a Flesh-Brush, Cloth, Hand, &c. is, as it were, an alter- nate Compression and Relaxation of the Parts of the Body. A gentle Friction only com- presses the Veins; but by a stronger Degree, the Arteries are also compressed. By com- pressing the Veins by Friction, the Motion of the viscous Blood to the Heart is accelerated; hence the Motion of the Heart is roused: By which Means, the Blood is with greater Velo- city propell'd through all the Vessels. The vital Force may, therefore, be augmented to any Degree, by means of Frictions, without giving any Medicine internally; for by means of Frictions a burning Fever may be excited in the most dropsical Patients. In those Bodies where almost all the Or- gans of Digestion are so languid, as not duly to perform their respective Functions, Fric- tions with rough woolen Cloths over the whole Abdomen, or Belly, when the Patient is fasting, have been found to produce sur- prisingly happy Effects. Hence the Ancients had Ch. V. thro' the various Stages of Life. 477 had Frictions in so great Veneration, not only for the Preservation of Health, but also for the Cure of Diseases, that the Grecians, Ara- bians, Romans, and Egyptians in general con- stantly practised that Method; and Galen wrote a whole Book, intitled de Frictionibus. Celsus likewise recommends the Usefulness of Frictions in his Works: But this Practice has been almost neglected among the Moderns till of late, and is now reviv'd again with no less Success than in former Days, tho' not so general; for it is experimentally known, that it will strengthen weak Limbs, and bring Nourishment to the Parts, and likewise cure the Rickets in Children, especially if Cold Bathing be used. Therefore I would recommend to all Mo- thers and Nurses, to rub the Back, Sides, Shoulders, Hips, and Limbs of their Children by a warm Fire Night and Morning, being very necessary to prevent Obstructions and Rickets, and to promote their Growth and Ac- tivity; and likewise to preserve their Limbs strong and straight. By Frictions a free and full Circulation and Perspiration may be usefully promoted; and this is performed by abiding Nature to throw off by Perspiration the Vapours and Recre- ments of the third Concoction, which are of- ten retained and pent in between the Scales of the Scarf-skin, as likewise in the Interstices of the outward Muscles and Membranes of the Body; so that by the Use of Frictions Nature is not only assisted in discharging by insensible Per- 478 A GUIDE to HEALTH Part III. Perspiration those excrementitious Particles, which frequently hinder a full and free Cir- culation, but likewise Blood and Spirits are thereby attracted to those Parts mod remote from the Seat of Heat and Motion, by which Means also the natural Heat is increased, and the superficial Muscles are render'd plump and strong. Hence it is evident, that ancient People, and such as have weak Nerves and lead a se- dentary Life, especially those who are subject to Numbness, Weakness, or Obstructions in their Joints, or are threaten'd with paralytick Disorders, in order to supply the Want of Ex- ercise of other Kinds, ought to have their whole Bodies, more particularly their Limbs, rubbed for half an Hour every Morning espe- cially, and at Night, with a Flesh-Brush, Flannel, or Napkin, till the Parts begin to grow red and warm. The Friction should be made first on the Arms, Hands, Feet, Legs, and Thighs, from whence we ought to proceed to the Shoulders, Back, and Breast; and the Head should be rubb'd the last of all. Among the Ancients there were Frictions of various Kinds, and subservient to different Purposes. Hence Hippocrates in his Treatise De Med. Offic. tells us, 'That Friction may 'resolve, contract, incarn, diminish: Since 'strong Frictions contract, gentle Friction 'resolves, much Friction diminishes; and 'moderate Friction condenses.' Any Part of the Body is render'd more lax, by being rub- bed with soft oleous Substances. Nothing. Ch. V. thro' the various Stages of Life. 479 Nothing is more beneficial in curing a Weak- ness of the Fibres, than Frictions with rough warm woolen Cloths, especially if previously impregnated with the Smoke of burning Am- ber, or Mastick, that at the same time this aromatick and corroborating Steam may enter the relaxed Parts. But we are to proceed gradually in this Work, and not to use too strong Frictions at first; lest either the stag- nated Fluids in the preternaturally distended Vessels should be too copiously convey'd to the Heart, and by that Means overwhelm and suffocate it; or the tender Vessels should be broken by imprudently increasing the Motion of the Blood. When the Ancients wanted to reduce exte- nuated Parts to their natural Situation, they sti- initiated and irritated these Parts so as to produce a gentle Inflammation and Swelling; for by this Means, the Humours being convey'd with a greater Impetus and a brisker Motion to the Parts, they distended the too rigid Vessels pro- portionably the more. By often repeating this Irritation, the top great Strength of the Ves- sels was so diminished, as to yield to the Hu- mours, which, in order to their good State of Health, must necessarily flow into them. Thus Galen, in the third Chapter of his fifth Book De Sanitate Tuenda, informs us, 'That 'by Frictions with pinguious Substances, he in 'a few Days restored the Flesh of many, who 'had been for a long time emaciated.' Hence Frictions with fat Substances are highly proper in these Cases, but only to such a Degree 480 A GUIDE to HEALTH Part III. Degree as to excite a slight and gentle Redness of the Part; for when the Friction is violent, that which it attracts to the Part is discussed; but, in this Case, a large Distension of the too strong Vessels is required. Galen, in the seventh Chap. of his seventh Book De Method. Medend. gives this Caution in the following Words: 'When, says he, we 'intend to produce Flesh on any Part, we are 'by Friction to heat it, so as to render it tu- 'mid; but, when we intend to discuss and 'evacuate, this Friction and Heat are to be 'continued till the tumid Part subsides.' And in the sixteenth Chapter of his fourth Book De Method. Medendi, he tells us; 'That it was customary with some to strike 'emaciated Parts with slender Rods, slightly 'anointed, till the Parts became moderately 'tumid.' He also informs us, that by such a Percussion repeated daily, or every other Day, together with a moderate Friction or Stimulus, the diminutive and extenuated Buttocks of Children were wonderfully enlarged. Hence the Reason is obvious, why Friction sometimes produces opposite Effects; for a strong Friction with rough dry woolen Cloths, especially when impregnated with the Fumes of kindled Aromaticks, as I have observed be- fore, cures too weak Fibres; whereas a gentle Friction with pinguious Substances, by at- tracting the Humours, and relaxing the Solids, softens too rigid Fibres. FINIS.             A GUIDE to HEALTH THROUGH THE Various Stages of LIFE. Wherein are Explained, I. The different Degrees and Changes of Age, the prin- cipal and inevitable Causes of OLD AGE, and finally of our Dissolution; with a Chronological and Hi- storical brief Account of long LIVES from before the FLOOD to this present Time. II. The Nature, Properties, Qualities, and Influence of AIR. Of Aliments; the Choice of them; their Power upon Human Bo- dies, with their good and bad Effects. Of Sleeping and Waking; of Motion and Rest; of Retention and Ex- cretion; and of the Passions of the Mind. III. Of the Definitions, Di- agnosticks, Prognosticks, and Curative Indications, both Medicinal and Dietetical; of Acute and Chronical Dis- eases incident to Human Bodies; with the Nature and Use of BATHING and FRICTIONS. The whole illustrated with useful ANNOTATIONS, methodically and succinctly digested, and con- firmed by the Authority of the most celebrated Authors, both Ancient and Modern. By BERNARD LYNCH, M. D. Pugnandum tanquam contra Morbum, sic contra Senectutem. Crc. de Senectute Optima quæque dies miseris mortalibus ævi Prima fugit: subeunt Morbi, tristisque Senectus: Et labor. & duræ rapit inclementia mortis. VIRG. Lib. III. Georg. THE SECOND EDITION. LONDON: Printed for M. COOPER in Pater-noster-Row. 1754.  TO Dr. JOHN BEAUFORD. Sir, THE Friendshlp you shew'd gd me in the Infancy of my Practice has been too essen- tially useful to me ever to be forgotten; and it is with great Self-Satisfaction that I take this pub- lick Opportunity of acknowledg- ing the Obligations I lie under to you. My Interest in Town was not A2 only iv DEDICATION. only strengthened and extended by the Share you were seen to take in it, but my Knowledge was enlarged by my Converse with you, and my Prac- tice was formed by my Observation of yours. I carefully examined the Modus of Practice here, of the most Emi- nent of the Profession, when I first came to Town, intending to shape my own with that which should seem to me the most conformable to the Sentiments of the Great Hippo- crates; and finding none more na- tural and uniform than Yours, I took it for my Model, and have continued it ever since with all the Success I could hope for. The Profession of Physick is held in higher Esteem in this, than any other Country in Europe; and no wonder; because none can produce so learned a Body of Physicians. But among that Body, more learned and skillful than any other in the World, your v DEDICATION. Your long Experience, Sir, sets you in the first Class of it. This is a Truth unquestioned, not only by the Publick, but even by those of the Profession. You have a natural Right to the Patronage of the following Work, being founded chiefly on your own Maxims, and originally begun that I might have a publick Opportunity of owning your Favours, and doing Justice to your Merit. How I have succeeded in the Choice and Con- texture of my Subject, I submit to the Publick with the utmost Defe- rence; but however I may have fail'd in the Opinion of other learned Men, I have too often experienced your In- dulgence, not to flatter myself that you will view all Inaccuracy of Stile and Diction, and other as minute Imperfections, with your usual Can- dour and Good-nature. As for more capital Errors, I shall most readily own and reform any such, and most A3 grate- vi DEDICATION. gratefully thank any friendly Hand that shall be at the Pains of pointing them out to me. I am, with the greatest Sincerity, SIR, Your obliged, and most obedient humble Servant, Stanhope-street, June, 1744. BERNARD LYNCH. (VII) PREFACE. WHERE a Title-Page is so expres- sive of the Contents of a Book as the foregoing, a Preface might seem unnecessary; and I should think it so, if Custom did not seem to exact that a Bill of Fare should be serv'd up to the Company before they sat down to Table. To comply then with the Humour of this modern Tyrant, I must in- form the courteous Reader, that the sole End of my Labour was to inform the Uninform'd and to erect such Lights as might help them to form such a Judgment of their own Con- stitutions, as should prevent their fancying themselves in a worse State of Health than they are, and running after every Empirick, who pretends to the Knowledge of Catholi- cons, or universal Remedies. These are the Bane of all Societies; and tho' Quacks are soon detected, yet as the Succession of them is so very constant and rapid, the Commonal- ty for the most part, see not the Injury done to them, nor the Wrong they suffer. This is a Misfortune to be lamented, but diffi- cult to be removed, whilst Man is prejudic'd A4 in viii The PREFACE. in Favour of Novelty, and in Disfavour of the Regular Physician, who can't afford to bellow the Fruits of his hard Labours on the Public promiscuously. There is one Thing in the following Sheets which the Author owns to have labour'd more than any Part of his Subject, which is the Doctrine of Non-naturals, the Knowledge of which, he thinks, no reasonable Man who values his own Health should be ignorant of; and which he presumes to say, has been more obscurely treated heretofore, than it ought to have been, or indeed he believes it was de- sign'd it should be. In treating of acute and chronical Diseases, there are general Remedies, but except in one or two Occasions, such as the Bite of a mad Dog, and some Consumptions, there are no formal Recipes, which, it is found by Expe- rience, are generally productive of more Evil than Good. For the general Ignorance, I may say Infatuation, is such, that the Vulgar too often make material Mistakes in the Pre- paration of the most plain and simple Reci- pes. Besides, that as the Nature of Diseases and Constitutions is so various and different, not to mention the Climate, Air, Season, Age, and a thousand other differing Circumstan- ces, it would be too presuming for the Au- thor to take upon him to prescribe for every particular Distemper. He would not do so great a Wrong to the Illiterate, nor, to use the learned Boerhaave'ss Words, Would do any ix The PREFACE. any thing so prejudicial to the noble and ge- nerous Science of Physick, or expose it to Re- proach, as they must inevitably do, who pre- tend to adapt a particular Remedy to gene- ral Diseases. Having mention'd the ever-famous and-to- be-rever'd Boerhaave, the Author takes this Opportunity of owning his Obligations to him, not only in his Practice, but in this Work particularly. He has all along kept that Great Man in his View, nor has he been un- mindful or neglected any other eminent Wri- ter in Physick, either ancient or modern. He has frequently quoted their Words, and al- ways endeavour'd to conform himself to the Sentiments of the most approv'd Authors. And that his Gratitude to all such great Men as well as Justice may be seen, he has an- nex'd a Catalogue of such Authors as he owns himself indebted to in the Compilation of the following Treatise, thinking this Method more orderly and eligible than a constant Quotation. A A LIST of the Authors. Ægineta, Paulus. Anhornius. Arbuthnot. Boerhaave. Boyle. Borelli. Baglivius. Blondell. Bonetus. Baynard. Boutius. Barlow. Celsus, Aurel. Cornel. Celius Aurelianus. Cheyne. Duretus. Diodorus Siculus. Default. Etmuller. Floyer, Sir John. Galen. Hippocrates. Hugens. Hales. Halley. Hook. Keil. Lommius. Laurentius. Leeuwenhoek. Lister. Livy. Malpighi. Mead, Richard. Morton. Newton, Sir Isaac. Oribassius. Paree, Ambrose. Prosper, Alpinus. Pliny. Quincy. Ruyschius Riverius. Romer. Rowning. Ramazini. Robinson, Tancred. Solomon. Sydenbam. Seneca. Sanctorius. Suetonius. Torricellius. Van Helmont. Verulam. Willis. Wainright. Waldschmidius. A A LIS of the SUBSCRIBERS. A. ARundel, the Rt. Hon. Lord Arundel, the Hon. Tho- mas, Esq; Aston, the Hon. James, Esq; Astley, Mr. Apothecary, 2 Books Aston, George Joseph, Esq; Andree, M. D. Addis, Mr. Apothecary Asbridge, Mr. Adean, Mr. James Allanson, William, Esq; B. Beaufort, His Grace the Duke of Butler, the Hon. John, Esq; Bartholomew, M. D. Bennet, Philip, Esq; Mem- ber for Bath Burnham, Mr. Boult, Mr. Attorney at Law Boudon, Mr. Apothecary Benion, Mr. Apothecary Beauford, John, M. D. Butler, M. D. Bodkin, Mr. Valentine Brown, William, Esq; Barrabee, Mr. Bird, Edward, Esq; Bostock, M. D. Beaumont, Mr. Apothecary Beetenson, Mr. Surgeon Brewerster, Tho. M. D. Brett, Mr. Nathanael Bernardeau, Mr. 3 Books Bradshaw, James, Mr. Button, Mrs. Barwell, Mr. Bolney, Mr. Henry Blake, Andrew, Esq; Blake, D. Esq; Barry, M. D. Buckeridge, the Rev. Mr. Thomas Bateman, the Hon. Capt. Boswell, Mr. Thomas Backas, Mr. Apothecary Betts, Mr. John Bostock, Mr. Henry Bradley, Mr. Boyle, Henry, Esq; Butcher, Mr. Apothecary Bannister, Mr. Charles Bower, Archibald, Esq; Bridgen, Mr. Robert Bridgen, Mr. Thomas C. Cavendish, The Rt. Hon. Lord James Clarke, Mr. xii A LIST of the SUBCRIBERS. Carrol, Mr. Corless, Mr. Alexander Carmault, Mr. Coleman, Mr. Constable, Mr. John Cary, Esquire, Surgeon. Cheeke, Mr. Apothecary Cheeke, Mr. Apothecary Cibber, Colley, Esq; Caldwell, Mr. Robert Chittick, Mr. Surgeon Clempson, Mr. Coughlan, Mr. Cumming, Rev Mr. Wil- liam, A. M. Chettey, Mr. William Connel, Michael, M. D. Cooper, Mr. Apothecary Clarke, Mr. Apothecary, 2 Books. Currer, Mr. Jun. D. Dillon, The Rt. Hon. the Lady Frances Viscountess Dowager Dillon, The Rt. Hon. the Lady Bridget, Viscountess Dowager Dawkins, Esq; Member for Woodstock Davis, Mr. William, Sur- geon Dorrel, Mr. Daffy, the Hon. Capt. Draper, Mr. Apothecary Death, Mr. Apothecary Deschamps, Mr. Doyley, Mr. Edward, At- torney at Law. Delany, the Revd. Mr. Duggin, Mr. John Dumbleton, Mr. Daniel Duggin, Mrs. Davis, Mr. E. Ewer, Mr. Eliott, Mr. Apothecary Eyre, Mr. Edward Ebrall, Mr. Apothecary Emet, Mrs. Egan, Mr. F. Fairfax, The Rt. Hon. the Lady Viscountess Firebrace, Sir Cordell,Bart. Kt. of the Shire for Suf- folk Fisher, Mr. Thomas Fowler, Mr. Apothecary Foot, Mr. Asher, Apothe- cary Firmin, Mr. Farrel, Mr. Francis, Mr. George Frazier, Mr. Apothecary Farrel, Mrs. Farrel, Mr. Apothecary Fort, Mr. Francis Firmer, Mrs. Hellena Farrin, Mr. John Freeman, Samuel, Esq; Fitzgerald, Mrs. G. Graham, the Reverend Mr. 3 Books Gammon, Mr. Robert, Apothecary Goodacre, xiii A LIST of the SUBCRIBERS. Goodacre, Mr. Apothecary Godfrey, Mr. Ambrose, Chemist Gardiner, Mr. Thomas Griffin, Mr. Philip Garvan, Francis, Esq; Gibbon, The Rev. Dr. John H. Hemet, Mr. Operator for the Teeth to his Royal High- ness the Prince of Wales Harrison, Mr. Apothecary Hoddy, Edward, M. D. Hodgson, Mr. Apothecary Hernon, Mr. Apothecary, 4 Books Hudson, Mr. Apothecary Henley, the Rev. Mr. A. M. Harriott, Mr. Surgeon Hawkins, Mr. Barnaby H—M—Mrs. Harrow, Mr. Robert Hibber, Mr. Haward, Mr. Watkinson, Attorney at Law Hayrick, Mr. Apothecary Horseman, M. D. Hall, Mr. I. Jones, Mr. Tho. 2 Books Jayer, Mr. Apothecary, 2 Books Izard, Mr. James, M. D. Jernegan, M. D. Jernegan, Henry, Esq; K. Kilby, Robert, Esq; Kirwood, Mr. William, Surgeon Kingsley, Mr. Keating, Mr. King, Mr. Maynard Kitchen, Mr. L. Litchfield, The Rt. Hon. the Earl of Lainsborough, The Rt. Hon. Lord Viscount Lainsborough, The Rt. Hon. the Lady Viscountess Lynch, Sir Henry, Bart. Lynch, Robert, Esq; Lynch, The Rev. John. S. T. P. Dean of Can- terbury Lynch, George, M. D. Lynch, Robert, A. B. Lynch, Francis, Esq; Lynch, Mr. Nicholas Lynch, Mr. Isiodore Lynch, Mr. William Lynch, Mr. Thomas Lloyd, the Hon. Capt. Lyster, Mr. Apothecary Leake, Mr. Langley, Mr. L'Herondell, the Rev. Mr. Lawley, George, Esq; Littlejohn, Alexander, Esq; Lister, Richard, Esq; Kt. of the Shire for Salop Loukup, George, Esq; Lewis, Mr. Lucas, xiv A LIST of the SUBCRIBERS. Lucas, Mr. Jeremiah Lane, James, Esq; Lawson, Esq; M. Mannington, Mr. Monins, The Rev. Mr. Ri- chard, A. M. Middleton, Capt. Christo- pher, Esq; Maul, Mr. Apothecary Marshal, Mr. Surgeon Macdonough, D. D. Montague, Mrs. Morgan, Mr. Apothecary Mills, John, Esq; Maud, Mr. Apothecary Maud, Mr. William Monkeman, Mr. Attorney at Law. Manby, Mr. Apothecary Mann, Mr. Thomas Macket, Wilmer, Esq; Mills, John, Esq; 20 Books Martin, Thomas, Esq; Metcalf, Mrs. 2 Books Morehead, William, Esq; Maurin, Mr. Metcalf, Mr.Roger, Surgeon Mayfield, Mr. Thomas Mitchel, Mr. Apothecary Mitchell, Mr. Apothecary Mitchel, Mr. Francis, Sur- geen Macartey, Alexander, Esq; Manley, Apothecary N. Nebot, Mr. Balthazar Nevil, Mr. John, Apothecary Noone, Mr. John Nesbit, Mrs. Nelson, Rev, Mr. Rector of Oakley O. Orton, Mr. Oliver, Mr. Nicholas P. Parsons, Mrs. Parker, Mrs. Pack, Mr. Daniel Pile, George, M. D. Pearson, Mr. Poulson, John, Esq; Prude, Mr. Apothecary Palmer, Mr. Benjamin Popham, Edward, Esq; Member for Wilts Pakington, John, Esq; Pakington, the Hon. Capt. R. Rust, Mr. Rawlins, Mr. Apothecary Rossel, The Rev. Mr. Sa- muel Raikes, Mr. Apothecary Richardson, Mr. Radford, Mr. William Reynolds, Mr. Christopher, 2 Books Robinson, Tancred, M. D. Rivett, Thomas, Esq; Raoult, Mr. Surgeon Rankin, Mr. Thomas Redfern, Mr. S. xv A LIST of the SUBCRIBERS. S. Sweet, Mrs. Rebecca Street, Mr. jun. Scott, Mrs. Sadler, Daniel, Esq; Smith, Mr. Sedgwick, James, Apothe- cary Scrooby, Mrs. Elizabeth Savage, Mrs, Anne Savage, Mr. George Savage, Mr. William Smith, Mr. Edward Sherwood, Mr. Noah, Sur- geon Simmons, Mr. Edward SherifFe, Mr. Shepard, Mr. Smithson, William, M. D. Sams, Mr. Henry Smith, Thomas, Efq; Schamberg, Mayer, M. D. Schamberg, Isaac, M. D. Seed, Mr. Shelton, Mr. Richard Stubbs, Mr. William, At- torney at Law. Snowden, Mr. Stuart, James, Esq; Stuart, Simeon, Esq; Shaw, Mr. Smith, Mr. John Shipton, John, Esq; Stainforth, Mr, George, Merchant T. Tash, Mr. Thompson, Thomas, M. D. Turbut, Mr. Benjamin Thompson, Francis, sen. Esq; Turnball, Mr. William Thomas, James, Esq; Thompson, John, Esq; Thompson, Francis, Esq; Turner, Mr. Tonge, Mr. Trant, James, Esq; Trant, John, Esq; V. Venables, Mr. Vaughan, Mr. Attorney at Law Umfreville, Edward, Esq; W. Wharton, Her Grace the Dutchess of Whiteall, Mrs. Wilton, Mr. Wilford, Mr. West, Lewis, Esq; Wilson, Edward, Merchant Williams, Mrs. Walker, Mr. Wilson, Mr. Thomas Wilson, Mr. John Wells, Mrs. Mary Wilson, Mr. John Wilson, Mr. Edward Webb, Thomas, Esq; Westby, Robert, Esq; Wilmot, Mr. Z. Zincke, C. F. Esq; ERRA- ERRATA. Page 35. Line 17, after wholsome Food, add, probably they might. Page 214. Line 21, for immediately read intimately. (xvii) THE CONTENTS. PART I. Of the different Degrees and Changes of Age; the principal and inevitable Causes of Old Age; and, finally, of our Dissolution; with a brief chronological and historical Account of long Lives, from the Creation to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life, with a Description and Definition of Old Age. OUR Bodies subject to Changes page 1 Man's Life divided into se- veral Periods ib. The Egyptians Opinion of Ages 2 The Pythagoreans Doctrine of Numbers ib. Five remarkable Changes in Man's Temperament, viz. Infancy, Adolescency, Youth, and Manhood, and old Age ib Temperament what, Note *, ib. Infancy, Adolescency, Youth, and Manhood described 3 Old Age begins at fifty, and is divided into three Pe- riods ib. The first is called Verdant 3 The second begins at Seven- ty 4 The third is called Decrepid ib. The Pains and Miseries of de- crepid old Age, according to the Royal Prophet ib. An allegorical Description of decrepid old Age, according to the Royal Author, So- lomon 5 The same explained 6 Some Men old at forty 7 A great many young at sixty ib. The different Qualities of Constitutions ib. a The xviii The CONTENTS. The melancholick Constitu- tion grows old sooner than any of the rest—p. 8 Females grow old sooner than the Males—ib. Hippocrates's Opinion con- cerning the same—ib. Sloth and Idleness soon bring on old Age—ib. The Causes of different Tem- pers or Constitutions—ib. The Proportion of the Parts of the Body, and their Con- formation, contribute to the Difference of Constitutions 9 The different Tempers of the Parts of the Body, in re- spect of one another—10 Sexes and Age make a Diffe- rence in Constitutions ib. Women colder than Men—ib. Infants and Children hot and moist—ib. Heat decreases in old Age—ib. Different Climates, and the Manner of living, are Causes of different Consti- tutions—11 The Definition of Old Age—ib. The same explained—ib. The great Secret and sole Method of long Life, is, to preserve the Blood and Juices in a due State of Fluidity and Thinness—12 Nothing will bring a Person to the State of universal Hardness and Stiffness of the Fibres, and a Viscosity and Thickness of the Juices, than indulging in strong high Meats and strong Li- quors—13 The only Method of pro- curing a contrary State of the Solids and Fluids—14 All the Parts constituting a human Body are made up of small Fibres—ib. The Divison of the Fibres becomes so small at last, as to exceed the Power of Imagination—15 CHAP. II The principal and inevitable Causes of Old Age, and of our Dissolution. The Causes of the Alteration of our Bodies, and of our Dissolution, are either ex- ternal or internal—16 The internal Causes are two—ib. The internal Causes what—ib. The Principles of our Com- position what—17 Animal Actions distinguish- ed into vital, natural, and animal—ib. Vital what—ib. Natural actions what—ib. Animal Functions what—ib. The Principles of our Com- position being duly distri- buted through the whole Body, may be called an E- quilibrium between the So- lids and Fluids—18 Their Alliance is of short Duration, and why—ib. The xix The CONTENTS. The inevitable Causes of Old Age, and of our Disso- lotion—p. 19 Farther Particulars necessary to be considered to prove the same, concerning the Nutrition, Growth, and De- crease of the Body—ib. to 28 The internal Causes of our Dissolution are born, grow, and are nouristied with us, and will bring on gradually and inevitably old Age, and destroy the Body at last—28 All the great Promises made with Assurance, as to the Prolongation of Life for many hundred Years, are vain and imaginary, being unsupported both by Rea- son and Experience—ib. External Causes of our Disso- lution, which are likewise inevitable—ib. Other external Causes, which are accidental, as Wounds, Fractures, &c.—29 CHAP. III. An historical Account of Long Lives, from the Creation to the present Time. Men lived many hundred Years before the Flood—30 None of the Fathers attained to the Age of a thousand—ib. This Length of Life was not peculiar to Grace or the holy Line only—ib. There are eleven Generations of the Fathers to the Flood 31 Of the Sons of Adam by Cain, eight Generations only—ib. The Length of Life was re- duced to one half imme- diately after the Flood, in the Post-nati only—ib. Noah and Sem, who were born before the Flood, each of them liv'd 600 Years—ib. Of the Ages of Abraham, Isaac, Jacob, Ismael, and Sarah ib. Of Joseph, Levi, Moses, Aaron, and Phineas, Grand-child of Aaron—32 Of Joshua, Caleb, and Job—33 Of Isaiah the Prophet, and Tobias the Elder and the Younger—34 Of Epimenides the Cretan, and Xenophanes the Colophonian 36 Of Gorgias the Sicilian, and Democritus of Abdera—37 Of Terentia, Cicero's Wife—39 Of Simeon the Son of Cleophas, called the Brother of our Lord, and Bishop of Hie- rusalem; and Aquilla and Priscilla, St. Paul's Fellow- helpers—42 Of St. Paul the Hermit, and St. Anthony the Monk—43 The Popes of Rome, and their Number to this Time—44. Dando of Illyrinm, reported to have liv'd 500 Years—45 Hippocrates of Cos, the Prince of Physicians, Euphrenor the Grammarian Seneca and a2 Joannes xx The CONTENTS. Joannes de Temporibus, a Native of France p. 46 Of Cornaro the Venetian, and William Postell, a crazy Frenchman 47 The surprizing Age of Henry Jenkins, a Yorkshireman ib. Of Thomas Parr, a Shropshire- man 48 Francisco Lupatsoli, Venetian Consul at Smyrna 49 Remarkable Instances of Ab- stemiousness, Continency, and many other Virtues in the Life of Aurenzebe, one of the late Great Moguls ib. to 52 Richard Lloyd, born within two Miles of Montgomery ib. John Bailes of Northampton 53 The Western Islands of Scot- land remarkable for long Lives ib. Mrs. Hudson's abstemious Life described ib. Mr Johnston's Life 54 A remarkable Inscription on the Tomb-stone of Mar- garet Scot, who liv'd 125 Years ib. Of Margaret Paten's great Age 55 —Bright, of Ludlow in Shropshire, likewise ib. Mrs. Agnes Milbourn's long Life, very remarkable for the great Number of Chil- dren she had by one Hus- band ib. Instance manifestly proving Milk to be of salubrious, safe, and sweet Nourish- ment ib. Temperance and a cool Diet are absolutely necessary to the Prolongation of Life 56 Man' Life has stood much a- about the same Standard of Years, from the Time of Moses to our Days ib. The Continuation and Num- bers of Successions of Ge- nerations make nothing as to the Length or Brevity of Man's Life ib. People live longer when the Times are barbarous, and they fare less deliciously, and are more given to Bo- dily Exercises; but shorter in civiliz'd Times, People abandoning themselves to Luxury and Ease ib. The great Abridger of Age was undoubtedly the De- luge 57 There were Men of Gigantick Stature before the Flood; but no such have been pro- duced any where since ib. The immediate Condition of the Parents conduces very much to the Length or Shortness of the Life of their Offspring 58 The best Rule is to use mo- deration in all things 59 Conjugal Love more condu- cive to Health and long Life than an unlawful one ib. The best Time for Genera- tion ib. PART xxi The CONTENTS. PART II. Introduction to the Six Nonnaturals. CHAP. I. Of the Nature of Air. Air defin’d—p. 60 Air the principal Instrument of Nature in all its Opera- tions—62 The Lower Parts of the Air are impregnated of particles ib. Air is differently impregnated in different places of the Surface of the Earth, which must considerably alter its State—ib. Water, Earth, and Salts of all Kinds, are Ingredients of Air—63 Other Contents of Air—ib. Vegetables of all Kinds per- spire Particles, which float in the Air—64 Animal Perspiration and the Effluvia of all their other Excrements, are Ingredi- ents of the Air, which of- ten infect that Part of the Atmosphere, and produce pestilential Disease—ib. Doctor Hale's computation of Animal Perspiration, and how it may infect the Air—ib. The Air in great populous Cities, in Camps, or near Numbers of dead Carcasses, in a hot fultry Season, may be infected so far as to dis- posed the People to putrid and malignant Fevers—6; the Inhabitants of Countries where great Numberss have been slain in Battle, and left unburied, were soon after infested with pestilen- tial Distempers—ib. Several Instances to prove the same—66 It is of the utmost Consequence to every one, to take care what kind of Air they live in—ib. The first Consideration in building Houses and Cities 67 All high Hills and Mountains are damp, and Nests of Minerals, and Covers for Reservoirs of Rain-water—ib. Rain the Origin of Rivers, and Fresh-water Springs—ib. Dew is not mere Water, but a Collection of watry, oily, faline and volatile Sub- stances exhaling from the Earth—68 Dews of different Places are of a different Nature—ib. Why Air soon corrodes the Bricks and Tiles of House, and rots the very Hangings of Rooms in some Coun- tries—69 Air in some Places impregnat- ed with arsenical Steams—ib. The Steams of Sulphurs and Charcoals extremely per- nicious to human Bodies—ib. a3 Sul- xxii The CONTENTS. Sulphureous Vapours infest Vegetables, and render the Grass pernicious to Cattle 70 How the sulphureous Steams and Vapours of Mines affect the Miners—ib. Why Diseases are more fre- quent and more dangerous in Cities than in the Coun- try—ib. Why the close and confin'd Air of Prisons, Bays, and Harbours, often produces mortal Diseases—71 To what the great Mortality that is so often in Camps, and Sieges, is chiefly owing ib. Infects and their Eggs often float in the Air we breathe in—ib. Why Infects floating in the Air are often the Cause of many grievous Diseases—72 There are Showers of Rain sometimes in Africk, affect- ing the Inhabitants with Shivering?, a ltd Infects found in the Drops of these Showers—ib. Air in most Places contains near the same Quantity of Water—73 All the different Ingredients of the Air are digested and attenuated ly the Heat of the Sun, and constantly agi- tated by Winds, which mix the Air of different Regions together—74 The particular Causes of Thunder and Lightning—ib. The wonderful Effects of Lightning—75 The Opinion of Philosophers upon these strange Effects ib. A Thunderbolt what, Note * ib. The Rays of the Sun are the true Cause of infinite varie- ty of Ingredients contained and floating in the Air—77 Light is not above ten Minutes in passing from the Sun to the Earth—ib. The Earth is 10,000 of its own Diameters distant from the Sun—ib. The Velocity of Light to that of a Cannon Ball, will be as 25 Years to 10 Minutes ib. The Effects of the Rays of the Sun collected in the Fo- cus of a burning Glass upon Gold, which is unalterable by any artificial Fire—ib. The Rays of the Sun are ca- pable to abrade and file off from the most solid Bodies, small Particles lighter when separate than the least com- pounding Particle of Air 78 CHAP. II. Of the Properties of Air. The Properties of Air what p. 78 Galileus was the first Lisco- verer of the Gravity of Air 79 The specifick Gravity of Air according to Sir Isaac New- ton and Dr. Halley—ib. Specifick Gravity what—ib. Note * xxiii The CONTENTS. Air may possess a Space 520, 000 times greater at one time than another 80 The Specifick Gravity of the Air cannot be exactly de- termined ib. Air readily enters into the Vessels of Animal Bodies 82 The same Thing happens in Vegetables and Liquids 83 The Globules of the Blood contain Air 85 Elasticity is a Property in Air which it never loses 89 The Solids and Fluids of Ani- mals contain more Air in them in Proportion than any other Substances—90 Fluidity is a Property in Air which cannot be destroy'd 91 Air a Fluid in constant Mo- tion 92 The difference between Flui- dity and Liquidity ib. Air is compressible and dila- table 93 Divisibility a Property of Air 94 CHAP. III. Of the Qualities of Air. The Qualities of Air what 95 Heat is a Quality relative to our Senses 96 The Spirit of Wine in Weather- Glasses is affected with the least Alerations of Heat or Cold 97 Why Languid and Hysterick People suffer in hot Wea- ther ib Excessive hot Air capable of reducing animal Substances to a State of Putrefaction 98 Dr. Boerhaave's Experiment upon a Sparrow and a Dog ib. Perspiration what 99 Air not cool'd by the Motion of Winds 102 Great Mischief arising from keeping the Air of the Rooms of People in Fevers too hot 103 Cold condenses the Air in Pro- portion to the Degrees of it 104 Cold suppresses Perspiration 105 The fatal Extremities of Cold in Greenland ib. The Effects of extreme Cold or extreme Heat 106 The Effects of moist Air ib. Dryness, a Quality in Air producing different Effects to those of moist Air 109 The Doctrine of absorbing Air thro' the Pores of the Skins of living Creatures demonstrated 111 CHAP. IV. Of the Influence of Air upon human Bodies. Hippocrates knew more of the Influence of Air than all his Predecessors and Suc- cessors 113 xxiv The CONTENTS. Hipocrates's Advice concern- ing Air—ib. —Could foretell the Diseases from ths Weather 115 The Affair of Generation is influenc'd by Air—116 The different Shapes, Com- plexion, and Tempers of Mankind influenc'd by Air 117 The different Forms of Go- vernment, and even the Courage of People, is ow- ing to the Influence of Air ib. Air the Cause of most Dis- eases—118 Astronomy useful in Physick 119 The Constitution of the Air according to Hippocrates 120 Dr. Arhuthnot's Explanation of Hippocrates and others, concerning the Influence of Air—124 The whole Constitution of the Spirits, Humours, and the Body, depends upon Air—147 What we are to do when the Air is corrupted—148 What regards ancient People concerning Air—ib. CHAP. V. Of Aliments in general. The first Stage of Digestion, and how it is perform'd 150 The second Stage of Diges- tion—155 The most subtil Parts of the Food pass immediately in- to the Blood by the absor- bent Vessels of the Inte- stines—156 The last Stage of Digestion 161 CHAP. VI. Of the Choice of Aliments. All Animals are made either immediately or mediately of Vegetables—p. 164 Vegetables consist of Salt, Oil, Spirit, and Earth—165 Of different Tastes—ib. Of the properest Food of the vegetable Kingdom.—166 Of the Qualities of Barley, Wheat, Oats, Rice, Rye, Millet, Panick and Maise 167 Of Peas, Beans, Apples, Pears, Peaches, Apricocks, Plumbs, and Mulberries—168, 169 Of Gooseberries, Currants, Cherries, Strawberries, O- ranges. Citrons, Limons, Grapes and Figs—170 Of Quinces, Pomegranates, Tamarinds, Capers, Olives, Almonds, Walnuts, Hazle- Nuts, Chesnuts, Pompions, Cucumbers, Gourds, and Melons—171 Of Pot-Herbs—172 Of Artichokes, Asparagus, Parsley, and Celery—ib. Of Spinage, Beet, Sallads, xxv The CONTENTS. Potatoes, Turnips, Car- rots, Parsnips—173 Of Garlick, Onions, Rock- ambole, Shalot, Leeks, Radishes, Horse-radishes, Cresses, Mustard, Truffles, Morelles, and Mushrooms 174 Of Marjoram, Basil, Savory, Thyme, Rosermary, Sage 175 Of the Qualities of Tea, Coffee, and Chocolate—175, 176, 177, 178 Animal Food more nourish- ing than Vegetable—ib. Animal Diet is anti-acid—179 Animal Flesh differs accord- ing as the Animal is terre- strial, aquatick, or am- phibious, and Fishes abound with more alkaline Salt and Oil than terrestrial animals ib. The only Way of having found and healthful animal Food—180 The Flesh of Animals too old, unwholsome—181 Salt Fish produces gress Hu- mours, and bad Juices—ib. Why the Flesh of wild Ani- mals keeps longer uncor- rupted than that of tame ones—182 Flesh boiled, wholsomer for weak Stomachs than roasted ib. Why Meats bak'd or fry'd, are bad—183 Of Lamb, Veal, Kid, and Beef—ib. Of Mutton, Rabies, young Hares, Pork and Bacon 184 Of Brawn, Deer, Cream, Butter. Marrow and Cheese 185 Milk, a most noble, nourish- ing, and wholsome Food l66 A proper Diet for Women that give suck, or Nurses 187 Whey, good for hot Consti- tutions and Scurvies 188 How to know the different Nature and Qualities of Birds or Fowls in general ib. Of Duck, Capon, Pigeons, Pheasants, Pullets, and Geese—189 Of Turkey, Partridges, Plo- vers, Blackbirds, Larks, Sparrows, Peacocks, and Starts—190 Of Thrushes, Quails, Turtle Doves, Woodcock, Snipe, and all other long-billed Birds—191 Of Fish in respect of Flesh, and why it is in general hard of Digestion ib. General Rules concerning Fish 192 Of Eels, Carp, Lampreys, Pike, and Sturgeon—193 Of Crabs, Lobsters, Oysters, Turbut, Soles, Place, Perch, Tench, Gudgeons, and Smelts—194. Of Flounders, Salmon, Trout, Cod-fish, Haddock, Skate, Thornback, Barbel, Mac- karel, Herrings and Sprats 195, 196 Vegetables and Animals that come soonest to Maturity are lightest of Digestion. ib. The larger and bigger the Vege- xxvi The CONTENTS. Vegetable, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested 197 Sea Fish or Animals harder to be digested than Land Ani- mals 198 Vegetables and Animals a- bounding with oily, fat, and viscid Substance, are harder to digest than those of a drier, fleshy, and more fibrous Substance ib. Of the Nature and Effects of Rock and Sea Salt 199 Of Honey, Oil and Vinegar 201, 202 CHAP. VII. Of the Power of Aliments upon human Bodies, with their good and bad Effects. Aliment what 203 The Art of preserving Health consists in a Mediocrity of Diet 204 Substances which stimulate the folid Parts, produce the greatest Alterations in animal Bodies. 205 The solid Parts of animal Bodies may be contracted variously by Diet 206 The more sulphurous or chy- mical Oil any Spirit con- tains, the more destructive it proves to the Constitu- uon, as Rum and distill'd Spirits of Annifeeds, &c. ib. Austere acid Vegetables have a Quality of contracting, and strengthening the Fi- bres without a great many of the bad Effects of di- stilled Spirits 207 Warm Water the best Liquid for relaxing the Fibres ib. How the Qualities and Quan- tity of the Fluids of a hu- man Body may be chang'd by Diet 208 Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies either by Food or Sickness 210 The Juices of found Animals consist of Salts of a pe- culiar Nature, neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline ib. Acrimony in the Blood con- sists of three Sorts, acid, alkaline, and muriatic or briny 211 The proper Diet for the Cure of the acid Acrimony 212 The Diet proper in the alka- line and briny Acrimony ib. Several Sorts of Antiscorbu- ticks proper in an alkale- scent State of the Fluids 213 Drink, an essential Part of our Food, and the chief In- tentions of it 214. Pure Water answers all the Intentions of Drink, best of any Liquor ib. The Usefulness of Water for the Purposes of human Life 215 Water the best and most wholsome xxvii The CONTENTS. wholsome Drink in gene- ral, some few Cases ex- cepted—ib. Of Malt Liquors—216 Of strong Beer—ib. Of the Nature of fine Ales, or Home-brew'd, and how they are fin'd, which is pernicious, if not poison- ous to Health—ib. Yorkshire, Nottingham, Welch, and all fine Ales brew'd for Sale, destrudlive to Health—217 The frequent Use and Excess of distilled spirituous Li- quors, is become a Vice of so shocking a Nature among the People in general—ib. The poisonous Qualities of di- stilled Spirits consider'd—218 The direful Effects of the fre- quent Use of Dram-drink- ing explain'd—219 The great Calamity of Dram- drinking farther consider'd 220 Next to Drams, no Liquor de- serves to be stigmatized and more detested than Punch ib. The principal Ingredients of Punch separately consider'd 221 When a Cordial may be use- ful 222 A Sot the most contemptible Character in human Life—ib. The melancholy Effects of Drunkenness explain'd—223 A short Account of different Wines in general—224 Strong made Country Wines prejudicial—225 The Conclusion, concerning Wine, and all other strong Liquors—ib. CHAP. VIII. Of different Constitutions, and the Diet proper for each. A general Method as to Diet, without Regard to parti- cular Constitutions absurd 226 Enumeration of the several Sorts of Constitutions 227 Qf the Debility of the Fibres ib. The Causes and Signs of weak and lax Fibres assign'd—228 A Regimen for those of weak fibres—229 The Effects of too rigid a state of the Fibres—230 Rigidity what, and likewise the Signs of such a consti- tution—ib. The Regimen in such a State 231 The Definition, Cause, and proper Diet of plethorick Constitutions—232 Of sanguinecus Constitutions and their Diagnostick Signs 233 The Diet proper for such Con- stitutions—235 A saline Constitution of the Fluids in an animal Body, is either acid, alkaline, muria- tick, or briny—ib. Of acid Constitutions and their Effects—236 Of Constitutions subject to an alkaline Acrimony—237 xxviii The CONTENTS. The Causes and Symptoms of such Constitutions—238, 239 The Regimen for such—240 The Causes and proper Diet for the muriatick or briny Scurvy—ib. Of phlegmatick Constitutions, their Causes, Signs, and proper Diet—241, 242 Of fat or oily Constitutions, their Causes, Symptoms and proper Diet—243, 244, 245 Of atrabilarian or melancholy Constitutions, their Signs, Causes, Effects, and proper Diet—246 to 250 The grand Secret of Health consists in keeping an Equi- librium between the Solids and Fluids—ib. Aphoristical Rules of Diet in the various Stages of Life 251 to 258 CHAP. IX. Of Sleeping and Waking. Sleep, what—258 The Use, Benefit, and Causes of Sleep—261 The natural Cause of Sleep 263 The Effects of two much Watching—ib. Late Meat suppers prejudicial to Health—264 The Effects of too much Sleep—266 Of sleeping in the Day-time, or after Dinner—267 The ordinary Time allowed for Sleep—268 The properest Time for sleep- ing 268 Nothing more pernicious to the Constitution, than watching by Night and sleeping by Day—ib. Rules to be observ'd in regard to the Position or Posture of our lying in Bed—270 CHAP. X. Of Motion and Rest. The use of Motion and Rest 271 The Necessity of Motion or Exercise mechanically proved—273 to 282 Of the Effects of Musick—283 Its wonderful Effects in cur- ing the Bite of the Taran- tula, Note *—ib. The Effects of too much Rest—286 The absolute Necessity of La- bour and Exercise for the Preservation of Health far- ther consider'd—ib. The bad Effects of too much Labour or Exercise—287 Of general Exercises—ib. Riding of all Exercises the best—ib. Of particular Exercises ap- propriated to certain Parts of the Body—28 Conditions to be observ'd what regard to Exercise—29 CHAP. xxix The CONTENTS. CHAP. XI. Of Retention and Excretion. What Things are to be ex- creted or evacuated, and what retain'd—291 The Cause of costive Stools 292 The best Proportion of the gross Evacuations to the Quantity of Food taken in ib. Purging Stools how they dis- cover the Badness of the Regimen we use—293 The Reason why Mercury will purge instead of sali- vating—294 That the same Reason will make appear why Restrin- gents and Opiates prove purgative—ib. A dangerous Mistake in rear- ing up Children—ib. Loose and purgative Stools discover intemperate Eat- ing—295 The Mischief arising to Hy- sterical and Vapourish Peo- ple, by perpetually cram- ming and gobbling the richest and strongest Food, and highest Cordials—ib. The common Cause of Head- Aches, Stomack-Aches, and Colicks—296 The right Method of bracing relax'd Nerves—ib. An uncommon Evacuation both by Stool and Urine, and the Causes of it—297 Urine, and what it con- sists of—299 Unite of a bright Amber Co- lour the best—300 The Effects of Urine too long retained—ib. The Effects of too great an Evacuation of Urine—301 Of the different Tastes, Smell, Colour, and Quantity of Urine—ib. Of high-colour'd, foul, and turbid Urine—302 Of dark-brown, or dirty red- colour'd Urine—ib. Of bloody, mattery, or whey- ish Urine—303 Obstructed Perspiration the Cause of most acute Di- seases, and the Effect of chronical ones—ib. Catching of Cold what, and how dangerous—ib. A present, easy Remedy a- gainst it—304 Certain Indications of Per- spiration's being deficient or obstructed, with Direc- tions how to remedy the same—ib. The Semen what, and the Effects of moderate Coition 305 Immoderate Coition and its bad Effects—306 The Menses a necessary Eva- cuation, and what,—307 Of Sweat and the Nature of it—308 Sweat different from insensible Perspiration—ib. Of the Saliva, or Spittle, and the Use of it—309 Of Tobacco and its Effects 310 Of the Mucus or Snot, and Tears—311 Of Ear Wax and its Use—312 CHAP. xxx The CONTENTS. CHAP. XII. Of the Passions or Affections of the Mind. The Essence and Causes of the Passions not consider'd, but their Effects and Influ- ence upon Human Bodies 312 The Manner how the Mind operates upon the Body 313 How the Passions of the Mind consume the Spirits and disorder the Body—ib. Joy and Anger render Body lighter—314 Fear and Sorrow increase the Weight of the Body—315 The Passions to be consider'd as physical Agents ib. An Enumeration of the chief Passions of the Mind—ib. Of Love (properly distinguish ed into three Kinds) and its Effects—317 Of Hatred and its Effects—320 Of Shame, Hope, Despair, and their Effects—321 The Passions are properly di- vided into acute and chro- nical—323 The Effects of acute Passions ib. The Cause of Blushing—ib. The Cause of Sighing—324 The Effects of the Suddenness of the Passions when ex- treme—ib. Of chronical Passions—ib. The Effects of chronical Pas- sions—325 The Passions have a very great Influence upon Health—ib. The Advantages of Spiritu- al Love with regard to Health—326 It banishes all those Vices winch must ruin Health, and gives continual Joy and Serenity, inseparable from Health—ib. The Conclusion—327 PART III. CONTAINING, The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of Bathing and Frictions. The Introduction—329 CHAP. xxxi The CONTENTS. CHAP. I. Of Fevers, both in general and particular. A Fever, what—333 Sydenham's Definition—ib. Boerhaave's Sentiments—ib. The Symptoms of Fevers in general—ib. The general Cure of Fevers 334 Of the Symptoms—ib. The Benefit of giving a Vo- mit in Fevers—335 When a Purge may be given with Advantage—336 The Cause of Fevers accord- ing to Hippocrates—ib. A Rule of Diet in Fevers—337 A Division of Fevers—ib. Of an Ephemera and putrid Fever, what—338 The Causes of a putrid Fever ib. The Diagnosticks and Prog- nosticks—339 Of a continent or remitting Fever—340 Of a spurious remitting Fever, and its Prognosticks—341 Of a simple remitting Fever—ib. The Method of Cure—342 A Division of continual Fevers into Burning and Slow Fe- vers, with the chief Symp- toms and Prognosticks—343 The Regimen—344 The Method of Cure—345 Of a Calenture, and of Slow Fevers—346 Of Catarrhal Fevers—ib. The Method of Cure—347 Of Intermitting Fevers—348 The Method of Cure—349 Of Spurious intermitting Fe- vers, and the Cure—351 The proximate Cause of In- termitting Fevers—352 Of Burning Fevers—ib. Great Variety of Malignant Fevers—353 Prognosticks and Cure of Ma- lignant Fevers—354 Of Spotted fevers; their Symptoms, Prognosticks, and Cure—357 CHAP. II. Of the Cure of the most urgent Symptoms attending Fevers. Of Rigor or Shivering in Fe- vers—358 Of Feverish Heat, and the Cure—359 Of Thirst, Anxieties, and Vo- miting in Fevers—360, 361 Of a Looseness in Fevers—363 Of a Strangury, and profuse Sweats in Fevers—364, 365 Of a Pain in the Head, Watch- fulness, Coma, and Deliri- ums in Fevers—366, 367 Of Convulsions in Fevers—368 Of Weakness in Fevers—369 Of inflammatory Eruptions in Fevers—370 Of the Small-Pox; its diffe- rent Stages and Cure, from 371 to 380. CHAP. xxxii the CONTENTS. CHAP. III. Of inflammatory Diseases attended with a Fever. Of a Phrensy, or Inflamma- tion of the Brain—382 Of a Quinsy; its different Sorts, and Cure—384 Of a Pleurisy—386 Of a Peripneumony, or In- flammation of the Lungs 389 An Empyema, what—391 Of a Paraphrenitis, or Inflam- mation of the Diaphragm 393 Of an Inflammation of the Stomach—ib. Of an Inflammation of the Liver—395 Of an Inflammation of the Mesentery—400 Of an Inflammation of the Guts, Symptoms and Cure 402 Inflammations of the Kidneys 405 Of an Apoplexy—409 CHAP. IV. Of Chronical Distempers. Of a Palsy—413 Of an Hemiplegia, and a Pa- raplegia—415 The Cure—416 Of an Epilepsy, or Falling- Sickness—417 The Causes Various—ib. Of Melancholy Madness, and the Causes—421 Of Madness from the Bite of a Mad-Dog—425 A new and sure Method of Cure—429 Of the Scurvy—432 The Cause—433 Of a Cachexy, or ill Habit of Body—435 The Signs, and Cure—436 Of a Consumption—439 Of the concomitant Cause of a Consumption—441 The Method of Cure, from 449 to 452 Of a Dropsy—452 Of the Gout—456 The Effects of Abstinence in the Gout—461 Of Rheumatism—ib. The Cause and Cure—462 Of the Stone and Gravel—463 CHAP. V. Of the Nature and Use of Bathing and Frictions. Of Cold Bathing—467 Necessary Rules to be observ'd before Cold Bathing—470 Wherein Cold Bathing is in- jurious—471 The Use of warm Bathing—473 The Use and Effects of hot Mineral Baths, such as that famous one in Somersetshire 474 Of Frictions and their good and bad Effects—476 A (1) A Guide to Health, &c. PART I. Of the different Degrees and Changes of Age; the principal and inevita- ble Causes of Old Age; and, final- ly, of our Dissolution. To which is annex'd A brief, chronological, and historical Account of LONG LIVES, from before the Flood to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life; with a Description and Definition of Old Age. As our Bodies are subject to Changes and Alterations, from the Minute we come into the World; so the Physicians, regarding the most ap- parent and sensible Changes only, have divided man's whole Life into several Periods, which A they 2 A GUIDE to HEALTH Part I. they call Ages: The Egyptians reckon'd as many as there are ‡ Septenaries in a hundred; for they were of Opinion, that Man's Life could not exceed that Term. The Pythagoreans, who were very super- stitious in the Doctrine of Numbers, have publish'd in their Writings, that we undergo remarkable Changes every seven Years, as well in regard to the Temperature of the Body, as the Qualities of the Soul; all which must be referr'd to the Excellency and Perfection of the Number Seven. But I will not enter into Disquisitions upon Numbers in this Place; it is enough for me to have the Concurrence of all the most cele- brated Authors, that Man, according to the natural Course of Life, undergoes five remark- able Changes in his * Temperament, and passes five Ages or Periods; that is, Infancy, Ado- lescency, Youth, Manhood, and Old Age. Infancy is hot and moist; but the Moisture is predominant, and keeps the Heat in such Subjection, that it can no way shew its Effects. It ‡ Septenarius, or Septennium, containing the Space of seven Years. Some of the Antients reckon'd every Constitution underwent some remarkable Change in every such Revolution, whence the seventh Year was call'd critical, or climacterick Year. * Temperament is that Diversity in the Blood of different Persons, whereby it is apt to fall into some certain Combina- tions more in one Body than another, whether into Sanguine, Choler, Phlegm, or Melancholy; from whence Persons are said to be of a sanguine, cholerick, phlegmatick, or melancholy Tem- perament or Constitution. Of all which I shall speak more at large hereafter. Part I. thro' the various Stages of Life. 3 It continues to the thirteenth or fourteenth Year. Adolescency follows, which is likewise hot and moist, but the Heat begins to be predo- minant; for we see its Sparks shine and lighten every where. In Males the Voice then begins to grow loud and hoarse; they spread and dilate every way, and cast their first Downs. In Females the Breasts grow visibly harder and larger, the Blood is in Motion thro' the whole Body, and pushes on all Sides till it finds Passage. This Period extends to the Age of four or five and twenty, which is the Term limited by Nature for Growth. This is succeeded by Youth, which is full of Heat, Vigour, and Agility: It runs to thirty- five or forty. In this Age the Body comes to its full State, and the Fibres, Membranes, and Bones to their due Solidity. This is what is call'd Manhood, and is the most temperate of the Ages of Man, participating of the four Extremes equally, and extending to the fiftieth Year; where Old Age begins, which com- prises the Remainder of our Lives. Now this last Period of Man's Life may be divided into three Stages; but I pass over that which is call'd Senium ex morbo, that is, Old Age brough on by Sickness. The first is call'd Verdant: It is accompa- nie with Prudence, and is full of Experience, and fit for governing Commonwealths, and managing Affairs of Importance. The se- A2 cond 4 A GUIDE to HEALTH Part I. cond begins at Seventy, and is attended with several little Ailments, and is cold and dry. As to the first, there are such apparent Marks of it, that none ever doubted it; for if we touch old Men of those Years, we shall find them generally very cold in all their Muscles; they have no lively or Vermillion Colour; all their Senses are weaken'd, and they are subject to a great many cold Distempers: But as to the other Quality, Dryness, some have endea- vour'd to dispute it, saying that this Period is moist, but not dry. To this Galen replies, in his first Book de Sanitate Tuenda, that old Men have all those Parts dry which are moist in Children; that is, the solid Parts, upon which the whole Constitution depends. This is even the Opinion of the Moderns, and what we should follow; for Leanness, Wrinkles, Hardness of the Nerves and Skin, the Stiff- ness of the Joints, are sufficient Demonstra- tions of this dry Temperament at that Age. At length comes the last Step of Old Age, and is call'd Decrepit; in which, according to the Royal Prophet, there is nothing but Pains and Grief; for all the Faculties of the Soul and Body are weaken'd, the Sentiments dull and heavy, the Memory lost, the Judg- ment defective. This Last Period of Old Age is describ'd in the twelfth Chapter of Ecclesiastes, under so beautiful an Allegory, that nothing can excel it; and as the Royal Author was the greatest Philosopher and Naturalist that ever wrote, I will Part I. thro' the various Stages of Life. 5 will therefore present the Reader with his Description of this Stage of Life at large, which, besides its Beauty, will likewise serve Us for Instruction and Counsel. Remember, says he, thy Creator in the Days of thy Youth, while the Sun, or the Lights or the moon, or the Stars be not darkened, nor the Clouds return after the Rain. In the Day when the Keepers of the House shall tremble, and the strong Men shall bow themselves, and the Grinders cease, because they are few; and those that look out of Win- dows be darkened, and the Doors shall be shut in the Streets, when the Sound of the Grinding is low, and he shall rise up at the Voice of the Bird, and all the Daughters of Musick shall be brought low. And when they shall be afraid of that which is high, and Fears shall be in the way, and the Almond-tree shall flourish, and the Grashopper shall be a Burden, and Desire shall fail, because man goeth to his long home, and the Mourners go about the Streets. Then shall the Dust return to the Earth as it was: and the Spirit shall return to God that gave it. This is the Description of Stage of man's Life, which is admirable. In decrepit old Age, the Sun and the Stars are darken'd; that is, the Eyes of Man, which are grown dim; nor the Clouds return after the Rain; A3 that 6 A GUIDE to HEALTH Part. I. that is, after they have been weeping a long time, they seem to have thick Clouds before their Eyes. The Keepers of the House shall tremble; that signifies the Hands and Arms, which have been given to Man for the Defence of his whole Body. And the strong Men shall bow themselves; that is, the Legs, which are the Columns that support the whole Building. And the Grinders cease; that is, the Teeth, which grind and chew the Aliments. And those that look out of the Windows be darken'd; that is, the Eyes, which are troubled with Cataracts, and several other Disorders incident to the Sight of decrepit old People. And the Door shall be shut in the Streets, when the Sound of the Grinding is low; those are the Chops, which cannot open to chew, or the Canals thro' which the Aliment us'd to pass, but are now grown straight and narrow. And be shall rise up at the Voice of the Bird; that is, decrepit old People cannot sleep, and are always awaken'd by the Cock's Crowing. And all the Daughters of Musick shall be brought low; that is, their Voice, which fails them. And the Almond-tree shall flourish; that is, the Head, which is all white. And the Grashopper shall be a Burden; that is, the Legs, which are swoln, &c. Having now describ'd the Ages terminated by Years, I would not however be so far con- fin'd to the usual Number into which Man's Life is divided, as if Youth and Old Age must intirely depend upon it; We ought rather to regu- Part I. thro' the various Stages of Life. 7 regulate ourselves by the * Temperament, or Nature of our Constitution: for we may call every Man that is cold and dry, an old man; there are a great many such at forty, and a great number of young Men at sixty. some Complexions fail sooner, and others later. The sanguine are of long Duration, be- cause they have a deal of Heat and Moisture, which Constitution or Temper is most com- modious to Mankind, and qualifies them best for Action, and is therefore most consistent with Health and long Life; whereas the contrary Temper, viz. cold and dry, soon tends to Decay and Death; for the sooner a Body wi- thers and dries away, the sooner it grows old, and draws near its Dissolution. This Heat and Moisture hath also its several Degrees, but these Qualities are best when moderate; those which differ and recede from that Me- diocrity, are called hot and moist, hot and dry, or cold and moist, and cold and dry, tho' all in general are hot and moist in some Degree. These differences of Tempers are com- monly distinguish'd by the Denominations, which I have observ'd already of Sanguine, Choleric, Phlegmatic, and Melancholic Con- stitutions, according tothe Nature and Dis- position of the Juices in the several Bodies, where the excrementitious Discharges answer thereto. They whose Blood is of a mode- rate Templer, between hot and moist, are called sanguine; those who exceed in beat, A4 and * Temperament, See Pag. 2. Note * 8 A GUIDE to HEALTH Part I. and whose Blood is dryer, are called Choleric; those who are cold and moist, Phlegmatic; and lastly, those who are cold and dry, Me- lancholic; and this last Temper or Constitu- tion grows old sooner than any of the rest. As to what regards the Sexes, the Fe- male, generally speaking, grows old sooner than the Male, which Hippocrates justly ob- serves, in his Book concerning those Chil- dren who are born at the End of the seventh Month. The Females, says he, are later in forming and growing in the Womb than the Males; but when they are out of it, they grow faster, have earlier Understanding, and are sooner old, on account of the weakness of their Bodies, and their manner of living. Weakness hastens their Growth, and brings them likewise sooner to old Age; for as the Plants which are short-liv'd grow in a few Minutes, so the Bodies which have no long Duration, soon come to their Perfection. Their manner of living likewise contributes very much to their growing old soon, as they most commonly lead an unactive life; for nothing brings us sooner to old Age than Sloth and Idleness. As to the different Tempers and Constitu- tions of Men, they depend, in a great mea- sure, not only upon the various Dispositions of the Humours contain'd in the Body, but also on the peculiar Conformation and Struc- ture of the noble Parts, and their various Proportions in respect to each other, which disposes Part I. thro' the various Stages of Life. 9 disposes them to breed Humours of diffe- rent Kinds and Dispositions; and endows them with various Qualities, according to the several Alterations they undergo in diffe- rent Bodies, and the Proportion of such ani- mal Fluids differently fermented, exceeding or falling short in Degrees of Digestion; or being variously vitiated by the assimilating Qualities of Humours already contain'd, or of fresh Food taken into the Body, which may pervert the Disposition of the Fluids al- ready contain'd in the Blood Vessels. The Proportion of the Parts of the Body, and their Conformation, may contribute to the difference of Constitution, as they sepa- rate and discharge Humours, not only diffe- rently prepar'd, but in greater or less Quan- tities: Thus, if the Heart be larger in Pro- portion to the Body than the rest of the Parts, the Blood must circulate more briskly, and with greater Force; if the Liver be large, and separate a great Quantity of Bile, the Chyle and Blood must be more bilious; and as the Stomach digests differently, the blood must be supplied with Nourishment in greater or less Quantities, more or less di- gested, and so occasion Sanguine, Choleric, or Phlegmatic Constitutions. Thus the noble parts contribute to the different Temper of the whole, as well as other particular Parts themselves. Hence it is; that different Parts of the Body are, in respect of one another, esteem'd to 10 A GUIDE to HEALTH Part. I. to be of different Tempers; as the Heart, up- on account of its Situation and constant Mo- tion, may be reckon'd one of the hottest Parts of the Body. The others reckon'd of a hot Temper, are the Liver, the musculous Flesh, the Spleen, the Kidneys, Lungs, Veins, Arteries, and Fat. The cold Parts are, the Bones, Cartilages, Ligaments, Tendons, Nerves, Membranes, Spinal Marrow, and the Brain. Those which are accounted moist, are the Fat, Marrow, Brain, Breasts, Testicles, Lungs, Spleen, Kidneys, musculous Flesh, Tongue, Heart, and the softer Nerves. The dry Parts are, Bones, Cartilages, Ligaments, Tendons, Membranes, Arteries, Veins, and hard Nerves. There is moreover another difference in the Tempers or Constitutions of human Bodies, in respect of Age and Sexes; thus Women are naturally colder than Men, too much Heat being supposed apt to consume and vi- tiate the tender Nourishment of Infants, which is to be prepar'd in the Mother. Age likewise alters Constitutions, according to the several Stages and Periods, as I have ob- serv'd before; thus Infants and Children are hot and moist. Youth more temperate, Men and full-grown Persons hot and dry; where- as in old Age the Heat decreases, and Nou- rishment is dry'd up for want of its usual Supplies. Another thing that makes Constitutions differ, is the difference of Climates, the manner Part I. 11 thro' the various Stages of Life. 11 manner of living, the nature of the Food they use, and the Liquors wherewith the more solid Parts of the Food are diluted; but for a more particular Account of different Constitutions, see Part II. Chap. IX. where I treat of the Diet proper for each respe- ctively. Having hitherto given the Reader an Ac- count of the different Degrees and Changes of Age, as likewise a Description of decrepit old Age, supported by the Authority of the wise Solomon; and lastly, of the Causes and Nature of different Constitutions, I shall now finish this Chapter with the Definition of it, which will be of singular Use to such as will observe the Precepts hereafter men- tion'd, in order to preserve Health and long Life. The incomparable Sanctorius, most ele- gantly and concisely defining old Age, says in Aphorism xxxv. Sect. v. Senectus est univer- salis fibrarum durities, &c. that is, old Age is an universal Hardness of the Fibres, &c. which implies; that when there is a greater Waste of the nervous Fluid than can be repair'd, then the component Machinulœ * of all the Fibres of the human Body, for want of a Sufficiency of this animal Oil or Fluidt are harden'd and dry'd, the Pores are thereby straiten'd * Machinulœ signifies in Anatomyy the various Textures, Combinations and Decussations of the Fibres, compounding the Muscles, Nerves, and Membranes of the Body; which is only a Diminutive from the Word Machine. 12 A GUIDE to HEALTH Part I. straiten'd and obstructed, by which means the natural Heat is stifled, and at last Death en- sues; hence it is, that the nearer a Person is brought to this State of an universal Hard- ness of the Fibres, &c. by any means what- ever, the farther such a Person may be said to be advanc'd towards old Age. Wherefore the great Secret and sole Me- thod of long Life, is to preserve the Blood and Juices in a due State of Fluidity and Thinness whereby they may be capable of making all those Circulations and Rounds thro' the animal Fibres, wherein Health and Life consist, with the fewest Rubs, and least Resistance that can be. But notwithstanding all our Efforts, Time and old Age will stiffen and fix our Solids at last; for Age and Time, by weakening the Appetite and Concoctions, impairing the natural Heat, which consists in a brisk and extended Circu- lation of the Fluids to all the Parts of the Body, by the converting those Juices into solid Substances, and thereby fixing and hardening these Solids, and depriving them of their due Elasticity; so the remaining Fluids circulate slower, and with less Force, and seldom reach the Extremities and smallest Ves- sels, but only pass slowly through the larger Vessels..And tho' with all these unavoidable Circumstances, both the nutritious Juices, the serous and globular Part of the Blood be- come viscid, thick, and gluey, so that the Circulation must stop, and come to an end at last; yet it is certainly in a great measure in Part I. thro' the various Stages of Life. 13 in our own Power to put a Stop to the too quick Approaches of such an irremediable Period, by keeping our Juices in a due State of Fluidity and Thinness, and to render them such, if they are not corrupted to an extreme Degree; so that the remainder of Life be not too short to undertake such a Work; for it is very certain, that we may dilute and thin any Fluid, that has an Inlet and Outlet. And the smaller and finer the Parts of any circulating Liquor are, the less Force it will require to set it a going, and to continue its Motion: And it is just even so in animal Bodies; for the more fluid and thinner the Juices are, they will not only circulate with less Force, and with less Resistance or Pain, but they will likewise preserve, by their Cir- culation, the Solids the longer from harden- ing and stiffening. Now, as nothing brings a Person sooner to that State of universal Hardness and Stiff- ness of the Fibres, and a Viscosity and Thick- ness of the Juices, than indulging in strong high Meats, which the concoctive Powers cannot divide small enough to be converted into red Globules of Blood, or circulate thro' the small Vessels, but overload them with corro- sive urinous Salts, which run into Clusters, and first obstruct, and afterwards tear and break these small vessels, and likewise in swilling of strong Liquors, which by their caustick Quality dry up, burn, and destroy the tender and delicate Fibres of the Solids; I therefore 14 A GUIDE to HEALTH Part I. therefore I say, as nothing but such an Indul- gence, and such long-continued Excesses, and obstinately persisted in, can so soon produce such a State of the Fluids and Solids, and consequently bring on many fatal chronical Diseases, according to the particular Habit, Make, and Constitution of the Person: So it is evident, that the only Method and most effectual means that can solidly and thorough- ly accomplish the contrary State of the Blood and Juices, is to render them thin, sweet, and in a continual flowing Condition, by taking the contrary Measures, in keeping to a strict Regimen of a fluid, thin, spare, plain, and lean Diet; for as Dr. Cheyne justly ob- serves, No voluptuous and lazy Person, unless be had an original Constitution of BRASS, ever liv'd to a great Age; and even then, as his Life has been more Misery and Pain, than ever a SOBER GALLY-SLAVE endur'd, his End, and the latter Part of his Days has been RACK and TORTURE, HORROR and DESPAIR. So that Longœvity is scarce ever found but among the abstemious. As all the Parts of the human Body are made up of Fibres, which are small, trans- parent, solid, and elastick, or springy Threads or Filaments, of which mention is made in the foregoing Definition of old Age, and which have been sufficiently demonstrated by Physician and Anatomists already; yet it will not be improper to give some Account of them here, for the sake of as many of the English I Readers Part I. thro' the various Stages of Life. 15 Readers as may be unacquainted with either Physick or Anatomy, and for whose Benefit I have chiefly compiled this Treatise. Therefore these Fibres, or small Threads, that constitute the human Body, are of diffe- rent Sorts; some are soft, flexible, and a lit- tle elastick ‡, and these are hollow like small Pipes, or spongious, and full of little Cells, as the nervous and fleshy Fibres. There are others more solid and flexible, but with a strong Elasticity, as the membranous and car- tilaginous Fibres; and a third Sort hard and inflexible, as the Fibres of the Bones. And of all these some are very sensible, as those of the Nerves, Blood-vessels, Membranes, Ten- dons, and Muscles; and others are destitute of all Sense, as those of the Bones; some so very small as not to be easily perceiv'd; and others, on the contrary, so big as to be plain- ly seen; but most of them, when examin'd with a Microscope, appear to be composed of still smaller Fibres, and may be divided still into less; and indeed this Division proceeds so far, that at last they become so incredibly small as to exceed all the Power of Imagina- tion; but Reason will shew us, there must be an End. Now these simple Fibres do first constitute the Substance of the Bones, Cartilages, Liga- ments, ‡ Elastick or springy, signifies a Force in Bodies, by which they endeavour to restore themselves to the Posture from whence they were displace by any external Force. 16 A GUIDE to HEALTH Part I. ments, Membranes, Nerves, Veins, Arteries, and Muscles. And again, by the various Texture and different Combinations of some, or all these Parts, the more compound Organs are fram'd, such as the Lungs, Stomach, Liver, Legs, and Arms, the Sum of all which makes the human Body. CHAP. II. The principal and inevitable Causes of OLD AGE, and of our DISSOLUTION. I Shall shew in this Chapter, with what has been already said, such things as alter our Bodies, and whatever makes them grow old, and brings us at last to our Dissolution. The Causes, then, of the Alterations of our Bodies, and likewise of our Dissolution, are either external or internal: These last are born with us, and always attend us, even to the Grave: The others come from without us, surround us on all Sides, and, tho' we can guard ourselves against some of them, there is however an infinite Number of them which we cannot escape. The internal Causes which come into the World with us, are two, viz. the Contrariety of the Principles of which our Bodies are composed, and the Animal Actions or Func- tions of the human Body The Ch. II. thro' the various Stages of Life. 17 The Principles of our Composition are, 1. A Water or Phlegm. 2. A volatile Fluid or Spirit. 3. A saline Matter or Salt, both Volatile and fix'd. 4. A fat Substance or Oil, otherwise call'd Sulphur. 5. An Earth, or Caput Mortuum. But the Spirit being only a Mixture of Phlegm and Salt, these five may be properly reduced to four †. The Animal Actions, or Functions, which happen in all the Parts of human Bodies, by the Motion of the Humours in their distinct Vessels, and the Effects they have upon one another, are distinguish'd into vital, natural, and animal, Those call'd vital so much con- duce to preserve Life, that they are of abso- lute Necessity; as the muscular Action of the Heart, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions thro' their proper Organs; and also the Veins, Arteries, and Nerves. The Natural Actions are those that so alter our Aliment, as that it may become Part of our Substance; and such are the Actions of the Bowels, vessels and Humours that receive, re- tain, move, change, mix, separate, apply, discharge, and consume. The Animal Functions are such as, when perform'd, the Understanding conceives Ideas of Things, united to that Action; or the Will is either concern'd in exciting such Actions, or mov'd by them when excited: Such are B the † Boerhaave Institutiones Medic. de Natura & Part. Sang. 18 A GUIDE to HEALTH Part I. the Touch, Taste, Smell, Sight, Hearing, Per- ception, Imagination, Memory, Judgment, Reason, Passions of the Mind, and voluntary Motions. From hence we may know, that Health is such a Disposition of the Body as fits it to exercise all its Actions, and that all the Effects of those Actions respect determinate Motions, and the Change made in our Ali- ment. The Principles of our Composition just now mention'd, being duly distributed thro' the whole Body, may be call'd an Equilibrium between the Solids and Fluids of a Person in Health; or, which is the same thing, an exact Ballance of Contrarieties, making a kind of Agreement or Harmony amongst themselves, in order to mix and unite; wherein each of them quits something of its Sovereignty, and reduces itself to a Mediocrity, which is call'd Temperament. But this Alliance is of short Duration; for the Body, by the Actions inse- parable from Life, suffers such a gradual Change, that the smallest Vessels become stiff, and the minutest grow together into Fibres, unfit for the Humours to pass thro' them; the greater Vessels become hard and narrow, and all are contracted, and, being compress'd, grow together, which occasions Dryness, and Un- aptness to Motion in old People. By this means the Actions of the small Vessels are de- stroy'd, and the Humours stagnate and grow thick in them, and the Fibres adhere toge- ther: Thus the most subtile Parts of the Juices Ch. II. thro' the various Stages of Life. 19 Juices are wanting and dissipated, Digestion is weaken'd, Nourishment is deficient, and the grosser Humours only circulate thro' the large vessels slowly, and support Life alone, with- out the Animal Action till at last these Changes bring on Death from Old Age, the Successor of perfect Health; which happens sooner if the Actions of Life have been violent, but later if moderate; and this is one of the Causes of our Dissolution: It is inevitable, and we bring it with us from the Womb, But, in order to make this more evidently ap- pear, it is necessary to consider the following Particulars concerning Nutrition, Growth, and Decrease of the Body. As there is an Aptness to Motion requisite in the Vessels, Muscles, and Fibres of the hu- man Body, in order to enable it to make due Use of all the Motions of its Humours, Ves- sels, and Muscles, without Detriment there- unto; So, for this Purpose, the Parts which are coherent, should be partly free from Con- tact, and partly remain in it, which cannot be, unless the greater Parts consist of the smallest, thinest, and shortest ones; nor will that happen again, unless a renovating Hu- mour passes continually betwixt them, to hin- der their growing together; therefore, as the whole human Body is flexile, and subject to Changes from Contact, of Necessity it ought to consist of small Vessels. But this very Motion, being continually and violently perform'd, in Vessels of such a B2 tender 20 A GUIDE to HEALTH Part I. tender Fabrick, the least Parts must of neces- sity be thereby worn off from the Solids; and thence, being mix'd with the Liquids, be mov'd round by the perpetual Circulation of the Juices, as well as by the Action of the Muscles, and exhale. In the mean while the Fluids, being ground small by the continual Attrition of their Parts, and drove to the Ves- sels thro' which they exhale or transpire, are quite excluded out of the Body; and thus the Animal Body, from the very Condition of its Frame, is soon destroy'd. Therefore it is requisite, for the due Con- tinuance of Life, that as much Matter, and of the same Kind, should be continually re- stored to the Humours and solid Parts, as was lost by those Motions, which Action is call'd Nutrition. The Humours that are worn away, are again supplied, as to their Matter, by Air, Meat, and Drink. As to the Qualities re- quir'd, those are produced by the concurring Assistance of all the Parts of the Body, and by means thereof applied to the Vessels where they are wanting. Every solid Part of the Body is composed of other less Solids, very like the greater; the Vessels, of smaller Vessels; and the Bones, of smaller Bones. And this manner of Structure proceeds beyond all the Limits of Sense, as- sisted by what Art soever, as Malpighi, Ruysche, Leeuwenhoek, and Hook, have de- monstrated by accurate Experiments: yet this Divi- Ch. II. thro' the various Stages of Life. 21 Division scarce seems to proceed ad Infinitum, as appears by the Nature of the Nourishment and Fluids themselves. Moreover Microscopes, Injections, the least imaginable Wounds, Vesicatories, Comsump- tions, and the withering away of the Body, inform us, that our solid Parts, in respect of the Humours, are but very small; for it is al- most demonstrable, from the Consideration of the Rise and Generation of the Vessels, and the Resolution of the greater Canals into their least constituent Parts, that the whole solid Mass of our Bodies is almost wholly compos'd of mere Nerves, consider'd in their primary Composition and Communication. And truly all that Mass, except an incre- dible small Particle, at first grew together, from those which were before the most sub- tile Liquid of the Colliquamentum or Fluid, almost all which goes to compound the Body, being much like the nervous Fluid, according to Malpighi; for the White of an Egg does not nourish, before it has been long brooded upon, till that thick clammy Humour has pass'd thro' a vast many Degrees of Fluidity, by several Changes, to fit it at last for the Purposes requir'd; but even then, when it comes to supply the Embryo, it is very thick, and must be much more subtiliz'd in its Ves- sels and Bowels. The first tender solid Parts being made out of this most subtile Humour, which are then almost fluid, they pass again thro' a vast many B3 diffe- 22 A GUIDE to HEALTH Part I. different Degrees of Solidity, before they ar- rive at the Perfection of solid Parts; as ap- pears from Malpighi's Experiments upon Eggs, and the incomparable Ruysche's upon Embryos and Fœtuses, and even from the differ rent Parts themselves. Hence it appears, that the solid Parts, in their first Origin, differ only from Liquids, whence they spring, by Rest, Cohesion, and their Figure; therefore such a Particle, while fluid, will become Part of Solid, to be form'd thereof, as soon as the Power that causes it to cohere with the other solid Parts, shall act, by what means soever it be. This Cohesion of the Parts is best pro- duc'd in a Fibre already form'd, if there be a sufficient Place in the Solid, left by that Particle which was lost, and at the same time, another Particle in the Fluid of equal Bulk, Figure and Nature, and endow'd with suffi- cient Force to thrust it in, or fit it to that Place. Therefore there will be a true Nutrition of the Solids in the smallest Vessels, which, by Addition, become greater; that is, in the Nerves or Vessels like them; which, since it cannot be perform'd without a Liquid be brought into those Vessels, seems very plain, that the most immediate matter of Nourish- ment is the most subtle, nervous Fluid, or some other like it; and therefore appears to be perform'd and produc'd from the last and most refin'd Actions of Nature; and that it may Ch. II. thro' the various Stages of Life. 23 may be well perform'd, all the preceding Actions ought to be perfect. The Chyle therefore may fill the greater Vessels, but cannot recruit the solid Parts; but being attenuated, alter'd, rarefied, mix'd, and made fit to pass thro' some Vessels, by the force of Respiration in the Lungs, it is render'd the more proper indeed, but still not fit Matter for this Purpose. However, by the repeated Effects of the Lungs, Bowels, and Vessels, it becomes a white, tenacious, forming Liquor, almost Without Smell, thickens by the Heat of the Fire, or in Spirit of Wine; being then like the White of an Egg, and called Serum; and therefore is such a Fluid, as has all the requi- sites which ought to be in that Humour; whereof Experience teaches us, that all the solid Parts of an animal Body are constantly made or form'd, only by Incubation, or a constant Heat and Digestion. Thus then the Matter is brought a Degree nearer, but yet is not quite fit for Nutrition; much less is red Blood, which never enters the smallest Vessels. But as the Heat of Incubation, so the action of the Viscera and Vessels, occasions divers Changes on this circulating Serum, till Part of it is turn'd into such a subtle Humour as is here requir'd; and being consumed, it is again supplied, and this at length becomes the true and immediate Matter of Nourish- ment; which, how simple it is, how insipid, B4 or 24 A GUIDE to HEALTH Part I. or without Smell, will appear from the Fire, Putrefaction, or the Art of Chymistry, for it leaves behind but a pure and exceedingly light Earth. Nor can this Matter be prepar'd, without undergoing the foremention'd Alterations: But the same Humour may, by too often and repeated turns of Circulation, grow sharper, or lose its Liquidity, and become thick; be- ing drain'd of its oily Parts, and render'd pun- gent by Salts, and then it is unfit for this Use; which may, perhaps, be partly dis- charg'd by Perspiration, and partly by Urine. Therefore there is a necessity of new Chyle, and consequently of Aliment, to supply this Nourishment. As to the Manner how, and the Cause why Nutrition is perform'd, that will appear from what follows. The Humour being forced forwards, thro' a full, conical, cylindrical, elastic, or stiff and rigid Tube, if it flows from a broad Part into an narrower, or with a Resistance against its Motion, it will endeavour to extend the Sides of the Canal, according to its longer Axis; and this happens all over the Body, ex- cept in the Veins, and the Cavity of the Re- ceptacles. And by this Force, tho' small, be- ing constant and repeated, the Vessels will by Degrees, and insensibly be lengthen'd; and by growing longer, will become thinner, and soon be more and more attenuated: By this means, the utmost Extremities of the Vessels, which are smallest, will be less coherent, and next Ch. II. thro' the various Stages of Life. 25 next to a State of Dissolution. And thus the Extremities of the Vessels will be ren- der'd much finer and weaker, and little different from Fluids. Whilst therefore this Motion perpetually proceeds in a continual Propulsion, it must necessarily happen, that the last Particles of these very fine Tubes being worn away, will again put on the form of a Liquid, in what- ever Part of the Body they remain; and then the smallest Parts, which compose the finest Fibres, by their Union will be so mutually separated from one another, as to leave small Intervals in those Places where they before grew together; and this will constantly hap- pen every where, as long as Life continues, especially where it is strong, and the Action of the Body violent. But the same Humour wherein all this happens, contains a great many such Particles as were separated or lost, which it carries, ap- plies, and adapts to these very Intervals, with that very Force with which it endeavours to break the Vessels, and then fixes, fits and fastens those intercepted Particles in these Cavities; so that they grow together as the former: for the Matter, the Preparation and Application thereof, with the Force of Mo- tion, will always continue the same; and therefore what is lost will be easily restor'd, and so the solid Parts remain as they were, that is, they are nourish'd and preserv'd con- tinually, And 26 A GUIDE to HEALTH Part I. And this shews the wonderful Wisdom of our Maker, that the same Cause which in- evitably destroys, shall also at the same time repair the Structure of our Frame; and that too according to this Rule, that the greater the Loss, the larger shall be the Supply; and that those Parts, which by the Actions of the Body are first worn, are always the first sup- plied. It is plain then, that the more tender those Vessels are, the newer, and the nearer to the moving Cause, so much the easier they are stretch'd, distended, destroy'd, and re- new'd; and consequently, the nearer our Bodies are to their Origin, the more they grow and increase. Whilst this Action goes forwards, the greater Vessels are more distended by the Li- quor they contain; but at the same time, the small Vessels, which being interwoven, com- pose the Membranes of the greater, are more compressed, dried, and grow nearer together which adds Strength to the Fibres, at the Expence of vascular Property; so that in time our Vessels turn to hard Ligaments, and the Humours become firm and solid. By a Concurrence of these Causes, the Solids be- come strong, hard, stiff and thick. There- fore the vast number of Vessels that are in an Embryo, gradually decrease as Age comes on; and for the same reason, on the other hand, as Weakness decreases, Strength increases; and so in young Persons, the Quantity and Vigour Ch. II. thro' the various Stages of Life. 27 Vigour of the Humours exceed that of the Solids; but in old People, the Solids in Quantity and Strength exceed the Liquids; from whence plainly appears the manner of the Increase, Decrease, and Death of the Body, merely from old Age, with the Causes and different Appearances thereof. Whoever therefore considers this whole Account, and then compares these Accidents which happen to the Body therewith, will clearly perceive this to be the State of the Case; for the whole Cuticle every where per- petually scales off, perishes, and renews again; the Hair, Nails, Teeth, shav'd, par'd, cut off or wore, grow afresh; and Parts of the Vessels and Bones taken away, in a short time return on every side; and if the Filth in the Extremities of the Vessels throughout the whole Body, that is either worn off, or collected there by Exhalation, be view'd in Water with a Microscope, after being eva- porated or diluted, it appears to consist of Solids and Fluids; and the same when ob- tain'd by Washing, Rubbing, or Abrasion, ex- hibit the like Appearance. From hence appears the Reason why the Fabric of our Solids is not dissolv'd by the liquid Contents; and why our Machine con- tinues so long fit for Motion; why, when the Nerves are by any means corrupted, the Part to which they lead, loses its Nourish- ment; why in an Embryo there are no So- lids, in a Fœtus few, and in very old People a 28 A GUIDE to HEALTH Part I. a vast many; so that even the Nerves, Ten- dons, Arteries, and Receptacles in those, first become cartilaginous, and then bony. It is therefore evident from the foregoing Particulars, that the two internal Causes of our Dissolution already mention'd, viz. The Contrariety of the Principles of our Fabric, and the animal Actions or Functions of the human Body, are born, grow, and are nou- rish'd with us, and that, gradually and in- evitably, they bring on Old Age, and destroy the Body at last: nor can all the Physicians in the World guard us against them; for the great Promises made with Assurance, as to the Prolongation of Life for so many hun- dreds of Years, are vain and imaginary, be- ing unsupported both by Reason and Expe- rience: Of this Tribe are Van Helmont's Primum Ens, Paracelsus's Elixir Proprie- tatis; the Primum Ens of Animals; all those precious Liquors, that potable Gold, those Conserves of Rubies, Emeralds, Elixirs of Life; that fabulous Fountain, that was reported to make People grow young, can- not hinder us from Decay and Old Age. Nor is it likely that Life should be prolong'd even by the best Methods in Nature, so many Years as the Chymists pretend by their Art; but their own Experience is a Proof of their Temerity and Inability herein. There are other Causes of our Dissolution, which are external, and likewise inevitable; for as our Bodies consist of three dissipable Sub- Ch. II. thro' the various Stages of Life. 29 Substances, one of which is subtile and airy, the second liquid, and the third solid; so we must necessarily have something that pro- ceeds from without us, in order to repair them, otherwise our Lives could subsist but a few Minutes. That which repairs our Substance is called Aliment, and is threefold. Air, Meat, and Drink; the first nourishes the spirituous Sub- stance, the second the Liquid, and the third the solid Substance. But this triple Aliment, tho' never so pure, has yet always something unlike our Nature, which can never be assimilated to either our Juices or Solids, which must then become excremen- titious; and where an Excrement is genera- ted, and being detain'd in the Body, con- sequently alters it, and causes an infinite number of Diseases; by which means our Bodies are variously chang'd and affected, and often finally brought to an intire Disso- lution. I pass over all the other external Causes, such as too violent Exercises, an unactive and sedentary Life, long and continual Watch- ings, those Passions of the Mind which are most capable of making us grow old, as Fear and Sadness, &c. I say nothing likewise of all accidental Causes, such as Wounds, Fractures, &c. I have only endeavour'd to demonstrate, that the living Creature must necessarily grow old and decay; that he nourishes the natural Causes of Death in himself, and that there I are 30 A GUIDE to HEALTH Part I. are likewise some external ones, which are inevitable. I thought proper to insert in this Place a Chronological and Historical succinct Account of long Lives, from before the Flood down to the present time; with a true and short Character or Elogy of each, faithfully col- lected from the Records of both sacred and profane History; which perhaps, may prove useful as well as entertaining to the Reader. Herein he will observe, not only the Ne- cessity of Temperance towards attaining long Life, but that the length of Life by the running on of Ages, or Succession of Generations, has not in the least abated, from the Time of Moses to our present Days; for the Term of Man's Life has stood near about fourscore Years of Age ever since, as will appear by the following Account. CHAP. III. An Historical Account of Long Lives from the Creation to the present Lime. BEFORE the Flood, Men liv'd many hundred Years, as the Holy Scriptures relate; yet none of the Fathers attained to the Age of a thousand. Neither was this length of Life peculiar only to Grace, or I the Ch. III. thro' the various Stages of Life. 31 the holy Line; for there are eleven Genera- tions of the Fathers reckon'd to the Flood, but of the Sons of Adam by Cain, only eight Generations; so that the Posterity of Cain seems to have liv'd longer. But this length of Life, immediately after the Flood was reduc'd to one half, in the Post-nati only: for Noah, who was born before the Flood, equalled the Age of his Ancestors; Shem also lived six hundred Years. Afterwards, three Generations from the Flood being ran, the length of Man's Life was brought down to a fourth Part of the Primitive Age, that is, to about two hundred Years. Abraham lived a hundred and seventy-five Years, a Man of great Virtue, and was ab- stemious, and prosperous in all things. Isaac arriv'd at the Age of an hundred and eighty Years; a chaste Man, who enjoy'd more Quietness than his Father. But Jacob, after many Crosses, and a numerous Progeny, liv'd a hundred and forty-seven Years; a patient, gentle, religious, and wise Man. Ishmael, a military Man, liv'd an hundred thirty-seven Years, and always observ'd Temperance to be his only Guide for obtaining Health and long Life. Sarah, whose Years only amongst her Sex are recorded, died in the hundred and twenty- seventh Year of her Age: she was a beautiful and virtuous Woman, a singular good Mo- ther and Wife, and yet no less famous for the Liberty from, than Obsequiousness towards her 32 A GUIDE to HEALTH Part I. her Husband. Joseph also, a prudent and politick Man, passing his Youth in Affliction, afterwards advanc'd to the Height of Ho- nour and Prosperity, liv'd an hundred and ten Years; he was sober, chaste, and reli- gious Man. But his Brother Levi, who was older than him, attain'd to an hundred thirty- seven Years; he was a Man that was revenge- ful, and impatient of Reproach or Affront, yet always temperate and moderate in his eat- ing and drinking. His Son liv'd almost to the same Age, as also his Grand-child, the Fa- ther of Aaron and Moses: they were both strictly moderate in their way of living. Moses liv'd an hundred and twenty Years; a stout and virtuous Man, yet the meekest upon Earth, but of very slow Speech; how- ever he pronounces, that the Life of Man is but seventy Years; but if of a more than or- dinary Strength, eighty; which seems gene- rally to be the Term of Man's Life even at this Day. Aaron, who was three years elder, died the same Year with his Brother Moses: he was a Man of a readier Speech, and of a more easy Disposition, but less constant; he was religious, abstemious, and moderate in his Actions of Life. Phineas, Grand-child of Aaron, out of extraordinary Grace, may be collected to have liv'd three hundred years; if so be that the War of the Israelites against the Tribe of Benjamin, in which Expedi- tion Phineas was consulted, was perform'd in the Ch. III. thro' the various Stages of Life. 33 the same order of Time in which the Hi- story has ranked it; he was a Man of most eminent Zeal and Virtue. Joshua, a martial Man, and an excellent Commander, and always victorious; yet he was religiously sober and moderate, and lived to be an hundred and twenty Years of Age. Caleb, who observ'd Temperance, was his Contemporary, and seems to have lived as long as he did. Ehud the Judge, liv'd to the Age of an hundred Years; for after the Victory over the Moabites, the Holy Land remain'd under his Government eighty Years; he was a bold and an undaunted Man, and one that in a great measure neglected his own Life for the good of his People, and was like- wise a strict Observer of Temperance. Job liv'd after the Restauration of his Happiness, an hundred and forty Years, being before his Afflictions of such an Age, as to have Sons at Man's Estate; he was a politick Man, eloquent and charitable, and the true Emblem of Patience. Eli the Priest liv'd ninety-eight Years; a corpulent Man, and of a calm Disposition, and indulgent to his Children. But Elizeus the Prophet seems to have died when he was above an hundred Years old; for he is found to have liv'd after the Assumption of Elias sixty Years, and at the time of that Assumption he was of those Years, that the Boys mock'd him, by the Name of Bald- head; he was a severe and vehement Man C against 34 A GUIDE to HEALTH Part I. against Vice and Luxury, and a Contemner of Riches. Isaiah the Prophet seems to have liv'd to the Age of an hundred Years; for he is found to have exercised the Function of a Prophet seventy Years together, the Years both of his beginning to prophecy, and of his Death, being uncertain; he was a Man of admirable Eloquence, and an evangelical Prophet, full of the Promises of God, and of the New Testament, as a Bottle with sweet Wine. Tobias the elder, liv'd an hundred fifty- eight Years; the younger, an hundred and twenty-seven; both of them were merciful Men, and great Alms-givers; they were like- wise abstemious and moderate in all their Actions. It seems, that in the Time of the Capti- vity, many of the Jews who return'd out of Babylon, liv'd to great Ages, seeing they could remember both the Temples, there be- ing no less than seventy Years between them, and wept for the Unlikeness of them. Many Ages after that, in the Time of our Saviour, liv'd old Simeon, to the Age of ninety Years; a devout Man, and full both of Hope and Expectation. Also Anna the Prophetess, who could not possibly be less than an hun- dred Years old; for she had been seven Years a Wife, about eighty-four years a Widow, besides the Years of her Virginity, and the Time that she liv'd after her Prophecy of our Ch. III. thro' the various Stages of Life. 35 our Saviour; she was a holy Woman, and passed her Days in Fasting and Prayer. As to the long Lives mention'd in Heathen Authors, they have no Certainty in them, both for the intermixture of Fables, to which these kind of Relations were very liable, and for their false Calculation of Years. And we find nothing of Moment of the Egyptians in those Works that are extant, concerning the length of Lives; for their Kings, who reign'd longest, did not exceed fifty, or live and fifty Years, which is no great Matter, since many at this Day live to those Years. But the Arcadian Kings are fabulously re- ported to have liv'd very long; and, as that Country was Mountainous, full of Flocks of Sheep, and produc'd most wholsome Food; but when Fable is the only Guide, there can be no Certainty. Numa King of the Romans liv'd to the Age of eighty; he was a peaceable and con- templative Man, and much devoted to Reli- gion. Marcus Valerius Corvinus compleated an hundred Years, there being forty-six Years between his first and sixth Consulship; he was a Man full of Courage, affable, popu- lar, and always fortunate and sober, observ- ing constantly a cool and moderate Diet. Solon of Athens, the Law-giver, and one of the seven Wise Men, liv'd above eighty Years; a Man of high Courage, popular, and well affected to his Country; he was also C2 learned, 36 A GUIDE to HEALTH Part. I. learned, given to Pleasures, but always mo- derate in his Diet. Epimenides the Cretan is reported to have lived an hundred and fifty- seven Years: this Matter is mix'd with a prodigious odd Relation; for he is said to have slept fifty-seven of those Years in a Cave. Half an Age after, Xenophanes the Colopho- nian lived an hundred and two Years, or ra- ther more; for at the Age of twenty five Years he left his Country, seventy-seven com- plete Years he travel'd, and after that return'd: A Man no less wandering in Mind than in Body; for his Name was chang'd, for the Madness of his Opinions, from Xenophanes, to Xenomanes; a Man no doubt of a vast Conceit, and that minded nothing but Infinitums. Pindarus, the Theban, lived to eighty Years. He was a Poet of an high Fancy, singular in his Conceits, and a great Adorer of the Gods, but a sober Man. Sophocles, the Athenian, attain'd to the like Age; a lofty tragick Poet, given over wholly to Writing, and neglectful of his own Family. Artaxerxes, King of Persia, lived ninety- four Years; a Man of dull Wit, averse from the Dispatch of Business, desirous of Glory, but rather of Ease. At the same time lived Agesilaus, King of Sparta, to eighty-four Years of Age; a moderate Prince, as being a Philosopher amongst Kings; but notwith- standing ambitious, and a Warrior, and no less stout in War than in Business. Gorgias, Ch. III. thro' the various Stages of Life. 37 Gorgias, the Sicilian, was an hundred and eight Years old. He was a Rhetorician, and a great Boaster of his Faculty, one that taught Youth for Profit. He had seen many Countries; and, a little before his Death, said, that he had done nothing worthy of Blame since he was an old Man. Protagoras of Abdera lived ninety Years: This Man was likewise a Rhetorician; but profess'd not to teach so much the liberal Arts, as the Art of governing Commonwealths and States; not- withstanding he was no less a Wanderer in the World than Gorgias already mention'd. Isocrates, the Athenian, lived ninety-eight Years: He was likewise a Rhetorician, but an exceeding modest Man, one that shun'd the publick Light, and open'd his School only in his own House. Democritus, of Abdera, reach'd to an hundred and nine Years: He was a great Philosopher, and, if ever any Man amongst the Grecians, a true Naturalist; a Surveyor of many Countries, but much more of Nature. He was also a diligent Searcher into Experiments, and, as Aristotle objected against him, one that follow'd Similitudes more than the Laws of Arguments. Diogenes, the Sinopean, lived ninety Years, was a Man that used Liberty towards others, but Tyranny over himself; he lived upon a coarse Diet, and was a Pattern of Patience. Zeno, of Citium, wanted but two Years of an hundred; a Man of high Mind, and a Contemner of other Men's Opinions. He C3 was 38 A GUIDE to HEALTH Part I. was also a Man of great Acuteness, but yet not troublesome, chusing rather to take Men's Minds than to enforce them; the like where- of happen'd afterwards in Seneca. Plato, the Athenian; attain'd to eighty-one Years; a Man of great Courage, but yet a Lover of Ease. He was in his Notions sub- lime and full of Fancy, neat and delicate in his Life, rather calm than merry, and one that carried a kind of Majesty in his Counte- nance, and a strict Observer of Moderation in his Diet. Theophrastus, the Ethesian, lived eighty Years; a Man of sweet Eloquence, and sweet also for the Variety of his Subjects, and who selected the pleasant Things of Philosophy, and let the bitter and harsh go. Carneades of Cyrene, many Years after, attain'd to the like Age; a Man of fluent Eloquence, and one who, by the acceptable and pleasant Variety of his Knowledge, delighted himself and others. But Orbilius, who lived in Cicero's time, no Philosopher nor Rhetorician, but a Grammarian, lived to the Age of an hundred Years. He was first a Soldier, then a School- master; a Man by Nature tart both in his Tongue and Pen, and severe towards his Scholars. Quintus Fabius Maximus was Augur sixty- three Years, which shew'd him to be above eighty Years of Age at his Death; tho' it is true, that in the Augurship Nobility was more respected than Age. He was a wise Man, Ch. III. thro' the various Stages of Life. 39 Man, and a great Deliberator, and in all his Proceedings moderate, not without Affability, severe. Masinissa, King of Numidia, lived ninety Years; and, being more than eighty- five, got a Son. He was a daring Man, and trusting to his Fortune, who in his youthful Days had tasted of her Inconstancy; but in his succeeding Age was constantly happy. But Marcus Porcius Cato lived above ninety Years of Age; a Man of an Iron Body and Mind. He had a bitter Tongue, and loved to cherish Factions. He was given to Hus- bandry, and was, to himself and his Family, a Physician. Terentia, Cicero's Wife, lived an hundred and three Years. She was a Woman afflicted with many Crosses; first with the Banish- ment of her Husband, then with the Diffe- rence betwixt them, and lastly with his last fatal Misfortune. She was also very often troubled with the Gout. Luccica, the Actress, must needs exceed an hundred by many Years; for it is said, that she acted a whole hundred Years upon the Stage; at first perhaps representing the Person some young Girl, and at last of some old decrepit Woman. Galeria Copiola, a Player also and Dancer, was brought upon the Stage very young, but in what Year of her Age is not known; and ninety-nine Years after, at the Dedication of the Theatre by Pompey the Great, she was shewn upon the Stage again; not now for C4 an 40 A GUIDE to HEALTH Part I. an Actress, but for a Wonder; neither was this all, for after that she was shewn a third time upon the Stage in the Solemnities ce- lebrated for the Health and Life of Augustus. She is reckon'd to have liv'd sober and vir- tuous from her Youth. There was another Actress somewhat in- ferior in Age, but much superior in Dignity, who liv'd very near ninety Years, I mean Livia Julia Augusta, Wife of Augustus Cæsar, and Mother to Tiberius (for if Au- gustus's Life was a Play, as he himself would have it, as when upon his Death-bed he charg'd his Friends that they would give him a Plaudite after he was dead) certainly this Lady was an excellent Actress, who could carry it so well with her Husband, by a dis- sembled Obedience, and with her Son, by Power and Authority; she was an affable Woman, and yet of a Motherly Carriage, pragmatical, and upholding her Power. But Junia, the Wife of Caius Cassius, Sister to Marcus Brutus, was also ninety Years old; for she surviv'd the Philippic Battle sixty- four Years. She was a magnanimous Woman, in her great Wealth happy; in the Calamity of her Husband and near Relations, and in a long- Widowhood, unhappy; yet much ho- nour'd by all, for her Sobriety and Virtue. The Year of our Lord seventy-six, hap- pening in the time of Vespasian, is memora- ble, in which we shall find as it were a Ca- lendar of long Lives; for that Year there was Ch. III. thro' the various Stages of Life. 41 was a Taxing; (now Taxing is the most au- thentic and truest Informer as to People's Ages) and in that Part of Italy which lies between the Apennine Mountains and the River Po, there were found an hundred and twenty-four Persons, that each of them ei- ther equalled or exceeded an hundred Years of Age; namely, fifty-four Persons of an hun- dred Years each; fifty-seven Persons of an hundred and ten; two only of an hundred and twenty-five; four Men of an hundred and thirty; four more of an hundred and thirty-five or seven; three Men of an hun- dred and forty. Besides these, Parma in particular pro- duc'd five, whereof three fulfilled an hun- dred and twenty years each, and two an hundred and thirty. Bruxels produc'd one of an hundred and twenty-five years old, Placentia one aged an hundred and thirty- two. Faventia one Woman, aged an hun- dred and thirty-two. A certain Town situ- ated in the Hills about Placentia, then called Velleiacium, afforded ten, whereof fix ful- filled an hundred and ten Years each, and four an hundred and twenty Years of Age each. Lastly, Rimino one of an hundred and fifty years, whose Name was Marcus Aponius. And it will not be amiss to ac- quaint the Reader here, that all upon this foregoing List observ'd Temperance and So- briety during most part of their Lives. As 42 A GUIDE to HEALTH Part I. As there are but few found among all the Grecian, Roman, Gallick and German Em- perors to our Days, that have lived to the Age of fourscore Years, and none that ex- ceeded ninety; I will not therefore trouble the Reader with any farther Account of them, but proceed to the Princes of the Church. St. John, an Apostle of our Saviour, and the beloved Disciple, liv'd ninety-three Years; he was rightly denoted under the Emblem of the Eagle, for his piercing Sight into the Divinity, and was as a Seraphim among the Apostles, in respect of his burning Love. St. Luke the Evangelist compleated eighty- four Years; an eloquent Man, and a Tra- veller; St. Paul's inseparable Companion, and a Physician. Simeon the Son of Cleo- phas, called the Brother of our Lord, and Bishop of Hierusalem, liv'd an hundred and twenty Years, tho' he was cut off at last by Martyrdom; he was a stout Man, constant, and full of good Works. Dionysius Areopagita, Contemporary to St. Paul the Apostle, liv'd ninety Years; he was called the Bird of Heaven for his sub- lime Divinity, and was famous as well for his holy Life, as for his Meditations. Aquila and Priscilla, first St. Paul's Hosts, and afterwards his Fellow-helpers, lived together in happy Wedlock at least to an hundred Years of Age apiece; for they were both alive under Pope Xystus the first; a noble Pair, Ch. III. thro' the various Stages of Life. 43 Pair, and prone to all kinds of Charity, who among their other Comforts, which doubt- less were great to the first Founders of the Church, had this added, to enjoy each other so long in a happy married State. St. Paul the Hermit lived an hundred and thirteen Years; his Diet was so slender and strict, that it was thought almost im- possible to support human Nature therewith; he passed his Days in a Cave, only in Medi- tations and Soliloquies, yet he was not illi- terate, or an Idiot, but learned. St. Hie- rome, by the Consent of most Writers, ex- ceeded ninety Years of Age; a Man power- ful in his Pen, and of a manly Eloquence, variously learn'd, both in the Languages and Sciences, also a Traveller, and lived strictly to- wards his old Age in a private State, and not dignified; he had high Spirits, and shined far out of Obscurity. St. Anthony the Monk lived to the Age of an hundred and five Years; his Life was au- stere and mortifying, notwithstanding he lived in a kind of glorious Solitude, and ex- ercised a Command, having his Monks under him, and besides many Christians and Phi- losophers came to visit him as a living Image worthy of their Veneration, on account of his holy Life and pious Works. St. Athanasius exceeded the Term of eighty Years; he was a Man of invincible Constancy, commanding Fame, and not yielding to the Frowns of Fortune; he was free towards the Great, 44 A GUIDE to HEALTH Part I. Great, gracious and acceptable to the People, wise and couragious in delivering himself from Oppositions, and always leading an abstemi- ous and religious Life. The Popes of Rome are in number to this Day 246; but of so great a number, few only have attain'd to the Age of 80, or up- wards, as I could find recorded in History: yet the full Age of twenty-eight of the first Popes was intercepted by the Prerogative and Crown of Martyrdom. John, the twenty-third Pope of Rome, ful- filled the ninetieth Year of his Age; he was abstemious and frugal, an Enemy to Luxury, and acquir'd a good deal of Riches and Trea- sure for the Support of the Church; he al- ter'd many Things much for the better. Gregory the twelfth, created in Schism, and not fully acknowledg'd Pope, died ninety Years old; of him, in respect of his short Papacy, there is nothing found in History to make a Judgment upon, but that he liv'd strictly virtuous and abstemious. Paul the third lived eighty-one Years; he was a temperate Man, and of profound Wis- dom and Learning, greatly skill'd in Astro- nomy, and always careful of his own Health. Paul the fourth liv'd eighty-three Years; he was a Man naturally tart, and somewhat severe, and a little prone to Anger; his Speech was eloquent and ready, his Diet was always lean, thin, and cool, by which means he kept Ch. III. thro' the various Stages of Life. 45 kept his Passions under Subjection, and ar- riv'd at that good old Age with all his Senses. Gregory the thirteenth liv'd to the same Age, and was absolutely a good and great Man, found in Mind and Body, politick, tem- perate, religious, full of good Works, and a great Alms-giver. The following Instances are more promis- cuous in their Order, and more doubtful as to the Certainty of their Ages. King Argan- thonius, who reigned at Cadiz in Spain, live an hundred and forty Years, according to some Historians, of which he reigned eighty Years. Cyniras King of Cyprus, living in the Island then called the happy and pleasant Island, is affirmed to have lived an hundred and sixty Years. Two Latin Kings in Italy, the Father and Son, are reported to have lived, the one eight hundred Years, and the other six hundred: But this Account is de- liver'd unto us by certain Philologists, who tho' otherwise credulous enough, yet they themselves have suspected the Veracity of this matter. Others record some Arcadian Kings to have lived three hundred Years; the Coun- try no doubt is a Place apt for long Life, but the Relation is justly suspected to be fabu- lous. One Dando, in Illyrium, is reported to have lived without the Inconveniency of Old-Age, to five hundred Years; but the ju- dicious Reader will make the necessary Al- lowance. Hippocrates 46 A GUIDE to HEALTH Part I. Hippocrates of Côs, the Prince of Physici- ans, lived an hundred and four Years, or ac- cording to some, an hundred and nine: He was skill'd in the several Particulars requisite for the Knowledge of Physick, and provided with numerous Observations of his own, composed out of the whole a System of Physick, and was the first that truly deserved the Title of Physician; He joined Learning and Wisdom together, was most conver- sant in Experience and Observation, and did not hunt after Words, but severed the very Nerves of Science, and so taught them. Enphrtœnor the Grammarian grew old in his School, and taught when he was an hun- dred Years old. Seneca, according to some accounts, lived to an hundred and fourteen Years of Age. But Joannes de Temporibus, among all the Men of our latter Ages, according to common Fame and vulgar Opi- nion, lived the longest, even to a Miracle; his Age being reputed to be above three hundred Years: He was a Native of France, and followed the Wars under Charles the Great. Among the Venetians there have been found a great many long Livers, and those of the more eminent fort of the People; but the most memorable is that of Cornaro, who being in his Youth a sickly Person, be- gan first to eat and drink by measure, to a certain Weight, to recover his Health there- by; this Cure, by Use, turn'd into a Diet, that Ch. III. thro' the various Stages of Life. 47 that Diet into an extraordinary long Life, even of an hundred Years and better, with- out any Decay in his Senses, and a constant Enjoyment of his Health. In latter times, William Postell, a French Man, lived to an hundred and twenty Years; he was a Man somewhat crazy, and of a Fancy not altogether sound, a great Travel- ler and Mathematician. Henry Jenkins, a Yorkshire Man, attain'd the Age of one hundred sixty-nine Years; he was twelve Years old when the Battle of Flowden-field was fought, which happen'd upon the 9th of September, in the Year of our Lord 1513, and departed this Life the 8th of December 1670, at Ellerton upon Swale, This Henry Jenkins was a poor Man, could neither Read nor Write; there were also four or five in the same Parish where he then liv'd, that were reputed all of them to be an hundred Years old, or within two or three Years of it, and they all affirm'd he was an elderly Man ever since they knew him, for he was born in another Parish, and before any Registers were in Churches, as it is thought. In the last Century of his Life be was a Fisherman, and used to wade in the Streams. His Diet was coarse and sower, but towards the latter End of his Days, he begg'd up and down. He hath sworn in Chancery and other Courts to above 140 Years Memory, and was often at the Affixes at York, whither he generally went on foot. It 48 A GUIDE to HEALTH Part I. It was likewise affirm'd by some of the Country Gentlemen, that he frequently swam in the Rivers after he was past the Age of an hundred years. * Thomas Parr was a poor Countryman of Shropshire, whence he was brought up to London by Thomas Earl of Arundel and Surry, and died at the Age of 152 Years, 9 Months, after surviving nine Princes. Nov. 6, 1635, being open'd after his Death by Dr. Harvey, his Body was found still very fleshy, his Breast hairy, his Genitals unimpaired, and they served to confirm the Report of his having undergone public Censures for his In- continency. At the Age of one hundred and twenty he married a Widow, who owned he acted the Part of a Man, and that for twelve Years after. He had a large Breast, Lungs not fungous, but sticking to his Ribs, and distended with much Blood; his Face livid, having had a Difficulty of breathing a little before his Death, and a lasting Warmth in his Arm-pits and Breast after it. His Heart was great, thick, fibrous and fat; the Blood in the Heart blackish and diluted, the Carti- lages of the Sternum not more boney than in others, but flexible and soft; his Viscera were sound and strong, especially his Stomach; and it was observ'd of him, that he used to eat often both by Day and by Night, taking up with old Cheese, Milk, coarse Bread, * An Abstract of Dr. Tancred Robinson's Letter, giving an Account of Jenkins's Age. Small- Ch. III. thro' the various Stages of Life. 49 Small-beer, and Whey; and which is more remarkable, he eat at Midnight a little be- fore he died. All his inward Parts appear'd so sound, that if he had not chang'd his Diet and Air, he might in all Probability have liv'd a great while longer. His Brain was en- tire and firm; and tho' he had not the Use of his Sight, or of his Memory, several Years before he died, yet he had his Hearing and Apprehension very well, and was able, to the 130th Year of his Age, to do any Husband- man's Work, even Threshing of Corn. * Francisco Lupatsoli, a Venetian Consul at Smyrna, lived 113 Years, and had by his Wives and other Women, fifty Children; he drank nothing but Water and Milk, some- times a small Sherbet; his usual Diet was small Soups of Flesh, sometimes of Bread, Water and Figs. He saw at that Age with- out Spectacles, and could bear well; he drank neither Tea, Coffee, Chocolate, nor any fermented Liquor, as Mr. Ray, then En- glish Consul there, relates; and farther adds, that he saw a Tooth cut in his upper Gum that great Age. In the Life of the great Aurengzebe, one of the late Moguls, we have such a nota- ble and shining Example of Abstemiousness, Continency, and many other Virtues, as may well recommend this Royal Infidel to the Admiration and Imitation of all Christian Princes upon Earth; wherefore I make no D Doubt * Phil. Trans. No. 44. p. 886. 50 A GUIDE to HEALTH Part I. Doubt but the following Account of that Emperor will no less instruct, than entertain the Reader. There was no Part then of this great Prince's Time, which he did not assign to some useful Purpose; for early in the Morn- ing, before break of Day, he bathed, and spent some Hours at his Devotions; then having eaten a little Rice or Sweat-meats, he shut himself up with his Secretaries, and before Noon he gave publick Audience to his Sub- jects; after which he pray'd again, and then went to Dinner, his Table being furnish'd only with Rice, Herbs, Fruits, or Sweet- meats, for neither Flesh or Fish, or any strong Liquors were ever brought before him. In the Afternoon he gave Audience again, which being over, he prayed a third and a fourth time; and the remainder of the Day, till two Hours after it was dark, he spent in the private Concerns of his own Family; then he supp'd, and slept afterwards only three Hours, after which, it is said, he read the Al- coran, and pray'd all the remaining Part of the Night. And here we have a remarkable Instance of what vast Advantage an abste- mious regular Course of Life is towards pro- curing Health and long Life, and rendering a Prince always fit for the most important and intricate Affairs; for this Emperor, not- withstanding he was an indefatigable Hearer of Causes, and constantly directed the Af- fairs of so vast an Empire, and conquer'd se- veral Ch. III. thro' the various Stages of Life. 51 veral large Kingdoms, lived without con- tracting any Distemper; neither his Judg- ment, Memory, or other Senses, were at all impair'd when he was ninety Years of Age. Aurengzebe, it is true, had several hundreds of fine blooming Girls in his Haram, or Seraglio, as all Eastern Princes have; but these seem to have been kept only for State, or in Conformity with the Custom of the Country; for it is related of him, that even in his Youth, having singled out a young Lady in the Haram to lie with him one Night, and she had dressed and prepar'd herself to receive her Royal Lover, the King coming into the Apartment at the appointed Hour, instead of going to Bed, fell to read- ing, and between his Books and his Devoti- ons he passed the whole Night, without ever taking Notice of the expecting Lady. When the Eunuch came the next Morn- ing to acquaint the Emperor that his Bath was ready, which is ever used by the Maho- metans when they have been with their Wo- men, the Lady answer'd, There was no need of a Bath, for the Sultan, had not broke Wind, intimating that he had been at his Prayers; for if a Mahometan has the Mis- fortune to break Wind at his Prayers, then he immediately bathes, looking upon himself to be too much polluted to go on with his Devotions, till he has washed off the Impu- rity contracted by such an Accident. D2 From 52 A GUIDE to HEALTH Part I. From this short Account of the Life of a Mahometan Prince, we may learn an exceeding useful Lesson, worthy of being imitated by all Christian Princes and others, who value Health and long Life; for notwithstanding he was depriv'd of the Light of Gospel Truth, yet so strong were his Notions of a Supreme Being, that he most constantly and, fervently adored that Being, by which means he led a Life religiously abstemious, conquer'd and regulated the Surges of the rest of his Pas- sions, amidst so many Allurements and Temp- tations of numbers of fine blooming Ladies, vast Riches, Power and Grandeur, which he always had at his Will without Controul, and like a true Christian Hero, preferr'd the Ado- ration of his Creator, and the Preservation of his Health, to all the Pleasures which his vast Dominions and great Power could afford him. Richard Lloyd, born within two Miles of Montgomery, was aged 133 Years within two Months; he was a strong, strait, and upright Man, wanted no Teeth, had no grey Hairs, could hear well, and read without Glasses; he was fleshy, and full cheek'd, and the Calves of his Legs not wasted or shrunk, could talk well, and was of a tall Stature: his Food was Bread, Cheese, and Butter, for the most Part, and his Drink Whey, But- ter-milk, or Water, and nothing else; but being persuaded by a neighbouring Gentle- woman to eat Flesh Meat, and drink Malt Liquors, Ch. III. thro' the various Stages of Life. 53 Liquors, soon fell off and died. He was a poor labouring Man in Husbandry, and the Truth of his great Age has been confirm'd to Dr. Baynard and others, by a produc'd Copy of the Register. John Bailes of Northampton, was 128 Years and a half old when Dr. Baynard ex- amin'd him: he was a short broad-breasted Man; his Food was for the most part brown Bread and Cheese; he cared not much for Flesh Meats; he was never drunk in his Life, and his Drink was Water, Small-beer, and Milk. He told the Dr. that he had buried the whole Town of Northampton, except three or four, twenty times over; strong Drink, says the old Man, kills them all. He was a sensible old Fellow, and had no Dis- ease but Blindness, which Misfortune he did not experience above four or five Years be- fore his Death. Mr. Martin, in his Description of the Western Islands of Scotland, says, that Do- nald Roy, who lived in the Island of Sand, where they have neither Physic nor Physi- cian, died lately in the hundredth Year of his Age, and was able to travel and manage his Affairs till about two Years before his Death. He makes mention of one that died some Years before, aged one hundred and forty; and of another, who, they said, died at one hundred and eighty Years of Age. Mrs. Hudson, Mother to Mr. George Hud- son, a Sollicitor in Chancery, lived an hundred D3 and 54 A GUIDE to HEALTH Part I. and five Years, and then died of an acute Disease, by catching Cold: her Eyes were so very good, that she could see to thread a Needle at that great Age; her Food was little or nothing else all her Life-time, but Bread and Milk. Mr. Johnston, the Father of Dr. Johnston of Warwick, who was always a strong and lusty Man, died at an hundred and eleven Years: his usual Drink was Milk and Ale, or Milk and Small-beer mix'd together. An Inscription on the Tomb-stone of Margaret Scot, who died at Dalkeith, twelve Miles from Newcastle, Feb. 9, 1738. Stop, Passenger, until my Life you've read, The Living may get Knowledge by the Dead. Five times five Years I liv'd a Virgin Life, Ten times five Years I was a virtuous Wife; Ten times five Years I liv'd a Widow chaste, Now, tir'd of this mortal Life, I rest. I, from my Cradle to my Grave, have seen Eight mighty Kings of Scotland, and a Queen. Four times five Years the Common-wealth I saw. Ten times the Subjects rose against the Law. Twice did I see old Prelacy pull'd down, And twice the Cloak was humbl'd by the Gown. An End of Stuart's Race I saw: no more, I saw my Country fold for English Ore. Such Desolations in my Time have been, I have an End of all Perfection seen. 2 Margaret Ch. III. thro' the various Stages of Life. 55 Margaret Paten, born at Locknugh near Paisly in Scotland, died in St. Margaret's Workhouse Westminster, June 26, 1739, at the Age of one hundred thirty-eight Years, and enjoy'd the Use of all her Senses to her very last Hours. She lived the most Part of her Life upon Oat-bread, Butter, Milk, and Roots, especially in her own Country; but here in England she indulg'd herself with the moderate Use of Flesh, and fermented Liquors. January 1743, died at Ludlow in Shrop- shire, one Bright, aged one hundred and five, who had his Memory and Eye-sight to the last, insomuch that he could discern to pick a Pin off the Ground. He was called the se- cond old Parr, and was born and always liv'd in the same County; his Food was, for the most part, coarse Bread, Cheese, Milk, Butter, Small-Beer, of Water. February 1743, died in St. Luke's Work- house, London, Mrs. Agnes Milbourn, one hundred and six Years of Age; she had 29 Sons and a Daughter by one Husband, 20 of whom she has had following her to Church at a time for several Years, but out-lived all her Children and Grand-children, save only one Grand-son. She religiously observ'd Temperance, and always avoided the Use of Spirituous Liquors as Poison; her usual Drink was Milk, Ale, or Small-Beer. From these Instances it is manifest, that Milk is of a salubrious, safe and sweet Nou- D4 rishment, 56 A GUIDE to HEALTH Part I. rishment, as also by the many Nations be- fore and since the Flood, that eat much of it, and lived to great Ages, of which num- berless Examples may be found both in sa- cred and profane History, to confirm the Doctrine of Temperance and a cool Diet, as absolutely necessary to the Prolongation of Life; but, as Dr. Baynard rightly observes, if an Angel from Heaven should come down and preach it, one Bottle of Burgundy, or a full flowing Bowl of Bunchy would be of more Force with this Claret-stew'd d Gene- ration, than ten Ton of Arguments to the contrary, tho' never so demonstrable and divine. By what has been said thro' the Course of this Chapter, we see, that from the Time of Moses to our Days, the Term of Man's Life has stood much about the same Standard of Years, (a few Lives here and there being ex- cepted:) so it evidently appears, that the Con- tinuation and Number of Successions of Ge- nerations, make nothing to the Length or Shortness of Life, tho' a great many People imagine the contrary. It is certain however, that there are Times in all Countries, where- in People are longer or shorter liv'd: longer, for the most part, when the Times are barba- rous, and Men fare less deliciously, and are more given to bodily Exercises: shorter, when the Times are more civiliz'd, and People abandon themselves to Luxury and Ease. Therefore from what has been hither- to Ch. III. thro' the various Stages of Life. 57 to advanc'd, it is likewise evident to a De- monstration, that Temperance, moderate Ex- ercise, and a cool Diet, are absolutely requi- site for the Preservation of Health and long Life, as I shall shew more at large in the Sequel. The same, no doubt, happens in other li- ving Creatures; for neither Horses, Oxen, nor Sheep, are abridg'd of their usual Ages, even at this Day; and therefore the great Abridger of Age was certainly the Deluge; and perhaps some notable Accidents, such as Inundations, universal Droughts, Earthquakes, or the like, may produce the same Effect again. And the like Reason may be given, in re- gard of the Dimension and Stature of hu- man Bodies; for they are not lessen'd by the Succession of Generations, notwithstanding what Virgil (led by the vulgar Opinion) di- vin'd, that After-ages would bring forth less Bodies than those in his time; whereupon he says, Grandiaque effossis mirabitur ossa Se- pulchris; that is, After-ages shall admire the great Bones dug out of ancient Sepulchers. But tho' it is not denied that there were, some time before the Flood, Men of Gigantic Stature, (the Bones of such as, for certain, have been found in ancient Sepulchers and Caves in Sicily, and else where:) yet for these last three thousand Years, a Time whereof we have authentic Records, no such have been produc'd in those Places, nor indeed any where else; for which Reason it is evident, that they are very 58 A GUIDE to HEALTH Part I. very much mistaken, who are wholly carried away with an Opinion, that (by Succession of Ages) there is a continual Decay, as well in the Term of Man's Life, as in the Stature and Strength of his Body; and that all things decline, and change to the worse. Therefore, as the Succession of Generations contributes little or nothing, either to the Length or Brevity of Life, as appears from what has been said already, yet the imme- diate Condition of the Parents, without doubt, conduces very much to it; for some are be- gotten of old Men, some of young Men, some of middle-aged Men; again, some are begotten of healthful Fathers, and well dis- posed, others of diseased and languishing ones; again, some of Fathers after Repletion, or when they are drunk; others after Sleeping, or in the Morning; others again, after along Intermission of Venus, some upon the Act repeated; again, some in the Fervency of the Father's Love; others after the cooling of it, as happens in long-married People. The same things ought to be consider'd on the Part of the Mother; to which we must add her Condition during her Pregnancy, as concerning her Health, her Diet, and man- ner of living; the time of her bearing in the Womb, as to the seventh, eighth, ninth, or tenth Month. But to reduce all these things to a Rule, how far they concern long Life, is difficult; for those things which we often conceive to be the best fall out to the con- trary; Ch. III. thro' the various Stages of Life. 59 trary; as for Instance, that Alacrity in a Generation that begets lusty and lively Chil- dren, will be less profitable to long Life, be- cause of the Acrimony and inflaming of the Spirits, which soon dissipate, and leave the Body dry and wither'd: so that the best Rule is to use Moderation in all things, conjugal Love rather than an unlawful one; the best time for Generation being in the Morning, or after a due Concoction of our Aliments, and after Sleep, but never when the Body is in a languishing or sickly or too much fatigued. A GUIDE (60) A GUIDE to HEALTH, &c. Part II. INTRODUCTION. AS the principal and inevitable Causes of Old Age, and finally of our Dissolu- tion, are three, viz.* the Contrariety of the Principles of our Composition, the Actions in- separable from Life, called Animal Actions, and the Excrements, which are unavoidably engender'd by Aliment in our Bodies; there- fore we must (if we would preserve the Body in a good State, and guard ourselves against the too quick Approaches of old Age) dispose these three things in such a manner, that the Harmony and Union of our Princi- ples, which are called Temperament, be well Supported, that the Spirits which are dissi- pated every Moment be repair'd, and the Excrements retain'd in the Body be expell'd. All this may be easily obtain' by the means of a good Regimen, without the Assi- stance of any Medicine: and this Regimen com- prehends many things, which are all reduc'd * See the Explication of these three things at large, in Chap. II. Part. I. INTRODUCTION. 61 to fix general Heads. They are called, by the Physicians, Nonnaturals; because, if we manage them with Dexterity, and make proper use of them, they preserve Health, and may be called Naturals; but if they are abused, or fall short, or exceed a just Proportion in the least, they cause Distem- pers, and, in that Sense, may be said to be against Nature. These Nonnaturals are, Air, Meat and Drink, Sleeping and Watch- ing, Motion and Rest, Retention and Excre- tion, and the Passions of the Mind; of which I shall now discourse in order. CHAP. I. Of the Nature of AIR. IN order to account for the different Ef- fects, and Influence of Air upon Hu- man Bodies, in the following Discourse, it is necessary to premise in this Place, that Air, (according to its Nature, and the Idea we can form of it) is, that thin and invisible Fluid, in constant Motion, wherein we breathe and move, encompassing the Earth and Seas on every side, and containing the Vapours, Clouds, and other Meteors; the whole Body of which is called the * Atmo- sphere; * From the Greek Words, 'AΓμòs a Vapour, and εφûeα., a sphere; so that Atmosphere in English, is a round Body of Vapours; and such is the Air surrounding the Earth, as being constantly repleat with Vapours exhaled by the Rays Of the Sun. 62 A GUIDE to HEALTH Part II. sphere; and that it is the principal Instrument of Nature in all its Operations: for no Ve- getable, Animal, Terrestrial, or Aquatic can be produced, live, or grow without it: So that Air is the chief Instrument in the Genera- tion, Resolution, Accretion and Corruption of all terrestrial Bodies; for it is certainly true, that it enters into every Composition, more or less, of all Fluids and Solids, all which produce great Quantities of Air. The lower Parts of the Air, in which all Animals live and breathe, are impregnated with an infinite Variety of the Effluvia, Steams, and Particles of terrestrial, aqueous, metal- line, vegetable and animal Substances, which, by Attrition, become so small and light as to float in it. Hence it is evident, that the Air must be differently impregnated in different Places of the Surface of the Earth, which produce considerable Alterations in its State, whereby human Bodies are differently affect- ed, as will plainly appear heareafter. Water being an Ingredient of the Air, is continually exhaled, and as continually de- scends; for when the Air is overcharged with it, it returns again, and falls upon the Surface of the Earth, in Rain, Hail, Snow or Dew; but the Dew falls chiefly when the Sun is down. Earth, when calcined, flies off into the Air; and the Ashes of Vulcanos or burning Mountains: Likewise Salts of all kinds are ingredients of Air; for even fixed fossil Salts may Ch. I. thro' the various Stages of Life. 63 may be digested, and thereby rendered volatile, and evaporate into the Air. There are besides Particles of all Minerals whatever in the Air; even Gold, the most compact and heaviest of them, can be evaporated and exhaled into Air, as will be made appear in the latter End of this Chapter. The Smoke and Fumes which are raised by natural or artificial Fires, all vanish into the Air. The Steams of fermenting Liquors, and the poisonous Fumes of Mines, impreg- nated with sulphureous Exhalations, and combin'd with different Salts, or Metalline Particles, which are stinking, oily, and in- flammable, evaporate into the Air, and make up part of its Contents; which must neces- sarily so alter its Constitution, as to render it not only insalubrious, but even pernicious to every Animal that breathes in it. The watery Exhalations, with the fragrant and volatile Spirit of all Vegetables, being Ingredients of the Air, contribute very much towards its Salubrity, or Insalubrity, as well when growing, as when cut down and in a decaying State; for the most volatile parts of Vegetables will evaporate into the Air, by a Degree of Heat much less than that of Sum- mer; as is evident both by Chymistry* and the sense of our own Smelling; for spicy Odours are smelt at a great Distance from the Countries where the Spices grow; so that the Quantity of vegetable Perspiration must be very considerable in Summer-time; and by * Boerhaave Chem. vol. 2. Process. I. 64 A GUIDE to HEALTH Part II. by the Reverend Dr. Hale's * Experiments we are farther convinced, that Vegetables of all kinds perspire Particles which float in the Air, and are either wholsome or destruc- tive to human Bodies, according to their dif- ferent Qualities. Hence we may infer, that upon the account of the Perspiration of Vegetables, the Summer Air must be very different from that of the Winter. Animal Perspiration is another Ingredi- ent of the Air, as well as the Effluvia of all their other Excrements, which oftentimes in- fect that Part of the Atmosphere, as to pro- duce pestilential Diseases. The Perspiration of a human Body, according to Mr. Hale's, ‡ Computation, is about I-50 Part of a Inch in 24 Hours all over the Surface of the Body; and the Quantity of the Moisture, by Respi- ration from the Lungs, he computes at 9792 Grains, or I. 39, in 24 Hours; § the Surface of the Body he computes at 2160 square Inches, or 15 square Feet consequently the Surface of the Skins of 2904 such Bodies, would cover an Acre of Ground, and would make an Atmosphere of the Steams of their own Bodies about 71 Foot high in 34 Days, which would be- come Pestiferous in a Moment, if not dis- persed by Winds. The great Quantity of Animal Substances imbibed into the Air, farther appears from this, I that * Hale's Veg. Stat. p. 49, 50. ‡ Veg. Stat. p. II. Exp I. § Hæmast. p. 326. p. 328. Ch. I. thro' the various Stages of Life. 65 that all the Excrements of all the Carcasses of Animals, such as those that are burnt, those that are exposed later, and those that Are buried, in length of Time all vanish in- to Air at last, except a small Quantity of Bones, which turn into Earth. From hence we may infer, that living in great and populous Cities, or in Camps, or near Numbers of dead Carcasses in a hot or sultry Season, may infect that Air so far, as to dispose the People to putrid and malignant Fevers, of which we have several instances in History, too tedious to insert in this Place. And though Nature makes use of all pos- sible Means to preserve the Mass of this he- terogeneous Fluid, wherein we breathe, in a wholsome State; yet it must necessarily hap- pen, that the Air of particular Regions, Sea- sons and Places may differ very much in the Proportions of the Mixture of Ingredients already mentioned; so that such Air must affect human Bodies variously, by such Ex- cesses or Defects; For Air, when too moist, affects us with one Class of Diseases; and when too dry, with another. Air impreg- nated with the Effluvia of Animals, espe- cially of such as are rotting, has often pro- duced pestilential Diseases in that Place, as we find by Experience: for the Inhabitants of such Countries, where great Numbers of Men have been slain in Battle, and left unburied, were soon after infested with pestilential Distempers; as that which hap- E pened 66 A GUIDE to HEALTH Part I. pened * at Massanissa, where 80,000 Persons were destroyed, and at Utica, wherein 30,000 Persons died of the Plague. That menti- oned by ‡ Livy, which invaded the greatest Part of Italy, owed its rise to the dead Bodies of the Romans and Fidenates left unburied in the Field of Battle. The Plague mentioned by Ambrose Paree, 1562 §, was occasioned by Carcasses thrown into a Ditch. Great Quantities of dead Locusts driven into the Sea, by Winds, and from thence cast up in Heaps on the Shore by the Waves, produced the same Effects, as Diodorus Siculus relates: And likewise the Steams of great Quantities of corrupted Vegetables have produced the like Effects in their Neighbourhood. The Steams and Effluvia of human living Crea- tures are extremely corruptible, as has been observed already; and likewise the Water in which human Bodies wash and bathe, by keeping, smells cadaverous, a great part of which evaporates into the Air. From hence we may conclude, that it will be of the utmost Consequence to every one, to take care what kind of Air it is they sleep and wake, breathe and live in, and are per- petually receiving into the most intimate Union with the Principles of Life; for as the Air being attracted, received into our Bodies, and mixed with our Fluids every Instant * Sane. August, lib. 3. de Civit. Dei Cap. 31. ‡ Histor. Roman. § Lib. 21. de Peste. Ch. I. thro' the various Stages of Life. 67 Instant of our Lives, any ill Quality abounding in it, so continually introduced, must in Time cause fatal Effects in the Animal Oeconomy. The first Consideration then, in Building of Houses and Cities, should be* to make them open and airy, and well perflated; therefore we should never build upon high Hills, very near any great Confluence of Water, or in the Neighbourhood of any great Mines, near Beds of Minerals, or on marshy or mossy Foundations; but either in a champaign Country, or on the side of some small Eminence, sheltered from the North and East Winds, or upon a light gravelly Soil. The best Method of finding out the Nature of the Soil, will be known from the Plants and Herbs that it produces, and from the Nature of the Waters that spring out of it, which ought to be sweet, clear, light, soft and tasteless. All high Hills or Mountains are damp, for it is common to see it rain or snow on Mountains, when the Valleys below are clear, dry, and serene. All great Hills are Nests of Minerals, and Covers for Reservoirs of Rain- Water, and the Clouds are only great Fleeces of ratified Water floating in the Air, and these high Hills intercepting them, are com- pressed into Rain or Dew, and are con- stantly straining down the Chinks of the Mountains into the Sea and other Reser- voirs of Water; and Rain is allowed to be the Origin of Rivers and Fresh-Water E2 springs. 68 A GUIDE to HEALTH Part II. Springs. Moreover, these Mountainous Places are always exposed to great and almost con- tinual Winds; and where any great Con- course of Water is, the Air must needs be always damp there, because the Sun is per- petually exhaling Dews and Vapours from these Waters. Dew is another Ingredient of the Air, which is not mere Water, but a Collection of the watry, oily, saline, and volatile Sub- stances, exhaling and transpiring from the Earth, and are not to be seen, as long as they are agitated by the Sun, but in its Ab- sence, and as soon as the Air cools, they become visible; and as the Air is a thin or rare Body, it cools much sooner than the Earth, which continues to transpire this Substance after Sun-set; and a great deal of it falls down again in the Form of Wa- ter, by the Cold of the Night; for it is ob- servable, that when there is no Wind, there is a Coat of this Vapour generally to be seen Surface of the Earth. Dew then, being a Composition of all the Substances that are exhaled from that Tract of Earth, must of consequence be ve- ry different in different Tracts of Ground, for which Reason, according to the learned Boerhaave ‡, the Chymists can never agree about the component Parts of it; be- cause they make their Experiments upon Dows of different Places, and consequently of a different Nature of Ingredients; for in ‡ Chym. vol. I. pag. 471. Ch. I. thro' the various Stages of Life. 69 in some Places it produces such volatile and explosive Salts, as to break Glasses in Distil- lation; in others it stains the Glass like the Colours of the Rain-bow, which nothing can efface. In some Countries, as in Bermuda *, the Air being impregnated with corrosive Salts of different kinds, will corrode the Bricks and Tiles of Houses, and even rot the very Hangings in Rooms, as has been observed by many. The Perspiration of metalline acid Salts from certain Places of the Earth, which, upon the account of their Gravity, rise only to a certain Degree of Height, are exceedingly offensive when taken in by the Breath; for they either contract the Vesicles, or immediately coagulate the Blood in the smaller Vessels, which creep along the Surfaces of the little Aërial Bladders of the Lungs, that Are in immediate Contact with the outward Air; and such are those arsenical Steams in the Grotto Del Cane near Naples, and in some Mines in Carniola, Campania, and at the Cape of Good Hope. Of all the Collection of Ingredients in the Air, none are more pernicious to human Bo- dies, than Sulphurs; and also Charcoal Steams confined in close Places, such as Cellars and Caverns under-ground, will suffocate Ani- mals in a Moment; but when sulphureous Vapours abound too much, then kind Nature fets them on Fire by Lightning. Sulphureous E3 Vapours * Boerhaave Chym. vol. I. p. 494. 70 A GUIDE to HEALTH Part II. Vapours likewise infect Vegetables, and ren- der the Grass and Herbs very pernicious to the Cattle that feed upon it, as Mr. Jones * and others relate. The † Observations of the Learned made on several Mines, give an Account, how the sulphureous Steams and Vapours differently affect and frequently destroy the Miners who work in them; some fall into Convulsions, Faintings, Palsies, and apoplexies; others are instantly suffocated; and others again are kill'd by Explosion, resembling in its Nature that of Thunder or Gunpowder, as soon as the sulphureous Matter takes Fire: yet it must be allow'd, that Sulphur in itself, is neither un- wholsome nor unfriendly to the Lungs; for the Exhalations from Tracts of Earth abounds ing with Sulphur, are esteem'd wholsome in the open Air, such as those about the City of Naples; but it must be observ'd, that these Exhalations are in the free and open Air, and not in too great Abundance, and in all Probability unmix'd with any other perni- cious Salts, which those in Mines must be im- pregnated with. From what has been said already, in Page 65 and 66, it must follow, that the Air in great and populous Cities differs very much from that in the Country, and that it is from offensive Smells and Fumes, among other things, that Diseases are more fre- quent * Philos. Trans. vol. 2. p. 101. and likewise Philos. Trans. abridg. vol. 2. p. 180. ‡ Philos. Trans. vol. 2. p. 575. Ch. I. thro' the various, Stages of Life. 71 quent and more dangerous in the former than they are in the latter. Great Calms have often preceded the pestilential Constitutions of the Seasons; hence the close and confined Air of Prisons often produces mortal Diseases; and in Bays and Harbours,the Crews of Ships turn sickly, that would be healthy in the open Seas; and the great Mortality that is so often in Camps is chiefly owing to offensive Smells and Steams; for nothing contributes more to the Production of Distempers than the infected Air that they breathe in, occasion'd by the Filth which is the necessary Attendant of such Places; especially at Sieges, where the cor- rupted Particles of dead Bodies, both of Men and Beasts, fill the Air with an intolerable Stench. Besides, the Effluvia and Steams of Perspiration exhal'd into the Air, from the Bodies of Men and other Animals, must so charge that Air, as to encrease its Weight very much; and at the same time the Heat of the Camp will weaken its Spring so considerably, as to render it very unfit for Respiration; for thereby the Blood will remain unbroken in the Lungs, and so dispose the People to those Distempers, occasion'd by a Viscidity in the Blood; such as malignant Fevers, Dysenteries and Agues. According to the learned Boerhaave and others, the Eggs of Infects, and even Infects themselves very often are floating in the Air, and are so small as to be generally invisible by the Assistance of the best Microscopes, E4 which 72 A GUIDE to HEALTH Part II. which render the Air very unwholsome, and are often times the Cause of many grievous Diseases, being suck'd in with our Breath, and swallow' down with our Food; and the low and marshy Grounds are most commonly subject to be infected with them; for there we always find great Quantities of Flies and other Infects. Caterpillars and o- ther Infects, which eat up and destroy the Leaves of Trees and Plants, are proba- bly produced by the Eggs of those Infects floating in the Air; otherwise we cannot easily conceive how they can be generated in the Plants themselves. Historians relate, that there are Showers of Rain sometimes in Africk which affect the Inhabitants with Shiverings, and that there are Infects found in the Drops of these Showers; hence it appears that there are Infects in the Air, though not visible to the naked Eye: for it has been ob- serv'd, by the Help of Glasses, that in part of a Room illuminated with the Beams of the Sun, Flies are seen sometimes darting like Hawks upon a Prey. Tho' the Air on or near the Surface of the Earth is impregnated with an infinite Num- ber of heterogeneous Particles, as appears evi- dently by what has been said already; yet the wise Author of the Universe has so temper'd this Mixture, as to render it wholsome to all the Animals that live and breathe in it, except in some few accidental Cases; for doubtless pure Air without any such Ingredients would be Ch. I. thro' the various Stages of Life. 73 be very unfit for Animals and Vegetables to subsist in; therefore, in order to render salubri- ous this Element wherein we breathe, infinite Wisdom has so ordained, that the whole Mass is never overcharged with these Contents; for as human Creatures are unable to bear Ex- cesses of any kind, such as too much Heat, too much Dryness or Moisture, there is a con- tinual Circulation of Water and other Ingre- dients in the Air, and in mostPlaces the Air contains near the same Quantity of Wa- ter: for as the Sum of all the Force of the Sun upon the same Surface of Land and Water, and the Heat of the Surface of Earth within the Year is very near uniform, consequently the Quantity of Exhalation is the same: And as the Air has a Power of imbibing and su- staining only certain Quantities of Water with other Ingredients, and the Sum of all the Quantity that falls from the Air over the Surface of the Earth in Rain, Hail, Snow, and Dew, is the same; yet, by accidental Causes, such as Winds, the Stoppage of the Clouds by Tracts of Mountains, more of these Exhalations or Vapours may be carried and fall in one Place than another. This Water is again carried, by its natural Gra- vity, in Streams into the Sea, and other Reser- voirs of Water, and from thence again exhal'd, of which there is only left a sufficient Quantity for the Nourishment of Plants and Animals, the Perspiration of whose Bodies is again exhaled; and this Circulation is constantly main- 74 A GUIDE to HEALTH Part II. maintained and directed by the wise Order of Divine Providence. And all these different Ingredients of the Air are digested and atte- nuated by the Heat of the Sun, and they are constantly stirr'd and agitated by Winds, which mix the Air of different Regions together. There are likewise Fermentations in the Air, which are succeeded by violent Motions and Explosions in Thunder and Lightning; by which Means the redundant sulphureous Steams, and other pernicious Particles are destroyed and consumed in those Storms. The particular Causes of Thunder and Lightning seem to be nothing else than the Sun exhaling moist Particles into the Air, these condense and gather into Clouds, and when these inclose a Quantity of sulphureous, nitrous and bituminous Exhalations, and like- wise Salts of various Sorts, Acids and Alka- lies, extracted both from the Earth and Ocean, which being violently agitated by the Oppo- sition of Heat and Cold, and the Motion of the Air, operating upon those sulphureous and nitrous Particles, together with a watery Mat- ter, till at last they ferment and are kindled; then the Fire bursts open the Cloud with Ex- plosion in Thunder and Lightning, where the Passage is most easy, and the Cloud not able to make any farther Resistance: Sometimes the Opening is very wide, and stands a smali time, with a firey Edge about it; the Cloud is then dash'd with great Violence, the Air assisting with its Motion, and the sulphureous Matter Ch. I. thro' the various Stages of Life. 75 Matter breaks out again in various Sounds: the first Discharge being over, presently suc- ceeds a second, and this is back'd with a thirds fourth, fifth, &c. as long as the Store of combustible Matter holds out to maintain the Fire, till at last the Equilibrium of the Air is perfectly restored. The Effects of Lightning are wonderful; it being a most subtile and refin'd Matter, will sometimes burn a Person's Cloaths, while his Body remains unhurt; and on the con- trary, it will sometimes break a Man's Bones, while his Cloaths and Flesh receive no Harm. In like manner it will sometimes melt or break the Blade of a Sword in the Scabbard, and the Scabbard remain un- touch'd. It has drank up Vessels of Water, the Cover being left untouch'd and no other Token remain'd. Gold, Silver, and Brass, have been melted, and the Bags wherein they were contain'd not burnt, nor even the Seal off Wax defac'd. Marcia, Queen of the Romans, was Thunder-struck when she was big with Child, which was killed in her Womb, and she receiv'd no Harm. The Reason of these strange and contrary Effects, Philosophers can but conjecture at, imputing it to the different Figure and Qua- lity of the Particles of the * Lightning, as 2 to * There is a fort of Stone or Mineral, which is vulgarly called a Thunder-bolt, and it is thought, that it falls from the Clouds in a Clap of Thunder, and thereby great Mischief is done many times. But this is a vulgar Error; for the Stone seems to resemble more an artificial than a natural Producti- on, 76 A GUIDE to HEALTH Part II. to the Rarity and Thickness of the Fire; for the more subtile penetrates more easily, and the thicker with more Difficulty; whence the latter does more Harm than the former; and tho' it produces various and wonderful Effects, yet it is of such singular Use to the Inhabitants of the Earth, that they could scarce subsist without it; for it clears the Air, destroys and consumes all the redundant and noxious Steams and Particles that float in it, breaks the Clouds, and sends down Rain up- on the Earth. * It is certain, from undoubted Experiments, that the Air near the Surface of the Earth is more or less impregnated with all those Heterogeneous Particles already mention'd, and a great many more not possible to enu- merate. And in truth it cannot be otherwise, by the known Laws of Nature; for by what means soever a Body becomes divided, till some of the Particles become less than the component Particles of Airy and by that means become lighter, they will be elevated into the Air, until by their * Coalescence, their Gravity be so much encreased, as to fink on, by the Make and Figure of it; and being most common- ly found where Sepulchers have been, makes the Learned in- cline to think, that they are some Remains of Antiquity, and were formerly of Use in War and Arms, which was cu- stomary with the Ancients to bury with their Ashes. See Rowning's Comp. System, p 146. Part II. and Philos. Trans. No. 313, 316, 319, 331. * Coalescence, is the gathering together and uniting into a sensible Mass, those minute Particles floating in a Fluid, which were not before visible in it. Ch. I. thro' the various Stages of Life. 77 sink them again to the Earth. And for the Production of such wonderful Effects, even in the hardest and most solid Bodies, we need have Recourse to no other Cause than the Rays of the Sun; for as it has been demon- strated by † Astronomical Observations, that Light is not above ten Minutes in passing from the Sun to the Earth, and as the Earth is at least 10,000 of its own Diameters distant from the Sun; therefore it must run 1000 of these Diameters in a Minute, which is above 100,000 Miles in a Second. So that if a Bullet, moving with the same Velocity with which it leaves the Muzzle of a Cannon, re- quires 25 Years to pass from the Earth to the Sun, as Huygens ‡ has computed it, then the Velocity of Light, to that of a Cannon- Ball, will be as 25 Years to 10 Minutes; therefore we may expect proportionable Ef- fects from such Particles, notwithstanding their exceeding Smallness. And we may guess at the Effects of the Rays of Light separate- ly, by what we can observe when collected in the Focus of a burning Glass; for no Body, tho' ever so hard and compact, is able to resist their Force: even Gold, which is un- alterable by any artificial Fire, may be * * vi- trified by the concenter'd Rays of the Sun, one † Mr. Romer's Observations on the Eclipses of the Satellites Of Jupiter. ‡ Huygens in his Treatise upon Light and Gravity. He was a celebrated Mathematician. ** Vitrified, made or chang'd into Glass by the Force of Fire 78 A GUIDE to HEALTH Part II. one Part of it exhaling into the Air, as the other is turned into Glass; and that in a few Seconds of Time, according to Mr. Blundel and others. Hence it appears, that the Rays of the Sun are not only capable to abrade and file off from the most solid Bodies, such small Par- ticles as will be render'd lighter when sepa- rate, than the least compounding Particle of Air, but also by the Celerity with which they will be reflected, will thereby be capa- ble to carry into the Air such little Collec- tions of Matter, as are in Fact heavier than the Air they mount up in, which, when the Force impressed becomes less than will im- pel them higher, they must necessarily fall down to the Earth again, which will vari- ously affect human Bodies, both in their As- cent and Descent, according to their different Nature and Properties. CHAP. II. Of the Properties of AIR. THE Properties of Air are, Gravity, Elasticity, Fluidity, and Divisbility. They are so called, because they constantly remain in the whole Mass and in every part of it. The Ch. II. thro' the various Stages of Life. 79 The Gravity of the Air was first dis- cover'd by Galileus, by trying to what Height Water might be raised by pumping; and when he found it could not be raised higher than 33 feet, justly concluded, that it was from the Counter-ballance of the Weight of the Air that it was raised so high. The * specifick Gravity then of Air, when the Barometer † stands at 30 Inches, according to Sir Isaac Newton's Observations, and Dr. Halley s, is to that of Water, about 1 to 800, and to that of Mercury as 1 to 10,800; So that the Air we breathe in, *Specifick Gravity, is the appropriate and peculiar Gravity or Weight which any Species of natural Bodies have, and by which they are plainly distinguishable from all other Bodies of diffe- rent Kinds, when compared with them: And it is not im- properly called relative Gravity, to distinguish it from absolute Gravity, which encreases according to the Proportion of the Bulk or Bigness of the Body weighed. Thus, if a Body weighs a Pound, one as big again will weigh two Pounds; and let the Bodies be of what Nature or Degree of Specifick Gra- vity soever, a Pound of one will be as much as a Pound of the other absolutely considered. Thus a Pound of Feathers is as heavy as a Pound of Lead; but if we consider Lead and Feathers relatively, the specifick Gravity of the former will be much greater than the later; or Lead, Bulk for Bulk, will be much heavier than Feathers, and Gold heavier than Lead. † Barometer is a Glass Tube or Instrument to measure the height of the Atmosphere by; it is about three Feet in Length, and 1/16 or 2/10 of an Inch bore, seal'd up at one End, and at the other End it is fill'd quite full of Quicksilver, and thus immersed in a small Vessel of Quicksilver, that will fink down in the Tube, or run out into the Vessel, till it remains in the Tube between 28 and 31 Inches perpendicular height; and this Column of Mercury in the Tube, is equal in Weight to a Column of Air of the same Basis, and of the Height of the Atmosphere, and consequently is suspended by it; which therefore by its rising higher or falling lower, shews the proportionally greater or lesser Weight or Pressure of the Atmosphere 80 A GUIDE to HEALTH Part II. in, takes up 10,800 times the Space that the like Quantity of Mercury would. And the Honourable Mr. Boyle proves by Experi- ments †, that the Air without any adven- titious Heat, may, by the Force of its own Spring, possess 13,000 times the Space it does when pressed by the incumbent Atmo- sphere; and therefore may possess a Space one hundred forty-five Millions, and six hun- dred thousand times greater than the same Weight of Mercury; and that by the Ad- dition of Heat, it may be forced to fill a Space much larger. And if we consider that the Air we breathe in, may be compressed into 40 times less Space than that which it now fills; therefore Air may possess a Space 520,000 times greater at one time than ano- ther. The Gravity of Air counterpoises a Co- lumn of Mercury from 27 1/2 Inches to 30 1/2, the Gravity of the Atmosphere varying some- times 1/10, which are its utmost Limits, so that the specifick Gravity of the Air cannot be exactly determined. And the Account that Dr. Halley gives of the Causes of the Variation of the Gravity of the Air, seems very clear and conclusive; for they must either proceed from the Air's being more or less charged with Quantities of ponderous Ingredients in one Time and Place, which, as has been said in the former Chapter, arc plentifully exhaled into ‡ Boyle's Tracts about the wonderful Rarefication of the Air. Ch. II. thro' the various Stages of Life. 81 into it, or by its being accumulated more in one Place than in another by Currents of Winds; thus contrary Currents of Air com- ing to the same Place, must accumulate the Air in that Place, and consequently raise the Mercury in the Barometer; but two Currents of Air from the same Place, must link the Air in that Place, and consequently the Mer- cury in the Barometer. This is very possible in Liquids, and hap- pens even in the Motion of the Tides; for if there was a perfect Calm always, the Equi- librium could only be charged by the greater or smaller Quantity of ponderous Ingredi- ents in the Air; in Confirmation of which it is discovered, that where the Winds are not variable, as near the Line, the Al- terations of the Barometer are very small; And these Variations of the Air's Weight cannot proceed from letting its ponderous In- gredients fall, as in great and heavy Showers: Tho' it is certain, that a heavy Body falling through a Fluid, during its Descent, does not press upon it, but by the Resistance which the fluid gives to its Motion in Descent; but the Decrease of the Atmosphere's Weight during the fall of Rain, Snow, or Hail, is not pro- portionable to this Cause, therefore cannot be accounted for from it. As the incumbent Atmosphere is fluid and heavy, it presses equally upon the Surface of a human Body, with a Weight equal to a Column of Mercury, whose Basis is F equal 82 A GUIDE to HEALTH Part II. equal to the Surface of a Human Body; and Altitude, that of the Barometer, as in a mid- dle-siz'd Man, with a Weight of 32,000 Pounds; for as it is possible for the Air to vary 1/10 in its Weight, so that such a human Body must sustain a Weight of 3,200 Pounds Weight more at one Time than at another; and if the Mercury varies only one Inch in Height, there will be a Difference of about 1000 Pounds Weight: Such Alterations would affect both the Solids and Fluids of hu- man Bodies very much, were it not that the Ballance between the Air within and that without the Body is quickly restor'd, by the free Communication that is between them; so that these Changes are suffered without any sensible Inconvenience to healthful Peo- ple. This proves the ready Admission of the Air into the Vessels of human Bodies, and the Egress of aërial Particles from within the Body, in each Case of the Variation of the Weight of the external Air, from less to more, or from more to less; for if this Bal- lance between the external Air, and that within the Body was not kept, the Fibres and Fluids being elastick, in case of an In- crease of the Weight of the external Air, both the Fluids and Solids would be too much compress'd; and in case of a Decrease of this Weight, they would be dilated with a painful Sensation, and endanger the Life of the Individual; for the Fall of the Mercury in Ch. II. thro' the various Stages of Life. 83 in the Barometer is the same with the Ex- suction of so much Air in the Air-pump; and the Rise of the Mercury the contrary. This Alteration happens in Vegetables and in fermenting Liquors, as well as in Animals; and how these considerable Changes are made by Heat, Cold, or great Winds in fermenting Liquors, is an Observation of every one con- versant with them; for all these Changes are brought about by altering either the Weight or Spring of the circumambient Air: It is for this Reason like wise, that se- veral People, by their Akings and Pains, can foretell any considerable Change of the Wea- ther; for their Blood being more rarefied at the approach of wet Weather, or high Winds, will more forcibly press upon the sensible Membranes of the Body, so as to cause Pains that they were free from before: And this the rather happens, because the Blood hereby becomes not in the least the more fluid; for Froth, which is only Water blown into Bubbles by Air, is less fluid than Water itself; and the Globules of the Blood be- ing blown larger by the contained Air, when the Pressure of the external Air is removed, the Blood then is rendered less fluid, and will pass through the Capillaries with great Difficulty. A Fluid must have its Parts small, smooth, spherical, or approaching thereunto, and of equal Density, if the Fluid be homogeneal *, F2 accord- * homogeneal is such Particles as are pure, entire, un- mixed, and altogether like one another. 84 A GUIDE to HEALTH Part II. according to Borelli ‡: and it is not neces- sary that the Parts of a Fluid should be in Motion, because it is neither apparent that the Parts of all Fluids are so, nor that the Parts of some solid Bodies are not so; there- fore, the Blood in this rarefied State is rather less, than more fluid, in which Condition it will remain, whenever the Gravity of the Air is lessen'd, or its Spring weakened, by any Cause whatever. There is no Liquor that can be blown up into Bubbles, but what is somewhat viscid, and the more tenacious the Parts of any Liquids are, the fitter it is for this Use; for the Bubbles will be both larger and more lasting; for Example, a Mixture of Soap and Water may be blown into Spheres or Bubbles above six Inches in Diameter; and human Blood con- sists of Parts like what is in such a Mix- ture; for there are watry, oily, and saline Particles in the Blood, as is evident to our Senses: And that the Blood is blown into such little Spherulœ beyond dispute, is what may be observed with a Microscope in the Tail of a Fish; for the Globules of Blood being too large to pass through the smallest Arteries, they change their spherical* Fi- gure to a spheroidal † one; and when they come into a wider Channel, they recover their former Figure again. Now as it is the Property ‡ Borelli de motibus à gravitate factis, Præpos. p. 142. * Spherical, round like a Ball. † Spheroidal, an oblong Sphere or Ball. Ch. II. thro' the various Stages of Life. 85 Property of an Elastick Body alone, that when its Figure is changed, to recover it again; and nothing being Elastick but Air, or at least, what contains Air in it; it is a plain Reason that the Globules of the Blood must contain Air in them. From what has been said, it appears, that whenever the Blood is too viscid, so that the Force of Cohesion be not greater than that by which the Air contained in the Blood endea- vours to expand itself, in such a Case the Person will be more sensibly affected by the Alteration of Weather; from hence better Indications may be taken both for the Cure and Prevention of those Diseases that pro- ceed from a Viscidity in the Blood, than from any other Source whatever. Human Species can live in Air of very dif- ferent Gravity; for the Air in the same Place may differ 1/10 in Weight, the Variation of the Mercury in the Barometer being so much; but what is still more extraordinary, human Creatures can live in Airs, where the difference of the Weight is double; for Exam- ple, in the Bottom of deep Mines, where the Mercury stands in the Barometer at 32 Inches, and at the Top of the highest Mountains, supposing 'em to be 3 Miles high, the Mercury then mud stand at a little above sixteen inches. Notwithstanding human Creatures can sus- tain such a Difference of Weight or Pressure of Air, as (in the common Variation of Gra- F3 vity 86 A GUIDE to HEALTH Part II. vity in the same Place) makes the Difference of Pressure upon a Person of a middle Size 3600 Pounds Weight, and in the Difference of Height in the Bottoms of Mines, and at the Tops of the highest Mountains the Dif- ference of 18000 Weight; which Difference of Pressure or Weight must produce great Alterations in the bending or stretching of the Fibres, and in dilating the Fluids of a Human Body: For in the case of a greater Weight, the Fibres will be more strongly braced, and the Fluids will be rendered more compact; and, as has been observed already, were there not a free Communication between the outward Air, and that within the Animal Fluids, these Alterations would be insupportable; for the Animal would be, in such a Case, as in an Air-pump with the Exsuction of half the Air; in which Case the Blood would boil up and expand itself to a very great Degree, by having so much of the Pressure of the outward Air taken off. And it seems very reasonable, that in di- minishing the Force of the Pressure of the outward Air upon human Bodies, the Fibres thereby will be rendered more un- braced, and consequently must create a Weakness in Muscular Motion; which is the Reason, in a great Measure, that People breathe shorter and with more Difficulty than usual, in going up to the Tops of high Hills and Mountains; for the Air in ascend- ing is a great deal lighter than at the Bot- 2 tom, Ch. II. thro' the various Stages of Life. 87 tom, and by the Diminution of the Pressure of the Air upon the Muscles, less Exercise puts People out of Breath; and likewise the Over-ballance of the Air contained in the Cavity of the Breast, may help to produce this Effect But then perhaps it will be said, that the Inhabitants of Mountains are not weaker nor less active than those of lower Situations: In answer to which it must be observed, that the Excess of Coldness of the Air on the Tops of Mountains above that of the low Countries, counter-ballance the less Weight of the Air, and braces the Fibres more strongly: Another Reason is, that such as live in a rarer or lighter Air, as on high Mountains, are accustomed to the Exercise of a greater muscular Strength; as in the Case of Birds performing their Motions in a thinner Fluid, must always use a greater muscular Strength, which, though Nature has accustomed them to the Use of this Ele- ment, must strengthen their Fibres; for which Reason tame Birds cannot fly so well as wild ones. The Alterations of the Pressure of the Air in its Gravity and Elasticity, must pro- duce proportional vibrating Motions, both in the Solids and Fluids of human Bodies; and when these Variations are frequent and ex- treme, such violent Motions of the Fluids and Solids must cause great Changes in hu- man Bodies; for which there was no Ne- cessity of having recourse to any occult or F4 hidden 88 A GUIDE to HEALTH Part II. hidden Qualities in the Air, as a great ma- ny have imagined; and though the Air does not much hurt the Animal Fibres, by the Softness of its Contact; yet the alternate bracing and unbracing of the Fibres strongly, may produce these Changes; and such Al- terations are not only producible by the Va- riations of the Air's Gravity and Elasticity, but likewise by its Qualities, such as Heat, Cold, Moisture and Dryness, which will be the Subject of the next Chapter. * Elasticity is another Property of the Air, which is a Force equal to its Gravity; for, as the Honourable Boyle and others have proved by Experiments, the smallest Bubble of Air by its Elasticity or Spring can bal- ance, resist, and equiponderate the whole Atmosphere of equal Density, as far as it is exposed thereunto; for otherwise it would be more compressed than in Fact it is; and by these two Qualities of Gravity and E- lasticity, and the Alterations of them, the Air produces great Effects in living Creatures; for by these, Respiration is performed, and the Equilibrium or Ballance is kept between the outward Air and that contain'd in the Vessels of the Body. True * Elasticity or Springiness, which most Bodies have more or less, is a Power in a Body to return to its first Place and Condition, as a Stick which is forcibly bent; and the Air has it in a very remarkable manner, which being compressed, it endeavours with a very great Force to restore itself to its former State. Ch. II. thro' the various Stages of Life. 89 True Air never loses its Elasticity, as Steel, Wood and other Bodies do; yet it exerts it only when it is collected into a Mass; which is confirmed by the Air-Gun; for Mons. De Roberval of the Royal Academy of Sciences, having let his Air-Gun remain charged for the Space of 16 Years, found on discharging it, that the Air's Elastick Force was not at all abated, but produced the same Effect as at first *. By this Elastick Force the Air insinuates itself into the Spaces of Liquors not sufficiently filled with it already; there it remains divided in its minutest Par- ticles, and as it were in a fixed State, till it is expanded by Heat, or the incumbent Pres- sure is taken off, and then it is collected in- to greater Masses, and exerts its Elasticity in Proportion to the Diminution of the in- cumbent Pressure. The Elasticity of the Air has been suffi- ciently demonstrated by various Experiments of the Air-pump, and otherwise: One very plain is this; an empty Bladder, the Neck of which being tied round fast, that no Air could either get in or out, and being put into the Receiver of an Air-pump, and the ex- ternal Air therein exhausted, the small mat- ter of inclosed Air in the Bladder, will, by its own proper Spring or Elasticity, gradual- ly expand itself, and at last will so extend the Bladder as to burst it: Thus also the Air compressed in a Wind-Gun, will, by its Elas- tick * Hist. de l'Academ. Roy. 1695. p. 368. 90 A GUIDE to HEALTH Part II. tick Force (being discharged) drive a Ball through a Board at several Yards Distance, in the same manner as with Gun-powder. The Solids and Fluids of Animals contain more Air in them in Proportion, than any other Substances; and Animal Solids contain more Air than Fluids; and they contain a greater Proportion of Air than any other watery Fluid: For example, Blood contains 1/27 Part of its Weight in Air, and 33 times its Bulk; whereas 54 Inches of Well-water yield only 1 Inch of Air; but Spaw and Pyrmont Wa- ters yield double the Quantity of Air, to that of common Water; and therefore the Activity of Steel and Mineral Waters is owing to some aërial Particles in them; for when these are evaporated, the Waters become insipid, and without any Virtue, by the Quantity of Air lost, which the Blood and other Fluids of Animals contain, as has been often demonstrated by Experiments of the Air-pump; for they will expand them- selves in an exhausted Receiver to a great Degree, in the same Manner as in the Ex- periment of the Bladder just now mention'd. Hence the Alteration of the Weight and Spring, or elastick Force of the Air, which dilates and expands proportionably the Liquors, with which the external Air communicates, must produce sensible Effects in animal Fluids; for as Air is a principal Instrument in the Animal Oeconomy, and consequently a prin- cipal Ingredient in the Composition of all animal Ch. II. thro' the various Stages of Life. 91 animal Substances, it must in a particular man- ner affect animal Bodies, and by its Changes differently influence all their Operations. Fluidity is a Property of Air, which can- not be destroy'd or congealed like Water or other Fluids, by any Power of Art or Na- ture hitherto known: and this Property of Fluids arises from the exceeding Tenuity or Smallness of the constituent Particles of such Bodies, and their Disposition to Motion, from the Sphericity or Roundness, and Lubri- city or smooth Slipperiness of their Figures, whereby they can easily slide over one ano- ther's Surfaces all manner of Ways, and can touch but in few Points; so that Particles thus modified, must always produce a fluid Body or Substance, as Water, Fire, &c. No Coagulation, Fermentation, or Condensation of any Mixtures where Air resides, have ever destroy'd its Fluidity; for it preserves it in Cold 44 Degrees greater than any natural Cold, which Property is absolutely necessary to an Element, in which both Animals and Vegetables live and grow. As Water is a Fluid much denser or thicker than Air, it supports and keeps together the Bodies of larger Animals than Air can do. The Air is pellucid or transparent to such a Degree as not to be discernible even by the best Microscopes, by reason of the great Po- rosity thereof; for the Pores and Interstices of the Air being so very great and large, it not only admits the Light in right Lines, but in such 92 A GUIDE to HEALTH Part II. such great plentiful Rays, that the Brightness and universal Lustre thereof, not only renders the Air diaphanous or transparent, but en- tirely hinders the Opacity or Darkness of the very small Particles of Air from being at all seen; and the whole Body of the Air must consequently be invisible. But notwithstand- ing the Minuteness of the Particles of Air, many thicker Fluids will pass where it can- not; for Oil, Water, and Liquids will enter thro' Leather, which will exclude Air. That Air is a Fluid in constant Motion, may be easily perceiv'd in that Part of a Room illuminated by the Rays of the Sun, entering at a small Hole or Crevice, where- in the visible and floating Corpuscles or Atoms are in continual Motion; likewise a constant undulatory Motion in the Air may be seen by the help of a Telescope; and these Undu- lations or Wavings of the Air to and fro, affect small and tender Bodies, but not so much as to alter their Figure. The Difference between Fluidity and Li- quidity is, that the former is a general Name for all Bodies whose Parts yield to the small- est Force or Impression; and thus a Quan- tity of Sand as well as Water, is called a Fluid: But what is properly called a Liquid or Liquor, is only that Kind or Species of Fluids which cleaves to the Touch, or sticks to the Finger, &c. or, as may be said, wets it, as Water, or any kind of Juices do: And the Reason of this Difference is owing to Ch. II. thro' the various Stages of Life. 93 to the exceeding Smallness of the Particles of Liquids above those of fluid Bodies; and also to their Ponderosity or Weight: for by these means, the Particles of Liquids enter the Pores of the Body which touches them, and by their Gravity or Weight, cohere or stick to, and abide therein, and cause Wetness. Air is compressible as well as dilatable; for it can be compressed into a less Compass, and smaller Volume, like a Fleece or Lock of Wool, either by its own Weight, or by any other Force; which Weight or Force being remov'd, it immediately recovers its former Bulk and Dimensions again by its Spring. Heat will encrease the Force of the Elasti- city of the Air to a prodigious Degree, accord- ing to the Experiments of Mr. Boyle, as has been observ'd in the Beginning of this Chap- ter. To prove which by an easy Experiment, take a Bladder entirely empty as you think, and tie the Neck of it very well with a Pack- thread, and lay it before the Fire, the Heat will presently so dilate and rarefy the little Air inclosed, as to make it extend the Blad- der to its utmost Stretch, and if continued, will break through it with a Report like that of a Pistol. That Air also may be com- pressed by Art, so as to take up but 1/60 Part of the Space it possessed before, has been prov'd by Numbers of Experiments made by Boyle and others; for farther Proof and Sa- tisfaction thereof, see Sir Isaac Newton's Op- tics, p. 342. Divisi- 94 A GUIDE to HEALTH Part II. Divisibility is a Property of Air, by which living Creatures move in it without much Resistance; for it is always divisible by the smallest Force imaginable. Fishes and Birds move thro' their respective Element after the same manner; and Fishes may be called the Birds of the Water; they pass thro' an Ele- ment which is 800 times thicker than Air, as has been observ'd in p. 71; for which Reason Fishes must employ a Force propor- tional to the greater Resistance of the Fluid. On the other Hand, a great deal of the Force of Birds is employ'd to support themselves in a much thinner Fluid; but the Bodies of Fishes are poised or equilibrated with the Water in which they swim. However Air has some Degree of Tenacity or Adhesion, by which its Parts attract one another, as is ma- nifest by the round Figure of Water-Bubbles, which attract and run into one another; and at the same Time the Particles of Air, by their Elasticity, have a Power in other Cir- cumstances, of flying off from one another, which two Properties are consistent, as may be seen in Light. The Resistance of Air is very considera- ble in Bodies swiftly moving thro' it, or by its swift Motion against Bodies. In the first Case, the Resistance increases in the dupli- cate Proportion of the Swiftness of the mov- ing Body; that is, the Resistance is a hun- dred times greater when the Velocity is but ten times; so that for this Reason, if light Bodies are moved with great Swiftness, the Air's Ch. II. thro' the various Stages of Life. 95 Air's Resistance will throw them back in another Direction. Air moving with Rapidity, as in violent Storms or Winds, produces very sensible Ef- fects in human Bodies, to which if we add the Motion of the Person moving opposite, then the Pressure will be very considerable; hence Walking or Riding against great Winds is a great and laborious Exercise, the Effects of which are a Redness and Inflamma- tion of all the Parts exposed to the Air, be- ing like the Effects produc'd by a soft Press or Stripes, Heat and Drowziness. CHAP. III. Of the Qualities of Air. THE Qualities of Air are Heat, Cold, Dryness, and Moisture; they are called Qualities of the Air, because they are change- able, and do not constantly reside in the whole Mass, nor in the Parts thereof. By these variable Qualities of Heat, Cold, Dryness, and Moisture, the Air must of Ne- cessity produce various Alterations in human Bodies. For if we consider, that human Blood is a Fluid continually warm, and in- closed in a Composition of thin and flexible Tubes, to which the outward Air has Admit- tance 96 A GUIDE to HEALTH Part II. tance or Entrance by the innumerable Pas- sages of the Pores of the Body: Again, if we consider this Machine, with its inclosed Fluids steaming and reaking hot thro' num- berless Pores, and often changing Situation, sometimes within, sometimes without Doors, and exposed to the hot, cold, dry, or moist Air, and all the various Alterations that oc- cur in that Element; the Changes which must happen to a human Body in such Cir- cumstances, must be very considerable, and far greater than we generally suppose or ima- gine; for besides the real Influence of the circumambient Air, human Bodies are affect- ed by these Changes with a painful or plea- sant Sensation, which they have not always in their Power either to escape or possess. Heat is a Quality relative to our Senses excited in the Mind, by a great and swift Agitation of Particles of the hot Body ex- erting its Action or Influence on us; so that Heat in us is only the Idea thereof; and in the hot Body, Activity and Motion, and no- thing else: for no Heat is sensible, unless the Particles of the Body which act upon us, be greater than the Motion of the Organ or Part of the Body acted upon. But when the Motion of the Particles of the Body acting, is less than that of our Organs of feeling, then it causes in us the Sensation or Idea of Cold, which is only a Privation or less Degree of Heat or Motion. The Ch. III. thro' the various Stages of Life. 97 The Spirit of Wine in Thermometers * or Weather-Glasses, is affected with the least Alterations of Heat and Cold; and therefore is the best Guide to know the Variations of the Weather, tho' the Degrees marked in the Tubes of them do not exactly measure their Quantity. The natural Heat of a grown Person is 92, and of Children 94 Degrees; but no Animal can live long in Air of 90 Degrees, or near the natural Heat of the Body. The Rarity or Thinness of the Air ren- ders it more sensible of the Alterations of Heat and Cold, than any other Fluid what- ever; for the least Increase of Heat dilates it, but a Diminution thereof contracts it im- mediately. The Degrees of Expansion of the Air cannot be determin'd; for the great- est Heat will not totally expel it, but by this continual Expansion and Contraction, by different Degrees of Heat, it is kept in con- stant Motion. Heat, but not so great as to destroy ani- mal Solids, relaxes the Fibres, and rarifies the Humours; whence proceeds the Sensation of Faintness and Weakness, and whence lan- quid and hysteric People suffer in a hot Day; for the Fluids are dilated, as is manifest to both the Sight and Touch, and the external G Parts * Thermometer or Weather-Glass, is a Glass Tube filled with Spirit of Wine of a red Tincture: It is an Instrument of great Use in the Hands of skilful Persons, in discovering the Degrees of Heat and Cold in Air, animal and vegetable Bo- dies, Liquids, Hot-Beds, &c. 98 A GUIDE to HEALTH Part II. Parts swell, and are plumper in hot than in cold Weather. Excessive hot Air is capable to reduce ani- mal Substances to a State of Putrefaction, and therefore very hurtful to the Lungs in parti- cular; for the Blood, by its Circulation thro' the Lungs, is heated to a degree so as to render it spumous; and the Surface of the Vehicles of the Lungs being exposed to the external Air, which has a free Communication to it; so that Refrigeration by cool Air is one, tho' not the principal Use of Air in Respiration: but when the outward Air is many Degrees hotter than the Substance of the Lungs, it must necessarily destroy and putrify the Solids and Fluids: Which is confirm'd by an Ex- periment of the learned Dr. Boerhaave, who relates, that he put a Sparrow into a Sugar- Baker's drying Stove, where the Air was heated 54 Degrees more than the natural Heat of Human Blood, which died in two Mi- nutes; a Dog being put in began to pant very much for Breath in seven Minutes, and in a Quarter of an Hour express'd very great Un- easiness; soon after he grew very faint, and ex- pired in 28 Minutes; he drivell'd a great Quan- tity of red Foam most part of the Time, which stunk so intolerably that a labouring Man that went near it was almost struck down in- stantly with the Stench. Dr. Boerhaave ob- serves in this Experiment the direful Effects of this Degree of Heat, how soon it occasion'd a most acute Disease, with violent and mortal Symptoms; Ch. III. thro' the various Stages of Life. 99 Symptoms; and how suddenly the Humours were changed and thoroughly putrified in 28 Minutes: He moreover observes, that these were not the mere Effects of the Heat of the Stove; for if the Flesh of a dead Animal had been hung up there, it would have dried, and not turn to a pestilential Corruption; which must arise from the Friction caused by the Circulation of the Blood through the Lungs, and being not in the least refrigerated, as in this Case. By the Degrees of the Heat of the Air act- ing upon Human Bodies, the Quantity of * Perspiration both sensible and insensible is regulated; for, by the Journals of the industri- cus * Perspiration is twofold, sensible and insensible; by the first is meant what we discharge by Spittle, Sweat, Urine and Stool; by the latter is understood what is imperceptibly exhaled or expell'd through the whole external Skin of the Body, as also from that of the Mouth, Nose, Jaws, Larynx, Lungs, Gullet, Stomach, Intestines, Bladder and Womb; so that the Quantity of it exceeds that of all other Excretions join'd together; for when the Body is strong and healthy, and after moderate living, especially in a warm Climate, such as Italy, that which is discharged insensibly by the Pores of the external Skin, Mouth, Nostrils, &c. is five Eighths of what is taken into the Body in Meat and Drink. It will not appear incredible, that animated Bodies should thus perspire, when we find by Mr. Boyle's Experiments, that he has observ'd the like even in the most solid and inanimate Substances. Besides, we see the Air, when return'd in Respiration from the Lungs, brings along with it a Vapour, which in cold Weather con- denses into considerable Drops. We likewise find that a Fin- ger, or any other Part of the Body, or our Breath, applied to a Glass, or polish'd Metal, will presently moisten and tarnish it. This perspirable Matter, according to the learned Boer- haave, is a Mixture of Phlegm, volatile Salt, and Oil, in cer- tain Proportions; and after a long Course of Circulations in G2 all 100 A GUIDE to HEALTH Part II. ous and learned Dr. James Keil of Northamp- ton, it appears, that the Perspiration in Eng- land scarcely equals all the other Excretions, and that in Summer it is near double to that in Winter; whereas we find, by the incom- parable Sactorius's Aphorisms, that the Per- spiration in Italy the Year round is to all the other Evacuations as five to three, and pro- bably the Proportion may be still greater in hotter Climates; and yet the same Author tells us in Aphorism vii. Sect. I. that the Quantity of insensible Perspiration varies ac- cording all the Forms of the Animal Fluids, is deprived of all that can be of farther Use to any Part of the Human Body; and is secreted by the capillary Arteries, and passes off insensibly and almost invisibly through the Pores of the Skin, and other Parts of the Body. But whenever this Evacuation is either dimi- nish'd or obstructed, it is almost an infallible Indication of Dis- eases, and probably the Cause of them, likewise. And Nature has so provided, that if by any external Cause this Evacuation is hinder'd in any one Part, it is always increased in another, or otherwise a Distemper will ensue; for which Reason when the Coldness of the Air, which more immediately affects the outward Skin, or any thing else lessens the Discharge of insen- sible Perspiration that Way, either the sensible Evacuations are increased, as commonly the Urine, or greater Quantities are carried off by Respiration from the Lungs and Parts about the Mouth, as we see in frosty Weather, like Smoak out of the Mouth; or else it is perspir'd into the Cavities of the Stomach and Guts, which afterwards is discharged by breaking of Wind either upwards or downwards: For as long as the Im- pulse within remains the same, wherever there is the least Re- sistance, there will be always the greatest Derivation of the perspirable Matter. And from hence it is, that we so fre- quently find, when the Body is more than usually exposed to the external Cold, Gripings, Loosnesses, Colics, and great Uneasinesses in the Bowels, which is nothing else but some Part of the perspirable Matter, that ought to have passed the outward Skin, check'd by the Cold, and by an opener Pas- sage Ch. III. thro' the various Stages of Life. 101 cording to the Differences of Constitution, Ages, and Countries, Seasons, Distempers, Diet, and the rest of the Non-naturals: Which must occasion a great Diversity of Constitutions and Distempers, according to the different Climates; for the serous Part of the Blood is carried off by Sweats or sensible Perspiration, in far greater Quantities in hot Countries, than in cold or temperate Cli- mates, which must consequently render the Crassamentum or fibrous red Cake of the Blood larger; hence we may know the Reason why the Blood of People residing in those hot G3 Coun- sage within thrown off that Way. Leeuwenhoek by the Help of Glasses, has discover'd the Texture of the Scarf-Skin to be scaly; and that those Scales cover one another in several Lays, more or less, according to the different Thickness of the Scarf- Skin in the several Parts of the Body; and that in the Com- pass of one cuticular Scale he reckons there may be 500 Excretory Channels, and that one Grain of Sand will cover 125000 Orifices; and that from these a most subtile Humour continually transpires in all the Parts of the Body; which was first observ'd by the incomparable Sanctorius, to whom alone the Glory and Perfection of this Discovery is entirely owing. Insensible Perspiration therefore, both as to the Matter and Quantity of it, is so absolutely necessary to the Health of a human Body, that a Distemper can neither be removed, nor Health preserv'd, unless it be rightly digested and discharg'd; For which Reason it ought to be of the utmost Concern to a Physician not only thoroughly to acquaint himself with the Nature of this Evacuation, but likewise thoroughly to know by what Means it is to be promoted or lessen'd, according to the several Exigencies of his Patients, either for the Preservation or Recovery of their Health: For according to the last men- tion'd Author, in Aphorism ii. Sect. I. ' If a Physician who ' has the Care of another's Health is acquainted only with ' the sensible Supplies and Evacuations, and knows nothing of ' the Waste that is daily made by insensible Perspiration, he ' will only deceive his Patient, and never cure him unless by ' Accident.' 102 A GUIDE to HEALTH Part II. Countries is commonly thick and black when drawn from any Part of a human Body, as Experience teaches. Air is not cooled by the Motion of Winds, but by the Air of cooler Regions that they bring along with them; for the Thermometer will not change by Winds or by the strongest Blasts of Bellows, unless it is blown through Ice or some other Body colder than Air, ac- cording to Mr. Boyle's Experiments, but then such a Blast will sink it considerably. Winds cool animal Bodies by driving away the hot Steams that surround them; for if we sup- pose that the Heat of a human Body is 90 Degrees, and the Heat of the Air 48, by blowing off the hot Steam, then the animal Body will be surrounded with an Atmosphere of 48 Degrees, and consequently near the one half of its natural Heat taken off in a Second of Time. Therefore, if immediately after Ex- ercise we rest in a cold Air, we run a great Hazard of falling into great Diseases, of which there has been frequently woeful Instances, especially such Distempers as affect the Lungs, as Inflammations, Asthmas, Pleurisies and Ca- tarrhs; for this Change of their Atmosphere happening every Second of Time, is, much the same thing as putting on a cold Suit of Cloaths every such Time. Therefore, as human Bodies may be cool'd by Air cooler than their own Temperament, so there may be great Use made of tempera- ting feverish Heat by the outward Air, pro- 2 vided Ch. III. thro' the various Stages of Life. 103 vided it be done with Caution; which is very well known by Experience, as in inflamma- tory Diseases, such as the Small-Pox, Measles, &c. scarcely can any Liquor taken inwardly cool human Blood sooner than cool Air; for, by its Admission into the Pores of the Skin, and its being in immediate Contact with the Vesicles upon the Surface of the Lungs, it cools the Blood in a very little Time: So that great Mischief frequently happens by keeping the Air of the Rooms of People in Fevers too hot, by depriving them, in the first Place, of the Benefit of being refresh'd by it, and in the next, by the bad Effects of animal Steams pent up in the Room, which spoil the Air and destroy its Elasticity or Spring. Therefore it is the Opinion of the most celebrated Phy- sicians, that renewing and cooling the Air in a Patient's Room, by giving it a free Admis- sion, in opening the Door sometimes, the Bed- Curtains, and in some Cases the Windows, or letting it in by Tubes or Pipes, in order to change the hot Atmosphere about the Patient, (provided the Intention of keeping up a due Quantity of Perspiration is not disappointed) and in general the right Use and Manage- ment of the Air, is one of the principal Parts of a Regimen in all inflammatory Diseases; but, through the Ignorance and scrupulous Care of Nurses, in so material a Point as this, the Distemper is frequently increas'd, lengths en'd, and at last proves fatal; and this Mi- stake proves far more dangerous to strong, G4 vigorous. 104 A GUIDE to HEALTH Part II. vigorous, compact, and heavy Constitutions, than to lax ones; according to this Axiom, Heat is detain'd in proportion to the Density of Bodies. Cold is a Privation or Diminution of so many Degrees of Heat, as I have observ'd al- ready in Page 96, and it produces a propor- tionable Abatement of the Effects of Heat; so that, from what has been said already con- cerning hot Air, the Effects of cold Air may be inferr'd. Cold Air, according to Philoso- phers and Naturalists, is the immediate Cause of freezing; it first begins in the Air, by congealing the watery Particles in it; but the Effects of this Cold sometimes do not reach so far as to freeze the Water on the Sur- face of the Earth; as in Summer Hail and Icy Showers. Cold condenses the Air in proportion to the Degrees of it; and likewise contracts animal Fibres and Fluids, which are denser; for as Cold braces the Fibres, not only by its con- densing Quality, but likewise by congealing the Moisture of the Air which relaxes; so for this Reason Animals in cold Weather. are of less Dimensions than in hot Weather. Extreme Cold produces at first a pricking Sensation in human Bodies, and afterwards a glowing Heat, or a small Degree of Inflam- mation in all the Parts of the Body exposed to it; and by bracing the Fibres more strongly, thickening the Fluids, and stimulating, it pro- duces Strength and Activity in human Bodies, of Ch. III. thro' the various Stages of Life. 105 of which healthy People are very sensible in clear and frosty weather. Now, if the Effects of cold Air be so con- siderable upon the Surface of the Body, why may not they be much more so upon the Lungs, wherein the Blood is much hotter, and the Membranes or Coats very thin, and in immediate Contact with the external Air? But were it not that the warm Air is not alto- gether expell'd out of the Lungs in Expira- tion, the Contact of the cold Air would be insupportable to human Creatures; and the Effects of cold Air in producing Inflammations of the Lungs in all Nations is common, espe- cially upon the blowing of cold north-easterly Winds in Europe, or north-westerly Winds in America. Cold suppresses some of the grosser Parts of the perspirable Matter, by which Means a great many Salts, that would b exhaled in warm Weather, are detain'd, by contracting the Pores of the Skin, and cooling the Blood too much in the Vessels that are exposed to the Air; as also by Stimulus the cold Air vel- licates and inflames these Vessels, as has been obser'd already, and at the same time pro- ducing Scurvies with dismal Symptoms, being a Distemper of cold Climates; the fatal Ex- remities of which we may see in Captain James's Journals, in Gerat de Veer'd a Hol- lander, and in Captain Middleton's, and in those of many others, who have win- ter'd in Greenland, and other cold Coun- tries; for the Cold that froze their spirituous I Liquors 106 A GUIDE to HEALTH Part II. Liquors produc'd almost the same Effect in their Blood, by reducing the animal Substan- ces of some to a gangrenous State, with Mor- tifications of their Limbs and Gums, being oblig'd to cut off the putrid or rotten Flesh; a total Incapacity of chewing, not capable to move themselves, and intolerable Pains in many Parts of the Body, with black and blue Spots and Blisters on their Skins; and by sup- pressing Perspiration, and retarding the Cir- culation of the Blood, others were seiz'd with Giddiness, Sleepiness, Pains in the Bowels, Looseness, Bloody-Fluxes, Iliack Passions, and a Mortification in the Guts; but seldom any Loss of Appetite, which is very surprizing: All such dismal Symptoms could not be attri- buted to the Effects of Salt Provisions, in as much as they frequently had fresh both ani- mal and vegetable. Extreme Cold or extreme Heat will de- stroy animal Substances, or reduce them to a gangrenous State, but with this Difference, that a Degree of Cold that will produce a Mortification in living Bodies, will preserve those that are dead from Putrefaction; and in order to produce such a Change, there must be a Concurrence of Heat and Motion in the animal Fluids with the Stimulus of the Cold to produce the Change; for which Reason, Blisters cannot be raised on dead Bodies by the strongest blistering Plaisters imaginable. Moisture is a Quality of Air which affects animal Bodies in relaxing and lengthening their Ch. III. thro' the various Stages of Life. 107 their Fibres; for it has been often demon- strated by Experiments, that the single Fibres both of Animals and Vegetables are lengthen'd by moist Air, and that it relaxes is likewise evident from daily Experience upon Leather, Vellum, Paper, and a Drum. By cold Bath- ing there is a momentary Contraction of the Fibres of the Body effected by the Cold- ness of the Water only, and the Sensation of which works as a Stimulus in human Bodies; but the Water in its own Nature would re- lax, and continually does so, if we remain too long in it; which is the Reason that Peo- ple using the Cold Bath are order'd not to stay in above half a Minute, or a Minute: and warm Water relaxes a great deal sooner than cold, and Swimming fatigues and dispi- rits more by relaxing the Fibres than Exer- cise. Air, by the Assistance of Moisture, will sooner insinuate itself into the Pores of Bo- dies than otherwise; for a dry Bladder will sooner burst than let Air pass thro' it, but when it is moisten'd it easily passes. Yet Moi- sture diminishes the Elasticity of Air, for in rainy Weather it is less Elastic; so that Moisture relaxes human Fibres, by weaken- the Spring of the Air; but dry Air will lessen those Effects, or produce their Con- traries, such as bracing and contracting the animal Fibres, which were before both re- lax'd and lengthen'd by too much Moisture. And a great many Symptoms which People are 108 A GUIDE to HEALTH Part II. are sensible of in moist or rainy Weather, are chiefly owing to the Relaxation of the Fibres by moist Air, by which means they lose some Degree of their elastic Force for cir- culating the Fluids; hence arise those Aches and Pains which are felt in the Parts of the Body, where the Circulation of the Fluids is not perfect, as in Cicatrices, or Scars of Wounds, old Sprains, Dislocations, or bruised Parts. Likewise a moist and foggy Air, espe- cially where the Country is low and marshy, will so weaken the Tone of the Vessels, as to hinder a proper Discharge of what ought to be carried off by insensible Perspiration, ac- cording to Sanctorius *; and particularly weaken those of the Lungs, by which means the Viscidity of the Blood will be increased; hence arise Coughs, Catarrhs, Consumptions, Asthmas, Pleurisies, Head-aches, Dulness, and Stupidity, Epilepsies, Hoarseness, cuta- neous Eruptions, pale and languid Complexions: and such People are also subject to scorbutic Habits, weak Appetites, Fevers of different kinds, Diarrhœas, Dysenteries, and Drop- sies.† When the Air is overcharg'd with Va- pours near the Surface of the Earth, and when * Med. Stat. Sect. 2. Aphor. 8. † Hippoc. Aph. 16. lib. 3. & lib. de Aëre, Aqua & Lo- cis; in which last Book Hippocrates tells us, that the Phasians, who inhabited a low and marshy Country, were frequently subject to the above-mention'd Distempers, and which is commonly, and almost always the Fate of all such Situations, as both History and Experience teach. Ch. III. thro' the various Stages of Life. 109 when those Vapours are more in a falling than in an ascending State, it is then properly called moist Air; tho' the Body of the Air may contain more Water in it at other times; but then the Water and Air are more intimately mix'd, and the Vapours are higher, and a less Quantity of them in contact with our Bodies; so that Air in such a State may be justly called dry; and sometimes the Air may be said to be in a State of exhaling and imbibing, and at other times in a State of precipitating its Waters and other Contents. Dryness is another Quality of Air, by which it produces Effects contrary to those of moist Air: and as dry Air exhales and imbibes volatile Spirits, and Oils of animal Bodies, so it does consequently influence Perspiration. But great Dryness is capable of changing the very Texture, as well as the Si- tuation of the Pores of the Skin of human Bodies; and either extreme Dryness, or ex- treme Moisture have very often proved dan- gerous, if not fatal to human Bodies; and tho' our Bodies are not capable of bearing Excesses of any kind, yet of the two, ex- treme Dryness has been found most destru- ctive to animal Bodies. By the Properties and Qualities hitherto enumerated and explain'd, Air must pro- duce very great Alterations in human Bodies; for it does not only operate by outward Contact, but we likewise imbibe it at all the Pores of the Body, as is evident by what has been 110 A GUIDE to HEALTH Part II. been said already; otherwise the Air could not have a free and constant Admittance in- to the Body, and consequently the Ballance between the outward Air, and that within the Vessels, could not be so quickly restor'd; and it is upon the due Ballance of the Air within and without the Body, that the Life of ail Animals depends. The Skins of Animals dry'd exclude Air; but those of living Creatures being moist and oily, it will easily pass thro' them; for where- ever there are Emissaries, there are also ab- sorbing Vessels: And to prove this Assertion farther, many Bodies a great deal thicker and heavier than Air, such as Mercury, Spanish Flies, and Garlick, &c. readily enter the Pores of the Skins of animal Bodies. So that while we perspire, at the same time we ab- sorb part of the outward Air; and the Quan- tity of perspir'd Matter, discover'd by the Method of weighing, is only the Difference between that and the Air absorb'd; therefore after great Labour and Abstinence, which produces an Emptiness in the Vessels, and consequently a great Diminution of Perspi- ration, it is very probable, that in such a Case, the Quantity of the Air absorb'd may exceed that of the perspir'd Matter: which must be true, if Sanctorius's and Dr. Keil's Journals of Perspiration be faithful and ex- act; for there is an Instance in the Doctor's Journals, of a Person's growing 18 Ounces heavier by absorbing Air. The Doctrine of absorbing Ch. III. thro' the various Stages of Life. 111 absorbing Air thro' the Pores of the Skins of living Creatures, was taken for granted both by Hippocrates, Galen, and their Followers, which has been since confirm'd and demon- strated by that accurate and most ingenious Observer of Nature, Mr. Hales, in many Bodies, particularly in Vegetables, by plain and easy Experiments; by which it appears, that Air freely enters thro' the Bark, Stem, Leaves, and all the Surface of Vegetables. By absorbing external Air, with all its Qua- lities and Contents, many great Effects must necessarily follow, and many sudden Altera- tions happen in human Bodies; and nothing can account more clearly for epidemical Distempers seizing People inhabiting the same District of Land, and who have nothing else in common that affects them, except Air, which is confirm'd by * Hippocrates, † Sy- denham, and many others. * Hippocrates, Epid. lib. 3. Sect. 3. & lib. de Aëre, Aq. & Locis. † De Febribus Intermit. Thucydid. lib. 2. p. 130. 147. Diod. Sicul. p. 101, 102. Hallerius libel. de Peste, p. 577. Hippoc. lib. de Flatibus, p. 297. & lib. 6. de Morb. po- pular. Sect. 8. p. 1199. CHAP. 112 A GUIDE to HEALTH Part II. CHAP. IV. Of the Influence of AIR upon Human Bodies. THE Influence or Power of the Air up- on human Bodies is as different as the Diversity of the Weather, Seasons, Climates and Countries; but the true Knowledge of it is very obscure and imperfect, especially in that Part which will be always difficult to find out, that is, the different Qualities of the Air, and the manner of their acting upon human Bodies; yet if Journals of Diseases, compar'd with the Weather, had been kept for some Centuries in many Places and Kingdoms, we should at last have come to more than a conjectural Knowledge of this important Matter. The divine Hippocrates, after a Series of many Years indefatigable Practice and just Observations, has left us in his Books of Epidemics, and third Section of Aphorisms, an inestimable Treasure of Golden Rules to go by for this Purpose; and tho' he had nei- ther * Barometer, † Thermometer, nor ‡ Hy- groscope * Barometer, See Page 79. Note ‡. † Thermometer, vid. p. 97. Note *. ‡ Hygroscope is a useful Instrument to be made several Ways, for-measuring the Moisture and Dryness of the Air. Ch. IV. thro' the various Stages of Life. 113 groscope, to measure either the Weight, Heat, Cold or Moisture of the Air by, yet knew more of the Influence of Air on human Bodies, than all his Predecessors and Succes- sors put together; for none of them ever made such just and curious Observations up- on Airy and its Effects, as he did, which plainly appears in his Works: he judg'd only according to Reason and his Senses, which are surer Guides than the Thermometer, in re- spect to the Effects of Heat and Cold upon our Bodies; for by the Thermometer, stagnant Water is of the same Degree of Heat as the ambient Air, but if apply'd to our Bodies, we shall feel it much colder; therefore, Air abounding with more or less watery Particles, is colder or hotter to our Senses, tho' the Thermometer still remains at the same Height.* This sagacious Great Man tells us, that ‖ Whoever would understand Physic, it is first necessary to understand the Seasons of the Year, and then their Effects on our Bodies; and that † we ought to know the Constitutions of the Air, what they are, and in what Times and Regions they mostly appear. He says likewise, ‡ That Distempers seldom arise from any other H Cause * According to Lord Verulam's Observations, Water seems colder than Air; and the Froth of any Liquor seems warmer than the Liquor itself; and the Powder of any solid Body, warmer than that solid Body, tho' the Thermometer still proves the same Degree of Heat in each to be alike. Hist. Nat & Experiment. de Ventis, cap. de forma Callidi, p. 143. ‖ Hippoc. lib. de Aëre, Locis & Aquis, p. 280. † Hip. lib. 4. p. 1138. de morb. Epidem. ‡ Hip. lib. de Flatibus, p. 297 114 A GUIDE to HEALTH Part II. Cause than the Air; for either it is too much or too little, or abounds with infectious Filth. He tells us in another Place ‖, That the Air is to he consider'd as to its Heat or Cold, Thickness or Thinness, Dryness or Moisture, and their several Changes. According to his Instructions, we are like- wise § to consider the Situation, Air, and Water of a City, in order to come at the Knowledge of their popular Diseases, and their Seasons: for Instance, that Cities ex- posed to the ‡ hot Winds, such as blow be- tween the rising and setting of the Sun in Winter, to which Situation such Winds are peculiar, and at the same time are defended from the Northerly Winds, abound with Water of a saltish Taste, which as it comes from above, must needs be warm in Sum- mer, and cold in Winter; but Cities that are well situated as to the Sun and Winds, and at the same time supply'd with wholsome Water, are free from many Distempers, which those in different Circumstances are subject to, as has been already mention'd: that if the Summer proves dry, the Diseases are of a shorter Duration than in a wet one in which they prove obstinate, and apt to de- generate into Suppurations, Heat and Moi- sture in the Air producing Putrefaction: that Defluxions, ‖ Idem de morb. popular, lib. 6. p. 1199. § Hip. lib. de Aëre, Locis & Aquis. ‡ Hippocrates means in this Place a Southerly Situation, and the Winds that blow from thence. Ch. IV. thro' the various Stages of Life. 115 Defluxions, much Phlegm, and Hoarseness are occasion'd by cold Weather: that Deflu- xions from the Head, and Disorders of the Belly, from Phlegm distilling downwards, producing Fluxes, were the Effects of the Winter, which made Women subject to Miscarriages, and Children to Convulsions; likewise such as were exposed to Cold, sub- ject to Inflammations of the Eyes and Lungs. This great Man could foretell the Diseases from the Weather, and says, that Heat coming upon a wet Season will produce se- rous Defluxions upon the Head and Belly, and acute Fevers. That cool Weather, about, the Dog-Days, if not succeeded by a tem- perate Autumn, is dangerous for Women and Children, producing Quartan Fevers, and from these they fall into Dropsies: if the Winter is mild and rainy, and succeeded by Northerly Winds in the Spring, it will be dangerous for Women that happen to be with Child, producing Abortions, likewise Deflu- xions upon the Lungs, Dysenteries and Co- licks in the Phlegmatick, and Inflammations in those that are Bilious, because of the Heat and Dryness of their Flesh; and that Ob- structions after Relaxations produce Palsies, and sometimes sudden Death in old People. A rainy Summer and Autumn must; needs make a sickly Winter; burning Fevers will happen in People above 40 and Phlegmatic; in the Bilious, Pleurisies, and Inflammations of the Lungs: but if the Summer be dry with H2 Northerly 116 A GUIDE to HEALTH Part II. Northerly Winds, succeeded by a wet Au- tumn with Southerly Winds, Head-aches and paralytick Diseases are likely to happen in the Winter; likewise Hoarseness, Stuffings in the Head, Coughs and Consumption: but a dry Autumn with Northerly Winds is pro- fitable to phlegmatic Constitutions, and ex- tremely hurtful to the Bilious, the watery Parts which dilute the Gaul being exhaled. He says farther, that whoever considers these Things, may know before-hand the greatest Part of what will happen from the Changes of the Seasons, and advises to con- sider the Constitution of the Air in Opera- tions of Surgery; excepts against cutting for the Stone in the Solstices *, especially in the Summer Solstice. The divine old Man goes still farther, and says, that the Affair of Generation is influ- enc'd by the Difference of the Constitutions of the Air, and that such a Variety should thus happen in the Formation or Mixture of the Semen, which is not always the same in the same Person, in Summer and Winter, in wet Weather and dry, that it is oftener cor- rupted in the Formation or Mixture of it, where the Seasons change frequently, than where * Solstice is the Time when the Sun being come to either of the Tropical Points, is got farthest from the Equator, and seems to be at a stand for some Days before it returns back, which happens twice a Year in the Summer and Winter. The Summer Solstice is when the Sun entering the Tropick of Cancer on June 11, makes the longest Day, and the shortest Night. Ch. IV. thro' the various Stages of Life. 117 where they remain pretty near alike. He likewise attributes the different Shapes, Com- plexions, Tempers of Mankind, and even their different Forms of Government, to the Influence of the Air: that the fertile Coun- tries of Asia, upon the account of moderate Heat and Moisture, produce large and hand- some Animals; and that the Softness of their Climate disposes them to Mildness and Effeminacy, not enduring Labour or Hard- ships of any Kind, like the Greeks, frequent Changes in the Body, produced by Labour and the Alterations of the Weather exercis- ing both Body and Mind; for which Reason the Asiaticks are less bold and couragious, they are slavish and subject to Masters, and tho' they are forc'd, yer they are not willing to quit their Ease and Families, or to endan- der their Lives for the Power and Wealth of others, in Expeditions from which they are to reap no Advantage to themselves: that on the contrary, the Greeks and Northern Asi- aticks were bold, hardy, and full of Courage; and that, being at their own Disposals, wil- lingly underwent Dangers and the greatest difficulties, because the Reward of the Vic- tory was to be their own. He says besides, that as the Equality of the Temperature of the Seasons render'd the Asiaticks indolent and lazy; so the great va- riety of Heat and Cold, by differently affect- ing Body and Mind, render'd the Europeans couragious and active; Activity, Labour, and H3 Exercise 118 A GUIDE to HEALTH Part II. Exercise begetting Bravery, and Bravery begetting Laws to secure Property; and being govern'd by such, they were enabl'd to reap the Benefit of the Fruits of their In- dustry, which those that live under Abso- lute Monarchy are not capable to enjoy: Here this great and wise Man expresses his Dislike to Despotick Government. The Phasians *, says he, are tall, soft, bloated and pale, on account of the excessive Moisture of the Air they breathe; for their Country is marshy, hot, watery, woody, and subject to violent Showers at all Seasons, and such Effects proceed from lax Fibres occasi- oned by excessive Moisture; but such as in- habit Mountainous Places, where they are of a large Make, have a variety of Weather, and are bold, fierce and active; and the Inha- bitants of fertile Plains, with stagnating Waters, are the reverse; for a fat Soil produces dull and heavy Understandings. The Inhabitants of barren and dry Soils, with cold Winters, are passionate, warm in their Tempers, posi- tive, proud, and of a quick Understanding. In one of his Books ‡, he attributes the Causes of all Diseases, especially of the Pesti- lential, to proceed from the Influence of the Air: And in another Place †, he far- ther * The Phasians were Inhabitants of the City Phasis, in the ancient Kingdom of Colchis, upon the eastermost Side of the Black Sea, between Georgia and Circassia, not far from the ancient Sauromatœ. ‡ Hippoc. lib. de Flatibus. † Hippoc. lib. de Morbo Sacro. Ch. IV. thro' the various Stages of Life. 119 ther affirms, that Air gives Sensation, Life and Motion to all the Members of Animal Bodies; for which Reason he strenuously re- commends Astronomy as an essential Part of the true Knowledge of the Art of Healing; and says, that if any one should think it to be only Meteorological Speculations, he may soon learn, if he can part with his Opinion, that Astronomy is so far from being of little Use in Physick, as to be of the greatest; for as the Seasons change, so do the Constitutions of Men likewise §: And to prove the Useful- ness of Hippocrates's Doctrine and Opinion in this Particular, we need only consult a Treatise of a Cotemporary learned Author, who is not only an Honour to his Country, but likewise an Ornament to his Profession, wherein we shall find not only the Usefulness of Astronomy in the Art of Physick, but likewise the Influence of Air upon human Bodies geometrically de- monstrated †. Hippocrates goes on still farther in the same Book, and says, that where the Variety of the Weather is oftenest, and the Diffe- rence between the Seasons greatest, there the Nature, Customs, and Habits of the People will be found most different, which are the principal Causes of all the Changes in Nature; and next to these, the Country wherein we are brought up, and the Waters we are obliged to drink; for we H4 shall § Hippoc. in his Book of Water, Air, and Situation. † Richardus Mead de Imperio Solis & Lunæ in Corp. Hum. 120 A GUIDE to HEALTH Part II. shall generally find that the Complexions and Manners of the People correspond with the Nature of their Country. He has left us a curious History of Diseases, and the Weather, in his valuable Books of Epidemics, from whence he drew many useful and nice Observations; and where we may see a vast Conformity between the Constitution of the Air, and that of Dis- tempers, throughout the whole Work. The Constitution mentioned in his 1st Sec- tion, was a wet Autumn, the Winter dry, with southerly Winds and very little norther- ly, the Spring cold, with southerly Winds, a little wet, a cloudy and dry Summer, with little or no northerly Winds to cool the Air; in this Constitution he observ'd some few burning Fevers of a good sort, some with Hæmorrhages; a great many had Swellings behind both or one Ear, but generally with- out a Fever, and disappear'd without much Inconvenience or Suppuration. The Constitution of the next Year, related in Section the Second, was a wet Autumn, with northerly and southerly Winds; the Win- ter was moist and affected with cold norther- ly Winds, attended with great and heavy Showers of Rain and Snow, and a cold and northerly Spring, both watery and cloudy; the Summer not very Scorching, and was continually affected with northerly Winds, and a great deal of Rain fell again sudden- ly; so that the whole Year being cold and moist, Ch. IV. thro' the various Stages of Life. 121 moist, and attended with northerly Winds for the most part, produced Inflammations of the Eyes in the Spring, and in the Summer, Co- licks, Fluxes of the Belly, with Bilious Purg- ings, and sometimes Bilious Vomitings with Phlegm and indigested Food, some with Cat- tarrhous Fevers, others again without Fe- ver or Confinement; but they all in gene- neral sweated, Moisture being then so redun- dant every where. In the Autumn and Winter continual Fe- vers appear'd; there were likewise diurnal, nocturnal, tertians, semitertians, some quar- tans and erratick Fevers; besides some were afflicted with Catarrhs and Defluxions upon their Joints; Convulsions were also frequent among Children; all such Diseases being the natural Product of a Cold and Moist Year, affected by too much Moisture in the Air, which human Bodies continually breathe and imbibe. He tells us in his third Section, that the Constitution of that Year was a cold dry Winter attended with northerly Winds, as was likewise the Spring and Summer till to- wards the beginning of the Dog-Days, then scorching Heats and Droughts continu'd till Autumn, which prov'd to be moist and rainy: This Year was remarkable for Paraplegias or Palsies, which were epidemical in the Winter; likewise Hæmorrhages of all Kinds and Dy- senteries reign'd in the Spring and Summer, be- ing the Effects of a Constriction of the Fibres, oc- 122 A GUIDE to HEALTH Part II. occasion'd by too much Cold and Drought; burning Fevers with Delirium and Thirst, be- ginning with Shiverings, Watchings, Nauseas, and Anxiety continued, which were most dan- gerous and fatal to young and vigorous Peo- ple, especially in the Autumn, but most of all in the Winter, when the Hæmorrhages ceas'd. In his Second Book he attributes the great Frequency of Carbuncles and other large Pustules of the putrid kind in Summer to the great suffocating Heats attended with Calms and Moisture; and that Sweats suc- ceeded Showers, because Moisture relaxes the Fibres of the Body; that inflammatory Dis- cases, such as burning Fevers, Pleurisies, &c. are most violent in a dry and hot Summer; that in constant and settled Weather and Seasons, the Distempers will be more equal and of a good Sort and easily determined; but that if the Weather is variable they will likewise be irregular and resolv'd with difficulty; that the Diseases of the Spring are least destruc- tive of any of the other Seasons: He like- wise remarks that a mild Winter, attended with southerly Winds, a dry Spring, and a moist Summer with small Rains, produced Fevers, and Tumours or Swellings behind the Ears. In his third Book he observes a kind of a Pestilential Season, which proceeded from a hard Winter, a rainy warm Spring, succeed- ed by an excessive hot Summer with little or no Winds; it was notable for all inflam- matory Ch. IV. thro' the various Stages of Life. 123 matory Pimples and Eruptions upon the Skin, and likewise for all Distempers of the putrid Kind, such as Erysipelas, Aphtas and Ulcers in the Mouth and Throat, burning Fevers with Deliriums, Tubercles upon the Private Parts, Inf animations of the Eyes, Carbuncles, Swellings in the Groins, Abscesses and Defluxions upon the Joints, some with Suppurations of Pus well digested, and others again with a copious Running of putrified Matter of different sorts. He remarks in his sixth Book, that the frequent Alterations of the Winds from South to North, are very often the Cause of Inflammations of the Lungs and other Parts of the Body; and that, generally speaking, the Nature of the Diseases is determined by the Seasonableness of the Weather, as it happens sooner or later, either dry, cold, hot, moist, and attended with Winds or otherwise. From these few Instances, we may easily discover the great Genius, Sagacity, and In- dustry of this Divine old Man, as likewise with what Assiduity and Integrity he apply'd himself to study the Nature and Influence of the Air upon human Bodies; wherein he suc- ceeded better than any one of his Profession: And if his Successors had laid aside all their ri- diculous, and, as I may fay, absurd Hypotheses, together with their useless metaphysical Specu- lations, and followed the same Method with the same Perspicuity and Honesty as he did, to this present Time, we then should have had more than 124 A GUIDE to HEALTH Part II. than a conjectural Knowledge, both of the Nature and true Causes of Diseases, especial- ly of Epidemics, which at this Time puzzle even the greatest Physicians. Therefore Rea- son join'd with Observation is the only cer- tain Method we should pursue in order to come at the true Knowledge of Diseases and their Cure; for it evidently appears in the Annals of Physick, that the small Num- ber of Physician who have happily attended to it, made so considerable a Figure in their Profession, that they will always shine, even to the latest Posterity. The ingenious Dr. Arbuthnot having ex- plain'd Hippocrates and others upon the Sub- ject of the Influence of Air on human Bo- dies and Diseases, so accurately well, accord- ing to Mechanical Principles, that nothing can excell it; therefore, I thought it not only proper, but likewise very useful and necessary to give the Reader an Abstract of what he says upon that Head in this Place. He observes, that as this Subject has not been treated of by modern Physicians with that Accuracy it deserves, Observations of that kind are but few, and there is no Series of them in any Country: What would give most Light in this Matter, is a Collection of Observations in Countries where both the Qualities of the Air have great Excursions towards Extremes, where the Seasons and these Excursions, and the Diseases depending upon Ch. IV. thro' the various Stages of Life. 125 upon them are regular. Egypt is a Coun- try which answers all these Intentions in some Degree: It is situated between Ethi- opia, the Mediterranean Sea, Arabia and Barbary, which lie, in the Order mention'd. South, North, East, and West of it. Grand Cairo, where Prosper Alpinus, a very emi- nent Physician, practis'd and made his Ob- servations, lies in 30 Degrees Northern La- titude, as Ptolomy says, 6 Degrees beyond the Tropick of Cancer. This great City is situated at the Foot of the Mountains of the Stony Arabia, which lie towards the East. It is quite expos'd to the north- erly Winds which blow over the Mediter- ranean: Southerly of it there is a hot sandy Soil; so that the Alterations of Heat and Cold, as the Winds blow North and South, over the Mediterranean, or over this hot Sand are excessive, and the Alterations of Heat and Cold from the other Winds but small, lying near the Tropick; and as it is a sandy Soil, fructify'd only by the Slime of the River Nile, without Rain, there is hardly any humid Perspiration from the Ground itself, the Air receiving Mois- ture only from the watery Surface of the Nile during the Inundation, or from the Vapours brought from the Mediterranean by the northerly Winds. From these Causes the Air is extremely hot, and the tropical Heats would be insuffe- rable, were it not for the Northerly Winds. And 126 A GUIDE to HEALTH Part II. And in fact, the Heats are sometimes so ve- hement, that the Inhabitants defend them- selves from them by many Contrivances, such as Fountains in the middle of their Houses, Pipes to convey fresh Air by Grottos, and high Edifices, by which their Streets are shelter'd from the Sun, and a temperate Diet. During the tropical Heats *, the Air is sometimes so much moisten'd and cool'd by the Notherly Winds, and the watery Surface of the Nile, that the acute and pestilential Distempers are check'd by this Constitution of the Air: the Inhabitants often suffer from Catarrhous Distempers, more than in North- ern Countries, their Bodies being more de- licate, and their Pores more open by the pre- ceding Heat. As to their Seasons, their Spring lasts from the Beginning of January to March; their Summer is double, the first, from the Begin- ning of March to the Solstice †, and the se- cond, from the Solstice to the Beginning of September; and this second Summer is more constant, healthy, and less scorching than the first, by reason of the difference of the Winds, and other Causes hereafter mention'd. Their Autumn lasts September and October; and their Winter, November and December. The extreme Heat of the first Summer proceeds from the hot Winds which blow from * Tropical Heat, see p. 116. Note *. † Solstice is likewise explain'd in the same Note. Ch. IV. thro' the various Stages of Life. 127 from the South and South-East, called by the Inhabitants Campsin from their Conti- nuance of fifty Days; tho' they have no determin'd Time, but last sometimes more than three Months, and reign March, April, and May; they blow over the Sands, which they raise in Clouds, sometimes so as to darken the Sun: during this Time, many epidemi- cal Diseases rage, especially Inflammations of the Eyes, a Fever, which the Inhabitants call Demelmuia, attended with a Delirium, and proves often mortal in a few Hours, and even the Plague itself. And this extreme Heat has sudden Interruptions of Cold, which renders the Inhabitants still more unhealthy, and they live under Ground during the Campsin. The Heat during the Months of June and July, which by the Course of the Sun should be the greatest, is so moderated by the Northerly and moist Winds blowing over the Mediterranean, and by the overflowing of the Nile, that the Inhabitants grow heal- thy, and sow their Seed in the Months of September and October, Their Winter has seldom any Snow, Frost, or Rain, or any thing besides Dew, unless in some Places bordering upon the Mediterranean, and re- ceiving Clouds from thence. So that the reigning Winds in Egypt are the Southerly, blowing as it were from an Oven; and the Northerly, moist and cold over the Mediter- ranean, and this last perhaps two Thirds of 2 the 128 A GUIDE to HEALTH Part II. the Year, and during the greatest Solar Heats. Another Cause by which both the Heat and Drought of the Air is temper'd, is the overflowing of the Nile, which rising in the Mountains of Ethiopia, bends its Course Northerly thro' a Tract of Land near 30 Degrees. By the Rains falling in those Mountains, the Nile has ever since the Me- mory of Man begun to swell the 17th of June New Stile; and it rises every Day about 8 or 10 Inches, and begins to fail in August, and decreases till May, when it is in a man- ner stagnating. The Limits of its Height are, from 26 the highest of all, to 18 the lowest, in Cubits; the middle 24; 18 is a Height barely sufficient to make an Inunda- tion. Its Water not only refreshes the Air with a kindly Moisture, but is the most de- licious Drink in the World, when purify'd by the Deposition of its Sediment, being of itself a Cure for most Distempers, where Dilution, a Diuresis or Sweating is necessary, as Prosper Alpinus found by Experience. There are several remarkable Things in the Constitution of the Egyptian Air; for the Perspiration of the Soil, which is sandy and barren, cannot affect the Air very much, the Exhalations being mostly either from the Surface of the Inundation, or the Mud and Slime after it is over. The natural Heat and Dryness of the Air, and the Change from that to cooler Moisture; the Abate- ment Ch. IV. thro' the various Stages of Life. 129 ment of the Tropical Heats by Northerly Winds; the Extremity of Heat and Drought, by the Southerly Winds blowing over Sands, and the Moisture again induc'd by the Clouds from the Mediterranean, and the Inundation; the Exhalations from stagnating and putrid Water, when the Inundation is quite over; and lastly, the Temperance and regular Diet of most of the Inhabitants, must give a fair Experiment of the Effects of Air upon hu- man Constitutions. And accordingly, those who labour and live hard, and cannot defend themselves from the Injuries of the Wind, mostly hot and dry, are extreamly lean and squalid. The Rich, by a plentiful and nourish- ing Diet, and preserving themselves from the Heat and Drought, by Bathing, Relaxation of their Fibres by drinking the Water of the Nile, are often fat. The Air of Egypt having no noxious Qualities from the Perspiration of the Ground, Were it not from the accidental ones above- mention'd, would be extremely wholsome; and the People who know how to defend themselves from those Accidents, live to great Ages. The frequent Changes of Heat and Cold, Moisture and Drought, produce all the Distempers of the Catarrhous Kind, and Arthritick Diseases; and by the strong Per- spiration, Leprosies, even Elephantiasis, The Effects of a hot dry Air by a Southerly Wind, blowing over a sandy Country, are felt strongly; inflammatory Distempers, es- I pecially 130 A GUIDE to HEALTH Part II. pecially a raging Fever with a Phrenzy, called Demelmuia, mortal in a few Hours: they feel likewise all the good Effects of the A- batement of this Heat and Drought by Nor- therly Winds, and the overflowing of the Nile. They are likewise subject to all the Diseases from putrid and stagnating Water, and Exhalations from Heat after the Inunda- tion is over, and these are often pestilential. Pestilential Distempers are frequent in Egypt, and what I think demonstrates the Plague to be Endemial * to that Country, is its regular Invasion and going off at cer- tain Seasons, beginning about September, the time of the Subsidence of the Nile, and end- ing in June the time of the Inundations. In the first Case, are all the Causes productive of Putrefaction, Heat, and putrid Exhala- tions, and no Winter Frost to check them. But what is wonderful, the Plague, and the Fevers from the Heat of the Campsin, go off by the Northerly Winds, and the over- flowing of the Nile: and the wholsome Qua- lity of Northerly Winds for checking pesti- lential Distempers, has been observ'd by all ancient Physicians, And to shew that the Plague depends upon the Temperature of the Air, Prosper Alpinus takes Notice, that up- on the swelling of the Nile, the Infection, and * Endemial or Endemick, is a Disease that infects a great many in the same Country, proceeding from some Cause pe- culiar to the Country, or the Place where it reigns, such as the Scurvy to the Northern Climes, the Plague to Turkey and Egypt. Ch. IV. thro' the various Stages of Life. 131 and even the Danger from infected Cloath and Furniture goes off; besides the cooling of the Air, the Northerly Winds may dissipate the stagnating Vapours, and the running of the Nile the stagnating Waters. Hippocrates and Galen have both observ'd, that the Etesiæ, or Northerly Winds blowing in Sum- mer, made a wholsome Season; but this Ob- servation is more sensible in hot Countries than in ours. Boutius, a very learned and sagacious Phy- sician, has left us a Description of the Air and Diseases of the Inhabitants of Java: it is situated under the Line, and is very hot; it is likewise moist, from the great Quantities of Rain and stagnant Waters; and from Heat and Moisture, and Salts produc'd from those Qualities, the putrifying Quality of the Air is very manifest in rotting of Cloaths, and rusting of Metals. From these Qualities the Air feels to human Bodies piercing and active; and as all the Inhabitants of hot Countries have that Sensation of the penetrating Qualities of Air, Cold after great Heats, which proceeds chiefly from the Pores of their Skin being relaxed before by Heat, such Bodies must imbibe Air faster. In Java, as in Egypt, the Northerly Winds render the Air wholsome, by abating The extreme Heat; some Land Winds carry- ing along with them the stagnant Vapours, are often otherwise. The Soil being here fruitful and rich, emits Steams, consisting of I2 volatile 132 A GUIDE to HEALTH Part II. volatile and active Parts, which fructify the Soil, but are hurtful to human Bodies. The Seasons here cannot be distinguish'd by their Heat, by reason of the Smallness of their Latitude: there are only two, what may be called Winter is the rainy Season; this Season is attended with Diseases which de- pend upon Putrefaction. The Inhabitants measure their Seasons of Heat and Cold by the times of the Day; the Mornings and Evenings are cooler by the Absence of the Sun, and by the Sea Breezes; the scorching Heat of the middle of the Day makes that Time unfit for Business. The popular Diseases here are, a kind of Palsy, called by the Inhabitants Beriberium, the Cause of which is evidently cold Air, imbib'd by the Pores of the Skin, extreamly relaxed by Heat before, and therefore in- vades such as incautiously expose themselves to the Morning Air, or throw their Bed- clothes off in the Night. Another Disease, called * Catalepsis, is likewise popular in this Country, proceeding from the penetrating Qualities of the Air imbib'd by relax'd Bodies, which renders the Patient rigid like a Statue, and dies in a few Hours. Diarrhœas and Dysenteries are common from the same Cause, by sudden Suppression of Perspiration. It is a Matter of Observation, that great Heats exalt the Bile, by exhaling the watery Particles which dilute it, by a strong sensible Per- * Catalepsis, is a convulsive Disease like an Apoplexy. Ch. IV. thro' the various Stages of Life. 133 Perspiration; and therefore the Cholera Mor- bus †, and other Diseases of the Liver, are common and fatal in the East-Indies; and from diseased Livers, Dropsies and Atrophies are frequent in Java: and in this Country Fevers are seldom intermitting, but conti- nual, with Phrensies, and other dreadful Symptoms, as during the Campsin in Egypt, proving mortal in a short time. It seems agreeable to Reason and Expe- rience, that the Air operates sensibly in forming the Constitutions of Mankind, the Specialities of Features, Complexion, Tem- per, and consequently the Manners of Man- kind, which are found to vary much in dif- ferent Countries and Climates. As to Fea- tures, what an infinite Variety arises from the Combination of the Parts of a human Face! so that since the Creation of the World, per- haps there were never two, upon a narrow Inspection, that perfectly resembled one ano- ther; for there are Faces not only individual, but Gentilitious and National; European, Asiatick, Chinese, African, Grecian Faces, are characteris'd: and this Diversity of Na- tional Features and Shapes is not altogether the Effect of Propagation from the same ori- ginal Stock; for it is known by Experience, that Transplantation, changes the Stature and outward Shape both of Plants and Animals. I3 Hippo- † Cholera Morbus, is a convulsive Motion of the Stomach and Guts, whereby the bilious Excrements are discharg'd in great Plenty, both upwards and downwards. 134 A GUIDE to HEALTH Part II. Hippocrates makes great Account of the Influence of the Air upon the Fœtus, both before and after Birth. He is of Opinion, that the great variety of European Faces, is owing to that of the Air and Seasons, as has been observ'd in another Place, there being such great Excursions in the Extremities of Heat and Cold, that their Offspring is as it were begot and brought forth in different Climates. That the Shape of Animals should be modi- fy'd by the Air, is in no Ways unaccountable; for an Animal growing, expands its Fibres in the Air as a Fluid, which by a gentle Pres- sure resists the Motion of the Heart in the Expansion and Elongation * of the Fibres; and tho' the Fibres of several Animals shoot as it were in this Fluid, according to their original Shapes, yet such a Fluid resisting by its Pressure, is, in respect to the Animal, like a soft Mold, in which the Body is form'd; and therefore, according to the Quantity of its Pressure, depending upon its most perma- nent State of dense, rare, hot, cold, dry, moist, must have some Influence in forming the outward Figure of such a Body in a State of Acretion or Growing : besides this out- ward Pressure, the Air being mix'd with the Animal Fluids, determines their Condition as to Rarity, Density, Viscosity, Tenuity, and several other Qualities. That * Lengthening. Ch. IV. thro' the various Stages of Life. 135 That the Complexion depends much upon the Air, is plain from Experience; the Com- plexion of the Inhabitants of several Coun- tries being fair, swarthy, black or adust, ac- cording to the Degrees of Heat, Drought, Moisture, or Coolness of the Air they live in; for the Inhabitants of Countries in great Latitudes are generally fairer than those that live nearer the Sun. That the Temper and Passions are influ- enc'd by the Air, is no less certain: People of delicate Nerves and moveable Spirits, are often joyful, sullen, sprightly, dejected, hope- ful, despairing, according to the Weather; and these Changes happen in stronger Con- stitutions, but pass unobserv'd. There are Days in which the intellectual Faculties of Memory, Imagination, Judg- ment, are more vigorous; therefore it seems probable, that the Genius of Nations de- pends upon that of their Air; for Arts and Sciences have hardly ever appear'd in very great or very small Latitudes. The Inhabitants of some Countries succeed best in those Arts which require Industry and great Application of Mind; others in such as require Imagi- nation: from hence some Countries produce better Mathematicians, Philosophers, and Mechanics; others better Poets, which be- sides the Rules of Art, require Imagination; and it seems, that Labour is more tolerable to the Inhabitants of colder Climates, and Liveliness of Imagination to those of hot. I4 There 136 A GUIDE to HEALTH Part II. There are two Things common to all Mankind, Air and Aliment, and both differ very much in their Qualities, in different Countries and Climates but those of the Air perhaps are more different than those of the Aliment or Food. In perusing the Accounts of the Temper and Genius of the Inhabitants of different Countries, we dis- cover in them a great Uniformity, even tho' the Race has been chang'd; for the Temper of the Gauls, describ'd by Cæsar and other Writers, is much the same with that of the present French, of which there is a remark- able Instance in the Misopogon of the Em- peror Julian; he tells us, that he had passed a Winter at Paris, where there were more Comedians, Dancers, and Fiddlers, than there were Citizens besides. And I believe if a Race of Laplanders were transported thither, in a few Years they would be found in the Con- dition describ'd by the Emperor Julian. If we consider the Causes assign'd by Hip- pocrates, of the different Temper of the Inhabitants of different Climates, we shall find them sufficiently proportion'd to their Effects. In Northern Countries, where the Alterations of the Height of the Mercury in the Barometer, and consequently of the Weight of the Air, are frequent and great, the Fibres of human Bodies are in a continual oscillatory * Motion from a Pressure of 1200, 1800, * Oscillatory Motion is properly the Swing or Motion of a Pendulum of a Clock, and thence comes to be used for all tremulous or undulating Motions having Resemblance thereto. Ch. IV. thro' the various Stages of Life. 137 1800, nay, 3600 more at one time than another; and tho' this, by the Softness and Rarity of the Fluid, is insensible, and not painful, it is a sort of Exercise, which the Inhabitants of Countries where the Variation of the Height of the Mercury is small or no- thing, do not feel. By the Difference of the Tension of the Fibres, the whole nervous System and the animal Spirits are in some manner affected; And let us consider again the Extremes of Heat and Cold in great Latitudes, operating after the same manner, relaxing and con- stringing the Fibres by turns, and the ex- treme Cold acting likewise as a Stimulus, in consequence of which we find an Activity and Tolerance of Motion and Labour in dry frosty Weather, more than in hot; whereas the People within the Tropicks are constantly in the State of our hottest Weather. Therefore, whoever considers Mankind in such different Circumstances, will find, that the Temper both of their Body and Mind must be different, and that a greater Varie- ty in the Oscillatory Motion of the Fibres of Northern People, must produce the same in their Spirits; and therefore a proportional Inequality in their Passions, and consequent- ly greater Activity and Courage. That the Inhabitants of Climates, where the Difference of the Weight, Heat and Cold of the Air is but small, feel only the Changes 138 A GUIDE to HEALTH Part II. Changes of the Tension of their Fibres pro- ceeding from Drought and Moisture, being free from the Agitations and uneasy Sensa- tions of northern People, proceeding from the Causes above-mention'd; and the Mo- tions of their Fibres and Spirits being more uniform, they may be for that Reason, and from excessive Heats, lazy and indolent. That the Constitutions of Mankind differ according to the Qualities of the Air in which they live, is an uncontested Matter of Fact, and depends upon obvious Causes: For as Hippocrates observed, that the In- habitants of moist Countries were bloated, leucophlegmatic, and dull, from the Rela- xation of their Fibres, and the Moisture im- bib'd with the Air; and contrary Causes must; produce contrary Effects: Heat indeed relaxes the Fibres, but by absorbing the Moisture may likewise harden, and render them more solid: For the Bones of Ani- mals in hot Countries are more solid, and specifically heavier than those in cold Cli- mates, as may be seen in comparing the Bones of the Limbs of African Horses with those of northern Countries. The Blood likewise in hot Countries is thicker and blacker, by the Dissipation of the serous Part by sensible Perspiration, which is Matter of Fact well attested by Physicians who have practised in those hot Countries: And from this black adust State of their Blood, they are Atrabilarious; for great Ch. IV. thro' the various Stages of Life. 139 great Heats exalt the Bile, by dissipating the Moisture which dilates it; but Bile, of itself, is the most unperspirable of Animal Fluids, for it stops at the Surface of the Skin, and discolours it. There is some Anology * between Plants and Animals, and both are longer in coming to Maturity in cold and moist Air; for the prolifick Age of Mankind is much earlier in hot than cold Countries, the Females be- ing in that State at ten Years of Age. And the Inhabitants of warm Countries are not subject to be fat, for a strong Perspiration keeps an Animal from being so; yet a copi- ous Diet and Inactivity will always occa- sion Exceptions from the general Rule. Cold and moist Air must necessarily pro- duce phlegmatic and lax Constitutions, and by stopping Perspiration, with a copious Diet, accumulate the Animal Oil: But dry and cold Air in a Degree tolerable to human Bodies, which is a state of our Winter Frosts, creates a strict or tight Constitution of the Fibres, and all the Effects thereon depending, as Vigour and Activity, &c. As the Force of human Bodies is limited, they are not capable of bearing Extremities of any kind, of too great Rarety, Density, Heat, Cold, Moisture, or Drought in the Air. From the same cause human Bodies do * Analogy is the Relation which one Thing bears to ano- ther. 140 A GUIDE to HEALTH Part II. do not easily sustain violent and sudden Changes, which agitate the Fluids and Solids too much; for as the State of our Fluids and Solids change with the Air, violent Alte- rations in the latter produce the same in the former. For Example: Suppose such a State of the Air as makes a great Stric- ture of all the external parts of the Body, and consequently an Abatement of the Cir- culation in the Vessels exposed to the Air, and in those which immediately communi- cate with them: Suppose again, the Air is suddenly changed from this State to one which violently relaxes the Fibres; by their Relaxation it is possible that the Vessels which were destin'd before to carry the Serum or Lymph, may admit the Blood, which is an inflammatory State: Accordingly we find, that inflammatory Distempers of several kinds are rise in moist and warm Weather, preceded by hard and lasting Frosts: Frosts stop the Perspiration of the Earth, which being restored by Thaw, fills the Air with an unusual Quantity of Vapours, which affect human Bodies, not only by Relaxation, but as they imbibe them with the Air. Cold both congeals the Fluids and con- stringes the Solids; for it acts like a small Li- gature upon the Vessels affected with it, by which the Circulation through the Vessels is retarded; the natural Effect of which is a greater Secretion of Serosity through the Glands Ch. IV. thro' the various Stages of Life. 141 Glands contiguous; for the Extremities of the Vessels near the Glands being press'd, they cannot so plentifully carry off the re- fluent Fluid, by which there must be a greater Flux of Liquor towards the Glands, and consequently a greater from its Emuncto- ries; therefore Catarrhs, or serous Defluxions upon all the Parts of the Body, but especially from the Glands of the Head and Throat, are a natural Effect of Cold. Obstructions by Cold in the outward Parts of the Body, drive the Blood pressing with greater Force upon the inward Parts, and in- crease Heat, and likewise may occasion a Siziness in the Blood: And Cold, by sup- pressing the Perspiration of Salts in the Blood, by congealing the Blood, and likewise by a painful Stimulus corroding the Skin, is apt to produce Scurvies, and other cutaneous Erup- tions, and in extremity is capable of freezing the Fluids, and reducing Animal Substances to a gangrenous State. Cold Air is also capable of rendering in- flammatory Distempers with cutaneous E- tuptions more dangerous, by hindering the Relaxation of the Skin; as the Small-pox is found to be most fatal during hard Frosts, and cold north-easterly Winds. Cold Air likewise, by its immediate Contact with the Surface of the Lungs, is capable of abating or stopping the Circulation of the Blood, and bringing them into an inflammatory State, and by producing Catarrhs and Coughs, is 142 A GUIDE to HEALTH Part II. is productive of all the Effects of such De- fluxions upon the Lungs, as Ulcerations, and all Sorts of Pulmonick Consumptions. Hot and moist Air producing Relaxations, and consequently an Abatement of the Force of the Solids in propelling the Fluids, must produce Stagnation, Tumours, and Putrefac- tion in the Liquids, and all the other Diseases depending upon a lax State of the Fibres: Hippocrates observed such Diseases always consequent upon a moist Constitution of Air with southerly Winds, which are warm; and the same has been often observed here in England. As Perspiration is the last Action of per- fect Animal Digestion, that Constitution of Air which suppresses Perspiration, must hinder Digestion; therefore cold and moist Air must be hurtful to the Stomach: And as Catarrhs and Coughs are the Effects of cold and moist Air, and those habitually affecting the Lungs, they often produce pul- monick Consumptions; yet it seems probable, that where those Consumptions are a po- pular Disease, they proceed from some par- ticular Acrimony in the Air of that Country, affecting that tender Organ by immediate Contact, and perhaps most of the Glands of the Body; for our Consumptions are for the most part scrophulous, and scrophulous Distempers are common in this Country. And where the Air is charg'd with any saline acrid Particles, they will naturally co- agulate Ch. IV. thro' the various Stages of Life. 143 agulate the Fluid where they touch; and from the abundance of Mineral Waters of all Sorts in England, it may be inferr'd, that there are abundance of Mineral Steams, which are capable of producing such Distempers. From what has been said on the Subject of the Influence of Air upon human Bo- dies, it is plain that no vitious State, either of the Solids or Fluids, but is producible by the common Properties and Qualities of Air, and their Changes and Combinations. By the Qualities of the Air, the solid Parts may be stimulated: For example, the Sti- mulus of extreme cold Air is very sensible. Heat, or any Quality of Air, so excessive as to produce a painful Sensation, acts as a Stimulus: And what obstructs the Passages of the Vessels which communicate with the Air, is stimulating, by increasing the Force of the Heart and Fibres to overcome the Obstruction; this either Cold or Moisture may do, which often produce, first a Chil- ness, and then a succeeding Heat, which are feverish Symptoms. Many volatile Particles floating in the Air, as the Odoriferous Ve- getables, act as a Stimulus, and produce Heach-Achs, as we often find. That the Fibres are constring'd and re- lax'd by the Alterations of the Properties and Qualities of the Air, has been already de- monstrated; and that the Fluids may be Vitiated in the same manner, is no less plain: That the Blood may be condensed by 144 A GUIDE to HEALTH Part II. by Heat, by absorbing the most fluid Part; That a certain Degree of Heat will attenuate, and a greater coagulate the Serum; and that Heat in general is capable of producing great Acrimony and putrid Fevers of all Sorts, is true from Experience: And any Degree of Heat greater than that of a human Body will do so; for our natural Heat is near the Degree of Coagulation. Cold likewises condenses the Fluids in immediate Contact with it; and is capable of producing Siziness and Viscosity of the Blood: And by the same Causes Acrimony of all Sorts, to the De- gree of Putrefaction, is producible by Air. Evacuations of all Sorts, from all the glandulous Parts of the Body, are producible by the Stoppage of Perspiration by Cold; for there is no diuretick Medicine that works so strong in a Flux of Urine, as a Suppression of the perspirable Matter in hysterical Cases. Cold likewise promotes all Catarrhs and Coughs; and moist Air, Diarrhœas, and copious Secretions from the Glands of the Guts, without which Evacuations, Stoppage of Perspiration produces a Plethora or Ac- cumulation of the Humours in the Vessels. From these Considerations it appears, that die Diseases, especially the Acute of any Sea- son, chiefly depend upon the Constitution of the Air, by which they are modified as to their Rifeness, Duration, Degrees of Danger, their particular Symptoms, Circula- sons and Periods; In which we must not only Ch. IV. thro' the various Stages of Life. 145 only consider the present, but likewise the preceding State of the Air; because, as they are more similar, or contrary, so the Alterations produced in human Bodies are more or less violent; particularly it will be found, that sudden Changes from the Ex- tremes of Cold and Dry, to Heat and Mois- ture, are Causes which operate strongly in modifying the Diseases of that Season. That long and excessive Heats, by inducing Weakness, are apt to stamp the Succeeding Fevers with nervous Symptoms: That such a dry Constitution of Air, as is apt to con- tract the Skin, and obstruct its Pores, makes the Crisis by sweating more difficult; and perhaps the different Periods of Fevers, Quo- tidian, Tertian and Quartan, may depend upon a preceding greater Viscosity, or Ob- struction in the Vessels, produced by the Constitution of the Air: That the more dangerous State of the Small pox, and other inflammatory cutaneous Eruptions, depends upon the Air; and it seems very plain, as it induces a greater Laxity or Stricture of the Fibres, or creates Obstruction in the Vessels of the Skin. That Diseases of the Lungs, as far as they are not the product of bad Diet, depend chiefly upon the Qualities of the Air, seems evident; for the Lungs are expos'd to the outward Air, which has an immediate Ad- mission into the Air-bladders, and perhaps into the Blood-vessels; and whatever Effect K the 146 A GUIDE to HEALTH Part II. the Air has upon the Skin, this must be ex- pected upon the Lungs in a particular Man- ner. Thus far I thought necessary to give the Reader an Abstract of the ingenious Dr. Arhurthnot's Explanations of Hippocrates, and others, on the Subject of the Influence of Air upon human Bodies. But to conclude, I shall only add; that of all the Causes that are capable of altering our Bodies, no one is so necessary and so sudden as the Air; the Necessity of which is evident from the use of Air in Respiration; for if it happens, that any of the chief Or- gans appropriated either for the Entrance or Reception of Air receive any great Injury, the Animal dies suddenly by Suffocation; whereby it manifestly appears, that Air and Life in perfect living Creatures are insepe- rable. According to Hippocrates, natural Heat is preserv'd by moderate cool Air; for if you take away the Air from Fire, it will not burn, but will immediately be extinguish'd: and our Spirits, which are the principal In- struments of the Soul, are generated and nourish'd by Air, and supported by its going in and out; and it is principally for this Rea- son that our Bodies are every where perfora- ted or porous, that our Arteries are continu- ally beating, and that Nature has made such admirable fine Mouths to the two Vessels called the Lungs; so that the Air is as ne- cessary Ch. IV. thro' the various Stages of Life. 147 cessary to a living Creature as the Soul it- self. As to the Suddenness of the Air, we feel it every Moment; for it instantly ascends to the Brains by the Nose, and traversing almost an infinite number of minute Passages, which are to be seen in the admirable Net-work of animal Bodies; proceeds to the inmost Re- cesses of the Body, and descends with incre- dible Velocity into the Lungs by the Mouth, and thence to the Heart: it likewise pene- trates the Pores of the Skin insensibly, and enters the Arteries by Transpiration, as far as the deepest Cavities of our Bodies; it sur- rounds us always, and never abandons us one Minute; so that we must constantly imbibe or suck it in whether we will or not. The Divine Hippocrates, being thoroughly acquainted with the Power of Air upon hu- man Bodies, tells us in his Epidemicks, and in the second Book of Diet, that the whole Constitution of the Spirits, Humours, and the Body, depends entirely upon the Air. Therefore the Choice of good Air, and a pleasant Habitation, must always claim the first Rank in the Regimen of Health; so that such as would preserve their Health, and obtain a long Life, ought to know the Good- ness of the Air, as well in regard to its Sub- stance as to its Qualities. As to its Substance, when it is pure and has no Seeds of Corruption, and that it is K2 not 148 A GUIDE to HEALTH Part II. not impregnated with malignant Vapours pro- ceeding from dead Bodies, or from the Sinks or common Shores of great Cities, or stand- ing Waters; or from the sulphureous Exha- lations of Mines, combin'd with different Salts, or metalline Particles, which are stink- ing, oily, and inflammable, of which I treated at large already in Part II. Chap. I. But if the Air happens to be corrupted or infected, and that we cannot remove as soon as we would, it must be purified with artifi- cial Fires made of Rosemary, Juniper, Lau- rel, Cyprus, and Perfumes made of Aloes- wood, Juniper-berries, and other Aromatics; likewise the Steams of Vinegar correct the Malignity of the Air in a surprizing man- ner. As to the Qualities of the Air, all Ex- cesses of Heat, Cold, Moisture and Dryness, are pernicious; for which Reason we should chuse moderate Air if possible; therefore serene Air moderately hot and dry, blowing from clear inland Places, or from Rivers with a gentle Breeze, free from sudden and great Changes, open and rural, purg'd of salt and oily Exhalations, is generally the best to preserve Health. As to what regards ancient People, a warm Air is certainly the best for them, and their Chambers should never be without Fire, es- pecially in the cold Seasons of the Year; for it is experimentally true, that their State of Health is much better in Summer than in Winter; Ch. IV. thro' the various Stages of Life. 149 Winter; because they always carry the Win- ter along with them. Their Bed-Chambers should be in the upper Apartments, and their Houses open to the East, that the Morning Sun might enter their Rooms: there should likewise be an opening on the North Side, in order to let in Air from that Side, and by that Means to purify the Air, and expel all noxious or offensive Steams and Vapours out of their Chambers. CHAP. V. OF ALIMENTS in general. ALIMENT includes all that is taken in as Meats and Drinks, from whence Nourishment is expected, which is what sup- plies Nutrition. And what comes under this Term is threefold: First, all that passes in the first Stage from Mastication, or Chewing, the Chyles's Entry into the Blood is so call'd. And Secondly, the Apposition of new Parts in the Room of those wore off by Action. Thirdly, when the Chyle after various Circu- lations with the Blood, is deprived of all that can be of farther Use to any Part of the Body, it is carried both sensibly and insensibly through the Emunctories of the Body. K3 The 150 A GUIDE to HEALTH Part II. The first State of Digestion. The first is carried on in the following Manner: The Parts of Food being divided by Chewing, and moisten'd with Spittle, that it may be render'd softer in order to undergo a farther Comminution, is thrust down into the Sto- mach; wherein, by the Assistance of the con- tinual Motion arising from the musculous Coats of the Stomach, and of Respiration, by which the * Diaphragma alternately presses the Stomach downwards, the Parts of the Food soften'd by the Saliva or Spittle, and other serous Liquors from the Glands, is shook about, ground and divided into yet smaller Parts, until it acquires such a Fine- ness as is requisite, together with the glandu- lous Fluids and Liquors drank down, for composing that milky Fluid call'd Chyle ‡. But here we are to observe, that the Parts of the Food are not dissolv'd into essential Parts, or Elements, whether chymical or any other, by the Assistance of any Ferment in the Sto- mach; that is to say, by a Separation of some Parts of different Kinds combined together, and an Union of other Parts that were before separated, as it happens in all Fermentation of Wine, wherein tartarous Particles, before united * Diaphragma, or Midriff, is a transverse Muscle which separates the Thorax or Chest from the Abdomen or Belly; in the Middle it is membranous; the Gullet, the great Artery, and the great hollow Vein all pass through it: It conduces to Respiration with other Muscles, and pressing upon the Guts helps forward the Secretion of the Excrements. ‡ Chyle is that milky or Emulsion-like Juice, which the Food is immediately converted into by Digestion. Ch. V. thro' the various Stages of Life. 151 united with others, are separated; and Parti- cles of Phlegm and Oil, before in Separation, are brought nearer together, and form a true Spirit. But by the Concoction that is perform'd in the Stomach, the Food is divided into integral Parts, not differing from what they were be- fore, only in obtaining a lesser Bulk; altoge- ther in the same Manner as Coral is grinded upon a Marble with Water, and reduced to an impalpable Powder, whose Parts are only small Pieces of Coral, and not any Principled into which Coral is resolv'd. For the Proof of which there is no need of any other Argu- ment, than that in the Stomach and the In- testines of the larger Fish, that devour and digest the lesser, the Chyle is nothing else but a Liquor filled with the Fibres of the devour- ed Fish, as may be easily discerned with a Microscope; or the small Parts of Fibres no way differing from the larger, only in Magni- tude, that is, indigested Pieces of Flesh. The Chyle being thus elaborated in the Stomach by its alternate Contractions, and the Force of the neighbouring Muscles, is thrown out into the Intestines, at its Entrance into which it is diluted with the Bile and pancreatic Juice: which Liquors undergo no manner of Effervescence * with the Chyle, or with one another, but are smoothly and K4 quietly * Effervescence signifies an intestine Commotion produced by mixing two Bodies together that lay at rest before; attend- ed sometimes with a hissing Noise, Frothing, and Ebullition For 152 A GUIDE to HEALTH Part II. quietly mixed therewith, and with each other, as appears by many Experiments; and by their Means the Chyle is render'd more fluid. Hence it follows, that the Parts of the Food, in some measure dissolved by the Motion of the Stomach, but not sufficiently separated from each other, thro' want of a due Quan- tity of Fluid, every one yet being in some measure in Contact with one another, pass over the Pylorus * into the Guts; and when these greater or less digested Particles cannot be strain'd in any considerable Quantity into the Lacteals † by reason of their Magni- tude, they are yet thrust farther into the in- testinal Tube ‡, and therein putrify, as they are out of the Limit of Circulation, which begins at the Lacteals: For all Things, such as the Flesh of dead Creatures, Herbs, &c. that are capable of Putrefaction out of the Animal, are capable of Digestion in it. Hence For Example, Acids, such as Juice of Limons, Spirit of Nitre, &c. and Salt of Wormwood, Tartar, or other Alka- line Substances, being mixed together, will produce an Efferve- scence or Ebullition, * Pylorus, or Janitor, the right Orifice of the Ventricle or Stomach, which sends the Food into the Guts. † Lacteals are long and pellucid Vessels or Veins, which arise from all Parts of the small Guts, from whence they re- ceive the Chyle, and run to the Glands of the Mesentery. They are call'd Lacteals of the first Sort, being so very small; and from thence they convey the Chyle to the common Receptacle, and being larger are call'd Lacteals of the second Sort, and thence it is carried into the Thoracick Duct, and from that into the Blood in the left Subclavian Vein. ‡ Intestinal Tube, the hollow Pipe of the Guts from one End to the other, which is divided into six Parts. Ch. V. thro' the various Stages of Life. 153 Hence it is certain, that Digestion is much more effectually and expeditiously perform'd in the Day-time, or when we are awake, than in the Night, or during Sleep; because while we wake we breathe thicker, and the Diaphragma and Muscles of the Belly, and even the whole Body is more exercised, and consequently the Stomach is oftener com- press'd. It also follows, that by gentle walk- ing, or while we exercise ourselves in any mo- derate Motion, Digestion is more effectually and expeditiously performed, than while we fit in Idleness and without Motion; and still much better than when we fit hard at Study, because by this Means the Mind is so diverted, that our Respiration then is rarer, even than in our Sleep, and the Muscles are thereby less contracted: And that we digest better in Winter than in Summer, is a Confirmation hereof; because in the Winter, to drive away the Sense of Cold, we are oftener put upon Exercises and greater Activity of Body than in the Summer Season; as likewise, because the Muscles and solid Parts are more tense, and consequently stronger in their Contractions and Attritions *. But as for a Ferment in the Stomach, ac- cording to the wrong Notions of some, whe- ther it be Spittle or Serum ouzing out from the Glands of the Stomach, it cannot contri- bute any thing to the Digestion of the Food, any farther than by softening it, whereby it is * Rubbing, grinding. 154 A GUIDE to HEALTH Part II. is capable of being farther divided. Neither do any Liquors flow into the Stomach in order to promote Digestion; but Digestion, that is, the Motion of Chewing, Swallowing, and of the Stomach, are the Cause why these Li- quors are press'd out, and that they drain into the Stomach: For that those Liquors contri- bute nothing farther to Digestion than by softening the Food, is manifest from hence, that if Herbs or Meat be mixed with them in any convenient warm Place as warm as the Stomach, but without Motion, they will never be changed into Chyle; so that it is sur- prizing that any should ascribe to the Serum of the Blood, as it is excerned by the Glands, a Faculty of changing solid Meats into the Form of Chyle, when it is evident that Serum is not a fit * Menstruum for the Solution of Bread, Meat, or Herbs. But this whole Af- fair will be much better understood from con- sidering Boyle's Machine for Digestion, where- in, without the Help of any Ferment, but by the Assistance only of Warmth, and the Pres- sure of rarefy'd Air confined, Bones and Flesh, with the Addition of a small Portion of Water, are turned into a Jelly; where no- thing is wanting to its being made real Chyle, but the rough Superficies of a Body to grind and often shake it about. The * All Liquors are so call'd which are used as Dissolvents to extract the Virtues of Ingredients by Distillation, Infusion Decoction, &c. Ch. V. thro' the various Stages of Life. 155 The Chyle being thus made, washes over the Pylorus into the intestinal Tube, where, by its peristaltic Motion *, and by the Pressure of the Diaphragma, and the Muscles of the Abdomen †, the thinner Parts are strained through the narrow Orifices of the Lacteal Veins, while the grosser Parts continue their Progress downwards until they are quite eject- ed by Stool. What passes through the Lacte- als is carried by them into the Glands of the Mesentery ‡, where they receive a fine thin Lymph from the ‖ Lymphaticks, whereby the Chyle is diluted so as to pass easier the rest of its Course: For beyond the first Glands they unite in larger Canals, and those in still larger, until at last it enters the common Receptacle of the Chyle, which is a kind of Bason form'd for it by the Union of the Lacteal and Lym- tick Vessels. From thence it ascends thro' the Thoracick † Duct, and is thence discharg- ed into the Blood in the left Subclavian Vein, and therewith descends into the right Ventri- cle of the Heart, where it is but imperfect- The second stage of Digestion. ly * Alternate Motion of Contraction and Dilatation, com- monly tending downwards. † The Belly, which contains the Stomach, Guts, Liver, Spleen and Bladder. ‡ A membranous Part in the lower Belly, to which the Guts are connected. ‖ Are slender pellucid Tubes arising in all Parts of the Body, which permit a thin transparent Liquor to pass through towards the Heart, which shut like Flood-Gates upon its re- turning. † A Canal through which the Chyle passeth from the Lac- teals the Blood. 156 A GUIDE to HEALTH Part II. ly mixed; and in its Passage it receives the Lympha from all the upper Parts of the Body. But here I must observe, that the most subtil Parts of the Chyle pass immediately into the Blood by the Absorbent * Vessels of the Intestines, which discharge their Contents into the Mesaraick Veins, the Largeness and Number of which demonstrate the same, for they are numerous and vastly larger than their corre- spondent Arteries; and wherever there are † Emissaries, there are likewise Absorbent Vessels: for Example, by the Absorbent Ves- sels of the Skin, Mercury will pass into the Blood. But Mr. Hale's ‡ Experiment proves this beyond despute; and if we consider the Straitness of the Thoracick Duct, and the Slowness of the Passage of the Chyle by the Lacteals thro' it, and at the same time the great Quantity of some Liquors and several other Things, which pass in a very small Time by Urine, and give it a Flavour and Taste; by an easy Calculation we may be able to de- monstrate, that such a Quantity could not pass, into the Blood by the Thoracick Duct in so short a Time. For which Reason, thin and liquid Ali- ments are-most proper, when immediate Re- freshment is requir'd, to cheer up the Spirits after great Abstinence and Fatigue; and the same * Which suck in. † Vessels which throw out a Liquid. ‡ Hœmast. Pag. 123. Exp. 14. Ch. V. thro' the various Stages of Life. 157 same Reason may be likewise given, why Chalybeat Waters are a proper Remedy in Hypochondrical Disorders, and in most Ob- structions in the Mesenterick Glands, Liver, and Spleen; for their subtle Parts are taken immediately into the Mesaraick Vessels, and from thence carried directly into the Liver and Spleen. The Chyle first mixes with the Blood in the lest Subclavian Vein, as I have already men- tioned, and enters with it into the right Ven- tricle of the Heart, where they are very im- perfectly mixed; from thence they are pro- pelled * into the Lungs, which are the chief and first Instrument of Sanguification, or making Blood: For the Wind-pipe is divid- ed into a great Number of Branches, call'd Bronchia, and these end in small Air-Blad- ders dilatable and contractible, which are ca- pable to be inflated by the Admission of Air, and subside at the Expulsion of it. The Pulmonary Artery and Vein pass along the Surfaces of these Air-Bladders in an infinite Number of Ramifications or Branchings, like a Net-work ‡. A great Number of those Air-Bladders form what are call'd Lobuli, which hang upon the Bronchia like Bunches of Grapes upon a Stalk; and these Lobuli constitute the Lobes of the Lungs, which al- ways sink in Water before they have been in- * Driven forwards. ‡ Malphig. de Pulmon. Epist. 1, 2. Tab. I. Fig. 1, 2, 3. 158 A GUIDE to HEALTH Part II. inflated with Air, but after it has once enter- ed them, they will always swim in it; by which Means we may know whether Children are born dead or alive. The crude Mixture of the Blood and Chyle passes from the right Ventricle of the Heart, through all the Ramifications of the Pulmo- nary Artery; and the more Ramifications there are, the Mixture will still be render'd the more perfect; yet this is not all, for as this Mixture of the Blood and Chyle passes through the arterial Branches, it is press'd by two con- trary Forces; first, that of the Heart driving it forward against the Tubes; secondly, the Elastick Force of the Air pressing it on the opposite Side of those Air-Bladders, along the Surface of which this arterial Tube creeps. By these two opposite Forces the Parts of the Liquor are more intimately mix'd and compress'd together, and by the Ingress and Egress of the Air the Vessels are alternately compress'd and dilated, by which Means the Liquor is still farther attenuated, dissolv'd, mixed, and almost assimilated with the Blood, but not so perfectly as to serve the animal Purposes; for it is very well known by Experi- ments of Blood-letting, that sometimes eight Hours after eating, some of the Chyle remain'd unmixed with the Blood, swimming a-top like an oily Substanee. The wonderful Mechanism of Nature in converting our Aliment into animal Sub- stances, Ch. V. thro' the various Stages of Life. 159 stances, consists principally in two Things; first, in mixing constantly with it animal Juices already prepar'd; and secondly, in the Action of the solid Parts, as it were churning them together. This is evident, considering the vast Quantity of Saliva * mix'd with the Aliment in chewing, the Liquor of the Stomach, the Bile †, and Pancreatick Juice ‡, the Quantity of the Lymph § from the Mesenterick Glands, and from the Lym- phatick Vessels of the whole Body; so that the Juices of an animal Body are as it were new distill'd, being excreted out of their respective * Saliva or Spittle, is a thin Liquor secreted immediately from the arterial Blood: it is of a soapy Nature, and conse- quently is attenuating, resolving, penetrating, and cleansing, being composed of Salt, Oil, Water, and Spirit, all which can be extracted from it. Too great a Discharge of it by smoaking or chewing of Tobacco has often prov'd fatal to People of thin Habits of Body, by falling into Decays. † Bile or Gall is of two Sorts; the Cystick, or that con- tain'd in the Gall-Bladder, and the Hepatick, which flows immediately from the Liver. The Cystick Gall is thick, of a yellow Colour, and intensely bitter. The Hepatick Gall is more fluid, and not so bitter; both Sorts are saponaceous, and like Soap, take out Spots from Wool or Silk. Its Use is to sheath or blunt the Acids of the Chyle descending from the Stomach into the Intestines; likewise it is the principal Dis- solvent of the Aliment, and when it is peccant or deficient, there can be no right Digestion. ‡ Is an Humour like the Saliva or Spittle, secreted from a conglomerate Gland called the Pancreas or Sweet-bread, situated at the bottom of the Stomach, and lies across the Belly, reaching from the Liver to the Spleen, separating about a Pound of Liquor in 12 Hours. Its Use is to dilute the Gall, and to temper its Bitterness and Acrimony after it has done its Office, and likewise to dilute the Chyle, with other Liquors in the Guts. § Lymph is the most spirituous and elaborated Part of the Blood, continually flowing from the lymphatick Vessels. 160 A GUIDE to HEALTH Part II. respective Glands and Vessels, and admitted again into the Blood with the fresh Aliment: during which time the solid Parts act upon the Mixture of Aliment and animal Juices, in order to make the Mixture still more in- timate and compleat; so that we may com- pute that our Aliment, before it gets into the Blood, is mix'd probably with four times the Quantity of animal Juices. From whence we may conclude, that an Animal whose Juices are unsound, or solid Parts weak, can never be duly nourish'd; for unsound Juices can never duly repair the Fluids and Solids of an animal Body, and without a due Action of the solid Parts, they can never be well mixed; and as the Stomach, the Intestines, the Muscles of the lower Belly, all act upon the Aliment: Besides, as the Chyle is not suck'd, but squeez'd into the Mouths of the Lacteals, by the Action of the Fibres of the Guts, it is evident, that the Chyle is peccant in Quantity or Quality, when these Actions and Organs are too weak; and whatever strengthens the Solids, must help Digestion. Hence it appears, that Diarrhœas and strong Purgings must spoil the first Digestion, because of the great Quantities of animal Fluids which are thereby expell'd the Body, such as, the Saliva, Mucus *, and all the Liquors * Mucus, is that slimy Liquor or Moisture, which daubs over and guards the Bowels, and all the chief Passages in the Body; and it is separated by the mucilaginous Glands in most Parts of the Body. Ch. V. thro' the various Stages of Life. 161 Liquors that are separated in the Glands of the alimentary Duct †, both Sorts of Gall, the Pancreatic Juice, Lymph, and sometimes Blood. Considering therefore the Quantity of these Secretions, it will plainly appear, that almost the whole Juices may be carried off by purging; and when those Liquors, destin'd by Nature to mix and convert the Aliment into an animal Liquid, are expell'd out of the Body, the Digestion cannot be so Well perform'd. Hence follow Consump- tions, Dropsies, and often an Obstruction of the Mesenterick Glands, which is a great Im- pediment to Nutrition; for the Lymph in those Glands is a necessary Constiuent of the Aliment before it mixes with the Blood. The Mixture of the Blood and Chyle, after its Circulation thro' the Lungs by the pulmonary Arteries, being brought back into the left Ventricle of the Heart, is thence, by the Force of the Heart, drove into the Aorta ‖ quite thro' the whole The last Stage of Digstion. L Body: † The whole Passage from the Mouth to the Fundament. ‖ Aorta, is the great Artery which proceeds from the left Ventricle of the Heart, and carries the Blood thro' the Body, and every Particle of the Body receives some Branch from it, except some of the solid Parts of the Liver, which receive the blood from the Vena Portœ. The Arteries are elastick Channels or Tubes, endued with a contractile Force, by which they drive the Blood still forward, it being hinder'd to go backward by the Valves of the Heart. They are also coni- cal Vessels, that is, tapering and diminishing by Degrees, with their Bases or upper and broader Part towards the Heart; and as they pass on, their Diameters grow still less and less, and consequently the Celerity of the Motion diminishes by the Increase of the Friction of the Fluid against the Sides of the 162 A GUIDE to HEALTH Part II. Body: and thus the Aliment, circulating thro' the animal Body, is at last reduc'd almost to an imperceptible Tenuity or Thinness, before it can serve the animal Purposes, in nourish- ing both the Fluids and Solids; and after various Circulations, and when it is depriv'd of all that can be of farther Use to any Part of the Body, it is carried off, both sensibly and insensibly, by the Emunctories * of the Body. But for farther Satisfaction concern- ing Nutrition, Growth, and Decrease of the Body, turn to Part I. Page 19, to 28. By the foregoing Doctrine it is evident, that Acrimony and Tenacity or Glewiness, are the two Qualities in what we take in- wardly most to be avoided; for Acrimony or Sharpness destroys the capillary Vessels, and when it is so great as to affect the solid Parts, the Sensation of Pain is intolerable. As the Tubes; and without this Motion, both the Blood and Chyle would soon be converted into one solid Mass; but on the contrary, by its Continuance, the Fluid being compressed by the Sides of the Tube, especially in the small Vessels, where the Points of Contact are more, the Blood and Chyle are still more intimately mix'd, and by Friction attenuated; by which means the Mixture acquires a greater Degree of Fluidity and Similitude of Parts. Hence appears the Neces- sity of Exercise to promote a good Digestion. And the Strength of the Aliment ought to be proportion'd to the Strength of the solid Parts of tire Body; for as Animals that use a great deal of Labour and Exercise, have their solid Parts more elastick and strong, they can bear, and ought to have stron- ger Food, too thin Nourishment being quickly dissipated by the vigorous Action of the solid Parts. * Are those Parts of the Body where any thing excremen- titious is seperated, and collected to be in readiness to be ejected. Ch. V. thro' the various Stages of Life. 163 As to the Viscidity or Glewiness of what is taken inwardly, when the peristaltick Motion of the Guts is so weak, as not to be able to propel or drive it forward, the Consequence is dange- rous, and often fatal to the Life of the Indi- vidual; for when the Tenacity of any Sub- stance exceeds the Powers of Digestion, it will neither pass, nor be converted into Ali- ment; whereas hard Substances will pass undissolv'd. Moreover, the Mouths of the La- cteals in People of weak and lax Constitutions may permit Aliment too acrimonious, or not sufficiently attenuated, to enter; but the Sphincters † in such as have strong Fibres will shut against them. Besides, a viscid Mucus may shut up the Mouths of the Lacteals, by which means the Chyle will pass by Stool, and the Person falls into an Atrophy or Decay of Flesh. Wind with Distention of the Bowels are Signs of bad Digestion in the Intestines, and likewise Diarrhœas, which proceed from Acrimony, Laxity of the Bowels, or Obstructions of the Lacteals. Those Parts of the Body where the Circu- lation of the Fluids, and the elastick Force of the Fibres are both smallest, must be most subject to Obstructions; and such are the Glands, which are the Extremities of Arte- L2 ries † Sphincter, is a Name ascrib'd to such Muscles as draw up, strengthen, and keep shut the Parts, such as the Sphinc- ter of the Bladder, Womb, Anus, &c. 164 A GUIDE to HEALTH Part II. ries form'd into cylindrical ‡ Vessels. Hence we may easily perceive, that too solid or vis- cid Aliment must be very hurtful to scrophu- lous and consumptive Persons. Having endeavour'd to give the Reader an Idea of animal Digestion, by shewing how our Aliment is converted into animal Substance, in as succinct a manner as could be in so nar- row a Compass: I shall now proceed in the same manner to give an Account of the Choice of them, that what is either beneficial or hurtful may be easily seen, according to the Nature and Difference of Constitutions. CHAP. VI. Of the Choice of ALIMENTS. AS all Animals are made either immediate- ly or mediately of Vegetables §, that is, by feeding on them, or on Animals that are fed on Vegetables: I shall therefore begin with the Vegetable Kind. Vegetables ‡ Cylindrical, in Anatomy, signifies Vessels that are so shaped, as not to be narrower at one End than another, but that all their Parts are equally distant in all Places from their Center; or which is the same thing, that they are of the same Diameter in all Places, contrary to conical Vessels, which are tapering and growing narrower. § Vegetables are such natural Bodies as grow and increase from Parts organically form'd, as Trees, Plants, and Roots, &c. but have no proper Life or Sensation. Ch. VI. thro' the various Stages of Life. 165 Vegetables are proper Food enough to re- pair Animals, as they consist of the same Parts with animal Substances, such as Salt, Oil, Spirit, Water, and Earth, all which are contain'd in them, and may be extracted from them. Their Salts are capable of re- solving the coagulated Humors of a human Body; and of attenuating, by stimulating the Solids, and dissolving the Fluids: Salts like- wise promote Secretion. Oils also relax the Fibres, and are Lenient, Balsamick, and abate Acrimony in the Blood; and by Virtue of this Oil, Vegetables are nutrimental; for this Oil is extracted by animal Digestion, as an Emulsion from Seeds by a Pestle and Mortar. But Aromatick Plants, tho' they abound with Oil, yet it is not soft and nutritious, and when mix'd with a Spirit, is too heating. Tastes are Indexes or Marks of the different Qualities of all Sorts of Aliment; and diffe- rent Tastes proceed from different Mixtures of Salt, Oil, Water, and Earth, but princi- pally from the Spirit and Oil, mix'd with some Salt of a particular Nature. A Mu- riatick or briny Taste, is produc'd by a Mixture of an acid and alkaline Salt; for Spirit of Salt being an Acid, and Salt of Tar- tar, which is an Alkali * when they are L3 mix'd * The Word Alkali comes from an Herb called by the Egyptians Kali. This Herb they burnt to Ashes, and boiled them in Water, and after having evaporated the Water, there remain'd a white Salt, which they called Alkali. It is cor- rosive, and will produce Putrefaction if apply'd to the Flesh, and 166 A GUIDE to HEALTH Part II. mix'd, produce a Salt like Sea-Salt, bitter and acrid, differing only by the sharp Particles of the first being intangled or involv'd in a greater Quantity of Oil than those of the last. Acid or four, proceeds from a Salt of the same Nature without a Mixture of Oil; and in austere Tastes, the oily Particles have not disentangl'd themselves from the Salts and earthy Parts, for such is the Tastes of unripe Fruits. In sweet Tastes, the acid Particles are so attenuated and dissolv'd in the Oil, as to produce only a small and grateful Sensation and Titillation; but in oily Tastes, the Salts seem to be entirely disentangled. As Vege- tables contain acid or alkaline Salts, so they produce different Effects upon human Bodies, and are to be used according to the different Constitution of the Body at that time, as will appear by what I shall say hereafter. The properest Food of the vegetable King- dom that Mankind make Use of, is taken from the mealy Seeds of some culmiferous or Stalk-bearing Plants, as Barley, Wheat, Oats, Rice, Rye, Mays, Panick, and Millet; or from some of the Pulse or Leguminous Kind, such as Pease and Beans, &c. and as those are Seeds containing the most elaborate Part of and ferments with Acids, as all lixiviate Salts will do, which are Anti-acids, that is, contrary to Acidity. As for acid or four Salts, one has a Notion of from Taste, Sourness being one of those simple Ideas which one cannot more plainly describe; so that whatever being mix'd with an Acid, causes an Effervescence or Ebullition, is called Alkali. Ch. VI. thro' the various Stages of Life. 167 of the Plant, they are oily, and consequent- ly proper to be converted readily into an animal Emulsion or Chyle: Besides, their Oil is not highly exhalted and hot, as that of the aromatical and acrid Plants, but on the contrary, mild, benign, and nourishing to the human Body. Barley is detergent, emollient, and expe- ctorating, and it was first chosen by Hippo- crates as proper Food in inflammatory Dis- eases. Wheat is the properest of any Grain for Bread, which, if not entirely purg'd from the Bran, is laxative and stimulating to the Bowels. Oats are cleansing, resolving and pectoral, which being outwardly apply'd mix'd with Batter, will dry Scabs on the Head. Rice, which two thirds of Mankind per- haps feed on, is most kindly nourishing and benign, good in Hæmorrhages, or Fluxes of Blood, and proper for consumptive Persons; but the Bread made of it is more acid and tess nourishing than that of Wheat. Rye is more acid, laxative, and less nou- rishing than Wheat. Millet is cleansing, diuretic, and therefore good in Distempers of the Kidneys. Panick is opening, and boil'd with Milk temperates Acrimony. Mays affords strong Nourishment, but not being so easily brought to a Fermentation as other Grains, is more viscous or glewy, and L4 conse- 168 A GUIDE to HEALTH Part II. consequently harder to digest. All the fore- mention'd Plants are highly Acescent †, ex- cept Pease and Beans. Pease are mild, and demulcent in a great Degree, being depriv'd of all aromatick Parts. Green Pease are very pleasant to the Taste, and provoke Appetite; but they are injurious to many, being full of aërial Particles, creating Flatulency when dissolv'd by Digestion. They are alkalescent §. Beans cleanse and fatten, and resemble Pease in most of their Qualities, but are more windy, and occasion sometimes Colic Pains, and disturb the Head. The French or Kid- ney-Beans are best, being less windy. People that live a sedentary Life should not feed much upon Pease or Beans, by reason of their Viscosity creating top much Flatulency. The mealy Parts of the above-mention'd Plants dissolv'd in Water for constant Food, is too viscid an Aliment, and for that Reason justly condemn'd by Hippocrates; and upon that Account, Mankind have found the means to make them more easy of Digestion, by fermenting and making some of them in- to Bread, which is the lightest and properest for † See Note following. § Substances which are not perfectly Acid, but naturally turn so, are called Acescent; and Substances that are not per- fectly Alkaline, but naturally turn so, are called Alkalescent. See the Explanation of Alkali in Note *, p. 165. These two Qualities in Bodies are not merely imaginary, but have very different and contrary Effects upon human Bodies. Ch. VI. thro' the various Stages of Life. 169 for human Food; for the Leaven, by its acid Salt, divides the slimy and oily Parts of the Meal. The next Sort of vegetable Substances that Mankind feed upon, are Fruits of Trees and Shrubs: They all contain an essential Salt, combin'd with Earth, Water, and Oil, much elaborated; and their different Qualities are known by their sharp, sweet, four, or styptic Taste. Apples are pectoral, cooling, laxative, and open the Breast; they differ considerably in Kind, and their Qualities are easily known by their Taste. Pears have most of the same Qualities, but they are more cordial, by their high Fla- vour, than Apples. Peaches are likewise cordial and pectoral; the best are those that are odoriferous, well colour'd, and full ripe. Apricocks quench Thirst, excite Appetite, provoke Urine; their Kernels are good against Worms, and excellent for the Heart-burning: unless they are mellow and full ripe, they are rather somewhat styptick. Plumbs purge Choler, extinguish Heat, take away Thirst in Fevers; but they are bad for weak and cold Stomachs, and for phlegma- tic Persons, and such as are subject to Colics. Those of the austere Kind are astringent. Mulberries are pectoral, and correct a bi- lious Alkali. Gooseberries 170 A GUIDE to HEALTH Part II. Gooseberries extreamly ripe are lenient; but unripe, they are both sour and astrin- gent. Currants are good in spitting of Blood, ex- treamly cooling, and somewhat astringent. The Jelly or Rob of Currants mix'd with Water, is an excellent Drink in bilious Fevers. Cherries are cooling and laxative, and their Kernels are good for the Gravel in the Kid- neys. Strawberries, by their fragrant Smell are Cordial. Their Juice mix'd with that of Li- mons in Spring-Water is an admirable Drink in bilious Fevers. Oranges that are sweet are more relaxing than the Seville Oranges; but these last are an excellent Remedy for the hot Scurvy. The sweet Oranges increase Choler. Citrons or Limons excite Appetite, stop Vomiting, cut gross Humours, are good in Fevers, and their Juices are more cooling and astringent than those of Oranges. Grapes taken in moderate Quantities when ripe, help the Appetite and Digestion; but in great Quantities, they dissolve the Gall too much, and produce Fluxes; and dry'd they are pectoral. Figs are great Correctors of Acrimony, they are good in Coughs and Hoarseness; they are likewise extremely emollient, relax- ing the urinary Passages, diuretick, and good in bloody Urine. Quinces Ch. VI. 171 thro' the various Stages of Life. 171 Quinces are often useful to weak Stomachs, and good in stopping Fluxes of Blood. Pomegranates likewise, containing an astrin- gent Juice, are extremely cooling. Barberries and Medlars are useful in Bloody-Fluxes. Tamarinds are cooling and astringent, yet laxative to the lower Belly. Capers are astringent and diuretick; they excite the Appetite, and are good for phleg- matic and melancholy People. Olives are Anti-acids, or contrary to Aci- dity by their Oil; but all oily Substances be- get an Acrimony of another Sort. Almonds are pectoral, especially the Oil. Walnuts are cordial and Anti-hysteric, and promote Perspiration in a small Degree. Hazle-Nuts are in some Degree good against spitting of Blood; but they are very hard to be digested, they cause Wind, Coughs, and Pains in the Head. Chesnuts are good against some Female Weaknesses, and afford very good Nourish- ment. There are other Fruits of the low pomise- rous Kind, which contain a great deal of cooling and viscid Juice, combin'd with a ni- trous Salt, which renders them often offen- sive to the Stomach; and such are Pompions, Cucumbers, Gourds, and Melons; tho' the last, when good, have a rich Juice, and some- what aromatick; they are diuretick, and there are Instances when eaten in great Quan- tities, 172 A GUIDE to HEALTH Part II. tities, to have thrown People into bloody Urine: they are likewise cooling and refreshing, good for hot Stomachs, and the Kidneys; they ought to be taken fasting. The Juice of Cu- cumbers is too cold for weak Stomachs, and ought not to be taken by such as have thin and poor Blood. Among the alimentary Leaves, the Pot- Herbs afford an excellent Nourishment: Of those are all the Cole or Cabbage Kind, which are emollient, laxative, and resolvent, and for that Reason proper against Acidity. There are likewise amongst the Pot-Herbs some * Lactescent Plants, as Lettuce, Endive, Ci- chory, and Dandelion, which contain a milky Juice extremely wholsome, resolvent of the Bile, anodyne, cooling and diuretick, and very useful in the Distempers of the Liver. Artichokes are pleasant to the Taste, pro- voke Urine, and contain a rich, nutritious and stimulating Juice; they are good against Aci- dity. Asparagus is opening and diuretic; by the fœtid Smell it gives the Urine, it is suspected to be hurtful to the Kidneys; it is likewise good against Acidity. Parsley provokes Urine, the Courses, cleanses the Kidneys, and removes Obstru- ction and Wind; but it is bad in Bloody- Fluxes. Celery contains a pungent Salt and Oil; it is diuretick and aperient, and exceeding good for cold Constitutions. Spinage * Vegetables containing a milky Juice. Ch. VI. thro' the various Stages of Life. 173 Spinage is emollient or opening, good in Inflammations. Beet is emollient, nutritive, and relaxing, good in hot and bilious Constitutions. Sallads of all Sorts, mix'd with sweet Oil and Vinegar, are good for hot and strong Constitutions; because they are cooling, diu- retick, and emollient; but they are not pro- per for phlegmatick or weak Constitutions, or those that are subject to Colics or Indige- stion. Of the alimentary Roots, some are pulpy, and very nutritious; as Potatoes, Turnips, and Carrots, &c. Potatoes, of all Roots in general, are the best and most nourishing for healthy People, and there are Instances enough to prove the same both in Ireland, and in other Provinces, where two Thirds of the Husbandmen, and meaner Sort of People, constantly feed upon them, and are the principal Part of their Food; yet they are healthy, active, and vi- gorous, and for the most Part live long. Turnips are very nutritious, good in Con- sumptions, Asthmas, and all Diseases of the Breast; they are emollient and diuretick. Carrots are fattening, they provoke Urine, and the Menses, and likewise help to open Obstructions; but they are windy, and there- fore not proper for colicky or weak Sto- machs. Parnisp is a very nourishing and palatable Root; it fattens, and is a Provocative; it opens, 174 A GUIDE to HEALTH Part II. opens, attenuates, and cleanses; but it is hard to digest, and not good for asthmatick and consumptive People. There are other Roots which abound with an acrid, volatile Salt; as Garlick, Onion, Rockambole, Shalot, Leeks, Radishes, and Horse-radishes: They contain a pungent, vola- tile Salt and Oil; they are extremely diure- tick, and when stimulating Diureticks can be safely used, they are very effectual. Experience teaches, that Garlick is a very excellent Remedy in Dropsies, Jaundices, and in Asthmas proceeding from a cold and viscid Phlegm. Cresses and Mustard contain likewise, in their Degrees, a pungent Salt and Oil, as well as the last mention'sd Roots; and as all of them subdue Acidity, they are very improper in Cases where the Blood is too much dissol- ved, as in spitting of Blood, and bloody Urine, or where the Blood or Juices have a Tendency to a State of alkaline Putrefaction; and in general they are fitter for cold Con- stitutions and old People, than for the young and sanguine. Mustard indeed is a very powerful Remedy in viscid and cold phleg- matick Cases. The Fungous Kind, as Truffles, Morelles and Mushrooms, contain an Alkaline volatile Salt, and an exalted Oil of a grateful Savour; but are heating, and the best Method of cor- recting them is by Vinegar: Some of them being poisonous, render the rest justly suspi- cious; Ch. VI. thro' the various Stages of Life. 175 cious; the poisonous Sort operate in a suffo- cating Manner, in which Case the best Re- medy is Wine, or Vinegar and Salt, and vo- miting as soon as possible. There are Vegetables used by Mankind in Seasonings, which afford an exalted aroma- tick Oil, and of a spicy Nature, as Marjoram, Basil, Savory, Thyme, Rosemary, Sage and Mint: They are heating, and most of them hard to digest: Other Spices of a more power- ful Nature, as Nutmeg, Mace, Cinnamon, Cloves, Ginger and Pepper, abound with a high exalted Oil and volatile Salt, by which Principles they are heating, and act powerfully upon the Fluids and Solids, by stimulating the Solids and resolving glutinous and fat Sub- stances: They are all proper in phlegmatick cold Constitutions. But Sage being a stimu- lating, drying, and astringent Plant, when used in great Quantities will produce Disorders like Drunkenness; therefore the Infusion or Tea made of it is very improper in all inflamma- tory Fevers as a Diluter. Of Tea, Coffee, and Chocolate. As the Infusions and Deco- ctions make so considerable a Part of Aliment at present, especially among the Female Sex, it will not be improper to say something of their Qualities in particular. Of Tea, Coffee, and Chocolate. Tea, by its Manner of affecting the Organs of Taste and Smell, affords very little of a vo- latile Spirit its bitter and astringent Rosin or fix'd Oil cannot be extracted by Water, but requires 176 A GUIDE to HEALTH Part II. requires rectify'd Spirit of Wine for that Pur- pose. The most active Principles of it that can be extracted by Infusion are the most se- parable Parts of its Oil or Gum, and Salt. Its Salt and Gum are astringent, as appears by mixing it with Chalybeat-Waters, which will produce a Tincture of the same Colour as that of Oak-leaves; it is * Acescent, as appears by its affecting Stomachs troubled with Acidity, which Disorder it will rather promote than correct: By its astringent Quality it moderate- ly helps to correct the relaxing Quality of the warm Water; and by its styptick and stimu- lating Quality, it affects the Nerves, very of- ten producing Tremors. By the frequent drinking too great Quantities of it, as is now become a common Practice, it will relax and weaken the Tone of the Stomach; from whence proceed an Inappetency, Nausea, Reachings or Vomitings, Indigestion and Sickness at the Stomach; and generally speak- ing, a pale and wan Complexion, with a Weakness of the Nerves and Flabbiness of the Flesh, the Solids and Fluids being thereby deprived of their proper Nourishment. Hence we may easily perceive, how perni- cious Tea-drinking may prove to the Seden- tary, especially the Female Sex, who for the Generality have weak and tender Nerves; but as Milk abates some of the fore-mention- ed bad Qualities, by rendering it softer and nu- tritious, and Sugar as a Salt, encreases it stimu- lating * See Note §, Page 168. Ch. VI. thro' the various Stages of Life. 177 lating Quality, it may be a proper Breakfast e- nough, as a Diluent, to those who are strong, and live full and free, in order to cleanse the alimen- tary Passages, and wash off the scorbutick and urinous Salts from the Kidneys and Bladder. But Persons of weak and tender Nerves, as I have just now observ'd, ought carefully to avoid and abstain from it, as from Drams and cordial Drops; for such fall into Lowness, Trembling and Vapours, upon using it with any Freedom, by its Irritation on the tender and delicate Fibres of the Stomach *. As to Coffee, it is a meer Calx, or a kind of burnt Horse-Bean, but lighter on the Sto- mach and somewhat of a better Flavour; and what is extracted from it by hot Water, is the most separable Parts of its Oil, which of- ten appears at the Top of the Decoction. This Oil is volatile, and affords very little Nourish- ment, producing all the bad Effects of a vola- tile Oil and aromatic Acrimony, such as Heat, Dryness, Stimulation, Tremors of the Nerves; for which Reason, it has been deem'd to cause Palsies, Watchfulness, Leanness, and destroy masculine Vigour: Hence it is very plain, that it must; be pernicious to hot, dry, and bilious Constitutions, and only beneficial to Phlegmaticks, if moderately us'd; but when drank in too great a Degree of Strength or M Qua- * For further Satisfaction herein, see Dr. Thomas Short's learned and elaborate Dissertation upon Tea, in which the Author has not only given us the Natural History of the Plant, but likewise its Analysis, with great Skill and Industry. 178 A GUIDE to HEALTH Part II. Quantity, it will prove destructive even to phlegmatick Constitutions. Chocolate is undoubtedly much the best of the three; for its Oil appears to be both rich, nutritious and anodyne *, and is as soft as that of Sweet-Almonds: This Oil combin'd with its own Salt and Sugar renders it saponaceous † and detergent; by this Quality it often helps Digestion and excites the Appetite; and is only proper for some of the leaner and stronger Sort of phlegmatick Constitutions, and some ancient healthy People, who are accustom'd to bodily Exercise. There are other Preparations of Vegetables by Fermentation, whereby they are changed into spirituous Liquors, which are, or may be called by the general Name of Wines; Such fermented Liquors have different Qualities from the Plants that produce them; for no Fruit taken crude has the intoxicating Quality of Wine. Of these Liquors I shall take par- ticular Notice, after I have given the Reader a short Account of the Nature of animal Diet, as far as it regards the Nourishment of Human Bodies. Animal Food is more easily converted into animal Substance than Vegetables; and there- fore more nourishing to human Bodies: And the † Easing, or taking away Pain. ‡ Sope is a Mixture of Oil and fix'd alkaline Salt, and in common Use its Virtues are cleansing, penetrating, attenuat- ing, and resolving; so that any Mixture of an oily Substance with Salt maybe call'd a Sope; hence Bodies of this Nature are call'd Saponaceous. Ch. VI. thro' the various Stages of Life. 179 the Nature of Animal Diet must depend up- on the Nature, Age, Food, and other Cir- cumstances of the Animal we feed upon. The Animal as well as Vegetable Juices are in their greatest Perfection, when the Ani- mal is full grown; for young Animals par- take of the Nature of their tender Food, as Sucklings of Milk, &c. All Animal Diet in general is anti-acid, or contrary to Acidity or Sourness; because no found Animal has any acid Salt in it, as has been often prov'd by Experiments. Those Animals that feed upon other Animals have their Flesh and Juices more alkalescent, that is, more anti-acid than those that live upon Vegetables; such are most Fishes, all Birds which feed upon Worms and Infects, several kinds of Water-Fowls, Woodcocks, Snipes, and several kinds of small Birds; which, for that Reason, afford a more exalted Nou- rishment than those that feed upon Grain or other Vegetables. Animal Flesh differs according as the Ani- mal is terrestrial, aquatick, or amphibious; and the same Species of Animals differs accord- ing to the Soil and Air it lives in, and the Food which it takes; as those that live in Mountains and Marshes; the Flesh of Oxen, Sheep, Deer and Hogs in different Pastur- age. Fishes abound more with alkaline Salt and Oil than terrestrial Animals; for which Rea- son they are sooner corrupted: And amphibi- ous Animals partake somewhat of their Na- M2 ture 180 A GUIDE to HEALTH Part II. ture by feeding upon them, and are therefore oily; and notwithstanding the Redundancy of Oil in Fishes, yet they do not increase Fat so much as Flesh-meat, by Reason of their watery Quality; and as Fish and Water- Fowls are highly alkalescent, and abound with a great deal of rancid Oil, they should be always qualified by a due Quantity of Salt and Vinegar. The most healthy Animals afford the best Aliment, and the Castrated are better than those that are not so; and the only Way of having found and healthful animal Food, is to leave them to their own natural Liberty in the free and open Air, and in their own pro- per Element, with Plenty of Food and due Cleanness, and a Shelter from the Inclemency of the Weather when they have a Mind to retire to it. Therefore we should never make Choice of cramm'd Poultry, or stall-fed Butch- er's Meat for our Food, did we consider the foul, gross, and filthy Manner in which they are confin'd, and the stinking, putrid, and unwholsome Food with which they are fed, especially Poultry and Hogs; for we may be well assured, that perpetual Foulness and Cramming, gross Food and Filthiness will rot the Juices, and mortify the muscular Sub- stance of human Creatures, and consequently can do no less in Brute Animals, and thus make even our Food Poison. Besides, stall-fed Cattle and cramm'd Fowls are often diseas'd in their Livers. The same may be likewise said Ch. VI. thro' the various Stages of Life. 181 said of Plants and Vegetables, forc'd and pro- duced by Hot-beds. Animals, Herbs, Fruits and Corn are to be chosen in high Places, such as are refresh'd with wholsome Winds and cherish'd with the warm Beams of the Sun, and where there are no Marshes, Lakes, and standing Waters; for in such Places they are quickly corrupted; and likewise the Flesh of all Animals that live in Fens and standing Pools are to be avoided, such as Ducks, Geese, &c. The Flesh of Animals too old is unwhol- some, being hard, dry, sinewy, and of little Nourishment, and hard to be digested; and on the contrary, such as are too young abound with too much Moisture, and are full of Su- perfluities, and therefore cannot nourish so well as an Animal full grown, in as much as they partake of the Nature of their tender Food, as I have observ'd already. Salt Fish produces gross Humours, and had Juices in the human Body; for it dries much, and breeds many Superfluities, and is of little Nourishment; it occasions Thirst, Hoarseness, Acrimony, or Sharpness in the Blood, and Erosion of the small Fibres, Pains, and all the Symptoms of the Muriatick or briny Scurvy, upon account of the Salt, which is unalterable in all the Circulations of the human Body, and therefore very improper Food for all Constitutions, except some strong labouring People, and even in those it will pro- duce very bad Effects, if they feed upon it M3 for 182 A GUIDE to HEALTH Part II. for a Constancy, as we see in Sea-faring Peo- ple. The same may be said of Salt Flesh. The Flesh of Birds is lighter, drier, and easier digested than that of four-footed Beasts, and for that Reason, more agreeable to those of a studious Profession, who exercise the Mind more than the Body; for as they are more easily digested, so they breed better Blood, that is, clear, clean, and full of Spi- rits, which is fit for the Exercises of the Mind. The Flesh of the wild Kind of Animals, such as frequent Woods, high open Places, and Mountains, is better than that of tame ones, having more Exercise and no Confine- ment, have their Juices more elaborated, and their Flesh will keep longer uncorrupted; be- cause they live in a better Air, and feed upon what they like best without Constraint; for the same Reason their Fibres are harder, es- pecially when old. This Rule in some mea- sure holds true with Fishes; for Sea-fish and River-fish living in an Element more agitated, are better than those in Ponds. For these Reasons Hippocrates commends the Flesh of the wild Sow preferable to the tame; and doubtless the Animal is more or less healthy, according to the Air it lives in; for the Flesh of the same Species differs very much, as the Animal lives in Marshes or Mountains. Flesh boil'd is more wholsome (especially for weak Stomachs) than roasted; for boiling draws more of the rank and strong Juices from Ch. VI. thro' the various Stages of Life. 183 from it, and renders it more diluted, lighter, and easier of Digestion, tho' not so nutritive; but on the other hand, roasting leaves it ful- ler of the strong nutritive Juices, harder to digest, and wanting more Dilution *; there- fore those who eat the Flesh of full-grown Animals, ought to eat it well boil'd, if their Digestion is weak. They who live upon young animal Food, which is best for weak Stomachs, ought to eat it roasted, and lessen the Quantity in respect of the same Food boil'd, but they must dilute it more; for as roast Meat has a stronger Flavour, more Nourishment, and lies more compact in the Stomach; so it will require to be more di- luted with some small Liquors to soften its more rigid and crisp Fibres. Meats bak'd, fry'd, and broil'd, generate nauseous Humours and Crudities in the Sto- mach, and are very difficult to be digested, tho' they are very nourishing. Lamb, Veal, and Kid, afford excellent Nourishment, and are easy to be digested, and therefore proper Food for those of a se- dentary Life and studious Professions. Beef affords great Nourishment to those that labour and exercise much, and generates much Blood; but it is too strong for tender, weak, and sedentary People, especially when Stall-fed, and very large; for Grass Beef and M4 Mutton * Dissolving or making thinner any Substance, with the addition of Fluids or Liquids, which are called Diluents or Diluters. 184 A GUIDE to HEALTH Part II. Mutton are lighter than Stall-fed Oxen and Sheep. Mutton breeds good Blood, nourishes ex- ceeding well, and is easily digested; and by Experiment is found the most perspirable of all animal Food, and Hogs-Flesh and Oysters the least. Rabits are of a good Nourishment, they consume the superfluous Moisture and Phlegm in the Stomach, and the Flesh is not near so dry as that of a Hare, and therefore nou- rishes better, and is much easier to be di- gested. Young Hares are very sweet and pleasant to the Stomach when well dressed, they are good for such as are too fat. It is said, that the Blood of a Hare fry'd and eaten, is good against the Bloody-Flux, inward Im- postumations, and the Gravel in the Kid- neys; and that the Brains of a roasted Hare cures Tremors, and facilitates the breeding of Teeth in Children; but the Moderns justly despise such whimsical and groundless Pra- ctice. Pork and Bacon afford great Nourishment, but as they feed the foulest of any Creature, and their Juices are the rankest, their Sub- stance is the most surfeiting; and as they are the most subject to † cutaneous Diseases and Putrefaction of any Creature, they are highly injurious to valetudinary, sedentary, and stu- dious People; for they cause the Gout and Stone † Diseases of the Skin, such as Pimples, Scabs, Mange, &c. Ch. VI. thro' the various Stages of Life. 185 Stone in Kidneys, Scurvy, and cutaneous Eruptions. The Flesh of sucking Pigs is endued with the same bad Qualities, tho' not in so great a Degree. Brawn made of the Flesh of young Boars is tolerable good eating, having not so much Slime and excrementitious Moisture as Pork, Pig, and Bacon; but the hard and horny Part is very difficultly digested. Deer affords good Nourishment, and is apt to make lean such as are too fat, accord- ing to the Observations of some Authors, but I very much doubt the Veracity of such As- sertions, for it seems even contradictory to say, that whatever affords good Nourish- ment, shou'd render corpulent and fat People, thin or lean. Of all the Parts of Birds and other Beasts, some are better than others; for all the Ex- tremities, as the Head, Neck, Feet, and Tail, in respect of the rest, are of a hard, viscid, and gross Nourishment; but the Parts about the Wings, Back and Breast, are better, and more savoury. Cream, Butter, and Marrow, are all leni- ent and nourishing: Marrow is excellent in the dry Scurvy with crackling of the Bones, where it performs its natural Office in moisten- ing them. Cheese that is new fattens, tastes pleasant- ly, and is not very injurious to the Stomach, especially Cream-Cheese, which is the best and most wholsome when newly made. Cheese 186 A GUIDE to HEALTH Part II. Cheese of no kind is good for Children or weak People, for it lies too heavy in the Stomach, is apt to breed Slime and Worms in Children, and it ought to be eaten only after Meals, to close up the Mouth of the Stomach at such times; but too much of it is bad at any time, especially old Cheese, for it occasions Thirst, inflames the Blood, and is often the Cause of the Gravel and Stone in the Kidneys or Bladder; therefore it is only proper for Mechanics and labouring People, or those that are strong and healthy, and use much Exercise. Milk is a most noble, nourishing, and wholsome Food; it is neither Acid nor Al- kaline; but when there is an Acid and Al- kali mix'd in it, they presently manifest themselves by their Fermentation and Con- flict. Milk, after standing some Time, na- turally separates into an oily Substance called Cream, and a thinner, blue, and more pon- derous Liquor called skimm'd Milk, and nei- ther of these Parts is naturally acid or alka- line, nor in the least acrimonious; for being dropp'd into the Eye, they cause no manner of Pain or Sensation of Sharpness; but by standing too long, they will turn both sharp and four. Milk is a kind of Emulsion, or white animal Liquor, resembling Chyle, after it has been mixed with the Spittle, Bile, and pancreatick Juices, &c. is easily separated from them again in the Breasts. A Ch. VI. thro' the various Stages of Life. 187 A Nurse that would abstain from all acid vegetable Food, from Wine, and Malt Li- quors, and feed only upon Flesh, and drink Water, her Milk, instead of turning sour, would become putrid, and smell like Urine; so that an alkalescent Diet †, (as is often the Case of Nurses in great Families) Subjects the Child to Fevers; but on the other hand, the Milk of poor People that feed upon an § acescent vegetable Diet, subjects the Child to Diseases that proceed from Acidity in the Bowels, such as Colics, Gripes; the Symp- toms of such a Constitution are a four Smell in their Excrements, four Belchings, Disten- sions or Swellings of the Bowels, and Pale- ness of the Flesh. The Cure of both Diseases is effected by a Change of Diet in the Nurse, that is, from Alkalescent to Acescent, or contrary ways, as the Case requires. But the best Diet for Nurses is a Mixture of both, and no Nurse should give Suck after twelve Hours fasting; for then her Milk is apt to turn yellow, which is an early Sign of a Fever in the Nurse. It appears from the fore-mention'd Quali- ties, that Milk is a very proper Diet for hu- man Bodies, especially for thin, hectical, and emaciated † Alkalescent Diet is the Flesh, Broths, and Juices of all Animals, both Terrestrial and Aquatick, which in a found State have no manner of Acid in them, as is very well known by Experiments. § An Acescent vegetable Diet, is taken from Plants, Fruits, and their Juices, and all fermented Liquors, which are either actually acid, or naturally turn so. 188 A GUIDE to HEALTH Part II. emaciated People, and where Acrimony in the Blood and Juices is to be subdued or avoided; but it is not proper for those that are troubled with the Colic or Stone, neither is it proper in Obstructions of the Vessels, it being void of all saline Quality. Whey is good for such as are of a hot Con- stitution, it quenches Thirst, promotes Sleep, and of all Drinks is the most relaxing, and is a powerful Remedy in the hot Scurvy. The different Nature of Birds is known by the Time, Age, Food, Place, and Air they live in; because Domestick as well as Wild Fowl, grow lean, and feed little at the Time of their coupling. And some Birds are best in Spring or in Summer, at which Time they feed upon Corn; others in Autumn, because they eat Grapes, Figs, Apples, Berries, and such like. Others again are best in Winter, such as Thrushes. Blackbirds, wild Geese, Cranes, and all Water Fowl. Some live on Worms, Infects, and Fish, as Woodcocks, Snipes, &c. but most feed on Grain, as Pigeons, Doves, and all Dome- stick Fowls, and the like: Some are nourish'd on Land, others in Rivers, Lakes, and in the Sea, and a great many Birds feed upon Herbs; and it is very remarkable, that the Flesh of wild Fowl has always the Taste of such Things as they feed on, as Fish, Slime, Mud, Worms, and other Infects. Mountain Fowls are always preferable to the rest; besides, castrating or cutting a Fowl, renders Ch. VI. thro' the various Stages of Life. 189 renders it fat and sweet, as appears in the Flesh of Capons; and the Flesh of young Birds is always better than that of old ones. Duck is the hottest of all tame Fowl; the Wings and Liver are the best, but of hard Digestion, and gross Nourishment; it is good in cold Weather for strong Stomachs, and such as labour much. Capon nourishes better than all other tame Fowl, and breeds good Blood and Juices in the human Body. Pigeons afford good Nourishment; they are very hot, and therefore only proper for old and phlegmatic People, or such as labour much, who generally speaking, will digest any Food without any Trouble or much Dan- ger. Pheasants are very agreeable to human Na- ture; they comfort and strengthen the Sto- mach, afford great Nourishment, and fatten very much. Pullets nourish exceeding well, are easily digested, and generate good Blood and found Juices; but old Hens are dry, hard to be di- gested, and afford little Nourishment; and the Flesh of a Cock is drier, hot, and sul- phurous, and therefore very improper Food for any Body, and fit for nothing else than to make Broth of it, with a little Mutton, Veal, or both. Geese, especially the young Geese, afford good Nourishment; but old ones, that feed and live in Fenny Places, are coarse, and hard 190 A GUIDE to HEALTH Part II. hard to be digested, and not fit Food for tender People, or weak Stomachs. Turkey is good Food, and affords good Nourishment, but harder to be digested than Capon or Pullet; yet a Turkey-Pout is deli- cate eating, breeds good Blood, and is easily digested. Partridges afford good and sweet Nourish- ment, and are easily digested; they fatten, and likewise dry up the superfluous Moisture of the Stomach, and contribute much to the Preservation of Health, their Flesh being bet- ter than that of Pullets. Plovers, especially the Grey Sort, are good wholsome Food, and afford good Nourish- ment, only they are somewhat of melan- choly Juice, according to some Writers. Blackbirds nourish sufficiently when they are fat and young; but they are hard of Di- gestion. Larks, if they are fat, nourish well, and are easily digested; they are best in Autumn and Winter. Sparrows, when young, afford good Nou- rishment, and are reckon'd to be Provoca- tives; but they are not easily digested. Peacocks nourish poorly, and are of a hard and slow Digestion, and breed melancholy Blood, therefore not worth any Body's eat- ing. Stares, if young and fat, nourish pretty well, but old ones are good for nothing. Thrushes Ch. VI. thro' the various Stages of Life. 191 Thrushes nourish very well, and are easily digested, and the Mountain Thrushes are the best. Quails are very nourishing, and pleasant to the Taste, they are likewise good for melan- choly People; but some Authors say, that they cause the Cramp, and falling Sickness, with which it is said, this Bird is troubled. This, by the by, I take to be only the ground- less Opinion of some credulous and whimsi- cal Writers. Turtle Doves nourish exceeding well, and are easily digested; they are good for the Stomach, and, according to some Authors, quicken the Understanding. Woodcock, Snipe, and all other long-billed Birds that suck only animal Juices, or that feed upon Worms and other Infects, have their Juices more elaborate and exalted than those of Pullets, Turkeys, Pheasant or Partridge; and for that Reason they are much harder to be digested, tho' they are very nourishing. Fish in respect of Flesh is less nourishing, because it is gross, phlegmatic, cold, and full of watery Superfluities. The old nourish better than the young, and those that live among Stones, Rocks and Gravel, are best. Fish in general are hard of Digestion; for they feed upon one another, and their Juices abound with an alkaline Salt, that corrupts the Blood and causes chronical Diseases; for it is very remarkable, that those who live much 192 A GUIDE to HEALTH Part II. much on Fish are afflicted with the Scurvy, Breakings-out upon the Skin, and other Dis- eases of a foul Blood: Besides, a true Sign of their Indigestion is, that every Body finds him- self more thirsty and heavier than usual after a full Meal of Fish, tho' ever so fresh; and is commonly forc'd to have Recourse to a Dram of some Spirit or other to carry them off. The following Rules concerning Fish may be of use to the Reader. First, That all fresh Fish should be eaten hot, and to eat less of Fish than of Flesh- meat. 2dly, Not to eat them too often, nor after great Labour and Exercise; for then they easily corrupt; neither should they be eaten after other solid Food. 3dly, Fish and Milk are not proper together; nor are Eggs to be used unless with Salt-Fish. 4thly, Great and slimy Fish are better pickled than fresh; and observe, that the clearer and deeper the Water is, the better are the Fish that are nourish'd therein. 5thly, Sea-Fish are whol- somer than fresh water Fish; for they are hotter and not so moist, and their Nourish- ment comes near that of Flesh-meat. 6thly, Of all Sea and River Fish, those are best that live in rocky Places; next to these, in gravel- ly or sandy Places, in sweet, clear, and run- ning Water, where there is no Filth: but those Fish are bad that live in Pools, muddy Lakes, Marshes, and in any still or muddy Water. 7thly, Amongst all the Fish both Sea Ch. VI. thro' the various Stages of Life. 193 Sea and River, those which are not too large are the best, and which have not hard and dry Flesh, that taste and smell well, and are crisp and tender, and have many Scales and Fins. 8thly, Fish are bad for cold and phlegmatic Constitutions, and only proper for hot and choleric People. The best Way of dressing Fish is to broil it; to boil it is the next, and to fry it is the worst. Eels for want of Exercise are fat and slimy; they are of a delicate Taste, and nou- rish very much; but they offend the Sto- mach, and are hard to be digested, and be- ing used too often, are apt to breed the Stone in the Kidneys and Bladder, and occasion the Gout and Spasmodic Disorders; therefore whoever eats much of them, and often, en- dangers his Health. Carp of all Pond-fish is certainly the best, and the most noble, being of a very pleasant and grateful Taste, and nourishes well, in whatsoever manner it is eaten. Lampreys are of great Nourishment; they are of a most delicate Taste, and are al- so Provocatives; but they are hard of Di- gestion, and bad for gouty People, and such as ate troubled with Convulsive Disorders. Pike is a clean, sound Fish, and nourishes very much; but is of hard Digestion. Sturgeon nourishes well, and excites Ve- nery; but is very hard to be digested. Of the Spawn or Row of this Fish pickled, is N made 194 A GUIDE to HEALTH Part II. made what is called Caveer, which excites Appetite, and makes Liquor relish well. Crabs and Lobsters are much of the same Nature; the Broth of them is good for thin and emaciated People, for they nourish very much; but they are, like all other Shell-Fish, hard to be digested. Oysters are very nourishing, and preferable to all Shell-Fish, and ought to be eaten al- ways before Dinner, and never to drink spi- rituous Liquors upon them, which harden them in the Stomach, and prevent their being digested. They are likewise very hard of Di- gestion when stew'd; therefore the Substance of them dressed in that manner is very im- proper for weak Stomachs. They cure the Heart-burn proceeding from Acidity or Sour- ness in the Stomach, and are proper Food in such, and many other Cases. Turbut, Soles, and Plaice, are highly com- mended among Sea-Fish; for they have de- licate Flesh, and afford very good Nourish- ment, are not easily corrupted, nor hard to be digested. Pearch are reckon'd fine Fish; but they have soft, moist, and tender Flesh; they nourish but little, and are full of Excremen- titious Juices, therefore they are not near so good as People imagine them to be. Tench are very nourishing, but hard of Di- gestion. Gudgeons and Smelts, of all small Fish are the best; they are wholsome Aliment, easily digested, Ch. VI. thro' the various Stages of Life. 195 digested, and may be as safely given to sick People as Whitings unless they are fry'd. Flounders are good wholsome Aliment enough, and proper now and then as a Change for sickly People, and weak Stomachs, as they are not hard to be digested. Salmon is grateful to the Palate, and very nourishing, affords good Juices, but is too luscious to make a hearty Meal upon it, or live on it for any considerable Time. Trout is delicate eating, nourishes very well; the biggest, and such as is bred in gra- velly Rivers, and sweet running Waters, is best. Trout is good for hot and young Peo- ple, but bad for those that are decrepid, and for phlegmatick Constitutions. Cod-Fish, when fresh and in Season, is very good Nourishment, and not hard to be di- gested; but if it be dry or Salt, it is gross Food, and of hard Digestion. Haddock is much of the same Nature, but drier, yet it affords very good Nourishment. Skate and Thornback are Fish of good Nourishment, and delicate eating, when rightly manag'd; for if they are newly taken and dressed, they are scarcely digestable even by the strongest Stomachs; but if they are too stale, then they smell Urinous, and are in a State of Putrefaction. Barbel is very pleasant to the Palate, and the little ones are better than the great, and such as live in stony Places, and clear running N2 Waters; 196 A GUIDE to HEALTH Part II. Waters; but their Flesh being hard, are not easily digested. The Roe of this Fish is care- fully to be avoided, it having the Quality of a strong Cathartick. Mackarel are very agreeable to the Taste; but their Flesh being hard, dry, and easily cor- rupted, is of little Nourishment, hard of Di- gestion, and therefore not proper Food for tender, weak, or sickly People. Herrings afford a great deal more Nou- rishment than the former; but their being so very hard of Digestion, renders them im- proper for every Body, except some hard la- bouring People. Sprats newly catch'd, and being either boiled or broil'd, afford good Nourishment, and are very agreeable to the Taste; but they are windy, and for that Reason not pro- per for such as are subject to Flatulency. Here it will be very necessary to give At- tention to the following Particulars in the Choice of our Aliments. 1. That those Vegetables and Animals that come soonest to Maturity, are lightest of Di- gestion: thus the Spring Vegetables, such as Asparagus, some Sorts of Sallading, and Strawberries, are more easily digested than Pears, Apples, Peaches, and Nectarines; because they have less of the Solar or Sun-Fire in them; for their Parts are united by a weaker Heat, that is, with less Velocity, and besides they contain little or no strong or fix'd Salts. 2. Among Ch. VI. thro' the various Stages of Life. 197 2. Among Animals, the common Poultry, Sheep, Kids, Hares, and Rabits, &c. which come to their Maturity, and propagate their Species in the same or a few Years, are much more tender, and readily digested, than Cows, Oxen, Boars, &c. for the Reason already given; and because their Parts cohere less firmly. And it is observable, that Vegetables which are longest in ripening, that is, whose Juices contain most of the Solar Heat in them, their fermented Juices produce the strongest vinous Spirits, such as Grapes, El- der-Berries, and the like: and that Animals, which are longest coming to Maturity, their Juices yield the most rank and most fœtid Urinous Salts. 3. That the larger and bigger the Vege- table, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested. Thus a large Onion, Apple, or pear, and large Beef and Mutton, are har- der to be digested than the lesser ones of the same Kind; not only, as their Vessels being stronger and more elastic, their Parts are brought together with a greater Force; but also, because the Qualities are proportionably more intense in great Bodies of the same Kind. Thus a greater Fire is proportionably more intensely hot than a lesser one; and likewise, the Wine contain'd in a larger Ves- sel becomes stronger than that contain'd in a lesser, and consequently the Juices of larger Vegetables and Animals are more rank N3 than 198 A GUIDE to HEALTH Part II. than those of smaller ones of the same Kind. 4. Sea-Fish or Animal's, are harder to di- gest than Land Animals; because, generally speaking, their Food is other Animals; and the Salt Element in which they live, renders their Flesh more firmly compact, Salts having a stronger Power of Cohesion † than any other Bodies. And for the same Reason, salt- water Fish is harder to digest than fresh-wa- ter Fish. 5. Vegetables and Animals, that abound with oily, fat, and viscid Substance, are har- der to digest than those of a drier, fleshy, and more fibrous Substance; because oily and fat Substances commonly elude the Force and Action of animal Digestion, especially in such as have little Exercise and weak Stomachs; for their Parts attract one another, and unite more strongly than any other Substances, ex- cept Salts; inasmuch as their Softness and Humidity relax and weaken the Tone and Force of the Stomach, the Fat and Oil be- ing shut up in little Bladders, that are with Difficulty broken and separated. Thus Nuts of all Kinds, as they contain a great deal of Oil, pass thro' the Alimentary Duct almost undi- gested; for the same Reason, Olives are more difficult to digest than Pease, and fat Meat than the lean of the same. 6. That all Vegetables and Animals of a strong, pungent, and aromatic hot Taste, are harder ‡ Sticking together. Ch. VI. thro' the various Stages of Life. 199 harder to digest than those of a softer, mild- er, and more insipid Taste; because such Substances abound with a great deal of Salts, or an Oil extremely active and heating; for high Relish comes from abundance of Salts and exalted Oils. A great deal of Salts sup- poses such Vegetables and Animals as are a long time coming to Maturity; and where Salts abound, the Fibres are dryer, harder, and more firmly in Contact with each other; for that Reason they are more difficultly sepa- rated, and harder to be digested. But however, Sea-Salt, or Rock-Salt, being fixed and of the same Nature, of all Season- ings is the best, without which no Food is good, and is used by Mankind in their Ali- ments for the following Reasons. 1. That thereby the Food may descend easier into the Stomach, and render it more savoury. 2. Be- cause it resists Putrefaction; consuming by its Dryness, that Moisture whereby Putrefaction might have been occasion'd. 3. It excites the Appetite, and digestive Faculty, and pre- vents Nauseating. 4. It dissolves, attenuates, and dries up the superfluous Moisture, pro- vokes the Bowels to discharge the Excrements, and is therefore used in Clysters and Supposi- tories. Besides, as all animal Substance contain no fix'd Salt, they want the Assistance of those, in order to promote Digestion, which preserve them both within and without the Body from Putrefaction; and as these fix'd Salts pass unalter'd thro' all the Strainers of a N4 human 200 A GUIDE to HEALTH Part II. human Body, the moderate Use of them is very proper to preserve Bodies through which they pass from Corruption. But on the other Hand, the immoderate Use of Salt produces a Multitude of woeful Disorders; such as Melancholy, Vapours, and bad Nourishment; it dries up the Blood, and causes the Muriatick, or Briny-Scurvy, Scab- biness and Itchy Ring-worms or Tetters, and even the Leprosy, with a great many other foul Humours and Eruptions in the Face and other Parts of the Body; and likewise it occasions Obstructions in the Urinary Passages, which oftentimes produce Ulcerations, Stone, and Gravel in the Kidneys and Bladder. And it will easily appear, that Salt can produce all these bad Effects, if we consider that Salts consist of hard and plain Surfaces, and in all Changes recover their Figure, and unite the most firmly of all Bodies whatever; for their plain Surfaces bring many Points in- to Union and Contact, and their Hardness and constant Figure render them durable and un- alterable; and thereby the active Principle, and Origin of the Qualities of Bodies, if in a Strict Sense there be any such Thing as a Principle; and when they approach within the Sphere or Limits of one another's Activity, they firmly unite in Clusters, all which ren- der the Separation of their original Particles the more difficult, and by that Means they obstruct the cuticular Glands, which are the Emunctories or Strainers of the whole Body, thro' Ch. VI. thro' the various Stages of Life. 201 thro' which not only the peccant Humours pass, but likewise the greatest Part of the Li- quors we drink, after having convey'd the Aliments into the Blood, being part of their Office, and in the next Place to dissolve the saline or terrestrial Particles to be carried off thro' the Glands of the Skin and Kidneys. So that when Salts adhere and unite in Clusters in the excretory Ducts of the Glands of the Skin, or the Kidneys, in the former they stop and pen in between the Scales of the * Scarf-skin the excrementious Humours, which ought to be carried off by insensible Perspiration, and thereby corrode the Skin, and produce Scur- vies, and other cutaneous Eruptions; in the latter, they cause Inflammations, Ulcera- tions, Suppression of Urine, and, as I have ob- served before, Stone and Gravel. Thus we may plainly see, how the immoderate Use of Salt is capable of producing not only all the disorders already mentioned, but likewise a great many more in the animal Oeconomy, Honey is the most accurate or exact Pro- duction of the vegetable Kind, perform'd by the Bee, being a most exquisite vegetable Soap, resolvent of the Bile, balsamick and pectoral: It is likewise detersive and opening, provokes * It is the outermost Covering of the Body, and is that soft Skin which rises in a Blister upon any Burning, or the Application of a Blistering-Plaister. It sticks close to the Surface of the true Skin, to which it is tied by the Vessels which nourish it, tho' they are so small as not to be seen. 202 A GUIDE to HEALTH Part II. provokes Urine, and cleanses its Passages, and is excellent for old and phlegmatick People of a cold Constitution; for it warms the Sto- mach, moves the Body, resists Corruption, and breeds good Blood; but sometimes it causes Wind and Gripes in some Constitutions. Oil of Olives is sweet and pleasant, and very agreeable to Nature; and it is best when two Years old, and ought to be made of ripe Olives. Oil of Sweet Almonds, when fresh drawn, is next to it in Goodness, and much properer for Sick People, it being of a cooler Nature, and more easily digested, tho' not so agreeable to the Palate. Oil fattens, and taken in great Quantities, is excellent to expel Poison by vomiting, and by sheathing the Coats of the Stomach from its corrosive Salts; but eating Oil too often destroys the Appetite, because all Oils are very hard to be digested, as I have already proved. Vinegar: The best is that which is made of the best Wine: It is an Acid of very pe- culiar Quality, different from that of all other Acid; for it is cooling, and yet not coagu- lating; for it gently dilutes the Serum of the Blood, as has been often proved by Experi- ments. It is inciding, digestive, and opening. It is good against the Redundancy of Bile, and to extinguish the Heat of Choler and Thirst. It strengthens the Gums, excites the Appetite, removes Obstructions, helps Diges- tion, and is good for hot Stomachs, and re- sists Ch. VI. thro' the various Stages of Life. 203 sists Putrefaction; therefore it is very useful a- gainst pestilential Diseases, especially in Time of the Plague: But too much Use of it breeds melancholy Humours, injures the Nerves, emaciates some Constitutions too much, offends the Breast, and makes People look old and withered, with pale Lips. CHAP. VII. Of the Power of Aliments upon human Bo- dies, with their good and bad Effects. ALL Bodies which can be changed into the Fluids and Solids of our Bodies by the animal Powers, are called Aliment, as has been observed in the first Paragraph of Chap. VI. And to take it in the largest Sense, by Aliment is understood every Thing which a human Creature takes in common Diet, as Meat, Drink; and Seasoning, as Salt, Spice, Vinegar, &c. Our Food therefore consists, not only of such Particles as are proper for the Nourishment and Support of the Body, but likewise contains in it certain active Principles, such as Salts, Oils, and Spirits, &c. which are endued with such Properties, as both to vellicate and sti- mulate the Solids, to quicken the Circulation, and by attenuating the Fluids, render them more 204 A GUIDE to HEALTH Part II. more fit to undergo the necessary Secretions of the Body. The Art then of preserving Health, and obtaining long Life, chiefly consists in a Mediocrity of such Diet as neither increases the Salts and Oils, so as to produce Distem- pers, nor too few, so as to suffer the Solids to become too much relaxed; and if this desirable Medium be attained, by following the common ordinary Diet of the healthiest People in any Country or Climate; that is then, indisputably, the best Method in general to prefer Health. For it is certainly true, that the infinitely wise Creator has provided Food proper and peculiar to every Country and Climate, which is best for the Support of the Creatures he has placed therein, as may be seen by the Chear- fulness and Health of the middling Sort of People of all Nations, who use only a simple Diet, without lusting after voluptuous or fo- reign Delicacies. Yet the Diseases of human Bodies often require Substances of more active Principles than what are found in common Aliment, in order to produce sudden Altera- tions; but where such Alterations are not necessary, the same Effect may be obtained by the repeated Force of Diet, with more Safety to the Body, where the sudden Changes are less to be apprehended. The smaller Ac- tivity of the Aliment is compensated by its Quantity; for according to the Laws of Mo- tion, if the Bulk and Activity of Aliment and Medicines are in reciprocal Proportion, the Ef- fect will be the same; for they both only bring about Ch. VII. thro' the various Stages of Life. 205 about the Effect, by acting either upon the So- lids or Fluids, or upon both; upon the first, by stimulating, contracting, or relaxing; upon the last, by attenuating, coagulating, or ren- dering them acrimonious or mild, or by in- creasing or diminishing their Motion through the Vessels. That all these Actions can be performed by Diet as well as Medicine, is evident from Reason, Experience, and in some Cases by ocular Demonstration; as in Chirurgery, in Wounds and Sores, where the Influence of Diet upon them is plainly seen; for a Diet too relaxing weakens the Spring of the Ves- sels so much, that they cannot sufficiently re- sist the Influx of the Liquid, and so begets a a Fungus, or proud Flesh; and when too as- tringent, it produces a Cicatrice, or callous Substance. The Effects of warm Water and mealy Substances in relaxing; of Spirits, in stopping Hæmorrhages, or Fluxes, and conso- lidating the Fibres; the Power of Alkaline Absorbents in subduing Acidity, and Oil in stopping Perspiration, is very well known to both Physicians and Chirurgeons. All those Substances which stimulate the solid Parts, produce the greatest Alterations in animal Bodies; for violent Sneezing pro- duces Convulsions in all the Muscles of Re- spiration, and an universal Secretion of all the Humours, as Tears, Spittle, Sweat, Urine, &c. And even all this Alteration can be pro- duced by the tickling of a Straw or Feather; there- 206 A GUIDE to HEALTH Part II. therefore acrid or sharp Substances, that are minute enough to pass into the capillary Tubes, must stimulate the small Fibres, and irritate them into greater Contractions. And many Things which we take as Food, or with our Food, have this Quality in some Degree: Such as the Juices of acid Vegetables, fermented Liquors, especially sharp Wines, and ferment- ed Spirits; aromatical Vegetables, as Savory, Fennel, Thyme, Garlick, Onions, Leeks, Mus- tard, all which abound with a volatile pungent Salt; and, in short, all Spices in general, and all Vegetables, which being corrupted, easily re- solve themselves into a fœtid, oily, alkaline Substance. The solid Parts of an animal Body may be contracted variously: First, by dissolving their Continuity. For as a Fibre is cut through, it contracts itself at both Ends; therefore all Things that are so sharp as to destroy the small Fibres, must contract them. Secondly, Whatever empties the Vessels, gives Room to the Fibres to contract; so that Abstinence produces this Effect in the best Manner: And whatever shortens the Fibres, by insinuating itself into their Parts, as Water in a Rope, contracts them; and fermented Liquors pos- sess this Quality in a great Degree. The more sulphurous or chymical Oil any Spirit contains, the more pernicious it proves to the human Body, because it is harder to be wash'd away by the Blood; therefore Brandy is more easily carried off than Spirit of Ju- niper; Ch. VI. thro' the various Stages of Life. 207 niper; and that than Spirit of Annise-seed or Rum. Compound aromatical Spirits destroy, first, by their fermentative Heat; 2ndly, By their oily * Tenacity: 3dly, By a caustic Quality residing in all Spices apt to destroy the solid Parts. However these Qualities may tender them proper in some Cases, taken in small Quantities. Austere acid Vegetables have this Quality of contracting and strengthening the Fibres, without a great many of the bad Effects of distilled Spirits, such as all Sorts of Sorrel, the Virtues of which consist in an acid, astrin- gent Salt, which is a Sovereign Remedy a- gainst a putrescent, bilious Alkali; and seve- ral kind of Fruits, as Quinces, some Sorts of Pears, with the Marmalades made of them; likewise Medlars, Capers, Barberries, Pome- granates, and Purslain, all such are easily distinguish'd by a rough and styptic Taste. And amongst Drinks, austere Wines, unripe Fruits likewise have the same Quality; but they are apt to cause foul Eruptions on the Skin, to obstruct the Nerves, and occasion Palsies. Relaxing the Fibres, is rendering them flexible, or easy to be lengthen'd without Rup- ture or Breaking, which is perform'd only in the capillary vascular Solids. Of all Liquids endued with this Quality of relaxing, warm Water is the first; and next to it, the watery Decoctions and Infusions of Mealy * Adhering or sticking together. 208 A GUIDE to HEALTH Part II. of Mealy Vegetables, or Grains, as Oats, Bar- ley, &c. likewise all sweet and mild Garden Fruits, and almost all Pot-Herbs, as Spinage, Beets, Cabbage, Coleworts, and all that Class; lactescent Plants, such as yield a milky Juice, as Lettuce, Succory, and Dandelion, if un- fermented, for Fermentation changes their Nature; also fresh oils of mild Plants, or Nuts, Cream, Butter, Marrow, and Whey; all which Things help to weaken and relax the Fibres, and are therefore proper Reme- dies for a too rigid, strong, or elastic State. The Qualities of the Fluids of a human Body can be likewise chang'd by Diet; as by attenuating or diminishing the Cohesion of the Particles of the Fluid: and the Cohesion of the Particles depends upon the Weight and Quantity of Fluids; therefore Abstinence and a slender Diet attenuates or thins them, be- cause emptying the Vessels gives room to the Fluid to expand or dilate itself. Besides, whatever penetrates and dilutes at the same Time, as Water impregnated with some pe- netrating Salt, attenuates very powerfully; and the great Effects of medicated Waters may be justly ascrib'd to this Quality; likewise all saponaceous Substances composed of Oil and Salt, such are Honey, and the Robs and Gellies of most Fruits; Vinegar and Honey mix'd is a powerful Resolvent. All stimula- ting Substances, by increasing the Motion of the Blood, attenuate, unless they increase the Motion Ch. VII. thro' the various Stages of Life. 209 Motion so much, as at last to produce Coagu- lation. The second manner of operating upon the Fluids is by thickening the Blood, which is perform'd by dissipating the most liquid Parts of it by Heat, or by insinuating some Sub- stances which make the Parts of the Fluid cohere more strongly: and the acid, au- stere Vegetables just now mention'd, have this Quality of condensing the Fluids, as well as strengthening the Solids. Another manner of operating upon the Fluids, is by increasing or lessening their Quantity: and the first is effected by a plen- tiful Diet, and the Suppression of Evacuations; the latter, either by a spare Diet, or promo- ting the animal Secretions, that is, expelling the Fluids out of the Body; which may be perform'd by Substances that are laxative, as animal Oils, fresh Butter, Cream, Marrow, or fat Broth; the Oils of mild Vegetables, as that of Olives, Almonds, and the Fruits themselves; likewise all oily and mild Fruits, as Figs, and most Garden Fruits, by the Salts they contain, lubricate the Intestines; and some saponaceous Substances which stimulate gent- ly, as Honey, Hydromel, or boil'd Honey and Water, and even brown Sugar. Besides, Sub- stances that are diuretick, are proper for this Intention, such as Whey, and Salts of all Kinds, Parsley, Celery, Sorrel, Chervil, As- paragus, Eringo, and Nutmegs, &c. O Acrimony 210 A GUIDE to HEALTH Part II. Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies, either by Sickness, as in Cachexies, or ill Habits of Bodies, and Scurvies, &c. or by Diet that is either briny or acid, which con- sists of two Sorts, that is, of Things natural- ly acid, or render'd so by Fermentation; or alkaline aromatick Substances, consisting of Salts, and highly exalted Oils intimately uni- ted, which by increasing the Velocity of the Blood beyond what is natural, occasions an Attrition of the Parts, and thereby disposes the Blood and Juices to an alkaline Acri- mony. But the Juices of found Animals consist of Water impregnated with Salts of a peculiar Nature, which are neither acid, nor perfect- ly volatile; for, in the Evaporation of hu- man Blood by a gentle Fire, the Salt will not rise, but only the Spirit and Water, nor per- fectly fix'd; for human Blood calcin'd, yields no fix'd Salt, nor is it a Sal Ammoniac; for that remains immutable after repeated Distil- lations, and Distillation destroys the ammonia- cal Quality of animal Salts, and turns them alkaline. So that it is a Salt neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline, nor yet quite ammoniacal; but soft and benign, approaching nearest to the Na- ture of a Sal Ammoniac. Hence we may easily perceive, that the elementary Salts of found Animals are not the same as they appear by Distillation; for these Alte- Ch. VII. thro' the various Stages of Life. 211 rations are produc'd by Fire: and those Salts are of a peculiar, benign and mild Nature in healthy Persons, who have * vital Force to subdue all the Substances they feed upon; but in such who have not that vital Force, or commit some Errors in their Diet, these Salts are not sufficiently attenuated, and retain their original Qualities, which they discover in Cachexies, or ill Habits of Bodies, Scurvies of several Kinds, and many other Distempers; the Cure of which chiefly depends upon the Choice of Aliment with Qualities opposite to the Nature of these Salts. Acrimony in the Blood commonly consists of three Sorts, according to the Nature of the Salts in which it resides; that is, either Acid, Alkaline, Muriatic, or briny, as in the Sea- Scurvy; but this last approaches more towards the alkaline State, and admits of the same Cure. Acid Acrimony resides chiefly in the first Passages, that is, the Stomach and Inte- stines, proceeding often from the Weakness of Digestion, and the too long Duration of Vegetables, and Milk, or fermented Liquors the Stomach. All animal Substances are alkalescent; and of Vegetable Substances some are acid, others alkalescent, and each Sort is to be used according to the two different In- tentions hereafter mention'd. O2 The * By vital Force, is understod the Sum of all these Pow- ers in an animal Body, which convert; his Aliment or Food in- to its own Nature. 212 A GUIDE to HEALTH Part II. The proper Diet for the Cure of the acid Acrimony, are Vegetables of all Kinds, as Garlick, Onions, Leeks, and Celery; the an- tiscorbutick Plants, as Cresses, Brooklime, Scurvygrass, &c. Carrots, Turnips, Pota- toes, Eringo Roots, Asparagus, Horse-radish, Mustard, and Cabbage. All animal Substan- ces being likewise Alkalescent, or contrary to Acidity, are also very proper Food in this Disorder, more particularly all Fishes of the Shell-kind. Water, by its diluting Quality, subdues Acidity very powerfully. Oils are Anti-acids, so far as they blunt Acrimony; but as they are sometimes hard of Digestion, they may produce Acrimony of the alkaline Sort. The alkaline Acrimony being opposite to the former, is cur'd by a proper Diet made of the Decoctions of farinaceous or mealy Substances, especially such as are made of Oats are proper, as having an acescent Qua- lity. Therefore this alkaline Acrimony requires a plentiful Use of Vinegar, and acid Fruits, such as Oranges, which contain a Juice most effectual in the Cure of the muriatic or briny Scurvy of Sea-faring People; the Juice of Lemons is likewise proper, and more cool- ing and astringent than that of Oranges: and in this Case all the mild Antiscorbuticks are indicated, as Sorrel, Cichory, Endive, Lettuce, and Apples, &c. and of Liquids Whey. On the contrary, all the acrid Antiscorbuticks, as Horse-radish, Mustard, and Scurvygrass, &c. are very hurtful in this, and all other hot Scurvies. Other Ch.VII. thro' the various Stages of Life. 213 Other Sorts of Antiscorbuticks proper in this alkalescent State of the Fluids, are called Astringents, such as Pomegranates, Capers, and most of the common Pickles prepar'd with Vinegar, And as the Extremity of Al- kali is Putrefaction; so all acid Substances, and Sea-Salt, resist such a putrescent Quality in the Fluids; but as the latter is a sharp solid Body, and unalterable in all the Circulations of the animal Body, and when it is taken constantly in a Diet of Salt Meat in too great Quantities, (as I have taken Notice of in the latter End of the preceding Chapter) it breaks the Vessels, produces Erosions of the solid Parts, and all the Symptoms of the briny Sea-Scurvy, which is to be cur'd by acid Ve- getables, and not by the hot Antiscorbutics, as I have just now observ'd. There are other Sorts of Substances which are proper in the Cure of both Sorts of Acri- mony, which are demulcent or mild, because they sheath these sharp Salts, as farinaceous or mealy Pulse, such as Pease, Beans, Len- tils; native Oils of Animals, as Cream, But- ter, Marrow. Likewise all Plants that are without Smell or pungent Taste are demulcent; and also all the alimentary Parts of found Ani- mals; for none of their Juices will hurt or smart either the Eye or a fresh Wound. As Liquors make a considerable Part of our Aliment, it will not be improper to give a short Account of their principal Qualities in O3 this 214 A GUIDE to HEALTH Part II. this Place, before I treat of different Consti- tutions, with the Diet proper for each in Par- ticular. Drink being an essential Part of our Food, is either Water, Milk, or Whey; or ferment- ed Liquors, such as Malt Liquors of different Sorts, Cyder, Wines, or a Mixture of these: And as the chief Intentions of Drink are, 1st, To moisten and convey our Food into the Stomach, and the Nutriment thereof to the respective Parts of the Body, and to allay Thirst; 2dly, To dilute the Blood, that it may circulate through the minutest Vessels; 3dly, To dissolve and carry off; by Urine and Perspiration, the superfluous Salts we take in our Food, which are unalterable in a human Body, as I have observ'd in one or two Places already: so pure Water answers all these Intenti- ons best, except in some few Cases hereafter mentioned; for no Liquor that we drink will circulate so well, or mix with our Fluids so im- mediately as Water; because all other Liquors we drink are impregnated with Particles that act strongly either upon the Solids or Fluids, or both; but as Water is the only simple drinkable Fluid, and being altogether inac- tive, so it is the fittest and most innocent Li- quor for diluting, moistening, and cooling; which are the chief Ends of Drink pointed out to us by Nature: Besides, nothing will dissolve Salts and carry what is superfluous of them out of Body, so well as pure Water, that Ch. VII. thro' the various Stages of Life. 215 that being the proper Menstruum or Vehicle for dissolving all Kinds of Salts. The benign, mild, and other useful Qua- lities of Water plainly shew, that it was de- sign'd by the most wise Creator for our com- mon Drink; and, without doubt, was the primitive original Drink: And happy had it been for Mankind that other mix'd and arti- ficial Liquors had never been invented; for Water is so necessary to our Subsistence, that we could not live a Moment without it; be- cause this Element furnishes all the fluid Parts of our Humours, without which they could not circulate; and it dissolves all the Salts in the Blood, whereby some are carried to their pro- per Places within the Body, and others to proper Emunctories for their Expulsion from it. It serves to prepare our Food, and then for a Vehicle to convey it out of the Stomach into every little Meander of the Body, both for Health and Nourishment: So that Water alone is sufficient and effectual for all the Purposes of human Wants as to Drink. Therefore it is evident from what has been said, that Water is the best and most whole- some Drink in general; but in some Constitu- tions, where something is necessary to warm and act as a Stimulus, then fermented Li- quors taken in Moderation are proper, such as Beer, Ale, Cyder, Wine, &c. the Quan- tity and Choice of which depends upon the Age, Constitution, and Manner of Living of the Drinker; for in Youth, Milk, Water, or O4 Whey 216 A GUIDE to HEALTH Part II. Whey are the properest, and in a middle Age a little more generous Liquors may be some- times allow'd; but most of all in old Age; for according to the old Saying, Lac senûm est Vinum, Wine is old Men's Milk. As to Malt Liquors, small Beer well boil- ed, and of a due Age, is the best for common Drink; otherwise it must be very hurtful to Persons of weak Nerves and flow Digestion; for by fermenting anew in the Bowels it will fill the whole Cavity of the Belly with Fumes and Vapours, which will at last produce very bad Effects in a weak Constitution. As for strong Beer, it should be made of Water that will bear Soap; be well hopp'd and boil'd, that it may keep till all the gross and viscid Parts fall to the Bottom of the Vessel, without the Help of any pernicious Composition for fining Liquors, too frequent- ly made Use of to the Destruction of thou- sands; for it is very notorious, that all your fine Ales, or Home-brew'd, as they are call'd, have neither due Age or Hops enough to cla- rify of their own Accord, being brew'd one Week and drank the next, or soon after; so that the Seller is obliged to have Recourse to some Art or other to fine them down, which is very often with unslack Lime, or at best a Mixture of Ising-glass *, and other Ingredients * Is a very strong Glew, made of a Kind of Fish catch'd in great Quantities in Rivers in Hungary and other Parts: It is used by Cabinet-makers, and sometimes ordered as a Medicine to stop Fluxes and Seminal Weaknesses; but it is very improper for Ch. VII. thro' the various Stages of Life. 217 very destructive, if not poisonous, to many Constitutions: Besides, these Liquors are of so agglutinating and thickening a Nature, as to produce Stone, Gravel, Gout, Bloatedness, and great Thirst, with the Loss of Appetite: And to prove the agglutinating Qualities of all such Liquors, it is experimentally known, that they make excellent Bird-lime; and when simmer'd for some Time over a slow Fire, make the most sticking and best Plaister for old Strains. We have likewise convincing Reasons to have the same Opinion of the Yorkshire, Not- tingham, and Welch intoxicating Ales; and, in short, all fine Ales brew'd for Sale: For it is certainly true, that all these fine Liquors, far fetch'd and dear bought, have always some- thing in their Composition hurtful to our Con- stitution, more than meer Water, Malt, and Hops; therefore I would advise all those, who have any Regard for their own Health or Lives, to avoid, as much as possible, the use of all such Liquors, and more especially the valetudinary, sedentary, studious, and contem- plative People; and, in fine, all such as have weak Nerves and slow Digestion. As the frequent Use and Excess of Drams, or distill'd Spirituous Liquors, is a Vice of so horrid for such as are otherwise in good Health; for the constant Use of it will produce Gravel, Stone, Blotches, and Eruptions on the Skin, by glewing up as it were the Urinary Passages, and likewise stopping insensible Perspiration; and, in short, it will produce the same bad Effects in human Constitutions, as the common Glew used by Joyners and Carpenters. 218 A GUIDE to HEALTH Part II. horrid a Nature in itself, and now become epidemical, not only among Mechanicks and Tradesmen, but among Persons of the brightest Genius, and finest Taste and Accomplish- ments; and, alas! even among the finest Part of the Creation, I mean the Fair Sex; and those of them too, which is still more a- stonishing, who are in all other Respects blameless, and of the strictest Virtue! I say, as the Case is so, it will not be improper to explain the poisonous Qualities and direful Ef- fects of such pernicious Liquors, which de- stroy Millions, both in Body and Soul. Let us then consider, that distill'd Spirits are but an Accumulation of fine Salts and light Oil, compacted together into the smallest Bulk; the Salts are so hard and solid as naturally to re- tain their Heat and Activity the longest, into which Water cannot enter; the Oil † is so inflammable, that it most readily receives Heat and Fire, and by that Means defends the Salts from the Power of Water over them: So that in the continued Distillation of Spirits, this † They are guilty of a gross Error, who imagine that the more oily any distill'd Spirit is, the more wholsome it will prove to the Constitution; for they do not consider that it is a very subtile, sulphurous, chymical, inflammable Oil, blended with Portions of very fine Salts, raised by the Force of Fire, and that it is quite different in its Nature and Quality from the benign and pectoral Oil of Olives or Sweet Almonds, or any other express'd Oils produced without Fermentation or Fire. Hence it is evident that Rum, or double-distill'd Spirit of Annise-seeds, and Spirits distill'd from aromatick Plants, are much more difficult to be digested and carried off than Brandy, or Spirit of Juniper; and that for no other Reason, than that they contain too great a Quantity of burning Oil. Ch. VII. thro' the various Stages of Life. 219 this Action of the Fire is so strong as to re- duce the Spirits at last into liquid Flames, which will, of their own accord, evaporate in visible Flames and Fumes. Besides, it is observable that every Thing that has pass'd the Fire so long a Time as to divide and penetrate its Parts as far as it pos- sibly can, retains ever afterwards a corrosive and burning Quality. This is manifest from the firey and burning Touch and Taste of new- distill'd Spirits; as also from the burning of a Lime-stone, which retains its heating and drying Quality ever after, tho' extinguish'd by Water. Hence it will manifestly appear, that run- ning into the frequent Use and Habit of Dram- drinking will as certainly kill as Laudanum, or Arsenick, tho' not so soon; for such Li- quors contract, harden, and consolidate many Fibres together, abolishing many Vessels, or Canals in the Body, especially where the Fi- bres are the tenderest, as in the Brain, by which Quality they destroy the Memory and intellectual Faculties, abrade and wear off the villous Coat of the Stomach, and thereby ex- pose its nervous Coat to the Insults of the most firey, corroding, saline, and caustick Particles of the Spirits; by which means the Springi- ness or Elasticity of the Fibres is so weakened, that the whole Stomach becomes at last soft, flabby, and relax'd. Hence a Loss of Appe- tite, and an Inability to digest the small Quan- tity of Food that is taken in; whence arise Cru- 220 A GUIDE to HEALTH Part II. Crudities, Nauseas, Vomitings, Tremors, ner- vous Convulsions, Consumptions, Dropsies; likewise Gout, Stone, Rheumatism, raging Fe- vers and Pleurisies, which for the most part nothing but Death alone can remove at last. What a melancholy Scene do we daily be- hold, in all Parts of this great Capital, of Numbers of miserable Creatures, render'd not only useless to themselves, to their Families, Friends and Relations, but likewise burthen- some to the Publick, and a Scandal to both Chri- stianity and the rest of their Fellow-Subject! And all this great Calamity entirely ow- ing to the Folly of a bewitching Habit of Dram-drinking. And what is still most sur- prising, we see even the Moral, and the Sen- sible, bound in these Chains and Fetters, that nothing less than Almighty Grace, or the un- relenting Grave can release them; for they are deaf to Reason, and to their own Experi- ence, and even to the express Words of the Scripture, which says, That the Drunkard shall not inherit the Kingdom of Heaven. From this Doctrine it will appear, to the Evidence of a Demonstration, that next to Drams, no Liquor deserves to be stigmatized and detested more than Punch; for it is a Composition of such Parts, that not one of them, except the pure Water and Sugar, is wholsome, or friendly to any Constitution, espe- cially to valetudinary, tender, weak, and studious People. The chief Ingredient being either Arrack, Rum, Brandy, or Malt-Spirits, and all Ch. VII. thro' the various Stages of Life. 221 all of them rais'd by Fire, from the fermented Juices of Plants brought from hot Countries, or which have born the Heat of the Sun longest in our own Climate; for it is observable that Vegetables, whose Juices have most Solar Heat in them, their fermented Juices yield the strongest Spirits in Distillation. The other principal Part of the Composition being sour Juice of unripe Oranges or Li- mons. And if we consider, that the Juice of a Crab-Apple, of unripe Goosberries, or Grapes, or even the Juice of Sorrel, would come up at least to their Virtue in extinguish- ing the Heat of the burning Spirits, if not to their Flavour; And yet every body who is not depriv'd of his Senses, must know how destructive an Ingredient such Juices would be to the fine Fibres of the Stomach and Bowels. For it is evidently true, even from Experi- ence, that all fermenting Juices, such as these are in a very great Degree, must be highly injurious to the human Constitution; for meeting with Crudities in the Bowels, they must raise a new Struggle or Fermentation there, and so fill up the whole Cavities of the Body, with acrid Fumes and Vapours, which is ex- tremely prejudicial to the Bowels, especially when the Constitution is tender and weak. And in the West-Indies, where the People are forced to drink much Punch, by reason of the Violence of the Heat, and for Want of other proper Liquors there, tho' the Limons and 222 A GUIDE to HEALTH Part II. and Oranges are in full Perfection, yet the Inhabitants are universally afflicted with ner- vous and mortal Dry-Gripes, Cramps, Pal- sies, and Convulsions, which kill them in a few Days, and all intirely owing to this poisonous Mixture, Punch. Notwithstanding what I have advanced against the deliterious † Qualities of Drams and Punch, at least when taken for any Con- stancy, or in any great Quantity, for some Poisons are only so by their Quantity, yet I would not be understood here to discourage the innocent Means of enlivening Conversa- tion, promoting Friendship, comforting the Sorrowful, and raising the drooping Spirits, at proper Times with a chearful Glass of some good wholsome Liquor or other; for the Sober can receive no Prejudice from a mode- rate Use of Liquors: On the Contrary, it will help to invigorate and re-establish the Constitution, especially after the Fatigues of Labour or Study. Neither am I against the taking a proper cordial Dram sometimes, as in an actual Fit of the Colick or Gout in the Stomach; or upon a full Meal of Fish, Pork, &c. when a Glass of good Wine cannot be had. But the Frenzy of being given to the too frequent Use and Excess of Liquors, is abo- minable; for a Sot is the lowest and the most contemptible Character in human Life; and as for the Profligate, the Sensual, and Vo- luptuous, † Poisonous. Ch. VII. thro' the various Stages of Life. 223 luptuous, they are past reclaiming, and there- fore deserve no Advice, at least they will take none. However, I present them here with a short Sketch of the Effects of Drunkenness, to contemplate upon at their Leisure, if they can spare any Time from the bewitching Folly of sotting and drinking. The Effects then of Drunkenness render the Blood inflamed into a Gout, Stone, and Rheumatism, raging Fevers, Pleurisies, Small- Pox, or Measles. 2. The Passions are enraged into Quarrels, Murder, and Blasphemy; the Juices are dry'd up; and the solids scorched and shri- velled. 3. A Resolution of the Nerves, Cramps, and Palsies. 4. Inflation of the Belly and Dropsies. 5. Redness and Rheums, with an Inflamma- tion in the Eyes. 6. Tremblings in the Hands and Joynts, Head-Aches, Quinsies, and Scurvies of all Kinds. 7. Sicknesses at the Stomach, with four Belchings, Reachings and Vomitings. 8. A furious and unmanageable Disposition to Lust, which hurries them to the base and sordid Company of Harlots, and impure Wo- men, by whose Means they most commonly acquire a foul Disease, under which they often labour for the greatest Part of the Remainder of their Lives, in Shame and Tor- ments; 224 A GUIDE to HEALTH Part II. ments; nay some become incurable, and even rot by Piece-meal, before their Dissolution. 9. A Decay of Memory and Understanding, Loss of Credit and Reputation. 10. An Unfitness for Business, or the Dis- patch of the Affairs of Life; and a Readiness of discovering all Secrets. These, with a great many more, are the bitter Fruits of Drunkenness, even in this Life; and in the next, according to the express Words of holy Writ, will be re- warded with everlasting Miseries, as being thereby excluded the Kingdom of Heaven. A short Account of different Wines in gene- ral. As it would be endless to enter into a long Account of the diffe- rent Qualities of all Sorts of Wines, therefore I shall only say in gene- ral, that all the light Wines, of a moderate Strength, due Age, and full Maturity, are much more wholsome for the Constitution, and preferable for Conversation, Cheerfulness, and Digestion, than the rich, hot, strong and heavy Wines: For the light Wines inflame the Juices of the Body less, and go off the Stomach with less Difficulty; they likewise afford longer Time for Conversation and Cheerfulness, with less Danger. Red Port Wine is strong and astringent; but white Port and Spanish Wines are stimu- lating and attenuating. French Wines are lighter, and not so strong as the Portugal and Spanish Wines; which renders them 2 whol- Ch. VII. thro' the various Stages of Life. 225 wholsomer for thin and dry Constitutions. Fine old Rhenish and Moselle Wines are very wholsome, especially the Former, which is exceedingly good for most Constitutions. Strong made Country Wines are prejudicial to all Constitutions, being very windy, heavy, and heady, taken in any considerable Quan- tity; therefore it is surprising the extreme Fondness People of the better Sort in England have run into, for such Liquors; and for no other Reason that can be thought of, than the only one the Vulgar give for drinking Brandy or Gin, that they sooner intoxicate them. The last Thing I have to say concerning Liquors, is, that Wine, and all other strong Liquors, are as hard to digest, and require as much Labour of the concoctive Powers, as solid and strong Food itself; and this is not only evident with respect to Persons of weak Stomachs and Digestion, but also from strong and healthy People, who only drink either water or Small Beer at their Meals, and shall be able to eat and digest almost double the Quantity of what they could, did they drink strong Liquors. Therefore it appears very Plain, that we should always drink very little strong Liquors at our great Meals, otherwise we must certainly impair the Constitution, and load it with various Diseases at last; for such Liquors, by their Heat and Activity, hurry the Food unconcocted into the Habit of the Body, and by that Means lay a Founda- P tion 226 A GUIDE to HEALTH Part II. tion for Fevers, Colicks, and several chronical Distempers. CHAP. VIII. Of different Constitutions, the Diet proper for each. ALthough I have given an Account of Tem- peraments or Constitutions in general in the Begining of Part I. Chapter I. of this Treatise; yet it will be necessary to treat of them in a more peculiar Manner in this Place, that every one may easily know the Nature of his own in particular. And as I have explained the Na- ture and Qualities of Aliment, in the two preceding Chapters, with their good and bad Effects upon human Bodies, it will be like- wise necessary to lay down Rules of Diet pro- per for each Constitution in particular, in this Chapter, by which Means it will not be diffi- cult for any one to observe a sure and easy Method in regard to what may be either use- ful or prejudicial to his own Constitution in particular, in order to preserve Health and prolong Life; or when impair'd, to restore it again, which are the chief Ends of the noble Art of Physick. A general Method as to Diet, without re- gard to particular Constitutions, is absurd. 3 The Ch. VIII. thro' the various Stages of Life. 227 The most common Difference of human Constitutions proceeds either from the solid † Parts, or from the different State of the Fluids, (as I hinted in the first Part of this Book.) From the former, as to their different Degrees of Strength and Tension; for in some Constitutions they are too lax and weak, in others they are too strong and elastick; from the latter, as they consist of Water, Spi- rit, Oil, Salts, and earthy Parts, they differ according to the Redundance of the Whole, or of any of the said Ingredients in particular; and for which Reason they may be justly called either plethorick, sanguine, phlegmatick, saline, oily on fat, earthy or melancholick Con- stitutions. The Fibres of the Solids in a human Body are too weak and lax, when the Cohesion of their Parts is so small, that they may be re- solved or broken by a Force not much greater than what happens commonly in the Body of a healthy Person; and when the Weakness of the Vessels or Organs, proceeding from a too small Cohesion of their constituent Parts, renders them unable to discharge the com- mon Functions of Life, consider'd in a State of Health. And notwithstanding there is a Debility or Weakness of Fibres in Infants, yet it is no P2 Disease, † The Solids of an animal Body are composed of small Fi- bres or Threads, which may be divided into still less; and this Division proceeds so far, as that at last they become so incre- dibly small, as to exceed the Power of Imagination; but Reason tells us that there must be an End at ast. 228 A GUIDE to HEALTH Part II. Disease, because they lengthen by the Influx of the Liquids, which is the Cause of their Growth; but in grown Persons, when their Fibres cannot any more give way or stretch, they must either break or lose their Spring. The common Causes of Weakness of the Fibres are, either a Defect or great Loss of the nutritious Juices; for if there is not a Sufficiency of Blood, the Chyle cannot be ea- sily assimilated to nourish the Fibres. And People who lose great Quantities of Blood daily, by Blood-letting or otherwise, become dropsical; for when a Fibre, which is natu- rally elastick like a Bow, loses its Spring, it is only passive, and consequently useless to the Individual. Likewise Nourishment too glu- tinous or viscid to be subdued by the concoc- tive Powers of Digestion. Also a sedentary and lazy Life; for Motion or Exercise en- creases the Circulation of the Fluids, and of Course an Application of the solid Parts to- gether. People who live healthy in a dry Air, commonly fall into Diseases that depend upon weak and relax'd Fibres when in a moist one. Lastly, a natural Weakness from the Frame and Constitution of the Body, which is too often the Case. The Sign of weak and lax Fibres are, a weak Pulse, Paleness, flabby and soft Flesh, Palpitations of the Heart, Bloated- ness, Lassitude, and scorbutical Spots; Coldness of the Skin, four Belchings upon taking vegetable Food, or foul Eructations, like that of The Signs of weak Fibres. rotten Ch. VIII. thro' the various Stages of Life. 229 rotten Eggs, after eating animal Food, are also Signs of weak Fibres in the Organs of Diges- tion; likewise Atrophy, or a Decay of the Flesh, which indicates a Destruction or Ob- struction of the Vessels that convey the Nou- rishment; and Dropsies proceed from a Weak- ness and Laxity of the Fibres, as having lost their Elasticity or Springiness to return the Fluid. And, in short, most of all the chro- nical Diseases proceed from Weakness and Laxity of the Fibres. Therefore the chief In- tention of Cure must be to restore the Tone of the solid Parts; for all other Attempts, without this, will prove fruitless. So that they who have weak Fibres ought to forbear all great Evacuations, especially Bleeding, viscid Substances, and all other Food hard of Digestion; they Should likewise avoid a sedentary Life and moist Air as much as possible: They should eat often, but in small Quantites, of such Things as are nourishing, and of easy Digestion, as Milk, Broth, and Jellies made of Flesh Meat, Rice Gruel, Pa- nadas, &c. And their Drink should be some of the light Wines of due Age and Maturity, mix'd with Water, for Water alone is too re- axing; or any good Wine with acidulated and Steel Waters, such as Pyrmont or Spaw, &c. They should likewise use in their Diet austere or acid Vegetables, if their Stomachs can tolerably bear them; such as Pears, Plumbs, Quinces, Pomegranates, Barberries, Medlars, Sorrel, Purslain, Burnet, Tama- P3 rinds. 230 A GUIDE to HEALTH Part II. rinds, Limons, Capers, or any other Pickles they like best. The Fibres are too strong and too elastick, when the Cohesion of their Parts is in such a Degree of Rigidity or Stiff- ness as renders them inflexible to the Causes they ought to yield to, so as to pre- serve the Animal in Health; for too great Elasticity is not only a Quality by which they resist against being lengthen'd, but likewise they restore themselves, by that Means, with too great a Force and Pressure upon the moving Fluids, to the Detriment of the Ani- mal. Too strong Fibres. Rigidity of the Vessels or Organs is such a Degree of Cohesion as prevents their being ex- panded so far as is necessary to carry on the vital Functions *, as usual in a true State of Health. And the Rigidity of the Fibres must necessarily produce a Rigidity of the Vessels and Organs, because the Fibres make up their constituent Parts. The Cause of such a State, besides the na- tural Frame and Constitution of the Body, is old Age, in which the Fibres are conspicu- ously rigid and dry; or too long a Course of such Diet as strengthens the Fibres too much; likewise hard Labour or Exercise. Signs. The Signs of such a Constitution are, a hard, dry, hairy, scraggy, and warm * Vital Functions are the muscular Action of the Heath, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions through their pro- per Organs; and also the Veins, Arteries, and Nerves. Ch. VIII. thro' the various Stages of Life. 231 warm Body., without a Disease, with firm and rigid Muscles, a strong Pulse, Activity and Promptness in the animal Actions *; and such Constitutions are most subject to inflam- matory Diseases. Their Diet should be Things contrary to those already mentioned in the State of too great Laxity of the Fibres; that is, of such Things as are emol- lient and cooling, the Pulps, Jellies, Juices, Mucilages, and Decoctions of Vegetables that are softening and relaxing; such as all Pot- herbs of the emollient Kinds, Lettuce, Ci- chory, Spinage, Beets, Carrots, Barley, Rice, Mays, Millet, Pease, and Beans; animal Oils, such as Cream, Butter, Marrow, and all Things which relax or increase Fat, refrain- ing always from Things season'd with Spice, and with as little Salt as possible, for Salt har- dens the Fibres: Their animal Food should be boil'd Meat and Broths without Seasoning, preferable to any other Form: Their Drink should be Water, Barley-water, Milk and Water, or Whey; avoiding all fermented Spirits and austere Wines, and Pickles of all Kinds, all which are extremely hurtful to such Constitutions. Bathing in warm Water The Regimen. P4 often * Are such, as when perform'd, the Understanding con- ceives Ideas of Things united to that Action; or the Will is either concerned in exciting such Actions, or moved by them when excited; such are the Touch, Taste, Smell, Sight, Hearing, Perception, Imagination, Memory, Judgment, Rea- son, Passions of the Mind, and voluntary Motions. 232 A GUIDE to HEALTH Part II. often is beneficial to such, but immoderate Labour or Exercise very injurious. How the Fluids act upon the Solids of a human Body, so far as to cause Diversities of Constitutions and Diseases, is accounted for in the following Pages, in treating of different Constitutions. The Definition. A plethorick Constitution is such as abounds with too great a Quan- tity of laudable and good animal Juices; the Causes of which are strong Organs of Digestion and Chylification, a good Stomach, plenty of nourishing Diet, little Exercise, much Sleep, Laziness or want of muscular Motion, a moist Air, and a Suppres- sion of some of the usual Evacuations, especially that of Perspiration. Therefore the Cure proper for this Constitution, is to avoid the Causes of it, just now mentioned, and use a more sparing Diet, greater Ex- ercise, and proper artificial Evacuations, in order to restore the natural ones; for The Cause. The Cure. This Constitution is subject to a Stoppage of the Circulation, by too great a Weight of Blood upon the Heart; Rupture of the Ves- sels, Suffocation, and sudden Death. But it is to be observed, that long Abstinence is not proper in the Cure of such a Constitution; for in that Case the most fluid Parts of the Blood fly off, and the grosser remain in the Vessels. Likewise frequent Bleedings, in small Quantities, often increases the Disorder, by augmenting the Force of the Organs of Di- gestion. Ch. VIII. thro' the various Stages of Life. 323 gestion, and by that Means promote Fatness. Persons of such a Constitution should al- ways avoid all oily and too nourishing Sub- stances; therefore Vegetables, being less nou- rishing than animal Food, are more proper; and, by the same Rule, to feed upon Fish pre- ferable to that of Flesh-meat. A sanguine is that Constitution is that which abounds with a great deal of good Blood; and the common outward Sign of such a Constitution, is a florid Colour in the Complexion, a Ful- ness and Blueness of the Veins, and a particular fair and lively Colour of the Skin, without Paleness. Those of a sanguine Con- stitution are subject to frequent Bleedings at the Nose and other Parts, and Inflammations of the Lungs, Impostumations, and often to scrophulous or evily Diseases. Definition. Diagnostick Signs. The Blood is the most universal Fluid in the animal Body, from which all the rest of the Juices are derived; for the red Part of it differs from the Serum, the Serum from the Lymph, the Lymph from the nervous Juice, and that from the several other Humours that are separated in the Glands. The red Globules of the Blood are elastick, and one Globule will break into six small ones, and then turn yellow; those yellow Globules break into others less, and so proceed till they become white and transparent at last; for the Vessels which admit the smaller Globules to pass, cannot admit the larger without a Rupture, 234 A GUIDE to HEALTH Part II. Rupture, or some other Disorder. So that as the Blood circulates thro' the smaller Chan- ness, the Redness will disappear more and more. A strong and free Motion of the Blood will occasion a Floridness upon the Skin of such Constitutions; for such a strong Motion will force the red Part of the Blood into more ca- pillary Vessels, Besides, another Cause com- monly concurring is the greater Transparency of the Vessels, occasioned by the Delicacy and Thinness of their Coats, which is evident from the large Veins of sanguineous Constitu- tions appearing blue and transparent, by the Colour of the Blood circulating in them. And if the Vessels are in a State of too great Rigidity, so as to be inflexible, a strong Motion of the Blood will occasion a Rupture of them, with Hæmorrhages; especially in the Lungs, where the Blood is more abun- dant, and the Vessels more delicate: But if the Vessels yield instead of bursting, the Per- son is subject to the Inconveniences of a faulty Circulation; that is, the Blood forces into the Vessels appointed to carry Serum or Lymph, from whence proceed Inflammations and Obstructions. And as the Delicacy and Thinness of the Vessels run through the whole Body, it must affect the Glands and Lympha- ticks, as well as the Blood-vessels; so that such Constitutions must be subject to glandu- lous and evily Tumours, and Ruptures of the Lymphaticks. The Ch. VIII. thro' the various Stages of Life. 235 The Diet of such Constitutions should be cooling and relaxing, with Moderation in the Quantity of all Things, They ought to avoid every Thing that acce- lerates the Motion of the Blood, as violent Exercise and Watching; likewise they ought to abstain from the Use of all Things that a- bound with an acrimonious Salt, as Onions, Garlick, Leeks, Mustard, and the hot Herbs used in Seasoning, and all Spices in general; but Vinegar is exceeding useful to such as will use it constantly with their Food, for it will very much abate their florid Colour. The Regimen. For more particular Directions, as to the Diet proper in this Constitution, I refer the Reader to the Diet prescribed for the Cure of Rigidity and Elasticity of the Fibres, which answers this Intention in every Particular. A saline Constitution of the Fluids in an animal Body; is either acid, alkaline, or muriatick †. A Saline Constitution It has been proved in the foregoing Chapter, that the Juices of a found Animal are nei- ther acid nor alkaline; for all the Solids and Fluids of such, even fed with acescent or acid Substances, yield no Acid; because the vital Force of such Animals converts the acid Sub- stances they take in Food, into soft nutritious animal Liquids of their own Nature. A Cow fed with Daisies, Trefoil, and Sorrel, will give Milk in which there is not the least Aci- dity; but if the vital Force is weak, it is not sufficient † Briny. 236 A GUIDE to HEALTH Part II. sufficient to subdue the Acidity of the Food taken in. Therefore as there is no Acid naturally in a found Animal Body, but what must be ta- ken in by Food; so that if it be not subdued in the Passages of the Chyle, it will get into the Blood; and if there is not a due Quantity of Blood, and a sufficient Strength of Circu- lation to subdue it, it will infect the Fluids, so as to produce various Distempers. The Effects of a Constitution subject to Acidity, are sour Belching, a crav- ing Appetite, Sourness in the Sto- mach, with Pains; Green-sickness, the Case of a great many Girls craving after earthy Substances, such as Clay, Chalk, Meal, Cynders, &c. Colick Pains about the Navel, Dry Gripes, such as those in the West-Indies, chiefly occasioned by too great Quantities of the Acid of Lime-Juice in their Punch, with a great deal of other Acids in their Sea- sonings. The Colicks in Infants proceed from Acidity, and the Air expanding itself in the fermenting Food in the Stomach; the true Signs of which are a sour Smell of the Excre- ments, acid Sweats, Paleness of the Skin, and oftentimes Convulsions, from Acidity passing into the Blood, and affecting the tender Fi- bres of the Brain. Eruptions of the Skin, such as Scurvy and Itchy, and even Leprosies, are produced by feeding much and often upon acid unripe Fruits, and mealy Substances that are acescent. Effects of an acid Consti- tution. The Ch. VIII. thro' the various Stages of Life. 237 The most subject to this Disorder are Chil- dren, by reason of the Weakness of their Fibres and Digestion, and a Milk Diet; like- wise such as lead a sedentary Life; and others again, who eat and drink much Bread and Wine, and acid Vegetables; and lastly. Ar- tificers, who deal much in the Preparations of Acids. As Acidity is not the natural State of the Fluids in an animal Body, but introduc'd into the Habit by Food; so it is to be cur'd by Aliment of a contrary Quality, for which the Reader is referr'd to the Diet proper for acid Acrimony, in the foregoing Chapter, Page 212. All anti-acid Medicines being ineffectual without a proper and continued Diet of the same Nature, here I must observe, that an Abstinence from strong fermented Liquors is absolutely necessary in the Cure of this Dis- order; and likewise that Acidity in the In- fant may be cur'd by a Flesh-Diet in the Nurse. An alkaline Constitution of the Fluids in a human Body is opposite to the former, and abounds with alkaline Salts, the Nature and Quality of which I have explain'd in Note *, Page 165, which see. And tho' no Animal unputrify'd, when burnt, produces any alka- line Salt, yet being putrify'd, it produces a volatile Alkali; so that in a found Animal no true Alkali is found, as I have observ'd A Constitution subject to an alkaline Acri- mony. in 238 A GUIDE to HEALTH Part II. in the preceding Chapter; but when an Ani- mal degenerates from a true State of Health, by such Diseases or Food as increases the At- trition and Heat of the Fluids, the animal Salts that were before mild and benign, now become almost of an alkaline Nature; for found human Blood when first drawn, is so mild as not to make an Eye, or a fresh Wound smart; but let it stand in a Degree of Heat equal to that of a human Body, and it will grow fœtid in three Days time, and produce a volatile rancid Oil, as likewise a volatile alkaline Salt, which will ferment with Acids; so that the Blood in the Vessels, after it has passed thro' almost infinite Degrees of Circu- lation, may come to that State at last, which is the Case in pestilential and malignant Fe- vers, where neither the Strength of Nature or Art can prevail to save the Life of the In- dividual. All animal Substances being de- priv'd of Life, and exposed to the Air, turn presently alkaline of their own Accord, and consequently will soon putrify. Causes. The Causes of such a Constitution are commonly a plentiful and con- stant Use of animal Diet, such as Fish and Flesh, and all Vegetables which abound with an acrimonious Salt, such as Mustard, Onions, Leeks, Spices, and all hot and pungent Anti- scorbuticks, &c. likewise a plentiful Use of Salts in general, for all animal Salts are alka- line; and tho' Rock and Sea-Salts are of a mix'd Nature, yet they increase the Disorder. All Ch. VIII. thro' the various Stages of Life. 239 All Animals that live upon other Animals have their Juices more alkalescent than those that live upon Vegetables, and for this Reason Fishes are more alkalescent than terrestrial A- nimals, for they putrify sooner in the open Air; and no Person is able to support a Diet of Flesh and Water without Acids, such as Salt, Vinegar and Bread, without falling into a putrid Fever. Another Cause of this Distemper is a vigo- rous Action of the Vessels thro' which the Fluids circulate; for which Reason the strong and healthy, and young People, are more in danger by pestilential Fevers, than the weak and old; for violent animal Motion by Attri- tion produces this alkaline State. The Symptoms of such a Constitu- tion in any great Degree, are Heat, Thirst, foul Belchings, Foulness of the Tongue and Palate, a bitter and hot Taste in the Mouth, Sickness, Loathing, bilious Vomi- tings, Stools with a cadaverous Smell, Pains in the Belly. Besides, such a State dissolves the Blood, and disposes it to Putrefaction, hinders Nutrition, for no Chicken can be hatch'd of a rotten Egg; and likewise the Blood turning Acrimonious, corrodes the Vessels, producing Hœmorrhages. Eruptions on the Skin, dark, livid, Lead-colour'd, and of a gangrenous Nature, and likewise a hot Scurvy, and al- most all Distempers of the Inflammatory Kind. Diagnosticks. The 240 A GUIDE to HEALTH Part II. The Diet of such Persons ought to be a plentiful Use of acid Sub- stances, such as much Bread, and Seasoning of Vinegar, and all other Acids without Spi- ces, and live much upon Food made of Grain or mealy Substances; in short, they should live on such a Diet as is describ'd for an alkaline Acrimony in the foregoing Chap- ter. The Regimen. Plethorick Constitutions are apt to fall into this alkaline State of the Fluids, which is more hurtful than that which proceeds from Aci- dity; for the Bile being redundant, is the strongest Anti-acid, and when it is raised to a high Degree, and acrimonious, is sufficient to produce all the terrible Symptoms of ma- lignant and pestilential Fevers, as is mani- festly evident from the Experiments that were made at Marseilles in Time of the Plague; and nothing subdues the Acrimony of the Bile more than the acid Diet already men- tion'd, so that by a timely Use and Applica- tion of such Remedies, many fatal and dan- gerous Diseases might be prevented. A briny State of the Blood. A muriatick or briny State of the Fluids, which is common among Sailors, is commonly introduc'd into the Habit of the Body by too great Quanti- ties of Sea-Salt; and its usual Symptoms are a Salt Taste in the Spittle, Itching, and red Breakings out of the Skin, a lixivial Urine with a fat Substance swimming on the Sur- face of it. The Ch. VIII. thro' the various Stages of Life. 241 The Cure of this Disorder is per- formed by the constant Use of a Diet of fresh and unsalted Things, watery and cooling Liquors acidulated; mealy and emol- lient Substances, with a plentiful Use of acid Fruits; Sower Milk, Butter-Milk, avoiding all Spices, and the hot Antiscorbuticks of the pungent Kind: In a Word, the Diet ordered in the Alkaline Acrimony in the foregoing Chapter is proper in this Case. The Cure. A phlegmatick Constitution is such a State of the Fluids, wherein Phlegm or a cold, viscous watery Humour predomi- nates; and the Causes of it are, commonly viscid Food, such as mealy Substances unfermented, and taken in great Quantities; for the Flower of all Sorts of Grain, mix'd with Water, make a Paste that sticks like Glue, having an Oil in them which causes a Cohesion of their Parts toge- ther; the frequent Use of unripe Fruits; like- wise great Loss, or Want of Blood, which preserves itself and the Food, by constant Motion, from Coagulation; a Weakness and Indigestion in the alimentary Passages, by which the Food is rendered slimy and vis- cous; a Defect, or Want of Bile, which is the principal Resolvent of the Food; and a Stagnation of the Fluids, from a Weakness of the Instruments of Excretion; for if the Phlegm stagnates, it must grow viscid by the Heat of the Body. Definition. The Causes. Q Like- 242 A GUIDE to HEALTH Part II. Likewise Tumours and Inflations of the Belly, with Paleness, are Signs of a phlegma- tick Constitution; as when a Child grows pale, and his Belly swells, which happens to those that are rickety, there must be cer- tainly tough Phlegm in the Intestines, which shuts up the Mouths of the Lacteals, and prevents the Nourishment from getting into the Blood. But no Cause whatever produces a Viscidity in the human Fluids, more than a sedentary Life, and Laziness, and no Reme- dy more effectual than good Labour and Ex- ercise. The Cure. Cold phlegmatick Constitusions ought to use constantly an alka- lescent Diet; likewise well fermented Bread, and fermented Liquors; for Fermentation re- moves the Viscidity of all mealy Substances; and high seasoned Food is proper for them; likewise Spices, Salt, Garlick, Leeks, Onions, Thyme, Rosemary, Savory, Marjoram, Basil, Mustard, and all the hot and pungent Anti- scorbuticks; for all these being highly alka- lescent, exalt the Bile, which is necessary in this Case, whereby the Viscidity of both the Aliments and Fluids of the Body is dissolved. Their animal Food, both Fish and Flesh, should be nourishing, and easy to be digested; their Drink should be good fermented Li- quors, hot mineral Waters, and generous good Wines, such as will put the Blood into a vigorous Motion. But for farther Satisfa- ction herein, see what is said of alkalescent Sub- Ch. VIII. thro' the various Stages of Life. 243 Substances, both animal and vegetable, in the foregoing Chapter. A fat or oily Constitution is so very well known to every one, as to the Symptoms, that it needs no Description, and falls in with the pletho- rick and phlegmatick Constitution already de- scrib'd; it being but one Species or Sort of Cor- pulency, as there is often Bulk without Fat, from a great Quantity of muscular Flesh, which is the Case of robust People; for an Animal in the Course of hard Labour appears to be very little else than Bones, Vessels and muscular Flesh; but let the same Animal remain long at Rest, with tolerable good Food, it will probably double almost its Weight and Bulk, and this additional Surplus is nothing but Fat or Oil. A fat Con- stitution. The common Causes of this Dis- order, besides a particular Family Disposition of the Body are, first, strong Or- gans of the first Digestion, and a Laxity of the Fibres of the circulating Vessels, especi- ally those about the Membrana Carnosa ‡ ; for by the Action of those Fibres of the Vessels upon the Fluids, if they are duly elastick, the oily Parts of the Chyle are intimately mixed with the Blood; but when this Action is not strong enough, and that the Chyle is The Cause. Q2 ex- * The fleshy Membrane, is a fat Sort of a Membrane, in some Parts thick and musculous, in other Parts thin with many Ducts of Fat in it, and covers all the nervous and fleshy Parts of the Body, and is interwoven with an infinite Number of Blood-Vessels. 244 A GUIDE to HEALTH Part II. extremely redundant, then the thicker Oil is never intirely subdued by Circulation, and so turns Fat. 2dly. Great Quantities of oily Nourishment, Milk, Butter, and oily fer- mented Liquors. 3dly, All Things which pro- duce Coldness in the Skin, so as to stop Per- spiration, by which Means the fat or oily Parts are congealed, which Heat dissolves and attenuates; for the Inhabitants of cold and moist Countries are generally fatter than those of warm and dry Climates. But the most common Cause of all is, too great Quantity of Food, and too little Motion or Exercise; that is to say, Gluttony and Laziness, for which a spare Diet and Labour is the best Re- medy. Fat or Oil in all Animals, in due Propor- tion, is very necessary for both the Motion and Nourishment of the Fibres; but too great Abundance of it is very prejudicial to the hu- man Constitution; for it is an Impediment to the Motion of the Joints, rendering them more heavy, by filling the Spaces occupy'd by the Muscles when they contract and swell; it subjects them to all the Distempers depend- ing upon a defective Motion of the Blood; and as the Want of a due Quantity of Motion of the Fluids increases Fat, so the Disease seems to be the Cause of itself. It endangers them in all inflammatory Dis- eases; for a Fever resolves many Things which do not circulate, and among others the Fat, which mixing with the Blood, becomes vola- tile, Ch. VIII. thro' the various Stages of Life. 245 tile, and causes an Acrimony much more dan- gerous than the saline one; for Salts can be dissolved and diluted with Water, but Oils cannot: And it is manifest that Fat is dissolved by Fevers, if we consider the great Loss of it which People undergo in such Dis- eases. But among the many Inconveniencies and other bad Effects of a fat or oily Consti- tution, there is one Advantage to such as arrive at an advanced Age, that they are not subject to a Stricture and Hardness of Fibres, which is the Effect of old Age. As Gluttony and Laziness are, for the most part, the Causes of a fat Constitution, such People ought to eat sparing- ly, sleep little, and use much Exercise; in which the Cure of such a Disorder chiefly consists. The Regimen. Substances which heat moderately, abound- ing with acrid and pungent Salts, are proper in this Case; such as Horse-Radish, Mustard, Garlick, Leeks, Onions, Spices, and all the aromatick Plants us'd in Seasoning; likewise Saffron, all Seeds that expel Wind, Meats well season'd with Salt, Pepper and Vinegar, are all proper to dissolve Fat, and carry it off by Perspiration; but the only Inconveni- ency they have, is, that they create Thirst, whereby great Quantities of Liquids are drank, which increase the Disorder, by diluting and relaxing the Solids too much. They should avoid all oily Nourishment, and use Honey, ripe Garden Fruits of an acid Q3 Taste. 246 A GUIDE to HEALTH Part II. Taste, and the astringent sub-acid Vegetables mentioned in the Cure of a weak and lax State of the Fibres, in the Beginning of this Chapter; for the Fibres of fat People are com- monly too lax. Their Drink should likewise be the same as is there mentioned, to which I refer the Reader. Tea and Coffee are also useful, as they dilute and stimulate moderately; but the frequent Use of oily spirituous Liquors, as Rum, Anniseeds, &c. is extremely hurtful, because they increase Fat; a moist Air is like- wise prejudicial to fat People, by relaxing the Fibres and stopping Perspiration both sensible and insensible. Definition. An earthy Atrabilarian, or melancholy Constitution, is such a State of the Fluids, wherein the spirituous and most fluid Parts of the Blood are dissi- pated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body. Diagnosticks. The Signs of such a State, or a Tendency thereto, are known by Darkness, or Lividness of the Complexion, Leanness, Dryness of the Skin, and a quick penetrating Genius, with a slow Pulse and Respiration; Obstructions of the Belly, and a Difficulty of being purged. The Causes. The Causes of it are all such as expel or evaporate the most volatile and subtile Parts of the Blood, and fix the rest: As great Applications of the Mind to some Ch. VIII. thro' the various Stages of Life. 247 some Objects or other, such as may produce great Joy or Sadness, both which equally ex- pel and dissipate the Spirits; likewise great Exercise or Labour in hot Weather, with un- quenched Thirst; also Food of hard Dige- stion, such as dry'd and salted Fish or Flesh, unripe Fruits, unfermented mealy Substances, or the immoderate Use of spirituous Liquors. The Effects of such a Constitu- tion of the Fluids are Stagnation, Obstructions, Acrimony, Putrefactions, Visci- dity, and an imperfect Secretion of the Gall, a defective Circulation in the Vessels, especi- ally in the lateral Branches appointed for the Separation of the more fluid Parts; hence arise viscid and insufficient Secretions in the Glands: Likewise the Motion of the Blood through the mesenterick and * celiack Arteries being too slow, produce various Disorders in the lower Belly and † hypochondriack Regions; hence Persons are denominated Hypochondria- cal. And the Signs of most of these Disorders of the lower Bowels, arising from too slow a Mo- tion of the Blood through the said Arteries, are, a Sensation of Weight, Anxiety, Repletion, and a bad Digestion, from whence different Sorts of Food acquire such a State in the alimentary The Effects. Q4 Passages, * Arteries in the lower Belly needless to be described in this Place. † Are the two Regions lying on each Side of the Tip or Extremity of the Breast-Bone or Sternum, and those of the Ribs; which contain in one the Liver, and in the other the Spleen. Hence Disorders of those Viscera, especially of the Spleen, are called hypochondriacal Affections. 248 A GUIDE to HEALTH Part II. Passages, as they affect of their own Nature; that is, acid, if the Diet be of acid Vegetables; and alkaline, if of animal Substances, espe- cially Fat, which remains rancid, so as that the Spittle will flame in the Fire sometimes; and all this Indigestion owing to the Inactivity of the Gall, which likewise occasions a Co- stiveness of the Belly, and a Difficulty of be- ing purged. This State of the Fluids will at last affect the tender Vessels of the Brain, by the Visci- dity of the Matter impacted in them, and thereby endanger the Imagination; and like- wise produce Corruption in the Bowels of the lower Belly at last. Hence it is evident, that such a Disorder is not to be removed by active Remedies *, no more than Pitch or Dirt sticking to a Skain of Thread is to be taken away by Violence; but the Viscidity should be gently attenuated, diluted, and carried off gradually, by a pro- per continued Course of Diet, avoiding al- ways all heating Substances, which still eva- porate and dissipate the volatile and fluid Parts more; therefore Waters impregnated with some of the pungent Salts, as that of Nitre, Tartar, &c. are found to be of great Effect in this Disorder. Their * Are such Medicines as produce sudden Alterations in the Body, by their penetrating and stimulating Qualities, acting upon the Fluids or Solids, or upon both, either inwardly ta- ken, or outwardly applied. Ch. VIII. thro' the various Stages of Life. 249 Their Diet should be light, easy of Di- gestion, moistening, and resolvent of the Bile, such as Honey, the Juices of ripe Fruits, emollient Pot-herbs, light Broths of animal Food, Lettuce, Spi- nage, Cichory, and Dandelion; and their Drink ought to be Water, Barley-water, and Whey. For farther Instructions herein, see the Diet directed for the Rigidity of the Fibres in this Chapter, which is likewise very- proper in this Case. The Regimen. One Thing to be observed is, that the Diet ought to be contrary to the particular Acri- mony residing in the Fluids, which might have occasioned the Disorder; for if it pro- ceeds from Acidity, then an animal Diet is altogether proper; if from an alkaline Acri- mony, the contrary Method must be used; which may be easily distinguish'd, by ob- serving what has been already said of acid and alkaline Constitutions, to which I refer the Reader. As there is a continual Dissipation or Waste in all animal Bodies, insensibly; so the fre- quent Repetition of Meat and Drink is ne- cessary, not only for repairing the Fluids and Solids, but likewise for preserving the Fluids from a putrifying alkaline State, which they would acquire by constant Attrition, without being soon and sufficiently diluted with fresh Chyle. Hence it appears, that long Fastings or Abstinence may be the productive Cause of great Distempers, especially in hot and bilious 250 A GUIDE to HEALTH Part II. bilious Constitutions; and very prejudicial to acid Constitutions, occasioned by the uneasy Sensation and Vellication produced in the Stomach. Therefore the Quantity of Food necessary to preserve our Bodies in a due State of Health and Vigour, ought to be divided into Meals at proper Intervals of the natural Day, that the former Food may be digested before any more be taken in, and at such a Distance from Bed-time that our Digestion may be almost finished before we sleep; by which Method neither the Organs of Digestion, nor the Blood- vessels will be overloaded, nor the Fluids too long deprived of a fresh Supply of nutritive Chyle, Hence the grand Secret of Health conists in keeping an Æquilibrium † between the Fluids and Solids; for when the Fluids move so equally, that they do not press upon the Solids with a greater Force than they can bear; and, on the other hand, when the Solids resist and act upon the Fluids so equally, that there is no uneasy Sensation, the Person is then in good Health; and whatever is in our Food or Actions that destroys this Æquilibrium, ei- ther by relaxing or contracting the Solids too much, or by attenuating or rendering the Fluids too viscid or acrimonious, must pro- duce the Effects already mentioned under each of those particular Heads, which see. From † An exact or due Ballance. Ch. VIII. thro' the various Stages of Life. 251 From what has been hitherto said of the Nature and Effects of Aliment, as also of the Nature and Difference of Constitutions in par- ticular, with the Diet proper for each, it will be as easy to determine Rules of Diet in the different natural healthy States, as in the mor- bid or sickly States of human Bodies; there- fore I thought it both useful and necessary to lay down here some general easy Rules, for the Benefit of those who value Health and long Life; but with this Caution, that Re- gard must be always had to the Nature of the Constitution in particular. I. Infancy requires a thin and copious nou- rishing Food, such as lengthens their Fibres, without breaking or hardening them, by rea- son of their Weakness and State of growing; so Milk answers this Intention best. II. The Solidity, Strength, and Quantity of the Food, ought to be in Proportion to the Strength of the Solids, Labour, and Ex- ercise of the Body; for such as labour and exercise much, have their solid Parts stronger and more elastick; therefore they require stronger Food, and more in Quantity, than those that are in their declining Age, or those that lead a sedentary or studious Life. III. Youth being still in the State of Growth, their Diet ought to be emollient and relaxing, plentiful, and without Acri- mony. IV. In the State of Manhood the Diet should be solid, with a sufficient Degree of Viscidity; 252 A GUIDE to HEALTH Part II. Viscidity; and their chief Drink Water, with a Quantity of fermented Liquors at Times, proportioned to their natural Constitutions. V. Ancient People require a Diet resem- bling that of Children, often repeated, and little at a Time, emollient and diluting, with a little Wine sometimes; because in old Age the Fibres harden, many Canals or Vessels are abolish'd, and the Solids grow together; from whence arises Dryness, Weakness, Im- mobility, Debilty of the vital Force of Di- gestion, Loss of Teeth, and Depravation of chewing, which terminate in Death at last. VI. Excess in Meat and Drink is to be avoided; for a little Food well digested and assimilated, preserves the Body stronger and more vigorous, than Superfluity. VII. We should not eat, because the cu- stomary Time for it is come, unless our Ap- petite be so too; for to load the Stomach with a fresh Supply upon a Semi-digestion of the former Meal causes Crudities, and a foul Sto- mach, which must overload the Blood, and thereby produce Diseases. VIII. It is better to eat twice a Day with Moderation, than to make one over-large Meal, tho' one abstains double the usual Time for Compensation; however, if one transgresses at any Meal, let such abstain from the next, or let it be a very slender one. IX. Variety of Meats, and made Dishes, destroy a Multitude of People; for they pro- long Appetite far beyond what Nature requires, and Ch. VIII. thro' the various Stages of Life. 253 and by that Means over-charge the Stomach. Besides, different Meats have different Quali- ties, and some are sooner digested than others; whence arise Crudities, and a depraved Di- gestion: Therefore we ought to avoid Feasts and Banquettings as much as possible; for it is more difficult to refrain from good and deli- cate Cheer when present, than from the De- sire of it when away. X. A temperate Diet preserves from diseases; for such are seldom ill, but when they are, they bear it better, and are sooner recovered. 2dly, It lengthens Life, and mitigates the Agonies of Death. 3dly, It arms the Body against external Accidents, such as Heat, Cold, Labour; and if afflicted with Wounds, Dislocations, or Bruises, they are much sooner and easier cured. 4thly, It maintains the Senses intire and vigorous, and moderates Peoples Passions and Affections. 5thly, preserves the Memory, sharpens the Wit and Understanding, and allays the Heat of Lust. XI. Galen, recommending a temperate diet, says, that those of a weak Constitution from their Mother's Womb, may attain to an extreme old Age, by Help of a sober and moderate coarse Diet; and that too without diminution of Senses or Sickness of Body; and says farther, that tho' he never had a healthy Constitution of Body from his Birth, yet by using a proper Diet after the 27th Year of his Age, he never fell into any Sickness, 2 unless 254 A GUIDE to HEALTH Part II. unless now and then into an Ephemera, that is, one Day's Fever, occasioned by Fatigue or Weariness. And it is very well known, that Galen lived to an hundred Years of Age. XII. In the Winter and Spring we require a greater Quantity of solid Food, and less Drink, than in the Summer and Autumn; because in the cold Season our Stomachs are hottest, and we sleep a great deal more; for as the Cold increases, so our Heat for the most Part recedes to the central Parts of the Body. And the Reason we require less Drink in Winter is, that then our Bodies are moi- ster, like the Seasons; and likewise, that the Cold hinders the watery Vapours to be per- spir'd, and so turn into Humours in the Body. But in Summer what is wanting in Meat or solid Food, may be taken in Drink, and moist cooling Nourishment; for then the Body is dry, and the inward Heat is distri- buted thro' all the Parts thereof, and Perspi- ration is so considerably increased by the ex- ternal Heat, that the watery Vapours or Effluvia are exhal'd and carry'd off thro' the Pores. XIII. The same Rules for eating serve al- so for drinking, the chief Intention of which is to allay Thirst, to moisten and convey the Food in the Stomach, and the Nutriment thereof into the respective Parts of the Body; to dilute the Blood, and dissolve the super- fluous Salts, and carry them off both by Per- spiration and Urine. But for farther Satis- faction Ch. VIII. thro' the various Stages of Life. 255 faction herein, see the Particulars of the Use and Intentions of Drink, in the latter End of the foregoing Chapter. Here I must observe, that moist Food, such as Broths, Pottage, Soop, and boiled Meats, require little Drink, and the solid only a Sufficiency to moisten and convey it into the Stomach, and prevent Obstructions; there- fore they who drink much at Meals, especial- ty strong Liquors, incur a double Inconveni- ency; for first, by causing the Food to float in the Stomach, which ought to reside in the Bottom, they hinder Digestion, and by moistening the upper Orifice thereof too much, by which means it is kept open, it thereby occasions Vapours and Fumes to a- scend and disorder the Head. Secondly, it causes the Aliment to pass too soon out of the Stomach, crude and indigested; whence arise Fluxes in the Bowels, and putrid Cru- dities of the Blood in the Veins and Arteries. XIV. It is very prejudicial to eat or drink too much, or fast too long, or do any thing else that is preternatural; for whoever eats or drinks too much, must be sick, or vitiate his Juices at last. XV. Growing Persons have a great deal of natural Heat; therefore they require a great deal of Nourishment, otherwise the Body will gradually waste. XVI. Hippocrates fays, that a Person can- not be healthy, and digest his Food well without Labour, and that the Quantity and Quality 256 A GUIDE to HEALTH Part II. Quality of Diet must bear a due Proportion to the Labour. XVII. Young, hot, strong, and labouring People, may feed on Meats that afford a hard and gross Juice, such as Beef, Bacon, powder'd Flesh and Fish, hard Cheese, Rye- Bread, and hard Eggs, &c. which may nourish slowly, and be digested by Degrees; for if they did eat things of light Nourish- ment, either their Meat would be too soon digested, or else converted into Choler. XVIII. When a Person is sick or distemper'd, his Meats should be of contrary Qualities to his Disease; for Health itself is but a kind of Temper gotten and preserv'd by a conve- nient Mixture of Contrarieties. XIX. Fat Meats are only good for dry Stomachs; for in sanguine and choleric Sto- machs they are soon corrupted; and in Phleg- matics they procure Looseness, and hinder Retention. XX. Such as are of hot Constitutions, should abstain from violent Exercises, use Bathing in tepid Water, feed upon Mays, Pot-Herbs, and a cooling moist Diet. XXL. The Quantity of Food that Is suf- ficient, the Stomach can perfectly concoct, and answers to the due Nourishment of the Body; hence it is evident, that we may eat a greater Quantity of some Meats than of others of a more hard Digestion. XXII. The Difficulty lies in finding out an exact Measure; but eat for Necessity, and not for Ch. VIII. thro' the various Stages of Life. 257 for Pleasure, for Lust knows not where Ne- cessity ends. XXIII. If a Person is dull and heavy after Meat, it is a Sign he has exceeded the due Measure; for Meat and Drink ought to re- fresh the Body, and make it cheerful, and not to dull or oppress it. XXIV. If we find those ill Symptoms, we are to consider, whether too much Meat or Drink occasions them, or both, then we ought to abate by little and little, till this Inconve- nience is remov'd. XXV. Pass not immediately from an ir- regular Life to a strict; and precise one, but by Degrees; for ill Customs come by Degrees, and are to be wore off gradually; for all sud- den Alterations in Extremes, either of Re- pletion, Evacuation, Heat or Cold, are dan- gerous. XXVI. Acids taken in too great Quanti- ties, especially such as are austere, as unripe Fruits, produce too great a Constriction of the Fibres, and thicken the Fluids; hence Pains, Rheumatism, and Gout, Paleness, Itch, and other Eruptions of the Skin. XXVII. Spices taken in too great Quantities produce Thirst, Dryness, and Heat, quicken the Pulse, and accelerate the Motion of the Blood, and dissipate the Fluids; hence Lean- ness, Pains in the Stomach, Loathings, and Fevers. XXVIII, Strong Liquors, especially distill'd spirits, taken in great Quantities, intoxicate. R contract, 258 A GUIDE to HEALTH Part II. contract, harden, dry, and stimulate the Fibres, and coagulate the Fluids; they like- wise corrode and destroy the inward Coat of the Stomach and Intestines. XXIX. A Diet of viscid Food, such as un- fermented mealy Substances, Peas, Beans, Lentils, &c. creates Flatulency, and Crudi- ties in the Stomach, Obstructions in the small Vessels of the Guts, and in the Mouths of the Lacteals and Glands: Hence Tumours and Hardness of the Belly, Paleness of the Skin, and Viscidity in the Fluids. XXX. An oily Nourishment relaxes the Solids, and particularly the Stomach and In- testines; it creates foul Belchings, Loathings, oily and bitter Vomitings; obstructs the ca- pillary Vessels, by hindering the Entrance of the watery and fluid Part, with which it will not mix; it produces Thirst and Inflamma- tions. CHAP. IX. Of Sleeping and Waking. SLEEP is a Cessation of the external Senses from Action; for, when waking, we walk, talk, move this or that Limb, &c. but in a natural or undisturb'd Sleep, there is 2 no- Ch. IX. thro' the various Stages of Life. 259 nothing of all these Actions; that is, when awake we perform several Motions by the voluntary Contractions of our Muscles; when asleep, those Muscles are only contracted, Whose Action is involuntary, or does it by a Habit, without the Intervention of the Rea- soning Faculty; such are the muscular Actions of the Heart, Breast, Lungs, and Arteries, &c. so that at this Time there is a kind of Re- laxation of the moving Fibres of the several Members of the Body. And this is one great Design of Sleep, to recover their former Force to the Parts overstretch'd by Labour or Motion; for when we compose ourselves to Rest, we must put our Body into that Pos- ture which favours most the particularly Weary'd Limbs. In the next Place it is very evident, that in Sleep there is not only a Rest and a Suspension from acting in most of our bodily Organs, but likewise of our Thinking Faculty too: That is, a Cessation from such Thoughts as, when awake, we are exercised about, which we re- flect upon, and Will to imploy our Mind with. For tho' Dreams are Thoughts, yet they are imperfect and incoherent ones; and are either so faint and languid Representations, as to be consistent with our Sleep, or else, if they be strong and lively, they are the Inter- ruption and Disturbance of it. From whence it will follow, that the Mo- tion of the arterial Fluid must be more se- R2 date 260 A GUIDE to HEALTH Part II. date, even, and regular, in the Time of sleep- ing than waking; for besides the various Al- terations it receives in this latter State, from the several Passions of the Mind, the very Contractions of the Muscles themselves, in the Exercises of the Body, will forward its Course differently and more unequal; where- as in Sleep the Motion of the Heart, Arte- ries and Veins is stronger, slower, more equal, and full; likewise Respiration is deeper, stron- ger, slower, and more equal, by which Means the Blood circulates and digests more commo- diously, and Secretion, Perspiration, and the Distribution of Nourishment are more success- fully carried on; the Humours circulating quicker through the Blood-vessels and the Parts near the Heart, but slower through the Sides of the Body, and the remote Parts, as well as the Muscles. Hence it also comes to pass, that the In- flux of the nervous Fluid into the Organs of the Body, as also its Reflux towards the Brain, is in Sleep either none, or very in- considerable; for it is muscular Action and Sensation that required this Fluid to be thus determined this Way or that, which are in this State hardly any: And yet, by the Arri- val of Blood at the Brain, this Juice will still be separated there, fit to be deriv'd into its Tubes and Canals; so that by this Means there will be a new Production, or a kind of Accumulation or laying up in Store, of Spi- I rits, Ch. IX. thro' the various Stages of Life. 261 rits, in order to perform our animal Func- tions. Thus we may look upon the Time of waking as the Time of wearing out, or the Destruction of the animal Fabrick; and the Time of Sleep, as that in which it is repaired and recruited; not only upon account of what has been just mentioned concerning the ner- vous Fluid, but also with regard to all other Parts of the Body, as well fluid as solid: For Action must necessarily impair the Springs and Organs; and in Motion something is continually abraded or fil'd off from the con- tractile Fibres, which cannot otherwise be restored, than by their being at Rest from Tension. Besides, the regular and steady Course of the Blood, as has been observ'd, in Sleep, is by far more fit and proper for Nu- trition, or an Apposition of Parts to the Ves- sels; which an uneven Hurry of Nourish- ment is more apt to tear off and wash away. The Use and Benefit of Sleep Sleep is occasioned, promoted, and increased by eating and drinking, in removing the Stimulus or painful Sensation of Hunger and Thirst, when the Stomach is empty, or by drinking plentifully, especially of strong Liquors; but some can- not sleep for a long Time when they drink much, because the Spirits are thereby too much heated and enraged. It is also encouraged by much or long con- tinued Labour, the Spirits being too much The Causes of Sleep. R3 dissapted 262 A GUIDE to HEALTH Part II. dissipated and exhausted. In like manner, after the taking of Opium, or other sleepy Things, we are disposed to sleep; because they seize the Spirits by their volatile Oleosity; also a quiet Disposition of Mind; a Body free from Motion, and unaffected by external Objects; by Excess of Heat, Cold, or Care; and by all such Causes as hinder the Protru- sion or Impulse of the Blood into the glandu- lous Part of the Brain, or its Passage through its Vessels, and the necessary Separation of Spirits, and the Derivation of them into the Nerves, being the Organs of Sensation, and the Muscles serving to voluntary Motion; and the Reflux of them towards the Sensorium Commune †. Sleep is hindered by a continual Mixture of Water, or hot Liquors, with the Blood, or any sharp Thing that vellicates or twinges the Nerves of the Brain; also by violent Pas- sions of the Mind, or the Brain's being di- sturbed by any internal or external Cause. Therefore it appears from what has been said, that Sleep is such a State of the Brain, wherein the Nerves do not receive from it so large or so strong an Influx of Spirits, as is required for the Organs of Sense and volun- tary Motions to perform their Actions with Ease and Quickness. The † The Seat of Common Sense, is-in that Part of the Brain, in which the Nerves, from the Organs of all the Senses, are terminated, which is in the Beginning of the Medulla Oblon- gata, and not in the Glandula Pinealis, as Des Cartes and o- thers would erroneously have it. Ch. IX. thro' the various Stages of Life. 263 The most immediate Cause here- of is perhaps the Defect of a subtile Spirit, which requires a long Time to prepare it, and being now spent and ex- hausted; so that the finest Vessels being emp- tied and flagg'd, for a Time fall together; or there is too great a Flux of thicker Blood im- pell'd to the Cortex of the Brain, so that the Medullary Part is compress'd, and the Motion of the Spirits hindered; therefore the natu- ral Cause of Sleep is every thing that may produce these two Particulars. The natural Cause of Sleep Therefore if we consider the Na- ture, Necessities, and Advantages of Sleep, already mentioned, we may easily perceive how too much Watching will deprive the Solids of that due Supply of Spi- rits so absolutely necessary to enable them to perform their several Functions; and that for want of a good Digestion Perspiration will be very much obstructed, which must render the Body dull and heavier; for, according to Sanctorius, “ interrupted and unquiet Sleep “ lessens the Quantity usually thrown off by “ Perspiration about a third Part:” * And likewise, “ whatsoever hinders Sleep, hinders “ also the Perspiration of that digested Matter, “ which ought to exhale;” § because interrupted Sleep keeps the Fibres in that Degree of Ten- sion, which is not suitable to forward the Juices to the Extremities, and let the Matter of Per- spiration go off by the Pores of the Skin: The Effects of too much Watching R4 For * Aph. 5. Sect. iv. § Aph. 8. Sect. iv. 264 A GUIDE to HEALTH Part II. For whatsoever hinders that easy Relaxation necessary for found Sleep, must likewise hin- der Perspiration; so that full, heavy, and luxurious late Suppers must hinder it; be- cause such a Load in the Stomach will keep the Fibres upon the stretch, and conse- quently our Sleep will be uneasy and inter- rupted, until that be removed. It is therefore very certain, that according as our alimentary Organs are easy, quiet, and not overloaden with Food, our Sleep is found, sweet, and refreshing; for if any Per- son not labouring under a Disease, is restless in his Sleepy it must arise from his Stomach's being overcharg'd with indigested Food, or Crudities not carry'd off by proper Exercise; or his Intestines are filled with Wind, Choler, or superfluous Chyle: and the restless Nights which are generally ascrib'd to Vapours, are entirely owing to the said Causes. There- fore all those that would preserve their Health, and lengthen out their Days, ought to avoid large and late Meat-Suppers; especially the sedentary, studious, and such as have little or no Labour or Exercise, should eat very light or no Supper; if any, it ought to consist of some vegetable Food; neither ought they to go soon to Bed after any Sup- per whatever. And such People in general should give Attention to this Aphorism of the Schola Salernitana, Somnus Ch. IX. thro' the various Stages of Life. 265 Somnus ut sit levis, sit tibi cœna brevis: Viz. That your Sleep may be sweet, let your Supper be light. Immoderate Watching and want of Sleep, produces Diseases of the Head, corrupts the Temperature of the Brain, causes sometimes Madness, inflames the Humours, generates and excites a saline Acrimony in the Blood and Juices; hence arise cutaneous Eruptions of different sorts; likewise the want of mo- derate Sleep occasions bad Digestion, fills the Stomach with Crudities, and dissipates the Spirits, by which means a thorough Waste and Decay of both the Solids and Fluids suc- ceed at last. Sanctorius observes, that * “ They who “ sleep well and do not dream, perspire “ well; and on the contrary, they who “ dream much perspire less.” Because dream- ing is a State between sleeping and waking, therein, altho' the Mind does not exercise such a Power over the Body, as to direct its Motions in the same Degree as when awake, yet by its Attention to those confused Ideas which pass thro' it, the Solids are kept in some Degree of Contraction, greater than is agreeable with found Sleep; and therefore Perspiration, which depends upon a settled Relaxation, cannot be perform'd so well at such times, as when in quiet and profound Sleep * Aph. 27. Sect. IV. 266 A GUIDE to HEALTH Part II. Sleep, neither have they that Refreshment, Lightness and Agility, which spreads all over the Body, and principally the Brain, as those who sleep quietly without dreaming. The Effects of too much Sleep. Long and superfluous Sleep is very pernicious to both the Mind and the Body; for it chills the Body, weakens the natural Heat, breeds phlegmatic Humours, and fills it with Crudi- ties; whence arise much Sloth and Lazi- ness, the Parent of many Diseases; it like- wise fixes the Spirits, and renders them flug- gish and stupid; it dulls the Understanding, hardens the Excrements, and makes the Body costive, which is frequently the Cause of va- rious Distempers. In short, superfluous Sleep is neither good for the Body nor the Mind, nor for Business; for he who sleeps too much is but half a Man, Sleep rendering him in all Points like a dead Man, except his Digestion and the Pulsation of his Arteries; for he nei- ther sees, hears, speaks, or understands, and is absolutely depriv'd of all Reason, which for the Time is a perfect Death. Besides, too much Sleep occasions in both found and firm Bodies a Shortness of Breath, and is a constant Fore- runner and Disposition to an Apoplexy, Le- thargy, Palsey, and Numbness, by hindering the seasonable Evacuations of the Excrements, causing them to remain too long in the Body. Sanctorius is very clear on this Head, and says, * in one of his Aphorisms, “ By too “ much * Aph. 50. Sect. IV. Ch. IX. thro' the various Stages of Life. 267 “ much Sleep both the inward and outward “ Parts grow cold, the Humours are obstru- “ cted and render'd unperspirable, and the “ whole Body heavier.” So that by the very same means by which moderate Sleep is serviceable and necessary, too much of it proves injurious; because too much Relaxa- tion overcharges the Nerves with too thick and too great a Quantity of Juices, which instead of rendering them fitter for Motion, clogs them, and makes them less capable of recovering their Springs afterward; so that when once the Solids fail, the Fluids of course slacken in their Motions, by which means the natural Heat decays, and the Flesh grows cold, and they themselves be- come also more fizy or gluey; for which Reason they suffer less to pass off thro' the Pores by insensible Perspiration, or otherwise, and consequently the Body is render'd heavier. Sleep in the Day time, or after Dinner, is not to be allow'd, unless a Person has ac- custom'd himself to it, or has not rested Well the Night before, or if he perceives a kind of Lassitude or Weariness in his Limbs; in such Cases, I say, one may sleep an Hour, or half an Hour after Dinner, and even it is slow Digestion; for according to Sanctorius *, “ An Hour's Sleep at Noon after a Meal, “ sometimes occasions the Body insensibly to “ perspire a Pound, and sometimes half a “ Pound: * Aph. 37. Sect. IV. 268 A GUIDE to HEALTH Part II. “ Pound: a Pound when any of the per- “ spirable Matter of the former Day has “ been retain'd; when not, but half a Pound.” This is recommended as a most excellent Re- medy in weak People for imperfect Digestion, and there is a great deal of Reason why it should be of Service; because such an addi- tional Help every Day, may compensate for the Deficiencies of the last Night's Perspi- ration; but they must not be too free with this Practice, who are inclin'd to grow fat or phlegmatick. For according to the same Au- thor *, “ Immoderate Sleep after Dinner in- “ jures all the Bowels, and obstructs Perspi- “ ration.” So that altho' a little Sleep at such Times, and in the Cases above-mention'd, upon a full Stomach may be of Service, by perspi- ring what did not sufficiently pass off the Night before; yet if it be continued too long, there will such a Quantity of indigested Mat- ter follow, as will be too gross to pass, and consequently stop up the excretory Ducts of the Body, and thereby occasion very conside- rable Disorders. The ordinary Time allow'd for Sleep is seven Hours; for that Time seems sufficient for perfecting Digestion, and recruiting the Spirits; but some require more Sleep, and some less: So Children, antient People, Cho- lerick and dry Constitutions require more, be- cause it moistens and restores the Spirits; but fat * Aph. 66. Sect. IV. Ch. IX. thro' the various Stages of Life. 269 fat and phlegmatick Constitutions of all People should sleep the least, for Reasons already given. As nothing seems more directly pointed out to us by Nature, than the Day for Exercise and Labour, and the Night for Rest; so the fittest Time for Sleeping † is about four Hours after Supper, for then the Stomach is not loaded with Food, the first Concoction being then perfected, and by this Time the Chyle has got into the Blood; so that such a a quiet and relaxed State as Sleep produces, is most necessary to both Nutrition and Per- spiration: and the fittest Time for that Pur- pose is in the Night; because the Damps, Vapours, and Exhalations, which are rare- fy'd by the Heat of the Sun in the Day-time, are now condensed, and fall down upon the Surface of the Earth again, which must ob- struct the Pores of the Body, and consequent- iy hinder Perspiration, if exposed to such Damps by Night-watchings, or unseasonable Sittings-up; and this is one of the principal Causes of various Diseases, both acute and chronical, which soon break and shatter the Constitution, shorten Life, and beget a de- crepid Age; so that Watching by Night, and sleeping by Day, is of the most pernicious Consequence to Health and long Life, and plainly contrary to the Indications or Dictates of Nature, and the Constitutions of our Body. Therefore † This is conformable to Aph. 28. Sect. IV. of Sanctorius. 270 A GUIDE to HEALTH Part II. Therefore all those who value Health and long Life, ought carefully to avoid Night Damps and Dews, and unseasonable Watch- ing or Sitting-up, but go to Bed by eight, nine, or ten, and rise betimes in the Morn- ing, that is, by five or six; for according to the old Proverb, Surgere diluculo saluberri- mum est; that is, To rise betimes is most con- ducive to Health. The following Rules ought to be carefully observ'd in regard to the Position or Posture of our lying in Bed. In the first Place, we should never lie too close or too warm, which may obstruct the Fumes and Vapours neces- sary to be exhal'd from the Body; and we should always lie with our Heads a little raised, to prevent the Food from rising from the Bottom of the Stomach, to its upper Orifice. Secondly, We should never sleep upon our Back; because thereby we prevent the usual Excrements of the Brain, which are dis- charg'd by the Nose and Mouth, from fall- ing upon the Windpipe and Back-bone; but if we sleep upon our Back, we over-heat the Reins, by being pressed between the Inte- stines and the Bed, and thereby oftentimes produce Stone and Gravel, and send many Fumes and Vapours to the Head. Thirdly, It is necessary to take our first Sleep upon our right Side, to prevent the Liver's pressing the Stomach, then replenish'd with the Food we took in at Supper, which must Ch. IX. thro' the various Stages of Life. 271 must happen if we lie on the left Side. Be- sides, by sleeping first on the right Side, what is concocted of the Food descends gradually and easily out of the lower Orifice of the Stomach into the Intestines, and then the Liver comes underneath it, and is instead of a Chasing-Dish to it, which promotes Di- gestion very much. After this, we should turn to the left, that thereby the Steams and Vapours retain'd on the right Side may ex- hale. And lastly, when we go to Rest, we ought not to stretch our Joints, but rather bend them a little; for as * Galen observes, The Ease of the Muscles consists in a mode- rate Contraction. CHAP. X. Of MOTION and REST. BY Motion, I mean here Exercise and Labour, as Walking, Riding, Running, playing at Ball, &c. They encrease natural Heat and consume the Crudities of the Body; for it is very certain, that all Sorts of Ali- ment tho' never so pure, have yet always something in them unlike our Nature, which can never be assimilated to either our Juices or Substance; so that some Excrement must always * Galenus, lib. 1. de motu Musculari. 272 A GUIDE to HEALTH Part II. always then remain in every Concoction, which being retained in the Body, may pro- duce a Multitude of various Diseases: But the grossest Excrements are discharged by a sensible Evacuation, and the most subtile are insensibly dissipated and resolved by Exercise or Labour. This made the divine Hippocrates very justly say, in his Book of Diet, that “ One “ cannot preserve Health, except he joins “ Exercise with his Diet; for the one repairs “ what is lost, and the other dissipates what “ is superfluous.” Hence moderate and re- gular Exercise prevents Repletion, which is often the Parent of many Diseases; by en- creasing the natural Heat, it keeps all the Ca- nals of the Body open, and free from Ob- structions; it renders the Body supple; pre- pares and disposes all the Superfluities for both Secretion and Excretion, as well in general as in particular; it likewise fortifies the Nerves, and strengthens all the Joints which is con- firm'd by the great Hippocrates, in his Epi- demicks, saying that, “ As Sleep is proper for “ the Bowels, so is Exercise for strengthen- “ ing the Joints.” Celsus also tells us, that “ Idleness makes the Body dull and heavy, “ but Labour strengthens and renders it firm “ and active; Laziness makes us soon grow “ old, but Exercise preserves Youth a long “ Time †.” To † Lib. I. Caput I. Ch. X. thro' the various Stages of Life. 273 To prove the Necessity of Motion or Exer- cise, for the Preservation of Health and long Life, it will be necessary to observe, that a human Body, as it comes under the Conside- ration of a Physician, is merely a Machine. Considering it therefore in this Manner, it is divided into Solids and Fluids; the Solids are vascular, and have continually propell'd thro' them some Liquor or other necessary for the Purposes and Support of the Machine: And these circulating Fluids are of different Kinds, arising from the different Agitations and Ve- locities impress'd upon them by the Vessels which circulate them. But in this View they have a necessary De- pendence upon each other; for as the Disten- sion and Power of Restitution in the Vessels, is owing to their being duly moisten'd by some convenient Fluid, separated and dispensed to them from the Blood, which is the common Promptuary of all the animal Juices; so likewise that due Constitution of the Blood, which fits it for yielding some of its Parts for that Use, depends upon its certain Degrees of fluidity, which are always as the Contraction of its circulating Vessels: But yet even in this the Solids have the principal Share; be- cause, as that Power by which the Blood is Preserv'd in a due Crasis or Constitution is de- rived from itself, that is, of beflowing upon the Solids a Juice necessary for the Preserva- tion of their Springs, yet that Constitution enabling it to afford such a Power, being pri- S marily 274 A GUIDE to HEALTH Part II. marily derived from the Actions of the Solid upon it, the chief Spring or Rise of Motion is in the Solids. To know therefore the most ready Ways of altering the Constitution of the Fluids, is to find out the most convenient and effectual Means of influencing the Contractions of their Vessels; but this cannot be done, without knowing first upon what Texture and Me- chanism of Parts their Powers of Contraction and Distension depend. And in order to come to any Certainty of this Matter, we are to consider, that it is very well known, that any Membrane or Ves- sel may be separated or divided into very small Fibres and Threads, when just taken out of the Body, and that these Threads may be drawn out a considerable Length beyond what is natural to them without breaking, and that when such external Force which so distended them is removed, they will again, by their Elasticity, restore themselves to their former Dimensions. And it is farther like- wise known, that these Properties of Disten- sion and Contraction are preserved in them by a convenient Moisture; because, if one of these Threads be dried, it will immediately lose it, so that upon the Application of any Force to stretch it, it will break; as also its being soak'd too much in Liquor will render it flaccid; as likewise destroy its Elasticity or Power of Restitution when distended. But Ch. X. thro' the various Stages of Life. 275 But what is exactly the constituent Tex- ture, or what are perfectly the Shapes and Arrangement of those Parts which compose an animal Fibre, is scarce possible to be justly determined; because they are too fine to be perceived by the naked Eye, or even by the Help of the best Microscopes when very mi- nutely divided; which Division proceeds so far at last, that the component Fibrillœ be- come so incredibly small, as to exceed the Power of Imagination; but Reason con- vinces us that there must be an End. However, as to the present Enquiry con- cerning the Effects of Motion or Exercise on the Solids and Fluids of a human Body, it will be sufficient, with what has been al- ready said, that it is known to a Demonstra- sion, that all the Fibres in a living Body are in a State of Distension; that is, they are drawn out into a greater Length than they would be in, if separated from any Part, and taken out of the Body; which is easily de- monstrated, by cutting transverse, or dividing of a Nerve or Artery, which are intirely a Composition of the Threads we are now speaking of; for immediately we see the di- vided Parts run up and leave a great Distance between them, as in Wounds, and the Fluids contained in them upon such Contraction, to be so squeez'd out; and this also makes it ap- pear, that their natural Distension is owing to some Fluid being propell'd into the Vessels which they compose, with a greater Force S2 than 276 A GUIDE to HEALTH Part II. than their Endeavours of Restitution, so far as to obtain a close Contact of all their transverse Surfaces, but yet lesser than that which is necessary to distend them, so far as to bring them to Coincidence, for in such a Case the Vessels would break. In the next Place then, this State of Di- stension of the Fibres must necessarily leave some little Vacuities or Interstices between all their transverse Surfaces, which Vacuities will continue as long as the longitudinal Sur- faces of their component Parts continue so close to one another, as to prevent the En- trance of any foreign Matter between, how subtile soever, for the same Reason as when the Embolus of a Syringe is drawn, and the Pipe is stopp'd, there must needs be a conti- nual nisus restituendi, or an Endeavour of Contraction. There is also a farther Necessity of being supported in such a State of Disten- sion; because, if they were closely in Contact with each other in all Parts, they could not be put into, and continue in those undulatory Motions, which they are always in, in a living Body, without being very much al- ter'd both in their Figures and Contextures. But it being manifest that all the animal Fibres are continued by the perpetual succes- sive Impulse of the Fluids, in such undulatory Motions; besides this Necessity of their being distended, they also must be continually moi- sten'd with some convenient Fluid, otherwise their continual Attritions against one another would Ch. X. thro' the various Stages of Life. 277 would soon wear out, and render it difficult to move them. The Fluid likewise suited for this Purpose must be very fine and subtile, because other- wise it cannot be insinuated into all the In- terstices the Fibres, without separating their Parts so far as is inconsistent with the Contexture and Mechanism of a Fibre, al- ready described; and the Parts also of this Fluid must not only be very subtile, but like- wise soft and yielding, whereby the Motions of the Particles against one another may be Maintained the better; and also as by a Ce- ment, that they may be prevented in their receding from each other in their longitudinal Surfaces, so far as to admit of no foreign Matter to insinuate itself between their trans- verse Surfaces, in such Quantities as to hinder their Re-union when Occasion may require it. From what has been said it will appear, that the most natural Consequence of Mo- tion, will be the breaking still smaller and smaller the component Particles of that Fluid, which is dispensed to the Fibres to lubricate and facilitate their Motions; which Commi- nution will be continued till it is rendered so fine, as to fly off at last at the Surface of the Body, being of no farther Use to Nature, whenever it happens to get there, and by that Means must be there continually made a Waste of, and that merely by such an Attrition of the Parts, as necessarily arises from their due S3 Dis- 278 A GUIDE to HEALTH Part II. Discharge of the vital Functions; and that Matter, which thus insensibly flies off, is the true Matter of insensible Perspiration, the Exhalation of which is absolutely necessary for the Preservation of Health and long Life. But this Waste makes it necessary that there be a continual Supply of what is lost; and this is made from what is taken in by the Stomach, which, after divers Digestions and Alterations, at last is mixed with the Blood, and there fitted for some of the finest Parts to pass through the Glands constituted for that Purpose in the Brain, which from thence are dispens'd through the whole ner- vous System, in such a Manner, as constantly to keep up a due Supply of this animal Fluid. Yet there is another Way by which the Fibres receive fresh Supplies, and that a much nearer; for, according to their natural Con- structures, it is very likely that even in the Stomach, and throughout the whole Passage of the Food into the Blood, the most subtile Parts of what is taken in, which are soon se- parated from the rest, and ready fitted for this Use, may, when they chance to strike against any of the Interstices of a Fibre, be laid hold on, and by Degrees convey'd into the Substance of the Thread; for it is certain the most subtile Part of the Chyle passes imme- diately into the Blood by the absorbent Ves- sels Ch. X. thro' the various Stages of Life. 279 sels * of the Intestines, as I have observed in another Place, which discharge themselves into to the Mesaraick Veins †, and from thence are convey'd directly into the Liver and Spleen. Besides, this is farther supported by com- mon Experience, by which it is evident, that the Solids are invigorated with fresh Recruits of Spirits, immediately upon taking into the Stomach such Meats and Drinks as are spiri- tuous, and contain in their Composition plenty of Particles very fine and active, and easily to be divided from the rest: And thus every one, Upon eating a good Meal, or upon drinking of any spirituous Liquor, especially if it be after long fasting, or a large Expence by hard La- bour or Exercise, finds himself immediately, as soon as it is in his Stomach, raised with new Spirit and Vigour; which could by no Means happen, were the Solids to obtain these Re- cruits altogether from the Chyle's passing through the Lacteals to the Thoracick Duct, S4 and * Are Vessels which suck in. † They are Branches of the Vena Portœ, interspersed in great Numbers in and upon the Laminœ of the Mesentery, which is a membranous Part in the lower Belly, to which the Guts are connected, and they carry the Blood back to the Liver: Their Largeness and Number demonstrate what in said above; for they are numerous and vastly larger than their correspondent Arteries; besides, wherever there are Emissaries, which are little Vessels which throw out a Liquid, there are likewise absorbent Vessels; for Example, in the Skin, by the absorbent Vessels of which Mercury will pass into the Blood. Moreover Birds, which have strong and large Breasts, small Bellies, and their Ribs upon their Backs, have no Lacteals nor Thoracick Duct, and their Aliment passes immediately into the Mesaraick Veins, by which Means they receive their Nourishment intirely. 280 A GUIDE to HEALTH Part II. and thence into the Blood; because it is im- possible that what a Person finds himself so soon recruited by, should in so short a Time have gone through the usual Digestions and Cir- culations, which require some Hours for that Purpose, according to Sanctorius, and a great many Authors of undoubted Authority. Upon a View of what has been said, with what ease may be explained, how the Body, by moderate Exercise, is rendered lighter up- on a twofold Account! Because, in the first Place, there is occasion'd by it a Substraction of its absolute Weight, as it assists Digestion, and by breaking the Matter to be perspired finer; secondly, it promotes the Discharge of that Matter through the Pores; and because by the Vibration of the Solids, at the same Time, there is a larger Quantity of fresh Spi- rits taken up by them from the circulating Blood, both by the Secretion made of them in the Brain, and in the Manner they are convey'd by the absorbent Vessels just now explained, whereby the Fibres become more invigorated, and so much the more able to carry on a due Discharge of all the vital Functions, inso- much that the Body will not have the Sense or Perception of so much absolute Weight as before. Moreover, the Muscles and Ligaments are cleared of their Excrements by Exercise; that is, whatever superfluous Particles of the digested perspirable Matter may adhere to them, is by Motion dislodg'd and shook of: And Ch. X. thro' the various Stages of Life. 281 And the Spirits are rendered finer; that is, such Parts of the nervous Fluid as are just re- ceived by the Fibres, are by the Actions of their component Threads broke smaller, and tendered fitter for the Purposes of the whole Body. Upon this View likewise it will be easy to account for some Disorders this Fluid is likely to fall into, or how it is most liable to be di- stemper'd; which is very plain, that it must be either by becoming too gross and sizy, or too fine or exhalable. The first may be occasioned by a want of sufficient Agitation or Motion in the Solids, whereby its Parts attract each other, and form viscid Cohesions, in the same Manner as it happens in the Blood in the same Case, which renders the Motions of the constituent Threads of the Fibres very difficult and troublesome, and sometimes so obstructs or blocks up those little Vacuities or Interstices between their transverse Surfaces, which are necessary for the Support of their Elasticity, as to prevent, in a great Measure at least, their Power of Resti- tution when they are distended; as happens in a Leucophlegmatia, Anasarca, and such like Disorders, where the Springs of the Fibres are so much destroy'd, that by any small Pressure upon a Muscle, the Impression will sometimes remain a long Time before their constituent Threads can recover their natural Dimensions; or, as it is commonly express'd, the Part will pit. The 282 A GUIDE to HEALTH Part II. The other Disorder of this Fluid, oppo- site to the former, is, its being broke too fine; which will render it so exhalable as to fly off in greater Quantities than the concoctive Power in the Stomach is able to recruit or supply; and this is often brought about by too violent Exercise, too large Evacuations, or drinking too great Plenty of spirituous and hot Liquors, whereby the Constitution of the Blood is so far weaken'd, as not to give due Resistance to the Constractions of the Vessels which circulate the Juices, whereupon they vibrate quicker, and break the nervous Juice too fine; which brings on a Hectick, and Death, if not timely remedied. As to the first of these Disorders, it is evi- dent that it is to be remedied by giving brisker Motions to the Solids, and encreasing the Vi- brations of the contractile Vessels, in which how far Exercise may be useful, is evident from what has been said already; for every Thing which acts as a Stimulus comes under this Head; and their Efficacy is chiefly to be determined by their greater or lesser Power of stimulating, shaking, and contracting the Fi- bres, which Exercise rightly pursued produces more efficaciously, and with less Danger, than any other Method whatsoever. For by such Means the component Threads of the Fibres are so put in Motion, as to loosen such Parts of the animal Oil, as are obstructed in their Interstices, and by Degrees break them small enough for Expulsion; and a fresh Ch. X. thro' the various Stages of Life 283 a fresh Stock of such Spirits will be supply'd, as will restore them to their natural Springs. As to the latter Disorder, it is to be re- moved by a Diet that agglutinates, and gives a greater or stronger Consistence to all the Fluids, and by all such Means as check the in- ordinate Motions of the Solids. So that upon the Whole it is evident, that to keep from ei- ther of these Extremes, Care is to be taken to maintain a just Ballance between the elastick Force of the Solids and the Resistances of the circulating Fluids, in which true Health con- sists; because, if the Equilibrium is lost on either Side, the Body cannot but fall into some Distemper; and in this consists the whole Art and Business of a rational Practice, to know when to add to, or substract from, the Resistances of the Fluids, and when to check or spur the Motions of the Solids; as also to be well acquainted with the various Methods by which all these Intentions may be brought about. And here I cannot omit just taking Notice, how wonderfully the Effects of Musick in some extraordinary Cases are hereby account- ed for; and tho' Musick, strictly speaking, may not be deem'd Exercise, unless it be so to those who exercise it themselves; yet it will manifestly appear otherwise, if we consider, that according to the Nature and Contexture of an animal Fibre or Thread, it is very plain that the least Stroke imaginable upon it, must move its component Fibrillœ in all their 284 A GUIDE to HEALTH Part II. their Parts; therefore every Wave or Undula- tion of the Air, which is made by a musical Instrument, gives the Fibres of the whole Body more or less correspondent Concussions, according to their Degrees of Tension, where- by all the component Fibrillœ are successively moved from one to another throughout the whole Thread; and consequently the Spirits are not only raised and made finer, but like- wise the other animal Fluids are also more briskly agitated, and their preternatural Co- hesions and Viscidities destroyed: All which plainly prove, that Musick is not only good Exercise for the Mind, but likewise very use- ful for the Body, by the agreeable Concus- sions and Thrillings we sensibly perceive from it in all the fleshy Fibres of the Body. Hence Musick has this Advantage above any other Exercise, that those Concussions made upon the Fibres thereby are short, quick, and easy, whereupon the nervous Fluid is not only more briskly agitated, but also the natural Contexture of all the animal Threads are better preserved, being never o- verstrained hereby, as they frequently are with other Exercises: Therefore upon this View the extraordinary Effects of Musick in several Diseases, as that of the Bite of a ta- rantula *, &c. ceases to be a Wonder, and it * Among all the wonderful Effects ascrib'd to the Power of Musick, none is more surprising and important than that of curing the venomous Bite of the Italian Spider, called the Tarantula. The Part bitten is soon affected with a very acute Pain, Ch. X. thro' the various Stages of Life. 285 it rather comes to be admired that it is not much more brought into Use here for the Be- nefit of valetudinary and weakly Constitu- tions, as it is in Italy and other Countries, and that even by the Direction of their Phy- sicians. What has been said farther explains that common Effect of Exercise, in its giving al- ways, conformable to Hippocrates's Opinion, a greater Firmness and Strength to the Solids; for the more a Fibre is kept in Action, the clearer it will keep its component Parts from the Lodgement and Adhesion of any foreign and superfluous Matter upon them, by which Means whenever it is distended or stretch'd, there will be the more Room for each Par- ticle to draw up again, and consequently its Return will be with greater Force; but the Exercise which produces this Effect, is such only as does not exceed the Powers of the Con- Pain, and a few Hours after with Numbness; upon which ensues a profound Sadness, and a Difficulty of Respiration; the Pulse grows weak, the Sight is disturbed, and the Person loses Knowledge, Sense, and Motion. The Doctor is in vain con- sulted; the Musician here alone performs the Cure; he tries a Variety of Airs, and when he happens to hit on that Har- mony that accords with the Patient, he begins to move by Degrees, and keeps Time with his Fingers, Arms, Legs, and Body; then he raises himself up and dances, increasing in Strength and Activity. This dancing Fit continues six Hours, or a Day, or sometimes two Days. When the Musick ceases, the Person gives over dancing, and is put to Bed. And this Process is repeated till the Patient is recovered, which is by little and little; and every sick Person has a particular Tune or Air, and always a very brisk or sprightly one. See Der- ham's Physico-Theology, Book IV. Chap. iii. and Malcolm's Musick, Chap. xiv. Sect. 3. &c. 286 A GUIDE to HEALTH Part II. Constitution; for too much Exercise destroys the Solids, by consuming the Fluids too much. But on the contrary, by too much Rest and Inactivity every Part will lose its Strength, and the less it is mov'd, be still render'd less able for Motion. And upon this Account it is that we see daily such a very great Diffe- rence between active and stirring Persons, and such whose Circumstances of Life in- ures them to Labour and Exercise, and those whose Inclinations and Condition indulge them in Ease and Inactivity; for the for- mer are strong, hardy, and healthful, but the latter tender, weakly, and diseas'd. From the Doctrine of this Chapter, it is manifest to a Demonstration, that there is an absolute Necessity for Labour and Exer- cise, to preserve the Body any time in a due State to maintain Health, and prolong Life: For let whatever Diet be pursued, though never so well adjusted both in Quantity and Quality, and let whatever Evacuations be used to lessen the Disorder, or any Succeda- neum or Equivalent be proposed to prevent the ill Effects; yet our Bodies are so made, and the animal Oeconomy so contriv'd, that without due Labour or Exercise the Juices will thicken, the Joints will stiffen, the Nerves will relax, and on these Disorders, chronical Distempers and a shatter'd old Age must soon ensue. And Ch. X. thro' the various Stages of Life. 287 And tho' light Food may in a great mea- sure prevent the thickening of the Fluids, yet it cannot do it sufficiently without Exer- cise; nor can it at all keep the Fibres in due Tension, for to that Purpose Exercise is ab- solutely necessary: Even the joint Power of warm Air and light Food, cannot supply the Place of Exercise in keeping them pliant and moveable, and preserving them from growing hard and stiff. But we should al- ways avoid too much Labour or Exercise, as I have just now observ'd; for Sanctorius tells us, “ That by too much Exercise the Fibres “ become hard, whence old Age proceeds, “ which is an universal Hardness and Stiff- “ ness of the Fibres *.” There are general and particular Exercises; the former, which move and stir the whole Body, are Walking, Dancing, Fencing, Run- ning, Leaping, Bowling, Tennis, Pumping, Riding a Horseback, or in a Coach, &c. of all which Walking is the most natural, and would be also the most useful, if it did not exhaust the Spirits of weakly Constitutions too much; but Riding is certainly the most manly, the most healthy, and the least labo- rious and expensive of the Spirits of any, shaking the whole Body, and thereby pro- moting an universal Perspiration and Secre- tion of all the Fluids; to which may be added the various Changes of the Air thro' which they so quickly pass, the Alterations of * Aph. 35. Sect. V. 288 A GUIDE to HEALTH Part II. of which become as it were a new Bath, and by that means variously stimulating the Fibres to brace and contract them; besides the different Objects or new Scenes, which at the same Time amuse the Mind. The immortal Sydenham laid so great a Stress on Riding, that he thought he could not only cure slight Consumptions, but an almost desperate Tabes, attended with nocturnal Sweats, and a violent Diarrhœa, by Riding alone; nor did he believe Mercury more ef- fectual in the Cure of the Venereal Disease, or the Bark in intermittent Fevers, than Riding was in a Consumption. Those who cannot ride may use a Coach, Chaise, or Chair, which is the only proper Method for lame, old, and decrepid Persons, as well as for those who are so young, that they are not able to manage their own Exer- cise. There are also particular Exercises appro- priated to certain Parts of the Body; as Shooting, for the Breast; Talking, Singing, Hollowing, Blowing the Horn, or Wind-In- struments, for strengthening, opening, and clearing the Lungs; Tennis or Foot-ball, for those who have weak Arms or Hams; Bowl- ing or Skettles, for the Reins and Loins; Riding, for weak Nerves and Digestion, and those troubled with Head-aches. In short, there is no one particular Part of the Body, but might be strengthen'd and kept in due Plight by Labour or Exercise rightly Ch. X. thro' the various Stages of Life. 289 rightly appropriated to the particular Organ; for it is very remarkable, how the several different Limbs of labouring Men are streng- then'd, and render'd fleshy and nervous, as they happen to be most employ'd in their different Occupations: so the Thighs, Legs, and Feet of Chairmen; the Arms and Hands of Watermen; the Backs and Shoulders of Porters, grow thereby thick, strong, and hard in time; for it is very certain, that using any Organ or Member frequently and forcibly, brings Blood and Spirits into it, and by that means is render'd plump and strong. The following Conditions ought to be ob- serv'd with Regard to Exercise, in order to render it the most beneficial that may be. The first, that it be upon an empty Stomach, for then all the Matter which is digested enough for Perspiration, will thereby be easily discharg'd; but Exercise on a full Meal is very pernicious, for it subverts the Stomach, and forces the Aliment from thence crude and indigested, and so hurries it into the Veins and Habit of the Body, whereby Secretions are precipitated, and the found Juices are carried off with the corrupted Hu- mours; hence arise frequently putrid Fevers, Pleurisies, Head-achs, weak Eyes, and a general Cacochymy, or a vitiated Constitu- tion. Secondly, the Morning Exercise is always the best, for then the two Concoctions are finish'd; and Hippocrates is very clear upon this Head, T in 290 A GUIDE to HEALTH Part II. in one of his Aphorisms, wherein he says, Let us exercise before eating. But it should be moderate and equal; I call that Exercise moderate which is not tiresome, and equal when all the Parts of the Body are equally mov'd. Thirdly, They that are lean should exer- cise only ad Ruborem, that is, till the Body and Spirits are gently heated, for that will help to fatten them; but they who are fat may exer- cise ad Sudorem, that is, till they sweat, for that will help to melt down Part of their Fat, and consequently extenuate the Body. Fourthly, We must carefully avoid drink- ing any cold Liquors after violent or great Exercise, or when we are hot and sweating, which Heat and Thirst intice us to do; the dangerous Effects of which, are chilling and almost extinguishing the remainder of the Heat which is left in the inward Parts, and surfeiting the Blood and Juices, by mix- ing cold Drink with the Fat, which is at that Time partly melted and floating in the Body. Fifthly, Another great Error to be avoid- ed is, drinking of strong and spirituous Li- quors after hard Labour or Exercise, in order to avoid the former Inconveniencies, not con- sidering that we thereby incur another, which is over-heating and drying our Bodies, too much heated and dry'd before; but to avoid both, and to refresh the Body at the same time, the best Way is, first to rest a while warm, Ch. X. thro' the various Stages of Life. 291 warm, if we can conveniently, and then to drink a Draught of warm Ale or Beer, with a little Mace and Sugar in it, or some other innocent Supping, analogous in Heat or Warmth to that of our Bodies, by which means the Blood and Spirits will soon settle, and be refresh'd, and so the Limbs after Rest will be enabled with Ease to undergo new Labour. Sixthly, We should carefully avoid catch- ing of Cold after Exercise, by retiring into a warm Room, or some convenient Shelter from the Injuries of the Weather. CHAP. XI. Of RETENTION and EXCRETION. THE Things to be excreted or evacua- ted, and retained, are the Excrements of the Belly, Urine, insensible Perspiration, the Semen, and the Menses; for these must be regulated, and evacuated in due Time, and in due Quantity, all which conduce very much to the Preservation of Health and long Life, otherwise they will injure it, and bring on a Multitude of various Diseases. There- fore in a natural and healthy State, we should go to Stool once in 24 Hours, and the Fœces should be of a due Consistence, that is, some- T2 what 292 A GUIDE to HEALTH Part II. what soft, and stick together, according to the old Saying, Oportet sanorum sedes esse configuratas; that is, The gross Excrements in healthy Persons ought to be of such a Con- sistence, as to take the Impression of the Guts. They who are costive, and otherwise not well, have either over-heated their Bodies with spirituous Liquors, or have fasted too long, or eaten too sparingly, or they have too slow a Digestion, or too great Weakness of the Intestines; and by that means the Food is retain'd too long before the Mouths of the Lacteals, and is thereby over-drain'd of its Moisture, and harden'd. The best Proportion of the gross Eva- cuation to the Quantity of the Food we take in, is about the third Part; for they who much exceed that, have the Mesaraick Veins stopt or obstructed, and so cannot be nou- rish'd; and if it exceeds it, 'tis certain that the Body wastes, unless the Matter of some Disease be thereby evacuated; or else, if they have purging Stools, they have eaten too much of Things too strong for their Powers of Digestion; for it is very certain, that superfluous Nourishment leaves too much Chyle in the gross Excrements, which fermenting in the Guts, stimulates them so as to become purgative. But if the Looseness be not violent, and the Appetite remains good, it is not to be suddenly and rashly stopp'd; for Nature thereby frequently prevents, and often times rids Ch. XI. thro' the various Stages of Life. 293 rids herself of many a Disease, which upon an unadvised Astriction would be riveted in the Body; and therefore the Rule is, first cleanse and then close. But if it be too vio- lent and frequent, and the Stomach thereby decay'd it must be carefully and speedily remedied; and in this Case Advice is very necessary, for it is easy to commit an Error, but the Consequence is dangerous. Here I cannot omit inserting an Abstract of some few Passages out of Cheyne's Essay of Health and Long Life, which are admi- rable upon this Subject, and very worthy of every Body's Perusal. ' I have often ob- ' serv'd, says he, that a full Meal of strong ' Meat, as Fish, Beef, Pork, baked Meat, ' or made Dishes, in tender Persons goes off ' with the Hurry and Irritation of a Purge, ' leaving the Bowels instated, colick'd, grip'd, ' and the Spirits sunk to the last Degree. ' The Food by its various Mixture, Weight, ' and Fermentation, Stimulating all along ' from the Stomach to the Rectum *, and ' being scarce ever drain'd of its Chyle, ' without affording any Nourishment to the ' Body, runs off thus crudely, and becomes ' equal to a total Abstinence from Food for ' a long Time. And hence we have a most ' infallible Rule, † a Posteriori, to judge ' if we govern'd ourselves in our Diet in T3 ' Pro- * The straight or last Gut. † A Posteriori, i. e. after the Trial has been made. 294 A GUIDE to HEALTH Part II. ' Proportion to the Necessities of Nature, ' and the Forces of our concoctive Powers. ' This is the very Reason why the Bark ' over dosed, and given to Persons of weak ' Digestion, so constantly purges them, and ' why Mercury given either inwardly, or ' by Frictions, runs off in violent Purging, ' and cannot be raised into a Salivation; to ' wit, the not adjusting the Doses to the ' Strength of the stomach and nervous Fi- ' bres; for the Bark naturally binds, and ' Mercury naturally rises to the most § per- ' vious Glands. ' And in this Sense I myself have frequent- ' ly observ'd in weak and scrophulous Bowels, ' even Diascordium and Venice Treacle to ' purge: whereas, had the Doses been duly ' proportion'd, or had they begun by un- ' der-dosing, and taken a little longer time, ' they might have been effectually answer'd, ' as I have often experienc'd without ever ' failing. ' 2. There is a very great Error commit- ' ted in Nurses and Parents in rearing up ' young Children; the perpetual Gripes, ' Colicks, Loosenesses, hard Bellies, Choak- ' ings, Wind and Convulsive Fits, which tor- ' ment half the Children in England, are en- ' tirely owing to the too great Quantities of ' too strong Food, and too rank Milk, thrust ' down their Throats by their over-laying ' Mothers § Pervious, i. e. the easiest or readiest Way to be passed through. 295 thro' the various Stages of Life. Ch. XI. ' Mothers and Nurses; for what else do their ' slimy, their gray or chylous, their blackish, ' and cholerick Discharges, the Noise and Mo- ' tion in their Bowels, their Wind and Choak- ' ings imply, but Crudities from superfluous ' Nourishment? This is so certain, that they ' are universally and infallibly cur'd by testa- ' ceous Powders, which only absorb sharp Cru- ' dities; by Rhubarb Purges, which at once ' evacuate and strengthen the Bowels; and by ' Milk Clysters, Issues, and Blisters; and by ' obstinately persisting in these and the like, ' (intended to evacuate and strengthen the ' alimentary Passages) and a thin, spare and ' nutritive Diet; for nothing nourishes but ' Food duly concocted. ' 3. I have often heard valetudinary and ' tender Persons, and those of sedentary Lives, ' and learned Professions, complain of Head- ' achs, Sickneses at the Stomach, Colicks and ' Gripes, Lowness of Spirits, Wind and Va- ' pours; and yet pretended they were very ' moderate and abstemious in their Eating ' and Drinking; but upon Enquiry, I con- ' stantly found these very Persons pursued ' with purging Stools, which was an evident ' Proof to me, that they had taken down ' more than they wanted, or could digest: ' for 'tis universally certain, that those that ' do not exceed, must have either Costive, ' or at least Stools of a middle Consistence. ' There is nothing more ridiculous, than ' to see tender, hysterical and vapourish Peo- T4 ' ple, 296 A GUIDE to HEALTH Part II. ' ple, perpetually complaining, and yet per- ' petually cramming, crying out, they are ' ready to sink into the Ground and faint ' away, and yet gobbling the richest and ' strongest Food, and highest Cordials, to ' oppress and overlay them quite. The pro- ' per Remedy in this Case, is first, to cleanse ' the fœtid Abyss, and then to preserve it ' clean, by cutting off all the Inlets of Pu- ' trefaction. This will require a little Cou- ' rage, Labour and Pain; but the future ' Ease and Sweetness will more than abun- ' dantly recompence them; for there is no- ' thing more certain, than that the Head-achs, ' Colicks, and nervous Pains and Disorders, of ' those born found here in England, univer- ' sally proceed from Idleness and Fulness of ' Bread. 4. ' Those who pretend to cure themselves ' of nervous Disorders, or any other chroni- ' cal Diseases, or preserve themselves from ' them, or lengthen out their Days, must ' under-dose themselves, even tho' they ' should undergo the Pain of Costiveness; ' for it is impossible the Nerves of those who ' have slippery Bowels, should ever be braced ' or wound up; for there the Cure must be- ' gin where the Evil began, and must be ' communicated thence to the rest of the ' System; as a Rope-maker begins the Twist at ' one End of the Rope, and communicates ' it to all the other Parts. ' Our Ch. XI. thro' the various Stages of Life. 297 ' Our Access to the Nerves of the Sto- ' mach and Bowels, is obvious and open; to ' the rest the Way is difficult, and far about. ' And since a Relaxation, Weakness, and ' want of Spring in the Fibres, is the Origin ' of all nervous Distempers, no Medicines ' but such as contract, stiffen, wind up, and ' Shorten them, can remedy this Evil; and ' they must necessarily contract and bind up ' the Fibres of the Stomach and Guts, as the ' Parts they first approach and exert their ' Virtue upon. And he who without firm ' Bowels, thinks to cure a nervous Distemper, ' labours as much in vain, as he who would ' keep a Fiddle-string soaking in Oil and ' Water, to make it vibrate or play off a fine ' Composition of Musick. 5. ' There happens also an Evacuation ' both by Stool and Urine, to some weak ' Persons of relax'd Nerves, that extremely ' alarms them, and is not so readily account- ' ed for in that Part of Physick, which teaches ' the Causes of Diseases. It is when either ' a white transparent, viscid Substance like ' Gelly, is constantly voided by the Bowels, ' more or less; or when a white, milky, gluey ' Substance like Cream or laudable Matter, ' settles in the Urine. Both these Appearances ' are commonly ascrib'd to an Ulcer in the ' Guts, or in the Kidneys; and yet I am ' very certain, there is neither Ulcer or true ' Matter in either Case, as I propose them. ' For where there is violent and acute Pain, ' or 298 A GUIDE to HEALTH Part II. ' Matter of different Colours or Mixtures, ' there very possibly may be, nay certainly ' there is an Ulcer. But in the Case I here ' intend, there is very little or no Pain, no ' hectical Paroxysms, which always attend an ' inward Ulcer; no bloody or sanious Mix- ' tures, which always betray the inward Sore; ' no fœtid Smell to imply Corruption. ' The first Case I take to be either an ' Obstruction of some of the Lacteals, where- ' by the Chyle cannot be carried off in any ' sufficient Quantity, but passing thro' the ' Guts, and its more watery Part being eva- ' porated, it becomes thick and gelatinous, ' and is thrown off at last with the Remains ' of the Food; else it must be an Obstru- ' ction of those Glands of the Guts, by ' which a viscid Matter for lubricating of ' them is commonly secerned, by the Im- ' prisonment and Evaporation of which Mat- ' ter it thickens and turns like a Gelly (as it ' does by Cold or Over-feeding, in the Glands ' of the Mouth, Throat, and Windpipe) and ' at last, by squeezing of the Guts is thrown ' off. And in the same manner, I take that ' milky Substance subsiding in the Water, in ' such a Case as I have mention'd, to arise ' from a Relaxation of the Glands of the ' Kidneys and Bladder, and other urinary ' Passages; and that both are to be cur'd the ' same Way as other nervous Distempers are ' cur'd; viz. by a proper Regimen of Diet, and Ch. XI. thro' the various Stages of Life. 299 ' and a Course of contracting, strengthening, ' and volatile Medicines.” The second Evacuation is by Urine, be- ing a serous Humour strain'd in the Kid- neys, which comes with the Blood (which it diluted) to the Reins by the Arteries of the Kidneys, but is separated from it as ex- crementitious, and that continually, as Part of the Blood is constantly driven to the Kid- neys to nourish them. The Urine contains not only the watery Part of the Blood, but the sharpest Salt, which is most subtile and volatile, and nearly of an alkaline Nature, render'd exceeding volatile. In the watery Part there is also a fœtid Substance contain'd, and a viscid Oil so attenuated, that it readily mixes with Wa- ter, and is scarce separable from it; which may therefore in some Measure be called a Spirit. The natural Salt of Urine is of a lixivi- ate, soapy Disposition, and much like Sal- ammoniac, yet in some Respects different from it: It also contains a fix'd Salt, of the Nature of Sea-salt, being composed of a li- xiviate one, and a nitrous; of which Nature is that which swims in the Blood, the nitrous Parts being imbibed into it thro' the Lungs in Inspiration; so that the Salt in Urine in a found State, is neither acid, alkali, ammoni- cal nor briny, but of a peculiar Disposi- tion. But 300 A GUIDE to HEALTH Part II. But as Urine is a * Lixivium of the Salts contained in a human Body, and the proper Mark of the State and Quantity of such Salts; therefore very certain Indications may be taken from the Condition of Urine, to discover both the State of our Constitution, and the Regulation of our Diet; and tho' the Salts of human Urine be neither acid nor alkaline, as I have just now observ'd, yet by the violent Motion of the Blood, as in burn- ing and putrid Fevers, &c. they may be turn'd alkaline, and even corrosive; and when they begin to turn so, they affect the small and tender Fibres of the Brain more sensi- bly than any other Part of the Body. When the Urine is of a bright Amber Colour, and of a moderate Thickness, with a light Cloud hanging in it, and in Quantity of about three Quarters of the Liquor taken in, it is best, and a certain Sign of a due Con- coction, a just Proportion of Food, and a to- tal Riddance of Repletion and Crudities; for they who live moderately, use due Exercise, and enjoy a perfect State of Health, always evacuate such Urine. But when it is retain'd too long, either by the Fault of the Kidneys or Bladder, or because the Matter of it is not sufficiently separated from the Blood, or that it is kept too long in the Bladder thro' Laziness or Bash- fulness, (as is often the Case) it occasions Stone and Gravel, and sometimes Blotches and Erup- tions * Lixivium, i. e. Lye, such as that of Soap. Ch. XI. thro' the various Stages of Life. 301 tions upon the Skin, Dropsy, fainting, and sleepy. Diseases, with a great many other Disorders, too tedious to enumerate in this Place. If there be too great an Evacuation of Urine from any Cause whatsoever, by taking away the Serum, or watry Parts of the Blood, it will occasion a Stagnation of the Humours, encrease Heat, an unextinguishable Thirst, Crudities, and many Evils of the like Na- ture; and by depriving the Blood, and carry- ing out of the Body the most nutritive Parts, produce an Atrophy, or a total Decay, as in a Diabetes, and Death at last. The Urine differs both in Taste, Smell, Colour and Quantity, according to the Diffe- rence of Ages, Constitutions, Sexes, Seasons of the Year, and Alterations of their Way of living, and Diversity of Medicines; so that they who live freely, and make Quan- tities of pale, or limpid and sweet Urine, it is a manifest Sign that their Perspiration is ob- structed; that neither the first nor the two last Concoctions * have been rightly perform'd; and that the Chyle has not been sufficiently attenuated, nor the minutest Secretions duly made by the lesser Drains of the Body, and that the urinous Salts are still retain'd in the Habit. The * Concoction in an animal Body is three-fold; the find is confin'd to what Alterations are made of the Food in the Stomach and Intestines; the second is applied to the Alterati- ons made of it in the Blood-Vessels; and that made in the Nerves, Fibres, and minutest Vessels, is not improperly called the third and last Concoction. 302 A GUIDE to HEALTH Part II. The Cure, as to Diet, consists in living re- gular, that is, in eating and drinking less, and using more Air and Exercise, drinking freely of small warm White-Wine Whey; likewise a little Gascoign's Powder, or Sir Walter Raleigh's Confection will be proper at the same time, in order to set Perspiration to rights again. High-colour'd, foul, and very turbid Urine in small Quantities, proceeds from either an immoderate Use of strong or spi- rituous Liquors, or from too great abundance of Salts retain'd in the Body; which must be remedied by diminishing the Quantity of their Flesh Meats, and drinking small Li- quors, or Water with their Wine, otherwise they will hurry themselves into some acute Inflammatory, or dangerous Chronical Dis- ease. Dark Brown, or dirty Red-colour'd Urine, without any Sediment, and in small Quan- tity, in acute Distempers is always a sure In- dication of insurmountable Crudity, high Inflammation tending to a Mortification, and a dying Weakness in Nature: But in those who labour not under any visible Disease at the Time, it is a certain Sign of almost a total Weakness of the digestive Powers, an inseparable Cohesion of the component Parts of the Blood, and a Deadness in all the ani- mal Functions; in which Case, a Physician's Advice is highly necessary. A Ch. XI. thro' the various Stages of Life. 306 A bloody, mattery, wheyish Urine, or that with Films, Bits of broken Membranes, or white Gravel, denote or Gravel, or Symptoms of an Ulcer somewhere in the urinary Passages. Fat, which is observ'd upon the Top of the Urine, especially of consumptive People, signifies a wasting of the Body. The third Excretion or Evacuation to be consider'd is insensible Perspiration, which is imperceptibly discharg'd through all the Pores of the Skin, and other Parts of the Body, being the Recrements of the second and third Concoctions, divested of all that can be of any farther Use to the Parts of the Body; the free and full exhaling of which, is as necessary to Health as any of the gros- ser Evacuations, being in Quantity at least equal to all that is evacuated both by Stool and Urine; and an Obstruction thereof is ge- nerally the Parent of all acute Distempers, as it is a Consequence of all chronical Dis- orders. But having fully treated of this Matter in another Place already, for far- ther Satisfaction herein, I refer the Reader to Page 99. Note *, Part II. Nothing hinders and obstructs Perspiration more than catching of Cold, which is nothing but great Quantities of moist Air impreg- nated with nitrous Salts imbib'd through the Passages of Perspiration, by which means not only the Blood and Juices are thicken'd, but likewise insensible Perspiration is obstructed, and 304 A GUIDE to HEALTH Part II. and immediately a small Fever, and a Hurry in the whole animal System succeeds; which oftentimes lays a Foundation for Consumptions, Obstructions of the great Viscera †, and an universal Cachexy, or ill Habit of Body. Therefore, in order to remedy this Disorder, and prevent the ill Consequences of it, we should lie much longer in Bed than usual, drinking small warm White-Wine Whey plentifully, with some few Hartshorn-drops, Posset-drink, Water-gruel, Barley-water, or any other warm small Liquors, taking twenty Grains of Gascoigns Powder Night and Morn- ing, and at the same Time living low upon Spoon-meats, Pudding, Chicken, and drink- ing every Thing during the Height of the Illness warm; but if any Cough or Spitting should encrease, Bleeding should be perform'd, and to take now and then a little Sugar- Candy, Oil of Sweet Almonds, or a Solution of Sperma Ceti, to render Expectoration free and easy; and afterwards to be cautious of going abroad too soon, and without being well cloathed. Gripes, Purging, Colical Pains, much belching of Wind, Low-spiritedness, Yawning and Stretching, are sure and certain Indica- tions that Perspiration is deficient or ob- structed; therefore, in order to remove these Disorders, we must have recourse to a greater Degree of Exercise and Abstinence, and to some gentle Purge or other, such as Sena † Viscera, signify any of the Bowels or Intrails. 305 thro' the various Stages of Life. Ch. XI. Sena and Manna, or Rhubarb, &c. to clear the first Passages of the Load that oppresses them, otherwise the Person will suffer at last; and, as Sanctorius observes, Wind in the Body is nothing but Perspiration † ob- structed. The fourth Evacuation to be considered is the Semen, consisting of a white, hot, spiri- tuous, thick, clammy, and saltish Humour, which is elaborated in the Testicles and Epi- didymes, out of the purest and most spiritu- ous Parts of the Blood. Considering it there- fore in this Light, Moderation in Coition is absolutely necessary, both for the Preserva- tion of Health as well as Pleasure; for in Immoderation we do not consult Delight, but Lust, and lose the Pleasure by being too in- tent upon it: And it is certainly true, that those Parents who are most continent, have more and the most healthful Children; for they meet their Pleasure by Necessity: In these it cheers the Heart and Spirits, and makes them breath free and easy; it appeases Melancholy and Sadness, mitigates Anger, and disposes to Rest. But then that Mode- ration receives its Difference very much from the different Temperature of Constitutions; for less is sufficient for the Melancholy and the Cholerick, the Old and Emaciated; but more for the Sanguine and Plethorick, and those of a middle and flourishing Age: The Feverish if in any kind of Constitution must a- U void † Aph. xiii. Sect. 3. 306 A GUIDE to HEALTH Part II. void it, and likewise they who are subject to the Gout, and Diseases of the Joints. On the other Hand, the immoderate Use of Coition not only hinders Perspiration, by keeping the Fibres too strait, and lessening the Passages, and thereby giving rise to all the Dis- orders which attend an obstructed Perspira- tion, but likewise it disorders and weakens that due Tension and Elasticity of the Solids, upon which depends a right Discharge of all the animal Functions. I say, therefore, what- ever weakens this Disposition of the Solids, cannot but very much prejudice the whole Constitution. And that all violent Actions, such as that of immoderate Coition is, are de- structive to the Textures of the Solids, can- not be doubted; for their constituent Fibres or Threads will not only be much injured in their Contextures, but also that animal Oil or Spirit which nourishes them, and facilitates their Motions, will be so much press'd out and wore away, as to disable them very much afterwards in their natural Motions; and the Body will be, by that means, so weaken'd and dispirited, that the several Parts will not be able to discharge their respective Offices, whereby Digestion, Concoction, and all the natural Evacuations will be disordered. Hence follow a Dissolution of Strength and Spirits, Dulness of Memory and Understand- ing, Dimness of Sight, Diseases of the Nerves and Joints, as Palsies, and all kinds of Gouts, Weakness of the Back, and Consumptions; Seminal Ch. XI. thro' the various Stages of Life. 307 Seminal Weaknesses, and sometimes bloody Urine; a deprav'd Appetite and Head-achs, with a great many other Disorders needless to be mentioned here; and, to conclude, there is nothing that so wonderfully shortens hu- man Life, as the immoderate Use of Venery. In the fifth Place we are to consider the Menses as a necessary Evacuation, which are Excretions of arterial Blood every Month from the Womb: They begin usually when young Maids grow ripe at fourteen, and sometimes at twelve, but very seldom before: They cease naturally in pregnant Women, and those past bearing Children, and likewise those that give suck; yet it happens some- times that pregnant and suckling Women have them. The Quantity of them ought to be in pro- portion to the Quantity and Heat of the Blood; but, generally speaking, a certain Quantity cannot be limited, for some have a great many, and some but a few; nor do they continue upon all alike; some have them two Days, some three, some four, some six or eight Days. They that have them too much are weak- en'd, and their Blood being rendered crude, watery, and pale, are subject to Faintings and Waste: Those in whom they are sup- press'd, become hysterical and breath diffi- cultly, look pale, and lose their Appetite, and fall into Fevers, Inflammations, and a U2 great 308 A GUIDE to HEALTH Part II. great many Diseases, both acute and chroni- cal, if they are not timely remedied. There are other Excretions which could not conveniently come in under the foregoing general Heads; such as Sweat, Spittle, Mucus or Snot, Tears, and the Wax in the Ears. Sweat is a thin serous Fluid, mix'd with some Sulphur, a good deal of briny, but more volatile Salt, and a very little Earth: And the same Properties being found in Urine, we may conclude, 1. That Sweat and Urine may supply each other's Defects: Accordingly we find, that as Sweat is promoted, the Excre- tion of Urine is diminished, and on the con- trary. 2. That they may be provoked by the same Remedies: Thus Diaphoreticks, or such Medicines as promote Sweat, fail- ing to answer their Intention, prove Diu- reticks; that is, purge by Urine. 3. That Sweat carries off many of the sharp Salts, with which the Blood abounds, and by that means may accidentally prevent or cure many Distempers, is not to be doubted. Sweat therefore differs very much from, insensible Perspiration; for if it be encreased, and its Vessels enlarged, Perspiration must unavoidably be diminished, and its Vessels compress'd. Perspiration also is turn'd into Sweat, by violent Motion, and too much Heat, tho' by moderate Motion and gentle Heat it is very much promoted; but nothing can be more serviceable to promote it than gentle Friction of the Skin for some Time Night Ch. XI. thro' the various Stages of Life. 309 Night and Morning, as I shall observe in a another Place. The Saliva or Spittle, (of which I have given a Hint before) is a thin transparent Humour, almost void of Smell and Taste, which will entirely evaporate by Heat, but not curdle; and when shaken affords a ropy Froth. It is separated from the purer Part of the arterial Blood or Serum by the Glands; and when a Person is hungry it flows in great Quantities, and is then more fluid and sharp; after long fasting it is very penetrating and de- tergent; it ferments with Bread, Meal, or Sy- rup, and promotes Digestion. Men, as well as Brutes, swallow it in Health, and likewise wWhen asleep: When too much of it is spit out, it occasions loss of Appetite, slow Dige- stion, and an Atrophy or Consumption. It is composed of Water, Salt, Oil, and Spirit, all which can he extracted from it, which ren- ders it saponaceous, or of the Nature of Soap. This Fluid then being press'd out of the Glands, lays the first Foundation of assimi- tating the Food to the Body, and promotes the Mixture of oily and aqueous Substances, and a Solution of saline ones: It also pro- motes Fermentation, excites an intestine Mo- tion of the Parts of the Food in the Stomach; so that Digestion could not be perform'd without it. Therefore as this Fluid is of such great Use, when mixed with our Food, it ought not to the U3 lavishly 310 A GUIDE to HEALTH Part II. lavishly spit away; for when it is swallow'd, having perform'd its Office in the Mouth, and being return'd into the Blood, it is still far- ther improved by repeated Circulation and Digestion; and when separated in the Glands again, is highly amended. Hence it is manifest, that they who im- mediately upon eating fall a smoaking or chewing of Tobacco, as is generally the Custom here, and that even among People of the better Sort, commit two very great Errors, highly destructive to their own Constitutions : 1st, In diverting the Saliva or Spittle from its natural Offices, by spitting it away in smoaking or chewing, being one of the chief Menstruums, or Medium, for promoting Di- gestion, as I have just now demonstrated. 2dly, In using that stupifying American Hen- bane upon a full Stomach, which, besides the great Injury it does Nature, in depriving her too much of that necessary Fluid the Saliva, has also an intoxicating opiate Quality, by which (as all other Opiates do) it destroys the Appetite and hinders Digestion, the Truth of which is evident to all good Practitioners in Physick, Therefore, I sincerely advise all those who have any Regard for the Preserva- tion of their own Health, to avoid carefully this pernicious Custom, and never to smoak but upon an empty Stomach, or at least till the greatest Part of the Food is out of it, which always requires some Hours after eat- ing; and, even then, no Body except gross and 311 thro' the various Stages of Life. Ch. XI. and phlegmatick People, should smoak at all; because lean, thin, scraggy, dry, and cholerick Constitutions are heated and dry'd too much by it, which throws them oftentimes into Consumptions or other Decays. Mucus, or Snot, is a clammy and viscid Humour, which flows from the Extremities of the olfactory Nerves * through the Os Cri- briforme † into the Nostrils and Palate: It also signifies that slimy Liquor, or Mucilage, which daubs over and guards the Bowels, and lubricates the chief Passages in the Body from being corroded by any saline or sharp Hu- mours; but the Superfluities of it are excreted by the Nostrils and Intestines. Tears are a serous Humour, prepared out of the arterial Blood in the Lachrymal Gland ‡, and are of a saline, watery, clear, and smooth Disposition, discharged always in a small Quantity, but more plentifully when the Eye is rubbed or compressed by the Orbìcular Muscle ‖. This Humour serves to moisten, U4 wash, * Are those Nerves which give the Sense of Smelling. † It is a Bone full of small Holes, like a Sieve: It is also called Os Ethmoides, situated in the Middle of the Basis of the Os Frontis, or Forehead-Bone. ‡ It is a pretty large conglomerate Gland or Kernel, being broad, compress'd, rough, and placed within the Orbit, to- wards the outward Angle of the Eye, near the rough Chink, and inclosed in Fat; is endowed with Arteries, Veins, Nerves, Lymphaticks, and Ducts, which carry a Humour to the Eye prepared from the arterial Blood. ‖ It is the Muscle which serves to join the Eye lids toge- gether, contracting them like a Sphincter, and by a strong Contraction presses the Ball of the Eye, and squeezes out Tears upon the external Superficies of the Eye, which is thereby cleansed of its Filth, and the Eye itself washed. 312 A GUIDE to HEALTH Part II. wash, and render the Eye slippery, and pre- vents it from sticking to the Eye-lids: It like- wise serves to wash off any Filth or external Bodies, which, by adhering to the Eye, might cause Pain, or darken the Sight; but if this Humour be too much, so that it cannot be received by the Lachrymal Points *, it flows from the Eyes, and is called Tears. Cerumen, or Ear-wax, is the Excrement of the Ears, which sweats or ouzes out of the Cartilages and Glands bordering upon the Ears: It consists of Abundance of Salt and Sulphur, which gives it its Bitterness: It serves to hinder Dust, Motes, cr little Ani- mals from getting into the Ears. CHAP. XII. Of the Passions or Affections of the Mind. I Shall briefly treat of the Passions here, not as a Natural Philosopher, but as a Physician; therefore I shall not consider their Essences and Causes, but their Effects and In- fluence * They are Holes in the Bone of the Nose, by which the Matter that makes Tears passes to the Nostrils; but if these Holes grow hard and are stopp'd, from an Ulcer in one of the Glands in the Corners of the Eyes, thence arises a Fistula Lachrymalis. Ch. XII. thro' the various Stages of Life. 313 fluence upon human Bodies, and how their Regulation conduces to the Preservation of Health and long Life. For as to the Manner how the Mind or Thought operates upon the Body, or how such a Constitution of the Humours can affect the Passions of the Mind, and what that Tye or Bond of Union is, be- tween the Mind and the animal Fluids, is a Mystery unreveal'd to Man, being, at least mechanically, not reducible to Reason, it be- ing impossible to represent and delineate, as we do corporal Substances, the several Steps and Ways of Procedure of those Agents, which can by no means be brought under the Notice of our Senses, only in their Effects; and therefore we cannot have any Notion of the Procedure by which they are brought a- bout, as we can have of all those affected by physical Agents. But as it is certain that the Passions of the Mind do influence very much and alter the Constitution, especially when very sudden and intense, so far as necessarily to bring it under the Physician's Care, still the wisest must herein be contented to e- stablish his Rules upon Observation and Expe- rience only. There is nothing more remarkable, than that violent Passions of the Mind waste and consume the Spirits, and plunge the Consti- tution into great Disorders; and this they seem to bring about by universally stimulating, irritating, and twitching the Nerves and Fibres, in such a Manner as disturbs their re- gular Contractions: And altho' we cannot positively 314 A GUIDE to HEALTH Part II. positively tell, either how Thought can pro- duce such an Alteration in the Humours of the Body, or how such a Constitution of the Humours can affect the Passions of the Mind; yet if by constant Observation and Experi- ence it can be found, that such a Passion or Temper of the Mind is always attended with such Consequences in the Constitution; and that such a particular Temperature of the Constitution always affects the Mind with such particular Passions and Dispositions, it will very sufficiently afford a Ground of Certainty to any considerable Person, in his Reasoning upon their Consequences, and in the Mea- sures which ought to be taken in remedying the Disorders of either. For Instance, if Joy or Anger are always found to render the Body lighter, tho' we cannot tell how these particular Passions do first modify any particular Parts of the Body, so as to produce that Effect, yet it being plain how physical Agents do the same, it will be most reasonable to conclude, that these do it also by the same Means; that is, thus far we know, that an Invigoration, or an Increase of the contractile Force of the Solids, will promote Digestion, increase the Evacuations, and render the Body lighter. Therefore we have the greatest Reason to believe, when we see the same to be the Con- sequences also of a Person's being passionate- ly angry or very merry, that these Disposi- tions of the Mind (altho' we know not how) do Ch. XII. thro' the various Stages of Life. 315 do give that particular Modification likewise, and Degree of Tension to the Fibres, as Cold- bathing, a cold clear Air, or moderate Ex- ercise, when we see them attended with the same Consequences. But as we know these physical Causes have this Effect, by contracting and shaking the Fibres of the Solids, and thereby promoting their Power of Elasticity, and breaking the animal Juices finer; so it ought to be con- cluded, that these Passions of the Mind do likewise give the same Modifications to the Fibres, by which the same Effects are pro- duced. In like Manner, if Fear and Sorrow are found to be attended with an Increase of Weight in the Body, it is reasonable to think that they do it by the same Means as by which all those physical Agents produce the same Effect; that is, by slackening the Fibres too much, diminishing Digestion, and conse- quently by lessening the Evacuations. Therefore when any Passion of the Mind is said to have this or that Effect upon the Body, we ought to consider that Passion only as a physical Agents that is, as it contracts or slackens the Fibres, and as it increases or di- minishes the Evacuations; but in this we are guided only by Observation and Experience, which is very sufficient to a Person of any tolerable Judgment. The chief Passions of the Mind, from whence all the rest proceed, are Joy, Grief, Anger, 316 A GUIDE to HEALTH Part II. Anger, Love, Hatred, Shame, Hope, and Despair. Joy or Mirth is a Delight arising from some Good we suppose we have obtained; and this, above all the rest, conduces to Health, at least if it be moderate; for it keeps the Fibres in their natural Tension, assists the Secretion and Derivation of the Spirits to all Parts of the Body, and consequently pro- motes the Circulation and Digestion, and raises thereby a plentiful Perspiration, and renders the Body lighter; but immoderate Joy is very injurious, and proves sometimes mortal, the Spirits being thereby too much raised, and by the Suddenness of the Passion too much rarefied beyond their natural Stan- dard. Grief or Sorrow is a troublesome Languish- ment afflicting the Mind, arising from the Apprehension of some Ill happened or befall- ing us: By it the Spirits in the Brain and Nerves move slowly and very feebly; so that it produces a great Weight in the Breast, Suf- focation, and oftentimes Death, when sud- den and extreme. Anger is the Desire of Revenge, upon the Apprehension of some Injury done or offer'd to us: By it the Spirits are violently agitated in the Brain and Nerves: It encreases the natu- ral Heat, and, if moderate, it may be useful sometimes, in order to stir up a brisk Circula- tion of the languid Fluids in a cold and phlegmatick Constitution, by which means the Ch. XII. thro' the various Stages of Life. 317 the Body is rendered lighter; that is, it will then perspire better: But, on the contrary, Anger is pernicious to hot, dry, and cholerick Constitutions; because, in such it will dissi- pate the Spirits and dry the Constitution too much. Love is a certain Passion of the Mind, ex- cited in the Soul by the Motion of the Spirits, arising from an Object which we judge to be good, convenient, delectful, and amiable; so that the proper Effects of Love consist in this: That we consider ourselves as united to the Object we love, and that it is, as it were, ano- ther Part of us. Love may be properly distinguished into three Kinds: 1. The first is spiritual, as the supreme Love of the blessed Author of our Being, (to which our Love to all other created Beings is subordinate, at least it ought to be so,) which is that Union, Tendency, Biass, and Impulse of the Soul and other Spirits towards their blessed Creator, without any indirect Ends, without Deceit or Dissimulation, for his own Sake; because he is infinitely good, infi- nitely amiable, and infinitely perfect, abstract- ing from all other Considerations, even that of our own Happiness, in the Enjoyment of, or Union with him. Yet it is certain that these two, our Love to God and our own Happiness, cannot be actually separated: And this Love was communicated by him to them in their original Formation, by Virtue of which they constantly tend, press, and urge to unite; and, if 318 A GUIDE to HEALTH Part II. if Obstacles were removed, would unite with one another, and so be all united with their omnipotent Maker. But now, alas! this principle of the intelligent Soul, in this her lapsed State, being drowned in Sense, chain'd and setter'd by Ignorance and Perverseness, drawn and hurried away by the Devil, the World, and the Flesh, is disabled from exert- ing this inherent and innate Principle of Re- union, and wants sufficient Light on the Understanding, and a right Turn of the Will, to be put in a Capacity of exercising it; but in its proper Vacuity, and being freed from these Letts and Impediments, it would unite with its first Author, the Centre and Rock out of which it was hewn, and mount to- wards him like an Eagle towards the Sun. And even in this our lapsed and forlorn State, there remain evident Footsteps of this innate Principle still uneffaced; such are the Checks of Conscience, natural Affection, and the universal Desire of Immortality, and the Dread of Annihilation; and the Worship be- stow'd by all Nations, who are not sunk into mere Brutality, on some superior and invi- sible Powers: I say, these are Remains of this Principle, and its Operations, sufficient to shew its Reality à posteriori, as the Laws of Analogy, and the Nature and Attributes of the first Being, shew it à priori. For the Au- thor of Nature, who created intelligent Beings only in order to make them happy, could not leave them to so many different Attractions, without Ch. XII. thro' the various Stages of Life. 319 without implanting into their Essence and Sub- stance, as an Antidote to so many Distrac- tions, an infinite Tendency, Bent, and Biass to- wards Beings of the same Nature, and towards himself, who was the Cause and Object of their Felicity: And those, who admit of Revela- tion, cannot doubt of it a Moment. Moses * calls it, a Law engraven on the Heart of Man; and St. Paul †, the greatest Perfection of human Nature; whatever Men of Self-love and carnal Minds may think of it otherwise. The Second is Human, towards particular Persons and Things, as Parents, Wife, Children, Friends, or Things. Towards the first, Love ought to be sincere, hearty, constant, begotten, continued for their Sakes, and not for our own; but yet it should be limited and subor- dinate, Submission to the Will and Love of God: That to Things is not to be fixt, but changeable, as Necessity requires for our Support and Use; because the Things themselves are so, which we are to love, as if we loved them not, according to the Apostle. The third Sort of Love, is that which is shewn from one Sex to another, and ends in Matrimony: This is naturally imprest upon us, and it is carefully to be preserved from Dotage and Lust; for when it takes Fire from the last, it is never permanent, but soon cloys itself, and vanishes upon Satiety: Rea- son is here lost, which is the principal Cause of so many unhappy Marriages we so fre- quently * Deut. xxx. 14. † 1 Cor. xiii. 320 A GUIDE to HEALTH Part II. quently see. As to Dotage, it is an impotent and unreasonable placing of the Affection up- on another, which gradually draws all the Faculties, both of the Soul and Body, into a Languor and Consumption, oftentimes pro- ducing Lunacy or Madness. However foreign this metaphysical Specula- tion, concerning spiritual Love, may seem to a physical Treatise about Health, which I pro- posed to avoid in the Beginning of this Chap- ter; yet having seriously and attentively con- sider'd the Matter since, I found it both use- ful and necessary; because, if we steadily be- lieve it, and reduce its natural Consequences to Practice, it will not only become the most effectual Means to prevent Diseases, but also the most powerful of any Thing to promote Health and long Life, which I shall evidently make appear, before I finish this little Chap- ter. Hatred is the Apprehension of an Object which we judge hurtful or inconvenient; It is likewise Sorrow for the Good, and Chearfulness for the Ill of another. It occasions a slow and unequal Pulse; a sharp and stinging Heat, intermix'd with Cold piercing the Breast; the Stomach ceases from its natural Office, so that the Food being thereby crude and indi- gested, produces Nauseas and Vomitings, or is converted into corrupted Humours in the Habit of the Body, which are oftentimes the Parent of many grievous Diseases. Shame Ch. XII. thro' the various Stages of Life. 321 Shame is an Uneasiness of Mind upon Ac- count of having done something that is un- seemly, or that lessens one's Esteem among others: It is likewise a great Apprehension of Scandal: The Humours and Spirits being thereby variously agitated and confounded, frequently plunges the Body into fatal Dis- orders. Hope is a Desire of some future Good, which seems difficult to be obtained, but yet possible. By it a great Flow of Spirits tends to the Heart, which quickens its Pulsation, and accelerates the Motion of the Blood. And this Affection oftentimes prevents the ill Effects of other Passions, such as those of Grief or Sorrow, Hatred and Despair, &c. Despair is a Passion of the Mind arising from the Apprehension of some Good, which we judge impossible to be obtained. In De- spair the Pulse is generally very obscure, un- equal, and sometimes almost lost and creep- ing, the spirituous and most fluid Parts of the Blood being dissipated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body, which at last affect the tender Vessels of the Brain, by the Vis- cidity of the Matter impacted in them, that thereby the Imagination is disordered. Thus dark Melancholy, slow and long Grief hope- less love, and presumptuous Pride (which is a violent Degree of Self-Love) impair the Body, by causing the proper Times of ne- cessary Food and Exercise to be neglected, X and 322 A GUIDE to HEALTH Part II. and thereby depriving the natural Functions of their usual Supplies, overworking and wearing out some Part of the nervous System, and leaving the other, as it were, to rust, and so become too rigid and stubborn for want of Use: Besides, some of the Passions, as Pride, Love, and Grief, when immoderate and in- tense, terminate oftentimes in Lunacy and Madness; nay farther, even the Frequency and daily Increase of wanton and common Self-Murderers, are chiefly produced by these inordinate Passions, and their blasphemous and frantick Apologies grafted on the Prin- ciples of Infidels, and propagated by their Disciples, scarce known or heard of, at least not practised, in any Christian Nation but this, and her Daughters; for it is a manifest Truth, that those who have no Notion or Thought of a future State, with regard to either Happiness Misery, cannot have the true Love of God; and therefore such will always give a full Scope to all the Excesses of their brutish Passions, till at last, through some Disappointment, or Despair in gratifying their Sensualities, they most atrociously lay violent Hands upon themselves, contrary to the very Dictates of both the Law of Nature and their own Reason, revealed Religion being always a mere Phantom in the Thoughts of all such unhappy Wretchess; and thus, alas! they wantonly destroy both Body and Soul at once. The Ch. XII. thro' the various Stages of Life. 323 The Passions may be divided very properly into acute and chronical, in the same Manner, and for the same Reason, as Diseases are. The acute Passions, either pleasurable or painful, produce much the same Effect, and act much after the same Manner, as acute Diseases do; for they cause a brisk and lively Circulation of the Fluids, and brace up and contract the Solids for some Time. Thus sudden Joy, Grief, Pleasure, or Pain, stimulate and contract the nervous Fibres, and the Coats of the animal Tubes, and thereby accelerate the Motion of the included Fluids, for the same Time; but as the Motions of the Heart and Lungs are involuntary, they produce their more immediate Effects upon them; so that both sudden Joy and Grief occasion short and quick Breathing, and a small and fre- quent Pulse. A sudden painful Idea renders a quicker Circulation of the Blood, whereby a greater Quantity of it is thrown upwards, through the larger Branches of the great Artery, from the Heart, and makes it appear in the super- ficial Vessels of the Face, Neck, and Breast, which prodcues what we call a Blush. Thus we see that the Reasons why we sigh upon some Occasions, and blush at other Times, depend upon the different Structure of the Heart and Lungs, being the Organs of Pul- sation and Respiration; for a quick surprizing Pain of the Mind acts immediately upon the Heart, because its Motion is altogether invo- X2 luntary; 324 A GUIDE to HEALTH Part II. luntary; so that any sudden Contraction takes Place there directly, to accelerate the Pulse. On the other Hand, we have some Power o- ver the Breathing; for we can retain it for a little while; because, when we think in- tensely, our Attention is partly the Cause of retaining our Breath, from whence proceeds Sighing rather than Blushing. The Effects of the Suddenness of these Passions being thus accounted for; yet when they become extreme, they drive about the Blood with such Violence, that Nature is o- verwhelm'd, like a Mill by a very great Flood; insomuch that what drove it only brisker round before, intirely stops it now, and renders the Complexion pale and ghastly. Thus sudden and great Fear or Grief so much convulse the whole System of the Nerves, that they alter the very Position of the Parts sometimes, and fix them in another Place; so that in a great Fright the Hair stands upright, and the whole nervous System becomes so stiff and rigid, that they lose their Elasticity; by which Means the animal Functions cease from all Motion, and then Fainting, and oftentimes Death succeeds. Chronical Passions are called all those slow Passion of a long standing, which, like chro- nical Diseases, waste, wear out, and con- sume the nervous System; for those Nerves which are necessary for administering Ideas to the Imagination, being constantly employ'd, are impair'd, broken, and worn out; and the rest, Ch. XII. thro' the various Stages of Life. 325 rest, for want of being used, become stiff and unactive, dull and destitute of a sufficient Quantity of warm Blood and due Nourish- ment, as I have observed already; so that the whole Fabrick languishes, and runs into a total Decay at last. But as the Passions, when slow and long continued, relax, unbend, and dissolve the nervous Fibres too much, so the violent and sudden ones contract, stretch, and bend them in too great a Degree, by which means the Fluids are hurried about with violent Rapi- dity; so that all the Secretions are either stopp'd by the Contractions, Cramps or Con- vulsions produced by those Passions, or are precipitated crude and indigested into the Ha- bit of the Body, and so beget, or at least dispose it to, Inflammations, Fevers, and Mor- tifications: For Example, a sudden and high Degree of Anger, Hatred, and Malice, are but Degrees of Frenzy, and that is one kind of a raging Fever. Hence it is evident, that the violent and sudden Passions, which I call acute, are more dangerous to Health than the slow and continued chronical ones, as a- cute Diseases are more pernicious than chro- nical. From what has been said, it is manifest that the Passions have very great Influence on Health, being of such Force as not only to hurry us into Numbers of Diseases, but like- wise to bring upon us oftentimes sudden and unprovided Death, But if we would prevent X3 the 326 A GUIDE to HEALTH Part II. the ill Effects, and totally extirpate all the Evils arising from our Passions, we must necessari- ly lead a sober and virtuous Life; make use of our Reason, which, assisted with the Di- vine Spirit, is able to keep down the Surges of all our Passions, and is given us, by the in- finitely wise Creator, to be a Check and Bridle to prevent and restrain all their Extravagance: So that notwithstanding the great Force of our Passions, yet are we not left without a sufficient Power of Resistance; but to yield to them for want of exerting that Reason, by which we might restrain them, would be base Cowardice, unworthy a rational Being, and the blackest Ingratitude to the glorious Author of all Happiness. Towards him all our Thoughts should be bent; in him all our Hopes should center: Nor should our Affec- tions cease flowing to him incessantly, not only as he rewards and recompences Virtue, but as it is a Remedy against all those various Diseases that are ingender'd by Excess in the Passions; For as the Love of God is a sove- reign Antidote against all other Miseries, so, in particular, it prevents effectually all the bodily Disorders the Passions produce, by keeping them within due Bounds; and, by that unspeakable Joy and perfect calm Serenity and Tranquillity it gives the Mind, becomes the most powerful of all the Means of Health and long Life. Therefore, if thou wouldst enjoy good Health, love thy Creator, keep thyself virtuous, and regulate thy Passions. I shall Ch. XII. thro' the various Stages of Life. 327 I shall conclude this Chapter with an ex- cellent Passage upon this subject, from Dr. Cheyney's Essay on Health and Long Life, which, in his own Words, is as follows. ' If Men would but observe the Golden ' Mean in all their Passions, Appetites, and ' Desires; if in all their Thoughts, Words, ' and Actions, they would but mind, I will ' not say the End of their Being and Exi- ' stence here, but the End to which their ' Thoughts, Words and Actions tended in ' their last Resort; and lastly, if in the Gra- ' tifications of their Appetites, Passions, and ' Desires, they followed the uncorrupted ' Dictates of Nature, and neither spurred her ' on beyond her Craving, nor too violently ' restrain'd her in her innocent Biass; they ' would enjoy a greater Measure of Health ' than they do, have their Sensations more ' delicate, and their Pleasures more exqui- ' site, live with less Pain, and die with less ' Horror. For had it not been for the Lewd- ' ness, Luxury and intemperate Gratificati- ' ons of the Passions and Appetites, which first ' ruined and spoiled the Constitutions of the ' Fathers, whereby they could communicate ' only a diseased, crazy, † and untuneable ' Carcass to their Sons; so that with the ' World's Decay, vicious Souls and putrified ' Bodies have, in this our Age, arriv'd to ' their highest and most exalted Degrees; I ' say, had it not been for these Evils, there X4 ' never † The Temperature of Humours in an animal Body. 328 A GUIDE to HEALTH Part II. ' never had happen'd so much Sickness, Pain ' and Misery, so many unhappy Lives, and ' such wretched Ends, as we now behold ' among Men. ' But even in this our lapsed Estate and ' Condition, had the Dictates of Nature and ' Reason, not to say Religion, been follow- ' ed, we might have passed our Days in In- ' dolence (at least from chronical Distem- ' pers) if not innocent Pleasures, arrived at ' a good old Age, with our Senses free, and ' our rational Faculties clear, and at last de- ' parted in Peace, as a Lamp goes out for ' want of Oil. And let the Gentlemen of ' Wit and Fire, of Banter and Sneer, hug ' themselves ever so much in their boasted ' Tranquillity and Security, gratify their Pas- ' sions, Appetites, and Humours to the full, ' and despise Futurity and Whining; I dare ' promise when the Farce is ended, and the ' last Minutes are drawing on, they would ' prefer a Life thus led, and an End so calm, ' to all the Pleasures of Lewdness and Sen- ' suality, and the Bounces of a false and ig- ' norant Security.” A (329) A GUIDE to HEALTH &c. Part III. CONTAINING The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of BATHING and FRICTIONS. INTRODUCTION. BEFORE I proceed upon Fevers, as mention has been so often made of acute and chronical Diseases, it will not be improper to give the English Readers a clear Account of their Nature and Difference in this Place. Acute Diseases then are such, as within some short limited Time have their Periods either of a perfect Crisis and subsequent Re- covery, or of putting an End to Life and the 330 The INTRODUCTION. the Disease both together; and they are there- fore called quick, sharp, or acute Diseases, being attended with an increased Velocity of the Blood; the Symptoms of which are more violent, their Duration shorter, and their Periods more quick, terminating either in a sudden Death, or a Victory over the Distem- per, and they are generally limited within forty Days. But those Diseases that run out longer be- come chronical, whose Periods are more slow, their Symptoms less severe, and their Duration longer: and they likewise would, by the Course and Efforts of Nature, and the animal Oeconomy, have their Periods, and terminate at last, if fresh Fuel had not been frequently added to them by Intemperance and Debauchery; for the Viscidity of the Fluids, and the Laxity of the Fibres, would be removed in time, by proper Remedies and a due Regimen, and so People would recover in these as well as in acute Disorders. But as this requires long Time, much Care, and great Caution, Patience, and Perseve- rance; and so long and continual a Course of Self-denial, that few People are willing to undergo it; so that it is become the Reproach of both Physick and Physicians, that acute Cases are cured by themselves, or rather that Nature cures them, and that chronical Dis- orders are never cured, as a great many do falsly The INTRODUCTION. 331 falsly assert: for in acute Cases, Art and Care judiciously and timely applied, will always asswage the Symptoms and Suffering, and like- wise forward Nature to the Relief she points out, and hasten the Crisis, which it will con- stantly bring about if the Disease is not too great for the Constitution; and even then it will allay the Pain, and lay the Patient gently down. And as for the last Case, if due Care be had to follow seasonably the Advice of an honest and experienced Physician, certainly a Period may be brought about in most chro- nical Diseases, provided the great Viscera or Bowels are not spoiled and destroyed. And the Fault is commonly in the Patient him- self, who will not, or cannot deny himself for a sufficient time to bring about the Cure. There are some chronical Diseases indeed, such as either by having been gone too far, or by being hereditary, and interwoven with the Principles of Life, are never to be radi- cally cur'd or got over: and these last must rest contented with that Measure of Health their original Frame will admit of. Yet I am morally certain, that if the Rules and Directions set down in this Treatise, be care- fully and constantly observ'd and steadily pur- sued, very few chronical Distempers but will receive such Relief and Ease by them, as to render the remainder of Life tolerably easy, and free from grievous Sufferings; and that is 332 The INTRODUCTION. is all that is left for Art to do in the above- mention'd Case. But in other chronical Dis- eases, where the Bowels are not quite vici- ated, and taken in due time, by observing and steadily following the same Rules, would in- fallibly bring about a perfect Cure. In acute Diseases, a quick Pulse is a cer- tain and distinguishing Sign; but in chroni- cal Cases it is slow: and the first consumes the Fluids, and wears out the Solids in a short Time; but the last will require a lon- ger Time to produce the same Effects. Some acute Diseases terminate sometimes in chro- nical ones; and some chronical Distempers towards the last fatal Period of Life turn acute. CHAP. (333) CHAP. I. Of FEVERS, both in general and particular. A Fever is an inordinate Motion, and too great an Effervescence of the Blood, attended with Cold first, and afterwards with Heat, Thirst, and other Symptoms, whereby the animal Oeconomy is variously disturb'd; or according to our En- glish Hippocrates, Dr. SYDENHAM, ' A Fever is nothing else but the ' Effort of Nature to free herself of some ' morbifick Matter, which she finds injuri- ' ous, in order to establish a better Health.” A Fever what Sydenham's Definition. The learned Boerhaave says, that a Fever is the most frequent Di- stemper that happens, an inseparable Com- panion of Inflammations of all kinds, and is ever attended with a manifold variety of Symptoms. Boerhaave's Sentiments. In every Fever from an internal Cause, the three chief observable Symptoms are, first, an universal Trembling, then a quick Pulse, and an increased Heat, various as to Time and Degrees. When the Symptoms are very urgent, and very hastily make their Progress, the Fever is called acute; but when more mild and gentle, it is deno- The Symptoms. minated 334 A GUIDE to HEALTH Part III. minated a slow Fever. And a Fever almost always begins with a sort of cold Shivering, soon after the Pulse growing quicker, affords the primary Diagnostick * of a Fever; so that an increased Velocity of the Contraction of the Heart, together with a greater Re- sistance at the capillary Vessels, make up the Idea of an acute Distemper, which may be produced by an infinite number of Causes. The Health of the Patient seems to be the primary Aim of Nature in Fevers; notwith- standing, Fevers often end in Death, and sometimes they degenerate into some other Diseases. The general Cure. The general Cure of Fevers is summarily comprehended in con- sulting the Strength of Nature, in correcting and discharging Acrimony from the Blood, in dissolving gross Humours, and expelling them, and in mitigating the Symptoms: and if we perceive the Symptoms to run high, and Nature to grow exorbitant, we moderate it by enjoining Abstinence, a slender and cool- ing Diet, drinking tepid Water a little aci- dulated, Bleeding, cooling Clysters, &c. But if Nature seems to be too sluggish, she is to be excited by Cordials, Aromaticks, and Vo- latiles, &c. Of the Symptoms. The Cause of the Fever be- ing taken away, the Symptoms will cease, in as much as they primarily de- pend * Is that Judgment of a Disease that is taken from the pre- sent Symptoms, and Condition of the Patient. Ch. I. thro' the various Stages of Life. 335 pend upon it; so that if they can be born without Danger of Life, they scarce require any particular Cure, nor many times are they to be interrupted without great Caution; but if they be unseasonable, and too violent, they are to be mitigated with proper Reme- dies, due Regard being had to the Cause and State of the Distemper. In the beginning of Fevers, if the Stomach has a natural Inclination to cast, it is abso- lutely necessary to give a Vomit; for else in the Progress of the Fever, a Looseness will be apt to break forth, which may be of dan- gerous Consequence: and the proper time to give an Emetick is indeed in the Beginning; however, if it should happen to have been omitted, it may be given at any time of the Distemper, provided there be sufficient Strength to bear the Operation, and after it some Anodyne, or quieting Medicine. After- wards, if Bleeding be not indicated, and there be no Looseness, a Clyster may be ad- minister'd every other Day, until the tenth or twelvth, at which time Nature inclining towards a Crisis, in my Opinion, some warm- ing Medicines may be given to hasten the Concoction. If the feverish Ebullition pro- ceeds regularly, and in due order, there seems to be no need of giving any Medicines at all; for as much as the Depuration of the Blood is wholly and solely the Work of Nature. The Benefit of ex- hibiting a Vomit. Commonly 336 A GUIDE to HEALTH Part III. A Purge may be given towards the End with Advantage. Commonly about the 15th Day, if there be a laudable Se- paration in the Urine, and a Re- mission of the Symptoms, a gentle Purge ought to be given, left the no- xious Humours secreted from the Blood be- ing absorbed again into it, should cause a Re- lapse; notwithstanding it is sometimes requi- site to defer the purging until the 17th Day. From repeated Trials, I affirm, that no- thing does so certainly and powerfully cool the Body as Purging after Bleeding; and any one may find it in Experience true, that it abates and allays a Fever beyond any Re- medies whatever, both as it cleanses the In- testines, and prepares the Way for an Ano- dyne. Sydenham in his Schedula Monitor ria. The Cause of Fevers. The Cause of a Fever, accord- ing to Hippocrates, De Medic. Vet. ' is not Heat alone, but Heat ' and Bitterness together, Heat and Acidity, ' Heat and Saltness, and an innumerable other ' Combinations in the Blood.' It is however known by Experience, that Persons from found and perfect Health, where there has been neither Plethora, nor any ill Habit of Body to cause it, have fallen into a Fever; because some very extraordinary Change in the Air, or an Abuse in some of the rest of the Non-natural have happen'd; therefore found Bodies on such Occasions may, and are seized with a Fever, in order that their Blood Ch. I. thro' the various Stages of Life. 337 Blood may acquire a new State and Condi- tion to accommodate itself thereby to the Al- teration of the Air, and the Way of Living, &c. By how much the more acute a Fever is, by so much the more sparing and slender the Diet ought to be; for in Fevers, tho' they lie many Days without eating any thing, it is so much the better, for no one ever starv'd to Death in a Fever; but rather upon eating and drinking the Fever would be exasperated; because in taking of Food, the Appetite prescribes the Rule, the Quantity, the Quality, and the Time. A Rule of Diet. The most natural and general Division of Fevers is into Essential and Symptomatick. Division of Fevers. An essential Fever is such, whose primary Cause lies in the Blood itself, which derives its Original from no other Distemper of the solid Parts of the Body, or is any way de- pending on them, and this is properly called a Fever. A symptomatick Fever is a secondary Fe- ver, which does not properly subsist of it- self, but owes its Original to the Disorder of some particular solid Part, and most com- monly depends on some remarkable Inflam- mation, from whence the Variety of inflam- matory Fevers so called. An essential Fever is divided into a Diary or Ephemεra, a continual, continent or re- mitting, and an intermittent Fever. Y A 338 A GUIDE to HEALTH Part III. A Diary or Ephemera, so called by the Greeks, is the least compound of Continual Fevers, which doth begin, increase, arrive at its Height, and decline within the Space of 24 Hours: It is occasion'd by the scorching Heat of the Sun, too much Exercise, or by some other Error committed in the Non- naturals. The Cure is easily perform'd by Abstinence, Rest, and Diluting. But if the said Fever lasts several Days, it is called a continual, not putrid Fever: Its Causes, Signs, and Cure, are the same, and chiefly require large Bleeding, and a cooling Diet and Medicines. A continual putrid Fever, call'd by the Greeks, Synochos, is that Sort of Fever which is continual, without any distinct Paroxysms or Remis- sions, but for many Days continues much the same, until it has run its full Length, and then its Period is determin'd; and it is distinguished from the preceding, by its being * putrid: of this Kind are malignant Fevers, pestilential Fevers, and even the Plague it- self. A putrid Fe- ver what. It proceeds from the following Causes, as flight Inflammations, an Obstruction of the Bowels, a Constriction of The Causes. the * A Fever is said to be putrid, where the Humours or Part of them have so little circulatory Motion, that they fail into an intestine one and putrify, as is commonly the Case after great Evacuations, or great and excessive Heat, where there is such a Scarcity of Spirits, that the Solids cannot suf- ficiently vibrate. Ch. I. thro' the various Stages of Life. 339 the Pores of the Skin, a Stoppage of almost all the capillary Vessels, and a very sharp Acri- mony in the Fluids. It is known by an intense Heat even to the Touch of the Finger or Hand, by a Pulse not only feverish. but at the same time unequal and inordinate; a thick, red, turbid Urine, and crude with- out any Sediment; from a hot and sanguine Constitution, Age and Complexion. Diagnostick Signs. This Distemper is more dangerous and mortal, as the Pulse is weaker, quicker, more unequal in Strength, more irregular as to Time, and more inter- mitting in its Stokes; as Breathing is more difficult, frequent, short, with a great Mo- tion of the Nostrils, the more painful about the Vitals, and the more inordinate in its Time; as Weariness and Weakness are greater, the Tossing of the Body more fre- quent; as the Urine is higher colour'd, thick- er, muddier, with the least Sediment; or as the same is thinner, more watry, more spar- ing, and difficultly retained; as the Patient trembles and shakes more, chiefly in his Hands and Lips, shy of being felt, plays with his Fingers and Hands, and as it were catches at Flies, or some Things he fancies to see upon the Bed-clothes, and about him; and as his Eyes appear more sorrowful and moist with involuntary Tears. Moreover, when the Pa- tient labours much in his Sleep, and wakes worse after it; when either livid or purple Prognostick Signs. Y2 Spots 340 A GUIDE to HEALTH Part III. Spots appear upon the Body, the Sides of the Belly stiff and blown up, then Death is at hand. Continual putrid Fevers commonly require Bleeding in the Beginning, according to the Strength and Constitution of the Patient; but Malignant and Intermitting Fevers seldom admit of it: And in the Progress of all Fevers, when they draw near the Height, Bleeding is prejudicial, according to the unanimous Opinion of the Antients: For Cœlius Aure- lianus, Celsus, and the rest, allowed Bleed- ing only in the first three Days of a Fever, and not after; but there is no general Rule without an Exception. As for the Cure of the Symptoms, or ra- ther the Mitigation of them, which are more than ordinary pressing, they shall be account- ed for in another Place, where I shall treat of the Symptoms of Fevers in general: But here I must observe, that, in a putrid Fever the Patient ought to dilute plentifully with subacid Liquors, and take such Medicines as resist Putrefaction, such as the Juice of Le- mons and Salt of Wormwood made up into Draughts, or Mixtures, &c. A continent or remit- ting Fever. A continent or remitting Fever, called by the Greeks, Synechos, is in fact a continual Fever in regard to its Duration, tho' not in Degree: For it continues many Days together without Intermission; but then it has its periodical Returns of Exaspe- ration and Remission, either every Day, or every Ch. I. thro' the various Stages of Life. 341 every other Day, but no thorough Intermis- sion; nor has it any cold Shiverings, after the manner of Agues or Intermittents. About the End of every Paroxysm, when the Violence of the Fever begins to remit, Sweats general- ly ensue, and the Urine, which during the Height of the Fit was intensely high-colour'd, in these Intervals of Remission usually depo- sits a laudable Sediment, which is the true Characteristick of a continent or simple re- mitting Fever. There is likewise a spurious Kind of remitting Fever, which is attended with outrageous Symptoms of the nervous Kind, imitating Rheumatisms, Pleu- nisies, Colicks, and other inflammatory or spas- modick Distempers: It also often affects the glandulous Parts, producing from thence ma- nifold Excretions, causing Vomitings, Cholera Morbus, Diarrhœa, Bloody-flux, &c. which greatly obscure the fundamental Signs of this Fever, rendering the Paroxysms or Fits un- certain as to their Access and Duration: For by how much more the Evacuations and Pains, now mention'd, are augmented, by so much the febrile Heat is diminish'd and the Pulse weaken'd, and vice versa. Of the Spurious A simple remitting Fever, as such, and as long as it remains such, is very seldom, if ever, mortal; for before it be- comes fatal it changes its Type and Kind, and degenerates into a continual malignant Fever. But the spurious Kind, tho' it is not in its Prognostick. Y3 own 342 A GUIDE to HEALTH Part III. own Nature mortal, yet on the Account of the violent Symptoms accompanying it, it pretty frequently proves so. The more regu- lar the Fits are in point of Time, and the longer the Remissions are, the less dangerous they are, and vice versa. The Evacuations which Nature makes in these Fevers seldom procure any Benefit, they being for the most part symptomatical. But the critical and salutary Evacuations are ei- ther by Sweats or Spitting; the first is the quickest, tho' the latter is equally certain, yet slow and troublesome. During the In- crease of the Distemper, it is a bad Sign if the Urine gradually changes thin and pale, and the Pulse becomes quicker, weak, and staggering, &c. On the contrary, a strong and constant Pulse, Urine much tinctured with Redness, and full of Settlement, particularly when there is a laudable Sediment, and the Distemper is come to the State or Height, they are good Signs. The Cure. A simple remitting Fever gives way to the Bark, as certainly as an intermitting one: For the feverish Ferment in both is almost the same. The Efficacy of the same Medicine in curing a spurious remit- ting Fεver, is almost as certain as in a simple one, provided it be rightly administer'd, Re- gard being had to the more violent Symp- toms; but it has not so quick an Effect, be- cause the Distemper is greater and stronger, and therefore requires a greater Quantity of the Ch. I. 343 thro' the various Stages of Life. 343 the Medicine: So that the radical Care of these Fevers consists in the regular giving and Repetition of the Peruvian Bark, with due Regard to a proper Diet in all such Diseases. It will be necessary, in order to establish a rational Method of Cure of con- tinual Fevers; to have Regard to the Division of them into burning and slow Fevers, because the Method of treating each of these is vastly different. A Division in- to burning and slow Fevers. Of a Burning Fever. In a Burning Fever the Person is affected with a most ardent Heat, a Dryness of the whole Skin, of the Nostrils, Ears, Mouth, and Tongue: Respi- ration is thick, difficult, and quick; the Tongue dry, yellow, black, rough, and burnt up; Thirst unquenchable, sometimes going off suddenly without any other good Sign; an Aversion from all Sorts of Aliment; a Nau- seating, Vomiting, Anguish, Uneasiness, a great Weariness, a little Cough, a hollow Voice, a Delirium, Phrensy, obstinate Wake- fulness, Dozing, Convulsions; and on the odd Days a renewing and increase of the Fever. The chief Symptoms. A Burning Fever very often kills on the third or fourth Day; it seldom gets over the seventh, if it be a perfect Causus: It often goes off with an Hœmor- rhage, which if but small and sparing on the third or fourth Day, the Fever commonly proves mortal: This may be foretold from Progno- sticks. Y4 the 344 A GUIDE to HEALTH Part III. the Patient's complaining of a Pain in the Neck, Heaviness of the Temples, Dimness of the Sight, a Working and Labouring of the Heart and Lungs without any Sense of Pain, involuntary Tears, without any other fa- tal Signs, Redness of the Face, and Itching of the Nostrils; but if it happens on a critical Day, it is most advantageous. A Solution of this Fever also on a critical Day, may be expected by Vomiting, Looseness, Sweating, much Urine, spitting thick Phlegm; but growing worse on the second or fourth Day is a very bad Sign, on the sixth not so bad: Black Urine, thin and small in Quantity, is mortal; spitting of Blood and bloody Urine, are mortal; a Difficulty of swallowing is a bad Sign; nothing worse than Coldness of the extreme Parts; the Face red and sweaty, is bad; a Swelling behind the Ears and not ripening, is mortal; the Belly too loose, fatal; a Trembling turning to a Delirium, ends in Death. This Fever often changes to an In- flammation of the Lungs, with a Delirium attending it. The Regimen in such a Fever is, keeping the Air of the Room pure and cool, untainted with Fire, or Smoke, or the Breaths of many People; and they ought to have no more Bed-cloaths than barely defends them from Cold; their Curtains ought to be kept open, so as to renew the Air; and their Posture in lying as erect as they can well bear. Regimen. Their Ch. I. thro' the various Stages of Life. 345 Their Drink should be cool, mild, sub- acid, tepid, given in moderate Quantities, and often, as Water with Juice of Lemon or Tamarinds. Their Aliment out to be light, of mealy Vegetables, as Water-gruel, Prepa- rations of Barley, with some Juice of Lemon; Rice boil'd in Whey and strain'd; roasted Apples in the Progress of the Disease; a little toasted Bread sometimes, with Rhenish Wine and Water; Jelly of Currants; Broaths and Jellies made of Animal Substances, and quali- fied with Juice of Lemon or some other Acid, may be sometimes allowed. Bleeding is requisite in the Be- ginning of the Distemper, if there be the Signs of a Plethora, or of a particular In- flammation, or that the Heat is intolerable, the Sweat too great, a Revulsion be necessary, the Symptoms very urgent, and hardly to be master'd by any other Means; in these Cases Bleeding is of an absolute Necessity. Some- times also gentle and cooling Clysters are to be given, as often as the Heat of the Distemper or Costiveness shall require them. Diluents will likewise be proper, and Nitrous Me- dicines, and such as very gently loosen the Belly. The Cure. Here it will not be improper to take parti- cular Notice of what Walschmidius says, viz. A malignant Fever often in the Beginning ap- pears in the Shape of a Causus or burning Fever; so that a Physician ought to be cautious lest he should fall into a Mistake about it; therefore let 346 A GUIDE to HEALTH Part III. let him be diligent to inform himself, whether the Patient complains of an Anxiety or Uneasi- ness at his Heart, a sudden Loss of Strength, and other grievous Symptoms: Let him also examine the Urine, &c. for the Cure of these Fevers is very different. A Calenture is a Fever peculiar to Mariners, of a high inflammatory Nature. Those that are seiz'd with this Distemper are affected with a peculiar Sort of Delirium; for they frequently say they will walk into the green Fields, which they always seem to have in View, thinking they are just going into them, and, unless they are kept by Force, they jump into the Sea; and that is an inseparable Sign of this Distemper. Young lusty Men, of a sanguine Complexion, are most subject to it. The Cure chiefly consists in plentiful bleed- ing and diluting. Of Slow Fevers. Slow Fevers, tho' they are not so acute as the Burning or Putrid Fevers, yet they are however continual, as they constantly afflict the Patient labouring under them; but they pass through their several Stages more slowly, for which reason they are of a longer Conti- nuance, and the Symptoms not so violent. Catarrhal Fevers. In the Class of Slow Fevers we may justly reckon Catarrhal Fe- vers, which in the Beginning and Increase are attended with a Catarrh, a Run- ing at the Nose, a Cough, Hoarseness, &c. These Ch. I. thro' the various Stages of Life. 347 These Fevers are for the most part gentle and slow in the Day-time, and commonly some- what worse in the Evening: They are also attended with great Weariness of the Limbs, and the Symptoms continue, with an Increase of the Running at the Nose and Cough, till the Distemper rises to its highest Pitch, when the Matter of the Catarrh is ripen'd, and the Mucus becoming thicker, is discharged, and the Fever goes off. The Seat of this Disease is in the Conglobate Glands †, more particu- larly occasioned by some Obstructions in the Pituitous Glands. A Decoction of Sassafras, with Li- quorish-root and Raisins, is very pro- per in Catarrhal Fevers, on account of the Acrimony of the Humours; likewise the Juice of Turnips, with a little Sugar; Vola- tiles and gentle Sudorificks; a Solution of Gum Arabick, and whatever besides is pro- per in Coughs and Hoarsenesses, will be like- wise useful in this Case. The Cure. Besides the fore-mentioned, there are likewise Lymphatick or Pitui- tous Fevers, occasioned by the Fault of the Lymphatick Fever. Pituita † A Conglobate Gland is a little smoofh Body or Kernel, wrapp'd up in a fine Skin, by which it is separated from all the other Parts, only admitting an Artery and Nerve to pass in, and giving Way to a Vein and excretory Canal to come out. Of this Sort are the Glands in the Brain, as the Pi- tuitous Gland, the Pinealis Gland, the Glands of the Mesen- tery, Groin, Testes, and Labia: All the rest of the Glands in the Body are called conglomerated Glands, being composed of many conglobate Glands, tied together and wrapp'd up in one common Membrane. 348 A GUIDE to HEALTH Part III. Pituita of the Conglomerate Glands, which discharge their Juice into some certain Cavity, of which the Parotid Glands and the Pan- creas are remarkable, discharging the Liquors separated into the Mouth and Intestines, and consequently into the Mass of Blood; which Humours, when vitiated, become viscid, salt, and sharp, produce these Fevers, which are likewise sometimes not improperly call'd Scor- butick Fevers. Continual Acute Fevers, and sometimes Intermittents, degenerate into these Slow Fevers, and sometimes into Hecticks; and the Original of these Fevers is most com- monly in the Stomach, proceeding from In- digestion and Crudities. The Cure Therefore a gentle Vomit, as well in the Beginning as in the Increase of these Slow Fevers, ought to pave the Way for the Cure; and afterwards the Viscidity and Acrimony to be corrected; and the Symptoms are to be mitigated, and the Stomach to be strengthen'd, &c. for which Purpose vitro- lated Tartar, Testaceous Powder, Diaphore- ticks, and Volatile Salts, &c. are proper. Of Intermitting Fevers. An Intermitting Fever is a præ- ternatural Heat, kindled in the Blood by an unusual Expansion of the Spirits, returning at certain Periods. In this kind of Fever a Chilness, Shivering, Heat, and Sweats successively follow one another. The Fit is attended with an universal Sickness, Nause- The Definition. ousness, Ch. I. thro' the various Stages of Life. 349 ousness, and Vomiting; Pain of the Head, Loins, &c. The Paroxysm or Fit is very acute, but the Distemper in itself generally more or less chronical. A simple Intermitting Fever is easily known, for it discovers itself of its own Accord; and how great a Variety soever there may be of them, let them be either Quotidians, Tertians, Quartans, &c. the morbifick Ferment of all is the same, which certainly yields to the Force of the Peruvian Bark, if duly and skillfully administer'd. The common Species of Intermitting Fe- vers are simple Quotidians, Tertians, and Quar- tans; double Quotidians, Tertians, and Quar- tans; half Tertians, half Quartans, &c. There are likewise Intermitting Fevers which return every fifth, sixth, or seventh Day. Intermitting Fevers in this Country are sometimes very obstinate, often returning in spite of all Remedies; and by long Continu- ance they degenerate into Hepatical Fevers, and many chronical Distempers, as Jaundice, Dropsy, Schirrus's, and Scurvies; therefore in this Disease a right Method, both of Me- dicines and Diet, is very necessary. We should begin the Cure with a Vomit, or Purge, according to the Strength, Age, and Condition of the Patient, and afterwards administer the Bark often between the Fits, in good large Doses; but if the Patient's Strength and present Case will not allow of a Vomit or Purge, then the Bark should be given, 350 A GUIDE to HEALTH Part III. given, without any previous Preparation at all; and there is a different Regimen to be used during the Continuance and Absence of the Paroxysm, and in the Paroxysm itself, during the Rigor or cold Fit, the Heat and the Sweat. During the Rigor nothing is more proper than a Draught of warm Water, with a little Rhenish Wine, or Juice of Lemon and Su- gar, which dilutes and relaxes at the same Time, and will make the Symptoms wholly abate, and terminate the cold Fit sooner, and throw the Patient into a Sweat, than the warmest Cordial. In this Case likewise strong Frictions of the Extremities relieve very much; Proper Care must be taken to shorten the Pe- riod as much as possible, and by warm Dilu- ents a little acidulated, to bring on the Sweat soon, but not to push it beyond its due Mea- sure; because an Intermitting Fever of itself relaxes and weakens the Body extremely. Between the Fits too great Abstinence is hurtful, as much as too great Repletion. As Intermitting Fevers are often of long Conti- nunace, extreme Abstinence is impracticable, and would reduce the Patient to a Condition not to be able to sustain the Shock of the next Attack. Between the Fits, such Substances as tem- per, correct and subdue the bilious Alkali, as acid Substances, nitrous Salts, small thin Wines, Chicken-Broth with Juice of Lemon, Wine with Bitters infus'd, are proper. Ex- Ch. I. thro' the various Stages of Life. 351 Exercise, to as great a Degree as the Pa- tient can bear, is extremely beneficial between the Fits. Bleeding in Intermitting Fevers seldom does any Good, but oftentimes a great deal of Harm; yet the Patient's Condition is to be considered in this Case. But there are spurious Intermitting Fevers, as was observ'd of Remittents: Their Symp- toms are sometimes very urgent and violent, and their fundamental Signs are disguised un- der the Appearance of some other Distem- per, as Vomiting, Diarrhœa, and some great Pain, &c. The true and genuine Sign of the real primary Distemper being chiefly known by the Exasperation and Remission of those violent Symptoms, and by the Urine of a Brick-dust Colour; but these spurious or illegitimate Intermittents creating a great Variety of direful Symptoms, such as enor- mous Vomitings, Griping, Looseness, Cholera Morbus, Colicks, Pains in the Side like pleu- ritick Pains, Apoplexies, Pains on one Side of the Head, Spasms or Cramps, nephritick Pains, &c. Notwithstanding the great Va- riety there may be of these Disor- ders, in their manifold Shapes and Forms, yet they all depend upon one and the same Ferment, and are certainly cured with that one fovereign Antidote the Peruvian Bark, if prudently administer'd, as well as any other Intermitting Fever. The Cure. No 352 A GUIDE to HEALTH Part III. Prognostick. No one has been known to die of an Intermitting Fever, except it be in the cold Fit, that Excess of Coldness arising from a Viscidity in the Blood, and an absolute Oppression of the Spirits. The proximate Cause of In- termitting Fevers. After an accurate Examination into the whole History of Inter- termitting Fevers, the proximate Cause is assign'd to be the Visco- sity of the arterial Liquid, there happening at the same Time some Cause or other for a quicker and stronger Contraction of the Heart, and a Dissolution of the stagnating Viscidi- ties. Boerhaave. Having thus far treated of Benign Fevers, I shall now proceed to give the Reader a suc- cinct and clear Account Of Malignant Fevers. Diagnostick. The first Sign of a Malignant Fever, is a remarkable Loss of Strength on a sudden, without any mani- fest Cause, with a weak Pulse: The external Heat is not so violent as in some other Fevers; the internal Heat is rather greater. It is attend- ed from the very Beginning with obstinate Watchings, and anxious Uneasiness: The Sick complains and shews the Region of the Stomach, or the Heart; the Urine is not unlike that of a Person in Health; the Coun- tenance looks hideous sometimes, and much changed from the natural State, sometimes of a livid Colour. The Reason why the feverish Heat and Ebulli- Ch. I. thro' the various Stages of Life. 353 Ebullition in these Fevers, is not do great as in other Fevers, is entirely owing to the Ma- lignity which has seiz'd the Blood; and is rather a Sign of some great Disorder of the Spirits, which are greatly affected, and as it were sphacelated or deaden'd, than of any Disturbance in the Humours; or it may be sometimes the said Disorders may be propa- gated into the Humours, especially the Blood, from the malignant Taints; from which arises great Confusion, and an inordinate in- testine Motion, which indeed produce an in- ternal Heat, but is not carried so sensibly to the external Parts. By this means Nature being, as it were, oppress'd, is not able to exert those Symptoms more regularly, which are agreeable to, and might attend the Dis- ease. There is a great Variety of Malignant Fe- vers, on account of the Diversity of their Symptoms: In some there are very remark- able cutaneous Efflorescencies; in some more abundantly, in others less; and in some no such Appearances at all; others, in fine, are attended with other kind of Symptoms. Some assert, from microscopical Observa- tions, that in all malignant Fevers and gan- grenous Ulcers, there is so great a Putrefac- tion of the Blood, that it gives Occasion for the Generation of a Multitude of little Worms, from whence they believe the great Variety of Symptoms so vexatious do arise; but these Worms cannot be bred without a preceding Z Putre- 354 A GUIDE to HEALTH Part III. Putrefaction; and the Blood in Malignant Fe- vers is preternaturally fluid, insomuch that when it is let out of the Body it will not co- agulate as usually; but this is the Product of the Distemper, and not the Cause. The very naming a Malignant Fever strikes a Terror into Mankind; because all Malignant Fevers are very dangerous, and as to the Event very uncertain; which made Galen assert that Malignant Fe- vers will not admit of a Prognostick. Deaf- ness in the Beginning portends the greatest Danger, but in the Height of the Distemper it is a favourable Symptom; but bleeding at the Nose and a Looseness through the whole Course of the Distemper, are very bad Signs: And it is almost always reckon'd a very bad Symptom when they employ their Hands as if they were catching Flies, or picking up Straws or Bits of Threads. If on or about the eleventh Day Buboes arise in the Groin, it betokens well, and terminates the Fever. The Prog- nosticks. The Cure, according to Etmuller and others. Malignant Fevers by no Means admit of Bleeding; for the more malignant they are, the more Mis- chief it would do, and the farther from the Beginning the worse. Vomits in the very Beginning of the Distemper are a- bove all Things exceedingly proper; but then they should be given before any cuta- neous Eruptions appear, otherwise the Op- portunity is lost; and afterwards the Cure is to be endeavoured by Medicines, and Sub- Ch. I. thro' the various Stages of Life. 355 Substances that procure Sweating, Nature herself teaching us so much; for frequently Sweating carries off the Cause and Fewel of the Distemper. The greater the Malignity is, the more Sudorificks, or sweating Medicines, are to be employ'd, regard being always had to the Nature of the Distemper, and its Diversity, as also the Strength of the Patient. Sudori- ficks are to be given at least three or four Times in twenty-four Hours; Analepticks and moderate Acids are to be used in the in- termediate Times, amongst which dulcify'd Spirit of Nitre is very good; also Tincture of Saffron extracted with sweet Spirit of Nitre; likewise the Juice of Citrons and Quinces; &c. Camphire is a noble Alexipharmick, but every Body cannot bear the Use of it, espe- cially some Women, and studious Men, whose animal Spirits are easily moved and dissipated. Blisters are of singular Use in the State or Height of the Distemper. The volatile Salts of Hartshorn, and of Vipers, are Sudorificks, and resist Malignity; and here the Mistura Simplex of Paracelsus takes Place, as well as in all pestilential Fevers, being a very noble Remedy. Its Dose is from one Dram to two, to be given once in six or eight Hours, a proper Vehicle. Notwithstanding Bleeding in this Disease has been, and is accounted dangerous by a great many Practitioners, it only proves so when it is triflingly performed; for if a large Z2 Quantity 356 A GUIDE to HEALTH Part III. Quantity of Blood be taken away in the very Beginning, it secures the Party from Danger. But Bleeding had better been quite omitted, than not to be performed to a large Quantity, even almost to Fainting; and to prevent Fainting the Patient ought to be let Blood in his Bed. It is to be minded, that where there is a Plethora, or the Patient is of a strong Constitution, more Blood may be taken a- way than in a weakly or a phlegmatick Con- stitution. After a sufficient Evacuation by Bleeding, plentiful Sweating must be pro- cured by proper Medicines and Drinks, such as Venice Treacle, Mithridate, Diascordium, London Treacle, Camphire. Lapis Contrayerva, Pulvis ad Guttetam, Sir Walter Raleigh's Confection, Treacle-water. Plague-water, Ca- stor, Saffron, Cochineal, &c. Of these and the like many excellent Sweats may be fram'd into either Bolus's, Draughts, or Mixtures, interlac'd with nitrous Medicines and Acids, according to the Exigency of the Case. When Spots appear, neither Bleeding, Vomiting, nor even Glysters are to be administered, but Su- dorificks and Blisters. If the Blood tends to a Dissolution, sweat- ing Medicines and spirituous Cordials are very improper; but Emulsions, acidulated Drinks, and the like, with Bezoarticks, Nitre, and gentle astringing Remedies, in order to re- duce the Humours to their natural Texture and Firmness. Their common Drink ought to Ch. I. thro' the various Stages of Life. 357 to be acidulated with Juice of Lemon, Spirit of Sulphur, Elixir of Vitriol, &c. Of Spotted Fevers. A Spotted Fever is a very ma- lignant one, in which, besides the Symptoms common to other ma- lignant Fevers, there is a very remarkable Weariness of the whole Body, an universal throbbing and pricking Pain: The Spots ap- pear sometimes the fourth Day, but oftener about the seventh, especially on the Breast and Shoulder-blades, then on the Belly, Legs, Arms, and Neck, seldom in the Face. Not only Spots, but likewise large Marks, black and blue, sometimes appear; and in the De- clension of the Distemper sometimes a Spitting comes on, which carries it off. The Symptoms of a Spotted Fever. The Spots in the milder Sorts of this Fever are florid and very red, like Flea-bites: Afterwards they grow pale, yellow, and so disappear: The more red they are, the better: On the contrary, those that are of a livid or pale red, or appear blackish, are the worst. If they strike in again, it foretells a great deal of Danger. Prognosticks. These Distempers are contagi- ous, and sometimes epidemical or spreading: They are very danger- ous; for of those that are seiz'd with it, more die than recover. They are contagious. Spotted Fevers being a Species of the Malignant, the same Indications of Cure are here required as were mentioned The Cure. Z3 above 358 A GUIDE to HEALTH Part III. above for the Cure of malignant Fevers in general. If the Spots strike in too soon, Vesicatories are to be employ'd; upon which, tho' we are not to expect the Spots to appear again, yet in some Measure the Blistering answers the End of their not appearing, and sometimes very happily prevents the dire- ful Symptoms in the nervous System. No Evacuation of the Bowels must be attempted, such as Vomiting or Purging, or even by Glysters, as long as there is any Appearance of the Spots. CHAP II. Of the Cure of the most urgent Symptoms attending Fevers. Rigor in Fevers. THE Coldness and Shiverings which happen in the Beginning of acute Fevers, are owing to a Diminution of the Contraction of the Heart, the Circu- lation then being less quick, and the Blood actually stagnating in the extreme Parts, and pressing upon the Heart, creates great Anxie- ties, and may produce polypose Concretions about the Heart, and in other Parts of the Body; therefore a Rigor or Coldness encreases an Inflammation. Those who die of Quartan, Fevers, Ch. II. thro' the various Stages of Life. 359 Fevers, die in the cold Fit; and in truth, there is no Mischief but what may proceed from a Rigor of long Duration; for if it re- mains long, sudden Death sometimes ensues; and therefore the greater and longer such Coldness is, the more dangerous is the Fever. In such Rigor or Coldness, all warm Cor- dials and stimulating Substances are improper; for the first acting with Force upon the right Ventricle of the Heart, may drive the Blood with too much Force thro' the Lungs; and stimulating Substances, by contracting the Vessels, often increase Symptoms, which are best reliev'd by drinking warm Water with a little Rhenish-Wine, wherein a little Nitre is dissolved; likewise strong Frictions of the extreme Parts are very useful in this Case. See farther in the Cure of intermitting Fe- vers. The Degree of feverish Heat may be known by the Thermoscope, the Sensation of the Patient, the Intense- ness of the red Colour of the Urine, the Siziness of the Blood, the Dissipation of ths fluid Parts, which renders it thicker; the Hardness, Strength, and Frequency of the Pulse, which makes the Friction or Rubbing the stronger, to which the Heat is proportio- nal, the bad Disposition of the Humours, the Temperament of the Body. Feverish Heat. This Heat is moderated by Bleed- ing, by muscular Rest, by mode- rate Ligatures, which compress the Veins The Cure. Z4 only, 360 A GUIDE to HEALTH Part III. only, and often remov'd from Joint to Joint, by a mechanical Reason retard the Circula- tion; of such Sort is dry Cupping, Bathing the lower Parts, watery Liquors for Drink, not cold but warm; subacid, as Jelly of Cur- rants dissolv'd in tepid watery Liquors, De- coctions of mealy Substances acidulated, Sub- stances that are Anodyne, Substances which dissolve Concretions, such as Sugar, Honey, and the simple Oxymel; plentiful diluting, and restoring as much Water to the Blood, as is dissipated by the Heat; all demulcent and relaxing Substances, cooling the Air in the Room, opening the Curtains, and removing too heavy Bed-cloaths. All stimulating and styptick Substances are to be avoided; because they increase the Force of the solid Parts. Lenient Glysters and Emulsions are also use- ful to mitigate such an excessive Heat. Caution. But great Care is to be taken left by cooling too much, the Spirits shoul'd receive a sudden Damp, and by that means be depriv'd of their Elasticity, whereby the burning Fever might unwarily be changed into a malignant one, which has been many a time the Case. In Thirst, attending Fevers, the Liquors should not be drank quite cold; for cold Liquors by constringing the Glands of the Palate and Throat, do not quench Thirst so well as Liquors moderately warm: In this Case acidulated small Liquors should be plentifully drank. All Salts in- Thirst. crease Ch. II. thro' the various Stages of Life. 361 crease Thirst, except Nitre, and dulcify'd Spirit of Nitre mix'd with Water, or the Patient's common Drink, is useful in this Case; so are Barley-Water and Emulsions, except in great Weakness and Flatulencies of the Stomach; in such Case Water mix'd with a small Quantity of Rhenish-Wine is best of all. In these Anxieties which at- tend Fevers, when the cold Fit is over, in such a Case a warmer Re- gimen may be allow'd; because Anxieties in Fevers often happen by Spasms, or Convul- sions from Wind, therefore Spices are useful. And in those Anxieties, saponaceous Sub- stances which dissolve the Blood are proper, as ripe Fruit, and especially Honey, Sugar, &c. Anxieties in Fevers. Sickness and Vomiting may be owing to an original Surfeit, and is one of the most troublesome Symp- toms attending Fevers; because it renders the Patient incapable of taking any thing. It is often prevented by giving a gentle Vomit, or cur'd by promoting the Vomiting for a while by warm Water, or thin Chicken-Broth; for which Purpose likewise Carduus Tea drank in large Draughts may do very well; but if it does not of itself succeed well, half a Dram of Salt of Vitriol, or a Spoonful of Oxymel of Squills, may be given with the Posset. Sickness and Vomiting. During 362 A GUIDE to HEALTH Part III. During the Symptom, acid Liquors, and even such as are austere and astringent, are to be used; because such strengthen the re- laxed Fibres of the Stomach; for which Pur- pose the following Julap is very effectual. Take of Salt of Wormwood 4 Scruples; of fresh Juice of Lemon, 2 Ounces; mix, and when Ebullition is over, add to it of Barley Cinnamon Water, 3 oz. of Mint-Water and Nephritick Wa- ter, each 1 Ounce; Spirit of Saffron, half an Ounce; Syrup of Quinces, 1 Ounce; mix for a Julap, of which let the Patient take 2 or 3 Spoonfuls every 3 Hours, or oftner. Diluting, and sometimes relaxing the Belly, and carrying the bilious Salts downwards, often cures this Symptom. And Attention is to be given to the Appetites of Patients in this and many other Cases, who sometimes covet odd things which have relieved them, as Salt, Vinegar, &c. Vomiting from a bilious Cause is cured by acidulated small Liquors; and vomiting from some putrid Cause, by Salts of all Sorts; and in such a Case, Water-Gruel with Cream of Tartar, Rhenish Wine with Water, Jelly of Currants, Marmalade of Quinces, Sorrel boil'd in Broths well skimmed from Fat, are exceeding beneficial. But Ch. II. thro' the various Stages of Life. 363 But if the Vomiting proceeds from a phlegmatick Cause, Spices and Bitters will relieve; for the Counterpoison must be adapt- ed to the Cause: As for Example, in Poison from sublimate Corrosive and Arsenick. In the first, alkaline Substances are properest; in the second, oily Substances are fittest, in both Diluents are proper. It will not be dif- ficult to judge of the Cause by what the Pa- tient throws up from the Stomach, Whether a Vomit may be safely or properly given, must be judg'd by the Circumstances; for if there be any Symptoms of an Inflamma- tion of the Stomach or Lungs, a Vomit is extremely dangerous. A Caution in giving Vomits. A Diarrhœa or Looseness some- times happens in Fevers, which proves often a dangerous and fatal Symptom; and this Evacuation is not the genuine Motion of Nature for its Relief, but arises rather from the Impetuosity and Vio- lence of the Distemper, or the stimulating Acrimony of the Humours, which in reality is a symptomatical Diarrhœa, and ought to be stopt; for it weakens, excoriates, and in- flames the Bowels, occasioning bloody Fluxes, thickening the circulating Juices, and ex- hausting the Strength of the Patient very much; however, a critical Diarrhœa is not to be stopt, for fear of incurring the same Dangers. A Looseness in Fevers. 2 Attention 364 A GUIDE to HEALTH Part III. Attention should be given to the Cause: If it proceeds from Acidity, it is to be cured by Anti-acids; but as in Fevers the Cause is more commonly alkaline and bilious, acid or four things relieve best; and it happens some- times, that oily Substances by blunting the Acrimony will do a great deal of good in Diarrhœas; for oily Substances of themselves do not irritate or provoke Loosenesses, they only lubricate or make the Bowels slippery. Vomiting, by evacuating the irritating Cause, often cures Diarrhœas. Anodyne Substances are proper, and gene- rally speaking, solid and dry Food rather than liquid. The white Decoction of burnt Hartshorn is very proper for common Drink, and absor- bent testaceous Powders mix'd with Diapho- reticks, are likewise very useful in the Case; and lastly, we may have Recourse to Venice Treacle, Diascordium, &c. But it is obser- vable in general, that Laxness of the Body in the beginning of Fevers is better than over Costiveness, but in the Progress of the Di- stemper it is worse. Strangury in Fevers. A Dysuria or Strangury in Fe- vers is very troublesome. The com- mon Emulsions are very proper to mitigate the Ebullition in burning Fevers; and commonly they very much asswage this vexatious Symptom; as likewise Oil of sweet Almonds, with Syrup of Marsh-mallows, or a Solution of Sperma Ceti: also a Solution of Ch. II. thro' the various Stages of Life. 365 of 1 Ounce of Gum-Arabick in a Quart of Barley-Water for common Drink, is an ex- cellent Remedy, especially when this Symp- tom is occasion'd by Blistering. Profuse Sweats which happen in Fevers, either in the Beginning of the Disease, or at any other Time before the Crisis, and before the Signs of Concoction appear, are symptomatical, and oftentimes Colliquative: They proceed from a Laxity of the Vessels, and too vehement a Circula- tion of the Blood, and ought therefore to be restrain'd by Art; for they are very trouble- some to the Patient, and they exasperate the Distemper, in depriving the Blood of its most fluid Parts, thicken and often cause Obstru- ctions; so that it is a very bad Practice to push Sweating too much in Fevers, except in such as are pestilential Profuse Sweats. In profuse Sweats, Care should be taken by diluting, to restore the Liquid which the Blood loses, and to use the Methods advised already in too great Heat, by taking away some of the Coverings of the Bed, and ad- mitting of cool Air, and using a Diet mo- derately astringent, and mild Acids, &c. Tinctura Antiphthisica, on Account of the Sugar of Lead in the Composition, is esteem'd an efficacious Remedy for suppres- sing such Sweats; and likewise Sage is very good in the Case of profuse Sweats. A 366 A GUIDE to HEALTH Part III. Pain of the Head. A violent Pain in the Head, Back, or in the Limbs, especially in the beginning of Fevers, requires Bleeding; and if that does not relieve, it will be proper to give a gentle Vomit if the Sto- mach be foul, otherwise a laxative Glyster may suffice. Watchfulness is a Symptom in Fevers, which is sometimes called a Coma Vigil, and often precedes too great Sleepiness, and is perhaps the most ill-boding Symptom of a Fever; therefore the Cause is to be narrow- ly enquir'd into; if it proceeds from too great Heat and Dryness, cooling and moisten- ing things are to be administred; if Pain be the Cause, we must endeavour to asswage it by proper Remedies, avoiding Opiates, with- out an absolute Necessity, especially about the time of the Crisis, when the Physician may perceive great Restlessness and Inquie- tude in the Patient; for it should be always remember'd as a Maxim, that a Space of time before the Crisis happens, is the most troublesome, Nox ante Crisin est molestissima. Other Expedients in this Case are, extreme Care to keep the Patient from Noise, and whatever makes any strong Impression upon his Senses, and some of those Helps used in a Delirium, for this is an Approach towards it; a moist softening Diet, ail Preparations of Barley, Emulsions of Poppy Seeds and Al- monds, Aliment of Lactecescent or milky Plants, especially Lettuces, Decoctions of Scorzonera Ch. II. thro' the various Stages of Life. 367 Scorzonera Roots, Almond Cream, and what is called Winter-Flummery, used as Aliment; Tea made of Cowslip Flowers, relaxing gent- ly the Belly. Coma, or Sleepiness in Fevers, is di- rectly contrary to the fore-mentioned Symp- tom Wakefulness; the Patient has a continual Propensity to doze or sleep, sometimes with a real Sleep, and often without it. A Coma will proceed either from a Pressure upon the Original of the Nerves in the Brain, by too great Repletion; or from a Penury or Waste of Spirits by too great Inanition. Coma. Old People are subject to Comas by the Glewiness of the Fluids circulating in the Brain, which being resolved by the Fever, obstruct the small Canals of the Brain: But in young People it commonly proceeds from Fulness, and is best cur'd by Bleeding and re- laxing the Belly. The Sign of such a Fulness is, a red Countenance and inflamed Eyes; but if it proceeds from a glutinous Oil, it ought to be resolved by Water, nitrous Salts, Soaps, Subacid Liquors, and Blisters, not forgetting the Use of sharp Glysters. In a feverish Delirium there is a small Inflammation of the Brain; therefore any- thing which increases the Circulation in the Lower Parts, and diminishes the Pressure on the Brain, is beneficial; as bathing the Feet in warm Water; nothing relieves the Head more than the Piles, therefore Suppositories of Honey, Aloes, and Rock-salt ought to be Delirium made 368 A GUIDE to HEALTH Part III. made use of; relaxing by emollient and wa- tery Substances, both in Drink and Glysters, especially Barley, Cream, and Barley-gruel, are to be frequently used: Likewise Bleeding in the Foot, and Blisters will be of great Ser- vice in this Case. Of Convulsions in Fevers. Convul- sions. Nothing is of more Importance than rightly to know the Cause and the Seat of this Distemper, which is com- monly very obscure. In Infants Convulsions commonly proceed from Acidity in the Sto- mach and Intestines, which are cured by Ab- sorbents, such as testaceous Powders of all sorts, and gentle Purges and Glysters; but in such indeed Convulsions attending Fevers are not altogether so dangerous. Convulsions arising from Acrimony in the Stomach, or from any thing vellicating a Nerve in its Extremity, and not in its Origi- nal where it rises from the Brain, are not very dangerous; but Convulsions, which pro- ceed from too great Evacuations, as great Hæmorrhages attending Fevers, are very dan- gerous, and frequently mortal. Convulsions proceeding from an Inflamma- tion of the Membranes of the Brain are com- monly fatal: The Symptoms attending such are, a great Heat and Thirst, a hard Pulse, and a Delirium; so that the Remedies, and even those from Diet, are to be used accord- ing to the particular Seat of the Distemper; for Ch. II. thro' the various Stages of Life. 369 for if it be from the Stomach, such Aliments as are contrary to the particular Acrimony, Acid, Alkaline, or Oily, impacted there, as in the Case of Vomiting, already described. But if they arise from something obstructed in the Brain, such Convulsions are generally cur'd by Diluting, Relaxing, Revulsions, and softening both the Fluids and Solids, and using such Substances especially as open the Belly; and in general the Regimen prescribed in a Delirium or Coma: For it would be a Folly to rely here on the Medicines, which, by their pompous Titles of Anti-spasmodick and Anti-hystericks promise a specifick Cure; besides, all Volatiles, spicy and cordial Sub- stances, are here destructive. Of Weakness in Fevers. A feverish Weakness proceeds from too great Fulness in the Beginning, and too great Penury or Inanition in the latter End of the Distemper; for whatever stops or retards the Circulation of the Fluids in the smallest Vessels, especially those in the Brain, produces this Symptom, which either of the Causes now mentioned will certainly do; And those two Causes require a different Method of Cure; for in the first, emptying and diluting is re- quisite; in the latter, a more plentiful Nou- rishrnent, the Use of Wine diluted with Wa- ter, and Spices in small Quantities, Jellies, Broths qualified with some gentle Acid, un- less there be Signs of Acidity; but in that Weakness. Aa Case 370 A GUIDE to HEALTH Part III. Case the Diet should be contrary to that Symptom; in which Case Viper Broth, and all other Broths are both anti-acid and nourishing. In Weakness from too great a Loss of Blood, Wine and Food which is easily digested and assimilated or converted into Blood, is pro- per; for a small Quantity of Blood often- times brings the Patient into a Dropsy. Fric- tions of the Limbs relieve Weaknesses, as they promote a Flux of Juices and Spirits in the Joints and Limbs, by which Means they will bring Nourishment to those Parts. Fat People are most subject to the Symp- tom of Weakness in Fevers; because the Fat, being melted by the Heat of the Fever, Part of it obstructs the small Canals or Vessels, and consequently produces this Symptom; which is evident from the great Loss of Fat such Persons sustain in Fevers, by the Laxity of the Fibres, and the Emptiness of the smaller Vessels; and therefore such should be treated with particular Care, for after due Evacua- tions they ought to dilute plentifully both by Drink and Glysters, avoiding all fat and oily Things, and using Sugar, Honey, and ripe Fruits. Of inflammatory Eruptions in Fevers. In all these of any Kind whatever, as Small- Pox, Meazles, Purples, Scarlet-fever, Ery- sipelas, or St. Anthony's Fire, the Intention of Diet ought to be, to avoid strong Sudorificks, or sweating Things, which push out too great a Quan- Ch. II. thro' the various Stages of Life. 171 a Quantity of the Matter upon the Skin; to use cooling and temperate Diluters, which will keep the Matter moveable, so that it may be secreted from the Blood; to keep warm during the Eruption; and that the Diet be cool; for which Reason the moderate Use of Acids, as Juice of Limons, &c, are necessary; and above all things Bleeding must not be omitted. A due Attention to the few Rules above- mentioned, in the several Symptoms, will prove successful in the Cure of most Fevers. Of the Small-pox. Notwithstanding I have taken notice just now of Eruptive Fevers in general, yet as this is one of the most dangerous and universal that infests Mankind, I shall treat of it in this Place in particular. Therefore, the greatest and most important Steps for the Recovery of the Patient must be made at the Time of the Invasion, or first State of this Distemper; wherefore it is very necessary to know the first Symptoms of it; for many have suffer'd by mistaking it for another Disorder. In general, young People who have not had the Disease, ought to be very care- ful in avoiding Irregularities in their Diet; because the Small-pox which seizes such Per- sons often proves fatal. This Disease is like- wise more dangerous as the Fluids are more heated and dissipated, and the Solids more Aa2 strict 372 A GUIDE to HEALTH Part III. strict and compacted, and consequently it is more so, as People are advanced in Years. First Stage. The first Symptoms are a Chilness and Rigor, succeeded by a Fever and constant Heat, a certain Splendor or Shining- in the Eyes, with a little Moisture, which is very observable in Children; a great Pain in the Head, with Drowsiness, Dullness, and Sleepiness; a Pain in the Back in some, but Pains in the Limbs in all; Anxiety, Inquie- tude notwithstanding their Drowsiness; loath- ing Sickness at the Stomach, Vomiting, and Convulsions in Infants shortly before the E- ruption; and the Blood taken away the first Time, florid; but on the second, third, and fourth Time it appears sizy, like that of pleu- ritick People. Therefore it is manifest that in this State the Distemper ought to be treated as any other inflammatory Disease, by such Methods as if it were possible to hinder any Suppuration at all; and to resolve and digest as much of the feverish Matter as possibly we can; for the longer the Eruption is a coming, and the fewer when it comes, the Disease is less dangerous; therefore all the Methods practised in the Be- ginning of inflammatory Distempers are here necessary and proper, with a particular Care of cleansing the alimentary Passage by Vomit- ing and Glysters, the Impurities of which will otherwise be carried into the Blood. The learned Boerhaave says, that as there is not yet found any particular Antidote to the poisonous Ch. II. thro' the various Stages of Life. 373 poisonous Quality of this Disease; but that if any such could be found, as he is of Opinion it may, it must be in Antimony and Mercury brought to a great Degree of Penetrability, without being too corrosive by a Saline Acri- mony, but well united; for the Effects of Mer- cury on all Ulcerations are notorious. In the first Stage then of the Small-pox, the whole Habit of the Body ought to be relax'd both inwardly and outwardly, and a free Perspiration through the Pores of the Skin, without violent Sweats be promoted; the Viscidity or Glewiness of the Fluids taken off by Diluters: All these Things may be affected by Glysters, Fomentations and Gargles, and a plentiful life of Drinks often repeated, made of thin Water-gruel and other mealy Decoc- tions, and such like cooling Liquors, with nitrous and acid Salts, or some other acid Sub- stances mix'd with them, such as the Juice of Oranges, Limons, Tamarinds, and other sub- acid Fruits, &c. no Flesh to be allow'd, un- less some small Chicken-broth at Times; the Air ought not to spoiled by Heat, or the Bed- Clothes so thick and heavy as to produce great Sweats. For more People are lost in the Small-pox, by being thrown into large and violent Sweats in the Beginning of the Eruption, than by any other Errors committed at all other Times: The Reason is, because great Sweats drain the small Blood-Vessels of the necessary Fluid, by which Circulation is hinder'd and the Blood Aa3 coagu- 374 A GUIDE to HEALTH Part III. coagulates, by which Means the Inflamma- tion is hurried on into a Gangrene, without being able to furnish the necessary Work of Impostumation in the Glands of the Skin, or of being dissipated by other proper Means. Second Stage. When this Disease has run off its first Stage, which is call'd by the learned Boerhaave, that of Contagion, it enters into the second, in the following Manner: The Skin of the Head and Face first, then of the Hands and Arms, and lastly of the Body and lower Parts, are mark'd with little red Points like Flea-bites; thereupon the Symp- toms abate, and the red Pustles increase every Hour in Largeness and Number; they con- tinually rise higher and higher, inflame more, and the Skin is stretch'd; they begin to pain and to burn ; the Circulation is interrupted, and Perspiration hinder'd; hence a great Re- turn of the Humours towards the inward Parts; a Fever arises, with Anxieties, Diffi- culty of Breathing, a Pain in the Jaws, some- times a Quinsy, a Looseness, Bloody-flux, Bloody-urine, Spitting of Blood. The Parts of the Skin free from Pustles are red and in- flamed, painful and hot; all which, or most of which, when they have lasted four, five, or six Days, are now intirely suppurated, and converted into as many small Impostumes. And this is likewise call'd by the above-men- tioned Author, the Stage of the Inflammation until the Suppuration: It lasts (according to the Difference of the epidemical Season, and that Ch. II. thro' the various Stages of Life. 375 that of the Patient, the Greatness and Vio- lence of each particular Case, and the Regi- men hot or cold made use of) most times four or five Days; so that the Suppuration is compleated about the eighth Day, reckoning from the first Beginning; and the Blood, if let out of a Vein, is extremely inflamed. From what has been said, the Diagnosticks and Prognosticks of the second State of the Small-pox may be learned, and the Rationale of it, and all its Symptoms, which will be plainer still by observing the following Rules. 1. The gentler the State of Contagion, that is, the first Stage, the easier likewise is the in- flammatory State, which is the second Stage of the Distemper. 2. The slower the Pustles break out, the longer therefore the State of Contagion, so the easier and milder is the whole Course of the Disease through all its Stages. 3. The fewer, more distant, bigger, more remote from the Face, whiter and afterwards the yellower the Pustles are, and the later they appear, so much the better Event they promise. 4. The more in Quantity, more mix'd and intangled, the less in Bulk those that stand single, the more they appear upon the Face, tawny or black, and the quicker they grow, so much the worse. 5. The more the Matter of the Pimples is like to kind and perfect Pus, the better. Aa4 6. The 376 A GUIDE to HEALTH Part III. 6. The more the Matter in the Pimples resembles a gangrenous Ichor, the worse. 7. The more the Space between the Pim- ples appears red, is hot, stretch'd, and swell'd about the Time of their impostumating, so much the greater Hopes, because it is a Sign of the Circulation's being preserved there. 8. But the more that same Space looks paler, or grows tawny or black, so much the worse; for there follows a mortal Quinsy or Peripneumony, unless a thin Salivation, or a great Swelling of the Hands or Feet doth ensue: The Reason is, because the Circula- tion of the Fluids is cut off in those Parts, and drove back and increased in the internal nobler Parts. 9. If in the Space between the Pimples there appear purple Spots, it is a sign that a mortal Gangrene is at hand or present. The Indication in this second State of the Disease, is different according to the different Time that the Disease has lasted, and is like to last: for in the Beginning of the external Inflammation shewing itself, it appears rea- sonable to endeavour to prevent its proceeding to an Impostumation, as has been observed already; or, if that be neglected, Care ought to be taken that the Suppuration be as lit- tle as possible, and promoted slowly and far from the Head; which may be effected, first, by keeping the Patient to the thinnest Diet, which at the same time resists Putrefaction, Secondly, by giving him diluting, soft and sub- acid Ch. II. thro' the various Stages of Life. 377 acid Drink. Thirdly, Medicines that prevent the making of much Pus or Matter, such as are opening and diluting, in great Quantities and often given; likewise Blisters applied to the Hollows of the Feet and Legs. Fourthly, A cool Regimen, and chiefly by the Admis- sion of pure and fresh Air, (as was observed in the first State) and at the same Time co- vering the Limbs and lower Parts of the Body warm. Fifthly, If the Distemper pro- ceeds too violently on the fifth Night, a gentle Opiate may be safely given to an Ad- vantage, and repeated every Night to the End of the Disease, if the Lungs are not too much oppress'd, and Respiration very diffi- cult. After the running off of the second Stage follows the third State, being that of Impostumation, during which it increases and arrives at its Height: In this the Pustles, already purulent, grow larger every Day; then they ripen, turn white, yellow, and break on the third or fourth Day of this State. Then the whole Skin, and its subjacent Fat, abound with a moveable Pus or Matter; it is dried exter- nally, and inflamed in every Part free from Matter or Pus: Hence, from the Impedi- ment of Perspiration and Circulation, from the Irritation of the membranous and nervous System, from the absorbing of the Pus into the Veins, there comes on a Fever of the worst Kind, with the worst Symptoms; and if this Third Stage. puru- 378 A GUIDE to HEALTH Part III. purulent Matter mix'd with the Blood is moved long, it putrefies: Hence, according to its falling upon different Parts of the Body, it produces cruel and scarce superable Effects, such as Deliriums, Phrensies, Quinsies, Peri- pneumonies, Pleurisies, Vomitings, Bloody- fluxes, Inflammations of the Liver, Impos- tumations of the same; Boils, Tumors, Ab- scesses, and Stiffness of the Joints; a Wasting, Consumption, and a great many more Evils. In this third State great Care ought to be taken to promote the Discharge of the Pus to the external Part, driving it from the In- ternals; which may be effected by relaxing the Skin with lukewarm softening Fomenta- tions, and often; constantly walking and gargling the Mouth and Throat; drinking much of warm, cordial, detergent, and o- pening Decoctions, which are contrary to Pu- trefaction; injecting daily a gentle, diluting, emollient, and laxative Glyster, and to be kept long; or sometimes a gentle Purge with Rhu- barb and Manna; dieting upon thin Broths duely salted and acidulated; allowing now and then a moderate Glass of good generous Wine; giving also a sufficient Dose of Syrup of White Poppies, or some other Opiate, a- gainst any violent or troublesome Symptoms that may arise. If the Small-pox proves to be of the worst Kind, and that there is rather a gangrenous Ichor than laudable Pus, that almost the whole Skin is beset with it; hence it may easily Ch. II. thro' the various Stages of Life. 379 easily appear, why this Disease is often so un- avoidably fatal, notwithstanding all the pos- sible Care taken; and it will be yet much plainer to any one acquainted with Dissections, that as the external Skin is full, so the Eyes, all the Membranes of the Nostrils, all the Covers of the Mouth, the Wind-pipe, the Bronchia, the Stomach, the Gullet, Intes- tines, Liver, Spleen, and Lungs, are full of the like Pustles; and hence he will under- stand what has been said, and see what is re- quisite for the Cure. Thus far the Senti- ments of Boerhaave concerning the Small- pox. The Greatness and Danger of this Disease is estimated by the Quantity of Pimples on the Face and Head; therefore the Matter ought to be solicitated to the lower Parts by all possible Methods, especially the Legs, by Fomentations, Bathing, Blistering, and, thro' the whole Course of the Disease, keeping the Feet and Legs warm; the Breast and Head not any more cover'd than to keep them from the Injury of the cold Air. During the filling and ripening of the Pustles the Diet may be allow'd a little more plentiful, but yet not hot or inflammatory, with the due Use of anodyne Things, or such as allay Pains and Restlessness. In this State every Thing that abates Acrimony is proper; and, where the Circumstances of the Patient require it, a Spoonful or two of good White Wine, twice or thrice a Day, may be likewise useful. The 380 A GUIDE to HEALTH Part III. The Diet in this State should also be adapted to the particular Symptoms of the Disease, as cleansing, attenuating, and expectorating; and to promote spitting by Diureticks. When the Temperament, Age, high Pulse, and especially Watchfulness and Delirium re- quire Bleeding in any other Case, why not in this State? which is known to have been used with great Success; for a great many Vessels in this State are almost unpassable by the Fluids; and those who die of this Distem- per have inward Inflammations, especially in the Lungs, all which seem to justify that Bleeding is necessary in the Case. But the gangrenous Disposition which ap- pears in the malignant Sort, is a Reason against it; for hardly any Thing will avail in ex- treme malignant Cases. In such malignant Kinds, all that is left, is, at least to endeavour to evacuate the peccant Matter by other Ways, as Blistering and Stools, procured by Lenitives not irritating, which would only hurry the Humours and increase the Fever. For farther Particulars concerning this dreadful Distemper, see the celebrated Sy- denham's Account of the Distinct, Confluent, and Anomalous Small-pox, which nothing can excel. The Meazles and Scarlet Fever, (tho' not near so dangerous) require much the same Regimen, and the same Method of Cure, as the Small-pox, the Scarlet Fever not differing from the Meazles, except it be in the Manner of Ch. II. thro' the various Stages of Life. 381 of the Efflorescence only, insomuch that it may not improperly be called the Confluent Meazles, for the Efflorescence in the Meazles makes its Appearance in different Figures and Shapes, from whence the Skin is diversify'd with several Colours; whereas in the Scarlet Fever the Skin is spread all over with one con- tinued Inflammation and Redness. CHAP. III. Of Inflammatory Diseases with a Fever. NOW those inflammatory Distempers are to be considered, which being attended with an acute Fever, do besides induce a sin- gular Inflammation of this or that Organ of the Body, the depraved Function of which gives a Name to each particular Disease of that Kind; such are the Phrensy, Quinsy, Pleurisy, Peripneumony, the Inflammation of the Breast, of the Diaphragm, Stomach, Li- ver, Spleen, Mesentery †, Guts, Kidneys, Bladder; of the Joints, as in Rheumatisms; and of the Surface of the Body, as in the Meazles, Scarlet Fever, and Small-pox. Of † A membranous Part in the lower Belly, to which the Guts are connected. 382 A GUIDE to HEALTH Part III. Of a Phrensy, or Inflammation of the Brain. True or symp- tomatick. A Phrensy is either essential or symptomatick: An essential or true Phrensy is when there is a primary Inflammation of the Brain, or ra- ther of the Meninges ‡, with a Delirium and an acute Fever. The Symptomatick Phrensy, or Phrenitis, is occasioned by a Translation of the febrile Matter or Inflammation, &c. from other Parts upon the Brain. A true Phrensy kills the third, fourth, or seventh Day, or else it produces Madness, a Lethargy, or Coma; and a Phrensy coming upon a Peripneumony, or the Iliack Passion, is mortal; upon the Small-pox, is very dan- gerous. This Disease, of all others, requires the most powerful Remedies without any Delay, which are able to remove the Inflammation of the Arteries of the Brain, and are chiefly to be taken from the general Cure of Inflam- mations in Fevers, describ'd in the foregoing Chapter, observing at the same time the fol- lowing Rules. Copious Bleeding, by opening the tempo- ral Arteries, or more Veins at once, in the Foot, Throat, and Forehead, with large Ori- fices, are the most effectual Remedies. Great Quantities of cooling Decoctions ought to be given ‡ Are Membranes which cover and embrace the Brain, and they are called the Dura Mater, and the Pia Mater, or Meninges. Ch. III. thro' the various Stages of Life. 383 given often and warm, with large Portions of Nitre. Then cooling Purges, and at the Time of their working, to give Draughts of diluting nitrous Liquors. Sometimes Glysters of the like Kind, with lenitive Electuary, or Honey, or any such Openers may be given. Solliciting the Blood to other Parts of the Body; therefore tepid Bathings of the lower Parts, and emptying the Piles with Leaches, relaxing Fomentations apply'd to the Veins, which carry the Blood from the Head, re- lieve in this Disease. We should likewise ap- ply Blisters and Cupping-glasses to the inferior Parts; Blistering the Back, and even the Head sometimes, in phlegmatick Constitutions espe- cially, has been found useful. The Body ought to be kept moderately cool, and set upright if possible, for the warm Air of the Bed exagitates the Blood. But if the Phrensy has been occasioned by a pre-existent inflammatory Distemper in some other Part, it ought to be carefully minded, whether the Nature of that Illness will bear the Applications above-mention'd; which if not, then it ought to be cured ac- cording to the Method peculiar to that ori- ginal Distemper, always adding the Reme- dies that divert from the Head, and that are externally apply'd. The Diet ought to be slender, of mealy Substances, as Water-Gruel acidulated, or subacid ripe Fruits, with their Jellies, the Drink small, diluting and cooling, Barley- Water, 384 A GUIDE to HEALTH Part III. Water, and the Decoction of Tamarinds are all necessary and useful. For farther Satis- faction herein, see the Articles of Delirium and Watchfulness in the preceding Chapter. Of a Quinsy. A Quinsy without a Tumour almost always mortal. There are two Species of it; the first is without any sensi- ble Tumour either externally or internally; but the other Species of a Quinsy is attended with a Tumour. The first Sort is commonly the Conse- quence of some very long continued Disease, chiefly after very large and often re- peated Evacuations. It is accompa- nied with a Paleness, Dryness, and Thinness of the Jaws; because for the most part the Nerves and Muscles of those Parts being relaxed, are most times paralytick, and it is a Sign almost always that Death is just- at hand. It is seldom cur'd, and then only with Remedies which fill the empty Vessels with good vital Nourishment, and things that warm and strengthen the Body in general. The Cause. The Signs. The Cure. A Quinsy with a Tumour of various Sorts. The other Species of the Quinsy, viz. with a Tumour in the Throat, occasioning a Dif- ficulty of Breathing and Swallowing, may be of various Sorts; sometimes it proceeds from a Serosity obstructing the Glands, which may be watery, œdematous, or schirrous, ac- cording Ch. III. thro' the various Stages of Life. 385 cording to the different Degrees of the Vi- scidity of the Humours, sometime inflam- matory, which Inflammation will sometimes terminate in a Suppuration, or Gangrene. The Regimen and Cure in those Quinsys, which proceed merely from watery, œdematous, and thin catarrhous Hu- mours obstructing the Glands, must be first, to use such warm Liquors as relax gently, soften and moisten these Glands; Secondly, such Medicines as carry off the redundant Serum, by Stools, Sweat, and Urine; or by stimulating, and opening the Emunctories of these Glands to secern the stagnated Hu- mours, which may be obtained by the Ap- plication of Cataplasms, Gargles, Injections with Syringes, and by lessening the Quan- tity of the Lympha with Masticatories, Bli- sters, and smart Purges that will promote watery Stools. The Cure. In a mere watery Tumour, the Diet may be more warm than in inflammatory Kinds; and therefore the moderate Use of Wine of- ten relieves the Patient. But a Difficulty of Breathing and Swallow- ing, proceeding from Schirrosities of the Glands, is not to be cured any other Way than by extirpating the Schirrus, which alone will be a safe Remedy: or the Surgeon must with Prudence endeavour to fix a Cau- stick in the middle of the Tumour, to eat the same out; which is feasible enough when the Seat is near the Jaws. Bb In 386 A GUIDE to HEALTH Part III. In the inflammatory Species of a Quinsy we ought, by all means possible, endeavour to procure a Resolution: First, By large and repeated Bleedings. Secondly, The Belly must be loosened stoutly with either Purges, or purging Glysters frequently injected. Thirdly, By a very thin and slender Diet, such as Whey with Tamarinds boiled in it; Decoctions and Emulsions of farinaceous Vegetables moderately acidulated, and such as abound with a cooling nitrous Salt. Fourth- ly, By Medicines of the nitrous and acid Kind. Fifthly, By soft, warm Vapours con- stantly receiv'd upon the Part, bathing and fomenting the Feet, and Derivations by Bli- sters. When Swallowing is totally abolish'd, the Patient may be nourish'd by nourishing Gly- sters, which is known to have been done for a whole Week, after which the Tumour sup- purated. If the Inflammation ends in a Gangrene, the Case proves generally mortal, except it be only in the Tonsils, Uvula, and Palate, and reach no farther, which Parts may be separated, and the Patient recover. Of a Pleurisy. Diagnostick. A Pleurisy is an Inflammation of the Pleura, being a double Mem- brane which covers all the Cavity of the Breast; tho' that is hardly distinguishable from Ch. III. thro' the various Stages of Life. 387 from an Inflammation of any other Part of the Breast, which are all from the same Cause, a stagnant Blood; for there is no Part of the Internal Integuments of the Chest, which is not capable of being seized there- with, whether it be the Pleura or the Me- diastinum; and therefore the pricking Pain may be felt in any Part of the Breast: But most commonly it attacks the Sides, and this having a Fever join'd with it, is a true Pleurisy; but if such a Pain affects the su- perior intercostal Muscles, it is called a spu- rious Pleurisy. In a true Pleurisy, Bleeding large- ly, and often repeated in the Begin- ning ought to be perform'd, and that by a large Orifice; and the Rule is, to repeat Bleed- ing so often until there appears no longer any Siziness on the Top of the Blood: and at the same time, Fomentations and Leniments may be used externally. For internal Use, Di- luters, Resolvents, Coolers and Lenients that will asswage Pain, are proper; and all such Things should be taken warm, and in great Quantities. The Cure. Sometimes the Part inflamed tends to a Suppuration, which is known by the obsti- nate Violence of the Pain and Fever, &c. and continuing longer than the 4th Day. That an Abscess is form'd may be known by a fre- quent shivering, a Remission of Pain, Short- ness of Breath, and being able only to lie on one Side, which is the Side that is affected. Bb2 When 388 A GUIDE to HEALTH Part III. When the Abscess is broken, the purulent Matter falls into the Cavity of the Chest, and increases by the Discharge from the Ul- cer, which produces an Empyema, of which I shall give an Account hereafter. But some- times the Part affected becomes schirrous, with an Adhesion of the Lungs and Pleura; hence an Asthma and dry Cough, an incura- ble Distemper, unless perhaps there may be some Relief had from much Exercise and Riding. Sometimes a Pleurisy turns to a Gangrene, which causes sudden Death; that a Gangrene is begun, may be known from the Delirium, the livid Colour of the Chest, a sort of bi- lious Spitting, and from a Cessation of Pain. The Prog- nosticks. Hippocrates observes, that if in Beginning of a Pleurisy, within the space of three Days, the Spit- ting is Bloody, it shews that the Distemper will be but short; if the Spitting of Blood comes on later, the Distemper will likely run into a greater Length. He adds, that if Pleuritick Persons do not expectorate, an Ab- scess will be form'd in fourteen Days; and such may be freed from that, if they can fully discharge the Matter by spitting in forty Days from the Time of the Rupture of the Abscess, otherwise they fall into a Consump- tion. In this Distemper the Spitting is to be regard- ed more than the Urine; and a Pleurisy that seems slight in the Beginning, and proceeding so Ch. III. thro' the various Stages of Life. 389 so till the fifth Day, but growing worse the sixth, is commonly mortal. When the Sup- puration is made, or Matter form'd in a Pleurisy, the Side must be open'd to let out the Matter. Of a Peripneumony. A true Peripneumony is an Inflammation of the bron- chial and pulmonary Vessels, or of the whole Body of the Lungs, or of one Lobe only. If the whole Lungs are affected the Case is desperate, and deem'd incurable; because the Circulation must be stopt, and no Blood can flow back into the Heart; the others sometimes admit of a Cure. It is to be treated after the same Manner, and with the same Remedies as a Pleurisy, and most commonly it has the same Event. A true Peripneumony or Inflammation of the Lungs. If the Inflammation be not dis- cussed in fourteen Days Time, an Abscess will be formed; the Signs of which are Shiverings, an Abatement of the Pain, and a low Pulse, Difficulty of Breathing, Thirst, and a slight Fever still remaining in the Evenings, &c. Upon this sometimes a sudden Suffocation happens from an Eruption of the purulent Matter into the Wind-pipe; some- times it is evacuated by spitting it up in great Quantities; or, if the Rupture so happens, it falls into the Cavity of the Chest, from whence proceeds an Empyema, a Phthisis, &c. Prognostick. Bb3 Lastly, 390 A GUIDE to HEALTH Part III. Lastly, the purulent Matter is absorbed by the pulmonary Veins, and is mix'd with the Blood; and by means of the Circulation, is deposited in some one of the Viscera, as the Liver, the Spleen, the Brain, &c. Hence it comes to pass that peripneumonick Abscesses happen about the Ears, Legs, or Hypochon- dria, where if they suddenly disappear, and the Peripneumony returns, the Case is mor- tal. The Type of a spurious Peri- pneumony. A spurious Peripneumony com- monly proceeds from a thick pi- tuitous Matter, generated in the Mass of Blood, which gradually settling itself on the Lungs, forms the Distemper. Old People, and such as are of pituitous, cold, catarrhous Constitutions, and such as are troubled with Defluxions of Rheums, are more subject to this Distemper than others. It creeps on unawares upon People with a fallacious Lenity at first; they are slightly in- disposed, complaining of a sort of Weariness and Debility; they seem to be dispirited; they grow short-breath'd, and feel an Op- pression of the Breast; but as the Disorder is hardly considerable enough to raise any great preternatural Heat or Fever, they are not apprehensive of any Danger: After a while however they are seiz'd with Shiverings and a small Fever, from whence the Difficulty of Breathing and great Weakness increase, and Death approaches, which surprizes the By- standers, Ch. III. thro' the various Stages of Life. 391 standers, the Urine and Pulse having not such a sudden Change. This Distemper is cured by the following Method; first, let the Pa- tient be blooded out of a large Vein; second- ly, a Glyster ought be given every Day, till it appears that the Lungs are eased; thirdly, his Diet ought to be of thin Flesh Broths, Jellies with some Juice of Lemon or Oranges; his Drink also small, of Water and Honey; fourthly, to use diluting, cleansing, and gently opening Apozems, often and in large Quan- tities, bathing the Legs and Feet, and ap- plying many Blisters, The Cure. Of an Empyema. An Empyema is a Collection of purulent Matter in the Cavity of the Thorax most commonly occasion'd by the Rupture of an Abscess, produced by a Pleurisy or Peripneumony: It is known, if for twenty Days after the Beginning of the Inflammation there has been no Expectora- tion; from a dry Cough, a Weight on the Diaphragm *, being able to lie only on one Side; from a fluctuating Noise of the Pus or Matter upon moving the Body, a slow Fever, Redness in the Cheeks, Hollowness of the Eyes, Heat in the Tops of the Fingers, Crook- edness of the Nails, and a Tumor of the Belly. Empyema what. Bb4 As * It is a tranverse Membrane, which separates the Thorax or Chest from the Abdomen or lower Belly. 392 A GUIDE to HEALTH Part III. The Cure. As to what relates to the Cure of an Empyema, when it is once known that there is a Rupture of an Abscess of the Lungs, Pleura, Diaphragm, or the Mediasti- tium †, or Pericardium ‡, endeavours must be used to discharge the Matter by Expec- toration, by the urinary Passages, or by Stool, if Nature offers to do it those Ways; for if purulent Mttter appears in the Urine, let diu- retick Medicines be given; if purulent Stools happen, laxative Purges; if Spitting offers, expectorating Medicines: Some make Issues with Causticks betwixt the Ribs. For inter- nal Use, Balsamicks, Vulneraries, Decoctions of the Woods, Jellies of Hartshorn, and Ground-Ivy, are very much commended. But if all Remedies fail, the Cure must be attempted by an Aperture of the Thorax, with a proper Instrument on the Side affected, between the 4th and 5th, or 5th and 6th Ribs, counting from the lowermost, drawing off the Matter gently and gradually: From the Nature of the Pus, when taken out, and other Circumstances of the Patient, one may deduce a Prognostick of what may likely be the Event. If the Empyema be of a long standing, and the Strength of the Patient exhausted, the Hair of the Head falling off, and there be a colliquative Looseness, the Habit of the Body † Is a Membrane which divides the Lungs and other Vi- scera of the Breast into two Parts. ‡ A Membrane which surrounds the whole Substance of the Heart. Ch. III. thro' the various Stages of Life. 393 Body tabid, &c. the Operation of the Para- centesis will serve only to hasten Death. Of a Paraphrenitis, or an Inflammation of the Diaphragm. A Paraphrenitis is a Disease much like a Pleurisy, wherein the Diaphragm, or at least part of it, is really inflamed; and this is what happens more frequently than is commonly- believed, mistaking it for another Distemper, It is known by a continual Fever, an exqui- site Pain very much increased upon Inspira- tion, by which it is distinguish'd from a Pleu- risy, in which the greateft Pain is in Expira- tion; besides, the Breath is fetch'd deep, quick, and suffocating, and seems only to be performed by the Motion of the Breast; It is likewise attended with a Delirium, Fury, and an involuntary Laughter, and Convul- sions; and altho' the Whole of the Distem- per is known, yet it is generally mortal. This Distemper terminates as Pleurifies and Peripneumonies, but a great deal more fatal; If it suppurates the Pus, it is evacuated into the lower Belly, where it produces Putrefac- tion, and a most miserable and painful Death. The Regimen, if any can be successful, ought to be the same as in Pleurisies, and the Cure likewise. Of an Inflammation of the Stomach. As other Parts of the Body, so may likewise the Stomach he seized The Signs. with 394 A GUIDE to HEALTH Part III. with a true Inflammation: The Symptoms and Effects are a burning, fix'd, and pungent Pain in the Stomach, attended with an acute continual Fever, a great Exacerbation of this Pain the Moment after swallowing any thing, succeeded with Vomiting, a painful Hickup and great Anxiety, unquenchable Thirst, want of Sleep, and a continual Tossing of the Body; these are succeeded with Deliriums, and most times Convulsions, ending in Death. The Causes. The Causes of these Symptoms are those common to all Inflamma- tions in general, a natural Weakness, and perhaps Erosion of the Coats of the Stomach, by acrid Substances taken as Aliment and Medicines. Care must be taken rightly to distinguish between an Inflammation of the Stomach, and that of the Liver: In the for- mer the burning Pain and Heat seem to lie deeper; when the Liver is inflamed the In- flammation is more limited, and the Symp- toms are milder. If this Disease is not speedily cured, it soon proves fatal; for People commonly die of it the third or fourth Day; and sometimes indeed, tho' seldom, it tends to a Suppuration, and the Abscess breaks either into the Cavity of the Stomach or lower Belly and even then they hardly ever escape. Of all Diseases this requires most a total Abstinence from any Thing that has Acrimo- ny in it; even the nitrous cooling Salts, which are Ch. III. thro' the various Stages of Life. 395 are beneficial in other Inflammations, irritate too much in this; likewise Vomits, all Cor- dials of volatile and spicy Substances; spiri- tuous Liquors are no better than Poison, and Milk generally curdles. Aliments must be given frequently, and by Spoonfuls at a time, for any Distension of the Stomach increases the Inflammation. A thin Gruel of Barley, Oatmeal, Whey with very little Sugar, or Honey, or Chicken- broth, are proper Aliments; Whey, emol- lient Decoctions of Barley-water, and Emul- sions, are proper Drinks; and it has been found by Experience, that Chalybeat Waters have been agreeable to the Stomach in this inflammatory State. If there happens an Im- postume, Honey, and even Honey of Roses, taken inwardly, is a good Cleanser, and a De- coction of Comfrey Roots is healing; Speedy and effectual Bleeding, Fomentations, and Glysters have the same good Effect in this as in other inflammatory Distempers, Likewise the same Regimen and Remedies ought to be used in a Schirrus or Cancer of the Stomach; tho' nothing will prove quite effectual. The same Method is to be pursued in the Inflam- mation of the Spleen, Pancreas, and Caul. Of the Inflammation of the Liver. As other Bowels and Parts of the Body are capable of Inflammations, so is the Liver likewise; but as the Hepatical or Liver Ar- tery, and the Vena Portæ, carry the Blood into 396 A GUIDE to HEALTH Part III. into the Liver, the first being very small, and the Motion of the Blood being slow in the last, are the Reasons that Inflammations in the Liver are not so frequent as in some other Parts of the Body; but when they happen they are extremely dangerous, unless they take up but a small Part of the Liver; and such happen more frequently than is thought of. Diagnostick Signs. The best Cautions, both in Diet and Cure, may be taken from the Causes and Symptoms of this Di- stemper, which, besides the general Causes of Inflammations, are extreme Fatness; for Fat dissolved by Heat and Inflammation obstructs the Vessels of the Liver very suddenly; and Cattle fatten'd by good Pasturage, after vio- lent Motion or Running, sometimes die sud- denly, in such the Liver is found to be in- flamed and corrupted. An atrabilarian a- dust Temper of the Blood and Gall, an acri- monious or purulent Matter, stagnating in some other Organ of the Body, is more easily deposited upon the Liver than any other Part, especially if it is attended with the Use of hot and spicy Aliments, spirituous Liquors, great Heat and a Fever; Erosions of the Vessels by the Acrimony or Sharpness of the Gall, or Obstructions by Viscidity; likewise any Callosity, Schirrus, or Stone generated in the Liver; Thirst long endured, being sud- denly chill'd by cold Air, cold Water, or drinking cold Liquors after great Heat; Vo- mits Ch. III. thro' the various Stages of Life. 397 mits given injudiciously, when the Liver is already unsound, which, if they do not re- move the Obstruction, exagitate the Liver too much; inveterate hypochondriacal Diseases; are all Causes which may produce Inflamma- tions of the Liver. In such a Case therefore, the Liver being swell'd, compresses the Stomach, Diaphragm, and all the neighbouring Viscera of the lower Belly, stops the Circulation of the Juices, the Generation and Excretion of the Gall, and all Digestion; produces numberless bad Symp- toms, as the Jaundice, with all the Distem- pers depending upon it; for the Liver re- ceives the refluent Blood almost from all the Parts of the Abdomen or lower Belly, and is the chief Instrument of all the Digestions which are there made. A slow Fever, which is more or less acute; an Inflammation and pungent Pain on the Region of the Liver and Diaphragm; a Tension of the Hypochondres especially on the Right Side; Yellowness of the Skin and Eyes, and a saffron-coloured Urine, are Signs of an inflammatory Disposition of the Liver. This Distemper terminates as other Inflammations, being cured either by Resolution, Concoction, and Ex- cretion of the morbid Matter; or it ends in an Abscess, Schirrus, or Gangrene: When it suppurates, the purulent Matter is discharged sometimes by Stool, sometimes by Urine, sometimes by Expectoration, and sometimes Prognostick. it 398 A GUIDE to HEALTH Part III. it is dischargcd by manual Operation. For when a Tumor rises and grows to the Peri- toneum, and forms there an outward Impos- tume of the Liver, easily discernable, then it is opened with a burning Iron, or with Caus- ticks; afterwards the Wound is widen'd with gentle corrosive and suppurating Applica- tions, untill there is a Penetration made into the very Bag or Vomica, which is in the Body of the Liver; then it is treated as an Ulcer, and cleansing internal Medicines are duely administer'd at the same Time. Indication of Cure. But during the first State of the Disease, that is, before there are any Signs or Suspicion of Impostumation, the Regimen should be cooling, resolving Li- quors taken inwardly, as Whey with Sorrel boil'd in it; outward Fomentations and fre- quent Injection of emollient and diuretick Glysters, Bathing, and Frictions, relax and render the Matter fluid and moveable; Honey, with a little Rhenish Wine or Vinegar, in- wardly taken, is likewise proper; also the Juices and Jellies of some ripe Garden-Fruits are useful, and those of some Plants of a milky Juice, as Dandelion, Endive, and Let- tuce, are Resolvents. Bleeding in the Be- ginning, especially in the Foot, will not be improper. Violent Purges hurt, but gently relaxing the Belly relieves. Diluters, with nitrous Salts, are beneficial, and Tamarinds boil'd in Water or Whey: Bloody Stools, not in a great Degree, or when streak'd with Blood, Ch. III. thro' the various Stages of Life. 399 Blood, ought not to be stop'd, because they help to resolve the Disease; and oftentimes Bleeding at the Nose produces the same good Effect. The Fever attending is often carried off by Urine, therefore diuretick Substances, that are not highly pungent and stimulating, are use- ful in this Case; and Sweating by high Cor- dials ought not to be attempted; but encourag- ing and promoting it with warm diluting Li- quors is proper. The Case is deplorable when the Inflam- mation of the Liver terminates in an Abscess, unless it points and appears outwardly, so that it may be open'd; for if the Matter be eva- cuated into the Lower Belly, it produces woeful Symptoms, as Putrefaction, or an in- curable Bloody-flux, &c. When the Pus or Matter of an Ulcer in the Liver grows thin and ichorous, it corrodes the Vessels, (for the Liver, of all the Bowels, is the most friable, and the easiest crumbled or dis- solved) and it is frequently carried into the Mass of Blood, and rejected by vomiting, with a cadaverous Smell, attended with great Thirst; but if it is carried downwards, it produces a purulent colliquative Looseness: In which Case the constant Use of subacid Decoctions, and other Substances of the acid Kind, relieve the best. If this Distemper happens to produce a Cancer, or Schirrus, as sometimes it does; yet the latter is not absolutely incurable, be- cause 400 A GUIDE to HEALTH Part III. cause it is experimentally known that Grass and fresh Pasturage has cured it in Cattle, and some opening Plants have produced the same Effect sometimes in Mankind, as those of the lactescent or milky Plants already men- tioned, with a great many other Vegetables too tedious to insert in this Place. But it is to be observed, that the Diet re- commended here is likewise necessary in the Jaundice, and all Distempers of the Liver; and also an Abstinence from all such Things as induce Putrefaction, especially salt Fish and Flesh, and above all strong Liquors. Of an Inflammation of the Mesentery. Inflammations and Tumors of the Mesen- tary, (being a Membrane in the Lower Belly to which the Guts are connected, and through which all our Nourishment is convey'd to the Blood,) are frequently the Origin and Foun- dation of many obscure and latent chronical Distempers, which greatly afflict People la- bouring under them, and perplex those who undertake their Cure as well. Diagno- stick. Persons affected with these Disorders complain of Pain about their Back and Loins, sometimes in the Belly about the Navel, with Gripings, yet these Pains are commonly periodical and chronical; and every now and then comes on a small wandering Fever, and the Ch. III. thro' the various Stages of Life. 401 the Pains come and go, having their Remis- sions and Exacerbations. When an Abscess in the Mesentery suppurates and breaks, it causes sometimes remarkable Shiverings and Shakings, which are followed by febrile Heats, and then the purulent Matter is most commonly discharged by Stool. Abscess. The Body in this Case gradually wastes, the Breathing grows more than usually difficult; and every now and then they complain of something that is very troublesome to them, which they cannot well explain: They tell you, that it lies deep in their Belly about the Navel, or below it; they are most commonly very much troubled with Wind. These Tumours oftentimes continue many Years, being turn'd schirrous and strumous. Prognostick. When the Disorders of the Mesen- tery are of a long standing, they are cured as other chronical Diseases, such as chachectick and hypochondriack Affections: Yet they are to be treated with Caution, and gently without any Violence. Externally, Em- plastrum de Cicuta cum Ammoniaco, de Ranis cum Mercurio, &c. are convenient. Inter- nally, Medicines that open Obstructions, such as Millepedes and Preparations of Steel, &c. likewise Remedies against strumous Distem- pers are proper, and opening of the hœmor- rhoidal Veins by Leaches; but rough Purges are hurtful, and Glysters are useful. The Cure. Cc Of 402 A GUIDE to HEALTH Part III. Of the Inflammation of the Guts. The Intestines or Guts, chiefly the small ones, are very often seiz'd with the like acute Inflammation in their Membranes, as the Stomach, from Causes common to all Inflammations carried thither; or from the Matter of acrimonious or sharp Drink, Aliments, high Sauces, Medicines or Poisons reaching those Parts, and detain'd in the Foldings of the Valvules and sticking to them; also from a sharp, putrid and fœtid, purulent, ichorous, gangrenous, bilious Mat- ter, convey'd hither from the Gullet, Stomach, Liver, Spleen, Pancreas, and Caul, which sticks also to them and corrodes them; or lastly, from a Convulsion filling them with Wind. The Cause. Symptoms. The Symptoms are a total Stop- page of the Passage, a vehement fix'd burning Pain, irritated by Things taken in- wardly; when any thing touches the Part af- fected, it excites Vomitings, sharp griping Pains, with Wind in other Parts of the Bowels; and the Consequences of such an Inflammation are the Iliac Passion, or what is vulgarly call'd the Twisting of the Guts, but in fact is either a Circumvolution or In- sertion of one Part of the Gut within the other; an Impostume, Gangrene, Schirrus, Cancer; a very acute Fever, with great Weakness from the Fierceness of the Pain, and a very sudden Death. It Ch. III. thro' the various Stages of Life. 403 It is of the utmost Importance to know what the Causes of Colicks are; for as they are various, so the Remedies in one Case are quite opposite and destructive in the other; for spicy, warm, carminative Things, which are given in Colicks proceeding from a phlegmatick or cold Cause, are Poison in an inflammatory one; but they may be distin- guished by the Fever, high Pulse, Thirst, and high-colour'd Urine attending the In- flammation. As to the Heat, tho' it is like- wise great by the Violence of the Pain, yet the Extremities grow cold; and besides, there is a hidden Prostration of Strength, or Weak- ness, attending this inflammatory Colick more than any other. This Disease requires a speedy Remedy, or none; for otherwise it terminates in an Iliac Passion, and Mortification of the Bowels very soon; therefore plentiful Bleeding, and fo- menting and relaxing the Bowels with emol- lient warm Liquors, both taken inwardly by the Mouth, and by Glyster injected hourly, is the most sovereign Method that can be made use of; yet it has been known, that Acids have relieved in very desperate Cases, as Juice of Lemons taken by the Mouth, and Vinegar and warm Water given in Glysters, have saved the Patient; by Reason of the con- tinual Vomiting, Opiates likewise to quiet the Convulsions are oftentimes necessary; also Warm Fomentations, even of warm Animals applied to the Belly, are extremely useful. Cc2 When 404 A GUIDE to HEALTH Part III. When the Inflammation happens to be in the Lower Guts, it is not so dangerous; and even when it suppurates it will admit of a Cure; for then it can be come at by proper Medicines in the Form of Glysters; and in the latter End of such a Case Chalybeat Wa- ters are very beneficial. If the Patient lives three Days, the Acute- ness of the Pain abates; and if a Shivering or Chilliness affects the Body, it is a Sign of a Suppuration, and in some few Days the Mat- ter flows either into the Cavity of the Belly, producing all the Symptoms which happen in an Impostumation of the Liver, or into the Cavity of the Guts, and causing a purulent Bloody-flux, and often a Consumption, Si- nus's and Fistulas; in which Case Whey and Chalybeat Waters are proper Drinks. The Aliment ought to be of such Substan- ces as generate little or no Excrements, as Broths of Flesh-meat, with Scorzonera, Par- sley, or Fennel boil'd in them: Goat's Whey is likewise excellent in the Case; but fat and oily Substances generally do harm. If the Fever continue with clammy Sweats, Paleness, an ichorous Loosness, fœtid, black, or like the Washings of Flesh, a small inter- mitting Pulse, and at last a Cessation of Pain totally, they are Signs of a Gangrene, and Death at hand. But if none of the foremention'd Signs hap- pen, and that the Fever abates, and the Per- son complains of a Weight, dull Pain, Stop- page Ch. III. thro' the various Stages of Life. 405 page of the Excrements, a Schirrus is form- ing, which increases daily, and may terminate in a Cancer; which Purging, and indeed all Medicines irritate: The Patient in such a Case may protract a miserable Life with an exact thin Diet of Whey, Broths, and such Things as produce no Fæces, or by nourish- ing Glysters. Inflammations of the Kidneys. The Kidneys as well as other Parts of the Body are subject to Inflam- mations: Which may be known from a pungent, burning, inflammatory Pain in the Region of the Kidneys, a Numbness, or dull Pain in the Thigh on the Side affected; likewise Colick, Wind, Vomiting, an acute continual Fever, Urine sometimes totally sup- press'd, often made in small Quantities, high colour'd; and which is worse, sometimes very watry and quite pale without any Sedi- ment. As to the outward Sensation of Heat, the Extremity of Pain oftentimes produces a Coldness in the extreme Parts, which is very consistent with inflammatory Distempers. Diagnostick Signs. This is produced by all the Causes of a general Inflammation directed to the Kidneys; and therefore, whatever ob- structs the Blood in the Extremities of the Arteries of the Kidneys, will produce this Distemper; a Wound, Bruise, Abscess, Swel- ling, Lying often long on the Back, too vio- The Cause. Cc3 lent 406 A GUIDE to HEALTH Part III. lent Motion, especially walking, or hard rid- ing in hot Weather; and whatever obstructs the Passage of the Urine into the Pelvis, Ureter, or Bladder, as a viscid Matter, Gravel or Stone; likewise every thing which forces the gross Parts of the Blood into the urinary Passages, as Heat, hard Riding, Straining, too great Fullness of Blood, and especially sharp and forcing Di- ureticks; and lastly, a convulsive and invo- luntary Contraction of the small Vessels of the Kidneys, if long continued. Coffee-colour'd Urine is not a dangerous Sign; for it proceeds from the Mixture of a small Portion of Blood with the Urine, and oftentimes it prognosticates a Resolution of the obstructed Matter, and the Expulsion of Gravel, or a Stone after great Pain; but pale Urine is a Symptom which portends the Di- stemper to be more lasting and dangerous. The Cure is to be perform'd by plentiful and repeated Bleeding, avoiding carefully at the same time all stimulating Diureticks, which in this State would increase the Dis- ease: Afterwards the Expulsion of the ob- structing Matter is to be promoted by emol- lient and soft Liquors plentifully drank, and by Glysters of the same kind frequently inject- ed; by Bathing and outward Fomentations, by opiate and anodyne Substances, which both ease and relax the Fibres; and those soft Liquors should be drank plentifully not- withstanding the frequent Vomitings; for Vomiting is an Effort of Nature in order to pro- Ch. III. thro' the various Stages of Life. 407 promote the Expulsion of the Gravel, Stone, or any other obstructing Cause. Therefore Whey, and in a great feverish Heat, Butter-milk; likewise Emulsions of Barley and Poppy Seeds, Honey in Whey and Water, are all very proper Liquors for this In- tention; also a moist and soft Diet, Rest, and keeping out of a warm Feather-bed, and par- ticularly avoiding lying upon the Back. If the Pains or Convulsions be very urgent, without waiting for the Effects of other Re- medies, Opiates with due Caution ought to be given; but when the Gravel, Stone, or any other obstructing Cause is separated from the Kidneys, soft express'd Oils, and oily Substances relax the Passages; and if the Pain proceeds only from Gravel, or a Stone, then oily Substances may be safely join'd with sti- mulating Substances, as with Juice of Lemon, Juniper-Water, and some diuretick Syrup, as that of Marsh-mallow, &c. In this Case the Jolting in a Coach, and such-like Motion may be used with Advantage. If the Pain is protracted beyond se- ven Days, an Abatement of the Pain, its changing into a Beating or Throb- bing, often-returning Shiverings, a Heaviness or Numbness of the Part, are Signs that Matter is a forming, which when made will appear in the Urine; in which Case, soft and balsamick Substances are the most beneficial; for if the Matter remains long, the Case is in- curable. Progno- sticks. Cc4 Some- 408 A GUIDE to HEALTH Part III. Sometimes it happens to terminate in a Fistula, with which the Person may live many Years in no great Uneasiness. All Bal- samicks are good in Ulcerations of the Kid- neys: Likewise Butter-milk not quite sour has been deem'd a Secret in the Cure of Ulcers of the Kidneys, and Steel-waters have proved very beneficial to some; Spruce-beer is also a good Balsamick in such a Case; and soft Malt Liquors are preferable to Wines. Inflammations of the Kidneys terminate sometimes in a Schirrus, or large Stone. But a sudden Remission of the Pain, with cold Sweats, a weak and intermitting Pulse, Hick- up, no Urine, or in very small Quantity, black and fœtid, are sure Signs of a Mortifica- tion and ensuing Death. Regimen. The Regimen of those who are subject to nephritick Disorders may be in some measure collected from what has been above-mention'd; and such ought to be ex- tremely careful of the Choice of their Li- quors; for sharp Wines which abound with Tartar, are very hurtful; soft Malt Liquors, not stale, are certainly much better to be made use of, and some of the softest diure- tick Substances often mention'd already; and to avoid acrimonious Things in their Food, use moderate Exercise, and not lie too hot, soft; nor much upon the Back. Of Ch. III. thro' the various Stages of Life. 409 Of an Apoplexy. This Distemper is a sudden Sus- pension of all the Senses, both ex- ternal and internal, and a Privation of all voluntary Motion, by the Stoppage of the Flux or Reflux of the animal Spirits through the Nerves destin'd for those Motions, com- monly attended with a strong Pulse, and dif- ficult Breathing, with Snoaring, together with an Appearance of a deep and continual Sleep. Definition. The most common Causes of A- poplexies are a particular Conforma- tion of the Body, as a short Neck; for there are some Persons who have fewer Vertebræ in their Necks than others; polypous Concre- tions of the Blood, an inflammatory Spissi- tude of it, a thick, glutinous, or pituitous Blood, and a dull Inactivity of the whole Mass; a gross, plethorick, fat, or phlegma- tick Constitntion; whatever hinders the Mo- tion of the Blood thro' the Arteries of the Brain, as Tumours arising within the Cra- nium, or Polypus's, especially about the Heart, attended most commonly with an unequal Pulse, a Vertigo, and sometimes a momentary Loss of the Eye-sight; old Age, attended with a glutinous, cold, catarrhous, leucophlegmatick Constitution; for in suck the Forerunners of an Apoplexy are, Dulness, Inactivity, Drowsiness, Sleepiness, Slowness The Causes. of 410 A GUIDE to HEALTH Part III. of Speech, and giving Answers, Vertigoes, Tremblings, Oppressions in Sleeping, Night- Mares, Weakness, Wateryness, and Turgi- dity of the Eyes, a great Fulness of Blood, with its Velocity increased by Heat and vio- lent Motion, a high Diet, and Spirituous Li- quors, a partial and imperfect Circulation of the Blood towards the lower Parts; the Effusion and Pressure of any Serosity, or Blood upon the Ventricles of the Brain, which is the most common and immediate Cause of Apoplexy; violent Passions and Affections of the Mind. The immediate Fore- runners of an Apoplexy are most commonly a Vertigo, Staggering, Loss of Memory, Stu- por, Sleepiness, a Noise in the Ears, and a deep and laborious Breathing. To these may be added, Extravasations of the Blood or Serum from Contusions or Concussions, oc- casion'd by external Violence, and an innu- merable other latent Causes. The Division of Apoplexies into sanguine- ous and pituitous is of Use, but then it is not an exact and perfect Division; because there are other Kinds, viz. serous, atrabilarious, and polypous Apoplexies, &c. Prognosticks. A slight Fit of an Apoplexy is carried off by a plentiful, warm, and equable Sweat, a great Discharge of thick Urine, a Flux of the Piles, or of the Men- ses, by a Looseness, or a great Fever coming upon it. If the Apoplexy be more severe, it usually terminates in a paralytick Disorder of Ch. III. thro' the various Stages of Life. 411 of some Part of the Body, or of all one Side, which is called a Hemiplegia; or sometimes of all the Body below the Head, which is called Paraplegia, and is seldom curable, but al- ways leaves behind it a great Defect of Me- mory, Judgment and Motion. An exquisite Apoplexy soon carries off the Patient; it is seldom known that they live beyond the se- venth Day. The Cure is to be varied ac- cording to the Difference of the Causes; for if occasion'd by a cold phlegmatick Cause, we ought immediately to endeavour that the Pressure of the glutinous Siziness may be diverted from the Head, by Derivation into other and opposite Parts, and universal Evacuations: for this Intention, Blisters, Causticks, Frictions, Ligatures, Anti- phlegmaticks, sneezing Medicines, and all sharp and stimulating ones are to be used, as Emeticks, strong Purges, and sharp purging Glysters. Yet in the Use of all these the Mischief is oftentimes increased, the Matter being there- by more violently moved and afterwards fix'd, and the Strength sinking under the Evacua- tions; therefore in endeavouring a Resolu- tion, we ought to insist upon Evacuations and Revulsions, as much as the Case will bear; whence the Rule of Hippocrates, Bleeding except it relieves, kills; and Celsus says, that it kills or cures. But if the Apoplexy pro- ceeds from a hot Cause, and that the Dis- The Cure va- rious. temper 412 A GUIDE to HEALTH Part III. temper seems inflammatory, then presently take a large Quantity of Blood out of the Jugular Veins, and repeat it as often as there is Occasion; by which, if the Distemper is curable, some Relief will arise. A Loose- ness is by all means to be promoted, and we are to give Diluters, Attenuants and Diure- ticks at the same time, keeping the Patient as much as we can out of Bed, especially from lying down. As the Applications in the Fit are of a medicinal Kind, it being too acute a Disease to admit of any Helps from Diet, yet that may be of great Use for Prevention; there- fore a thin, slender, cool, and regular Diet, opposite to the particular Symptoms above- mention'd, will be useful; so that the Regi- men is to be varied according to the Cause of the Disease, which may be collected from the Constitution of the Patient in these Apo- plexies, which depend upon a sanguineous Cause; the Regimen prescrib'd in a sangui- neous Constitution, in Part II. of this Trea- tise is proper. Fat and phlegmatick People, who are very subject to this Distemper, ought to give Attention to the Rules set down in the same Place, in their Case; and as there are Apoplexies from inveterate Gouts, the Re- gimen of such must be different from both, as I shall explain hereafter in treating of the Gout, the Intention being to translate the Gouty Matter upon the Extremities of the Body: and all those who have a Disposition to Ch. III. thro' the various Stages of Life. 413 to this Distemper, ought never to go to Bed with a full Stomach, nor to lie with their Head low. CHAP IV. Of Chronical Distempers. Of a Palsy. A Palsy is a Resolution or Relaxa- tion of the nervous Parts from their natural Tone, by which means their Motion and Sense, either one, or both, all over the Body, or in some particular Part or Parts, are impair'd, so as to be unable to exert their natural Functions. Definition. The best Rules of Diet in this Disease are taken from the Know- ledge of its Causes; for whatever stops either the Flux of the Spirits, or that of the Blood to any Part, induces a Palsy, for both are necessary for Sensation and Motion; such are all the Causes of an Apoplexy, an Epilepsy, extreme and lasting Pains, the Suppression of usual Evacuations, either natural or mor- bid, Translations of diseased Matter in acute Distempers, whatever distends, distorts, com- presses, or contracts the Nerves; strong and The Causes. strait 414 A GUIDE to HEALTH Part III. strait Ligatures, Luxations, Fractures, any Inflammation in the Integument, or mem- branaceous Sheath of a Nerve, especially in the Plexus, where they are tied together; likewise serous Defluxions, Excess in astrin- gent Aliment, chiefly unripe Fruits, drink- ing too much warm Water, is weakening and relaxing; also Excess in Tea or Coffee; extreme Heat or Cold, poisonous Fumes of Arsenick or Mercury. This Distemper is more or less dangerous according to the Cause, or the Extent and Seat of the Disease; for when the original of it is in the Brain, it is most dangerous; when it seizes the Heart or Organs of Breathing, it is fatal; because Life cannot be continued a Moment without the Use of those Parts. Difficult to cure. A Palsy succeeding an Apoplexy, Convulsions, the Colick, and other Affections of the Brain or nervous System, if it does not grow better in a little time, or give Way to Medicines, it commonly remains incurable. Regimen. The Regimen in this Distemper should be warm, attenuating, con- sisting of spicy and cephalick Vegetables, such as produce a feverish Heat; because such are necessary to resolve the Viscosity of the Fluids. Of such as consist likewise of an acrid, volatile Salt and Oil, as Mustard, Horse-Radish, &c. stimulating by Vomits, sneezing, relaxing the Belly by purging, and diluting strongly at the same time, promoting Sweat 415 thro' the various Stages of Life. Ch. IV. Sweat by such Motions as can be used, or other Means, and strong Frictions are here very useful; but Bleeding is to be used or omitted according to the Symptoms which affect the Brain: It relieves indeed, in any inflammatory Disposition of the Coat of a Nerve, yet it is not convenient in general for all Persons; for some Paralyticks are cold, and others of a hot Constitution; therefore Remedies ought to be of a different Kind, as is usual in the Scurvy itself. The most noted Medicines in this Case, are of Vipers, Amber, Earth-worms, Wood- lice, Emets, Antimonials, Mercurials, Steel Preparations, the Antiscorbutick Juices, with compound Horse-radish Water, and Juice of Oranges, Gum Guaiacum, Tincture of Amber, Spirit of Hartshorn with Amber, Bezoar Mineral, &c. And externally, Fo- mentations, Liniments, Cupping-glasses, Bli- sters, nettling the Members affected; also putting the relax'd Part into Grains, after the Wort is drawn off, or into the Belly of a Beast newly killed; or lastly, an artificial or natural Bath, as that in Somersetshire; like- wise Issues and Setons are proper in this Case. Of an Hemiplegia and a Paraplegia. A Hemiplegia is when only half of the Head, and of the rest of the Body on that Side is affected, after the manner of an Apo- plexy. A 416 A GUIDE to HEALTH Part III. A Paraplegia or Paraplexia, is, when the whole Body, except the Head, is affected by reason of the Spinal Marrow's being ob- structed; and more commonly this and a Hemiplegia are secondary Distempers, tho' sometimes they are primary; Sense and Mo- tion, or both, are either entirely lost, or much impaired. When either of those Distempers imme- diately follow an Apoplexy, Epilepsy, and o- ther Diseases, they are commonly called Pal- sies; but a Palsy is a different Distemper, as plainly appears by what has been said of it already. The Cure. Vomiting and purging are proper in all Paraplegia's, to cleanse the first Passages; and Bleeding is necessary in plethorick Bodies. In the next Place Sudo- risicks are very useful, mix'd with Specificks; a Decoction of Sassafras with Rosemary and Juniper-Berries is very proper; and for the rest of the internal Medicines for the Cure of these two Distempers, use those directed in an Apoplexy and Palsy. A Fomentation made with a Decoction of Emets and their Hillocks in common Water, used every Day to paralytick Limbs, often proves very bene- ficial, and sometimes procures present Re- lief, by restoring the Parts to their natural Strength. Of 417 thro' the various Stages of Life. Ch. IV. Of the Epilepsy or Falling-sickness. An Epilepsy is a Convulsion or convulsive Motion of the whole Body, or of some of its Parts, with the Loss of both internal and external Senses, attended with violent Concussions and reciprocal invo- luntary Motions of all or some of the Muscles, with alternate Rest, and new Insults thereof. It is called the Falling-sickness, because the Persons affected with it fall suddenly upon the Ground. The Definition. The Causes of this Distemper are various; sometimes an hereditary or Family Disposition from Parents; a sudden Fright of the Mother when with Child of the Patient; an ill Affection of the Brain by Wounds, Bruises, Blows, or Con- tusions; Abscesses, acrimonious Serum, bony Excrescencies of the Inside of the Skull, its pressing down upon the Brain; Inflammation, Corruption, or Corrosion of the Meninges or Membranes of the Brain; Repletion or Ful- ness, Heat, Drunkenness, intense Study, Ter- ror; all violent Affections and Irritations of the Nerves in any Part of the Body; especially by acrimonious Things in the Stomach or Bowels, by Worms, by Teething, and Aci- dity in the Stomach in Infants; by some Contagion or purulent Matter after acute Diseases; likewise by Suppression of usual Evacuations, as the Menses, Piles, and Urine, &c. also by hysterical Affections contracted The Causes various. Dd by 418 A GUIDE to HEALTH Part III. by Accidents in Lying-in; and often by too great Inanition or Weakness, occasioned by want of due Nourishment; by Fragments or Splinters of Bones, or sharp Instruments hurting the Meninges or Brain, or Quicksilver carried thither any how; by the Caries of a Bone, black Choler, or venereal Ulcers cor- rupting or corroding the Meninges or any Part of the Brain. Hence it is evident, that different Medi- cines and different Indications are requisite to cure this Disease, according to the known Variety of the Cause, the peccant Matter, and the Place to which the Remedy ought to be applied, and by which the Evil is to be eradicated: Hence likewise is sufficiently ex- posed the Vanity of the celebrated Specificks and Methods, which boasting idle People do brag of in this Disease. And it is also evident, that the proximate Cause of all true Epilepsies is always the too great Action of the Brain upon the Nerves serving for Motion, and the Privation of that in the Nerves dedicated to Sensation; and that the Causes which create the reciprocal Paroxysms are many in Number and Va- riety. The Cure. The Intentions in the Cure of this Disease must be different, ac- cording to the Cause, as I have just now ob- served: Bleeding and plentiful Evacuations, when there is a Plethora or inflammatory Dis- position in the Brain, are necessary; and Ali- ments Ch. IV. thro' the various Stages of Life. 419 ments that are without Acrimony, demulcent, avoiding every thing which stimulates, and taking such Things as are opposite to the par- ticular Acrimony that causes the Distemper; relaxing the Belly without irritating. In acute and periodical Pains to take anodyne Sub- stances; but if the Disease be the Conser quence of an hysterical Disposition, a warmer Regimen is necessary, in which Case anti- hysterick Medicines are proper. If the Cause is in the Stomach, generally Anti-acids re- lieve; if they are not flatulent or windy, se- veral have been cured by a Milk Diet; but in Case of Acidity in the Stomach it will do Harm. When the irritating Cause is in some outward Part of the Body, it is proper to e- radicate it by Suppuration; if it proceeds from Gnawings and Irritations of Worms, Teeth, sharp Humours turning Milk sour and curdled like Cheese, or any other Acid in Infants, Diacodium or Diascordium given them unseasonably, or the Contagion of the Small-pox in the first State: Hence the tes- taceous Powders, Anodynes, Paregoricks, An- tihystericks, all Medicines against Worms, and a seasonable Cutting of the Gums, and car- rying off the acrimonious Matter from the Bowels by gentle Purges; then all these, I say, become, by their Operation, Anti-epilep- tick Medicines. But if the Cause proceeds from a Stoppage of the usual Evacuations, as the Menses, Cleansings in Women, the Piles, or Urine, &c. Dd2 it 420 A GUIDE to HEALTH Part III. it may be remedied by dissolving the viscid Matter, and opening the Obstructions: In this Case Blisters, Issues made with Causticks, Steel Preparations, forcing Medicines, such as provoke the Menses and open the Piles, and Diureticks are all proper. An Epilepsy from Inanition or Weakness may be cured by a nourishing Diet, easy of Digestion, and a proper Use of nervine Me- dines; and the following are reckon'd amongst the anti-epileptick Specificks; Native Cinna- bar, Wild Valerian, Male Piony Roots and Seeds, Flowers of Lilies of the Vallies, Seeds of Rue, Misletoe of the Oak, Castor, Cam- phire, Rosemary, Earth-worms prepared, the Gum and Wood of Guaiacum, the Salt and Oil of Amber, Peacocks Dung, with a great many more too tedious to enumerate in this Place. Epilepticks ought to breath in a pure Air, untainted with any Steams, even such as are very fragrant; and their Diet should be nou- rishing, of easy Digestion, avoiding Hogs Flesh, Water Fowls, and all Vegetables that are pungent, windy, and, generally speaking, all Fruits, especially Nuts; they should use but little Wine, and none if they have not been accustomed to it; they ought not to turn round nor stand on Precipices, to keep regular Hours for Eating and Sleeping, for every unusual Thing is a Stimulus: But of all Things, the most necessary is to avoid the Occa- 421 thro' the various Stages of Life. Ch. IV. Occasions of violent Passions of the Mind, and keeping themselves chearful. Of Melancholy Madness. That Disease is called by Physicians a Me- lancholy, under which the Patient labours long, and is obstinately delirious without a Fever, and always intent upon one and the same Thought. This Disease arises from that Malignity in the Blood and Humours, which the Ancients have called Black Choler; and tho' this Dis- ease begins in the Mind, yet it renders the Choler black in the Body very soon. It will be therefore necessary to give a small Sketch of this wonderful Disease, the Doc- trine of which is supposed to be so obscure, that Antiquity is unjustly blamed for it. If the most fluid Parts of all the Blood be dissipated, and leave the less moveable united in the Body, then will the Blood become thick, black, fat, and earthy; and this Defect is called by the Name of an atrabilarian Humour, or melancholy Juice. The Cause whereof is whatever expels the most fluid Parts of the Blood, and fixes the rest: A violent Exercise of the Mind; the dwelling Night and Day upon one and the same Object; a constant Wakefulness; great Motions of the Mind, whether Joy or Sorrow; great and laborious Motions of the Body, often repeated, chiefly in a very hot and dry Air; to these may be The Causes. Dd3 refer'd 422 A GUIDE to HEALTH Part III. refer'd immoderate Venery; rough, hard, dry, earthy Aliments, long used without Motion or Exercise of the Body to digest them; the like Drink; Parts of Animals dried in Smoak, Air, or Salt, chiefly of old and tough ones; unripe Fruits, and mealy and unfermented Substances; astringent coa- gulating, sticking, and cooling Medicines, and slow Poisons of the same Nature; hot Fevers hanging about long, often returning without a good Crisis, and going off without the Help of diluting Means. When this Evil, already bred in the Blood, and produced by the abovementioned Causes, does yet infect equally all the circulating Mass of Humours, it will produce some Diseases, which will appear immediately, and are most- ly as follow: The Colour of the Patient in- ternally and externally is first paler, yellower, and more tawny; livid, black with like Spots; the Pulse flower; the Circulation through the Blood-vessels free, more sparing through the Side-vessels and less free; hence a slower, less, and thicker Separation of all the secretory and excretory Humours, and a less Wasting of them; a lessen'd Appetite; a Leanness, Sorrowfulness, Love of Solitude, all the Affections of the Mind violent and lasting; an Indifferency to all other Matters; a Laziness as to Motion, and yet a very great and earnest Application to any Sort of Study or Labour. Its Ch. IV. thro' the various Stages of Life. 423 Its Matter therefore is the Earth and thick Oil of the Blood united and closed up toge- ther, which is worse in its Effects, and more difficult to cure, according to its Degrees of Fluidity, Softness, Dryness, Thickness, inti- mate Mixture, and Time of being so. Hence the Diagnosticks and Prognosticks are plain enough, and the Rationality of the Cure does also occur easy enough from these Principles. Thus far I have transcribed the learned Boer- haave's Sentiments of this Distemper. The atrahilarian Constitution, or a black, viscous pitchy Consistence of the Fluids, which most frequently produces this Disease, makes all the Secretions difficult and sparing; the Intention therefore ought to be to render the Humours fluid, moveable, and carry them out of the Body, especially the Bile, which is viscous; but Sudorificks are not here so pro- per, because they thicken. Therefore the Diet prescrib'd, Chap. VIII. Part II. in an atrabilarian Constitution, is very proper in this Case, to which I refer the Reader. The learned Author just now mentioned relates an Instance of a Patient, who, by a long Use of Whey, Water, and ripe Garden- Fruits, evacuated a great Quantity of black Matter, or Choler, and recover'd entirely his Senses. Cold Bathing, and especially a sud- den Immersion into the Sea, has produced very good Effects by acting upon the Nerves and Spirits. Dd4 Madness 424 A Guide to Health Part III. Madness proceeding from a Plethora, or too great Fulness in young, strong, hale Peo- ple of a hot Constitution, is cured by plenti- ful Bleeding, Purging, Vomiting, and other Evacuations, with Diluters; and the Weak- ness which succeeds Madness requires a more refreshing and warm Diet, and especially the Use of Chalybeat or Steel Waters. If this Distemper continues long, it pro- duces Foolishness, Epilepsies, Apoplexies, fu- rious Madness, Convulsions, Blindness, won- derful Fancies; for some will imagine them- selves to be Beasts, or to be earthen Vessels, or they will fancy themselves dead; others will crow like a Cock, believing themselves to be such a Creature; others laugh, sing, cry, sigh, groan and belch; others obstinate- ly refuse to eat any Victuals, as believing they are actually dead; some think themselves Kings, Prophets; others a Grain of Wheat, Grass, or Wax: Sometimes they have great Evacuations of Urine, clear like fair Water; at other times very thick; a Retention, mulation, and often a sudden Excretion of bloody Fæces in the Vessels of the abdominal Viscera or Belly; an obstinate Costiveness, with a thin and frequent Spitting, and they can endure to be without Sleep, Aliment, or Fire, even to a Wonder. This Distemper grows worse upon taking Medicines that weaken and evacuate roughly, or such as put the Fluids into a violent Mo- tion; therefore the curative Indications will be Ch. IV. thro' the various Stages of Life. 425 be to bring the Fluids of the Brain and Nerves into a good Order; by withdrawing, first, the Mind from the usual Object to others contrary to the same, and raising art- fully, if possible, another Passion of the Mind, contrary to the melancholy one; by siding sometimes with them in their false and de- prav'd Fancies, or often opposing the same with great Force. Secondly, By opening, softening, inciding, and stimulating the Obstructions, or the Cause, or the EfFects of a false Imagination, with Mineral Waters, Whey, Water and Honey, Splanchnick, Hepatick, or Anti-hypo- chondriack Medicines and Decoctions; like- wise Waters made with the Addition of lixi~ vious or compound Salts, especially Nitre; also loosening Mercurials, Vomits, Motions, Exercise, and Riding; and Medicines which cleanse and purge the Womb, or the Piles, Bathings, Ointments and Plasters, and easing the Symptoms by Bleeding, plunging into cold Water, and using Carminatives and Opi- ates sometimes. Of Madness from the Bite of a Mad Dog, or any other Creature, called Hydrophobia. The Fury or Madness mostly proceeding from the Bite of Mad-Dogs is call'd Dog- Madness; and from that terrible Symptom of dreading Water, an Hydrophobia. It 426 A GUIDE to HEALTH Part III. It almost ever arises from other Animals, which were first mad, and that by Contagion; tho' also sometimes of its own accord in some acute Fevers, as has been observed, and is well attested. Almost all sorts of Animals may be affected with this Evil, and by their Contagion infect others, and even Men. Dogs, Cats, Wolves, Foxes, Horses, Asses, Mules, Oxen, Sows, Monkies, Turkey-cocks, and Men, all these being first mad themselves, have communicated the same Madness to others; but it is common to none so fre- quently as to Dogs, Wolves and Foxes, and it invades these chiefly from inward Causes, without catching it from any others. A hot Country, open and exposed to vio- lent Heats, or to very cold raw Weather; hot and dry Weather long continued; the living upon rotten, stinking and worm-eaten Meat; Want of Drink; Worms grown in the Kidneys, Guts, Brain, or the Inside of the Nostrils; all these are preceding Causes of Madness in Animals just now mentioned. The Symptoms of a Person infected with this Poison, after different Distances of Time, are much in the following Manner: The Place where he was bit pains him; then fol- low wandering uncertain Pains in other, but chiefly the nearest Parts; a Weariness, Hea- viness, and Slowness succeed in the whole System of the Muscles; his Sleeps are disturb- ed, uneasy, all with Frights, Convulsions and Catchings in the Tendons; he is continually restless, Ch. IV. thro' the various Stages of Life. 427 restless, sighs, looks dejected, and affects to be alone; and it is much after this Manner that this Disease begins and finishes its first Stage. Then all the foregoing Symptoms are in- creased, and there follows besides a prodigious Narrowness and Pressure about the Heart and Chest, Breathing is difficult, and accompanied with Sighs; he frequently shakes all over; his Hair stands an end, and trembles all over at the Sight of Water, or any sort of Liquors, or even at the Sight of transparent Things, or reflecting like Looking-Glasses; he loses his Appetite entirely, yet he can swallow any thing that is very dry and solid: The Touch of any Moisture, chiefly with his Lips or Tongue, creates an incredible Anguish, Tremors, vio- lent Convulsions, and a Raving; he vomits tawny glewish Choler, or green, like Leeks; he grows very hot, feverish, sleepless; is trou- bled with a Priapism; and he thinks disor- derly of Things quite foreign and unusual. Thus it goes on, and here ends its Second Stage. But afterwards every thing grows constant- ly worse; for he soon lolls out his rough and dry Tongue, gapes wide, speaks hoarse, has a great Drought, grows raving and fu- rious at every Attempt to drink, and at the Sight or Touch of all Drinkables and Liquors; he gathers Froth in and about his Mouth, endeavouring the spitting of the same upon the By-standers, and that even against his Will; bites and snaps at every thing within his 428 A GUIDE to HEALTH Part III. his Reach, and that likewise involuntarily, nor yet to be witheld from those; he gnashes his Teeth with Froth, snarling like a Dog; his Pulse and Breathing begin to fail, cold Sweats break out on all Sides; he raves in the highest Degree, notwithstanding which he is all the while sensible, and is afraid that he shall unwillingly hurt the By-standers. Hence you may always reckon upon his dying (within the fourth Day from the first State of his Illness, convulsed with a most terrible Anguish upon drawing his Breath. As Brevity, and the want of Leisure and Room at present, oblige me to proceed to the Method of Cure without any farther Disqui- sition about the Nature of this dreadful Con- tagion, I present the Reader with the follow- ing short, easy, and in all Probability the most infallible Method hitherto discover'd. A French Physician of the University of Bourdeaux, and a Gentleman of Note and great Merit in his Profession, has publish'd a Treatise * some few Years ago, in which there is a Dissertation on the Hydrophobia, wherein he candidly communicates a very rational Method of curing this terrible Con- tagion, after a new and easy manner, of which he has made several Trials, and always with the desir'd Success, as may be seen in his own Treatise at large; therefore as this Remedy * Dr. Desault's Treatise translated from the French, by John Andree, M. D. and printed for John Clarke, under the Royal-Exchange, Cornhill, 1738. Ch. IV. thro' the various Stages of Life. 429 Remedy he proposes (in all human Probabi- lity,) may prove successful and certain, (at least it bids the fairest of any hitherto known in the Art of Physick for that desirable End) I thought proper and necessary to communi- cate the same to my Readers, in order to impart it to all their Friends and Acquaint- ance. The Remedy consists of a Powder called Palmarius's Powder, and an Ointment made in the following manner. The Powder. Take of the Leaves of Rue, Vervain, Sage of Virtue, Plantane, Polypody, common Wormwood, Mint, Baum, Betony, St. John's Wort, lesser Cen- taury and Coraline, of each equal Parts; mix them, and reduce them to a Powder. The Ointment. Take one third Part of Mercury reviv'd from Cinnabar, one third Part of hu- man Fat, and as much of Hog's Lard, mix all very well till all the mercurial Globules disappear. Here I give you the Author's Method in administering the Powder and Ointment in his own Words. 'I 430 A GUIDE to HEALTH Part III. 'I order one Dram of the Powder (says he) 'in White-Wine every Morning; and 'Persons of the fair Sex, who cannot bear 'Wine, take it in a Draught of warm Wa- 'ter. 'In this Method I continue 30 Days with 'those who have been bit in an uncover'd 'Place, or have receiv'd some considerable 'Wound by the Bite; but to those who have 'been bit in a Place that was cover'd, and 'had only a few Holes made with the Teeth, 'I give the Powder only 20 Days. 'From the first Day of using the Powder, 'I make them administer a Friction of one 'or two Drams of the Ointment upon the 'Wound and neighbouring Part, and spread 'the Ointment all over the Part that was 'wounded. 'The Friction is repeated every other Day 'in the beginning, and after the third time, 'every third Day; after the 6th, every 4th, 'till two or three Ounces of the Ointment 'have been used; the Quantity of which 'ought to be proportion'd to the Strength, 'Age, Temperament, Sex, the Bite, &c. 'But when the Patient comes to me seve- 'ral Days after the Bite, for fear of Acci- 'dent, and to prevent the Rabies or Mad- 'ness, I order to make the Frictions every 'Day to four or five times, and increase the 'Dose of the Powder sometimes to half a 'Dram; afterwards I leave a Day or two be- 'tween to avoid a Salivation, which might 'ensue Ch. IV. thro' the various Stages of Life. 431 'ensue from the daily use of the Ointment, 'altho' but a particular Friction. 'In the last Place, I let him keep his 'usual Meals, forbidding him all Excess; for 'Experience proves, that they increase all 'other contagious Distempers. I let him 'drink Wine with moderation: I take Care 'that they be not left alone, and desire their 'Relations and Friends to keep them Com- 'pany, forbidding them to mention Madness 'to them, or mad Creatures. A more circumstantial Account of this Method may be seen in the Author's own Observations, to which I refer the Reader; but here I cannot omit observing, that if 20 or 30 Grains of native Cinnabar were added to every Dose of the Powder, the Cure might be thereby perform'd with much greater Certainty. As for his directing to make the Ointment with human Fat, &c. it is need- less; for the common strong salivating Oint- ment, which is always ready prepar'd in the Shops, is every bit as good, if not better. The Experiments of the ingenious Dr. James seem to confirm the Efficacy of the above Method, at leasst that of Mercury, in curing the Bite of a mad Dog; wherefore I beg leave to transcribe Part of the Conclusion to his New Method of preventing and curing the Madness caused by the Bite of a mad Dog, laid before the Royal-Society, 1741. 'Firft I would (says he) rub into the 'Place wounded as soon as possible, a Dram 'of 432 A GUIDE to HEALTH Part III. 'of the Ointment recommended by Desault. 'I would then give Turpeth Mineral by 'Way of Vomit, in a Dose proportion'd to 'the Age and Constitution of the Patient; 'and this I would repeat more than once, at 'Intervals, which would secure it from rais- 'ing a Salivation, always remembring to rub 'the Wound once in a Day, or oftener, with 'the Mercurial Ointment. 'But when thro' Neglect, any Symptoms 'of approaching Madness should appear, I 'would increase the Quantity of Mercurial 'Ointment, and give Mercury in some Form. 'or other internally, in as large Doses, and 'those as often repeated as could be done, 'without hazarding the Patient by a Saliva- 'tion too precipitate. 'In both Cases I would recommend the 'Cold-Bath, as a Thing of great Conse- 'quence, as soon as ever the Patient can 'make Use of it without Danger; but in 'this Case, as in all others, many accidental 'Circumstances will occur, for which it is 'impossible to lay down universal Rules; it 'must therefore be left to the Prudence of a 'Physician to guard against, and remedy In- 'conveniencies arising from particular Acci- 'dents. Of the Scurvy. It is impossible to define this Distemper by Words, containing any simple or distinct Idea; for it is rather a Name used to signify a Ch. IV. thro' the various Stages of Life. 433 a Multitude of Symptoms, different and sometimes opposite in their Causes and Cures. It is a Disease affecting the Inha- bitants of cold Countries, and a- mong those, such of them as inhabit marshy, fat, low, moist Soils, near stagnating Wa- ters, fresh or Salt; and it invades chiefly in the Winter Season, such as lead a sedentary Life, or live upon salted and smoaked Flesh and Fish, or Quantities of unfermented mealy Vegetables, and drink bad Water; and likewise such as are Hysterical or Hypochon- driacal, and sometimes such as have taken. great Quantities of the Bark, without pro- per Evacuations; so that from these Causes the best Rules for Prevention may be taken. The Cause. The Symptoms of this Distemper are a spontaneous Lassitude or Sensation of Weari- ness, being unrefreshed by Sleep, laborious Breathing upon small Motion, cold Swellings in the Legs, going off and returning; some- times Paleness, or a livid Colour in the Face, Spots on the Skin of various Colours, as red, violet-colour'd, yellow, or livid; oftentimes an ill Smell in the Mouth, and of the Breath, painful and bleeding Corrosions of the Gums, and by these Means the Teeth grow bare and loose; Fluxes of all Sorts, untractable Ul- cers, especially in the Legs, with a gangre- nous Appearance in the Skin; the Itch, dry and crusty Eruptions, and sometimes a small Degree of Leprosy; the Blood when taken away is black, grumous, and the red Part Ee without 434 A GUIDE to HEALTH Part III. without a due Consistence; the Serum very salt, and of a yellowish green; wandering Pains in the Limbs, increasing when warm in Bed, and sometimes a feverish Heat. These Symptoms arise from a bad Tem- perature of the Blood, either too thin, or too thick, being of a saline Constitution, either from an acid, alkaline, or Muriatick Cause, which requires very different and oftentimes contrary Remedies; for which Reason, See Part II. Chap. VIII. where I have treated of acid and alkaline Constitutions. The Scurvy of Seafaring People is generally cur'd by Acids, such as all Sorts of ripe Fruits, Lemons, Oranges, Butter-Milk; but all alkaline Spirits do harm; and acid Spirits, as that of Salt and Nitre are proper for them. If the Symptoms are attended with an ill Smell of any kind, either in the Mouth, Breath, or Urine, with Drought, Heat, Bleeding of the Gums, or of any kind, such a Disease will be cur'd by the Use of Acids, and none better than Whey; and in this Sort of Scurvy Steel Waters are commonly effectual. But if the Scurvy be muriatick or briny, occafion'd by a Diet of sait Flesh or Fish, the Plants commonly called Antiscorbutick, as Water-cresses, Scurvy-grass, and Brooklime, may be taken with Success, but always mix'd with Acids, as the Juice of Lemons and Oranges; and all the Pot-Herbs which are antiacid, as describ'd in Part II. Chap. VI. are a proper Diet in this Case; but if there be 435 thro' the various Stages of Life. Ch. IV. be a high Degree of Heat and Inflammation, all the hot Antiscorbuticks will be very im- proper. When a Patient is pale, cool without Thirst, with pale or natural colour'd Urine, and has made Use of an acescent Diet for any- time, that the Eruptions are not of a high inflammatory or livid Colour, then the warm Antiscorbuticks, animal Food, and Salts are necessary. In the Scurvy great Attention should be always given to the Condition of the Mouth, Gums and Teeth, from which the Nature and Degree of the Distemper may be pretty Well known. All sharp and strong Purges injure scorbu- tick Constitutions; but Lenitives are of great Service, and Bleeding is not proper, unless where the Symptoms are urgent and inflam- matory. Of a Cachexy, or ill Habit of Body. A Cachexy is so called from an ill Habit of the Body. It proceeds most commonly from the Intemperance of the Person, or the ill Cure of some preceding Disease; from a scirrhous Tumor of the Li- ver or Spleen, or from a too long and pro- fuse Flux of the Piles, or other Fluxes; from long continual Fevers, or intermitting Fevers ill cur'd; from a Surfeit, or too plen- tiful use of spirituous Liquors; from the Causes. Ee2 Green- 436 A GUIDE to HEALTH Part III. Green-Sickness, from an Obstruction, or too great a Flux of the Menses; from Aliments of unfermented mealy Substances, as Pease, or such as are coarse, fibrous, fat, sharp, watry, and rough; from Bodies that cannot be digested at all, as Clay, Cinders, Chalk, Sand, Tobacco-pipes, Lime, &c. from a Defect of animal Motion in lazy and idle People, and such as sleep too much. Signs. The Diagnostick Signs are a Paleness of the Face, with a livid, yellow, greenish, or ruddy Colour; and frequently with a tumid or bloated Habit of Body, a Sluggishness; there is also often a slow Fever, scarce perceivable by the Person that has it. Cure. The Cure is to be begun with a Vo- mit; but before a Vomit it will be ad- viseable to make use of saline Dlgestives to dissolve the Viscidities, as Cream of Tartar, vitriolated Tartar, Salt of Wormwood, Tin- cture of Salt of Tartar, Elixir Proprietatis with Tartar, and the absorbent testaceous Powders; but if an Emetick be not judged convenient in the Beginning, a Purge may be given, and repeated as need requires; and then after these Things have been done, we may advantageously proceed to the Use of Chalybeats, and Fuller's Ecphratick Mixture is a powerful Remedy in this Disorder. This Distemper sometimes disposes to Con- sumptions, Bloatedness, and Dropsies, and is attended often with Palpitations of the Heart; therefore 437 thro' the various Stages of Life. Ch. IV. therefore the Rules of Diet must be drawn from the Nature of the Symptoms. Of a Consumption. A Consumption is commonly defined to be a Wasting of the whole Body, arising from an Ulcer of the Lungs, but not justly; be- cause I have open'd the Bodies of several who died of this Distemper, whose Lungs I found without Ulcers, but full of Tubercles, Stones, and fabulous Matter; wherefore a Consump- tion is better defined to be a Wasting of the whole Body from a bad Conformation of the Lungs. Willis Pharmaceut. Rat. Part II. Sect. I. Chap. 6. A Consumption, or Marasmus, is a Wasting of the whole Body, or some of its Parts, aris- ing from a Distemperature of the Fluids, or from their Defection, or an unequal and dis- proportionate Heat. Dr. Christopher Bennet, in his Theatrum Tabidorum, translated by Quincy, Page 135. By these two last Definitions we see, that an Ulcer of the Lungs is neither the Ante- cedent, nor Concomitant Cause of a Con- sumption, but only a Symptom, as will evi- dently appear presently, in a few Passages ab- stracted from a Dissertation of a modern Au- thor *, supported by Reason and Observation, the surest and best Guides: afterwards I give the Reader his Method of curing this Di- Ee3 stemper, * Dr. Desault's Dissertation upon Consumptions. 438 A GUIDE to HEALTH Part III. stemper, which I found in many Instances to answer the Intentions he proposes. Before I declare the Causes of a Consump- tion (says he) I thought proper to give a Description of them in behalf of such as are not of the Profession who may read this Disser- tation. A Consumption attacks Youth sooner than other Ages; that is, from 18 till the 35th Year it makes its principal Havock. Hippocrates, Aph. 9. Sect. 5. Not that the other Ages are exempted from it, since we see consump- tive People under and above the Time set down in the Aphorism; but not so often. 1. Those who have a narrow Chest, a long Neck, high Shoulders, like Birds Wings, are most subject to it; of those Hippocrates speaks in his first Book of Epidemicks. 2. Those who have the Misfortune of be- ing born of consumptive Parents are very subjed to it; for this Distemper has this in common with many others, that it is propa- gated by Inheritance. 3. Such as are obliged to live with con- sumptive People, to wait on them, may con- tract it, if they are any ways inclin'd to it, for it is contagious; thus Women who attend their consumptive Husbands catch it of them, and Husbands of their Wives. The Disorder manifests itself, and makes its Progress in the following manner. The Patient seems to have a Cold, he is seiz'd with a dry Cough, which fatigues him most at 439 thro' the various Stages of Life. Ch. IV. at Night: Afterwards he brings up a well- digested Phlegm of a sweet Taste. Nevertheless as this Cough continues, as it exceeds the Bounds of a common Cold, as it goes daily increasing, as the Patient's Legs are observ'd to waste, and the rest of the Body in Proportion, as his Colour changes, and he grows pale and yellow, as the Phlegm changes Taste, and becomes a little bitterish, as some small Quantity of Blood is mix'd with it, as a slow Fever associates with it, with a Pain in the Breast, and in short, when he is at the Brink of the second Stage, he is frighted, and very much alarm'd. Besides these Symptoms which Authors have taken Notice of, and which establish the first Degree, I have always found a con- siderable Disorder in the Liver, so that an Obstruction in this Bowel plainly appear'd from its Hardness, and sometimes a great Pain. I am surpriz'd to see, that Authors have not taken Notice of this, which how- ever is a Symptom deserving of great At- tention, since it is of great Importance for the Discovery of the Cause of Consumptions, and of the Agreeableness of the Remedy I have to propose. Notwithstanding all the Remedies, Se- crets, and other Specificks, the Patient grows worse, and comes to the second Stage, which makes itself known by the Cough being stronger and more frequent by Night, by Night Sweats, which fatigue and drain the Ee4 Patient, 440 A GUIDE to HEALTH Part III. Patient, by the Quantity of Blood in his Spit- ting, and lastly he comes to spit Matter. The Leanness to which he was reduced by the first Degree, increases considerably in the second; the Fever, stronger and more violent, has even some Returns, with cold Shiverings, which encourages his taking the Bark regu- larly, to stop at least the Returns complicated with the slow Fever, and to continue the Medicines to heal the Ulcer, the Existence of which is no more to be doubted. His Nails grow crooked, and the Distemper, be- comes contagious in this Stage. Let us observe, that it is not always ne- cessary the Patient should spit Blood, to die consumptive; neither is it even necessary for the Patient to spit Pus to determine the Exis- tence of a Consumption, as I shall prove by Observations made at the opening of con- sumptive Bodies. The Cough, the Spitting of certain Phlegm without Blood or Pus, the Wasting, the nocturnal Sweats, and last- ly a Looseness, put an End to Life, it not being essential to this Distemper to spit Blood or Pus. The Patient at last comes to the third Stage; his Leanness is at the last Period; he resembles a Skeleton covered with a human Skin, which is hard, wrinkled, and rough; his Breath smells strong, and what he expec- torates stinks so that he loaths it; he brings up almost pure Matter, and his Life termi- nates with a Looseness. Let Ch. IV. thro' the various Stages of Life. 441 Let us now speak of the Causes of a Con- sumption: We shall divide them into con- comitant and antecedent. The concomitant Cause of a Consumption, I say, consists in Tubercles and Concretions form'd in the Sub- stance of the Lungs, and which are spread thro' its Lobes. These Concretions are like Hail-stones, and of different Dimensions. These Tubercles in the Lungs are real, and fall under the Cognizance of the Senses, and are no Supposition invented by a System- monger, to explain the easier his Hypothesis. That great Observator Hippocrates speaks of them in his Book de Morbis: He makes them of two Sorts; some crude, which do not suppurate; and others which suppurate, and leave an Ulcer. Etmuller, who has compiled the Opinions of the Moderns, has a whole Chapter de Tuberculis Pulmonum, Lib. II. Part. II. Cap. 8. p. 436. Read Morton's Book upon Consumptions, he never open'd a consumptive Body where he did not find them: He mentions them in almost every Passage; he imputes to them all the Disorder, and thinks they are the Source of all the Symptoms of a Consump- tion. Bonetus, in his Practical Anatomy, Lib. 2. Sect. 7. proposes several Observations collect- ed from Dissections of Bodies, where the Tu- bercles have been deemed the true Cause of a Consumption, and the Pus and Ulcers only as 442 A GUIDE to HEALTH Part III. as the Consequence of these same Tubercles suppurated and degenerated into Ulcers. But why should we look for Proofs in An- tiquity, why employ the Evidence of Fo- reigners? I appeal to all the Surgeons who have open'd consumptive Carcasses, and to the Physicians who have assisted thereat: Have they not regularly found in all these Tu- bercles, tho' less in Quantity in those who died of a long Consumption, they having had Time to melt away, and be confirmed by Ulceration? Some however have always remained, Death having prevented their Sup- puration. This being allow'd to be the con- comitant Cause of a Consumption, it will be easy to explain all its Symptoms. The dry Cough in the Beginning comes from the Pressure of the Tubercles upon the Ramifications of the Aspera Arteria, dis- persed through the Substance of the Lungs. Morton, p. 36. The same Irritations which this Compression makes in the Aspera Ar- teria, squeeze at length a Phlegm out of the Glands, spread about the internal Membrane of the Trachea; and the Cough, which in the Beginning was dry and hard, becomes moist, and throws up the Matter press'd out of the Glands by the Strength of the Cough. Mort. p. 34. The Difficulty of Breathing comes from these Tubercles, which fill up part of the Lungs, and lessen in Proportion the Quantity of Air which used to enter there; besides, the Com- Ch. IV. 443 thro' the various Stages of Life. 443 Compression they make upon the Ramifica- tions of the Aspera Arteria renders its Ad- mission more difficult. The Leanness and Wasting are the Effcts of these Tubercles, and not the Ulcer of the Lungs, as has been supposed; and as it is of the greatest Importance for the Indication, which should be pursued in this Distemper, to prove that the Ulcer is not the Cause of the Wastings, we shall insert here the follow- ing Proofs. 1. Hippocrates, in his first Book of Epi- demicks, acknowledges a Consumption with- out an Ulcer of the Lungs. Ægrotabant macilenti citra Pulmonum Ulcus: They were sick and wasted without an Ulcer of the Lungs. 2. Hippocrates has also observed, that Lean- ness has begun before the Rise of the Ulcer, and that it is even far gone when the Ulcer appears. Temporis autem progressu exaspe- ratur Pulmo, & intus ulceratur à Pituita inhœrente & putrescente, & gravitatem exhi- bet Pectori & Dolorem acutum ante & re- tro caloresque acutiores in corpus incidunt. It appears from these Passages of Hippo- crates, and especially the last, that the Wast- ing, Cough, Spitting, and slow Fever, have begun before the Ulcer comes on. Temporis autem progressu exulceratur Pulmo: It is only in the Course of the Distemper; temporis progressu, says he; in progress of Time. 3. Lastly, 444 A GUIDE to HEALTH Part III. 3. Lastly we prove by an invincible Rea- son, that the Ulcer of the Lungs is not the Cause of a Consumption. There have been Persons who died of a Consumption with the whole Train of Symptoms, yet during the whole Course of the Distemper never spit any Pus; and upon the opening of their Bodies no Ulcers were found in their Lungs, but Tubercles in great Numbers. For Proof of this Fact we shall introduce the Observa- tions † upon the Body of Mr. Clever, Mer- chant, of this City, and of a young Gentle- woman; and also Willis's Observations al- ready mentioned. The slow Fever depends as much upon the Obstructions of the Liver, as of the Lungs: When the Blood finds its Passage shut up in any Part, it rebounds in a greater Body into the other Vessels; besides, when the Blood, which has not been sufficiently broke in the Lungs, nor depurated in the Li- ver, does not give way, but resists the Im- pulse of the Heart and Arteries, it revives its Play, and occasions two or three Pulsa- tions, where one would be sufficient, if it did not resist, and was thin and fluid. The nocturnal Sweats are owing to the thick and gross Disposition of the Blood: When the Serum is not exactly mixt with the other Principles of the Blood, it easily escapes through the Pores. It † Observations of the Author in his Dissertation upon Consumptions, which see. Ch. IV. thro' the various Stages of Life. 445 It is easy to comprehend the Spitting of Blood: Who can now be surprised, that a Vein squeezed between two Tubercles should open and furnish some Blood in the Spittle? We are now come to the second Stage: Some Tubercles come to be inflamed; Matter is formed there; the Fever increases, as also the Difficulty of Breathing; the Tubercle bursts, and the Pus comes away like Spittle, which the Patient voids in abundance. But as the Pus which was contained in this Tubercle served its Neighbours as a suppurating Cataplasm, they are not long before they are inflamed, and come to Suppuration in their Turn, and the Lungs are thus destroy'd and ulcerate every Day more and more. And now the Distemper becomes contagious, the Suppuration of the Tubercle breeds Worms, which institute the Characteristick of the Ulcer. These Worms spread themselves a- bout the neighbouring Tubercles, as proper Beds for their Nourishment and Breeding, and by their Means it is that the Distemper be- comes contagious. [The Author has shewn, in his Treatise on Venereal Disorders, that all Infection pro- ceeds from Worms.] The Looseness comes from hence, that the Pores are destroyed by the Dryness of the Skin, which has begun with effacing the Pores of the insensible Perspiration, and now even stops up those which evacuate Sweat: The Serum not being well mixt with the Blood, 446 A GUIDE to HEALTH Part III. Blood, and finding no more its former Out- lets, falls upon the Feet and Legs, and after- wards upon the intestinal Glands, which brings on a Diarrhœa, and makes an End of Life. We come now to examine the antecedent Causes which produce Tubercles in the Lungs, and shall make it apppear, by an exact En- quiry, that they owe their Rise to eager and coagulating Juices, and not to sharp and cor- rosive ones. Authors tell us, and we see it confirmed by daily Experience, that Grief is a power- ful Cause to bring on a Consumption. The Soul being continually employ'd in Affliction about the Object which causes it, studies Night and Day to find out a Remedy: This continual Attention of the Soul employs the Spirits in the Brain, hinders their descending into the Stomach, the Appetite disappears, the Digestion suffers, the Chyle is sent gluti- nous and ill digested into the Blood, disposed to bring on Obstructions either in the Lungs or Liver. But the free Course of the animal Spirits is not only suspended in the Stomach, but also in the Organs of Respiration; for we see Per- sons under Affliction forget as it were to breathe to that Degree, that as the Blood stagnates in the Lungs, they are oblig'd to fetch at Intervals deep Sighs, which are called sorrowful Sighs. Besides, Ch. IV. thro' the various Stages of Life. 447 Besides, Grief suppresses the insensible Transpiration. Sanctorius, Aph. 2. Sect. 7. And Consolation restores it, Animi Consolatio liberam facit Perspirationem. Aph. 6. Sect. 7. For the same Reason Men of Letters, who keep their Spirits continually upon the stretch, by the Excess of Meditation are also subject to Consumptions, as Morton observes. The eager Wines, according to Etmuller, produce abundance of Consumptions in the Province of Moravia, as being very proper to form Coagulations and Concretions. [The Author mentions a Case in his Dis- sertation, which proves how apt this Cause is to bring on a Consumption.] Melancholick Persons, according to Mor- ton's Observation, are very subject to Con- sumptions, their Blood being disposed to form Obstructions and Tubercles: Likewise, pag. 27, he has oserved, that Cold is always the Cause of Consumptions. His Observation a- grees with that of Hippocrates, Frigus genitor est phthiseos pulmonis, scilicet, venulis a fri- gore constrictis ac convulsis. Cold is the Pa- rent of the Phthisis of the Lungs, viz. when the Veins are drawn together by Cold. Van Helmont has observed, that Steams of Spirit of Vitriol, and of Aqua Fortis, have sometimes occasioned Consumptions. This Effect proceeds from the Concretion of the Juices by these acid Vapours, which form the Tubercles. From 448 A GUIDE to HEALTH Part III. From this Enquiry into the Causes which are capable of producing Tubercles in the Lungs, it appears, that they owe their Ori- gin to acid and coagulating Juices; and if afterwards the Fluids grow pungent by stag- nating there, it is an Effect of the Part which alkalises them, in like manner as we see some Fruits change their Taste, according as they come near to be ripe or rotten. The Question then is, to look out for Re- medies which can dissolve and destroy these Tubercles. This is the Indication which you ought not to lose out of Sight: They are the Obstacles which you must either conquer or die. The Roman Hippocrates, Baglivius, in se- veral Places of his practical Writings, exhorts us to give aperitive Medicines in all the Dis- orders of the Breast; and Duretus, in his Coac. p. 423. says, that the urinary Passages are the Emunctories of the Breast, the Flux of Urine being augmented, procures a Di- version of the Phlegm, which otherwise would take its Course to the Lungs. These Authors not only propose that Indi- cation, but also the Remedies which I make use of to discharge it. Read Morton, p. 81. I don't at all doubt, says he, but by a pru- dent Choice and frequent Use of a thin and sharp Air, and by a long Use of balsamick, mercurial, and chalybeat Medicines and Mil- lepedes, but more especially of Mineral Wa- ters, and other anti-scrophulous Remedies, those Ch. IV. thro' the various Stages of Life. 449 those Tumors may as well be destroy'd in these Parts as any other, and the Patient be freed from a phthisical and scrophulous Disorder, as we have often found by Ex- perience. This is very certain, for all the English Consumptions, generally speaking, proceed from a scrophulous Disposition; therefore, in the Accesses of such a Distemper, aperitive and deobstruent Medicines, free from much Acrimony, with the mild Anti-scorbuticks, will always prove the most effectual Reme- dies; but whatever heats too much, disposes to Suppuration; and it is upon these Princi- ples that the Author establishes his Method of Cure in the following Manner. 'As soon as I am call'd to a consumptive 'Person of the first Degree, fatigued with a 'Cough, which at first was dry, and after- 'ward is become moist, which exceeded the 'Bounds of a common Rheum, accompanied 'with a slow Fever, Difficulty of Breathing, 'Leanness, &c. I examine immediately the 'Liver, where I constantly find a conspicu- 'ous Hardness and often a Pain. 'I afterwards examine if any general Me- 'dicines are indicated, in which Case I order 'the Patient to bleed and purge; I even 'repeat Bleeding when the Pain is violent, 'and if the Patient is young, heated with 'drinking of Wine, or spirituous Liquors, to 'prevent the Inflammation of the Tubercles. Ff 'Then 450 A GUIDE to HEALTH Part III. 'Then I apply a great Plaster of the Empl. 'Diabotanum upon the Region of the Liver, 'with which Mercury revived from Cinnabar 'is incorporated, or in default thereof the 'Empl. Vigonis cum Mercurio. Every Night 'I order the Plaster to be taken off, and the 'Quantity of a Dram of the Mercurial Oint- 'ment to be rubb'd in at the Swelling, and then 'the Plaster is put on again, which remains 'there Night and Day. 'Internally I give twice a-day the follow- 'ing Powder. 'Take of prepared Mars, Millepedes, 'Benjamin, red Coral and Crabs Eyes, 'one Scruple of each; mix all well to- 'gether to make into a Powder, to be 'taken in the Morning and to be re- 'eated at Night. 'Or made up into Troches in the following 'Manner: 'Take of Mars, Millepedes, Benjamin, 'Coral and Crabs Eyes, of each half an 'Ounce, Powder of Cinnamon three 'Drams, fine Sugar half a Pound; mix 'all together, and with the Mucilage 'of Gum Tragacanth made with O- 'range-flower Water, make Troches 'of two Drams each, of which let the 'Patient take one Night and Morning. 'After every Dose of the Powder or Tro- 'ches I order them to take a Draught of 'Ptisane Ch. IV. thro' the various Stages of Life. 451 'Ptisane made of Nettle-Roots, or Whey 'well clarified, with which I mix two Oun- 'ces of the Juice of Water-Cresses, and as 'much of the Juice of Chervil; or some Broth 'made of a Piece of Veal, Radishes, Cresses, 'Brooklime and Chervil, or an Infusion of 'Green Tea.' The Powder is in two great a Bulk, as he orders it, therefore it would be much a neater Way, and much easier for the Patient to take, if he had ordered the Steel, Millepedes, and Benjamin in a Bole with Syrup of Balsam, and the testaceous Powders in a Julap, or in an Emulsion of Sperma Ceti, to be taken by two or three Spoonfuls after each Bolus, and at other Intervals. This shews the Injudicious ness of foreign Prescribers in dosing their Me- dicines in a neat and proper Form, though otherwise never so learned. Our Author strenuously recommends Rid- ing twice a-day, in all Stages of a Consump- tion, if the Weather permits, the Usefulness of which he demonstrates from Observation, Reason, and Experience. In the first Stage of a Consumption he allows light Meats of easy Digestion without any Seasoning; but in the second Stage, he orders the Medicines to be taken three times a-day, and makes the Patient live upon Cow's Milk, boil'd and skimm'd, and mix'd with an equal Quantity of Green Tea, and sometimes without it, but a thorough Forbearance from all manner of Ff2 Flesh- 452 A GUIDE to HEALTH Part III. Flesh-meat: He likewise recommends the Use of Asses Milk, Chearfulness and Musick. Other Con- sumptions. As Consumptions are mostly occa- sioned by Tubercles in the Lungs, there are some also that owe their Origin to Obstructions of the Liver, Spleen, Pancreas, Mesentery, Kidneys, Womb, and Bladder, &c. The Knowledge, Prognostick, Effects, Cure, and Palliation are easily drawn from the distinguishing Marks of each parti- cular Bowel, of which no good Physician ought to be ignorant. For a more ample Account of the Nature and Cure of this lingering Disease, I refer the Reader to the Author's Observations in his Dissertation upon Consumptions. Of a Dropsy. When a watery Serum is shed out of its Vessels and received into Cavities, or when stagnating it distends its Vessels too much, it is called a Dropsy. Which may take place consequently wherever there are such serous Vessels, that is, in the whole Habit of the Body, and in each Particular thereof. Therefore this Distemper may happen wherever there are serous Vessels; an Hydro- cephalus or Dropsy of the Head, which is only incurable when the Serum is extravasated into the Ventricles of the Brain; and it is generally fatal in Infants, when the Sutures are closed and the Skull will yield no more. A Dropsy Ch. IV. thro' the various Stages of Life. 453 A Dropsy of the Breast is attended almost with the same Symptoms as an Empyema, and cured by the same Chirurgery. A Dropsy of the Lungs, either by Hydatides or Water-Bladders, or by Lympha extravasated in the Body of the Lungs. A Dropsy in the fore Part of the Windpipe like a Bronchocele. Likewise a Dropsy in the Oviarium, Testes, Scrotum, or Uterus. An Ascites, or Collection of Water in the Abdomen. First, in the Foldings of the Peri- toneum. Secondly, Between the Peritoneum and the Bowels. Thirdly, When the Water is contained in the membranaceous Coat of the Glands. Sometimes the Air is so rarified in the Tu- mor as makes it hard and tight like a Drum, and from thence it is call a Tympany. When the Tendon is from Air, it is easily distin- guished by the specifick Gravity of the Pa- tient, and so is Water. And when the Wa- ter or Lymph stagnates, or is extravasated under the Skin, it is called Anasarca. What- ever hinders the Return of the Lymph into the Veins, or breaks the Lymphatick Vessels, or obstructs the absorbent Vessels, so as the Lymph cannot be absorbed, or exhal- ed, produces a Dropsy; likewise any Stop- page of the Circulation will occasion a Dropsy, as by strong Ligatures or Com- pression. The most of the Causes are hereditary Dis- positions; drinking great Quantities of wa- Ff3 tery 454 A GUIDE to HEALTH Part III. tery Liquors, which are not discharged again; violent acute Distempers; stubborn Obstruc- tions of the Bowels; the Jaundice; obstinate intermitting Fevers; Bloody-fluxes; great Evacuations, especially of Blood; viscid Ali- ment and hard of Digestion; inveterate Scur- vies: But the most common and most perni- cious of all is the habitual and plentiful Use of spirituous Liquors. The Effects are a Swelling of the Legs at Night by Degrees, still rising higher; like- wise a Swelling of the Belly increasing; but in a Tympany, sounding and tense like a Drum; sometimes the Sensation and Noise of fluctu- ating Water; Shortness of Breath; Thirst; Urine in too small a Quantity; no Sweat; the stagnating Serum at last turns acrimonious, exulcerates and putrefies the Bowels, produc- ing most dismal Symptoms. The best Cautions and Rules of Diet may be drawn from the Enumeration of these Causes and Effects; for the Intentions to be pursued are in removing the Causes, as Ob- structions, dissolving the Viscidity or Glewy- ness of the Serum, and discharging it out of the Body. The Viscidity of the Serum is best correct- ed by such Things as contain abundance of alkaline and volatile Salts, Spices, acrimoni- ous pungent Vegetables, soapy Substances; and what has been prescrib'd in a phlegmatick Constitution, Part II. which see. The Ch. IV. thro' the various Stages of Life. 455 The only Contradiction in this is, too great Heat and Thirst, to which Attention is to be given, and indicates the Use of Acids, Juice of Lemons and Oranges, Sorrel, &c. And it may be taken for a general Rule, that when the Urine is high-colour'd Acids are proper, for they are contrary to that alkalescent State of the Humours, and resist the Putrefaction, which is the Product of acrimonious Serum. Their Drink should be sparing; but as the Thirst is sometimes insufferable, the Patient may be indulged the free Use of Spaw-water and Rhenish Wine: And the Aliment should be dry and diuretick; but Diureticks of the acid Kind are the best: Strong Frictions of the Skin are very beneficial, which attenuate and promote the Circulation of the stagnating Serum or Water. Vomiting in strong Constitutions has proved oftentimes very effectual; because the Con- cussion of the solid Parts dissolves and expells the stagnating Humours; and likewise Gly- sters of sharp and purgative Ingredients are very beneficial. Smart Purges are useful to carry off the Waters; but they should not consist of Vola- tiles, because such dissolve the Blood, which is pernicious. Abstinence from Drink is very beneficial, and eating dry Biscuit, which cre- ates no Thirst; likewise strong Frictions four or five Times a Day. When the Waters are carried off, the Diet ought to be such as stengthens the solid Parts, Ff4 allow- 456 A GUIDE to HEALTH Part III. allowing Spices and generous Wine, but espe- cially the Use of Chalybeat Waters, dry Food, and astringent Vegetables, Exercise, especial- ly Riding; and in general, such a Diet as ge- nerates good Blood. When the Serum stagnates long, it turns acrimonious, and commonly renders the Pa- tient feverish and thirsty; then acid or four Things are properest, both to prevent and cure these Symptoms, as they are specifically proper against that alkaline Putrefaction. For a more circumstantial and accurate Account of this Distemper and its Cure in every Par- ticular, consult the learned Boerhaave's Apho- risms upon it. Of the Gout. This Distemper is a very painful Illness, seated principally in and about the Ligaments of the Bones of the Foot and its Joints, seiz- ing Persons mod commonly in the Spring and Autumn; which when undisturbed com- monly runs its own natural Stage, and is usually the Companion of People of the mid- dle Age, of the Male Sex, Men of acute and deep Sense, who exercise the same much, and study late by Nights, such as lead a voluptu- ous and debauched Life, and at Night drink great Quantities of Wine or spirituous Liquors: Such as have been much addicted to Venery in their younger and unripe Years; large ple- thorick Men; such as are much used to Acids Ch. IV. thro' the various Stages of Life. 437 Acids, and cool their sweaty Feet too sud- denly; sweat in wet Stockings or Shoes; hence such as do hunt or ride much in cold Weather; and finally, such as have it by Inheritance from Parents, or lie much with gouty People. This Distemper may affect any membra- nous Part, but commonly those which are the most remote from the Brain and Heart, where the Motion of the Fluids is the slow- ed, the Resistance, Friction, and Stricture of the solid Parts the greatest, and Sensation of Pain by the Obstruction of the small Ves- sels and Dilaceration of the nervous Fibres extreme. The most common Seat of it is in the Foot, its Tendons, Nerves, Membranes, Li- gaments and Periosteum, or Membranes in- vesting the Bones. The Patient immediate- ly is sensible of a stretching, tearing, strait- ning Pain, gradually increasing and decreas- ing again, with a Moistness, Redness, Tu- mor, ending with a breathing Sweat, an Itch- ing, furfuraceous Skinning, or changing into a chalky Substance, which breaks the Vessels. By all which it appears, that the proximate Cause of this Disease is a vitiated Temper of the least, and consequently the nervous Ves- sels in the Body; and also of the Liquid which waters those nervous Parts; and more- over, that this Liquid here is defective by its Acrimony and by its great Viscidity, and the solid Vessels by too great Rigidity and Nar- rowness: 458 A GUIDE to HEALTH Part III. rowness: Whence it shews itself in Parts the most remote from the Brain, as resisting Motion the most, because of their Solidity, Hardness, Exercise, and Weight incumbent upon them. Now the immediate Origin of this Defect is from an Indigestion of the Bowels, which do not sufficiently attenuate or assimilate the Aliment into a Substance fit to supply the Nerves with Juices proper for them, which require a most elaborate Con- coction. The Cure therefore is impossible, unless wrought by such Medicines as are able to mend these Defects entirely. So that the Gout has hitherto been reputed incurable by Antients as well as Moderns, if except a few Quacks and boasting Empiricks in all Ages. From the same may be known, that Bleeding does not reach either the Matter, Seat, or Cause of the Disease: yet that same is sometimes found not only beneficial, but also necessary to cause a Revulsion, and lessen the most urgent inflammatory Symptoms that often attend it. As one of the Causes of the Gout is the Suppression of Sweat and Perspiration, so the procuring a due Degree of these seems to be the best Preventative of it; and if the Feet could be made to sweat in due time, it would prevent the Gout, which invades in such Constitutions of the Air as suppress Perspi- ration. Violent Ch. IV. thro' the various Stages of Life. 459 Violent Purges in the Absence of the Fit, by agitating the Humours too much, often hurt, and may draw the Gout into the Sto- mach if given during the Paroxysm. The best Diet is Abstinence from all man- ner of Acids, high Sauces, and Gluttony; the moderate use of such things as promote Perspi- ration, as aromatick Substances with volatile Salts, which relieve Gouty People, by ren- dering the Body perspirable; diluting Li- quors, taken in such a Degree as not to in- jure the Stomach or Bowels, Moderation in Food of a nourishing light Sort, that is easily digested, as likewise in the use of strong Liquors; Exercise without Fatigue, such as Riding constantly in a pure, open Country Air, and Frictions and Motions of the Parts often repeated; going to Bed early, and ly- ing long in the Morning. It will be likewise necessary to restore the lost Vigour in the Bowels, by carrying off the corrupted Liquid flowing yet in the Ves- sels, or stagnating in the Places already as- sign'd. To the first relates the Us of aro- matick, bitter, antiscorbutick Plants, and chiefly the Juice with a little Honey; the use of lixivious fix'd Salts taken in small Doses, and often repeated for a long time together, observing at the same time the Diet as above directed. To the second (that is, the stag- nating of the Humours) will be useful, 1. Volatile Salts long taken and in small Quan- tities, in the Morning sometime before rising, with 460 A GUIDE to HEALTH Part III. with a large Draught of some softening Apo- zem, and thereby promoting a gentle breath- ing Sweat for about an Hour together. 2. Warm Frictions with dry Cloths. 3. Repeated Doses from time to time of such Medicines as purge serous or watery Humours, taking a gentle opiate Draught the same Night. In the Fit of the Gout, as temperate and as cool and diluent a Diet as the Patient can bear, abstaining from Opiates, except when the morbid Matter is separting, otherwise the constant Use of them is injurious; keeping the affected Part warm without the Applica- tion of Plasters, or Cataplasms; for even such as are emollient, weaken and relax too much. It will be of the greatest Importance to know if any Disease proceeds from a Trans- lation of the gouty Matter; for the Me- thods, especially Evacuations, used in an ori- ginal Distemper, would be very improper in a gouty Case, where the Intention must be to draw the Gout down to the Feet by Blis- ters applied to the Thighs or Legs, and acrid inflammatory Cataplasms and Plasters. If a Person subject to the Gout, (except he has Chalk Stones) can bring himself en- tirely to a Milk Diet, he may by that means so change the whole Mass of the Juices of his Body, as to eradicate the Distemper. The Effects of Riding. The English Hippocrates, Syden- ham, in recommending Riding in the Cure of this Distemper, says, that if a Medicine could be known to any one, Ch. IV. thro' the various Stages of Life. 461 one, and he could conceal it, that would be as effectual for the curing this Distemper as Riding on Horseback is; and not only here, but in most other chronical Diseases, he might get immense Riches by it. And Dr. Lister likewise says, that one single Golden Rule of Ab- stinence pleases me beyond all things, Parva cibatio summœ Curœ sit, viz. Beware not to eat and drink too much, which is a thing every one ought to regard who has his Health at Heart; and this Abstinence is in all People's Power, in whatever State or Condition they are in, to be substituted in- stead of Exercise, when they have even lost the Use of their Feet. The Effects of Abstinence. Of the Rheumatism. This is a Distemper ally'd to the Gout and Scurvy, and is common in all the Northern Parts of Europe. Such are most subject to this Dis- ease as are of a sanguine Con- stitution, infected with some acrimonious De- fect, manly Age, plentiful Living, a sudden Cooling of a heated Body, Spring and Fall, Perspiration interrupted, an inflammatory Disposition, but appearing slower than in a Pleurisy. It begins with a continual Fever, causes a most terrible tearing Pain, increasing cruelly upon the least Motion, long continu'd and fix'd in one Place, seizing the Joints of Diagnosticks. any 462 A GUIDE to HEALTH Part III. any Limbs, but most particularly trouble- some to the Knees, Loins, and Rump-bone, tormenting and invading sometimes the Brain, Lungs and Bowels, with a Tumor and Red- ness of the Place, going off and returning again by Fits. The proximate Cause. The immediate Cause of this Distemper seems to be an Inflam- mation in the serous part of the Blood affecting the lymphatick Arteries, and for that Reason affecting those Parts where the Vessels are the smallest, but not fierce enough to change it into an Impostumation. The Blood, as in other inflammatory Cases, is sizy, the alkalescent Salts in the Serum a- bounding with coreaceous or leathery Concre- tions. The Cure. The Cure consists in repeated Bleedings, cooling, repeated Purges, always allaying the Pain those Nights after purging with gentle Opiates join'd with mild Sudorificks, bathing in warm Water, and Fomentations apply'd to the Parts, and Bli- sters when it is obstinately fix'd in one Place. As for the Diet, it must be cooling, dilu- ting, and chiefly Vegetable. The constant Use of Whey is most effectual in rhis Disease, likewise a Milk Diet for changing the saline Constitution of the Serum of the Blood, is very useful and proper. Cream of Tartar taken either in Whey or Water-Gruel, for several Days together, will abate the Pains and Swellings considerably, by Ch. IV. thro' the various Stages of Life. 463 by its Acidity correcting the alkaline Salts in the Blood. Of the Gravel and Stone. When any insoluble Matter stops in any Part of the Body, it gathers a Crust about it, which may grow into a Stone or stony Matter in any Part of a human Body; as a small Drop of concreted Blood may grow to be a Stone; for by the Evaporation of the most fluid Parts it grows hard, and by At- traction of new Matter it increases in Bulk. When these stony Concretions happen in the Kidneys, and are expell'd, or drop into the Ureters, they produce what is called Gra- vel; when they lodge and stick in the Body of the Kidneys, and grow to such a Bulk as not to drop into the Pelvis, or pass by the Ureters into the Bladder, they make the Stone in the Kidneys. But these Concretions hap- pen generally in the Kidneys and Bladder; and it is very certain, that if the Tartar and other Contents of the Urine were not con- stantly discharg'd, such Concretions would happen to all Mankind; for the Urine of most found Persons being inspected after it has stood a while with a Microscope, will discover a black Speck in it, which is Sand; and wherever this Sand sticks, it grows still bigger by the Apposition of new Matter. The 464 A GUIDE to HEALTH Part III. The chief Signs or Symptoms of a Stone in the Kidneys are a fix'd Pain in the Region of the Loins, continually heavy like a Weight in the Substance of the Kidneys, with a kind of Numbness in the Part; but the Stone passing out of the Pelvis or Bason of the Kidneys into the Ureters, a most tormenting Pain follows, of all the most severe; an In- flexibility of the Back Bone, by the Exten- sion and Compression of the Nerves; a burn- ing Heat in the Loins, a Numbness of the Leg of the same Side, by means of the Nerves being affected; a Retraction of the Testicle for the same Reason; the Urine either bloody, upon any hidden Jolt or vio- lent Motion, or thin and watry, and little in Quantity; but after the Stone is fallen into the Bladder, the Urine presently becomes very thick, turbid, blackish, and in great Quan- tity. Fleshy Filaments, or Matter voided by Urine, are suspicious Symptoms of a Stone in the Kidneys, especially if the Patient has been subject to voiding of Gravel. The Symptoms of a Stone in the Bladder, are, a Titillation about the Neck of the Blad- der, and Parts thereabouts; a Sense of Weight in the lower Belly under the Share-bone, and the Region of the Groin; a perpetual Desire of making Water, with a great Pain, espe- cially upon any hidden Motion, which causes a Concussion of the Bladder, a Dribbling dif- ficultly, and a hidden Suppression of Urine by the Stone's stopping the Orifice of the Bladder, Ch. IV. thro' the various Stages of Life. 465 Bladder, attended with great needing to go to Stool, and a burning Pain in the Urethra; sometimes a white Mucus or Slime in the Urine; this may happen without a Stone in the Bladder: But the most certain Sign of all is, when it can be most certainly felt with the Finger in Ano, or by a Catheter. The Regimen in the Cure of the Stone in the Kidneys, is, by diluting and soft Diure- ticks, both medicinal and dietetical, to try to expel it, if it is small enough to pass; but if it is brittle, it will often crumble and pass in the form of Gravel by those Means: If the Stone is too big to pass, nor will not crumble, the only Method is to come to a sort of Composition or Truce with it, and use a cooling and diluting Diet constant- ly, to hinder, as far as possible, its Increase; to use Diureticks that resolve gently, as Pars- ley, Fennel, Scorzonera, Mallows, Tea, Dan- delion, Cichory, Sassafras, Oats, Barley, Honey, Vinegar and Honey; likewise nitrous Salts, and dulcify'd Spirit of Nitre; but the most soft and cooling Diluent of all is Whey, and the Emollients are Decoctions of Marshmal- lows and Linseed-Tea. Bathing in warm Water, and Glysters, are proper; seasoning the Food with Sea-salt moderately will not be amiss, for the mode- derate use of it is resolving and diuretick; and the Belly, in all Cases of the Stone, should be kept lax and open. In a confirm'd Stone in the Kidneys violent Exercise or Motion is dangerous. Gg While 466 A GUIDE to HEALTH Part III. Stimulating Things not proper in the Beginning. While the Stone is passing, we should avoid the Use of all forcing and stimulating Things at first; but relaxing and lubricating the Passages, and quieting the spasmodick Disorders by O- piates, is by far the safest and best Method; and where Bathing cannot be performed, Ox- bladders, half full of warm Water, constantly apply'd to the Part affected, may be very usefully substituted; and Bleeding takes off the Tension and prevents an Inflammation better than any Thing, and is therefore very necessary, especially when the Symptoms are urging and violent: When the Parts are suffi- ciently relaxed, forcing Diureticks joined with Opiates will be properly given. The best Way to prevent the Generating of a Stone, is to keep the Body open by Whey, Broth, and a liquid Diet, especially for all such as are troubled with Gravel. When the Stone is fallen into the Bladder, all Endeavours must be used to make it pass as soon as possible, otherwise if it should happen to continue there long, it would in Time become a large Stone, which nothing but the Operation could cure. If all the Symptoms abate without finding the Stone, it is not certain that it remains still in the Bladder, because a very small Stone may pass by Urine insensibly; and if the Stone has passed, it is not certain that the Affair is over, for there are often more Stones remaining, and therefore the usual Remedies ought not to be discontinued. When Ch. IV. thro' the various Stages of Life. 467 When the Stone stops in the Urethra, emol- lient Fomentations ought to be apply'd to the Parts, and Oil injected; or in Case of Extre- mity, an Instrument with a Cavity in it, dipt in Oil, may extract the Stone. Irritations in the Membranes of the Bladder, occasioned by a Stone, may be mitigated very much by an Injection of Linseed Oil, or that of Sweet Almonds into the Bladder. CHAP. V. Of the Nature and Use of Bathing and Frictions. BATHING being either hot or cold, it will be necessary to enquire a little into the Nature of it, and what Alterations it produces in human Bodies, in order to know in what Cases and Constitutions the Use of it may be either beneficial or hurtful. There- fore I shall begin with Cold-Bathing, which was in the greatest Esteem with the Egyptians, Jews, Greeks and Romans, as evidently ap- pears by the Account given thereof in the Writings of Hippocrates, Galen, Suetonius, Seneca, Pliny, Oribassius, Celsus, Ægineta, and others, needless to make mention of in this Place; But they who require to be fully satisfied as to that Point, may peruse Floyer and Baynard on Cold-Bathing, wherein they will likewise find a great many Instances of surprising Cures performed by Cold-Bathing Gg2 in 468 A GUIDE to HEALTH Part III. in Rheumatisms, Palsies, Scurvies, Cachexies, Epilepsies, Gout, and Rickets, &c. It is experimentally known, that Cold contracts the Fibres, as I have observed in treating of the Qualities of Air, pag. 104. and the more suddenly it is applied to our Bodies, the more violently it operates: It has been likewise observed, pag. 87. that our Bodies undergo various Changes by the Al- terations of the Pressure of the Air, in its Weight and Elasticity: Now if we consider that Water is 800 Times heavier than Air, what Alterations must we not then expect and be sensible of upon bathing or plunging all over into cold Water? For the Cold and Weight of the Water and Atmosphere acting all together, must consequently first brace up and straiten the Fibres and Vessels conside- rably in the Surface of the Body, and those Parts adjoining to it, and those at the Center the least and latest; so that the Blood will be forced in great Plenty upon the Viscera or Bowels, where there is the least Resistance: for which Reason it is never safe for those to bath who have weak or ulcerated Bowels, without endangering Life. But those Ends which are compassed by a greater Weight or Pressure, are more effec- tually obtained by whatever encreases the Weight of the Water, or contracts the Fibres of the Body: Thus Sea-Water, by reason of the Salt it contains, is heavier and more preferable; upon which Account all the Humours in the Body must be propell'd with Ch. V. thro' the various Stages of Life. 469 with greater Force thro' the Vessels in which they circulate. Besides, the Tension of the Fibres being greater, their Vibration will be both quicker and stronger; so that the Blood and Spirits will not only move more swiftly through the Vessels, but also be much more ground and broken, digested and rendered fitter to pass the Glands and small Vessels: Moreover, as the Immersion into the Cold Bath mightily encreases the Blood in the Brain and Viscera, being forced thither where there is the least Resistance, whereby the Quantity of animal Spirits, of Urine, of Gall, of the pancreatick Juice, and of all other Secretions, will be very much encreas'd, these Humours being thrust forwards with greater Celerity, will probably remove any Obstruction that is not too long fixed and obstinate; for which Reasons, if we would have the Blood dis- solved, or any viscid Matter adhering to the Sides of the Vessels removed, or the Glands deterged, or a greater Quantity of Spirits se- creted, and moved with greater Celerity thro' the Nerves, or would force Urine, or remove Obstructions in the Liver, Spleen, pancreatick and mesenterick Glands, if they are not grown too obstinate (in which Case it is very dange- rous) we should order Cold-bathing. In fine, whatever is to be effected by bracing the Solids, invigorating and quickening their Vi- brations, and accelerating the Blood's Motion, is with Certainty to be had from the Use of Cold-bathing. All Diseases therefore from a viscid Blood, Gg3 and 470 A GUIDE to HEALTH Part III. and a Lentor in the animal Juices (if the Elasticity of the Vessels is not worn out with Age and Debauches) will find Relief from this Practice. Besides, whatever Inconveni- ences proceed from a bad Perspiration, or when Humours are thrown upon the Surface pf the Body, which cannot get through the Skin, this Method will relieve; for upon Immersion the whole nervous System is so shook, that the very Capillaries feel the In- fluence, and the minutest Passages are forced open by an encreased Velocity of the circu- lating Fluids, whereby the Skin will be cleared, and instead of retaining gross and a- crimonious Humours in the cuticular Glands, will promote insensible Perspiration; and this is the Reason why People are so brisk and chearful after Bathing. And it is for the Reasons already given, that Cold-Bathing is proper in most cutane- ous Diseases, Scurvies, Leprosy, Elephantiasis, Rheumatisms, Lameness, Sciatica, Melancholy, Madness; some Palsies, Cachexies, Icteric and Hydropic Cases, before the Distempers be too, far advanced; it likewise stops Hæmorrhages, Gleets, Fluor Albus; and cures also venereal Impotency and nervous Disorders. Necessary Rules to be observed before Cold- Bathing 1. To Bleed and Purge, and use such proper Diet and Medi- cines, both before and after Bath- thing, as your Physician knows to be suitable to your Disease and Constitution. 2. Not to bathe when hot and sweating, but cool; and not to stay in the Bath above two Ch. V. thro' the various Stages of Life. 471 two or three Minutes, as the Patient can bear it; and to go in and out immediately, on the first Bathing, after an Immersion of the whole Body, because staying in too long would relax the Solids too much, instead of contracting and strengthening them. 3. To use the Cold-Bath before Dinner fasting, or in the Afternoon towards Four or Five o'Clock: It is dangerous to go in after great Drinking, or a full Stomach. 4. To use Sweating with Cold-Bathing in Palsies, Rickets, and several Diseases affecting the Nerves with Obstructions. 5. In Windiness or Siziness of the Hu- mours, no Sweating is necessary, nor where Bathing is used for the Preservation of Health, or the invigorating of the animal Spirits. 6. Jumping in precipitantly, or throwing the Head foremost into the Cold-Bath, gives too violent a shock to Nature, and endangers too much the bursting some of the smaller Vessels; therefore the best Way is, holding by the Rope, to walk down the Steps as fast as one can, and when got to the Bottom, bending the Hams to shorten their Length, so as to bring their Heads a good Way under Water, and then popping up again to take Breath; and thus alternately for two or three Times, and out again, rubbing themselves very well with a dry Cloth, before they are dress'd. They who have weak or little Heat, and are much decay'd, ought not to venture on Cold Bathing; nor they who are intemperate, and have Wherein Cold Bath- ing is inju- rious. Gg4 eat 472 A GUIDE to HEALTH Part III. eat extraordinarily; because the Distribution and Consumption of an abundant Chyle being thereby stopp'd, must occasion Fevers or De- fluxions. If the Spirits are depress'd by Looseness, Vomiting, Venery, Watching, or any other Evacuation, we cannot well bear Cold Bath- ing; for the Spirits being weak, will be over- come by its Chilness. In the Fits of the Gout, Epilepsy, and in Inflammations of the Lungs or inward Parts, and in the Beginning of putrid Fevers, Iliac Passions, and the Gripes, Colicks, and dur- ing any Defluxion, Cold Baths are improper; for they hinder Expectoration, repell Pains, promote the present Defluxions, Fluxes, and Pains; but when these acute Diseases, or chronical Pains and Defluxions are ended, it may be safe and it is certain that Gout Pains are prevented by Cold Baths, and using to wash the Feet. Corpulency, unfound Viscera or Bowels, and inveterate Obstructions, forbid the Use of Cold Bathing; for first, in very fat Persons the Fibres are so stuffed round that they have not Room to vibrate or contract with the sud- den Squeeze of the Bath; and in unsound Viscera, or where any Part is much weaker than the rest, such an additional Force will press the Fluids upon that, very much to its Detriment, which may be either the burst- ing of the Vessels, or promoting the Discharge of some ill Humours upon that Part, which might otherwise drain somewhere else. in Ch. V. thro' the various Stages of Life. 473 inveterate Obstructions it is likewise improper, because the more violently the Fluids are pro- pelled, the more the Obstructions will be ri- veted and lock'd in. As the Pressure of Water is ren- dered more effectual by Cold, so its relaxing Power is augmented by a moderate Warmth; for a gentle Heat always relaxes the Fibres of our Body, it being plea- sing and agreeable to the Sense of Feeling. So that when we would have the Benefit of universal Relaxation, we ought to use a tem- perate Bath, which has only a mild Heat, like that of our Bodies, and is therefore less beneficial to cold Diseases, and less injurious to the Healthful, who use it chiefly to wash their Bodies, to temper the Natural Heat, and to take off Weariness. The Use of Warm Baths But temperate Baths have many physical Uses besides Cleanliness and Pleasure, and are observed to be beneficial in the following Cases. Tepid Baths moisten and warm; but if more hot, they heat and moisten less; they likewise open the Pores and promote a free Perspiration, and are proper in most Erup- tions and Foulnesses of the Skin, especially where the Obstructions will not yield to the Cold Bath; for they not only relax the Pores, but likewise dilute the obstructed Matter at the same time, in being absorbed by the cuti- cular Vessels. Warm Baths are proper in most scorbu- tick Habits, Sciatica, Rheumatism, Colicks, Gravel, 474 A GUIDE to HEALTH Part III. Gravel, Costiveness, Gripes, Stiffness of the Joints and Muscles, and in most Cases pro- ceeding from an obstructed Perspiration. Temperate Baths are useful in all hot In- temperies, and are likewise proper in the bi- lious, viscid, or acrimonious State of the Blood: But they are injurious in Fevers, Inflamma- tions, and in all acute Diseases, especially be- fore the Concoction of the Humours. In using the Warm Bath, the Diet in ge- neral should be easy of Digestion, thin and diluting, and in many Cases sweating in Bed after warm Bathing is necessary; but in this and in other Circumstances which may occur, the Patient is to consult his Physician. The naturally hot Mineral Baths, such as that famous one at Bath in Somersetshire, are much more powerful in curing Diseases and removing Obstructions, than the Artificial; the Waters of the former being impregnated with balsamic, volatile, stimulating, and sub- astringent Particles, which the last can never have by any Art or Contrivance whatever. These natural hot Mineral Waters are like a Fomentation, which both supples and strengthens the Parts of the Body all over at once, and by gently shaking and undu- lating the Fibres, helps forward the vital Mo- tions, which are ready to be at a Stand. In old Pains and Aches, which have been the Remains of nervous Distempers, and where some particular Part continues contracted, or has any Humours fix'd upon it, which it can- not dislodge, these Waters pump'd upon it hot from Ch. V. thro' the various Stages of Life. 475 from the Spring, do more towards a Cure than all the most efficacious Compositions of Medicines. Bathing all over in these Springs cannot but wonderfully open that almost infinite Number of secretory Orifices upon the Surface of the Body, and clear the cutaneous Ducts of the Matter which is apt to stick in them; by the opening of which Spiracula the Fluids of the whole Body have more Room to move in, and have proper Vents to reak out a great deal, which is of great Service to the Oeconomy to get rid of. These small Sulphur-Fountains likewise inwardly taken, to Astonishment warm and strengthen a decay'd Stomach, especially if relax'd and worn out almost with Luxury and Debauches: The most grievous Nauseas and Vomitings from these Causes have been re- moved by them: For they both soften again with proper Moisture the Fibres which have been render'd incapable to vibrate, by the Use of hot, burning, spirituous Liquors, and at the same time draw them into greater Tensi- ty; as a Cord which relaxes with over-drying, fills up and straitens upon the Contact and Attraction of a convenient Moisture. The small Share of fine Salt which likewise attends, and is as it were wrapped up in the Particles of Sulphur, cannot but contribute somewhat in restoring the Tone of such de- cay'd Parts. But besides the Benefit these do to the Stomach, they also carry along with them into the most remote Recesses of the Body 476 A GUIDE to HEALTH Part III. Body, a Balsamic of Nature's own Prepara- tion; whereby such Decays in the Stomach, or in any of the Viscera or Bowels, from Ab- scesses, Ulcerations, or any like Causes, are with great Success reliev'd; and particularly if they be of the Kidneys and Urinary Passages, because they wash through them in more plenty, than where they come by the ordinary Course of Circulation. Of Frictions. Friction, or Rubbing with a Flesh-Brush, Cloth, Hand, &c. is, as it were, an alter- nate Compression and Relaxation of the Parts of the Body. A gentle Friction only com- presses the Veins; but by a stronger Degree, the Arteries are also compressed. By com- pressing the Veins by Friction, the Motion of the viscous Blood to the Heart is accelerated; hence the Motion of the Heart is roused: By which Means, the Blood is with greater Velo- city propell'd through all the Vessels. The vital Force may, therefore, be augmented to any Degree, by means of Frictions, without giving any Medicine internally; for by means of Frictions a burning Fever may be excited in the most dropsical Patients. In those Bodies where almost all the Or- gans of Digestion are so languid, as not duly to perform their respective Functions, Fric- tions with rough woolen Cloths over the whole Abdomen, or Belly, when the Patient is fasting, have been found to produce sur- prisingly happy Effects. Hence the Ancients had Ch. V. thro' the various Stages of Life. 477 had Frictions in so great Veneration, not only for the Preservation of Health, but also for the Cure of Diseases, that the Grecians, Ara- bians, Romans, and Egyptians in general con- stantly practised that Method; and Galen wrote a whole Book, intitled de Frictionibus. Celsus likewise recommends the Usefulness of Frictions in his Works: But this Practice has been almost neglected among the Moderns till of late, and is now reviv'd again with no less Success than in former Days, tho' not so general; for it is experimentally known, that it will strengthen weak Limbs, and bring Nourishment to the Parts, and likewise cure the Rickets in Children, especially if Cold Bathing be used. Therefore I would recommend to all Mo- thers and Nurses, to rub the Back, Sides, Shoulders, Hips, and Limbs of their Children by a warm Fire Night and Morning, being very necessary to prevent Obstructions and Rickets, and to promote their Growth and Ac- tivity; and likewise to preserve their Limbs strong and straight. By Frictions a free and full Circulation and Perspiration may be usefully promoted; and this is performed by abiding Nature to throw off by Perspiration the Vapours and Recre- ments of the third Concoction, which are of- ten retained and pent in between the Scales of the Scarf-skin, as likewise in the Interstices of the outward Muscles and Membranes of the Body; so that by the Use of Frictions Nature is not only assisted in discharging by insensible Per- 478 A GUIDE to HEALTH Part III. Perspiration those excrementitious Particles, which frequently hinder a full and free Cir- culation, but likewise Blood and Spirits are thereby attracted to those Parts mod remote from the Seat of Heat and Motion, by which Means also the natural Heat is increased, and the superficial Muscles are render'd plump and strong. Hence it is evident, that ancient People, and such as have weak Nerves and lead a se- dentary Life, especially those who are subject to Numbness, Weakness, or Obstructions in their Joints, or are threaten'd with paralytick Disorders, in order to supply the Want of Ex- ercise of other Kinds, ought to have their whole Bodies, more particularly their Limbs, rubbed for half an Hour every Morning espe- cially, and at Night, with a Flesh-Brush, Flannel, or Napkin, till the Parts begin to grow red and warm. The Friction should be made first on the Arms, Hands, Feet, Legs, and Thighs, from whence we ought to proceed to the Shoulders, Back, and Breast; and the Head should be rubb'd the last of all. Among the Ancients there were Frictions of various Kinds, and subservient to different Purposes. Hence Hippocrates in his Treatise De Med. Offic. tells us, 'That Friction may 'resolve, contract, incarn, diminish: Since 'strong Frictions contract, gentle Friction 'resolves, much Friction diminishes; and 'moderate Friction condenses.' Any Part of the Body is render'd more lax, by being rub- bed with soft oleous Substances. Nothing. Ch. V. thro' the various Stages of Life. 479 Nothing is more beneficial in curing a Weak- ness of the Fibres, than Frictions with rough warm woolen Cloths, especially if previously impregnated with the Smoke of burning Am- ber, or Mastick, that at the same time this aromatick and corroborating Steam may enter the relaxed Parts. But we are to proceed gradually in this Work, and not to use too strong Frictions at first; lest either the stag- nated Fluids in the preternaturally distended Vessels should be too copiously convey'd to the Heart, and by that Means overwhelm and suffocate it; or the tender Vessels should be broken by imprudently increasing the Motion of the Blood. When the Ancients wanted to reduce exte- nuated Parts to their natural Situation, they sti- initiated and irritated these Parts so as to produce a gentle Inflammation and Swelling; for by this Means, the Humours being convey'd with a greater Impetus and a brisker Motion to the Parts, they distended the too rigid Vessels pro- portionably the more. By often repeating this Irritation, the top great Strength of the Ves- sels was so diminished, as to yield to the Hu- mours, which, in order to their good State of Health, must necessarily flow into them. Thus Galen, in the third Chapter of his fifth Book De Sanitate Tuenda, informs us, 'That 'by Frictions with pinguious Substances, he in 'a few Days restored the Flesh of many, who 'had been for a long time emaciated.' Hence Frictions with fat Substances are highly proper in these Cases, but only to such a Degree 480 A GUIDE to HEALTH Part III. Degree as to excite a slight and gentle Redness of the Part; for when the Friction is violent, that which it attracts to the Part is discussed; but, in this Case, a large Distension of the too strong Vessels is required. Galen, in the seventh Chap. of his seventh Book De Method. Medend. gives this Caution in the following Words: 'When, says he, we 'intend to produce Flesh on any Part, we are 'by Friction to heat it, so as to render it tu- 'mid; but, when we intend to discuss and 'evacuate, this Friction and Heat are to be 'continued till the tumid Part subsides.' And in the sixteenth Chapter of his fourth Book De Method. Medendi, he tells us; 'That it was customary with some to strike 'emaciated Parts with slender Rods, slightly 'anointed, till the Parts became moderately 'tumid.' He also informs us, that by such a Percussion repeated daily, or every other Day, together with a moderate Friction or Stimulus, the diminutive and extenuated Buttocks of Children were wonderfully enlarged. Hence the Reason is obvious, why Friction sometimes produces opposite Effects; for a strong Friction with rough dry woolen Cloths, especially when impregnated with the Fumes of kindled Aromaticks, as I have observed be- fore, cures too weak Fibres; whereas a gentle Friction with pinguious Substances, by at- tracting the Humours, and relaxing the Solids, softens too rigid Fibres. FINIS.             A GUIDE to HEALTH THROUGH THE Various Stages of LIFE. Wherein are Explained, I. The different Degrees and Changes of Age, the prin- cipal and inevitable Causes of OLD AGE, and finally of our Dissolution; with a Chronological and Hi- storical brief Account of long LIVES from before the FLOOD to this present Time. II. The Nature, Properties, Qualities, and Influence of AIR. Of Aliments; the Choice of them; their Power upon Human Bo- dies, with their good and bad Effects. Of Sleeping and Waking; of Motion and Rest; of Retention and Ex- cretion; and of the Passions of the Mind. III. Of the Definitions, Di- agnosticks, Prognosticks, and Curative Indications, both Medicinal and Dietetical; of Acute and Chronical Dis- eases incident to Human Bodies; with the Nature and Use of BATHING and FRICTIONS. The whole illustrated with useful ANNOTATIONS, methodically and succinctly digested, and con- firmed by the Authority of the most celebrated Authors, both Ancient and Modern. By BERNARD LYNCH, M. D. Pugnandum tanquam contra Morbum, sic contra Senectutem. Crc. de Senectute Optima quæque dies miseris mortalibus ævi Prima fugit: subeunt Morbi, tristisque Senectus: Et labor. & duræ rapit inclementia mortis. VIRG. Lib. III. Georg. THE SECOND EDITION. LONDON: Printed for M. COOPER in Pater-noster-Row. 1754.  TO Dr. JOHN BEAUFORD. Sir, THE Friendshlp you shew'd gd me in the Infancy of my Practice has been too essen- tially useful to me ever to be forgotten; and it is with great Self-Satisfaction that I take this pub- lick Opportunity of acknowledg- ing the Obligations I lie under to you. My Interest in Town was not A2 only iv DEDICATION. only strengthened and extended by the Share you were seen to take in it, but my Knowledge was enlarged by my Converse with you, and my Prac- tice was formed by my Observation of yours. I carefully examined the Modus of Practice here, of the most Emi- nent of the Profession, when I first came to Town, intending to shape my own with that which should seem to me the most conformable to the Sentiments of the Great Hippo- crates; and finding none more na- tural and uniform than Yours, I took it for my Model, and have continued it ever since with all the Success I could hope for. The Profession of Physick is held in higher Esteem in this, than any other Country in Europe; and no wonder; because none can produce so learned a Body of Physicians. But among that Body, more learned and skillful than any other in the World, your v DEDICATION. Your long Experience, Sir, sets you in the first Class of it. This is a Truth unquestioned, not only by the Publick, but even by those of the Profession. You have a natural Right to the Patronage of the following Work, being founded chiefly on your own Maxims, and originally begun that I might have a publick Opportunity of owning your Favours, and doing Justice to your Merit. How I have succeeded in the Choice and Con- texture of my Subject, I submit to the Publick with the utmost Defe- rence; but however I may have fail'd in the Opinion of other learned Men, I have too often experienced your In- dulgence, not to flatter myself that you will view all Inaccuracy of Stile and Diction, and other as minute Imperfections, with your usual Can- dour and Good-nature. As for more capital Errors, I shall most readily own and reform any such, and most A3 grate- vi DEDICATION. gratefully thank any friendly Hand that shall be at the Pains of pointing them out to me. I am, with the greatest Sincerity, SIR, Your obliged, and most obedient humble Servant, Stanhope-street, June, 1744. BERNARD LYNCH. (VII) PREFACE. WHERE a Title-Page is so expres- sive of the Contents of a Book as the foregoing, a Preface might seem unnecessary; and I should think it so, if Custom did not seem to exact that a Bill of Fare should be serv'd up to the Company before they sat down to Table. To comply then with the Humour of this modern Tyrant, I must in- form the courteous Reader, that the sole End of my Labour was to inform the Uninform'd and to erect such Lights as might help them to form such a Judgment of their own Con- stitutions, as should prevent their fancying themselves in a worse State of Health than they are, and running after every Empirick, who pretends to the Knowledge of Catholi- cons, or universal Remedies. These are the Bane of all Societies; and tho' Quacks are soon detected, yet as the Succession of them is so very constant and rapid, the Commonal- ty for the most part, see not the Injury done to them, nor the Wrong they suffer. This is a Misfortune to be lamented, but diffi- cult to be removed, whilst Man is prejudic'd A4 in viii The PREFACE. in Favour of Novelty, and in Disfavour of the Regular Physician, who can't afford to bellow the Fruits of his hard Labours on the Public promiscuously. There is one Thing in the following Sheets which the Author owns to have labour'd more than any Part of his Subject, which is the Doctrine of Non-naturals, the Knowledge of which, he thinks, no reasonable Man who values his own Health should be ignorant of; and which he presumes to say, has been more obscurely treated heretofore, than it ought to have been, or indeed he believes it was de- sign'd it should be. In treating of acute and chronical Diseases, there are general Remedies, but except in one or two Occasions, such as the Bite of a mad Dog, and some Consumptions, there are no formal Recipes, which, it is found by Expe- rience, are generally productive of more Evil than Good. For the general Ignorance, I may say Infatuation, is such, that the Vulgar too often make material Mistakes in the Pre- paration of the most plain and simple Reci- pes. Besides, that as the Nature of Diseases and Constitutions is so various and different, not to mention the Climate, Air, Season, Age, and a thousand other differing Circumstan- ces, it would be too presuming for the Au- thor to take upon him to prescribe for every particular Distemper. He would not do so great a Wrong to the Illiterate, nor, to use the learned Boerhaave'ss Words, Would do any ix The PREFACE. any thing so prejudicial to the noble and ge- nerous Science of Physick, or expose it to Re- proach, as they must inevitably do, who pre- tend to adapt a particular Remedy to gene- ral Diseases. Having mention'd the ever-famous and-to- be-rever'd Boerhaave, the Author takes this Opportunity of owning his Obligations to him, not only in his Practice, but in this Work particularly. He has all along kept that Great Man in his View, nor has he been un- mindful or neglected any other eminent Wri- ter in Physick, either ancient or modern. He has frequently quoted their Words, and al- ways endeavour'd to conform himself to the Sentiments of the most approv'd Authors. And that his Gratitude to all such great Men as well as Justice may be seen, he has an- nex'd a Catalogue of such Authors as he owns himself indebted to in the Compilation of the following Treatise, thinking this Method more orderly and eligible than a constant Quotation. A A LIST of the Authors. Ægineta, Paulus. Anhornius. Arbuthnot. Boerhaave. Boyle. Borelli. Baglivius. Blondell. Bonetus. Baynard. Boutius. Barlow. Celsus, Aurel. Cornel. Celius Aurelianus. Cheyne. Duretus. Diodorus Siculus. Default. Etmuller. Floyer, Sir John. Galen. Hippocrates. Hugens. Hales. Halley. Hook. Keil. Lommius. Laurentius. Leeuwenhoek. Lister. Livy. Malpighi. Mead, Richard. Morton. Newton, Sir Isaac. Oribassius. Paree, Ambrose. Prosper, Alpinus. Pliny. Quincy. Ruyschius Riverius. Romer. Rowning. Ramazini. Robinson, Tancred. Solomon. Sydenbam. Seneca. Sanctorius. Suetonius. Torricellius. Van Helmont. Verulam. Willis. Wainright. Waldschmidius. A A LIS of the SUBSCRIBERS. A. ARundel, the Rt. Hon. Lord Arundel, the Hon. Tho- mas, Esq; Aston, the Hon. James, Esq; Astley, Mr. Apothecary, 2 Books Aston, George Joseph, Esq; Andree, M. D. Addis, Mr. Apothecary Asbridge, Mr. Adean, Mr. James Allanson, William, Esq; B. Beaufort, His Grace the Duke of Butler, the Hon. John, Esq; Bartholomew, M. D. Bennet, Philip, Esq; Mem- ber for Bath Burnham, Mr. Boult, Mr. Attorney at Law Boudon, Mr. Apothecary Benion, Mr. Apothecary Beauford, John, M. D. Butler, M. D. Bodkin, Mr. Valentine Brown, William, Esq; Barrabee, Mr. Bird, Edward, Esq; Bostock, M. D. Beaumont, Mr. Apothecary Beetenson, Mr. Surgeon Brewerster, Tho. M. D. Brett, Mr. Nathanael Bernardeau, Mr. 3 Books Bradshaw, James, Mr. Button, Mrs. Barwell, Mr. Bolney, Mr. Henry Blake, Andrew, Esq; Blake, D. Esq; Barry, M. D. Buckeridge, the Rev. Mr. Thomas Bateman, the Hon. Capt. Boswell, Mr. Thomas Backas, Mr. Apothecary Betts, Mr. John Bostock, Mr. Henry Bradley, Mr. Boyle, Henry, Esq; Butcher, Mr. Apothecary Bannister, Mr. Charles Bower, Archibald, Esq; Bridgen, Mr. Robert Bridgen, Mr. Thomas C. Cavendish, The Rt. Hon. Lord James Clarke, Mr. xii A LIST of the SUBCRIBERS. Carrol, Mr. Corless, Mr. Alexander Carmault, Mr. Coleman, Mr. Constable, Mr. John Cary, Esquire, Surgeon. Cheeke, Mr. Apothecary Cheeke, Mr. Apothecary Cibber, Colley, Esq; Caldwell, Mr. Robert Chittick, Mr. Surgeon Clempson, Mr. Coughlan, Mr. Cumming, Rev Mr. Wil- liam, A. M. Chettey, Mr. William Connel, Michael, M. D. Cooper, Mr. Apothecary Clarke, Mr. Apothecary, 2 Books. Currer, Mr. Jun. D. Dillon, The Rt. Hon. the Lady Frances Viscountess Dowager Dillon, The Rt. Hon. the Lady Bridget, Viscountess Dowager Dawkins, Esq; Member for Woodstock Davis, Mr. William, Sur- geon Dorrel, Mr. Daffy, the Hon. Capt. Draper, Mr. Apothecary Death, Mr. Apothecary Deschamps, Mr. Doyley, Mr. Edward, At- torney at Law. Delany, the Revd. Mr. Duggin, Mr. John Dumbleton, Mr. Daniel Duggin, Mrs. Davis, Mr. E. Ewer, Mr. Eliott, Mr. Apothecary Eyre, Mr. Edward Ebrall, Mr. Apothecary Emet, Mrs. Egan, Mr. F. Fairfax, The Rt. Hon. the Lady Viscountess Firebrace, Sir Cordell,Bart. Kt. of the Shire for Suf- folk Fisher, Mr. Thomas Fowler, Mr. Apothecary Foot, Mr. Asher, Apothe- cary Firmin, Mr. Farrel, Mr. Francis, Mr. George Frazier, Mr. Apothecary Farrel, Mrs. Farrel, Mr. Apothecary Fort, Mr. Francis Firmer, Mrs. Hellena Farrin, Mr. John Freeman, Samuel, Esq; Fitzgerald, Mrs. G. Graham, the Reverend Mr. 3 Books Gammon, Mr. Robert, Apothecary Goodacre, xiii A LIST of the SUBCRIBERS. Goodacre, Mr. Apothecary Godfrey, Mr. Ambrose, Chemist Gardiner, Mr. Thomas Griffin, Mr. Philip Garvan, Francis, Esq; Gibbon, The Rev. Dr. John H. Hemet, Mr. Operator for the Teeth to his Royal High- ness the Prince of Wales Harrison, Mr. Apothecary Hoddy, Edward, M. D. Hodgson, Mr. Apothecary Hernon, Mr. Apothecary, 4 Books Hudson, Mr. Apothecary Henley, the Rev. Mr. A. M. Harriott, Mr. Surgeon Hawkins, Mr. Barnaby H—M—Mrs. Harrow, Mr. Robert Hibber, Mr. Haward, Mr. Watkinson, Attorney at Law Hayrick, Mr. Apothecary Horseman, M. D. Hall, Mr. I. Jones, Mr. Tho. 2 Books Jayer, Mr. Apothecary, 2 Books Izard, Mr. James, M. D. Jernegan, M. D. Jernegan, Henry, Esq; K. Kilby, Robert, Esq; Kirwood, Mr. William, Surgeon Kingsley, Mr. Keating, Mr. King, Mr. Maynard Kitchen, Mr. L. Litchfield, The Rt. Hon. the Earl of Lainsborough, The Rt. Hon. Lord Viscount Lainsborough, The Rt. Hon. the Lady Viscountess Lynch, Sir Henry, Bart. Lynch, Robert, Esq; Lynch, The Rev. John. S. T. P. Dean of Can- terbury Lynch, George, M. D. Lynch, Robert, A. B. Lynch, Francis, Esq; Lynch, Mr. Nicholas Lynch, Mr. Isiodore Lynch, Mr. William Lynch, Mr. Thomas Lloyd, the Hon. Capt. Lyster, Mr. Apothecary Leake, Mr. Langley, Mr. L'Herondell, the Rev. Mr. Lawley, George, Esq; Littlejohn, Alexander, Esq; Lister, Richard, Esq; Kt. of the Shire for Salop Loukup, George, Esq; Lewis, Mr. Lucas, xiv A LIST of the SUBCRIBERS. Lucas, Mr. Jeremiah Lane, James, Esq; Lawson, Esq; M. Mannington, Mr. Monins, The Rev. Mr. Ri- chard, A. M. Middleton, Capt. Christo- pher, Esq; Maul, Mr. Apothecary Marshal, Mr. Surgeon Macdonough, D. D. Montague, Mrs. Morgan, Mr. Apothecary Mills, John, Esq; Maud, Mr. Apothecary Maud, Mr. William Monkeman, Mr. Attorney at Law. Manby, Mr. Apothecary Mann, Mr. Thomas Macket, Wilmer, Esq; Mills, John, Esq; 20 Books Martin, Thomas, Esq; Metcalf, Mrs. 2 Books Morehead, William, Esq; Maurin, Mr. Metcalf, Mr.Roger, Surgeon Mayfield, Mr. Thomas Mitchel, Mr. Apothecary Mitchell, Mr. Apothecary Mitchel, Mr. Francis, Sur- geen Macartey, Alexander, Esq; Manley, Apothecary N. Nebot, Mr. Balthazar Nevil, Mr. John, Apothecary Noone, Mr. John Nesbit, Mrs. Nelson, Rev, Mr. Rector of Oakley O. Orton, Mr. Oliver, Mr. Nicholas P. Parsons, Mrs. Parker, Mrs. Pack, Mr. Daniel Pile, George, M. D. Pearson, Mr. Poulson, John, Esq; Prude, Mr. Apothecary Palmer, Mr. Benjamin Popham, Edward, Esq; Member for Wilts Pakington, John, Esq; Pakington, the Hon. Capt. R. Rust, Mr. Rawlins, Mr. Apothecary Rossel, The Rev. Mr. Sa- muel Raikes, Mr. Apothecary Richardson, Mr. Radford, Mr. William Reynolds, Mr. Christopher, 2 Books Robinson, Tancred, M. D. Rivett, Thomas, Esq; Raoult, Mr. Surgeon Rankin, Mr. Thomas Redfern, Mr. S. xv A LIST of the SUBCRIBERS. S. Sweet, Mrs. Rebecca Street, Mr. jun. Scott, Mrs. Sadler, Daniel, Esq; Smith, Mr. Sedgwick, James, Apothe- cary Scrooby, Mrs. Elizabeth Savage, Mrs, Anne Savage, Mr. George Savage, Mr. William Smith, Mr. Edward Sherwood, Mr. Noah, Sur- geon Simmons, Mr. Edward SherifFe, Mr. Shepard, Mr. Smithson, William, M. D. Sams, Mr. Henry Smith, Thomas, Efq; Schamberg, Mayer, M. D. Schamberg, Isaac, M. D. Seed, Mr. Shelton, Mr. Richard Stubbs, Mr. William, At- torney at Law. Snowden, Mr. Stuart, James, Esq; Stuart, Simeon, Esq; Shaw, Mr. Smith, Mr. John Shipton, John, Esq; Stainforth, Mr, George, Merchant T. Tash, Mr. Thompson, Thomas, M. D. Turbut, Mr. Benjamin Thompson, Francis, sen. Esq; Turnball, Mr. William Thomas, James, Esq; Thompson, John, Esq; Thompson, Francis, Esq; Turner, Mr. Tonge, Mr. Trant, James, Esq; Trant, John, Esq; V. Venables, Mr. Vaughan, Mr. Attorney at Law Umfreville, Edward, Esq; W. Wharton, Her Grace the Dutchess of Whiteall, Mrs. Wilton, Mr. Wilford, Mr. West, Lewis, Esq; Wilson, Edward, Merchant Williams, Mrs. Walker, Mr. Wilson, Mr. Thomas Wilson, Mr. John Wells, Mrs. Mary Wilson, Mr. John Wilson, Mr. Edward Webb, Thomas, Esq; Westby, Robert, Esq; Wilmot, Mr. Z. Zincke, C. F. Esq; ERRA- ERRATA. Page 35. Line 17, after wholsome Food, add, probably they might. Page 214. Line 21, for immediately read intimately. (xvii) THE CONTENTS. PART I. Of the different Degrees and Changes of Age; the principal and inevitable Causes of Old Age; and, finally, of our Dissolution; with a brief chronological and historical Account of long Lives, from the Creation to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life, with a Description and Definition of Old Age. OUR Bodies subject to Changes page 1 Man's Life divided into se- veral Periods ib. The Egyptians Opinion of Ages 2 The Pythagoreans Doctrine of Numbers ib. Five remarkable Changes in Man's Temperament, viz. Infancy, Adolescency, Youth, and Manhood, and old Age ib Temperament what, Note *, ib. Infancy, Adolescency, Youth, and Manhood described 3 Old Age begins at fifty, and is divided into three Pe- riods ib. The first is called Verdant 3 The second begins at Seven- ty 4 The third is called Decrepid ib. The Pains and Miseries of de- crepid old Age, according to the Royal Prophet ib. An allegorical Description of decrepid old Age, according to the Royal Author, So- lomon 5 The same explained 6 Some Men old at forty 7 A great many young at sixty ib. The different Qualities of Constitutions ib. a The xviii The CONTENTS. The melancholick Constitu- tion grows old sooner than any of the rest—p. 8 Females grow old sooner than the Males—ib. Hippocrates's Opinion con- cerning the same—ib. Sloth and Idleness soon bring on old Age—ib. The Causes of different Tem- pers or Constitutions—ib. The Proportion of the Parts of the Body, and their Con- formation, contribute to the Difference of Constitutions 9 The different Tempers of the Parts of the Body, in re- spect of one another—10 Sexes and Age make a Diffe- rence in Constitutions ib. Women colder than Men—ib. Infants and Children hot and moist—ib. Heat decreases in old Age—ib. Different Climates, and the Manner of living, are Causes of different Consti- tutions—11 The Definition of Old Age—ib. The same explained—ib. The great Secret and sole Method of long Life, is, to preserve the Blood and Juices in a due State of Fluidity and Thinness—12 Nothing will bring a Person to the State of universal Hardness and Stiffness of the Fibres, and a Viscosity and Thickness of the Juices, than indulging in strong high Meats and strong Li- quors—13 The only Method of pro- curing a contrary State of the Solids and Fluids—14 All the Parts constituting a human Body are made up of small Fibres—ib. The Divison of the Fibres becomes so small at last, as to exceed the Power of Imagination—15 CHAP. II The principal and inevitable Causes of Old Age, and of our Dissolution. The Causes of the Alteration of our Bodies, and of our Dissolution, are either ex- ternal or internal—16 The internal Causes are two—ib. The internal Causes what—ib. The Principles of our Com- position what—17 Animal Actions distinguish- ed into vital, natural, and animal—ib. Vital what—ib. Natural actions what—ib. Animal Functions what—ib. The Principles of our Com- position being duly distri- buted through the whole Body, may be called an E- quilibrium between the So- lids and Fluids—18 Their Alliance is of short Duration, and why—ib. The xix The CONTENTS. The inevitable Causes of Old Age, and of our Disso- lotion—p. 19 Farther Particulars necessary to be considered to prove the same, concerning the Nutrition, Growth, and De- crease of the Body—ib. to 28 The internal Causes of our Dissolution are born, grow, and are nouristied with us, and will bring on gradually and inevitably old Age, and destroy the Body at last—28 All the great Promises made with Assurance, as to the Prolongation of Life for many hundred Years, are vain and imaginary, being unsupported both by Rea- son and Experience—ib. External Causes of our Disso- lution, which are likewise inevitable—ib. Other external Causes, which are accidental, as Wounds, Fractures, &c.—29 CHAP. III. An historical Account of Long Lives, from the Creation to the present Time. Men lived many hundred Years before the Flood—30 None of the Fathers attained to the Age of a thousand—ib. This Length of Life was not peculiar to Grace or the holy Line only—ib. There are eleven Generations of the Fathers to the Flood 31 Of the Sons of Adam by Cain, eight Generations only—ib. The Length of Life was re- duced to one half imme- diately after the Flood, in the Post-nati only—ib. Noah and Sem, who were born before the Flood, each of them liv'd 600 Years—ib. Of the Ages of Abraham, Isaac, Jacob, Ismael, and Sarah ib. Of Joseph, Levi, Moses, Aaron, and Phineas, Grand-child of Aaron—32 Of Joshua, Caleb, and Job—33 Of Isaiah the Prophet, and Tobias the Elder and the Younger—34 Of Epimenides the Cretan, and Xenophanes the Colophonian 36 Of Gorgias the Sicilian, and Democritus of Abdera—37 Of Terentia, Cicero's Wife—39 Of Simeon the Son of Cleophas, called the Brother of our Lord, and Bishop of Hie- rusalem; and Aquilla and Priscilla, St. Paul's Fellow- helpers—42 Of St. Paul the Hermit, and St. Anthony the Monk—43 The Popes of Rome, and their Number to this Time—44. Dando of Illyrinm, reported to have liv'd 500 Years—45 Hippocrates of Cos, the Prince of Physicians, Euphrenor the Grammarian Seneca and a2 Joannes xx The CONTENTS. Joannes de Temporibus, a Native of France p. 46 Of Cornaro the Venetian, and William Postell, a crazy Frenchman 47 The surprizing Age of Henry Jenkins, a Yorkshireman ib. Of Thomas Parr, a Shropshire- man 48 Francisco Lupatsoli, Venetian Consul at Smyrna 49 Remarkable Instances of Ab- stemiousness, Continency, and many other Virtues in the Life of Aurenzebe, one of the late Great Moguls ib. to 52 Richard Lloyd, born within two Miles of Montgomery ib. John Bailes of Northampton 53 The Western Islands of Scot- land remarkable for long Lives ib. Mrs. Hudson's abstemious Life described ib. Mr Johnston's Life 54 A remarkable Inscription on the Tomb-stone of Mar- garet Scot, who liv'd 125 Years ib. Of Margaret Paten's great Age 55 —Bright, of Ludlow in Shropshire, likewise ib. Mrs. Agnes Milbourn's long Life, very remarkable for the great Number of Chil- dren she had by one Hus- band ib. Instance manifestly proving Milk to be of salubrious, safe, and sweet Nourish- ment ib. Temperance and a cool Diet are absolutely necessary to the Prolongation of Life 56 Man' Life has stood much a- about the same Standard of Years, from the Time of Moses to our Days ib. The Continuation and Num- bers of Successions of Ge- nerations make nothing as to the Length or Brevity of Man's Life ib. People live longer when the Times are barbarous, and they fare less deliciously, and are more given to Bo- dily Exercises; but shorter in civiliz'd Times, People abandoning themselves to Luxury and Ease ib. The great Abridger of Age was undoubtedly the De- luge 57 There were Men of Gigantick Stature before the Flood; but no such have been pro- duced any where since ib. The immediate Condition of the Parents conduces very much to the Length or Shortness of the Life of their Offspring 58 The best Rule is to use mo- deration in all things 59 Conjugal Love more condu- cive to Health and long Life than an unlawful one ib. The best Time for Genera- tion ib. PART xxi The CONTENTS. PART II. Introduction to the Six Nonnaturals. CHAP. I. Of the Nature of Air. Air defin’d—p. 60 Air the principal Instrument of Nature in all its Opera- tions—62 The Lower Parts of the Air are impregnated of particles ib. Air is differently impregnated in different places of the Surface of the Earth, which must considerably alter its State—ib. Water, Earth, and Salts of all Kinds, are Ingredients of Air—63 Other Contents of Air—ib. Vegetables of all Kinds per- spire Particles, which float in the Air—64 Animal Perspiration and the Effluvia of all their other Excrements, are Ingredi- ents of the Air, which of- ten infect that Part of the Atmosphere, and produce pestilential Disease—ib. Doctor Hale's computation of Animal Perspiration, and how it may infect the Air—ib. The Air in great populous Cities, in Camps, or near Numbers of dead Carcasses, in a hot fultry Season, may be infected so far as to dis- posed the People to putrid and malignant Fevers—6; the Inhabitants of Countries where great Numberss have been slain in Battle, and left unburied, were soon after infested with pestilen- tial Distempers—ib. Several Instances to prove the same—66 It is of the utmost Consequence to every one, to take care what kind of Air they live in—ib. The first Consideration in building Houses and Cities 67 All high Hills and Mountains are damp, and Nests of Minerals, and Covers for Reservoirs of Rain-water—ib. Rain the Origin of Rivers, and Fresh-water Springs—ib. Dew is not mere Water, but a Collection of watry, oily, faline and volatile Sub- stances exhaling from the Earth—68 Dews of different Places are of a different Nature—ib. Why Air soon corrodes the Bricks and Tiles of House, and rots the very Hangings of Rooms in some Coun- tries—69 Air in some Places impregnat- ed with arsenical Steams—ib. The Steams of Sulphurs and Charcoals extremely per- nicious to human Bodies—ib. a3 Sul- xxii The CONTENTS. Sulphureous Vapours infest Vegetables, and render the Grass pernicious to Cattle 70 How the sulphureous Steams and Vapours of Mines affect the Miners—ib. Why Diseases are more fre- quent and more dangerous in Cities than in the Coun- try—ib. Why the close and confin'd Air of Prisons, Bays, and Harbours, often produces mortal Diseases—71 To what the great Mortality that is so often in Camps, and Sieges, is chiefly owing ib. Infects and their Eggs often float in the Air we breathe in—ib. Why Infects floating in the Air are often the Cause of many grievous Diseases—72 There are Showers of Rain sometimes in Africk, affect- ing the Inhabitants with Shivering?, a ltd Infects found in the Drops of these Showers—ib. Air in most Places contains near the same Quantity of Water—73 All the different Ingredients of the Air are digested and attenuated ly the Heat of the Sun, and constantly agi- tated by Winds, which mix the Air of different Regions together—74 The particular Causes of Thunder and Lightning—ib. The wonderful Effects of Lightning—75 The Opinion of Philosophers upon these strange Effects ib. A Thunderbolt what, Note * ib. The Rays of the Sun are the true Cause of infinite varie- ty of Ingredients contained and floating in the Air—77 Light is not above ten Minutes in passing from the Sun to the Earth—ib. The Earth is 10,000 of its own Diameters distant from the Sun—ib. The Velocity of Light to that of a Cannon Ball, will be as 25 Years to 10 Minutes ib. The Effects of the Rays of the Sun collected in the Fo- cus of a burning Glass upon Gold, which is unalterable by any artificial Fire—ib. The Rays of the Sun are ca- pable to abrade and file off from the most solid Bodies, small Particles lighter when separate than the least com- pounding Particle of Air 78 CHAP. II. Of the Properties of Air. The Properties of Air what p. 78 Galileus was the first Lisco- verer of the Gravity of Air 79 The specifick Gravity of Air according to Sir Isaac New- ton and Dr. Halley—ib. Specifick Gravity what—ib. Note * xxiii The CONTENTS. Air may possess a Space 520, 000 times greater at one time than another 80 The Specifick Gravity of the Air cannot be exactly de- termined ib. Air readily enters into the Vessels of Animal Bodies 82 The same Thing happens in Vegetables and Liquids 83 The Globules of the Blood contain Air 85 Elasticity is a Property in Air which it never loses 89 The Solids and Fluids of Ani- mals contain more Air in them in Proportion than any other Substances—90 Fluidity is a Property in Air which cannot be destroy'd 91 Air a Fluid in constant Mo- tion 92 The difference between Flui- dity and Liquidity ib. Air is compressible and dila- table 93 Divisibility a Property of Air 94 CHAP. III. Of the Qualities of Air. The Qualities of Air what 95 Heat is a Quality relative to our Senses 96 The Spirit of Wine in Weather- Glasses is affected with the least Alerations of Heat or Cold 97 Why Languid and Hysterick People suffer in hot Wea- ther ib Excessive hot Air capable of reducing animal Substances to a State of Putrefaction 98 Dr. Boerhaave's Experiment upon a Sparrow and a Dog ib. Perspiration what 99 Air not cool'd by the Motion of Winds 102 Great Mischief arising from keeping the Air of the Rooms of People in Fevers too hot 103 Cold condenses the Air in Pro- portion to the Degrees of it 104 Cold suppresses Perspiration 105 The fatal Extremities of Cold in Greenland ib. The Effects of extreme Cold or extreme Heat 106 The Effects of moist Air ib. Dryness, a Quality in Air producing different Effects to those of moist Air 109 The Doctrine of absorbing Air thro' the Pores of the Skins of living Creatures demonstrated 111 CHAP. IV. Of the Influence of Air upon human Bodies. Hippocrates knew more of the Influence of Air than all his Predecessors and Suc- cessors 113 xxiv The CONTENTS. Hipocrates's Advice concern- ing Air—ib. —Could foretell the Diseases from ths Weather 115 The Affair of Generation is influenc'd by Air—116 The different Shapes, Com- plexion, and Tempers of Mankind influenc'd by Air 117 The different Forms of Go- vernment, and even the Courage of People, is ow- ing to the Influence of Air ib. Air the Cause of most Dis- eases—118 Astronomy useful in Physick 119 The Constitution of the Air according to Hippocrates 120 Dr. Arhuthnot's Explanation of Hippocrates and others, concerning the Influence of Air—124 The whole Constitution of the Spirits, Humours, and the Body, depends upon Air—147 What we are to do when the Air is corrupted—148 What regards ancient People concerning Air—ib. CHAP. V. Of Aliments in general. The first Stage of Digestion, and how it is perform'd 150 The second Stage of Diges- tion—155 The most subtil Parts of the Food pass immediately in- to the Blood by the absor- bent Vessels of the Inte- stines—156 The last Stage of Digestion 161 CHAP. VI. Of the Choice of Aliments. All Animals are made either immediately or mediately of Vegetables—p. 164 Vegetables consist of Salt, Oil, Spirit, and Earth—165 Of different Tastes—ib. Of the properest Food of the vegetable Kingdom.—166 Of the Qualities of Barley, Wheat, Oats, Rice, Rye, Millet, Panick and Maise 167 Of Peas, Beans, Apples, Pears, Peaches, Apricocks, Plumbs, and Mulberries—168, 169 Of Gooseberries, Currants, Cherries, Strawberries, O- ranges. Citrons, Limons, Grapes and Figs—170 Of Quinces, Pomegranates, Tamarinds, Capers, Olives, Almonds, Walnuts, Hazle- Nuts, Chesnuts, Pompions, Cucumbers, Gourds, and Melons—171 Of Pot-Herbs—172 Of Artichokes, Asparagus, Parsley, and Celery—ib. Of Spinage, Beet, Sallads, xxv The CONTENTS. Potatoes, Turnips, Car- rots, Parsnips—173 Of Garlick, Onions, Rock- ambole, Shalot, Leeks, Radishes, Horse-radishes, Cresses, Mustard, Truffles, Morelles, and Mushrooms 174 Of Marjoram, Basil, Savory, Thyme, Rosermary, Sage 175 Of the Qualities of Tea, Coffee, and Chocolate—175, 176, 177, 178 Animal Food more nourish- ing than Vegetable—ib. Animal Diet is anti-acid—179 Animal Flesh differs accord- ing as the Animal is terre- strial, aquatick, or am- phibious, and Fishes abound with more alkaline Salt and Oil than terrestrial animals ib. The only Way of having found and healthful animal Food—180 The Flesh of Animals too old, unwholsome—181 Salt Fish produces gress Hu- mours, and bad Juices—ib. Why the Flesh of wild Ani- mals keeps longer uncor- rupted than that of tame ones—182 Flesh boiled, wholsomer for weak Stomachs than roasted ib. Why Meats bak'd or fry'd, are bad—183 Of Lamb, Veal, Kid, and Beef—ib. Of Mutton, Rabies, young Hares, Pork and Bacon 184 Of Brawn, Deer, Cream, Butter. Marrow and Cheese 185 Milk, a most noble, nourish- ing, and wholsome Food l66 A proper Diet for Women that give suck, or Nurses 187 Whey, good for hot Consti- tutions and Scurvies 188 How to know the different Nature and Qualities of Birds or Fowls in general ib. Of Duck, Capon, Pigeons, Pheasants, Pullets, and Geese—189 Of Turkey, Partridges, Plo- vers, Blackbirds, Larks, Sparrows, Peacocks, and Starts—190 Of Thrushes, Quails, Turtle Doves, Woodcock, Snipe, and all other long-billed Birds—191 Of Fish in respect of Flesh, and why it is in general hard of Digestion ib. General Rules concerning Fish 192 Of Eels, Carp, Lampreys, Pike, and Sturgeon—193 Of Crabs, Lobsters, Oysters, Turbut, Soles, Place, Perch, Tench, Gudgeons, and Smelts—194. Of Flounders, Salmon, Trout, Cod-fish, Haddock, Skate, Thornback, Barbel, Mac- karel, Herrings and Sprats 195, 196 Vegetables and Animals that come soonest to Maturity are lightest of Digestion. ib. The larger and bigger the Vege- xxvi The CONTENTS. Vegetable, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested 197 Sea Fish or Animals harder to be digested than Land Ani- mals 198 Vegetables and Animals a- bounding with oily, fat, and viscid Substance, are harder to digest than those of a drier, fleshy, and more fibrous Substance ib. Of the Nature and Effects of Rock and Sea Salt 199 Of Honey, Oil and Vinegar 201, 202 CHAP. VII. Of the Power of Aliments upon human Bodies, with their good and bad Effects. Aliment what 203 The Art of preserving Health consists in a Mediocrity of Diet 204 Substances which stimulate the folid Parts, produce the greatest Alterations in animal Bodies. 205 The solid Parts of animal Bodies may be contracted variously by Diet 206 The more sulphurous or chy- mical Oil any Spirit con- tains, the more destructive it proves to the Constitu- uon, as Rum and distill'd Spirits of Annifeeds, &c. ib. Austere acid Vegetables have a Quality of contracting, and strengthening the Fi- bres without a great many of the bad Effects of di- stilled Spirits 207 Warm Water the best Liquid for relaxing the Fibres ib. How the Qualities and Quan- tity of the Fluids of a hu- man Body may be chang'd by Diet 208 Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies either by Food or Sickness 210 The Juices of found Animals consist of Salts of a pe- culiar Nature, neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline ib. Acrimony in the Blood con- sists of three Sorts, acid, alkaline, and muriatic or briny 211 The proper Diet for the Cure of the acid Acrimony 212 The Diet proper in the alka- line and briny Acrimony ib. Several Sorts of Antiscorbu- ticks proper in an alkale- scent State of the Fluids 213 Drink, an essential Part of our Food, and the chief In- tentions of it 214. Pure Water answers all the Intentions of Drink, best of any Liquor ib. The Usefulness of Water for the Purposes of human Life 215 Water the best and most wholsome xxvii The CONTENTS. wholsome Drink in gene- ral, some few Cases ex- cepted—ib. Of Malt Liquors—216 Of strong Beer—ib. Of the Nature of fine Ales, or Home-brew'd, and how they are fin'd, which is pernicious, if not poison- ous to Health—ib. Yorkshire, Nottingham, Welch, and all fine Ales brew'd for Sale, destrudlive to Health—217 The frequent Use and Excess of distilled spirituous Li- quors, is become a Vice of so shocking a Nature among the People in general—ib. The poisonous Qualities of di- stilled Spirits consider'd—218 The direful Effects of the fre- quent Use of Dram-drink- ing explain'd—219 The great Calamity of Dram- drinking farther consider'd 220 Next to Drams, no Liquor de- serves to be stigmatized and more detested than Punch ib. The principal Ingredients of Punch separately consider'd 221 When a Cordial may be use- ful 222 A Sot the most contemptible Character in human Life—ib. The melancholy Effects of Drunkenness explain'd—223 A short Account of different Wines in general—224 Strong made Country Wines prejudicial—225 The Conclusion, concerning Wine, and all other strong Liquors—ib. CHAP. VIII. Of different Constitutions, and the Diet proper for each. A general Method as to Diet, without Regard to parti- cular Constitutions absurd 226 Enumeration of the several Sorts of Constitutions 227 Qf the Debility of the Fibres ib. The Causes and Signs of weak and lax Fibres assign'd—228 A Regimen for those of weak fibres—229 The Effects of too rigid a state of the Fibres—230 Rigidity what, and likewise the Signs of such a consti- tution—ib. The Regimen in such a State 231 The Definition, Cause, and proper Diet of plethorick Constitutions—232 Of sanguinecus Constitutions and their Diagnostick Signs 233 The Diet proper for such Con- stitutions—235 A saline Constitution of the Fluids in an animal Body, is either acid, alkaline, muria- tick, or briny—ib. Of acid Constitutions and their Effects—236 Of Constitutions subject to an alkaline Acrimony—237 xxviii The CONTENTS. The Causes and Symptoms of such Constitutions—238, 239 The Regimen for such—240 The Causes and proper Diet for the muriatick or briny Scurvy—ib. Of phlegmatick Constitutions, their Causes, Signs, and proper Diet—241, 242 Of fat or oily Constitutions, their Causes, Symptoms and proper Diet—243, 244, 245 Of atrabilarian or melancholy Constitutions, their Signs, Causes, Effects, and proper Diet—246 to 250 The grand Secret of Health consists in keeping an Equi- librium between the Solids and Fluids—ib. Aphoristical Rules of Diet in the various Stages of Life 251 to 258 CHAP. IX. Of Sleeping and Waking. Sleep, what—258 The Use, Benefit, and Causes of Sleep—261 The natural Cause of Sleep 263 The Effects of two much Watching—ib. Late Meat suppers prejudicial to Health—264 The Effects of too much Sleep—266 Of sleeping in the Day-time, or after Dinner—267 The ordinary Time allowed for Sleep—268 The properest Time for sleep- ing 268 Nothing more pernicious to the Constitution, than watching by Night and sleeping by Day—ib. Rules to be observ'd in regard to the Position or Posture of our lying in Bed—270 CHAP. X. Of Motion and Rest. The use of Motion and Rest 271 The Necessity of Motion or Exercise mechanically proved—273 to 282 Of the Effects of Musick—283 Its wonderful Effects in cur- ing the Bite of the Taran- tula, Note *—ib. The Effects of too much Rest—286 The absolute Necessity of La- bour and Exercise for the Preservation of Health far- ther consider'd—ib. The bad Effects of too much Labour or Exercise—287 Of general Exercises—ib. Riding of all Exercises the best—ib. Of particular Exercises ap- propriated to certain Parts of the Body—28 Conditions to be observ'd what regard to Exercise—29 CHAP. xxix The CONTENTS. CHAP. XI. Of Retention and Excretion. What Things are to be ex- creted or evacuated, and what retain'd—291 The Cause of costive Stools 292 The best Proportion of the gross Evacuations to the Quantity of Food taken in ib. Purging Stools how they dis- cover the Badness of the Regimen we use—293 The Reason why Mercury will purge instead of sali- vating—294 That the same Reason will make appear why Restrin- gents and Opiates prove purgative—ib. A dangerous Mistake in rear- ing up Children—ib. Loose and purgative Stools discover intemperate Eat- ing—295 The Mischief arising to Hy- sterical and Vapourish Peo- ple, by perpetually cram- ming and gobbling the richest and strongest Food, and highest Cordials—ib. The common Cause of Head- Aches, Stomack-Aches, and Colicks—296 The right Method of bracing relax'd Nerves—ib. An uncommon Evacuation both by Stool and Urine, and the Causes of it—297 Urine, and what it con- sists of—299 Unite of a bright Amber Co- lour the best—300 The Effects of Urine too long retained—ib. The Effects of too great an Evacuation of Urine—301 Of the different Tastes, Smell, Colour, and Quantity of Urine—ib. Of high-colour'd, foul, and turbid Urine—302 Of dark-brown, or dirty red- colour'd Urine—ib. Of bloody, mattery, or whey- ish Urine—303 Obstructed Perspiration the Cause of most acute Di- seases, and the Effect of chronical ones—ib. Catching of Cold what, and how dangerous—ib. A present, easy Remedy a- gainst it—304 Certain Indications of Per- spiration's being deficient or obstructed, with Direc- tions how to remedy the same—ib. The Semen what, and the Effects of moderate Coition 305 Immoderate Coition and its bad Effects—306 The Menses a necessary Eva- cuation, and what,—307 Of Sweat and the Nature of it—308 Sweat different from insensible Perspiration—ib. Of the Saliva, or Spittle, and the Use of it—309 Of Tobacco and its Effects 310 Of the Mucus or Snot, and Tears—311 Of Ear Wax and its Use—312 CHAP. xxx The CONTENTS. CHAP. XII. Of the Passions or Affections of the Mind. The Essence and Causes of the Passions not consider'd, but their Effects and Influ- ence upon Human Bodies 312 The Manner how the Mind operates upon the Body 313 How the Passions of the Mind consume the Spirits and disorder the Body—ib. Joy and Anger render Body lighter—314 Fear and Sorrow increase the Weight of the Body—315 The Passions to be consider'd as physical Agents ib. An Enumeration of the chief Passions of the Mind—ib. Of Love (properly distinguish ed into three Kinds) and its Effects—317 Of Hatred and its Effects—320 Of Shame, Hope, Despair, and their Effects—321 The Passions are properly di- vided into acute and chro- nical—323 The Effects of acute Passions ib. The Cause of Blushing—ib. The Cause of Sighing—324 The Effects of the Suddenness of the Passions when ex- treme—ib. Of chronical Passions—ib. The Effects of chronical Pas- sions—325 The Passions have a very great Influence upon Health—ib. The Advantages of Spiritu- al Love with regard to Health—326 It banishes all those Vices winch must ruin Health, and gives continual Joy and Serenity, inseparable from Health—ib. The Conclusion—327 PART III. CONTAINING, The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of Bathing and Frictions. The Introduction—329 CHAP. xxxi The CONTENTS. CHAP. I. Of Fevers, both in general and particular. A Fever, what—333 Sydenham's Definition—ib. Boerhaave's Sentiments—ib. The Symptoms of Fevers in general—ib. The general Cure of Fevers 334 Of the Symptoms—ib. The Benefit of giving a Vo- mit in Fevers—335 When a Purge may be given with Advantage—336 The Cause of Fevers accord- ing to Hippocrates—ib. A Rule of Diet in Fevers—337 A Division of Fevers—ib. Of an Ephemera and putrid Fever, what—338 The Causes of a putrid Fever ib. The Diagnosticks and Prog- nosticks—339 Of a continent or remitting Fever—340 Of a spurious remitting Fever, and its Prognosticks—341 Of a simple remitting Fever—ib. The Method of Cure—342 A Division of continual Fevers into Burning and Slow Fe- vers, with the chief Symp- toms and Prognosticks—343 The Regimen—344 The Method of Cure—345 Of a Calenture, and of Slow Fevers—346 Of Catarrhal Fevers—ib. The Method of Cure—347 Of Intermitting Fevers—348 The Method of Cure—349 Of Spurious intermitting Fe- vers, and the Cure—351 The proximate Cause of In- termitting Fevers—352 Of Burning Fevers—ib. Great Variety of Malignant Fevers—353 Prognosticks and Cure of Ma- lignant Fevers—354 Of Spotted fevers; their Symptoms, Prognosticks, and Cure—357 CHAP. II. Of the Cure of the most urgent Symptoms attending Fevers. Of Rigor or Shivering in Fe- vers—358 Of Feverish Heat, and the Cure—359 Of Thirst, Anxieties, and Vo- miting in Fevers—360, 361 Of a Looseness in Fevers—363 Of a Strangury, and profuse Sweats in Fevers—364, 365 Of a Pain in the Head, Watch- fulness, Coma, and Deliri- ums in Fevers—366, 367 Of Convulsions in Fevers—368 Of Weakness in Fevers—369 Of inflammatory Eruptions in Fevers—370 Of the Small-Pox; its diffe- rent Stages and Cure, from 371 to 380. CHAP. xxxii the CONTENTS. CHAP. III. Of inflammatory Diseases attended with a Fever. Of a Phrensy, or Inflamma- tion of the Brain—382 Of a Quinsy; its different Sorts, and Cure—384 Of a Pleurisy—386 Of a Peripneumony, or In- flammation of the Lungs 389 An Empyema, what—391 Of a Paraphrenitis, or Inflam- mation of the Diaphragm 393 Of an Inflammation of the Stomach—ib. Of an Inflammation of the Liver—395 Of an Inflammation of the Mesentery—400 Of an Inflammation of the Guts, Symptoms and Cure 402 Inflammations of the Kidneys 405 Of an Apoplexy—409 CHAP. IV. Of Chronical Distempers. Of a Palsy—413 Of an Hemiplegia, and a Pa- raplegia—415 The Cure—416 Of an Epilepsy, or Falling- Sickness—417 The Causes Various—ib. Of Melancholy Madness, and the Causes—421 Of Madness from the Bite of a Mad-Dog—425 A new and sure Method of Cure—429 Of the Scurvy—432 The Cause—433 Of a Cachexy, or ill Habit of Body—435 The Signs, and Cure—436 Of a Consumption—439 Of the concomitant Cause of a Consumption—441 The Method of Cure, from 449 to 452 Of a Dropsy—452 Of the Gout—456 The Effects of Abstinence in the Gout—461 Of Rheumatism—ib. The Cause and Cure—462 Of the Stone and Gravel—463 CHAP. V. Of the Nature and Use of Bathing and Frictions. Of Cold Bathing—467 Necessary Rules to be observ'd before Cold Bathing—470 Wherein Cold Bathing is in- jurious—471 The Use of warm Bathing—473 The Use and Effects of hot Mineral Baths, such as that famous one in Somersetshire 474 Of Frictions and their good and bad Effects—476 A (1) A Guide to Health, &c. PART I. Of the different Degrees and Changes of Age; the principal and inevita- ble Causes of Old Age; and, final- ly, of our Dissolution. To which is annex'd A brief, chronological, and historical Account of LONG LIVES, from before the Flood to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life; with a Description and Definition of Old Age. As our Bodies are subject to Changes and Alterations, from the Minute we come into the World; so the Physicians, regarding the most ap- parent and sensible Changes only, have divided man's whole Life into several Periods, which A they 2 A GUIDE to HEALTH Part I. they call Ages: The Egyptians reckon'd as many as there are ‡ Septenaries in a hundred; for they were of Opinion, that Man's Life could not exceed that Term. The Pythagoreans, who were very super- stitious in the Doctrine of Numbers, have publish'd in their Writings, that we undergo remarkable Changes every seven Years, as well in regard to the Temperature of the Body, as the Qualities of the Soul; all which must be referr'd to the Excellency and Perfection of the Number Seven. But I will not enter into Disquisitions upon Numbers in this Place; it is enough for me to have the Concurrence of all the most cele- brated Authors, that Man, according to the natural Course of Life, undergoes five remark- able Changes in his * Temperament, and passes five Ages or Periods; that is, Infancy, Ado- lescency, Youth, Manhood, and Old Age. Infancy is hot and moist; but the Moisture is predominant, and keeps the Heat in such Subjection, that it can no way shew its Effects. It ‡ Septenarius, or Septennium, containing the Space of seven Years. Some of the Antients reckon'd every Constitution underwent some remarkable Change in every such Revolution, whence the seventh Year was call'd critical, or climacterick Year. * Temperament is that Diversity in the Blood of different Persons, whereby it is apt to fall into some certain Combina- tions more in one Body than another, whether into Sanguine, Choler, Phlegm, or Melancholy; from whence Persons are said to be of a sanguine, cholerick, phlegmatick, or melancholy Tem- perament or Constitution. Of all which I shall speak more at large hereafter. Part I. thro' the various Stages of Life. 3 It continues to the thirteenth or fourteenth Year. Adolescency follows, which is likewise hot and moist, but the Heat begins to be predo- minant; for we see its Sparks shine and lighten every where. In Males the Voice then begins to grow loud and hoarse; they spread and dilate every way, and cast their first Downs. In Females the Breasts grow visibly harder and larger, the Blood is in Motion thro' the whole Body, and pushes on all Sides till it finds Passage. This Period extends to the Age of four or five and twenty, which is the Term limited by Nature for Growth. This is succeeded by Youth, which is full of Heat, Vigour, and Agility: It runs to thirty- five or forty. In this Age the Body comes to its full State, and the Fibres, Membranes, and Bones to their due Solidity. This is what is call'd Manhood, and is the most temperate of the Ages of Man, participating of the four Extremes equally, and extending to the fiftieth Year; where Old Age begins, which com- prises the Remainder of our Lives. Now this last Period of Man's Life may be divided into three Stages; but I pass over that which is call'd Senium ex morbo, that is, Old Age brough on by Sickness. The first is call'd Verdant: It is accompa- nie with Prudence, and is full of Experience, and fit for governing Commonwealths, and managing Affairs of Importance. The se- A2 cond 4 A GUIDE to HEALTH Part I. cond begins at Seventy, and is attended with several little Ailments, and is cold and dry. As to the first, there are such apparent Marks of it, that none ever doubted it; for if we touch old Men of those Years, we shall find them generally very cold in all their Muscles; they have no lively or Vermillion Colour; all their Senses are weaken'd, and they are subject to a great many cold Distempers: But as to the other Quality, Dryness, some have endea- vour'd to dispute it, saying that this Period is moist, but not dry. To this Galen replies, in his first Book de Sanitate Tuenda, that old Men have all those Parts dry which are moist in Children; that is, the solid Parts, upon which the whole Constitution depends. This is even the Opinion of the Moderns, and what we should follow; for Leanness, Wrinkles, Hardness of the Nerves and Skin, the Stiff- ness of the Joints, are sufficient Demonstra- tions of this dry Temperament at that Age. At length comes the last Step of Old Age, and is call'd Decrepit; in which, according to the Royal Prophet, there is nothing but Pains and Grief; for all the Faculties of the Soul and Body are weaken'd, the Sentiments dull and heavy, the Memory lost, the Judg- ment defective. This Last Period of Old Age is describ'd in the twelfth Chapter of Ecclesiastes, under so beautiful an Allegory, that nothing can excel it; and as the Royal Author was the greatest Philosopher and Naturalist that ever wrote, I will Part I. thro' the various Stages of Life. 5 will therefore present the Reader with his Description of this Stage of Life at large, which, besides its Beauty, will likewise serve Us for Instruction and Counsel. Remember, says he, thy Creator in the Days of thy Youth, while the Sun, or the Lights or the moon, or the Stars be not darkened, nor the Clouds return after the Rain. In the Day when the Keepers of the House shall tremble, and the strong Men shall bow themselves, and the Grinders cease, because they are few; and those that look out of Win- dows be darkened, and the Doors shall be shut in the Streets, when the Sound of the Grinding is low, and he shall rise up at the Voice of the Bird, and all the Daughters of Musick shall be brought low. And when they shall be afraid of that which is high, and Fears shall be in the way, and the Almond-tree shall flourish, and the Grashopper shall be a Burden, and Desire shall fail, because man goeth to his long home, and the Mourners go about the Streets. Then shall the Dust return to the Earth as it was: and the Spirit shall return to God that gave it. This is the Description of Stage of man's Life, which is admirable. In decrepit old Age, the Sun and the Stars are darken'd; that is, the Eyes of Man, which are grown dim; nor the Clouds return after the Rain; A3 that 6 A GUIDE to HEALTH Part. I. that is, after they have been weeping a long time, they seem to have thick Clouds before their Eyes. The Keepers of the House shall tremble; that signifies the Hands and Arms, which have been given to Man for the Defence of his whole Body. And the strong Men shall bow themselves; that is, the Legs, which are the Columns that support the whole Building. And the Grinders cease; that is, the Teeth, which grind and chew the Aliments. And those that look out of the Windows be darken'd; that is, the Eyes, which are troubled with Cataracts, and several other Disorders incident to the Sight of decrepit old People. And the Door shall be shut in the Streets, when the Sound of the Grinding is low; those are the Chops, which cannot open to chew, or the Canals thro' which the Aliment us'd to pass, but are now grown straight and narrow. And be shall rise up at the Voice of the Bird; that is, decrepit old People cannot sleep, and are always awaken'd by the Cock's Crowing. And all the Daughters of Musick shall be brought low; that is, their Voice, which fails them. And the Almond-tree shall flourish; that is, the Head, which is all white. And the Grashopper shall be a Burden; that is, the Legs, which are swoln, &c. Having now describ'd the Ages terminated by Years, I would not however be so far con- fin'd to the usual Number into which Man's Life is divided, as if Youth and Old Age must intirely depend upon it; We ought rather to regu- Part I. thro' the various Stages of Life. 7 regulate ourselves by the * Temperament, or Nature of our Constitution: for we may call every Man that is cold and dry, an old man; there are a great many such at forty, and a great number of young Men at sixty. some Complexions fail sooner, and others later. The sanguine are of long Duration, be- cause they have a deal of Heat and Moisture, which Constitution or Temper is most com- modious to Mankind, and qualifies them best for Action, and is therefore most consistent with Health and long Life; whereas the contrary Temper, viz. cold and dry, soon tends to Decay and Death; for the sooner a Body wi- thers and dries away, the sooner it grows old, and draws near its Dissolution. This Heat and Moisture hath also its several Degrees, but these Qualities are best when moderate; those which differ and recede from that Me- diocrity, are called hot and moist, hot and dry, or cold and moist, and cold and dry, tho' all in general are hot and moist in some Degree. These differences of Tempers are com- monly distinguish'd by the Denominations, which I have observ'd already of Sanguine, Choleric, Phlegmatic, and Melancholic Con- stitutions, according tothe Nature and Dis- position of the Juices in the several Bodies, where the excrementitious Discharges answer thereto. They whose Blood is of a mode- rate Templer, between hot and moist, are called sanguine; those who exceed in beat, A4 and * Temperament, See Pag. 2. Note * 8 A GUIDE to HEALTH Part I. and whose Blood is dryer, are called Choleric; those who are cold and moist, Phlegmatic; and lastly, those who are cold and dry, Me- lancholic; and this last Temper or Constitu- tion grows old sooner than any of the rest. As to what regards the Sexes, the Fe- male, generally speaking, grows old sooner than the Male, which Hippocrates justly ob- serves, in his Book concerning those Chil- dren who are born at the End of the seventh Month. The Females, says he, are later in forming and growing in the Womb than the Males; but when they are out of it, they grow faster, have earlier Understanding, and are sooner old, on account of the weakness of their Bodies, and their manner of living. Weakness hastens their Growth, and brings them likewise sooner to old Age; for as the Plants which are short-liv'd grow in a few Minutes, so the Bodies which have no long Duration, soon come to their Perfection. Their manner of living likewise contributes very much to their growing old soon, as they most commonly lead an unactive life; for nothing brings us sooner to old Age than Sloth and Idleness. As to the different Tempers and Constitu- tions of Men, they depend, in a great mea- sure, not only upon the various Dispositions of the Humours contain'd in the Body, but also on the peculiar Conformation and Struc- ture of the noble Parts, and their various Proportions in respect to each other, which disposes Part I. thro' the various Stages of Life. 9 disposes them to breed Humours of diffe- rent Kinds and Dispositions; and endows them with various Qualities, according to the several Alterations they undergo in diffe- rent Bodies, and the Proportion of such ani- mal Fluids differently fermented, exceeding or falling short in Degrees of Digestion; or being variously vitiated by the assimilating Qualities of Humours already contain'd, or of fresh Food taken into the Body, which may pervert the Disposition of the Fluids al- ready contain'd in the Blood Vessels. The Proportion of the Parts of the Body, and their Conformation, may contribute to the difference of Constitution, as they sepa- rate and discharge Humours, not only diffe- rently prepar'd, but in greater or less Quan- tities: Thus, if the Heart be larger in Pro- portion to the Body than the rest of the Parts, the Blood must circulate more briskly, and with greater Force; if the Liver be large, and separate a great Quantity of Bile, the Chyle and Blood must be more bilious; and as the Stomach digests differently, the blood must be supplied with Nourishment in greater or less Quantities, more or less di- gested, and so occasion Sanguine, Choleric, or Phlegmatic Constitutions. Thus the noble parts contribute to the different Temper of the whole, as well as other particular Parts themselves. Hence it is; that different Parts of the Body are, in respect of one another, esteem'd to 10 A GUIDE to HEALTH Part. I. to be of different Tempers; as the Heart, up- on account of its Situation and constant Mo- tion, may be reckon'd one of the hottest Parts of the Body. The others reckon'd of a hot Temper, are the Liver, the musculous Flesh, the Spleen, the Kidneys, Lungs, Veins, Arteries, and Fat. The cold Parts are, the Bones, Cartilages, Ligaments, Tendons, Nerves, Membranes, Spinal Marrow, and the Brain. Those which are accounted moist, are the Fat, Marrow, Brain, Breasts, Testicles, Lungs, Spleen, Kidneys, musculous Flesh, Tongue, Heart, and the softer Nerves. The dry Parts are, Bones, Cartilages, Ligaments, Tendons, Membranes, Arteries, Veins, and hard Nerves. There is moreover another difference in the Tempers or Constitutions of human Bodies, in respect of Age and Sexes; thus Women are naturally colder than Men, too much Heat being supposed apt to consume and vi- tiate the tender Nourishment of Infants, which is to be prepar'd in the Mother. Age likewise alters Constitutions, according to the several Stages and Periods, as I have ob- serv'd before; thus Infants and Children are hot and moist. Youth more temperate, Men and full-grown Persons hot and dry; where- as in old Age the Heat decreases, and Nou- rishment is dry'd up for want of its usual Supplies. Another thing that makes Constitutions differ, is the difference of Climates, the manner Part I. 11 thro' the various Stages of Life. 11 manner of living, the nature of the Food they use, and the Liquors wherewith the more solid Parts of the Food are diluted; but for a more particular Account of different Constitutions, see Part II. Chap. IX. where I treat of the Diet proper for each respe- ctively. Having hitherto given the Reader an Ac- count of the different Degrees and Changes of Age, as likewise a Description of decrepit old Age, supported by the Authority of the wise Solomon; and lastly, of the Causes and Nature of different Constitutions, I shall now finish this Chapter with the Definition of it, which will be of singular Use to such as will observe the Precepts hereafter men- tion'd, in order to preserve Health and long Life. The incomparable Sanctorius, most ele- gantly and concisely defining old Age, says in Aphorism xxxv. Sect. v. Senectus est univer- salis fibrarum durities, &c. that is, old Age is an universal Hardness of the Fibres, &c. which implies; that when there is a greater Waste of the nervous Fluid than can be repair'd, then the component Machinulœ * of all the Fibres of the human Body, for want of a Sufficiency of this animal Oil or Fluidt are harden'd and dry'd, the Pores are thereby straiten'd * Machinulœ signifies in Anatomyy the various Textures, Combinations and Decussations of the Fibres, compounding the Muscles, Nerves, and Membranes of the Body; which is only a Diminutive from the Word Machine. 12 A GUIDE to HEALTH Part I. straiten'd and obstructed, by which means the natural Heat is stifled, and at last Death en- sues; hence it is, that the nearer a Person is brought to this State of an universal Hard- ness of the Fibres, &c. by any means what- ever, the farther such a Person may be said to be advanc'd towards old Age. Wherefore the great Secret and sole Me- thod of long Life, is to preserve the Blood and Juices in a due State of Fluidity and Thinness whereby they may be capable of making all those Circulations and Rounds thro' the animal Fibres, wherein Health and Life consist, with the fewest Rubs, and least Resistance that can be. But notwithstanding all our Efforts, Time and old Age will stiffen and fix our Solids at last; for Age and Time, by weakening the Appetite and Concoctions, impairing the natural Heat, which consists in a brisk and extended Circu- lation of the Fluids to all the Parts of the Body, by the converting those Juices into solid Substances, and thereby fixing and hardening these Solids, and depriving them of their due Elasticity; so the remaining Fluids circulate slower, and with less Force, and seldom reach the Extremities and smallest Ves- sels, but only pass slowly through the larger Vessels..And tho' with all these unavoidable Circumstances, both the nutritious Juices, the serous and globular Part of the Blood be- come viscid, thick, and gluey, so that the Circulation must stop, and come to an end at last; yet it is certainly in a great measure in Part I. thro' the various Stages of Life. 13 in our own Power to put a Stop to the too quick Approaches of such an irremediable Period, by keeping our Juices in a due State of Fluidity and Thinness, and to render them such, if they are not corrupted to an extreme Degree; so that the remainder of Life be not too short to undertake such a Work; for it is very certain, that we may dilute and thin any Fluid, that has an Inlet and Outlet. And the smaller and finer the Parts of any circulating Liquor are, the less Force it will require to set it a going, and to continue its Motion: And it is just even so in animal Bodies; for the more fluid and thinner the Juices are, they will not only circulate with less Force, and with less Resistance or Pain, but they will likewise preserve, by their Cir- culation, the Solids the longer from harden- ing and stiffening. Now, as nothing brings a Person sooner to that State of universal Hardness and Stiff- ness of the Fibres, and a Viscosity and Thick- ness of the Juices, than indulging in strong high Meats, which the concoctive Powers cannot divide small enough to be converted into red Globules of Blood, or circulate thro' the small Vessels, but overload them with corro- sive urinous Salts, which run into Clusters, and first obstruct, and afterwards tear and break these small vessels, and likewise in swilling of strong Liquors, which by their caustick Quality dry up, burn, and destroy the tender and delicate Fibres of the Solids; I therefore 14 A GUIDE to HEALTH Part I. therefore I say, as nothing but such an Indul- gence, and such long-continued Excesses, and obstinately persisted in, can so soon produce such a State of the Fluids and Solids, and consequently bring on many fatal chronical Diseases, according to the particular Habit, Make, and Constitution of the Person: So it is evident, that the only Method and most effectual means that can solidly and thorough- ly accomplish the contrary State of the Blood and Juices, is to render them thin, sweet, and in a continual flowing Condition, by taking the contrary Measures, in keeping to a strict Regimen of a fluid, thin, spare, plain, and lean Diet; for as Dr. Cheyne justly ob- serves, No voluptuous and lazy Person, unless be had an original Constitution of BRASS, ever liv'd to a great Age; and even then, as his Life has been more Misery and Pain, than ever a SOBER GALLY-SLAVE endur'd, his End, and the latter Part of his Days has been RACK and TORTURE, HORROR and DESPAIR. So that Longœvity is scarce ever found but among the abstemious. As all the Parts of the human Body are made up of Fibres, which are small, trans- parent, solid, and elastick, or springy Threads or Filaments, of which mention is made in the foregoing Definition of old Age, and which have been sufficiently demonstrated by Physician and Anatomists already; yet it will not be improper to give some Account of them here, for the sake of as many of the English I Readers Part I. thro' the various Stages of Life. 15 Readers as may be unacquainted with either Physick or Anatomy, and for whose Benefit I have chiefly compiled this Treatise. Therefore these Fibres, or small Threads, that constitute the human Body, are of diffe- rent Sorts; some are soft, flexible, and a lit- tle elastick ‡, and these are hollow like small Pipes, or spongious, and full of little Cells, as the nervous and fleshy Fibres. There are others more solid and flexible, but with a strong Elasticity, as the membranous and car- tilaginous Fibres; and a third Sort hard and inflexible, as the Fibres of the Bones. And of all these some are very sensible, as those of the Nerves, Blood-vessels, Membranes, Ten- dons, and Muscles; and others are destitute of all Sense, as those of the Bones; some so very small as not to be easily perceiv'd; and others, on the contrary, so big as to be plain- ly seen; but most of them, when examin'd with a Microscope, appear to be composed of still smaller Fibres, and may be divided still into less; and indeed this Division proceeds so far, that at last they become so incredibly small as to exceed all the Power of Imagina- tion; but Reason will shew us, there must be an End. Now these simple Fibres do first constitute the Substance of the Bones, Cartilages, Liga- ments, ‡ Elastick or springy, signifies a Force in Bodies, by which they endeavour to restore themselves to the Posture from whence they were displace by any external Force. 16 A GUIDE to HEALTH Part I. ments, Membranes, Nerves, Veins, Arteries, and Muscles. And again, by the various Texture and different Combinations of some, or all these Parts, the more compound Organs are fram'd, such as the Lungs, Stomach, Liver, Legs, and Arms, the Sum of all which makes the human Body. CHAP. II. The principal and inevitable Causes of OLD AGE, and of our DISSOLUTION. I Shall shew in this Chapter, with what has been already said, such things as alter our Bodies, and whatever makes them grow old, and brings us at last to our Dissolution. The Causes, then, of the Alterations of our Bodies, and likewise of our Dissolution, are either external or internal: These last are born with us, and always attend us, even to the Grave: The others come from without us, surround us on all Sides, and, tho' we can guard ourselves against some of them, there is however an infinite Number of them which we cannot escape. The internal Causes which come into the World with us, are two, viz. the Contrariety of the Principles of which our Bodies are composed, and the Animal Actions or Func- tions of the human Body The Ch. II. thro' the various Stages of Life. 17 The Principles of our Composition are, 1. A Water or Phlegm. 2. A volatile Fluid or Spirit. 3. A saline Matter or Salt, both Volatile and fix'd. 4. A fat Substance or Oil, otherwise call'd Sulphur. 5. An Earth, or Caput Mortuum. But the Spirit being only a Mixture of Phlegm and Salt, these five may be properly reduced to four †. The Animal Actions, or Functions, which happen in all the Parts of human Bodies, by the Motion of the Humours in their distinct Vessels, and the Effects they have upon one another, are distinguish'd into vital, natural, and animal, Those call'd vital so much con- duce to preserve Life, that they are of abso- lute Necessity; as the muscular Action of the Heart, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions thro' their proper Organs; and also the Veins, Arteries, and Nerves. The Natural Actions are those that so alter our Aliment, as that it may become Part of our Substance; and such are the Actions of the Bowels, vessels and Humours that receive, re- tain, move, change, mix, separate, apply, discharge, and consume. The Animal Functions are such as, when perform'd, the Understanding conceives Ideas of Things, united to that Action; or the Will is either concern'd in exciting such Actions, or mov'd by them when excited: Such are B the † Boerhaave Institutiones Medic. de Natura & Part. Sang. 18 A GUIDE to HEALTH Part I. the Touch, Taste, Smell, Sight, Hearing, Per- ception, Imagination, Memory, Judgment, Reason, Passions of the Mind, and voluntary Motions. From hence we may know, that Health is such a Disposition of the Body as fits it to exercise all its Actions, and that all the Effects of those Actions respect determinate Motions, and the Change made in our Ali- ment. The Principles of our Composition just now mention'd, being duly distributed thro' the whole Body, may be call'd an Equilibrium between the Solids and Fluids of a Person in Health; or, which is the same thing, an exact Ballance of Contrarieties, making a kind of Agreement or Harmony amongst themselves, in order to mix and unite; wherein each of them quits something of its Sovereignty, and reduces itself to a Mediocrity, which is call'd Temperament. But this Alliance is of short Duration; for the Body, by the Actions inse- parable from Life, suffers such a gradual Change, that the smallest Vessels become stiff, and the minutest grow together into Fibres, unfit for the Humours to pass thro' them; the greater Vessels become hard and narrow, and all are contracted, and, being compress'd, grow together, which occasions Dryness, and Un- aptness to Motion in old People. By this means the Actions of the small Vessels are de- stroy'd, and the Humours stagnate and grow thick in them, and the Fibres adhere toge- ther: Thus the most subtile Parts of the Juices Ch. II. thro' the various Stages of Life. 19 Juices are wanting and dissipated, Digestion is weaken'd, Nourishment is deficient, and the grosser Humours only circulate thro' the large vessels slowly, and support Life alone, with- out the Animal Action till at last these Changes bring on Death from Old Age, the Successor of perfect Health; which happens sooner if the Actions of Life have been violent, but later if moderate; and this is one of the Causes of our Dissolution: It is inevitable, and we bring it with us from the Womb, But, in order to make this more evidently ap- pear, it is necessary to consider the following Particulars concerning Nutrition, Growth, and Decrease of the Body. As there is an Aptness to Motion requisite in the Vessels, Muscles, and Fibres of the hu- man Body, in order to enable it to make due Use of all the Motions of its Humours, Ves- sels, and Muscles, without Detriment there- unto; So, for this Purpose, the Parts which are coherent, should be partly free from Con- tact, and partly remain in it, which cannot be, unless the greater Parts consist of the smallest, thinest, and shortest ones; nor will that happen again, unless a renovating Hu- mour passes continually betwixt them, to hin- der their growing together; therefore, as the whole human Body is flexile, and subject to Changes from Contact, of Necessity it ought to consist of small Vessels. But this very Motion, being continually and violently perform'd, in Vessels of such a B2 tender 20 A GUIDE to HEALTH Part I. tender Fabrick, the least Parts must of neces- sity be thereby worn off from the Solids; and thence, being mix'd with the Liquids, be mov'd round by the perpetual Circulation of the Juices, as well as by the Action of the Muscles, and exhale. In the mean while the Fluids, being ground small by the continual Attrition of their Parts, and drove to the Ves- sels thro' which they exhale or transpire, are quite excluded out of the Body; and thus the Animal Body, from the very Condition of its Frame, is soon destroy'd. Therefore it is requisite, for the due Con- tinuance of Life, that as much Matter, and of the same Kind, should be continually re- stored to the Humours and solid Parts, as was lost by those Motions, which Action is call'd Nutrition. The Humours that are worn away, are again supplied, as to their Matter, by Air, Meat, and Drink. As to the Qualities re- quir'd, those are produced by the concurring Assistance of all the Parts of the Body, and by means thereof applied to the Vessels where they are wanting. Every solid Part of the Body is composed of other less Solids, very like the greater; the Vessels, of smaller Vessels; and the Bones, of smaller Bones. And this manner of Structure proceeds beyond all the Limits of Sense, as- sisted by what Art soever, as Malpighi, Ruysche, Leeuwenhoek, and Hook, have de- monstrated by accurate Experiments: yet this Divi- Ch. II. thro' the various Stages of Life. 21 Division scarce seems to proceed ad Infinitum, as appears by the Nature of the Nourishment and Fluids themselves. Moreover Microscopes, Injections, the least imaginable Wounds, Vesicatories, Comsump- tions, and the withering away of the Body, inform us, that our solid Parts, in respect of the Humours, are but very small; for it is al- most demonstrable, from the Consideration of the Rise and Generation of the Vessels, and the Resolution of the greater Canals into their least constituent Parts, that the whole solid Mass of our Bodies is almost wholly compos'd of mere Nerves, consider'd in their primary Composition and Communication. And truly all that Mass, except an incre- dible small Particle, at first grew together, from those which were before the most sub- tile Liquid of the Colliquamentum or Fluid, almost all which goes to compound the Body, being much like the nervous Fluid, according to Malpighi; for the White of an Egg does not nourish, before it has been long brooded upon, till that thick clammy Humour has pass'd thro' a vast many Degrees of Fluidity, by several Changes, to fit it at last for the Purposes requir'd; but even then, when it comes to supply the Embryo, it is very thick, and must be much more subtiliz'd in its Ves- sels and Bowels. The first tender solid Parts being made out of this most subtile Humour, which are then almost fluid, they pass again thro' a vast many B3 diffe- 22 A GUIDE to HEALTH Part I. different Degrees of Solidity, before they ar- rive at the Perfection of solid Parts; as ap- pears from Malpighi's Experiments upon Eggs, and the incomparable Ruysche's upon Embryos and Fœtuses, and even from the differ rent Parts themselves. Hence it appears, that the solid Parts, in their first Origin, differ only from Liquids, whence they spring, by Rest, Cohesion, and their Figure; therefore such a Particle, while fluid, will become Part of Solid, to be form'd thereof, as soon as the Power that causes it to cohere with the other solid Parts, shall act, by what means soever it be. This Cohesion of the Parts is best pro- duc'd in a Fibre already form'd, if there be a sufficient Place in the Solid, left by that Particle which was lost, and at the same time, another Particle in the Fluid of equal Bulk, Figure and Nature, and endow'd with suffi- cient Force to thrust it in, or fit it to that Place. Therefore there will be a true Nutrition of the Solids in the smallest Vessels, which, by Addition, become greater; that is, in the Nerves or Vessels like them; which, since it cannot be perform'd without a Liquid be brought into those Vessels, seems very plain, that the most immediate matter of Nourish- ment is the most subtle, nervous Fluid, or some other like it; and therefore appears to be perform'd and produc'd from the last and most refin'd Actions of Nature; and that it may Ch. II. thro' the various Stages of Life. 23 may be well perform'd, all the preceding Actions ought to be perfect. The Chyle therefore may fill the greater Vessels, but cannot recruit the solid Parts; but being attenuated, alter'd, rarefied, mix'd, and made fit to pass thro' some Vessels, by the force of Respiration in the Lungs, it is render'd the more proper indeed, but still not fit Matter for this Purpose. However, by the repeated Effects of the Lungs, Bowels, and Vessels, it becomes a white, tenacious, forming Liquor, almost Without Smell, thickens by the Heat of the Fire, or in Spirit of Wine; being then like the White of an Egg, and called Serum; and therefore is such a Fluid, as has all the requi- sites which ought to be in that Humour; whereof Experience teaches us, that all the solid Parts of an animal Body are constantly made or form'd, only by Incubation, or a constant Heat and Digestion. Thus then the Matter is brought a Degree nearer, but yet is not quite fit for Nutrition; much less is red Blood, which never enters the smallest Vessels. But as the Heat of Incubation, so the action of the Viscera and Vessels, occasions divers Changes on this circulating Serum, till Part of it is turn'd into such a subtle Humour as is here requir'd; and being consumed, it is again supplied, and this at length becomes the true and immediate Matter of Nourish- ment; which, how simple it is, how insipid, B4 or 24 A GUIDE to HEALTH Part I. or without Smell, will appear from the Fire, Putrefaction, or the Art of Chymistry, for it leaves behind but a pure and exceedingly light Earth. Nor can this Matter be prepar'd, without undergoing the foremention'd Alterations: But the same Humour may, by too often and repeated turns of Circulation, grow sharper, or lose its Liquidity, and become thick; be- ing drain'd of its oily Parts, and render'd pun- gent by Salts, and then it is unfit for this Use; which may, perhaps, be partly dis- charg'd by Perspiration, and partly by Urine. Therefore there is a necessity of new Chyle, and consequently of Aliment, to supply this Nourishment. As to the Manner how, and the Cause why Nutrition is perform'd, that will appear from what follows. The Humour being forced forwards, thro' a full, conical, cylindrical, elastic, or stiff and rigid Tube, if it flows from a broad Part into an narrower, or with a Resistance against its Motion, it will endeavour to extend the Sides of the Canal, according to its longer Axis; and this happens all over the Body, ex- cept in the Veins, and the Cavity of the Re- ceptacles. And by this Force, tho' small, be- ing constant and repeated, the Vessels will by Degrees, and insensibly be lengthen'd; and by growing longer, will become thinner, and soon be more and more attenuated: By this means, the utmost Extremities of the Vessels, which are smallest, will be less coherent, and next Ch. II. thro' the various Stages of Life. 25 next to a State of Dissolution. And thus the Extremities of the Vessels will be ren- der'd much finer and weaker, and little different from Fluids. Whilst therefore this Motion perpetually proceeds in a continual Propulsion, it must necessarily happen, that the last Particles of these very fine Tubes being worn away, will again put on the form of a Liquid, in what- ever Part of the Body they remain; and then the smallest Parts, which compose the finest Fibres, by their Union will be so mutually separated from one another, as to leave small Intervals in those Places where they before grew together; and this will constantly hap- pen every where, as long as Life continues, especially where it is strong, and the Action of the Body violent. But the same Humour wherein all this happens, contains a great many such Particles as were separated or lost, which it carries, ap- plies, and adapts to these very Intervals, with that very Force with which it endeavours to break the Vessels, and then fixes, fits and fastens those intercepted Particles in these Cavities; so that they grow together as the former: for the Matter, the Preparation and Application thereof, with the Force of Mo- tion, will always continue the same; and therefore what is lost will be easily restor'd, and so the solid Parts remain as they were, that is, they are nourish'd and preserv'd con- tinually, And 26 A GUIDE to HEALTH Part I. And this shews the wonderful Wisdom of our Maker, that the same Cause which in- evitably destroys, shall also at the same time repair the Structure of our Frame; and that too according to this Rule, that the greater the Loss, the larger shall be the Supply; and that those Parts, which by the Actions of the Body are first worn, are always the first sup- plied. It is plain then, that the more tender those Vessels are, the newer, and the nearer to the moving Cause, so much the easier they are stretch'd, distended, destroy'd, and re- new'd; and consequently, the nearer our Bodies are to their Origin, the more they grow and increase. Whilst this Action goes forwards, the greater Vessels are more distended by the Li- quor they contain; but at the same time, the small Vessels, which being interwoven, com- pose the Membranes of the greater, are more compressed, dried, and grow nearer together which adds Strength to the Fibres, at the Expence of vascular Property; so that in time our Vessels turn to hard Ligaments, and the Humours become firm and solid. By a Concurrence of these Causes, the Solids be- come strong, hard, stiff and thick. There- fore the vast number of Vessels that are in an Embryo, gradually decrease as Age comes on; and for the same reason, on the other hand, as Weakness decreases, Strength increases; and so in young Persons, the Quantity and Vigour Ch. II. thro' the various Stages of Life. 27 Vigour of the Humours exceed that of the Solids; but in old People, the Solids in Quantity and Strength exceed the Liquids; from whence plainly appears the manner of the Increase, Decrease, and Death of the Body, merely from old Age, with the Causes and different Appearances thereof. Whoever therefore considers this whole Account, and then compares these Accidents which happen to the Body therewith, will clearly perceive this to be the State of the Case; for the whole Cuticle every where per- petually scales off, perishes, and renews again; the Hair, Nails, Teeth, shav'd, par'd, cut off or wore, grow afresh; and Parts of the Vessels and Bones taken away, in a short time return on every side; and if the Filth in the Extremities of the Vessels throughout the whole Body, that is either worn off, or collected there by Exhalation, be view'd in Water with a Microscope, after being eva- porated or diluted, it appears to consist of Solids and Fluids; and the same when ob- tain'd by Washing, Rubbing, or Abrasion, ex- hibit the like Appearance. From hence appears the Reason why the Fabric of our Solids is not dissolv'd by the liquid Contents; and why our Machine con- tinues so long fit for Motion; why, when the Nerves are by any means corrupted, the Part to which they lead, loses its Nourish- ment; why in an Embryo there are no So- lids, in a Fœtus few, and in very old People a 28 A GUIDE to HEALTH Part I. a vast many; so that even the Nerves, Ten- dons, Arteries, and Receptacles in those, first become cartilaginous, and then bony. It is therefore evident from the foregoing Particulars, that the two internal Causes of our Dissolution already mention'd, viz. The Contrariety of the Principles of our Fabric, and the animal Actions or Functions of the human Body, are born, grow, and are nou- rish'd with us, and that, gradually and in- evitably, they bring on Old Age, and destroy the Body at last: nor can all the Physicians in the World guard us against them; for the great Promises made with Assurance, as to the Prolongation of Life for so many hun- dreds of Years, are vain and imaginary, be- ing unsupported both by Reason and Expe- rience: Of this Tribe are Van Helmont's Primum Ens, Paracelsus's Elixir Proprie- tatis; the Primum Ens of Animals; all those precious Liquors, that potable Gold, those Conserves of Rubies, Emeralds, Elixirs of Life; that fabulous Fountain, that was reported to make People grow young, can- not hinder us from Decay and Old Age. Nor is it likely that Life should be prolong'd even by the best Methods in Nature, so many Years as the Chymists pretend by their Art; but their own Experience is a Proof of their Temerity and Inability herein. There are other Causes of our Dissolution, which are external, and likewise inevitable; for as our Bodies consist of three dissipable Sub- Ch. II. thro' the various Stages of Life. 29 Substances, one of which is subtile and airy, the second liquid, and the third solid; so we must necessarily have something that pro- ceeds from without us, in order to repair them, otherwise our Lives could subsist but a few Minutes. That which repairs our Substance is called Aliment, and is threefold. Air, Meat, and Drink; the first nourishes the spirituous Sub- stance, the second the Liquid, and the third the solid Substance. But this triple Aliment, tho' never so pure, has yet always something unlike our Nature, which can never be assimilated to either our Juices or Solids, which must then become excremen- titious; and where an Excrement is genera- ted, and being detain'd in the Body, con- sequently alters it, and causes an infinite number of Diseases; by which means our Bodies are variously chang'd and affected, and often finally brought to an intire Disso- lution. I pass over all the other external Causes, such as too violent Exercises, an unactive and sedentary Life, long and continual Watch- ings, those Passions of the Mind which are most capable of making us grow old, as Fear and Sadness, &c. I say nothing likewise of all accidental Causes, such as Wounds, Fractures, &c. I have only endeavour'd to demonstrate, that the living Creature must necessarily grow old and decay; that he nourishes the natural Causes of Death in himself, and that there I are 30 A GUIDE to HEALTH Part I. are likewise some external ones, which are inevitable. I thought proper to insert in this Place a Chronological and Historical succinct Account of long Lives, from before the Flood down to the present time; with a true and short Character or Elogy of each, faithfully col- lected from the Records of both sacred and profane History; which perhaps, may prove useful as well as entertaining to the Reader. Herein he will observe, not only the Ne- cessity of Temperance towards attaining long Life, but that the length of Life by the running on of Ages, or Succession of Generations, has not in the least abated, from the Time of Moses to our present Days; for the Term of Man's Life has stood near about fourscore Years of Age ever since, as will appear by the following Account. CHAP. III. An Historical Account of Long Lives from the Creation to the present Lime. BEFORE the Flood, Men liv'd many hundred Years, as the Holy Scriptures relate; yet none of the Fathers attained to the Age of a thousand. Neither was this length of Life peculiar only to Grace, or I the Ch. III. thro' the various Stages of Life. 31 the holy Line; for there are eleven Genera- tions of the Fathers reckon'd to the Flood, but of the Sons of Adam by Cain, only eight Generations; so that the Posterity of Cain seems to have liv'd longer. But this length of Life, immediately after the Flood was reduc'd to one half, in the Post-nati only: for Noah, who was born before the Flood, equalled the Age of his Ancestors; Shem also lived six hundred Years. Afterwards, three Generations from the Flood being ran, the length of Man's Life was brought down to a fourth Part of the Primitive Age, that is, to about two hundred Years. Abraham lived a hundred and seventy-five Years, a Man of great Virtue, and was ab- stemious, and prosperous in all things. Isaac arriv'd at the Age of an hundred and eighty Years; a chaste Man, who enjoy'd more Quietness than his Father. But Jacob, after many Crosses, and a numerous Progeny, liv'd a hundred and forty-seven Years; a patient, gentle, religious, and wise Man. Ishmael, a military Man, liv'd an hundred thirty-seven Years, and always observ'd Temperance to be his only Guide for obtaining Health and long Life. Sarah, whose Years only amongst her Sex are recorded, died in the hundred and twenty- seventh Year of her Age: she was a beautiful and virtuous Woman, a singular good Mo- ther and Wife, and yet no less famous for the Liberty from, than Obsequiousness towards her 32 A GUIDE to HEALTH Part I. her Husband. Joseph also, a prudent and politick Man, passing his Youth in Affliction, afterwards advanc'd to the Height of Ho- nour and Prosperity, liv'd an hundred and ten Years; he was sober, chaste, and reli- gious Man. But his Brother Levi, who was older than him, attain'd to an hundred thirty- seven Years; he was a Man that was revenge- ful, and impatient of Reproach or Affront, yet always temperate and moderate in his eat- ing and drinking. His Son liv'd almost to the same Age, as also his Grand-child, the Fa- ther of Aaron and Moses: they were both strictly moderate in their way of living. Moses liv'd an hundred and twenty Years; a stout and virtuous Man, yet the meekest upon Earth, but of very slow Speech; how- ever he pronounces, that the Life of Man is but seventy Years; but if of a more than or- dinary Strength, eighty; which seems gene- rally to be the Term of Man's Life even at this Day. Aaron, who was three years elder, died the same Year with his Brother Moses: he was a Man of a readier Speech, and of a more easy Disposition, but less constant; he was religious, abstemious, and moderate in his Actions of Life. Phineas, Grand-child of Aaron, out of extraordinary Grace, may be collected to have liv'd three hundred years; if so be that the War of the Israelites against the Tribe of Benjamin, in which Expedi- tion Phineas was consulted, was perform'd in the Ch. III. thro' the various Stages of Life. 33 the same order of Time in which the Hi- story has ranked it; he was a Man of most eminent Zeal and Virtue. Joshua, a martial Man, and an excellent Commander, and always victorious; yet he was religiously sober and moderate, and lived to be an hundred and twenty Years of Age. Caleb, who observ'd Temperance, was his Contemporary, and seems to have lived as long as he did. Ehud the Judge, liv'd to the Age of an hundred Years; for after the Victory over the Moabites, the Holy Land remain'd under his Government eighty Years; he was a bold and an undaunted Man, and one that in a great measure neglected his own Life for the good of his People, and was like- wise a strict Observer of Temperance. Job liv'd after the Restauration of his Happiness, an hundred and forty Years, being before his Afflictions of such an Age, as to have Sons at Man's Estate; he was a politick Man, eloquent and charitable, and the true Emblem of Patience. Eli the Priest liv'd ninety-eight Years; a corpulent Man, and of a calm Disposition, and indulgent to his Children. But Elizeus the Prophet seems to have died when he was above an hundred Years old; for he is found to have liv'd after the Assumption of Elias sixty Years, and at the time of that Assumption he was of those Years, that the Boys mock'd him, by the Name of Bald- head; he was a severe and vehement Man C against 34 A GUIDE to HEALTH Part I. against Vice and Luxury, and a Contemner of Riches. Isaiah the Prophet seems to have liv'd to the Age of an hundred Years; for he is found to have exercised the Function of a Prophet seventy Years together, the Years both of his beginning to prophecy, and of his Death, being uncertain; he was a Man of admirable Eloquence, and an evangelical Prophet, full of the Promises of God, and of the New Testament, as a Bottle with sweet Wine. Tobias the elder, liv'd an hundred fifty- eight Years; the younger, an hundred and twenty-seven; both of them were merciful Men, and great Alms-givers; they were like- wise abstemious and moderate in all their Actions. It seems, that in the Time of the Capti- vity, many of the Jews who return'd out of Babylon, liv'd to great Ages, seeing they could remember both the Temples, there be- ing no less than seventy Years between them, and wept for the Unlikeness of them. Many Ages after that, in the Time of our Saviour, liv'd old Simeon, to the Age of ninety Years; a devout Man, and full both of Hope and Expectation. Also Anna the Prophetess, who could not possibly be less than an hun- dred Years old; for she had been seven Years a Wife, about eighty-four years a Widow, besides the Years of her Virginity, and the Time that she liv'd after her Prophecy of our Ch. III. thro' the various Stages of Life. 35 our Saviour; she was a holy Woman, and passed her Days in Fasting and Prayer. As to the long Lives mention'd in Heathen Authors, they have no Certainty in them, both for the intermixture of Fables, to which these kind of Relations were very liable, and for their false Calculation of Years. And we find nothing of Moment of the Egyptians in those Works that are extant, concerning the length of Lives; for their Kings, who reign'd longest, did not exceed fifty, or live and fifty Years, which is no great Matter, since many at this Day live to those Years. But the Arcadian Kings are fabulously re- ported to have liv'd very long; and, as that Country was Mountainous, full of Flocks of Sheep, and produc'd most wholsome Food; but when Fable is the only Guide, there can be no Certainty. Numa King of the Romans liv'd to the Age of eighty; he was a peaceable and con- templative Man, and much devoted to Reli- gion. Marcus Valerius Corvinus compleated an hundred Years, there being forty-six Years between his first and sixth Consulship; he was a Man full of Courage, affable, popu- lar, and always fortunate and sober, observ- ing constantly a cool and moderate Diet. Solon of Athens, the Law-giver, and one of the seven Wise Men, liv'd above eighty Years; a Man of high Courage, popular, and well affected to his Country; he was also C2 learned, 36 A GUIDE to HEALTH Part. I. learned, given to Pleasures, but always mo- derate in his Diet. Epimenides the Cretan is reported to have lived an hundred and fifty- seven Years: this Matter is mix'd with a prodigious odd Relation; for he is said to have slept fifty-seven of those Years in a Cave. Half an Age after, Xenophanes the Colopho- nian lived an hundred and two Years, or ra- ther more; for at the Age of twenty five Years he left his Country, seventy-seven com- plete Years he travel'd, and after that return'd: A Man no less wandering in Mind than in Body; for his Name was chang'd, for the Madness of his Opinions, from Xenophanes, to Xenomanes; a Man no doubt of a vast Conceit, and that minded nothing but Infinitums. Pindarus, the Theban, lived to eighty Years. He was a Poet of an high Fancy, singular in his Conceits, and a great Adorer of the Gods, but a sober Man. Sophocles, the Athenian, attain'd to the like Age; a lofty tragick Poet, given over wholly to Writing, and neglectful of his own Family. Artaxerxes, King of Persia, lived ninety- four Years; a Man of dull Wit, averse from the Dispatch of Business, desirous of Glory, but rather of Ease. At the same time lived Agesilaus, King of Sparta, to eighty-four Years of Age; a moderate Prince, as being a Philosopher amongst Kings; but notwith- standing ambitious, and a Warrior, and no less stout in War than in Business. Gorgias, Ch. III. thro' the various Stages of Life. 37 Gorgias, the Sicilian, was an hundred and eight Years old. He was a Rhetorician, and a great Boaster of his Faculty, one that taught Youth for Profit. He had seen many Countries; and, a little before his Death, said, that he had done nothing worthy of Blame since he was an old Man. Protagoras of Abdera lived ninety Years: This Man was likewise a Rhetorician; but profess'd not to teach so much the liberal Arts, as the Art of governing Commonwealths and States; not- withstanding he was no less a Wanderer in the World than Gorgias already mention'd. Isocrates, the Athenian, lived ninety-eight Years: He was likewise a Rhetorician, but an exceeding modest Man, one that shun'd the publick Light, and open'd his School only in his own House. Democritus, of Abdera, reach'd to an hundred and nine Years: He was a great Philosopher, and, if ever any Man amongst the Grecians, a true Naturalist; a Surveyor of many Countries, but much more of Nature. He was also a diligent Searcher into Experiments, and, as Aristotle objected against him, one that follow'd Similitudes more than the Laws of Arguments. Diogenes, the Sinopean, lived ninety Years, was a Man that used Liberty towards others, but Tyranny over himself; he lived upon a coarse Diet, and was a Pattern of Patience. Zeno, of Citium, wanted but two Years of an hundred; a Man of high Mind, and a Contemner of other Men's Opinions. He C3 was 38 A GUIDE to HEALTH Part I. was also a Man of great Acuteness, but yet not troublesome, chusing rather to take Men's Minds than to enforce them; the like where- of happen'd afterwards in Seneca. Plato, the Athenian; attain'd to eighty-one Years; a Man of great Courage, but yet a Lover of Ease. He was in his Notions sub- lime and full of Fancy, neat and delicate in his Life, rather calm than merry, and one that carried a kind of Majesty in his Counte- nance, and a strict Observer of Moderation in his Diet. Theophrastus, the Ethesian, lived eighty Years; a Man of sweet Eloquence, and sweet also for the Variety of his Subjects, and who selected the pleasant Things of Philosophy, and let the bitter and harsh go. Carneades of Cyrene, many Years after, attain'd to the like Age; a Man of fluent Eloquence, and one who, by the acceptable and pleasant Variety of his Knowledge, delighted himself and others. But Orbilius, who lived in Cicero's time, no Philosopher nor Rhetorician, but a Grammarian, lived to the Age of an hundred Years. He was first a Soldier, then a School- master; a Man by Nature tart both in his Tongue and Pen, and severe towards his Scholars. Quintus Fabius Maximus was Augur sixty- three Years, which shew'd him to be above eighty Years of Age at his Death; tho' it is true, that in the Augurship Nobility was more respected than Age. He was a wise Man, Ch. III. thro' the various Stages of Life. 39 Man, and a great Deliberator, and in all his Proceedings moderate, not without Affability, severe. Masinissa, King of Numidia, lived ninety Years; and, being more than eighty- five, got a Son. He was a daring Man, and trusting to his Fortune, who in his youthful Days had tasted of her Inconstancy; but in his succeeding Age was constantly happy. But Marcus Porcius Cato lived above ninety Years of Age; a Man of an Iron Body and Mind. He had a bitter Tongue, and loved to cherish Factions. He was given to Hus- bandry, and was, to himself and his Family, a Physician. Terentia, Cicero's Wife, lived an hundred and three Years. She was a Woman afflicted with many Crosses; first with the Banish- ment of her Husband, then with the Diffe- rence betwixt them, and lastly with his last fatal Misfortune. She was also very often troubled with the Gout. Luccica, the Actress, must needs exceed an hundred by many Years; for it is said, that she acted a whole hundred Years upon the Stage; at first perhaps representing the Person some young Girl, and at last of some old decrepit Woman. Galeria Copiola, a Player also and Dancer, was brought upon the Stage very young, but in what Year of her Age is not known; and ninety-nine Years after, at the Dedication of the Theatre by Pompey the Great, she was shewn upon the Stage again; not now for C4 an 40 A GUIDE to HEALTH Part I. an Actress, but for a Wonder; neither was this all, for after that she was shewn a third time upon the Stage in the Solemnities ce- lebrated for the Health and Life of Augustus. She is reckon'd to have liv'd sober and vir- tuous from her Youth. There was another Actress somewhat in- ferior in Age, but much superior in Dignity, who liv'd very near ninety Years, I mean Livia Julia Augusta, Wife of Augustus Cæsar, and Mother to Tiberius (for if Au- gustus's Life was a Play, as he himself would have it, as when upon his Death-bed he charg'd his Friends that they would give him a Plaudite after he was dead) certainly this Lady was an excellent Actress, who could carry it so well with her Husband, by a dis- sembled Obedience, and with her Son, by Power and Authority; she was an affable Woman, and yet of a Motherly Carriage, pragmatical, and upholding her Power. But Junia, the Wife of Caius Cassius, Sister to Marcus Brutus, was also ninety Years old; for she surviv'd the Philippic Battle sixty- four Years. She was a magnanimous Woman, in her great Wealth happy; in the Calamity of her Husband and near Relations, and in a long- Widowhood, unhappy; yet much ho- nour'd by all, for her Sobriety and Virtue. The Year of our Lord seventy-six, hap- pening in the time of Vespasian, is memora- ble, in which we shall find as it were a Ca- lendar of long Lives; for that Year there was Ch. III. thro' the various Stages of Life. 41 was a Taxing; (now Taxing is the most au- thentic and truest Informer as to People's Ages) and in that Part of Italy which lies between the Apennine Mountains and the River Po, there were found an hundred and twenty-four Persons, that each of them ei- ther equalled or exceeded an hundred Years of Age; namely, fifty-four Persons of an hun- dred Years each; fifty-seven Persons of an hundred and ten; two only of an hundred and twenty-five; four Men of an hundred and thirty; four more of an hundred and thirty-five or seven; three Men of an hun- dred and forty. Besides these, Parma in particular pro- duc'd five, whereof three fulfilled an hun- dred and twenty years each, and two an hundred and thirty. Bruxels produc'd one of an hundred and twenty-five years old, Placentia one aged an hundred and thirty- two. Faventia one Woman, aged an hun- dred and thirty-two. A certain Town situ- ated in the Hills about Placentia, then called Velleiacium, afforded ten, whereof fix ful- filled an hundred and ten Years each, and four an hundred and twenty Years of Age each. Lastly, Rimino one of an hundred and fifty years, whose Name was Marcus Aponius. And it will not be amiss to ac- quaint the Reader here, that all upon this foregoing List observ'd Temperance and So- briety during most part of their Lives. As 42 A GUIDE to HEALTH Part I. As there are but few found among all the Grecian, Roman, Gallick and German Em- perors to our Days, that have lived to the Age of fourscore Years, and none that ex- ceeded ninety; I will not therefore trouble the Reader with any farther Account of them, but proceed to the Princes of the Church. St. John, an Apostle of our Saviour, and the beloved Disciple, liv'd ninety-three Years; he was rightly denoted under the Emblem of the Eagle, for his piercing Sight into the Divinity, and was as a Seraphim among the Apostles, in respect of his burning Love. St. Luke the Evangelist compleated eighty- four Years; an eloquent Man, and a Tra- veller; St. Paul's inseparable Companion, and a Physician. Simeon the Son of Cleo- phas, called the Brother of our Lord, and Bishop of Hierusalem, liv'd an hundred and twenty Years, tho' he was cut off at last by Martyrdom; he was a stout Man, constant, and full of good Works. Dionysius Areopagita, Contemporary to St. Paul the Apostle, liv'd ninety Years; he was called the Bird of Heaven for his sub- lime Divinity, and was famous as well for his holy Life, as for his Meditations. Aquila and Priscilla, first St. Paul's Hosts, and afterwards his Fellow-helpers, lived together in happy Wedlock at least to an hundred Years of Age apiece; for they were both alive under Pope Xystus the first; a noble Pair, Ch. III. thro' the various Stages of Life. 43 Pair, and prone to all kinds of Charity, who among their other Comforts, which doubt- less were great to the first Founders of the Church, had this added, to enjoy each other so long in a happy married State. St. Paul the Hermit lived an hundred and thirteen Years; his Diet was so slender and strict, that it was thought almost im- possible to support human Nature therewith; he passed his Days in a Cave, only in Medi- tations and Soliloquies, yet he was not illi- terate, or an Idiot, but learned. St. Hie- rome, by the Consent of most Writers, ex- ceeded ninety Years of Age; a Man power- ful in his Pen, and of a manly Eloquence, variously learn'd, both in the Languages and Sciences, also a Traveller, and lived strictly to- wards his old Age in a private State, and not dignified; he had high Spirits, and shined far out of Obscurity. St. Anthony the Monk lived to the Age of an hundred and five Years; his Life was au- stere and mortifying, notwithstanding he lived in a kind of glorious Solitude, and ex- ercised a Command, having his Monks under him, and besides many Christians and Phi- losophers came to visit him as a living Image worthy of their Veneration, on account of his holy Life and pious Works. St. Athanasius exceeded the Term of eighty Years; he was a Man of invincible Constancy, commanding Fame, and not yielding to the Frowns of Fortune; he was free towards the Great, 44 A GUIDE to HEALTH Part I. Great, gracious and acceptable to the People, wise and couragious in delivering himself from Oppositions, and always leading an abstemi- ous and religious Life. The Popes of Rome are in number to this Day 246; but of so great a number, few only have attain'd to the Age of 80, or up- wards, as I could find recorded in History: yet the full Age of twenty-eight of the first Popes was intercepted by the Prerogative and Crown of Martyrdom. John, the twenty-third Pope of Rome, ful- filled the ninetieth Year of his Age; he was abstemious and frugal, an Enemy to Luxury, and acquir'd a good deal of Riches and Trea- sure for the Support of the Church; he al- ter'd many Things much for the better. Gregory the twelfth, created in Schism, and not fully acknowledg'd Pope, died ninety Years old; of him, in respect of his short Papacy, there is nothing found in History to make a Judgment upon, but that he liv'd strictly virtuous and abstemious. Paul the third lived eighty-one Years; he was a temperate Man, and of profound Wis- dom and Learning, greatly skill'd in Astro- nomy, and always careful of his own Health. Paul the fourth liv'd eighty-three Years; he was a Man naturally tart, and somewhat severe, and a little prone to Anger; his Speech was eloquent and ready, his Diet was always lean, thin, and cool, by which means he kept Ch. III. thro' the various Stages of Life. 45 kept his Passions under Subjection, and ar- riv'd at that good old Age with all his Senses. Gregory the thirteenth liv'd to the same Age, and was absolutely a good and great Man, found in Mind and Body, politick, tem- perate, religious, full of good Works, and a great Alms-giver. The following Instances are more promis- cuous in their Order, and more doubtful as to the Certainty of their Ages. King Argan- thonius, who reigned at Cadiz in Spain, live an hundred and forty Years, according to some Historians, of which he reigned eighty Years. Cyniras King of Cyprus, living in the Island then called the happy and pleasant Island, is affirmed to have lived an hundred and sixty Years. Two Latin Kings in Italy, the Father and Son, are reported to have lived, the one eight hundred Years, and the other six hundred: But this Account is de- liver'd unto us by certain Philologists, who tho' otherwise credulous enough, yet they themselves have suspected the Veracity of this matter. Others record some Arcadian Kings to have lived three hundred Years; the Coun- try no doubt is a Place apt for long Life, but the Relation is justly suspected to be fabu- lous. One Dando, in Illyrium, is reported to have lived without the Inconveniency of Old-Age, to five hundred Years; but the ju- dicious Reader will make the necessary Al- lowance. Hippocrates 46 A GUIDE to HEALTH Part I. Hippocrates of Côs, the Prince of Physici- ans, lived an hundred and four Years, or ac- cording to some, an hundred and nine: He was skill'd in the several Particulars requisite for the Knowledge of Physick, and provided with numerous Observations of his own, composed out of the whole a System of Physick, and was the first that truly deserved the Title of Physician; He joined Learning and Wisdom together, was most conver- sant in Experience and Observation, and did not hunt after Words, but severed the very Nerves of Science, and so taught them. Enphrtœnor the Grammarian grew old in his School, and taught when he was an hun- dred Years old. Seneca, according to some accounts, lived to an hundred and fourteen Years of Age. But Joannes de Temporibus, among all the Men of our latter Ages, according to common Fame and vulgar Opi- nion, lived the longest, even to a Miracle; his Age being reputed to be above three hundred Years: He was a Native of France, and followed the Wars under Charles the Great. Among the Venetians there have been found a great many long Livers, and those of the more eminent fort of the People; but the most memorable is that of Cornaro, who being in his Youth a sickly Person, be- gan first to eat and drink by measure, to a certain Weight, to recover his Health there- by; this Cure, by Use, turn'd into a Diet, that Ch. III. thro' the various Stages of Life. 47 that Diet into an extraordinary long Life, even of an hundred Years and better, with- out any Decay in his Senses, and a constant Enjoyment of his Health. In latter times, William Postell, a French Man, lived to an hundred and twenty Years; he was a Man somewhat crazy, and of a Fancy not altogether sound, a great Travel- ler and Mathematician. Henry Jenkins, a Yorkshire Man, attain'd the Age of one hundred sixty-nine Years; he was twelve Years old when the Battle of Flowden-field was fought, which happen'd upon the 9th of September, in the Year of our Lord 1513, and departed this Life the 8th of December 1670, at Ellerton upon Swale, This Henry Jenkins was a poor Man, could neither Read nor Write; there were also four or five in the same Parish where he then liv'd, that were reputed all of them to be an hundred Years old, or within two or three Years of it, and they all affirm'd he was an elderly Man ever since they knew him, for he was born in another Parish, and before any Registers were in Churches, as it is thought. In the last Century of his Life be was a Fisherman, and used to wade in the Streams. His Diet was coarse and sower, but towards the latter End of his Days, he begg'd up and down. He hath sworn in Chancery and other Courts to above 140 Years Memory, and was often at the Affixes at York, whither he generally went on foot. It 48 A GUIDE to HEALTH Part I. It was likewise affirm'd by some of the Country Gentlemen, that he frequently swam in the Rivers after he was past the Age of an hundred years. * Thomas Parr was a poor Countryman of Shropshire, whence he was brought up to London by Thomas Earl of Arundel and Surry, and died at the Age of 152 Years, 9 Months, after surviving nine Princes. Nov. 6, 1635, being open'd after his Death by Dr. Harvey, his Body was found still very fleshy, his Breast hairy, his Genitals unimpaired, and they served to confirm the Report of his having undergone public Censures for his In- continency. At the Age of one hundred and twenty he married a Widow, who owned he acted the Part of a Man, and that for twelve Years after. He had a large Breast, Lungs not fungous, but sticking to his Ribs, and distended with much Blood; his Face livid, having had a Difficulty of breathing a little before his Death, and a lasting Warmth in his Arm-pits and Breast after it. His Heart was great, thick, fibrous and fat; the Blood in the Heart blackish and diluted, the Carti- lages of the Sternum not more boney than in others, but flexible and soft; his Viscera were sound and strong, especially his Stomach; and it was observ'd of him, that he used to eat often both by Day and by Night, taking up with old Cheese, Milk, coarse Bread, * An Abstract of Dr. Tancred Robinson's Letter, giving an Account of Jenkins's Age. Small- Ch. III. thro' the various Stages of Life. 49 Small-beer, and Whey; and which is more remarkable, he eat at Midnight a little be- fore he died. All his inward Parts appear'd so sound, that if he had not chang'd his Diet and Air, he might in all Probability have liv'd a great while longer. His Brain was en- tire and firm; and tho' he had not the Use of his Sight, or of his Memory, several Years before he died, yet he had his Hearing and Apprehension very well, and was able, to the 130th Year of his Age, to do any Husband- man's Work, even Threshing of Corn. * Francisco Lupatsoli, a Venetian Consul at Smyrna, lived 113 Years, and had by his Wives and other Women, fifty Children; he drank nothing but Water and Milk, some- times a small Sherbet; his usual Diet was small Soups of Flesh, sometimes of Bread, Water and Figs. He saw at that Age with- out Spectacles, and could bear well; he drank neither Tea, Coffee, Chocolate, nor any fermented Liquor, as Mr. Ray, then En- glish Consul there, relates; and farther adds, that he saw a Tooth cut in his upper Gum that great Age. In the Life of the great Aurengzebe, one of the late Moguls, we have such a nota- ble and shining Example of Abstemiousness, Continency, and many other Virtues, as may well recommend this Royal Infidel to the Admiration and Imitation of all Christian Princes upon Earth; wherefore I make no D Doubt * Phil. Trans. No. 44. p. 886. 50 A GUIDE to HEALTH Part I. Doubt but the following Account of that Emperor will no less instruct, than entertain the Reader. There was no Part then of this great Prince's Time, which he did not assign to some useful Purpose; for early in the Morn- ing, before break of Day, he bathed, and spent some Hours at his Devotions; then having eaten a little Rice or Sweat-meats, he shut himself up with his Secretaries, and before Noon he gave publick Audience to his Sub- jects; after which he pray'd again, and then went to Dinner, his Table being furnish'd only with Rice, Herbs, Fruits, or Sweet- meats, for neither Flesh or Fish, or any strong Liquors were ever brought before him. In the Afternoon he gave Audience again, which being over, he prayed a third and a fourth time; and the remainder of the Day, till two Hours after it was dark, he spent in the private Concerns of his own Family; then he supp'd, and slept afterwards only three Hours, after which, it is said, he read the Al- coran, and pray'd all the remaining Part of the Night. And here we have a remarkable Instance of what vast Advantage an abste- mious regular Course of Life is towards pro- curing Health and long Life, and rendering a Prince always fit for the most important and intricate Affairs; for this Emperor, not- withstanding he was an indefatigable Hearer of Causes, and constantly directed the Af- fairs of so vast an Empire, and conquer'd se- veral Ch. III. thro' the various Stages of Life. 51 veral large Kingdoms, lived without con- tracting any Distemper; neither his Judg- ment, Memory, or other Senses, were at all impair'd when he was ninety Years of Age. Aurengzebe, it is true, had several hundreds of fine blooming Girls in his Haram, or Seraglio, as all Eastern Princes have; but these seem to have been kept only for State, or in Conformity with the Custom of the Country; for it is related of him, that even in his Youth, having singled out a young Lady in the Haram to lie with him one Night, and she had dressed and prepar'd herself to receive her Royal Lover, the King coming into the Apartment at the appointed Hour, instead of going to Bed, fell to read- ing, and between his Books and his Devoti- ons he passed the whole Night, without ever taking Notice of the expecting Lady. When the Eunuch came the next Morn- ing to acquaint the Emperor that his Bath was ready, which is ever used by the Maho- metans when they have been with their Wo- men, the Lady answer'd, There was no need of a Bath, for the Sultan, had not broke Wind, intimating that he had been at his Prayers; for if a Mahometan has the Mis- fortune to break Wind at his Prayers, then he immediately bathes, looking upon himself to be too much polluted to go on with his Devotions, till he has washed off the Impu- rity contracted by such an Accident. D2 From 52 A GUIDE to HEALTH Part I. From this short Account of the Life of a Mahometan Prince, we may learn an exceeding useful Lesson, worthy of being imitated by all Christian Princes and others, who value Health and long Life; for notwithstanding he was depriv'd of the Light of Gospel Truth, yet so strong were his Notions of a Supreme Being, that he most constantly and, fervently adored that Being, by which means he led a Life religiously abstemious, conquer'd and regulated the Surges of the rest of his Pas- sions, amidst so many Allurements and Temp- tations of numbers of fine blooming Ladies, vast Riches, Power and Grandeur, which he always had at his Will without Controul, and like a true Christian Hero, preferr'd the Ado- ration of his Creator, and the Preservation of his Health, to all the Pleasures which his vast Dominions and great Power could afford him. Richard Lloyd, born within two Miles of Montgomery, was aged 133 Years within two Months; he was a strong, strait, and upright Man, wanted no Teeth, had no grey Hairs, could hear well, and read without Glasses; he was fleshy, and full cheek'd, and the Calves of his Legs not wasted or shrunk, could talk well, and was of a tall Stature: his Food was Bread, Cheese, and Butter, for the most Part, and his Drink Whey, But- ter-milk, or Water, and nothing else; but being persuaded by a neighbouring Gentle- woman to eat Flesh Meat, and drink Malt Liquors, Ch. III. thro' the various Stages of Life. 53 Liquors, soon fell off and died. He was a poor labouring Man in Husbandry, and the Truth of his great Age has been confirm'd to Dr. Baynard and others, by a produc'd Copy of the Register. John Bailes of Northampton, was 128 Years and a half old when Dr. Baynard ex- amin'd him: he was a short broad-breasted Man; his Food was for the most part brown Bread and Cheese; he cared not much for Flesh Meats; he was never drunk in his Life, and his Drink was Water, Small-beer, and Milk. He told the Dr. that he had buried the whole Town of Northampton, except three or four, twenty times over; strong Drink, says the old Man, kills them all. He was a sensible old Fellow, and had no Dis- ease but Blindness, which Misfortune he did not experience above four or five Years be- fore his Death. Mr. Martin, in his Description of the Western Islands of Scotland, says, that Do- nald Roy, who lived in the Island of Sand, where they have neither Physic nor Physi- cian, died lately in the hundredth Year of his Age, and was able to travel and manage his Affairs till about two Years before his Death. He makes mention of one that died some Years before, aged one hundred and forty; and of another, who, they said, died at one hundred and eighty Years of Age. Mrs. Hudson, Mother to Mr. George Hud- son, a Sollicitor in Chancery, lived an hundred D3 and 54 A GUIDE to HEALTH Part I. and five Years, and then died of an acute Disease, by catching Cold: her Eyes were so very good, that she could see to thread a Needle at that great Age; her Food was little or nothing else all her Life-time, but Bread and Milk. Mr. Johnston, the Father of Dr. Johnston of Warwick, who was always a strong and lusty Man, died at an hundred and eleven Years: his usual Drink was Milk and Ale, or Milk and Small-beer mix'd together. An Inscription on the Tomb-stone of Margaret Scot, who died at Dalkeith, twelve Miles from Newcastle, Feb. 9, 1738. Stop, Passenger, until my Life you've read, The Living may get Knowledge by the Dead. Five times five Years I liv'd a Virgin Life, Ten times five Years I was a virtuous Wife; Ten times five Years I liv'd a Widow chaste, Now, tir'd of this mortal Life, I rest. I, from my Cradle to my Grave, have seen Eight mighty Kings of Scotland, and a Queen. Four times five Years the Common-wealth I saw. Ten times the Subjects rose against the Law. Twice did I see old Prelacy pull'd down, And twice the Cloak was humbl'd by the Gown. An End of Stuart's Race I saw: no more, I saw my Country fold for English Ore. Such Desolations in my Time have been, I have an End of all Perfection seen. 2 Margaret Ch. III. thro' the various Stages of Life. 55 Margaret Paten, born at Locknugh near Paisly in Scotland, died in St. Margaret's Workhouse Westminster, June 26, 1739, at the Age of one hundred thirty-eight Years, and enjoy'd the Use of all her Senses to her very last Hours. She lived the most Part of her Life upon Oat-bread, Butter, Milk, and Roots, especially in her own Country; but here in England she indulg'd herself with the moderate Use of Flesh, and fermented Liquors. January 1743, died at Ludlow in Shrop- shire, one Bright, aged one hundred and five, who had his Memory and Eye-sight to the last, insomuch that he could discern to pick a Pin off the Ground. He was called the se- cond old Parr, and was born and always liv'd in the same County; his Food was, for the most part, coarse Bread, Cheese, Milk, Butter, Small-Beer, of Water. February 1743, died in St. Luke's Work- house, London, Mrs. Agnes Milbourn, one hundred and six Years of Age; she had 29 Sons and a Daughter by one Husband, 20 of whom she has had following her to Church at a time for several Years, but out-lived all her Children and Grand-children, save only one Grand-son. She religiously observ'd Temperance, and always avoided the Use of Spirituous Liquors as Poison; her usual Drink was Milk, Ale, or Small-Beer. From these Instances it is manifest, that Milk is of a salubrious, safe and sweet Nou- D4 rishment, 56 A GUIDE to HEALTH Part I. rishment, as also by the many Nations be- fore and since the Flood, that eat much of it, and lived to great Ages, of which num- berless Examples may be found both in sa- cred and profane History, to confirm the Doctrine of Temperance and a cool Diet, as absolutely necessary to the Prolongation of Life; but, as Dr. Baynard rightly observes, if an Angel from Heaven should come down and preach it, one Bottle of Burgundy, or a full flowing Bowl of Bunchy would be of more Force with this Claret-stew'd d Gene- ration, than ten Ton of Arguments to the contrary, tho' never so demonstrable and divine. By what has been said thro' the Course of this Chapter, we see, that from the Time of Moses to our Days, the Term of Man's Life has stood much about the same Standard of Years, (a few Lives here and there being ex- cepted:) so it evidently appears, that the Con- tinuation and Number of Successions of Ge- nerations, make nothing to the Length or Shortness of Life, tho' a great many People imagine the contrary. It is certain however, that there are Times in all Countries, where- in People are longer or shorter liv'd: longer, for the most part, when the Times are barba- rous, and Men fare less deliciously, and are more given to bodily Exercises: shorter, when the Times are more civiliz'd, and People abandon themselves to Luxury and Ease. Therefore from what has been hither- to Ch. III. thro' the various Stages of Life. 57 to advanc'd, it is likewise evident to a De- monstration, that Temperance, moderate Ex- ercise, and a cool Diet, are absolutely requi- site for the Preservation of Health and long Life, as I shall shew more at large in the Sequel. The same, no doubt, happens in other li- ving Creatures; for neither Horses, Oxen, nor Sheep, are abridg'd of their usual Ages, even at this Day; and therefore the great Abridger of Age was certainly the Deluge; and perhaps some notable Accidents, such as Inundations, universal Droughts, Earthquakes, or the like, may produce the same Effect again. And the like Reason may be given, in re- gard of the Dimension and Stature of hu- man Bodies; for they are not lessen'd by the Succession of Generations, notwithstanding what Virgil (led by the vulgar Opinion) di- vin'd, that After-ages would bring forth less Bodies than those in his time; whereupon he says, Grandiaque effossis mirabitur ossa Se- pulchris; that is, After-ages shall admire the great Bones dug out of ancient Sepulchers. But tho' it is not denied that there were, some time before the Flood, Men of Gigantic Stature, (the Bones of such as, for certain, have been found in ancient Sepulchers and Caves in Sicily, and else where:) yet for these last three thousand Years, a Time whereof we have authentic Records, no such have been produc'd in those Places, nor indeed any where else; for which Reason it is evident, that they are very 58 A GUIDE to HEALTH Part I. very much mistaken, who are wholly carried away with an Opinion, that (by Succession of Ages) there is a continual Decay, as well in the Term of Man's Life, as in the Stature and Strength of his Body; and that all things decline, and change to the worse. Therefore, as the Succession of Generations contributes little or nothing, either to the Length or Brevity of Life, as appears from what has been said already, yet the imme- diate Condition of the Parents, without doubt, conduces very much to it; for some are be- gotten of old Men, some of young Men, some of middle-aged Men; again, some are begotten of healthful Fathers, and well dis- posed, others of diseased and languishing ones; again, some of Fathers after Repletion, or when they are drunk; others after Sleeping, or in the Morning; others again, after along Intermission of Venus, some upon the Act repeated; again, some in the Fervency of the Father's Love; others after the cooling of it, as happens in long-married People. The same things ought to be consider'd on the Part of the Mother; to which we must add her Condition during her Pregnancy, as concerning her Health, her Diet, and man- ner of living; the time of her bearing in the Womb, as to the seventh, eighth, ninth, or tenth Month. But to reduce all these things to a Rule, how far they concern long Life, is difficult; for those things which we often conceive to be the best fall out to the con- trary; Ch. III. thro' the various Stages of Life. 59 trary; as for Instance, that Alacrity in a Generation that begets lusty and lively Chil- dren, will be less profitable to long Life, be- cause of the Acrimony and inflaming of the Spirits, which soon dissipate, and leave the Body dry and wither'd: so that the best Rule is to use Moderation in all things, conjugal Love rather than an unlawful one; the best time for Generation being in the Morning, or after a due Concoction of our Aliments, and after Sleep, but never when the Body is in a languishing or sickly or too much fatigued. A GUIDE (60) A GUIDE to HEALTH, &c. Part II. INTRODUCTION. AS the principal and inevitable Causes of Old Age, and finally of our Dissolu- tion, are three, viz.* the Contrariety of the Principles of our Composition, the Actions in- separable from Life, called Animal Actions, and the Excrements, which are unavoidably engender'd by Aliment in our Bodies; there- fore we must (if we would preserve the Body in a good State, and guard ourselves against the too quick Approaches of old Age) dispose these three things in such a manner, that the Harmony and Union of our Princi- ples, which are called Temperament, be well Supported, that the Spirits which are dissi- pated every Moment be repair'd, and the Excrements retain'd in the Body be expell'd. All this may be easily obtain' by the means of a good Regimen, without the Assi- stance of any Medicine: and this Regimen com- prehends many things, which are all reduc'd * See the Explication of these three things at large, in Chap. II. Part. I. INTRODUCTION. 61 to fix general Heads. They are called, by the Physicians, Nonnaturals; because, if we manage them with Dexterity, and make proper use of them, they preserve Health, and may be called Naturals; but if they are abused, or fall short, or exceed a just Proportion in the least, they cause Distem- pers, and, in that Sense, may be said to be against Nature. These Nonnaturals are, Air, Meat and Drink, Sleeping and Watch- ing, Motion and Rest, Retention and Excre- tion, and the Passions of the Mind; of which I shall now discourse in order. CHAP. I. Of the Nature of AIR. IN order to account for the different Ef- fects, and Influence of Air upon Hu- man Bodies, in the following Discourse, it is necessary to premise in this Place, that Air, (according to its Nature, and the Idea we can form of it) is, that thin and invisible Fluid, in constant Motion, wherein we breathe and move, encompassing the Earth and Seas on every side, and containing the Vapours, Clouds, and other Meteors; the whole Body of which is called the * Atmo- sphere; * From the Greek Words, 'AΓμòs a Vapour, and εφûeα., a sphere; so that Atmosphere in English, is a round Body of Vapours; and such is the Air surrounding the Earth, as being constantly repleat with Vapours exhaled by the Rays Of the Sun. 62 A GUIDE to HEALTH Part II. sphere; and that it is the principal Instrument of Nature in all its Operations: for no Ve- getable, Animal, Terrestrial, or Aquatic can be produced, live, or grow without it: So that Air is the chief Instrument in the Genera- tion, Resolution, Accretion and Corruption of all terrestrial Bodies; for it is certainly true, that it enters into every Composition, more or less, of all Fluids and Solids, all which produce great Quantities of Air. The lower Parts of the Air, in which all Animals live and breathe, are impregnated with an infinite Variety of the Effluvia, Steams, and Particles of terrestrial, aqueous, metal- line, vegetable and animal Substances, which, by Attrition, become so small and light as to float in it. Hence it is evident, that the Air must be differently impregnated in different Places of the Surface of the Earth, which produce considerable Alterations in its State, whereby human Bodies are differently affect- ed, as will plainly appear heareafter. Water being an Ingredient of the Air, is continually exhaled, and as continually de- scends; for when the Air is overcharged with it, it returns again, and falls upon the Surface of the Earth, in Rain, Hail, Snow or Dew; but the Dew falls chiefly when the Sun is down. Earth, when calcined, flies off into the Air; and the Ashes of Vulcanos or burning Mountains: Likewise Salts of all kinds are ingredients of Air; for even fixed fossil Salts may Ch. I. thro' the various Stages of Life. 63 may be digested, and thereby rendered volatile, and evaporate into the Air. There are besides Particles of all Minerals whatever in the Air; even Gold, the most compact and heaviest of them, can be evaporated and exhaled into Air, as will be made appear in the latter End of this Chapter. The Smoke and Fumes which are raised by natural or artificial Fires, all vanish into the Air. The Steams of fermenting Liquors, and the poisonous Fumes of Mines, impreg- nated with sulphureous Exhalations, and combin'd with different Salts, or Metalline Particles, which are stinking, oily, and in- flammable, evaporate into the Air, and make up part of its Contents; which must neces- sarily so alter its Constitution, as to render it not only insalubrious, but even pernicious to every Animal that breathes in it. The watery Exhalations, with the fragrant and volatile Spirit of all Vegetables, being Ingredients of the Air, contribute very much towards its Salubrity, or Insalubrity, as well when growing, as when cut down and in a decaying State; for the most volatile parts of Vegetables will evaporate into the Air, by a Degree of Heat much less than that of Sum- mer; as is evident both by Chymistry* and the sense of our own Smelling; for spicy Odours are smelt at a great Distance from the Countries where the Spices grow; so that the Quantity of vegetable Perspiration must be very considerable in Summer-time; and by * Boerhaave Chem. vol. 2. Process. I. 64 A GUIDE to HEALTH Part II. by the Reverend Dr. Hale's * Experiments we are farther convinced, that Vegetables of all kinds perspire Particles which float in the Air, and are either wholsome or destruc- tive to human Bodies, according to their dif- ferent Qualities. Hence we may infer, that upon the account of the Perspiration of Vegetables, the Summer Air must be very different from that of the Winter. Animal Perspiration is another Ingredi- ent of the Air, as well as the Effluvia of all their other Excrements, which oftentimes in- fect that Part of the Atmosphere, as to pro- duce pestilential Diseases. The Perspiration of a human Body, according to Mr. Hale's, ‡ Computation, is about I-50 Part of a Inch in 24 Hours all over the Surface of the Body; and the Quantity of the Moisture, by Respi- ration from the Lungs, he computes at 9792 Grains, or I. 39, in 24 Hours; § the Surface of the Body he computes at 2160 square Inches, or 15 square Feet consequently the Surface of the Skins of 2904 such Bodies, would cover an Acre of Ground, and would make an Atmosphere of the Steams of their own Bodies about 71 Foot high in 34 Days, which would be- come Pestiferous in a Moment, if not dis- persed by Winds. The great Quantity of Animal Substances imbibed into the Air, farther appears from this, I that * Hale's Veg. Stat. p. 49, 50. ‡ Veg. Stat. p. II. Exp I. § Hæmast. p. 326. p. 328. Ch. I. thro' the various Stages of Life. 65 that all the Excrements of all the Carcasses of Animals, such as those that are burnt, those that are exposed later, and those that Are buried, in length of Time all vanish in- to Air at last, except a small Quantity of Bones, which turn into Earth. From hence we may infer, that living in great and populous Cities, or in Camps, or near Numbers of dead Carcasses in a hot or sultry Season, may infect that Air so far, as to dispose the People to putrid and malignant Fevers, of which we have several instances in History, too tedious to insert in this Place. And though Nature makes use of all pos- sible Means to preserve the Mass of this he- terogeneous Fluid, wherein we breathe, in a wholsome State; yet it must necessarily hap- pen, that the Air of particular Regions, Sea- sons and Places may differ very much in the Proportions of the Mixture of Ingredients already mentioned; so that such Air must affect human Bodies variously, by such Ex- cesses or Defects; For Air, when too moist, affects us with one Class of Diseases; and when too dry, with another. Air impreg- nated with the Effluvia of Animals, espe- cially of such as are rotting, has often pro- duced pestilential Diseases in that Place, as we find by Experience: for the Inhabitants of such Countries, where great Numbers of Men have been slain in Battle, and left unburied, were soon after infested with pestilential Distempers; as that which hap- E pened 66 A GUIDE to HEALTH Part I. pened * at Massanissa, where 80,000 Persons were destroyed, and at Utica, wherein 30,000 Persons died of the Plague. That menti- oned by ‡ Livy, which invaded the greatest Part of Italy, owed its rise to the dead Bodies of the Romans and Fidenates left unburied in the Field of Battle. The Plague mentioned by Ambrose Paree, 1562 §, was occasioned by Carcasses thrown into a Ditch. Great Quantities of dead Locusts driven into the Sea, by Winds, and from thence cast up in Heaps on the Shore by the Waves, produced the same Effects, as Diodorus Siculus relates: And likewise the Steams of great Quantities of corrupted Vegetables have produced the like Effects in their Neighbourhood. The Steams and Effluvia of human living Crea- tures are extremely corruptible, as has been observed already; and likewise the Water in which human Bodies wash and bathe, by keeping, smells cadaverous, a great part of which evaporates into the Air. From hence we may conclude, that it will be of the utmost Consequence to every one, to take care what kind of Air it is they sleep and wake, breathe and live in, and are per- petually receiving into the most intimate Union with the Principles of Life; for as the Air being attracted, received into our Bodies, and mixed with our Fluids every Instant * Sane. August, lib. 3. de Civit. Dei Cap. 31. ‡ Histor. Roman. § Lib. 21. de Peste. Ch. I. thro' the various Stages of Life. 67 Instant of our Lives, any ill Quality abounding in it, so continually introduced, must in Time cause fatal Effects in the Animal Oeconomy. The first Consideration then, in Building of Houses and Cities, should be* to make them open and airy, and well perflated; therefore we should never build upon high Hills, very near any great Confluence of Water, or in the Neighbourhood of any great Mines, near Beds of Minerals, or on marshy or mossy Foundations; but either in a champaign Country, or on the side of some small Eminence, sheltered from the North and East Winds, or upon a light gravelly Soil. The best Method of finding out the Nature of the Soil, will be known from the Plants and Herbs that it produces, and from the Nature of the Waters that spring out of it, which ought to be sweet, clear, light, soft and tasteless. All high Hills or Mountains are damp, for it is common to see it rain or snow on Mountains, when the Valleys below are clear, dry, and serene. All great Hills are Nests of Minerals, and Covers for Reservoirs of Rain- Water, and the Clouds are only great Fleeces of ratified Water floating in the Air, and these high Hills intercepting them, are com- pressed into Rain or Dew, and are con- stantly straining down the Chinks of the Mountains into the Sea and other Reser- voirs of Water; and Rain is allowed to be the Origin of Rivers and Fresh-Water E2 springs. 68 A GUIDE to HEALTH Part II. Springs. Moreover, these Mountainous Places are always exposed to great and almost con- tinual Winds; and where any great Con- course of Water is, the Air must needs be always damp there, because the Sun is per- petually exhaling Dews and Vapours from these Waters. Dew is another Ingredient of the Air, which is not mere Water, but a Collection of the watry, oily, saline, and volatile Sub- stances, exhaling and transpiring from the Earth, and are not to be seen, as long as they are agitated by the Sun, but in its Ab- sence, and as soon as the Air cools, they become visible; and as the Air is a thin or rare Body, it cools much sooner than the Earth, which continues to transpire this Substance after Sun-set; and a great deal of it falls down again in the Form of Wa- ter, by the Cold of the Night; for it is ob- servable, that when there is no Wind, there is a Coat of this Vapour generally to be seen Surface of the Earth. Dew then, being a Composition of all the Substances that are exhaled from that Tract of Earth, must of consequence be ve- ry different in different Tracts of Ground, for which Reason, according to the learned Boerhaave ‡, the Chymists can never agree about the component Parts of it; be- cause they make their Experiments upon Dows of different Places, and consequently of a different Nature of Ingredients; for in ‡ Chym. vol. I. pag. 471. Ch. I. thro' the various Stages of Life. 69 in some Places it produces such volatile and explosive Salts, as to break Glasses in Distil- lation; in others it stains the Glass like the Colours of the Rain-bow, which nothing can efface. In some Countries, as in Bermuda *, the Air being impregnated with corrosive Salts of different kinds, will corrode the Bricks and Tiles of Houses, and even rot the very Hangings in Rooms, as has been observed by many. The Perspiration of metalline acid Salts from certain Places of the Earth, which, upon the account of their Gravity, rise only to a certain Degree of Height, are exceedingly offensive when taken in by the Breath; for they either contract the Vesicles, or immediately coagulate the Blood in the smaller Vessels, which creep along the Surfaces of the little Aërial Bladders of the Lungs, that Are in immediate Contact with the outward Air; and such are those arsenical Steams in the Grotto Del Cane near Naples, and in some Mines in Carniola, Campania, and at the Cape of Good Hope. Of all the Collection of Ingredients in the Air, none are more pernicious to human Bo- dies, than Sulphurs; and also Charcoal Steams confined in close Places, such as Cellars and Caverns under-ground, will suffocate Ani- mals in a Moment; but when sulphureous Vapours abound too much, then kind Nature fets them on Fire by Lightning. Sulphureous E3 Vapours * Boerhaave Chym. vol. I. p. 494. 70 A GUIDE to HEALTH Part II. Vapours likewise infect Vegetables, and ren- der the Grass and Herbs very pernicious to the Cattle that feed upon it, as Mr. Jones * and others relate. The † Observations of the Learned made on several Mines, give an Account, how the sulphureous Steams and Vapours differently affect and frequently destroy the Miners who work in them; some fall into Convulsions, Faintings, Palsies, and apoplexies; others are instantly suffocated; and others again are kill'd by Explosion, resembling in its Nature that of Thunder or Gunpowder, as soon as the sulphureous Matter takes Fire: yet it must be allow'd, that Sulphur in itself, is neither un- wholsome nor unfriendly to the Lungs; for the Exhalations from Tracts of Earth abounds ing with Sulphur, are esteem'd wholsome in the open Air, such as those about the City of Naples; but it must be observ'd, that these Exhalations are in the free and open Air, and not in too great Abundance, and in all Probability unmix'd with any other perni- cious Salts, which those in Mines must be im- pregnated with. From what has been said already, in Page 65 and 66, it must follow, that the Air in great and populous Cities differs very much from that in the Country, and that it is from offensive Smells and Fumes, among other things, that Diseases are more fre- quent * Philos. Trans. vol. 2. p. 101. and likewise Philos. Trans. abridg. vol. 2. p. 180. ‡ Philos. Trans. vol. 2. p. 575. Ch. I. thro' the various, Stages of Life. 71 quent and more dangerous in the former than they are in the latter. Great Calms have often preceded the pestilential Constitutions of the Seasons; hence the close and confined Air of Prisons often produces mortal Diseases; and in Bays and Harbours,the Crews of Ships turn sickly, that would be healthy in the open Seas; and the great Mortality that is so often in Camps is chiefly owing to offensive Smells and Steams; for nothing contributes more to the Production of Distempers than the infected Air that they breathe in, occasion'd by the Filth which is the necessary Attendant of such Places; especially at Sieges, where the cor- rupted Particles of dead Bodies, both of Men and Beasts, fill the Air with an intolerable Stench. Besides, the Effluvia and Steams of Perspiration exhal'd into the Air, from the Bodies of Men and other Animals, must so charge that Air, as to encrease its Weight very much; and at the same time the Heat of the Camp will weaken its Spring so considerably, as to render it very unfit for Respiration; for thereby the Blood will remain unbroken in the Lungs, and so dispose the People to those Distempers, occasion'd by a Viscidity in the Blood; such as malignant Fevers, Dysenteries and Agues. According to the learned Boerhaave and others, the Eggs of Infects, and even Infects themselves very often are floating in the Air, and are so small as to be generally invisible by the Assistance of the best Microscopes, E4 which 72 A GUIDE to HEALTH Part II. which render the Air very unwholsome, and are often times the Cause of many grievous Diseases, being suck'd in with our Breath, and swallow' down with our Food; and the low and marshy Grounds are most commonly subject to be infected with them; for there we always find great Quantities of Flies and other Infects. Caterpillars and o- ther Infects, which eat up and destroy the Leaves of Trees and Plants, are proba- bly produced by the Eggs of those Infects floating in the Air; otherwise we cannot easily conceive how they can be generated in the Plants themselves. Historians relate, that there are Showers of Rain sometimes in Africk which affect the Inhabitants with Shiverings, and that there are Infects found in the Drops of these Showers; hence it appears that there are Infects in the Air, though not visible to the naked Eye: for it has been ob- serv'd, by the Help of Glasses, that in part of a Room illuminated with the Beams of the Sun, Flies are seen sometimes darting like Hawks upon a Prey. Tho' the Air on or near the Surface of the Earth is impregnated with an infinite Num- ber of heterogeneous Particles, as appears evi- dently by what has been said already; yet the wise Author of the Universe has so temper'd this Mixture, as to render it wholsome to all the Animals that live and breathe in it, except in some few accidental Cases; for doubtless pure Air without any such Ingredients would be Ch. I. thro' the various Stages of Life. 73 be very unfit for Animals and Vegetables to subsist in; therefore, in order to render salubri- ous this Element wherein we breathe, infinite Wisdom has so ordained, that the whole Mass is never overcharged with these Contents; for as human Creatures are unable to bear Ex- cesses of any kind, such as too much Heat, too much Dryness or Moisture, there is a con- tinual Circulation of Water and other Ingre- dients in the Air, and in mostPlaces the Air contains near the same Quantity of Wa- ter: for as the Sum of all the Force of the Sun upon the same Surface of Land and Water, and the Heat of the Surface of Earth within the Year is very near uniform, consequently the Quantity of Exhalation is the same: And as the Air has a Power of imbibing and su- staining only certain Quantities of Water with other Ingredients, and the Sum of all the Quantity that falls from the Air over the Surface of the Earth in Rain, Hail, Snow, and Dew, is the same; yet, by accidental Causes, such as Winds, the Stoppage of the Clouds by Tracts of Mountains, more of these Exhalations or Vapours may be carried and fall in one Place than another. This Water is again carried, by its natural Gra- vity, in Streams into the Sea, and other Reser- voirs of Water, and from thence again exhal'd, of which there is only left a sufficient Quantity for the Nourishment of Plants and Animals, the Perspiration of whose Bodies is again exhaled; and this Circulation is constantly main- 74 A GUIDE to HEALTH Part II. maintained and directed by the wise Order of Divine Providence. And all these different Ingredients of the Air are digested and atte- nuated by the Heat of the Sun, and they are constantly stirr'd and agitated by Winds, which mix the Air of different Regions together. There are likewise Fermentations in the Air, which are succeeded by violent Motions and Explosions in Thunder and Lightning; by which Means the redundant sulphureous Steams, and other pernicious Particles are destroyed and consumed in those Storms. The particular Causes of Thunder and Lightning seem to be nothing else than the Sun exhaling moist Particles into the Air, these condense and gather into Clouds, and when these inclose a Quantity of sulphureous, nitrous and bituminous Exhalations, and like- wise Salts of various Sorts, Acids and Alka- lies, extracted both from the Earth and Ocean, which being violently agitated by the Oppo- sition of Heat and Cold, and the Motion of the Air, operating upon those sulphureous and nitrous Particles, together with a watery Mat- ter, till at last they ferment and are kindled; then the Fire bursts open the Cloud with Ex- plosion in Thunder and Lightning, where the Passage is most easy, and the Cloud not able to make any farther Resistance: Sometimes the Opening is very wide, and stands a smali time, with a firey Edge about it; the Cloud is then dash'd with great Violence, the Air assisting with its Motion, and the sulphureous Matter Ch. I. thro' the various Stages of Life. 75 Matter breaks out again in various Sounds: the first Discharge being over, presently suc- ceeds a second, and this is back'd with a thirds fourth, fifth, &c. as long as the Store of combustible Matter holds out to maintain the Fire, till at last the Equilibrium of the Air is perfectly restored. The Effects of Lightning are wonderful; it being a most subtile and refin'd Matter, will sometimes burn a Person's Cloaths, while his Body remains unhurt; and on the con- trary, it will sometimes break a Man's Bones, while his Cloaths and Flesh receive no Harm. In like manner it will sometimes melt or break the Blade of a Sword in the Scabbard, and the Scabbard remain un- touch'd. It has drank up Vessels of Water, the Cover being left untouch'd and no other Token remain'd. Gold, Silver, and Brass, have been melted, and the Bags wherein they were contain'd not burnt, nor even the Seal off Wax defac'd. Marcia, Queen of the Romans, was Thunder-struck when she was big with Child, which was killed in her Womb, and she receiv'd no Harm. The Reason of these strange and contrary Effects, Philosophers can but conjecture at, imputing it to the different Figure and Qua- lity of the Particles of the * Lightning, as 2 to * There is a fort of Stone or Mineral, which is vulgarly called a Thunder-bolt, and it is thought, that it falls from the Clouds in a Clap of Thunder, and thereby great Mischief is done many times. But this is a vulgar Error; for the Stone seems to resemble more an artificial than a natural Producti- on, 76 A GUIDE to HEALTH Part II. to the Rarity and Thickness of the Fire; for the more subtile penetrates more easily, and the thicker with more Difficulty; whence the latter does more Harm than the former; and tho' it produces various and wonderful Effects, yet it is of such singular Use to the Inhabitants of the Earth, that they could scarce subsist without it; for it clears the Air, destroys and consumes all the redundant and noxious Steams and Particles that float in it, breaks the Clouds, and sends down Rain up- on the Earth. * It is certain, from undoubted Experiments, that the Air near the Surface of the Earth is more or less impregnated with all those Heterogeneous Particles already mention'd, and a great many more not possible to enu- merate. And in truth it cannot be otherwise, by the known Laws of Nature; for by what means soever a Body becomes divided, till some of the Particles become less than the component Particles of Airy and by that means become lighter, they will be elevated into the Air, until by their * Coalescence, their Gravity be so much encreased, as to fink on, by the Make and Figure of it; and being most common- ly found where Sepulchers have been, makes the Learned in- cline to think, that they are some Remains of Antiquity, and were formerly of Use in War and Arms, which was cu- stomary with the Ancients to bury with their Ashes. See Rowning's Comp. System, p 146. Part II. and Philos. Trans. No. 313, 316, 319, 331. * Coalescence, is the gathering together and uniting into a sensible Mass, those minute Particles floating in a Fluid, which were not before visible in it. Ch. I. thro' the various Stages of Life. 77 sink them again to the Earth. And for the Production of such wonderful Effects, even in the hardest and most solid Bodies, we need have Recourse to no other Cause than the Rays of the Sun; for as it has been demon- strated by † Astronomical Observations, that Light is not above ten Minutes in passing from the Sun to the Earth, and as the Earth is at least 10,000 of its own Diameters distant from the Sun; therefore it must run 1000 of these Diameters in a Minute, which is above 100,000 Miles in a Second. So that if a Bullet, moving with the same Velocity with which it leaves the Muzzle of a Cannon, re- quires 25 Years to pass from the Earth to the Sun, as Huygens ‡ has computed it, then the Velocity of Light, to that of a Cannon- Ball, will be as 25 Years to 10 Minutes; therefore we may expect proportionable Ef- fects from such Particles, notwithstanding their exceeding Smallness. And we may guess at the Effects of the Rays of Light separate- ly, by what we can observe when collected in the Focus of a burning Glass; for no Body, tho' ever so hard and compact, is able to resist their Force: even Gold, which is un- alterable by any artificial Fire, may be * * vi- trified by the concenter'd Rays of the Sun, one † Mr. Romer's Observations on the Eclipses of the Satellites Of Jupiter. ‡ Huygens in his Treatise upon Light and Gravity. He was a celebrated Mathematician. ** Vitrified, made or chang'd into Glass by the Force of Fire 78 A GUIDE to HEALTH Part II. one Part of it exhaling into the Air, as the other is turned into Glass; and that in a few Seconds of Time, according to Mr. Blundel and others. Hence it appears, that the Rays of the Sun are not only capable to abrade and file off from the most solid Bodies, such small Par- ticles as will be render'd lighter when sepa- rate, than the least compounding Particle of Air, but also by the Celerity with which they will be reflected, will thereby be capa- ble to carry into the Air such little Collec- tions of Matter, as are in Fact heavier than the Air they mount up in, which, when the Force impressed becomes less than will im- pel them higher, they must necessarily fall down to the Earth again, which will vari- ously affect human Bodies, both in their As- cent and Descent, according to their different Nature and Properties. CHAP. II. Of the Properties of AIR. THE Properties of Air are, Gravity, Elasticity, Fluidity, and Divisbility. They are so called, because they constantly remain in the whole Mass and in every part of it. The Ch. II. thro' the various Stages of Life. 79 The Gravity of the Air was first dis- cover'd by Galileus, by trying to what Height Water might be raised by pumping; and when he found it could not be raised higher than 33 feet, justly concluded, that it was from the Counter-ballance of the Weight of the Air that it was raised so high. The * specifick Gravity then of Air, when the Barometer † stands at 30 Inches, according to Sir Isaac Newton's Observations, and Dr. Halley s, is to that of Water, about 1 to 800, and to that of Mercury as 1 to 10,800; So that the Air we breathe in, *Specifick Gravity, is the appropriate and peculiar Gravity or Weight which any Species of natural Bodies have, and by which they are plainly distinguishable from all other Bodies of diffe- rent Kinds, when compared with them: And it is not im- properly called relative Gravity, to distinguish it from absolute Gravity, which encreases according to the Proportion of the Bulk or Bigness of the Body weighed. Thus, if a Body weighs a Pound, one as big again will weigh two Pounds; and let the Bodies be of what Nature or Degree of Specifick Gra- vity soever, a Pound of one will be as much as a Pound of the other absolutely considered. Thus a Pound of Feathers is as heavy as a Pound of Lead; but if we consider Lead and Feathers relatively, the specifick Gravity of the former will be much greater than the later; or Lead, Bulk for Bulk, will be much heavier than Feathers, and Gold heavier than Lead. † Barometer is a Glass Tube or Instrument to measure the height of the Atmosphere by; it is about three Feet in Length, and 1/16 or 2/10 of an Inch bore, seal'd up at one End, and at the other End it is fill'd quite full of Quicksilver, and thus immersed in a small Vessel of Quicksilver, that will fink down in the Tube, or run out into the Vessel, till it remains in the Tube between 28 and 31 Inches perpendicular height; and this Column of Mercury in the Tube, is equal in Weight to a Column of Air of the same Basis, and of the Height of the Atmosphere, and consequently is suspended by it; which therefore by its rising higher or falling lower, shews the proportionally greater or lesser Weight or Pressure of the Atmosphere 80 A GUIDE to HEALTH Part II. in, takes up 10,800 times the Space that the like Quantity of Mercury would. And the Honourable Mr. Boyle proves by Experi- ments †, that the Air without any adven- titious Heat, may, by the Force of its own Spring, possess 13,000 times the Space it does when pressed by the incumbent Atmo- sphere; and therefore may possess a Space one hundred forty-five Millions, and six hun- dred thousand times greater than the same Weight of Mercury; and that by the Ad- dition of Heat, it may be forced to fill a Space much larger. And if we consider that the Air we breathe in, may be compressed into 40 times less Space than that which it now fills; therefore Air may possess a Space 520,000 times greater at one time than ano- ther. The Gravity of Air counterpoises a Co- lumn of Mercury from 27 1/2 Inches to 30 1/2, the Gravity of the Atmosphere varying some- times 1/10, which are its utmost Limits, so that the specifick Gravity of the Air cannot be exactly determined. And the Account that Dr. Halley gives of the Causes of the Variation of the Gravity of the Air, seems very clear and conclusive; for they must either proceed from the Air's being more or less charged with Quantities of ponderous Ingredients in one Time and Place, which, as has been said in the former Chapter, arc plentifully exhaled into ‡ Boyle's Tracts about the wonderful Rarefication of the Air. Ch. II. thro' the various Stages of Life. 81 into it, or by its being accumulated more in one Place than in another by Currents of Winds; thus contrary Currents of Air com- ing to the same Place, must accumulate the Air in that Place, and consequently raise the Mercury in the Barometer; but two Currents of Air from the same Place, must link the Air in that Place, and consequently the Mer- cury in the Barometer. This is very possible in Liquids, and hap- pens even in the Motion of the Tides; for if there was a perfect Calm always, the Equi- librium could only be charged by the greater or smaller Quantity of ponderous Ingredi- ents in the Air; in Confirmation of which it is discovered, that where the Winds are not variable, as near the Line, the Al- terations of the Barometer are very small; And these Variations of the Air's Weight cannot proceed from letting its ponderous In- gredients fall, as in great and heavy Showers: Tho' it is certain, that a heavy Body falling through a Fluid, during its Descent, does not press upon it, but by the Resistance which the fluid gives to its Motion in Descent; but the Decrease of the Atmosphere's Weight during the fall of Rain, Snow, or Hail, is not pro- portionable to this Cause, therefore cannot be accounted for from it. As the incumbent Atmosphere is fluid and heavy, it presses equally upon the Surface of a human Body, with a Weight equal to a Column of Mercury, whose Basis is F equal 82 A GUIDE to HEALTH Part II. equal to the Surface of a Human Body; and Altitude, that of the Barometer, as in a mid- dle-siz'd Man, with a Weight of 32,000 Pounds; for as it is possible for the Air to vary 1/10 in its Weight, so that such a human Body must sustain a Weight of 3,200 Pounds Weight more at one Time than at another; and if the Mercury varies only one Inch in Height, there will be a Difference of about 1000 Pounds Weight: Such Alterations would affect both the Solids and Fluids of hu- man Bodies very much, were it not that the Ballance between the Air within and that without the Body is quickly restor'd, by the free Communication that is between them; so that these Changes are suffered without any sensible Inconvenience to healthful Peo- ple. This proves the ready Admission of the Air into the Vessels of human Bodies, and the Egress of aërial Particles from within the Body, in each Case of the Variation of the Weight of the external Air, from less to more, or from more to less; for if this Bal- lance between the external Air, and that within the Body was not kept, the Fibres and Fluids being elastick, in case of an In- crease of the Weight of the external Air, both the Fluids and Solids would be too much compress'd; and in case of a Decrease of this Weight, they would be dilated with a painful Sensation, and endanger the Life of the Individual; for the Fall of the Mercury in Ch. II. thro' the various Stages of Life. 83 in the Barometer is the same with the Ex- suction of so much Air in the Air-pump; and the Rise of the Mercury the contrary. This Alteration happens in Vegetables and in fermenting Liquors, as well as in Animals; and how these considerable Changes are made by Heat, Cold, or great Winds in fermenting Liquors, is an Observation of every one con- versant with them; for all these Changes are brought about by altering either the Weight or Spring of the circumambient Air: It is for this Reason like wise, that se- veral People, by their Akings and Pains, can foretell any considerable Change of the Wea- ther; for their Blood being more rarefied at the approach of wet Weather, or high Winds, will more forcibly press upon the sensible Membranes of the Body, so as to cause Pains that they were free from before: And this the rather happens, because the Blood hereby becomes not in the least the more fluid; for Froth, which is only Water blown into Bubbles by Air, is less fluid than Water itself; and the Globules of the Blood be- ing blown larger by the contained Air, when the Pressure of the external Air is removed, the Blood then is rendered less fluid, and will pass through the Capillaries with great Difficulty. A Fluid must have its Parts small, smooth, spherical, or approaching thereunto, and of equal Density, if the Fluid be homogeneal *, F2 accord- * homogeneal is such Particles as are pure, entire, un- mixed, and altogether like one another. 84 A GUIDE to HEALTH Part II. according to Borelli ‡: and it is not neces- sary that the Parts of a Fluid should be in Motion, because it is neither apparent that the Parts of all Fluids are so, nor that the Parts of some solid Bodies are not so; there- fore, the Blood in this rarefied State is rather less, than more fluid, in which Condition it will remain, whenever the Gravity of the Air is lessen'd, or its Spring weakened, by any Cause whatever. There is no Liquor that can be blown up into Bubbles, but what is somewhat viscid, and the more tenacious the Parts of any Liquids are, the fitter it is for this Use; for the Bubbles will be both larger and more lasting; for Example, a Mixture of Soap and Water may be blown into Spheres or Bubbles above six Inches in Diameter; and human Blood con- sists of Parts like what is in such a Mix- ture; for there are watry, oily, and saline Particles in the Blood, as is evident to our Senses: And that the Blood is blown into such little Spherulœ beyond dispute, is what may be observed with a Microscope in the Tail of a Fish; for the Globules of Blood being too large to pass through the smallest Arteries, they change their spherical* Fi- gure to a spheroidal † one; and when they come into a wider Channel, they recover their former Figure again. Now as it is the Property ‡ Borelli de motibus à gravitate factis, Præpos. p. 142. * Spherical, round like a Ball. † Spheroidal, an oblong Sphere or Ball. Ch. II. thro' the various Stages of Life. 85 Property of an Elastick Body alone, that when its Figure is changed, to recover it again; and nothing being Elastick but Air, or at least, what contains Air in it; it is a plain Reason that the Globules of the Blood must contain Air in them. From what has been said, it appears, that whenever the Blood is too viscid, so that the Force of Cohesion be not greater than that by which the Air contained in the Blood endea- vours to expand itself, in such a Case the Person will be more sensibly affected by the Alteration of Weather; from hence better Indications may be taken both for the Cure and Prevention of those Diseases that pro- ceed from a Viscidity in the Blood, than from any other Source whatever. Human Species can live in Air of very dif- ferent Gravity; for the Air in the same Place may differ 1/10 in Weight, the Variation of the Mercury in the Barometer being so much; but what is still more extraordinary, human Creatures can live in Airs, where the difference of the Weight is double; for Exam- ple, in the Bottom of deep Mines, where the Mercury stands in the Barometer at 32 Inches, and at the Top of the highest Mountains, supposing 'em to be 3 Miles high, the Mercury then mud stand at a little above sixteen inches. Notwithstanding human Creatures can sus- tain such a Difference of Weight or Pressure of Air, as (in the common Variation of Gra- F3 vity 86 A GUIDE to HEALTH Part II. vity in the same Place) makes the Difference of Pressure upon a Person of a middle Size 3600 Pounds Weight, and in the Difference of Height in the Bottoms of Mines, and at the Tops of the highest Mountains the Dif- ference of 18000 Weight; which Difference of Pressure or Weight must produce great Alterations in the bending or stretching of the Fibres, and in dilating the Fluids of a Human Body: For in the case of a greater Weight, the Fibres will be more strongly braced, and the Fluids will be rendered more compact; and, as has been observed already, were there not a free Communication between the outward Air, and that within the Animal Fluids, these Alterations would be insupportable; for the Animal would be, in such a Case, as in an Air-pump with the Exsuction of half the Air; in which Case the Blood would boil up and expand itself to a very great Degree, by having so much of the Pressure of the outward Air taken off. And it seems very reasonable, that in di- minishing the Force of the Pressure of the outward Air upon human Bodies, the Fibres thereby will be rendered more un- braced, and consequently must create a Weakness in Muscular Motion; which is the Reason, in a great Measure, that People breathe shorter and with more Difficulty than usual, in going up to the Tops of high Hills and Mountains; for the Air in ascend- ing is a great deal lighter than at the Bot- 2 tom, Ch. II. thro' the various Stages of Life. 87 tom, and by the Diminution of the Pressure of the Air upon the Muscles, less Exercise puts People out of Breath; and likewise the Over-ballance of the Air contained in the Cavity of the Breast, may help to produce this Effect But then perhaps it will be said, that the Inhabitants of Mountains are not weaker nor less active than those of lower Situations: In answer to which it must be observed, that the Excess of Coldness of the Air on the Tops of Mountains above that of the low Countries, counter-ballance the less Weight of the Air, and braces the Fibres more strongly: Another Reason is, that such as live in a rarer or lighter Air, as on high Mountains, are accustomed to the Exercise of a greater muscular Strength; as in the Case of Birds performing their Motions in a thinner Fluid, must always use a greater muscular Strength, which, though Nature has accustomed them to the Use of this Ele- ment, must strengthen their Fibres; for which Reason tame Birds cannot fly so well as wild ones. The Alterations of the Pressure of the Air in its Gravity and Elasticity, must pro- duce proportional vibrating Motions, both in the Solids and Fluids of human Bodies; and when these Variations are frequent and ex- treme, such violent Motions of the Fluids and Solids must cause great Changes in hu- man Bodies; for which there was no Ne- cessity of having recourse to any occult or F4 hidden 88 A GUIDE to HEALTH Part II. hidden Qualities in the Air, as a great ma- ny have imagined; and though the Air does not much hurt the Animal Fibres, by the Softness of its Contact; yet the alternate bracing and unbracing of the Fibres strongly, may produce these Changes; and such Al- terations are not only producible by the Va- riations of the Air's Gravity and Elasticity, but likewise by its Qualities, such as Heat, Cold, Moisture and Dryness, which will be the Subject of the next Chapter. * Elasticity is another Property of the Air, which is a Force equal to its Gravity; for, as the Honourable Boyle and others have proved by Experiments, the smallest Bubble of Air by its Elasticity or Spring can bal- ance, resist, and equiponderate the whole Atmosphere of equal Density, as far as it is exposed thereunto; for otherwise it would be more compressed than in Fact it is; and by these two Qualities of Gravity and E- lasticity, and the Alterations of them, the Air produces great Effects in living Creatures; for by these, Respiration is performed, and the Equilibrium or Ballance is kept between the outward Air and that contain'd in the Vessels of the Body. True * Elasticity or Springiness, which most Bodies have more or less, is a Power in a Body to return to its first Place and Condition, as a Stick which is forcibly bent; and the Air has it in a very remarkable manner, which being compressed, it endeavours with a very great Force to restore itself to its former State. Ch. II. thro' the various Stages of Life. 89 True Air never loses its Elasticity, as Steel, Wood and other Bodies do; yet it exerts it only when it is collected into a Mass; which is confirmed by the Air-Gun; for Mons. De Roberval of the Royal Academy of Sciences, having let his Air-Gun remain charged for the Space of 16 Years, found on discharging it, that the Air's Elastick Force was not at all abated, but produced the same Effect as at first *. By this Elastick Force the Air insinuates itself into the Spaces of Liquors not sufficiently filled with it already; there it remains divided in its minutest Par- ticles, and as it were in a fixed State, till it is expanded by Heat, or the incumbent Pres- sure is taken off, and then it is collected in- to greater Masses, and exerts its Elasticity in Proportion to the Diminution of the in- cumbent Pressure. The Elasticity of the Air has been suffi- ciently demonstrated by various Experiments of the Air-pump, and otherwise: One very plain is this; an empty Bladder, the Neck of which being tied round fast, that no Air could either get in or out, and being put into the Receiver of an Air-pump, and the ex- ternal Air therein exhausted, the small mat- ter of inclosed Air in the Bladder, will, by its own proper Spring or Elasticity, gradual- ly expand itself, and at last will so extend the Bladder as to burst it: Thus also the Air compressed in a Wind-Gun, will, by its Elas- tick * Hist. de l'Academ. Roy. 1695. p. 368. 90 A GUIDE to HEALTH Part II. tick Force (being discharged) drive a Ball through a Board at several Yards Distance, in the same manner as with Gun-powder. The Solids and Fluids of Animals contain more Air in them in Proportion, than any other Substances; and Animal Solids contain more Air than Fluids; and they contain a greater Proportion of Air than any other watery Fluid: For example, Blood contains 1/27 Part of its Weight in Air, and 33 times its Bulk; whereas 54 Inches of Well-water yield only 1 Inch of Air; but Spaw and Pyrmont Wa- ters yield double the Quantity of Air, to that of common Water; and therefore the Activity of Steel and Mineral Waters is owing to some aërial Particles in them; for when these are evaporated, the Waters become insipid, and without any Virtue, by the Quantity of Air lost, which the Blood and other Fluids of Animals contain, as has been often demonstrated by Experiments of the Air-pump; for they will expand them- selves in an exhausted Receiver to a great Degree, in the same Manner as in the Ex- periment of the Bladder just now mention'd. Hence the Alteration of the Weight and Spring, or elastick Force of the Air, which dilates and expands proportionably the Liquors, with which the external Air communicates, must produce sensible Effects in animal Fluids; for as Air is a principal Instrument in the Animal Oeconomy, and consequently a prin- cipal Ingredient in the Composition of all animal Ch. II. thro' the various Stages of Life. 91 animal Substances, it must in a particular man- ner affect animal Bodies, and by its Changes differently influence all their Operations. Fluidity is a Property of Air, which can- not be destroy'd or congealed like Water or other Fluids, by any Power of Art or Na- ture hitherto known: and this Property of Fluids arises from the exceeding Tenuity or Smallness of the constituent Particles of such Bodies, and their Disposition to Motion, from the Sphericity or Roundness, and Lubri- city or smooth Slipperiness of their Figures, whereby they can easily slide over one ano- ther's Surfaces all manner of Ways, and can touch but in few Points; so that Particles thus modified, must always produce a fluid Body or Substance, as Water, Fire, &c. No Coagulation, Fermentation, or Condensation of any Mixtures where Air resides, have ever destroy'd its Fluidity; for it preserves it in Cold 44 Degrees greater than any natural Cold, which Property is absolutely necessary to an Element, in which both Animals and Vegetables live and grow. As Water is a Fluid much denser or thicker than Air, it supports and keeps together the Bodies of larger Animals than Air can do. The Air is pellucid or transparent to such a Degree as not to be discernible even by the best Microscopes, by reason of the great Po- rosity thereof; for the Pores and Interstices of the Air being so very great and large, it not only admits the Light in right Lines, but in such 92 A GUIDE to HEALTH Part II. such great plentiful Rays, that the Brightness and universal Lustre thereof, not only renders the Air diaphanous or transparent, but en- tirely hinders the Opacity or Darkness of the very small Particles of Air from being at all seen; and the whole Body of the Air must consequently be invisible. But notwithstand- ing the Minuteness of the Particles of Air, many thicker Fluids will pass where it can- not; for Oil, Water, and Liquids will enter thro' Leather, which will exclude Air. That Air is a Fluid in constant Motion, may be easily perceiv'd in that Part of a Room illuminated by the Rays of the Sun, entering at a small Hole or Crevice, where- in the visible and floating Corpuscles or Atoms are in continual Motion; likewise a constant undulatory Motion in the Air may be seen by the help of a Telescope; and these Undu- lations or Wavings of the Air to and fro, affect small and tender Bodies, but not so much as to alter their Figure. The Difference between Fluidity and Li- quidity is, that the former is a general Name for all Bodies whose Parts yield to the small- est Force or Impression; and thus a Quan- tity of Sand as well as Water, is called a Fluid: But what is properly called a Liquid or Liquor, is only that Kind or Species of Fluids which cleaves to the Touch, or sticks to the Finger, &c. or, as may be said, wets it, as Water, or any kind of Juices do: And the Reason of this Difference is owing to Ch. II. thro' the various Stages of Life. 93 to the exceeding Smallness of the Particles of Liquids above those of fluid Bodies; and also to their Ponderosity or Weight: for by these means, the Particles of Liquids enter the Pores of the Body which touches them, and by their Gravity or Weight, cohere or stick to, and abide therein, and cause Wetness. Air is compressible as well as dilatable; for it can be compressed into a less Compass, and smaller Volume, like a Fleece or Lock of Wool, either by its own Weight, or by any other Force; which Weight or Force being remov'd, it immediately recovers its former Bulk and Dimensions again by its Spring. Heat will encrease the Force of the Elasti- city of the Air to a prodigious Degree, accord- ing to the Experiments of Mr. Boyle, as has been observ'd in the Beginning of this Chap- ter. To prove which by an easy Experiment, take a Bladder entirely empty as you think, and tie the Neck of it very well with a Pack- thread, and lay it before the Fire, the Heat will presently so dilate and rarefy the little Air inclosed, as to make it extend the Blad- der to its utmost Stretch, and if continued, will break through it with a Report like that of a Pistol. That Air also may be com- pressed by Art, so as to take up but 1/60 Part of the Space it possessed before, has been prov'd by Numbers of Experiments made by Boyle and others; for farther Proof and Sa- tisfaction thereof, see Sir Isaac Newton's Op- tics, p. 342. Divisi- 94 A GUIDE to HEALTH Part II. Divisibility is a Property of Air, by which living Creatures move in it without much Resistance; for it is always divisible by the smallest Force imaginable. Fishes and Birds move thro' their respective Element after the same manner; and Fishes may be called the Birds of the Water; they pass thro' an Ele- ment which is 800 times thicker than Air, as has been observ'd in p. 71; for which Reason Fishes must employ a Force propor- tional to the greater Resistance of the Fluid. On the other Hand, a great deal of the Force of Birds is employ'd to support themselves in a much thinner Fluid; but the Bodies of Fishes are poised or equilibrated with the Water in which they swim. However Air has some Degree of Tenacity or Adhesion, by which its Parts attract one another, as is ma- nifest by the round Figure of Water-Bubbles, which attract and run into one another; and at the same Time the Particles of Air, by their Elasticity, have a Power in other Cir- cumstances, of flying off from one another, which two Properties are consistent, as may be seen in Light. The Resistance of Air is very considera- ble in Bodies swiftly moving thro' it, or by its swift Motion against Bodies. In the first Case, the Resistance increases in the dupli- cate Proportion of the Swiftness of the mov- ing Body; that is, the Resistance is a hun- dred times greater when the Velocity is but ten times; so that for this Reason, if light Bodies are moved with great Swiftness, the Air's Ch. II. thro' the various Stages of Life. 95 Air's Resistance will throw them back in another Direction. Air moving with Rapidity, as in violent Storms or Winds, produces very sensible Ef- fects in human Bodies, to which if we add the Motion of the Person moving opposite, then the Pressure will be very considerable; hence Walking or Riding against great Winds is a great and laborious Exercise, the Effects of which are a Redness and Inflamma- tion of all the Parts exposed to the Air, be- ing like the Effects produc'd by a soft Press or Stripes, Heat and Drowziness. CHAP. III. Of the Qualities of Air. THE Qualities of Air are Heat, Cold, Dryness, and Moisture; they are called Qualities of the Air, because they are change- able, and do not constantly reside in the whole Mass, nor in the Parts thereof. By these variable Qualities of Heat, Cold, Dryness, and Moisture, the Air must of Ne- cessity produce various Alterations in human Bodies. For if we consider, that human Blood is a Fluid continually warm, and in- closed in a Composition of thin and flexible Tubes, to which the outward Air has Admit- tance 96 A GUIDE to HEALTH Part II. tance or Entrance by the innumerable Pas- sages of the Pores of the Body: Again, if we consider this Machine, with its inclosed Fluids steaming and reaking hot thro' num- berless Pores, and often changing Situation, sometimes within, sometimes without Doors, and exposed to the hot, cold, dry, or moist Air, and all the various Alterations that oc- cur in that Element; the Changes which must happen to a human Body in such Cir- cumstances, must be very considerable, and far greater than we generally suppose or ima- gine; for besides the real Influence of the circumambient Air, human Bodies are affect- ed by these Changes with a painful or plea- sant Sensation, which they have not always in their Power either to escape or possess. Heat is a Quality relative to our Senses excited in the Mind, by a great and swift Agitation of Particles of the hot Body ex- erting its Action or Influence on us; so that Heat in us is only the Idea thereof; and in the hot Body, Activity and Motion, and no- thing else: for no Heat is sensible, unless the Particles of the Body which act upon us, be greater than the Motion of the Organ or Part of the Body acted upon. But when the Motion of the Particles of the Body acting, is less than that of our Organs of feeling, then it causes in us the Sensation or Idea of Cold, which is only a Privation or less Degree of Heat or Motion. The Ch. III. thro' the various Stages of Life. 97 The Spirit of Wine in Thermometers * or Weather-Glasses, is affected with the least Alterations of Heat and Cold; and therefore is the best Guide to know the Variations of the Weather, tho' the Degrees marked in the Tubes of them do not exactly measure their Quantity. The natural Heat of a grown Person is 92, and of Children 94 Degrees; but no Animal can live long in Air of 90 Degrees, or near the natural Heat of the Body. The Rarity or Thinness of the Air ren- ders it more sensible of the Alterations of Heat and Cold, than any other Fluid what- ever; for the least Increase of Heat dilates it, but a Diminution thereof contracts it im- mediately. The Degrees of Expansion of the Air cannot be determin'd; for the great- est Heat will not totally expel it, but by this continual Expansion and Contraction, by different Degrees of Heat, it is kept in con- stant Motion. Heat, but not so great as to destroy ani- mal Solids, relaxes the Fibres, and rarifies the Humours; whence proceeds the Sensation of Faintness and Weakness, and whence lan- quid and hysteric People suffer in a hot Day; for the Fluids are dilated, as is manifest to both the Sight and Touch, and the external G Parts * Thermometer or Weather-Glass, is a Glass Tube filled with Spirit of Wine of a red Tincture: It is an Instrument of great Use in the Hands of skilful Persons, in discovering the Degrees of Heat and Cold in Air, animal and vegetable Bo- dies, Liquids, Hot-Beds, &c. 98 A GUIDE to HEALTH Part II. Parts swell, and are plumper in hot than in cold Weather. Excessive hot Air is capable to reduce ani- mal Substances to a State of Putrefaction, and therefore very hurtful to the Lungs in parti- cular; for the Blood, by its Circulation thro' the Lungs, is heated to a degree so as to render it spumous; and the Surface of the Vehicles of the Lungs being exposed to the external Air, which has a free Communication to it; so that Refrigeration by cool Air is one, tho' not the principal Use of Air in Respiration: but when the outward Air is many Degrees hotter than the Substance of the Lungs, it must necessarily destroy and putrify the Solids and Fluids: Which is confirm'd by an Ex- periment of the learned Dr. Boerhaave, who relates, that he put a Sparrow into a Sugar- Baker's drying Stove, where the Air was heated 54 Degrees more than the natural Heat of Human Blood, which died in two Mi- nutes; a Dog being put in began to pant very much for Breath in seven Minutes, and in a Quarter of an Hour express'd very great Un- easiness; soon after he grew very faint, and ex- pired in 28 Minutes; he drivell'd a great Quan- tity of red Foam most part of the Time, which stunk so intolerably that a labouring Man that went near it was almost struck down in- stantly with the Stench. Dr. Boerhaave ob- serves in this Experiment the direful Effects of this Degree of Heat, how soon it occasion'd a most acute Disease, with violent and mortal Symptoms; Ch. III. thro' the various Stages of Life. 99 Symptoms; and how suddenly the Humours were changed and thoroughly putrified in 28 Minutes: He moreover observes, that these were not the mere Effects of the Heat of the Stove; for if the Flesh of a dead Animal had been hung up there, it would have dried, and not turn to a pestilential Corruption; which must arise from the Friction caused by the Circulation of the Blood through the Lungs, and being not in the least refrigerated, as in this Case. By the Degrees of the Heat of the Air act- ing upon Human Bodies, the Quantity of * Perspiration both sensible and insensible is regulated; for, by the Journals of the industri- cus * Perspiration is twofold, sensible and insensible; by the first is meant what we discharge by Spittle, Sweat, Urine and Stool; by the latter is understood what is imperceptibly exhaled or expell'd through the whole external Skin of the Body, as also from that of the Mouth, Nose, Jaws, Larynx, Lungs, Gullet, Stomach, Intestines, Bladder and Womb; so that the Quantity of it exceeds that of all other Excretions join'd together; for when the Body is strong and healthy, and after moderate living, especially in a warm Climate, such as Italy, that which is discharged insensibly by the Pores of the external Skin, Mouth, Nostrils, &c. is five Eighths of what is taken into the Body in Meat and Drink. It will not appear incredible, that animated Bodies should thus perspire, when we find by Mr. Boyle's Experiments, that he has observ'd the like even in the most solid and inanimate Substances. Besides, we see the Air, when return'd in Respiration from the Lungs, brings along with it a Vapour, which in cold Weather con- denses into considerable Drops. We likewise find that a Fin- ger, or any other Part of the Body, or our Breath, applied to a Glass, or polish'd Metal, will presently moisten and tarnish it. This perspirable Matter, according to the learned Boer- haave, is a Mixture of Phlegm, volatile Salt, and Oil, in cer- tain Proportions; and after a long Course of Circulations in G2 all 100 A GUIDE to HEALTH Part II. ous and learned Dr. James Keil of Northamp- ton, it appears, that the Perspiration in Eng- land scarcely equals all the other Excretions, and that in Summer it is near double to that in Winter; whereas we find, by the incom- parable Sactorius's Aphorisms, that the Per- spiration in Italy the Year round is to all the other Evacuations as five to three, and pro- bably the Proportion may be still greater in hotter Climates; and yet the same Author tells us in Aphorism vii. Sect. I. that the Quantity of insensible Perspiration varies ac- cording all the Forms of the Animal Fluids, is deprived of all that can be of farther Use to any Part of the Human Body; and is secreted by the capillary Arteries, and passes off insensibly and almost invisibly through the Pores of the Skin, and other Parts of the Body. But whenever this Evacuation is either dimi- nish'd or obstructed, it is almost an infallible Indication of Dis- eases, and probably the Cause of them, likewise. And Nature has so provided, that if by any external Cause this Evacuation is hinder'd in any one Part, it is always increased in another, or otherwise a Distemper will ensue; for which Reason when the Coldness of the Air, which more immediately affects the outward Skin, or any thing else lessens the Discharge of insen- sible Perspiration that Way, either the sensible Evacuations are increased, as commonly the Urine, or greater Quantities are carried off by Respiration from the Lungs and Parts about the Mouth, as we see in frosty Weather, like Smoak out of the Mouth; or else it is perspir'd into the Cavities of the Stomach and Guts, which afterwards is discharged by breaking of Wind either upwards or downwards: For as long as the Im- pulse within remains the same, wherever there is the least Re- sistance, there will be always the greatest Derivation of the perspirable Matter. And from hence it is, that we so fre- quently find, when the Body is more than usually exposed to the external Cold, Gripings, Loosnesses, Colics, and great Uneasinesses in the Bowels, which is nothing else but some Part of the perspirable Matter, that ought to have passed the outward Skin, check'd by the Cold, and by an opener Pas- sage Ch. III. thro' the various Stages of Life. 101 cording to the Differences of Constitution, Ages, and Countries, Seasons, Distempers, Diet, and the rest of the Non-naturals: Which must occasion a great Diversity of Constitutions and Distempers, according to the different Climates; for the serous Part of the Blood is carried off by Sweats or sensible Perspiration, in far greater Quantities in hot Countries, than in cold or temperate Cli- mates, which must consequently render the Crassamentum or fibrous red Cake of the Blood larger; hence we may know the Reason why the Blood of People residing in those hot G3 Coun- sage within thrown off that Way. Leeuwenhoek by the Help of Glasses, has discover'd the Texture of the Scarf-Skin to be scaly; and that those Scales cover one another in several Lays, more or less, according to the different Thickness of the Scarf- Skin in the several Parts of the Body; and that in the Com- pass of one cuticular Scale he reckons there may be 500 Excretory Channels, and that one Grain of Sand will cover 125000 Orifices; and that from these a most subtile Humour continually transpires in all the Parts of the Body; which was first observ'd by the incomparable Sanctorius, to whom alone the Glory and Perfection of this Discovery is entirely owing. Insensible Perspiration therefore, both as to the Matter and Quantity of it, is so absolutely necessary to the Health of a human Body, that a Distemper can neither be removed, nor Health preserv'd, unless it be rightly digested and discharg'd; For which Reason it ought to be of the utmost Concern to a Physician not only thoroughly to acquaint himself with the Nature of this Evacuation, but likewise thoroughly to know by what Means it is to be promoted or lessen'd, according to the several Exigencies of his Patients, either for the Preservation or Recovery of their Health: For according to the last men- tion'd Author, in Aphorism ii. Sect. I. ' If a Physician who ' has the Care of another's Health is acquainted only with ' the sensible Supplies and Evacuations, and knows nothing of ' the Waste that is daily made by insensible Perspiration, he ' will only deceive his Patient, and never cure him unless by ' Accident.' 102 A GUIDE to HEALTH Part II. Countries is commonly thick and black when drawn from any Part of a human Body, as Experience teaches. Air is not cooled by the Motion of Winds, but by the Air of cooler Regions that they bring along with them; for the Thermometer will not change by Winds or by the strongest Blasts of Bellows, unless it is blown through Ice or some other Body colder than Air, ac- cording to Mr. Boyle's Experiments, but then such a Blast will sink it considerably. Winds cool animal Bodies by driving away the hot Steams that surround them; for if we sup- pose that the Heat of a human Body is 90 Degrees, and the Heat of the Air 48, by blowing off the hot Steam, then the animal Body will be surrounded with an Atmosphere of 48 Degrees, and consequently near the one half of its natural Heat taken off in a Second of Time. Therefore, if immediately after Ex- ercise we rest in a cold Air, we run a great Hazard of falling into great Diseases, of which there has been frequently woeful Instances, especially such Distempers as affect the Lungs, as Inflammations, Asthmas, Pleurisies and Ca- tarrhs; for this Change of their Atmosphere happening every Second of Time, is, much the same thing as putting on a cold Suit of Cloaths every such Time. Therefore, as human Bodies may be cool'd by Air cooler than their own Temperament, so there may be great Use made of tempera- ting feverish Heat by the outward Air, pro- 2 vided Ch. III. thro' the various Stages of Life. 103 vided it be done with Caution; which is very well known by Experience, as in inflamma- tory Diseases, such as the Small-Pox, Measles, &c. scarcely can any Liquor taken inwardly cool human Blood sooner than cool Air; for, by its Admission into the Pores of the Skin, and its being in immediate Contact with the Vesicles upon the Surface of the Lungs, it cools the Blood in a very little Time: So that great Mischief frequently happens by keeping the Air of the Rooms of People in Fevers too hot, by depriving them, in the first Place, of the Benefit of being refresh'd by it, and in the next, by the bad Effects of animal Steams pent up in the Room, which spoil the Air and destroy its Elasticity or Spring. Therefore it is the Opinion of the most celebrated Phy- sicians, that renewing and cooling the Air in a Patient's Room, by giving it a free Admis- sion, in opening the Door sometimes, the Bed- Curtains, and in some Cases the Windows, or letting it in by Tubes or Pipes, in order to change the hot Atmosphere about the Patient, (provided the Intention of keeping up a due Quantity of Perspiration is not disappointed) and in general the right Use and Manage- ment of the Air, is one of the principal Parts of a Regimen in all inflammatory Diseases; but, through the Ignorance and scrupulous Care of Nurses, in so material a Point as this, the Distemper is frequently increas'd, lengths en'd, and at last proves fatal; and this Mi- stake proves far more dangerous to strong, G4 vigorous. 104 A GUIDE to HEALTH Part II. vigorous, compact, and heavy Constitutions, than to lax ones; according to this Axiom, Heat is detain'd in proportion to the Density of Bodies. Cold is a Privation or Diminution of so many Degrees of Heat, as I have observ'd al- ready in Page 96, and it produces a propor- tionable Abatement of the Effects of Heat; so that, from what has been said already con- cerning hot Air, the Effects of cold Air may be inferr'd. Cold Air, according to Philoso- phers and Naturalists, is the immediate Cause of freezing; it first begins in the Air, by congealing the watery Particles in it; but the Effects of this Cold sometimes do not reach so far as to freeze the Water on the Sur- face of the Earth; as in Summer Hail and Icy Showers. Cold condenses the Air in proportion to the Degrees of it; and likewise contracts animal Fibres and Fluids, which are denser; for as Cold braces the Fibres, not only by its con- densing Quality, but likewise by congealing the Moisture of the Air which relaxes; so for this Reason Animals in cold Weather. are of less Dimensions than in hot Weather. Extreme Cold produces at first a pricking Sensation in human Bodies, and afterwards a glowing Heat, or a small Degree of Inflam- mation in all the Parts of the Body exposed to it; and by bracing the Fibres more strongly, thickening the Fluids, and stimulating, it pro- duces Strength and Activity in human Bodies, of Ch. III. thro' the various Stages of Life. 105 of which healthy People are very sensible in clear and frosty weather. Now, if the Effects of cold Air be so con- siderable upon the Surface of the Body, why may not they be much more so upon the Lungs, wherein the Blood is much hotter, and the Membranes or Coats very thin, and in immediate Contact with the external Air? But were it not that the warm Air is not alto- gether expell'd out of the Lungs in Expira- tion, the Contact of the cold Air would be insupportable to human Creatures; and the Effects of cold Air in producing Inflammations of the Lungs in all Nations is common, espe- cially upon the blowing of cold north-easterly Winds in Europe, or north-westerly Winds in America. Cold suppresses some of the grosser Parts of the perspirable Matter, by which Means a great many Salts, that would b exhaled in warm Weather, are detain'd, by contracting the Pores of the Skin, and cooling the Blood too much in the Vessels that are exposed to the Air; as also by Stimulus the cold Air vel- licates and inflames these Vessels, as has been obser'd already, and at the same time pro- ducing Scurvies with dismal Symptoms, being a Distemper of cold Climates; the fatal Ex- remities of which we may see in Captain James's Journals, in Gerat de Veer'd a Hol- lander, and in Captain Middleton's, and in those of many others, who have win- ter'd in Greenland, and other cold Coun- tries; for the Cold that froze their spirituous I Liquors 106 A GUIDE to HEALTH Part II. Liquors produc'd almost the same Effect in their Blood, by reducing the animal Substan- ces of some to a gangrenous State, with Mor- tifications of their Limbs and Gums, being oblig'd to cut off the putrid or rotten Flesh; a total Incapacity of chewing, not capable to move themselves, and intolerable Pains in many Parts of the Body, with black and blue Spots and Blisters on their Skins; and by sup- pressing Perspiration, and retarding the Cir- culation of the Blood, others were seiz'd with Giddiness, Sleepiness, Pains in the Bowels, Looseness, Bloody-Fluxes, Iliack Passions, and a Mortification in the Guts; but seldom any Loss of Appetite, which is very surprizing: All such dismal Symptoms could not be attri- buted to the Effects of Salt Provisions, in as much as they frequently had fresh both ani- mal and vegetable. Extreme Cold or extreme Heat will de- stroy animal Substances, or reduce them to a gangrenous State, but with this Difference, that a Degree of Cold that will produce a Mortification in living Bodies, will preserve those that are dead from Putrefaction; and in order to produce such a Change, there must be a Concurrence of Heat and Motion in the animal Fluids with the Stimulus of the Cold to produce the Change; for which Reason, Blisters cannot be raised on dead Bodies by the strongest blistering Plaisters imaginable. Moisture is a Quality of Air which affects animal Bodies in relaxing and lengthening their Ch. III. thro' the various Stages of Life. 107 their Fibres; for it has been often demon- strated by Experiments, that the single Fibres both of Animals and Vegetables are lengthen'd by moist Air, and that it relaxes is likewise evident from daily Experience upon Leather, Vellum, Paper, and a Drum. By cold Bath- ing there is a momentary Contraction of the Fibres of the Body effected by the Cold- ness of the Water only, and the Sensation of which works as a Stimulus in human Bodies; but the Water in its own Nature would re- lax, and continually does so, if we remain too long in it; which is the Reason that Peo- ple using the Cold Bath are order'd not to stay in above half a Minute, or a Minute: and warm Water relaxes a great deal sooner than cold, and Swimming fatigues and dispi- rits more by relaxing the Fibres than Exer- cise. Air, by the Assistance of Moisture, will sooner insinuate itself into the Pores of Bo- dies than otherwise; for a dry Bladder will sooner burst than let Air pass thro' it, but when it is moisten'd it easily passes. Yet Moi- sture diminishes the Elasticity of Air, for in rainy Weather it is less Elastic; so that Moisture relaxes human Fibres, by weaken- the Spring of the Air; but dry Air will lessen those Effects, or produce their Con- traries, such as bracing and contracting the animal Fibres, which were before both re- lax'd and lengthen'd by too much Moisture. And a great many Symptoms which People are 108 A GUIDE to HEALTH Part II. are sensible of in moist or rainy Weather, are chiefly owing to the Relaxation of the Fibres by moist Air, by which means they lose some Degree of their elastic Force for cir- culating the Fluids; hence arise those Aches and Pains which are felt in the Parts of the Body, where the Circulation of the Fluids is not perfect, as in Cicatrices, or Scars of Wounds, old Sprains, Dislocations, or bruised Parts. Likewise a moist and foggy Air, espe- cially where the Country is low and marshy, will so weaken the Tone of the Vessels, as to hinder a proper Discharge of what ought to be carried off by insensible Perspiration, ac- cording to Sanctorius *; and particularly weaken those of the Lungs, by which means the Viscidity of the Blood will be increased; hence arise Coughs, Catarrhs, Consumptions, Asthmas, Pleurisies, Head-aches, Dulness, and Stupidity, Epilepsies, Hoarseness, cuta- neous Eruptions, pale and languid Complexions: and such People are also subject to scorbutic Habits, weak Appetites, Fevers of different kinds, Diarrhœas, Dysenteries, and Drop- sies.† When the Air is overcharg'd with Va- pours near the Surface of the Earth, and when * Med. Stat. Sect. 2. Aphor. 8. † Hippoc. Aph. 16. lib. 3. & lib. de Aëre, Aqua & Lo- cis; in which last Book Hippocrates tells us, that the Phasians, who inhabited a low and marshy Country, were frequently subject to the above-mention'd Distempers, and which is commonly, and almost always the Fate of all such Situations, as both History and Experience teach. Ch. III. thro' the various Stages of Life. 109 when those Vapours are more in a falling than in an ascending State, it is then properly called moist Air; tho' the Body of the Air may contain more Water in it at other times; but then the Water and Air are more intimately mix'd, and the Vapours are higher, and a less Quantity of them in contact with our Bodies; so that Air in such a State may be justly called dry; and sometimes the Air may be said to be in a State of exhaling and imbibing, and at other times in a State of precipitating its Waters and other Contents. Dryness is another Quality of Air, by which it produces Effects contrary to those of moist Air: and as dry Air exhales and imbibes volatile Spirits, and Oils of animal Bodies, so it does consequently influence Perspiration. But great Dryness is capable of changing the very Texture, as well as the Si- tuation of the Pores of the Skin of human Bodies; and either extreme Dryness, or ex- treme Moisture have very often proved dan- gerous, if not fatal to human Bodies; and tho' our Bodies are not capable of bearing Excesses of any kind, yet of the two, ex- treme Dryness has been found most destru- ctive to animal Bodies. By the Properties and Qualities hitherto enumerated and explain'd, Air must pro- duce very great Alterations in human Bodies; for it does not only operate by outward Contact, but we likewise imbibe it at all the Pores of the Body, as is evident by what has been 110 A GUIDE to HEALTH Part II. been said already; otherwise the Air could not have a free and constant Admittance in- to the Body, and consequently the Ballance between the outward Air, and that within the Vessels, could not be so quickly restor'd; and it is upon the due Ballance of the Air within and without the Body, that the Life of ail Animals depends. The Skins of Animals dry'd exclude Air; but those of living Creatures being moist and oily, it will easily pass thro' them; for where- ever there are Emissaries, there are also ab- sorbing Vessels: And to prove this Assertion farther, many Bodies a great deal thicker and heavier than Air, such as Mercury, Spanish Flies, and Garlick, &c. readily enter the Pores of the Skins of animal Bodies. So that while we perspire, at the same time we ab- sorb part of the outward Air; and the Quan- tity of perspir'd Matter, discover'd by the Method of weighing, is only the Difference between that and the Air absorb'd; therefore after great Labour and Abstinence, which produces an Emptiness in the Vessels, and consequently a great Diminution of Perspi- ration, it is very probable, that in such a Case, the Quantity of the Air absorb'd may exceed that of the perspir'd Matter: which must be true, if Sanctorius's and Dr. Keil's Journals of Perspiration be faithful and ex- act; for there is an Instance in the Doctor's Journals, of a Person's growing 18 Ounces heavier by absorbing Air. The Doctrine of absorbing Ch. III. thro' the various Stages of Life. 111 absorbing Air thro' the Pores of the Skins of living Creatures, was taken for granted both by Hippocrates, Galen, and their Followers, which has been since confirm'd and demon- strated by that accurate and most ingenious Observer of Nature, Mr. Hales, in many Bodies, particularly in Vegetables, by plain and easy Experiments; by which it appears, that Air freely enters thro' the Bark, Stem, Leaves, and all the Surface of Vegetables. By absorbing external Air, with all its Qua- lities and Contents, many great Effects must necessarily follow, and many sudden Altera- tions happen in human Bodies; and nothing can account more clearly for epidemical Distempers seizing People inhabiting the same District of Land, and who have nothing else in common that affects them, except Air, which is confirm'd by * Hippocrates, † Sy- denham, and many others. * Hippocrates, Epid. lib. 3. Sect. 3. & lib. de Aëre, Aq. & Locis. † De Febribus Intermit. Thucydid. lib. 2. p. 130. 147. Diod. Sicul. p. 101, 102. Hallerius libel. de Peste, p. 577. Hippoc. lib. de Flatibus, p. 297. & lib. 6. de Morb. po- pular. Sect. 8. p. 1199. CHAP. 112 A GUIDE to HEALTH Part II. CHAP. IV. Of the Influence of AIR upon Human Bodies. THE Influence or Power of the Air up- on human Bodies is as different as the Diversity of the Weather, Seasons, Climates and Countries; but the true Knowledge of it is very obscure and imperfect, especially in that Part which will be always difficult to find out, that is, the different Qualities of the Air, and the manner of their acting upon human Bodies; yet if Journals of Diseases, compar'd with the Weather, had been kept for some Centuries in many Places and Kingdoms, we should at last have come to more than a conjectural Knowledge of this important Matter. The divine Hippocrates, after a Series of many Years indefatigable Practice and just Observations, has left us in his Books of Epidemics, and third Section of Aphorisms, an inestimable Treasure of Golden Rules to go by for this Purpose; and tho' he had nei- ther * Barometer, † Thermometer, nor ‡ Hy- groscope * Barometer, See Page 79. Note ‡. † Thermometer, vid. p. 97. Note *. ‡ Hygroscope is a useful Instrument to be made several Ways, for-measuring the Moisture and Dryness of the Air. Ch. IV. thro' the various Stages of Life. 113 groscope, to measure either the Weight, Heat, Cold or Moisture of the Air by, yet knew more of the Influence of Air on human Bodies, than all his Predecessors and Succes- sors put together; for none of them ever made such just and curious Observations up- on Airy and its Effects, as he did, which plainly appears in his Works: he judg'd only according to Reason and his Senses, which are surer Guides than the Thermometer, in re- spect to the Effects of Heat and Cold upon our Bodies; for by the Thermometer, stagnant Water is of the same Degree of Heat as the ambient Air, but if apply'd to our Bodies, we shall feel it much colder; therefore, Air abounding with more or less watery Particles, is colder or hotter to our Senses, tho' the Thermometer still remains at the same Height.* This sagacious Great Man tells us, that ‖ Whoever would understand Physic, it is first necessary to understand the Seasons of the Year, and then their Effects on our Bodies; and that † we ought to know the Constitutions of the Air, what they are, and in what Times and Regions they mostly appear. He says likewise, ‡ That Distempers seldom arise from any other H Cause * According to Lord Verulam's Observations, Water seems colder than Air; and the Froth of any Liquor seems warmer than the Liquor itself; and the Powder of any solid Body, warmer than that solid Body, tho' the Thermometer still proves the same Degree of Heat in each to be alike. Hist. Nat & Experiment. de Ventis, cap. de forma Callidi, p. 143. ‖ Hippoc. lib. de Aëre, Locis & Aquis, p. 280. † Hip. lib. 4. p. 1138. de morb. Epidem. ‡ Hip. lib. de Flatibus, p. 297 114 A GUIDE to HEALTH Part II. Cause than the Air; for either it is too much or too little, or abounds with infectious Filth. He tells us in another Place ‖, That the Air is to he consider'd as to its Heat or Cold, Thickness or Thinness, Dryness or Moisture, and their several Changes. According to his Instructions, we are like- wise § to consider the Situation, Air, and Water of a City, in order to come at the Knowledge of their popular Diseases, and their Seasons: for Instance, that Cities ex- posed to the ‡ hot Winds, such as blow be- tween the rising and setting of the Sun in Winter, to which Situation such Winds are peculiar, and at the same time are defended from the Northerly Winds, abound with Water of a saltish Taste, which as it comes from above, must needs be warm in Sum- mer, and cold in Winter; but Cities that are well situated as to the Sun and Winds, and at the same time supply'd with wholsome Water, are free from many Distempers, which those in different Circumstances are subject to, as has been already mention'd: that if the Summer proves dry, the Diseases are of a shorter Duration than in a wet one in which they prove obstinate, and apt to de- generate into Suppurations, Heat and Moi- sture in the Air producing Putrefaction: that Defluxions, ‖ Idem de morb. popular, lib. 6. p. 1199. § Hip. lib. de Aëre, Locis & Aquis. ‡ Hippocrates means in this Place a Southerly Situation, and the Winds that blow from thence. Ch. IV. thro' the various Stages of Life. 115 Defluxions, much Phlegm, and Hoarseness are occasion'd by cold Weather: that Deflu- xions from the Head, and Disorders of the Belly, from Phlegm distilling downwards, producing Fluxes, were the Effects of the Winter, which made Women subject to Miscarriages, and Children to Convulsions; likewise such as were exposed to Cold, sub- ject to Inflammations of the Eyes and Lungs. This great Man could foretell the Diseases from the Weather, and says, that Heat coming upon a wet Season will produce se- rous Defluxions upon the Head and Belly, and acute Fevers. That cool Weather, about, the Dog-Days, if not succeeded by a tem- perate Autumn, is dangerous for Women and Children, producing Quartan Fevers, and from these they fall into Dropsies: if the Winter is mild and rainy, and succeeded by Northerly Winds in the Spring, it will be dangerous for Women that happen to be with Child, producing Abortions, likewise Deflu- xions upon the Lungs, Dysenteries and Co- licks in the Phlegmatick, and Inflammations in those that are Bilious, because of the Heat and Dryness of their Flesh; and that Ob- structions after Relaxations produce Palsies, and sometimes sudden Death in old People. A rainy Summer and Autumn must; needs make a sickly Winter; burning Fevers will happen in People above 40 and Phlegmatic; in the Bilious, Pleurisies, and Inflammations of the Lungs: but if the Summer be dry with H2 Northerly 116 A GUIDE to HEALTH Part II. Northerly Winds, succeeded by a wet Au- tumn with Southerly Winds, Head-aches and paralytick Diseases are likely to happen in the Winter; likewise Hoarseness, Stuffings in the Head, Coughs and Consumption: but a dry Autumn with Northerly Winds is pro- fitable to phlegmatic Constitutions, and ex- tremely hurtful to the Bilious, the watery Parts which dilute the Gaul being exhaled. He says farther, that whoever considers these Things, may know before-hand the greatest Part of what will happen from the Changes of the Seasons, and advises to con- sider the Constitution of the Air in Opera- tions of Surgery; excepts against cutting for the Stone in the Solstices *, especially in the Summer Solstice. The divine old Man goes still farther, and says, that the Affair of Generation is influ- enc'd by the Difference of the Constitutions of the Air, and that such a Variety should thus happen in the Formation or Mixture of the Semen, which is not always the same in the same Person, in Summer and Winter, in wet Weather and dry, that it is oftener cor- rupted in the Formation or Mixture of it, where the Seasons change frequently, than where * Solstice is the Time when the Sun being come to either of the Tropical Points, is got farthest from the Equator, and seems to be at a stand for some Days before it returns back, which happens twice a Year in the Summer and Winter. The Summer Solstice is when the Sun entering the Tropick of Cancer on June 11, makes the longest Day, and the shortest Night. Ch. IV. thro' the various Stages of Life. 117 where they remain pretty near alike. He likewise attributes the different Shapes, Com- plexions, Tempers of Mankind, and even their different Forms of Government, to the Influence of the Air: that the fertile Coun- tries of Asia, upon the account of moderate Heat and Moisture, produce large and hand- some Animals; and that the Softness of their Climate disposes them to Mildness and Effeminacy, not enduring Labour or Hard- ships of any Kind, like the Greeks, frequent Changes in the Body, produced by Labour and the Alterations of the Weather exercis- ing both Body and Mind; for which Reason the Asiaticks are less bold and couragious, they are slavish and subject to Masters, and tho' they are forc'd, yer they are not willing to quit their Ease and Families, or to endan- der their Lives for the Power and Wealth of others, in Expeditions from which they are to reap no Advantage to themselves: that on the contrary, the Greeks and Northern Asi- aticks were bold, hardy, and full of Courage; and that, being at their own Disposals, wil- lingly underwent Dangers and the greatest difficulties, because the Reward of the Vic- tory was to be their own. He says besides, that as the Equality of the Temperature of the Seasons render'd the Asiaticks indolent and lazy; so the great va- riety of Heat and Cold, by differently affect- ing Body and Mind, render'd the Europeans couragious and active; Activity, Labour, and H3 Exercise 118 A GUIDE to HEALTH Part II. Exercise begetting Bravery, and Bravery begetting Laws to secure Property; and being govern'd by such, they were enabl'd to reap the Benefit of the Fruits of their In- dustry, which those that live under Abso- lute Monarchy are not capable to enjoy: Here this great and wise Man expresses his Dislike to Despotick Government. The Phasians *, says he, are tall, soft, bloated and pale, on account of the excessive Moisture of the Air they breathe; for their Country is marshy, hot, watery, woody, and subject to violent Showers at all Seasons, and such Effects proceed from lax Fibres occasi- oned by excessive Moisture; but such as in- habit Mountainous Places, where they are of a large Make, have a variety of Weather, and are bold, fierce and active; and the Inha- bitants of fertile Plains, with stagnating Waters, are the reverse; for a fat Soil produces dull and heavy Understandings. The Inhabitants of barren and dry Soils, with cold Winters, are passionate, warm in their Tempers, posi- tive, proud, and of a quick Understanding. In one of his Books ‡, he attributes the Causes of all Diseases, especially of the Pesti- lential, to proceed from the Influence of the Air: And in another Place †, he far- ther * The Phasians were Inhabitants of the City Phasis, in the ancient Kingdom of Colchis, upon the eastermost Side of the Black Sea, between Georgia and Circassia, not far from the ancient Sauromatœ. ‡ Hippoc. lib. de Flatibus. † Hippoc. lib. de Morbo Sacro. Ch. IV. thro' the various Stages of Life. 119 ther affirms, that Air gives Sensation, Life and Motion to all the Members of Animal Bodies; for which Reason he strenuously re- commends Astronomy as an essential Part of the true Knowledge of the Art of Healing; and says, that if any one should think it to be only Meteorological Speculations, he may soon learn, if he can part with his Opinion, that Astronomy is so far from being of little Use in Physick, as to be of the greatest; for as the Seasons change, so do the Constitutions of Men likewise §: And to prove the Useful- ness of Hippocrates's Doctrine and Opinion in this Particular, we need only consult a Treatise of a Cotemporary learned Author, who is not only an Honour to his Country, but likewise an Ornament to his Profession, wherein we shall find not only the Usefulness of Astronomy in the Art of Physick, but likewise the Influence of Air upon human Bodies geometrically de- monstrated †. Hippocrates goes on still farther in the same Book, and says, that where the Variety of the Weather is oftenest, and the Diffe- rence between the Seasons greatest, there the Nature, Customs, and Habits of the People will be found most different, which are the principal Causes of all the Changes in Nature; and next to these, the Country wherein we are brought up, and the Waters we are obliged to drink; for we H4 shall § Hippoc. in his Book of Water, Air, and Situation. † Richardus Mead de Imperio Solis & Lunæ in Corp. Hum. 120 A GUIDE to HEALTH Part II. shall generally find that the Complexions and Manners of the People correspond with the Nature of their Country. He has left us a curious History of Diseases, and the Weather, in his valuable Books of Epidemics, from whence he drew many useful and nice Observations; and where we may see a vast Conformity between the Constitution of the Air, and that of Dis- tempers, throughout the whole Work. The Constitution mentioned in his 1st Sec- tion, was a wet Autumn, the Winter dry, with southerly Winds and very little norther- ly, the Spring cold, with southerly Winds, a little wet, a cloudy and dry Summer, with little or no northerly Winds to cool the Air; in this Constitution he observ'd some few burning Fevers of a good sort, some with Hæmorrhages; a great many had Swellings behind both or one Ear, but generally with- out a Fever, and disappear'd without much Inconvenience or Suppuration. The Constitution of the next Year, related in Section the Second, was a wet Autumn, with northerly and southerly Winds; the Win- ter was moist and affected with cold norther- ly Winds, attended with great and heavy Showers of Rain and Snow, and a cold and northerly Spring, both watery and cloudy; the Summer not very Scorching, and was continually affected with northerly Winds, and a great deal of Rain fell again sudden- ly; so that the whole Year being cold and moist, Ch. IV. thro' the various Stages of Life. 121 moist, and attended with northerly Winds for the most part, produced Inflammations of the Eyes in the Spring, and in the Summer, Co- licks, Fluxes of the Belly, with Bilious Purg- ings, and sometimes Bilious Vomitings with Phlegm and indigested Food, some with Cat- tarrhous Fevers, others again without Fe- ver or Confinement; but they all in gene- neral sweated, Moisture being then so redun- dant every where. In the Autumn and Winter continual Fe- vers appear'd; there were likewise diurnal, nocturnal, tertians, semitertians, some quar- tans and erratick Fevers; besides some were afflicted with Catarrhs and Defluxions upon their Joints; Convulsions were also frequent among Children; all such Diseases being the natural Product of a Cold and Moist Year, affected by too much Moisture in the Air, which human Bodies continually breathe and imbibe. He tells us in his third Section, that the Constitution of that Year was a cold dry Winter attended with northerly Winds, as was likewise the Spring and Summer till to- wards the beginning of the Dog-Days, then scorching Heats and Droughts continu'd till Autumn, which prov'd to be moist and rainy: This Year was remarkable for Paraplegias or Palsies, which were epidemical in the Winter; likewise Hæmorrhages of all Kinds and Dy- senteries reign'd in the Spring and Summer, be- ing the Effects of a Constriction of the Fibres, oc- 122 A GUIDE to HEALTH Part II. occasion'd by too much Cold and Drought; burning Fevers with Delirium and Thirst, be- ginning with Shiverings, Watchings, Nauseas, and Anxiety continued, which were most dan- gerous and fatal to young and vigorous Peo- ple, especially in the Autumn, but most of all in the Winter, when the Hæmorrhages ceas'd. In his Second Book he attributes the great Frequency of Carbuncles and other large Pustules of the putrid kind in Summer to the great suffocating Heats attended with Calms and Moisture; and that Sweats suc- ceeded Showers, because Moisture relaxes the Fibres of the Body; that inflammatory Dis- cases, such as burning Fevers, Pleurisies, &c. are most violent in a dry and hot Summer; that in constant and settled Weather and Seasons, the Distempers will be more equal and of a good Sort and easily determined; but that if the Weather is variable they will likewise be irregular and resolv'd with difficulty; that the Diseases of the Spring are least destruc- tive of any of the other Seasons: He like- wise remarks that a mild Winter, attended with southerly Winds, a dry Spring, and a moist Summer with small Rains, produced Fevers, and Tumours or Swellings behind the Ears. In his third Book he observes a kind of a Pestilential Season, which proceeded from a hard Winter, a rainy warm Spring, succeed- ed by an excessive hot Summer with little or no Winds; it was notable for all inflam- matory Ch. IV. thro' the various Stages of Life. 123 matory Pimples and Eruptions upon the Skin, and likewise for all Distempers of the putrid Kind, such as Erysipelas, Aphtas and Ulcers in the Mouth and Throat, burning Fevers with Deliriums, Tubercles upon the Private Parts, Inf animations of the Eyes, Carbuncles, Swellings in the Groins, Abscesses and Defluxions upon the Joints, some with Suppurations of Pus well digested, and others again with a copious Running of putrified Matter of different sorts. He remarks in his sixth Book, that the frequent Alterations of the Winds from South to North, are very often the Cause of Inflammations of the Lungs and other Parts of the Body; and that, generally speaking, the Nature of the Diseases is determined by the Seasonableness of the Weather, as it happens sooner or later, either dry, cold, hot, moist, and attended with Winds or otherwise. From these few Instances, we may easily discover the great Genius, Sagacity, and In- dustry of this Divine old Man, as likewise with what Assiduity and Integrity he apply'd himself to study the Nature and Influence of the Air upon human Bodies; wherein he suc- ceeded better than any one of his Profession: And if his Successors had laid aside all their ri- diculous, and, as I may fay, absurd Hypotheses, together with their useless metaphysical Specu- lations, and followed the same Method with the same Perspicuity and Honesty as he did, to this present Time, we then should have had more than 124 A GUIDE to HEALTH Part II. than a conjectural Knowledge, both of the Nature and true Causes of Diseases, especial- ly of Epidemics, which at this Time puzzle even the greatest Physicians. Therefore Rea- son join'd with Observation is the only cer- tain Method we should pursue in order to come at the true Knowledge of Diseases and their Cure; for it evidently appears in the Annals of Physick, that the small Num- ber of Physician who have happily attended to it, made so considerable a Figure in their Profession, that they will always shine, even to the latest Posterity. The ingenious Dr. Arbuthnot having ex- plain'd Hippocrates and others upon the Sub- ject of the Influence of Air on human Bo- dies and Diseases, so accurately well, accord- ing to Mechanical Principles, that nothing can excell it; therefore, I thought it not only proper, but likewise very useful and necessary to give the Reader an Abstract of what he says upon that Head in this Place. He observes, that as this Subject has not been treated of by modern Physicians with that Accuracy it deserves, Observations of that kind are but few, and there is no Series of them in any Country: What would give most Light in this Matter, is a Collection of Observations in Countries where both the Qualities of the Air have great Excursions towards Extremes, where the Seasons and these Excursions, and the Diseases depending upon Ch. IV. thro' the various Stages of Life. 125 upon them are regular. Egypt is a Coun- try which answers all these Intentions in some Degree: It is situated between Ethi- opia, the Mediterranean Sea, Arabia and Barbary, which lie, in the Order mention'd. South, North, East, and West of it. Grand Cairo, where Prosper Alpinus, a very emi- nent Physician, practis'd and made his Ob- servations, lies in 30 Degrees Northern La- titude, as Ptolomy says, 6 Degrees beyond the Tropick of Cancer. This great City is situated at the Foot of the Mountains of the Stony Arabia, which lie towards the East. It is quite expos'd to the north- erly Winds which blow over the Mediter- ranean: Southerly of it there is a hot sandy Soil; so that the Alterations of Heat and Cold, as the Winds blow North and South, over the Mediterranean, or over this hot Sand are excessive, and the Alterations of Heat and Cold from the other Winds but small, lying near the Tropick; and as it is a sandy Soil, fructify'd only by the Slime of the River Nile, without Rain, there is hardly any humid Perspiration from the Ground itself, the Air receiving Mois- ture only from the watery Surface of the Nile during the Inundation, or from the Vapours brought from the Mediterranean by the northerly Winds. From these Causes the Air is extremely hot, and the tropical Heats would be insuffe- rable, were it not for the Northerly Winds. And 126 A GUIDE to HEALTH Part II. And in fact, the Heats are sometimes so ve- hement, that the Inhabitants defend them- selves from them by many Contrivances, such as Fountains in the middle of their Houses, Pipes to convey fresh Air by Grottos, and high Edifices, by which their Streets are shelter'd from the Sun, and a temperate Diet. During the tropical Heats *, the Air is sometimes so much moisten'd and cool'd by the Notherly Winds, and the watery Surface of the Nile, that the acute and pestilential Distempers are check'd by this Constitution of the Air: the Inhabitants often suffer from Catarrhous Distempers, more than in North- ern Countries, their Bodies being more de- licate, and their Pores more open by the pre- ceding Heat. As to their Seasons, their Spring lasts from the Beginning of January to March; their Summer is double, the first, from the Begin- ning of March to the Solstice †, and the se- cond, from the Solstice to the Beginning of September; and this second Summer is more constant, healthy, and less scorching than the first, by reason of the difference of the Winds, and other Causes hereafter mention'd. Their Autumn lasts September and October; and their Winter, November and December. The extreme Heat of the first Summer proceeds from the hot Winds which blow from * Tropical Heat, see p. 116. Note *. † Solstice is likewise explain'd in the same Note. Ch. IV. thro' the various Stages of Life. 127 from the South and South-East, called by the Inhabitants Campsin from their Conti- nuance of fifty Days; tho' they have no determin'd Time, but last sometimes more than three Months, and reign March, April, and May; they blow over the Sands, which they raise in Clouds, sometimes so as to darken the Sun: during this Time, many epidemi- cal Diseases rage, especially Inflammations of the Eyes, a Fever, which the Inhabitants call Demelmuia, attended with a Delirium, and proves often mortal in a few Hours, and even the Plague itself. And this extreme Heat has sudden Interruptions of Cold, which renders the Inhabitants still more unhealthy, and they live under Ground during the Campsin. The Heat during the Months of June and July, which by the Course of the Sun should be the greatest, is so moderated by the Northerly and moist Winds blowing over the Mediterranean, and by the overflowing of the Nile, that the Inhabitants grow heal- thy, and sow their Seed in the Months of September and October, Their Winter has seldom any Snow, Frost, or Rain, or any thing besides Dew, unless in some Places bordering upon the Mediterranean, and re- ceiving Clouds from thence. So that the reigning Winds in Egypt are the Southerly, blowing as it were from an Oven; and the Northerly, moist and cold over the Mediter- ranean, and this last perhaps two Thirds of 2 the 128 A GUIDE to HEALTH Part II. the Year, and during the greatest Solar Heats. Another Cause by which both the Heat and Drought of the Air is temper'd, is the overflowing of the Nile, which rising in the Mountains of Ethiopia, bends its Course Northerly thro' a Tract of Land near 30 Degrees. By the Rains falling in those Mountains, the Nile has ever since the Me- mory of Man begun to swell the 17th of June New Stile; and it rises every Day about 8 or 10 Inches, and begins to fail in August, and decreases till May, when it is in a man- ner stagnating. The Limits of its Height are, from 26 the highest of all, to 18 the lowest, in Cubits; the middle 24; 18 is a Height barely sufficient to make an Inunda- tion. Its Water not only refreshes the Air with a kindly Moisture, but is the most de- licious Drink in the World, when purify'd by the Deposition of its Sediment, being of itself a Cure for most Distempers, where Dilution, a Diuresis or Sweating is necessary, as Prosper Alpinus found by Experience. There are several remarkable Things in the Constitution of the Egyptian Air; for the Perspiration of the Soil, which is sandy and barren, cannot affect the Air very much, the Exhalations being mostly either from the Surface of the Inundation, or the Mud and Slime after it is over. The natural Heat and Dryness of the Air, and the Change from that to cooler Moisture; the Abate- ment Ch. IV. thro' the various Stages of Life. 129 ment of the Tropical Heats by Northerly Winds; the Extremity of Heat and Drought, by the Southerly Winds blowing over Sands, and the Moisture again induc'd by the Clouds from the Mediterranean, and the Inundation; the Exhalations from stagnating and putrid Water, when the Inundation is quite over; and lastly, the Temperance and regular Diet of most of the Inhabitants, must give a fair Experiment of the Effects of Air upon hu- man Constitutions. And accordingly, those who labour and live hard, and cannot defend themselves from the Injuries of the Wind, mostly hot and dry, are extreamly lean and squalid. The Rich, by a plentiful and nourish- ing Diet, and preserving themselves from the Heat and Drought, by Bathing, Relaxation of their Fibres by drinking the Water of the Nile, are often fat. The Air of Egypt having no noxious Qualities from the Perspiration of the Ground, Were it not from the accidental ones above- mention'd, would be extremely wholsome; and the People who know how to defend themselves from those Accidents, live to great Ages. The frequent Changes of Heat and Cold, Moisture and Drought, produce all the Distempers of the Catarrhous Kind, and Arthritick Diseases; and by the strong Per- spiration, Leprosies, even Elephantiasis, The Effects of a hot dry Air by a Southerly Wind, blowing over a sandy Country, are felt strongly; inflammatory Distempers, es- I pecially 130 A GUIDE to HEALTH Part II. pecially a raging Fever with a Phrenzy, called Demelmuia, mortal in a few Hours: they feel likewise all the good Effects of the A- batement of this Heat and Drought by Nor- therly Winds, and the overflowing of the Nile. They are likewise subject to all the Diseases from putrid and stagnating Water, and Exhalations from Heat after the Inunda- tion is over, and these are often pestilential. Pestilential Distempers are frequent in Egypt, and what I think demonstrates the Plague to be Endemial * to that Country, is its regular Invasion and going off at cer- tain Seasons, beginning about September, the time of the Subsidence of the Nile, and end- ing in June the time of the Inundations. In the first Case, are all the Causes productive of Putrefaction, Heat, and putrid Exhala- tions, and no Winter Frost to check them. But what is wonderful, the Plague, and the Fevers from the Heat of the Campsin, go off by the Northerly Winds, and the over- flowing of the Nile: and the wholsome Qua- lity of Northerly Winds for checking pesti- lential Distempers, has been observ'd by all ancient Physicians, And to shew that the Plague depends upon the Temperature of the Air, Prosper Alpinus takes Notice, that up- on the swelling of the Nile, the Infection, and * Endemial or Endemick, is a Disease that infects a great many in the same Country, proceeding from some Cause pe- culiar to the Country, or the Place where it reigns, such as the Scurvy to the Northern Climes, the Plague to Turkey and Egypt. Ch. IV. thro' the various Stages of Life. 131 and even the Danger from infected Cloath and Furniture goes off; besides the cooling of the Air, the Northerly Winds may dissipate the stagnating Vapours, and the running of the Nile the stagnating Waters. Hippocrates and Galen have both observ'd, that the Etesiæ, or Northerly Winds blowing in Sum- mer, made a wholsome Season; but this Ob- servation is more sensible in hot Countries than in ours. Boutius, a very learned and sagacious Phy- sician, has left us a Description of the Air and Diseases of the Inhabitants of Java: it is situated under the Line, and is very hot; it is likewise moist, from the great Quantities of Rain and stagnant Waters; and from Heat and Moisture, and Salts produc'd from those Qualities, the putrifying Quality of the Air is very manifest in rotting of Cloaths, and rusting of Metals. From these Qualities the Air feels to human Bodies piercing and active; and as all the Inhabitants of hot Countries have that Sensation of the penetrating Qualities of Air, Cold after great Heats, which proceeds chiefly from the Pores of their Skin being relaxed before by Heat, such Bodies must imbibe Air faster. In Java, as in Egypt, the Northerly Winds render the Air wholsome, by abating The extreme Heat; some Land Winds carry- ing along with them the stagnant Vapours, are often otherwise. The Soil being here fruitful and rich, emits Steams, consisting of I2 volatile 132 A GUIDE to HEALTH Part II. volatile and active Parts, which fructify the Soil, but are hurtful to human Bodies. The Seasons here cannot be distinguish'd by their Heat, by reason of the Smallness of their Latitude: there are only two, what may be called Winter is the rainy Season; this Season is attended with Diseases which de- pend upon Putrefaction. The Inhabitants measure their Seasons of Heat and Cold by the times of the Day; the Mornings and Evenings are cooler by the Absence of the Sun, and by the Sea Breezes; the scorching Heat of the middle of the Day makes that Time unfit for Business. The popular Diseases here are, a kind of Palsy, called by the Inhabitants Beriberium, the Cause of which is evidently cold Air, imbib'd by the Pores of the Skin, extreamly relaxed by Heat before, and therefore in- vades such as incautiously expose themselves to the Morning Air, or throw their Bed- clothes off in the Night. Another Disease, called * Catalepsis, is likewise popular in this Country, proceeding from the penetrating Qualities of the Air imbib'd by relax'd Bodies, which renders the Patient rigid like a Statue, and dies in a few Hours. Diarrhœas and Dysenteries are common from the same Cause, by sudden Suppression of Perspiration. It is a Matter of Observation, that great Heats exalt the Bile, by exhaling the watery Particles which dilute it, by a strong sensible Per- * Catalepsis, is a convulsive Disease like an Apoplexy. Ch. IV. thro' the various Stages of Life. 133 Perspiration; and therefore the Cholera Mor- bus †, and other Diseases of the Liver, are common and fatal in the East-Indies; and from diseased Livers, Dropsies and Atrophies are frequent in Java: and in this Country Fevers are seldom intermitting, but conti- nual, with Phrensies, and other dreadful Symptoms, as during the Campsin in Egypt, proving mortal in a short time. It seems agreeable to Reason and Expe- rience, that the Air operates sensibly in forming the Constitutions of Mankind, the Specialities of Features, Complexion, Tem- per, and consequently the Manners of Man- kind, which are found to vary much in dif- ferent Countries and Climates. As to Fea- tures, what an infinite Variety arises from the Combination of the Parts of a human Face! so that since the Creation of the World, per- haps there were never two, upon a narrow Inspection, that perfectly resembled one ano- ther; for there are Faces not only individual, but Gentilitious and National; European, Asiatick, Chinese, African, Grecian Faces, are characteris'd: and this Diversity of Na- tional Features and Shapes is not altogether the Effect of Propagation from the same ori- ginal Stock; for it is known by Experience, that Transplantation, changes the Stature and outward Shape both of Plants and Animals. I3 Hippo- † Cholera Morbus, is a convulsive Motion of the Stomach and Guts, whereby the bilious Excrements are discharg'd in great Plenty, both upwards and downwards. 134 A GUIDE to HEALTH Part II. Hippocrates makes great Account of the Influence of the Air upon the Fœtus, both before and after Birth. He is of Opinion, that the great variety of European Faces, is owing to that of the Air and Seasons, as has been observ'd in another Place, there being such great Excursions in the Extremities of Heat and Cold, that their Offspring is as it were begot and brought forth in different Climates. That the Shape of Animals should be modi- fy'd by the Air, is in no Ways unaccountable; for an Animal growing, expands its Fibres in the Air as a Fluid, which by a gentle Pres- sure resists the Motion of the Heart in the Expansion and Elongation * of the Fibres; and tho' the Fibres of several Animals shoot as it were in this Fluid, according to their original Shapes, yet such a Fluid resisting by its Pressure, is, in respect to the Animal, like a soft Mold, in which the Body is form'd; and therefore, according to the Quantity of its Pressure, depending upon its most perma- nent State of dense, rare, hot, cold, dry, moist, must have some Influence in forming the outward Figure of such a Body in a State of Acretion or Growing : besides this out- ward Pressure, the Air being mix'd with the Animal Fluids, determines their Condition as to Rarity, Density, Viscosity, Tenuity, and several other Qualities. That * Lengthening. Ch. IV. thro' the various Stages of Life. 135 That the Complexion depends much upon the Air, is plain from Experience; the Com- plexion of the Inhabitants of several Coun- tries being fair, swarthy, black or adust, ac- cording to the Degrees of Heat, Drought, Moisture, or Coolness of the Air they live in; for the Inhabitants of Countries in great Latitudes are generally fairer than those that live nearer the Sun. That the Temper and Passions are influ- enc'd by the Air, is no less certain: People of delicate Nerves and moveable Spirits, are often joyful, sullen, sprightly, dejected, hope- ful, despairing, according to the Weather; and these Changes happen in stronger Con- stitutions, but pass unobserv'd. There are Days in which the intellectual Faculties of Memory, Imagination, Judg- ment, are more vigorous; therefore it seems probable, that the Genius of Nations de- pends upon that of their Air; for Arts and Sciences have hardly ever appear'd in very great or very small Latitudes. The Inhabitants of some Countries succeed best in those Arts which require Industry and great Application of Mind; others in such as require Imagi- nation: from hence some Countries produce better Mathematicians, Philosophers, and Mechanics; others better Poets, which be- sides the Rules of Art, require Imagination; and it seems, that Labour is more tolerable to the Inhabitants of colder Climates, and Liveliness of Imagination to those of hot. I4 There 136 A GUIDE to HEALTH Part II. There are two Things common to all Mankind, Air and Aliment, and both differ very much in their Qualities, in different Countries and Climates but those of the Air perhaps are more different than those of the Aliment or Food. In perusing the Accounts of the Temper and Genius of the Inhabitants of different Countries, we dis- cover in them a great Uniformity, even tho' the Race has been chang'd; for the Temper of the Gauls, describ'd by Cæsar and other Writers, is much the same with that of the present French, of which there is a remark- able Instance in the Misopogon of the Em- peror Julian; he tells us, that he had passed a Winter at Paris, where there were more Comedians, Dancers, and Fiddlers, than there were Citizens besides. And I believe if a Race of Laplanders were transported thither, in a few Years they would be found in the Con- dition describ'd by the Emperor Julian. If we consider the Causes assign'd by Hip- pocrates, of the different Temper of the Inhabitants of different Climates, we shall find them sufficiently proportion'd to their Effects. In Northern Countries, where the Alterations of the Height of the Mercury in the Barometer, and consequently of the Weight of the Air, are frequent and great, the Fibres of human Bodies are in a continual oscillatory * Motion from a Pressure of 1200, 1800, * Oscillatory Motion is properly the Swing or Motion of a Pendulum of a Clock, and thence comes to be used for all tremulous or undulating Motions having Resemblance thereto. Ch. IV. thro' the various Stages of Life. 137 1800, nay, 3600 more at one time than another; and tho' this, by the Softness and Rarity of the Fluid, is insensible, and not painful, it is a sort of Exercise, which the Inhabitants of Countries where the Variation of the Height of the Mercury is small or no- thing, do not feel. By the Difference of the Tension of the Fibres, the whole nervous System and the animal Spirits are in some manner affected; And let us consider again the Extremes of Heat and Cold in great Latitudes, operating after the same manner, relaxing and con- stringing the Fibres by turns, and the ex- treme Cold acting likewise as a Stimulus, in consequence of which we find an Activity and Tolerance of Motion and Labour in dry frosty Weather, more than in hot; whereas the People within the Tropicks are constantly in the State of our hottest Weather. Therefore, whoever considers Mankind in such different Circumstances, will find, that the Temper both of their Body and Mind must be different, and that a greater Varie- ty in the Oscillatory Motion of the Fibres of Northern People, must produce the same in their Spirits; and therefore a proportional Inequality in their Passions, and consequent- ly greater Activity and Courage. That the Inhabitants of Climates, where the Difference of the Weight, Heat and Cold of the Air is but small, feel only the Changes 138 A GUIDE to HEALTH Part II. Changes of the Tension of their Fibres pro- ceeding from Drought and Moisture, being free from the Agitations and uneasy Sensa- tions of northern People, proceeding from the Causes above-mention'd; and the Mo- tions of their Fibres and Spirits being more uniform, they may be for that Reason, and from excessive Heats, lazy and indolent. That the Constitutions of Mankind differ according to the Qualities of the Air in which they live, is an uncontested Matter of Fact, and depends upon obvious Causes: For as Hippocrates observed, that the In- habitants of moist Countries were bloated, leucophlegmatic, and dull, from the Rela- xation of their Fibres, and the Moisture im- bib'd with the Air; and contrary Causes must; produce contrary Effects: Heat indeed relaxes the Fibres, but by absorbing the Moisture may likewise harden, and render them more solid: For the Bones of Ani- mals in hot Countries are more solid, and specifically heavier than those in cold Cli- mates, as may be seen in comparing the Bones of the Limbs of African Horses with those of northern Countries. The Blood likewise in hot Countries is thicker and blacker, by the Dissipation of the serous Part by sensible Perspiration, which is Matter of Fact well attested by Physicians who have practised in those hot Countries: And from this black adust State of their Blood, they are Atrabilarious; for great Ch. IV. thro' the various Stages of Life. 139 great Heats exalt the Bile, by dissipating the Moisture which dilates it; but Bile, of itself, is the most unperspirable of Animal Fluids, for it stops at the Surface of the Skin, and discolours it. There is some Anology * between Plants and Animals, and both are longer in coming to Maturity in cold and moist Air; for the prolifick Age of Mankind is much earlier in hot than cold Countries, the Females be- ing in that State at ten Years of Age. And the Inhabitants of warm Countries are not subject to be fat, for a strong Perspiration keeps an Animal from being so; yet a copi- ous Diet and Inactivity will always occa- sion Exceptions from the general Rule. Cold and moist Air must necessarily pro- duce phlegmatic and lax Constitutions, and by stopping Perspiration, with a copious Diet, accumulate the Animal Oil: But dry and cold Air in a Degree tolerable to human Bodies, which is a state of our Winter Frosts, creates a strict or tight Constitution of the Fibres, and all the Effects thereon depending, as Vigour and Activity, &c. As the Force of human Bodies is limited, they are not capable of bearing Extremities of any kind, of too great Rarety, Density, Heat, Cold, Moisture, or Drought in the Air. From the same cause human Bodies do * Analogy is the Relation which one Thing bears to ano- ther. 140 A GUIDE to HEALTH Part II. do not easily sustain violent and sudden Changes, which agitate the Fluids and Solids too much; for as the State of our Fluids and Solids change with the Air, violent Alte- rations in the latter produce the same in the former. For Example: Suppose such a State of the Air as makes a great Stric- ture of all the external parts of the Body, and consequently an Abatement of the Cir- culation in the Vessels exposed to the Air, and in those which immediately communi- cate with them: Suppose again, the Air is suddenly changed from this State to one which violently relaxes the Fibres; by their Relaxation it is possible that the Vessels which were destin'd before to carry the Serum or Lymph, may admit the Blood, which is an inflammatory State: Accordingly we find, that inflammatory Distempers of several kinds are rise in moist and warm Weather, preceded by hard and lasting Frosts: Frosts stop the Perspiration of the Earth, which being restored by Thaw, fills the Air with an unusual Quantity of Vapours, which affect human Bodies, not only by Relaxation, but as they imbibe them with the Air. Cold both congeals the Fluids and con- stringes the Solids; for it acts like a small Li- gature upon the Vessels affected with it, by which the Circulation through the Vessels is retarded; the natural Effect of which is a greater Secretion of Serosity through the Glands Ch. IV. thro' the various Stages of Life. 141 Glands contiguous; for the Extremities of the Vessels near the Glands being press'd, they cannot so plentifully carry off the re- fluent Fluid, by which there must be a greater Flux of Liquor towards the Glands, and consequently a greater from its Emuncto- ries; therefore Catarrhs, or serous Defluxions upon all the Parts of the Body, but especially from the Glands of the Head and Throat, are a natural Effect of Cold. Obstructions by Cold in the outward Parts of the Body, drive the Blood pressing with greater Force upon the inward Parts, and in- crease Heat, and likewise may occasion a Siziness in the Blood: And Cold, by sup- pressing the Perspiration of Salts in the Blood, by congealing the Blood, and likewise by a painful Stimulus corroding the Skin, is apt to produce Scurvies, and other cutaneous Erup- tions, and in extremity is capable of freezing the Fluids, and reducing Animal Substances to a gangrenous State. Cold Air is also capable of rendering in- flammatory Distempers with cutaneous E- tuptions more dangerous, by hindering the Relaxation of the Skin; as the Small-pox is found to be most fatal during hard Frosts, and cold north-easterly Winds. Cold Air likewise, by its immediate Contact with the Surface of the Lungs, is capable of abating or stopping the Circulation of the Blood, and bringing them into an inflammatory State, and by producing Catarrhs and Coughs, is 142 A GUIDE to HEALTH Part II. is productive of all the Effects of such De- fluxions upon the Lungs, as Ulcerations, and all Sorts of Pulmonick Consumptions. Hot and moist Air producing Relaxations, and consequently an Abatement of the Force of the Solids in propelling the Fluids, must produce Stagnation, Tumours, and Putrefac- tion in the Liquids, and all the other Diseases depending upon a lax State of the Fibres: Hippocrates observed such Diseases always consequent upon a moist Constitution of Air with southerly Winds, which are warm; and the same has been often observed here in England. As Perspiration is the last Action of per- fect Animal Digestion, that Constitution of Air which suppresses Perspiration, must hinder Digestion; therefore cold and moist Air must be hurtful to the Stomach: And as Catarrhs and Coughs are the Effects of cold and moist Air, and those habitually affecting the Lungs, they often produce pul- monick Consumptions; yet it seems probable, that where those Consumptions are a po- pular Disease, they proceed from some par- ticular Acrimony in the Air of that Country, affecting that tender Organ by immediate Contact, and perhaps most of the Glands of the Body; for our Consumptions are for the most part scrophulous, and scrophulous Distempers are common in this Country. And where the Air is charg'd with any saline acrid Particles, they will naturally co- agulate Ch. IV. thro' the various Stages of Life. 143 agulate the Fluid where they touch; and from the abundance of Mineral Waters of all Sorts in England, it may be inferr'd, that there are abundance of Mineral Steams, which are capable of producing such Distempers. From what has been said on the Subject of the Influence of Air upon human Bo- dies, it is plain that no vitious State, either of the Solids or Fluids, but is producible by the common Properties and Qualities of Air, and their Changes and Combinations. By the Qualities of the Air, the solid Parts may be stimulated: For example, the Sti- mulus of extreme cold Air is very sensible. Heat, or any Quality of Air, so excessive as to produce a painful Sensation, acts as a Stimulus: And what obstructs the Passages of the Vessels which communicate with the Air, is stimulating, by increasing the Force of the Heart and Fibres to overcome the Obstruction; this either Cold or Moisture may do, which often produce, first a Chil- ness, and then a succeeding Heat, which are feverish Symptoms. Many volatile Particles floating in the Air, as the Odoriferous Ve- getables, act as a Stimulus, and produce Heach-Achs, as we often find. That the Fibres are constring'd and re- lax'd by the Alterations of the Properties and Qualities of the Air, has been already de- monstrated; and that the Fluids may be Vitiated in the same manner, is no less plain: That the Blood may be condensed by 144 A GUIDE to HEALTH Part II. by Heat, by absorbing the most fluid Part; That a certain Degree of Heat will attenuate, and a greater coagulate the Serum; and that Heat in general is capable of producing great Acrimony and putrid Fevers of all Sorts, is true from Experience: And any Degree of Heat greater than that of a human Body will do so; for our natural Heat is near the Degree of Coagulation. Cold likewises condenses the Fluids in immediate Contact with it; and is capable of producing Siziness and Viscosity of the Blood: And by the same Causes Acrimony of all Sorts, to the De- gree of Putrefaction, is producible by Air. Evacuations of all Sorts, from all the glandulous Parts of the Body, are producible by the Stoppage of Perspiration by Cold; for there is no diuretick Medicine that works so strong in a Flux of Urine, as a Suppression of the perspirable Matter in hysterical Cases. Cold likewise promotes all Catarrhs and Coughs; and moist Air, Diarrhœas, and copious Secretions from the Glands of the Guts, without which Evacuations, Stoppage of Perspiration produces a Plethora or Ac- cumulation of the Humours in the Vessels. From these Considerations it appears, that die Diseases, especially the Acute of any Sea- son, chiefly depend upon the Constitution of the Air, by which they are modified as to their Rifeness, Duration, Degrees of Danger, their particular Symptoms, Circula- sons and Periods; In which we must not only Ch. IV. thro' the various Stages of Life. 145 only consider the present, but likewise the preceding State of the Air; because, as they are more similar, or contrary, so the Alterations produced in human Bodies are more or less violent; particularly it will be found, that sudden Changes from the Ex- tremes of Cold and Dry, to Heat and Mois- ture, are Causes which operate strongly in modifying the Diseases of that Season. That long and excessive Heats, by inducing Weakness, are apt to stamp the Succeeding Fevers with nervous Symptoms: That such a dry Constitution of Air, as is apt to con- tract the Skin, and obstruct its Pores, makes the Crisis by sweating more difficult; and perhaps the different Periods of Fevers, Quo- tidian, Tertian and Quartan, may depend upon a preceding greater Viscosity, or Ob- struction in the Vessels, produced by the Constitution of the Air: That the more dangerous State of the Small pox, and other inflammatory cutaneous Eruptions, depends upon the Air; and it seems very plain, as it induces a greater Laxity or Stricture of the Fibres, or creates Obstruction in the Vessels of the Skin. That Diseases of the Lungs, as far as they are not the product of bad Diet, depend chiefly upon the Qualities of the Air, seems evident; for the Lungs are expos'd to the outward Air, which has an immediate Ad- mission into the Air-bladders, and perhaps into the Blood-vessels; and whatever Effect K the 146 A GUIDE to HEALTH Part II. the Air has upon the Skin, this must be ex- pected upon the Lungs in a particular Man- ner. Thus far I thought necessary to give the Reader an Abstract of the ingenious Dr. Arhurthnot's Explanations of Hippocrates, and others, on the Subject of the Influence of Air upon human Bodies. But to conclude, I shall only add; that of all the Causes that are capable of altering our Bodies, no one is so necessary and so sudden as the Air; the Necessity of which is evident from the use of Air in Respiration; for if it happens, that any of the chief Or- gans appropriated either for the Entrance or Reception of Air receive any great Injury, the Animal dies suddenly by Suffocation; whereby it manifestly appears, that Air and Life in perfect living Creatures are insepe- rable. According to Hippocrates, natural Heat is preserv'd by moderate cool Air; for if you take away the Air from Fire, it will not burn, but will immediately be extinguish'd: and our Spirits, which are the principal In- struments of the Soul, are generated and nourish'd by Air, and supported by its going in and out; and it is principally for this Rea- son that our Bodies are every where perfora- ted or porous, that our Arteries are continu- ally beating, and that Nature has made such admirable fine Mouths to the two Vessels called the Lungs; so that the Air is as ne- cessary Ch. IV. thro' the various Stages of Life. 147 cessary to a living Creature as the Soul it- self. As to the Suddenness of the Air, we feel it every Moment; for it instantly ascends to the Brains by the Nose, and traversing almost an infinite number of minute Passages, which are to be seen in the admirable Net-work of animal Bodies; proceeds to the inmost Re- cesses of the Body, and descends with incre- dible Velocity into the Lungs by the Mouth, and thence to the Heart: it likewise pene- trates the Pores of the Skin insensibly, and enters the Arteries by Transpiration, as far as the deepest Cavities of our Bodies; it sur- rounds us always, and never abandons us one Minute; so that we must constantly imbibe or suck it in whether we will or not. The Divine Hippocrates, being thoroughly acquainted with the Power of Air upon hu- man Bodies, tells us in his Epidemicks, and in the second Book of Diet, that the whole Constitution of the Spirits, Humours, and the Body, depends entirely upon the Air. Therefore the Choice of good Air, and a pleasant Habitation, must always claim the first Rank in the Regimen of Health; so that such as would preserve their Health, and obtain a long Life, ought to know the Good- ness of the Air, as well in regard to its Sub- stance as to its Qualities. As to its Substance, when it is pure and has no Seeds of Corruption, and that it is K2 not 148 A GUIDE to HEALTH Part II. not impregnated with malignant Vapours pro- ceeding from dead Bodies, or from the Sinks or common Shores of great Cities, or stand- ing Waters; or from the sulphureous Exha- lations of Mines, combin'd with different Salts, or metalline Particles, which are stink- ing, oily, and inflammable, of which I treated at large already in Part II. Chap. I. But if the Air happens to be corrupted or infected, and that we cannot remove as soon as we would, it must be purified with artifi- cial Fires made of Rosemary, Juniper, Lau- rel, Cyprus, and Perfumes made of Aloes- wood, Juniper-berries, and other Aromatics; likewise the Steams of Vinegar correct the Malignity of the Air in a surprizing man- ner. As to the Qualities of the Air, all Ex- cesses of Heat, Cold, Moisture and Dryness, are pernicious; for which Reason we should chuse moderate Air if possible; therefore serene Air moderately hot and dry, blowing from clear inland Places, or from Rivers with a gentle Breeze, free from sudden and great Changes, open and rural, purg'd of salt and oily Exhalations, is generally the best to preserve Health. As to what regards ancient People, a warm Air is certainly the best for them, and their Chambers should never be without Fire, es- pecially in the cold Seasons of the Year; for it is experimentally true, that their State of Health is much better in Summer than in Winter; Ch. IV. thro' the various Stages of Life. 149 Winter; because they always carry the Win- ter along with them. Their Bed-Chambers should be in the upper Apartments, and their Houses open to the East, that the Morning Sun might enter their Rooms: there should likewise be an opening on the North Side, in order to let in Air from that Side, and by that Means to purify the Air, and expel all noxious or offensive Steams and Vapours out of their Chambers. CHAP. V. OF ALIMENTS in general. ALIMENT includes all that is taken in as Meats and Drinks, from whence Nourishment is expected, which is what sup- plies Nutrition. And what comes under this Term is threefold: First, all that passes in the first Stage from Mastication, or Chewing, the Chyles's Entry into the Blood is so call'd. And Secondly, the Apposition of new Parts in the Room of those wore off by Action. Thirdly, when the Chyle after various Circu- lations with the Blood, is deprived of all that can be of farther Use to any Part of the Body, it is carried both sensibly and insensibly through the Emunctories of the Body. K3 The 150 A GUIDE to HEALTH Part II. The first State of Digestion. The first is carried on in the following Manner: The Parts of Food being divided by Chewing, and moisten'd with Spittle, that it may be render'd softer in order to undergo a farther Comminution, is thrust down into the Sto- mach; wherein, by the Assistance of the con- tinual Motion arising from the musculous Coats of the Stomach, and of Respiration, by which the * Diaphragma alternately presses the Stomach downwards, the Parts of the Food soften'd by the Saliva or Spittle, and other serous Liquors from the Glands, is shook about, ground and divided into yet smaller Parts, until it acquires such a Fine- ness as is requisite, together with the glandu- lous Fluids and Liquors drank down, for composing that milky Fluid call'd Chyle ‡. But here we are to observe, that the Parts of the Food are not dissolv'd into essential Parts, or Elements, whether chymical or any other, by the Assistance of any Ferment in the Sto- mach; that is to say, by a Separation of some Parts of different Kinds combined together, and an Union of other Parts that were before separated, as it happens in all Fermentation of Wine, wherein tartarous Particles, before united * Diaphragma, or Midriff, is a transverse Muscle which separates the Thorax or Chest from the Abdomen or Belly; in the Middle it is membranous; the Gullet, the great Artery, and the great hollow Vein all pass through it: It conduces to Respiration with other Muscles, and pressing upon the Guts helps forward the Secretion of the Excrements. ‡ Chyle is that milky or Emulsion-like Juice, which the Food is immediately converted into by Digestion. Ch. V. thro' the various Stages of Life. 151 united with others, are separated; and Parti- cles of Phlegm and Oil, before in Separation, are brought nearer together, and form a true Spirit. But by the Concoction that is perform'd in the Stomach, the Food is divided into integral Parts, not differing from what they were be- fore, only in obtaining a lesser Bulk; altoge- ther in the same Manner as Coral is grinded upon a Marble with Water, and reduced to an impalpable Powder, whose Parts are only small Pieces of Coral, and not any Principled into which Coral is resolv'd. For the Proof of which there is no need of any other Argu- ment, than that in the Stomach and the In- testines of the larger Fish, that devour and digest the lesser, the Chyle is nothing else but a Liquor filled with the Fibres of the devour- ed Fish, as may be easily discerned with a Microscope; or the small Parts of Fibres no way differing from the larger, only in Magni- tude, that is, indigested Pieces of Flesh. The Chyle being thus elaborated in the Stomach by its alternate Contractions, and the Force of the neighbouring Muscles, is thrown out into the Intestines, at its Entrance into which it is diluted with the Bile and pancreatic Juice: which Liquors undergo no manner of Effervescence * with the Chyle, or with one another, but are smoothly and K4 quietly * Effervescence signifies an intestine Commotion produced by mixing two Bodies together that lay at rest before; attend- ed sometimes with a hissing Noise, Frothing, and Ebullition For 152 A GUIDE to HEALTH Part II. quietly mixed therewith, and with each other, as appears by many Experiments; and by their Means the Chyle is render'd more fluid. Hence it follows, that the Parts of the Food, in some measure dissolved by the Motion of the Stomach, but not sufficiently separated from each other, thro' want of a due Quan- tity of Fluid, every one yet being in some measure in Contact with one another, pass over the Pylorus * into the Guts; and when these greater or less digested Particles cannot be strain'd in any considerable Quantity into the Lacteals † by reason of their Magni- tude, they are yet thrust farther into the in- testinal Tube ‡, and therein putrify, as they are out of the Limit of Circulation, which begins at the Lacteals: For all Things, such as the Flesh of dead Creatures, Herbs, &c. that are capable of Putrefaction out of the Animal, are capable of Digestion in it. Hence For Example, Acids, such as Juice of Limons, Spirit of Nitre, &c. and Salt of Wormwood, Tartar, or other Alka- line Substances, being mixed together, will produce an Efferve- scence or Ebullition, * Pylorus, or Janitor, the right Orifice of the Ventricle or Stomach, which sends the Food into the Guts. † Lacteals are long and pellucid Vessels or Veins, which arise from all Parts of the small Guts, from whence they re- ceive the Chyle, and run to the Glands of the Mesentery. They are call'd Lacteals of the first Sort, being so very small; and from thence they convey the Chyle to the common Receptacle, and being larger are call'd Lacteals of the second Sort, and thence it is carried into the Thoracick Duct, and from that into the Blood in the left Subclavian Vein. ‡ Intestinal Tube, the hollow Pipe of the Guts from one End to the other, which is divided into six Parts. Ch. V. thro' the various Stages of Life. 153 Hence it is certain, that Digestion is much more effectually and expeditiously perform'd in the Day-time, or when we are awake, than in the Night, or during Sleep; because while we wake we breathe thicker, and the Diaphragma and Muscles of the Belly, and even the whole Body is more exercised, and consequently the Stomach is oftener com- press'd. It also follows, that by gentle walk- ing, or while we exercise ourselves in any mo- derate Motion, Digestion is more effectually and expeditiously performed, than while we fit in Idleness and without Motion; and still much better than when we fit hard at Study, because by this Means the Mind is so diverted, that our Respiration then is rarer, even than in our Sleep, and the Muscles are thereby less contracted: And that we digest better in Winter than in Summer, is a Confirmation hereof; because in the Winter, to drive away the Sense of Cold, we are oftener put upon Exercises and greater Activity of Body than in the Summer Season; as likewise, because the Muscles and solid Parts are more tense, and consequently stronger in their Contractions and Attritions *. But as for a Ferment in the Stomach, ac- cording to the wrong Notions of some, whe- ther it be Spittle or Serum ouzing out from the Glands of the Stomach, it cannot contri- bute any thing to the Digestion of the Food, any farther than by softening it, whereby it is * Rubbing, grinding. 154 A GUIDE to HEALTH Part II. is capable of being farther divided. Neither do any Liquors flow into the Stomach in order to promote Digestion; but Digestion, that is, the Motion of Chewing, Swallowing, and of the Stomach, are the Cause why these Li- quors are press'd out, and that they drain into the Stomach: For that those Liquors contri- bute nothing farther to Digestion than by softening the Food, is manifest from hence, that if Herbs or Meat be mixed with them in any convenient warm Place as warm as the Stomach, but without Motion, they will never be changed into Chyle; so that it is sur- prizing that any should ascribe to the Serum of the Blood, as it is excerned by the Glands, a Faculty of changing solid Meats into the Form of Chyle, when it is evident that Serum is not a fit * Menstruum for the Solution of Bread, Meat, or Herbs. But this whole Af- fair will be much better understood from con- sidering Boyle's Machine for Digestion, where- in, without the Help of any Ferment, but by the Assistance only of Warmth, and the Pres- sure of rarefy'd Air confined, Bones and Flesh, with the Addition of a small Portion of Water, are turned into a Jelly; where no- thing is wanting to its being made real Chyle, but the rough Superficies of a Body to grind and often shake it about. The * All Liquors are so call'd which are used as Dissolvents to extract the Virtues of Ingredients by Distillation, Infusion Decoction, &c. Ch. V. thro' the various Stages of Life. 155 The Chyle being thus made, washes over the Pylorus into the intestinal Tube, where, by its peristaltic Motion *, and by the Pressure of the Diaphragma, and the Muscles of the Abdomen †, the thinner Parts are strained through the narrow Orifices of the Lacteal Veins, while the grosser Parts continue their Progress downwards until they are quite eject- ed by Stool. What passes through the Lacte- als is carried by them into the Glands of the Mesentery ‡, where they receive a fine thin Lymph from the ‖ Lymphaticks, whereby the Chyle is diluted so as to pass easier the rest of its Course: For beyond the first Glands they unite in larger Canals, and those in still larger, until at last it enters the common Receptacle of the Chyle, which is a kind of Bason form'd for it by the Union of the Lacteal and Lym- tick Vessels. From thence it ascends thro' the Thoracick † Duct, and is thence discharg- ed into the Blood in the left Subclavian Vein, and therewith descends into the right Ventri- cle of the Heart, where it is but imperfect- The second stage of Digestion. ly * Alternate Motion of Contraction and Dilatation, com- monly tending downwards. † The Belly, which contains the Stomach, Guts, Liver, Spleen and Bladder. ‡ A membranous Part in the lower Belly, to which the Guts are connected. ‖ Are slender pellucid Tubes arising in all Parts of the Body, which permit a thin transparent Liquor to pass through towards the Heart, which shut like Flood-Gates upon its re- turning. † A Canal through which the Chyle passeth from the Lac- teals the Blood. 156 A GUIDE to HEALTH Part II. ly mixed; and in its Passage it receives the Lympha from all the upper Parts of the Body. But here I must observe, that the most subtil Parts of the Chyle pass immediately into the Blood by the Absorbent * Vessels of the Intestines, which discharge their Contents into the Mesaraick Veins, the Largeness and Number of which demonstrate the same, for they are numerous and vastly larger than their corre- spondent Arteries; and wherever there are † Emissaries, there are likewise Absorbent Vessels: for Example, by the Absorbent Ves- sels of the Skin, Mercury will pass into the Blood. But Mr. Hale's ‡ Experiment proves this beyond despute; and if we consider the Straitness of the Thoracick Duct, and the Slowness of the Passage of the Chyle by the Lacteals thro' it, and at the same time the great Quantity of some Liquors and several other Things, which pass in a very small Time by Urine, and give it a Flavour and Taste; by an easy Calculation we may be able to de- monstrate, that such a Quantity could not pass, into the Blood by the Thoracick Duct in so short a Time. For which Reason, thin and liquid Ali- ments are-most proper, when immediate Re- freshment is requir'd, to cheer up the Spirits after great Abstinence and Fatigue; and the same * Which suck in. † Vessels which throw out a Liquid. ‡ Hœmast. Pag. 123. Exp. 14. Ch. V. thro' the various Stages of Life. 157 same Reason may be likewise given, why Chalybeat Waters are a proper Remedy in Hypochondrical Disorders, and in most Ob- structions in the Mesenterick Glands, Liver, and Spleen; for their subtle Parts are taken immediately into the Mesaraick Vessels, and from thence carried directly into the Liver and Spleen. The Chyle first mixes with the Blood in the lest Subclavian Vein, as I have already men- tioned, and enters with it into the right Ven- tricle of the Heart, where they are very im- perfectly mixed; from thence they are pro- pelled * into the Lungs, which are the chief and first Instrument of Sanguification, or making Blood: For the Wind-pipe is divid- ed into a great Number of Branches, call'd Bronchia, and these end in small Air-Blad- ders dilatable and contractible, which are ca- pable to be inflated by the Admission of Air, and subside at the Expulsion of it. The Pulmonary Artery and Vein pass along the Surfaces of these Air-Bladders in an infinite Number of Ramifications or Branchings, like a Net-work ‡. A great Number of those Air-Bladders form what are call'd Lobuli, which hang upon the Bronchia like Bunches of Grapes upon a Stalk; and these Lobuli constitute the Lobes of the Lungs, which al- ways sink in Water before they have been in- * Driven forwards. ‡ Malphig. de Pulmon. Epist. 1, 2. Tab. I. Fig. 1, 2, 3. 158 A GUIDE to HEALTH Part II. inflated with Air, but after it has once enter- ed them, they will always swim in it; by which Means we may know whether Children are born dead or alive. The crude Mixture of the Blood and Chyle passes from the right Ventricle of the Heart, through all the Ramifications of the Pulmo- nary Artery; and the more Ramifications there are, the Mixture will still be render'd the more perfect; yet this is not all, for as this Mixture of the Blood and Chyle passes through the arterial Branches, it is press'd by two con- trary Forces; first, that of the Heart driving it forward against the Tubes; secondly, the Elastick Force of the Air pressing it on the opposite Side of those Air-Bladders, along the Surface of which this arterial Tube creeps. By these two opposite Forces the Parts of the Liquor are more intimately mix'd and compress'd together, and by the Ingress and Egress of the Air the Vessels are alternately compress'd and dilated, by which Means the Liquor is still farther attenuated, dissolv'd, mixed, and almost assimilated with the Blood, but not so perfectly as to serve the animal Purposes; for it is very well known by Experi- ments of Blood-letting, that sometimes eight Hours after eating, some of the Chyle remain'd unmixed with the Blood, swimming a-top like an oily Substanee. The wonderful Mechanism of Nature in converting our Aliment into animal Sub- stances, Ch. V. thro' the various Stages of Life. 159 stances, consists principally in two Things; first, in mixing constantly with it animal Juices already prepar'd; and secondly, in the Action of the solid Parts, as it were churning them together. This is evident, considering the vast Quantity of Saliva * mix'd with the Aliment in chewing, the Liquor of the Stomach, the Bile †, and Pancreatick Juice ‡, the Quantity of the Lymph § from the Mesenterick Glands, and from the Lym- phatick Vessels of the whole Body; so that the Juices of an animal Body are as it were new distill'd, being excreted out of their respective * Saliva or Spittle, is a thin Liquor secreted immediately from the arterial Blood: it is of a soapy Nature, and conse- quently is attenuating, resolving, penetrating, and cleansing, being composed of Salt, Oil, Water, and Spirit, all which can be extracted from it. Too great a Discharge of it by smoaking or chewing of Tobacco has often prov'd fatal to People of thin Habits of Body, by falling into Decays. † Bile or Gall is of two Sorts; the Cystick, or that con- tain'd in the Gall-Bladder, and the Hepatick, which flows immediately from the Liver. The Cystick Gall is thick, of a yellow Colour, and intensely bitter. The Hepatick Gall is more fluid, and not so bitter; both Sorts are saponaceous, and like Soap, take out Spots from Wool or Silk. Its Use is to sheath or blunt the Acids of the Chyle descending from the Stomach into the Intestines; likewise it is the principal Dis- solvent of the Aliment, and when it is peccant or deficient, there can be no right Digestion. ‡ Is an Humour like the Saliva or Spittle, secreted from a conglomerate Gland called the Pancreas or Sweet-bread, situated at the bottom of the Stomach, and lies across the Belly, reaching from the Liver to the Spleen, separating about a Pound of Liquor in 12 Hours. Its Use is to dilute the Gall, and to temper its Bitterness and Acrimony after it has done its Office, and likewise to dilute the Chyle, with other Liquors in the Guts. § Lymph is the most spirituous and elaborated Part of the Blood, continually flowing from the lymphatick Vessels. 160 A GUIDE to HEALTH Part II. respective Glands and Vessels, and admitted again into the Blood with the fresh Aliment: during which time the solid Parts act upon the Mixture of Aliment and animal Juices, in order to make the Mixture still more in- timate and compleat; so that we may com- pute that our Aliment, before it gets into the Blood, is mix'd probably with four times the Quantity of animal Juices. From whence we may conclude, that an Animal whose Juices are unsound, or solid Parts weak, can never be duly nourish'd; for unsound Juices can never duly repair the Fluids and Solids of an animal Body, and without a due Action of the solid Parts, they can never be well mixed; and as the Stomach, the Intestines, the Muscles of the lower Belly, all act upon the Aliment: Besides, as the Chyle is not suck'd, but squeez'd into the Mouths of the Lacteals, by the Action of the Fibres of the Guts, it is evident, that the Chyle is peccant in Quantity or Quality, when these Actions and Organs are too weak; and whatever strengthens the Solids, must help Digestion. Hence it appears, that Diarrhœas and strong Purgings must spoil the first Digestion, because of the great Quantities of animal Fluids which are thereby expell'd the Body, such as, the Saliva, Mucus *, and all the Liquors * Mucus, is that slimy Liquor or Moisture, which daubs over and guards the Bowels, and all the chief Passages in the Body; and it is separated by the mucilaginous Glands in most Parts of the Body. Ch. V. thro' the various Stages of Life. 161 Liquors that are separated in the Glands of the alimentary Duct †, both Sorts of Gall, the Pancreatic Juice, Lymph, and sometimes Blood. Considering therefore the Quantity of these Secretions, it will plainly appear, that almost the whole Juices may be carried off by purging; and when those Liquors, destin'd by Nature to mix and convert the Aliment into an animal Liquid, are expell'd out of the Body, the Digestion cannot be so Well perform'd. Hence follow Consump- tions, Dropsies, and often an Obstruction of the Mesenterick Glands, which is a great Im- pediment to Nutrition; for the Lymph in those Glands is a necessary Constiuent of the Aliment before it mixes with the Blood. The Mixture of the Blood and Chyle, after its Circulation thro' the Lungs by the pulmonary Arteries, being brought back into the left Ventricle of the Heart, is thence, by the Force of the Heart, drove into the Aorta ‖ quite thro' the whole The last Stage of Digstion. L Body: † The whole Passage from the Mouth to the Fundament. ‖ Aorta, is the great Artery which proceeds from the left Ventricle of the Heart, and carries the Blood thro' the Body, and every Particle of the Body receives some Branch from it, except some of the solid Parts of the Liver, which receive the blood from the Vena Portœ. The Arteries are elastick Channels or Tubes, endued with a contractile Force, by which they drive the Blood still forward, it being hinder'd to go backward by the Valves of the Heart. They are also coni- cal Vessels, that is, tapering and diminishing by Degrees, with their Bases or upper and broader Part towards the Heart; and as they pass on, their Diameters grow still less and less, and consequently the Celerity of the Motion diminishes by the Increase of the Friction of the Fluid against the Sides of the 162 A GUIDE to HEALTH Part II. Body: and thus the Aliment, circulating thro' the animal Body, is at last reduc'd almost to an imperceptible Tenuity or Thinness, before it can serve the animal Purposes, in nourish- ing both the Fluids and Solids; and after various Circulations, and when it is depriv'd of all that can be of farther Use to any Part of the Body, it is carried off, both sensibly and insensibly, by the Emunctories * of the Body. But for farther Satisfaction concern- ing Nutrition, Growth, and Decrease of the Body, turn to Part I. Page 19, to 28. By the foregoing Doctrine it is evident, that Acrimony and Tenacity or Glewiness, are the two Qualities in what we take in- wardly most to be avoided; for Acrimony or Sharpness destroys the capillary Vessels, and when it is so great as to affect the solid Parts, the Sensation of Pain is intolerable. As the Tubes; and without this Motion, both the Blood and Chyle would soon be converted into one solid Mass; but on the contrary, by its Continuance, the Fluid being compressed by the Sides of the Tube, especially in the small Vessels, where the Points of Contact are more, the Blood and Chyle are still more intimately mix'd, and by Friction attenuated; by which means the Mixture acquires a greater Degree of Fluidity and Similitude of Parts. Hence appears the Neces- sity of Exercise to promote a good Digestion. And the Strength of the Aliment ought to be proportion'd to the Strength of the solid Parts of tire Body; for as Animals that use a great deal of Labour and Exercise, have their solid Parts more elastick and strong, they can bear, and ought to have stron- ger Food, too thin Nourishment being quickly dissipated by the vigorous Action of the solid Parts. * Are those Parts of the Body where any thing excremen- titious is seperated, and collected to be in readiness to be ejected. Ch. V. thro' the various Stages of Life. 163 As to the Viscidity or Glewiness of what is taken inwardly, when the peristaltick Motion of the Guts is so weak, as not to be able to propel or drive it forward, the Consequence is dange- rous, and often fatal to the Life of the Indi- vidual; for when the Tenacity of any Sub- stance exceeds the Powers of Digestion, it will neither pass, nor be converted into Ali- ment; whereas hard Substances will pass undissolv'd. Moreover, the Mouths of the La- cteals in People of weak and lax Constitutions may permit Aliment too acrimonious, or not sufficiently attenuated, to enter; but the Sphincters † in such as have strong Fibres will shut against them. Besides, a viscid Mucus may shut up the Mouths of the Lacteals, by which means the Chyle will pass by Stool, and the Person falls into an Atrophy or Decay of Flesh. Wind with Distention of the Bowels are Signs of bad Digestion in the Intestines, and likewise Diarrhœas, which proceed from Acrimony, Laxity of the Bowels, or Obstructions of the Lacteals. Those Parts of the Body where the Circu- lation of the Fluids, and the elastick Force of the Fibres are both smallest, must be most subject to Obstructions; and such are the Glands, which are the Extremities of Arte- L2 ries † Sphincter, is a Name ascrib'd to such Muscles as draw up, strengthen, and keep shut the Parts, such as the Sphinc- ter of the Bladder, Womb, Anus, &c. 164 A GUIDE to HEALTH Part II. ries form'd into cylindrical ‡ Vessels. Hence we may easily perceive, that too solid or vis- cid Aliment must be very hurtful to scrophu- lous and consumptive Persons. Having endeavour'd to give the Reader an Idea of animal Digestion, by shewing how our Aliment is converted into animal Substance, in as succinct a manner as could be in so nar- row a Compass: I shall now proceed in the same manner to give an Account of the Choice of them, that what is either beneficial or hurtful may be easily seen, according to the Nature and Difference of Constitutions. CHAP. VI. Of the Choice of ALIMENTS. AS all Animals are made either immediate- ly or mediately of Vegetables §, that is, by feeding on them, or on Animals that are fed on Vegetables: I shall therefore begin with the Vegetable Kind. Vegetables ‡ Cylindrical, in Anatomy, signifies Vessels that are so shaped, as not to be narrower at one End than another, but that all their Parts are equally distant in all Places from their Center; or which is the same thing, that they are of the same Diameter in all Places, contrary to conical Vessels, which are tapering and growing narrower. § Vegetables are such natural Bodies as grow and increase from Parts organically form'd, as Trees, Plants, and Roots, &c. but have no proper Life or Sensation. Ch. VI. thro' the various Stages of Life. 165 Vegetables are proper Food enough to re- pair Animals, as they consist of the same Parts with animal Substances, such as Salt, Oil, Spirit, Water, and Earth, all which are contain'd in them, and may be extracted from them. Their Salts are capable of re- solving the coagulated Humors of a human Body; and of attenuating, by stimulating the Solids, and dissolving the Fluids: Salts like- wise promote Secretion. Oils also relax the Fibres, and are Lenient, Balsamick, and abate Acrimony in the Blood; and by Virtue of this Oil, Vegetables are nutrimental; for this Oil is extracted by animal Digestion, as an Emulsion from Seeds by a Pestle and Mortar. But Aromatick Plants, tho' they abound with Oil, yet it is not soft and nutritious, and when mix'd with a Spirit, is too heating. Tastes are Indexes or Marks of the different Qualities of all Sorts of Aliment; and diffe- rent Tastes proceed from different Mixtures of Salt, Oil, Water, and Earth, but princi- pally from the Spirit and Oil, mix'd with some Salt of a particular Nature. A Mu- riatick or briny Taste, is produc'd by a Mixture of an acid and alkaline Salt; for Spirit of Salt being an Acid, and Salt of Tar- tar, which is an Alkali * when they are L3 mix'd * The Word Alkali comes from an Herb called by the Egyptians Kali. This Herb they burnt to Ashes, and boiled them in Water, and after having evaporated the Water, there remain'd a white Salt, which they called Alkali. It is cor- rosive, and will produce Putrefaction if apply'd to the Flesh, and 166 A GUIDE to HEALTH Part II. mix'd, produce a Salt like Sea-Salt, bitter and acrid, differing only by the sharp Particles of the first being intangled or involv'd in a greater Quantity of Oil than those of the last. Acid or four, proceeds from a Salt of the same Nature without a Mixture of Oil; and in austere Tastes, the oily Particles have not disentangl'd themselves from the Salts and earthy Parts, for such is the Tastes of unripe Fruits. In sweet Tastes, the acid Particles are so attenuated and dissolv'd in the Oil, as to produce only a small and grateful Sensation and Titillation; but in oily Tastes, the Salts seem to be entirely disentangled. As Vege- tables contain acid or alkaline Salts, so they produce different Effects upon human Bodies, and are to be used according to the different Constitution of the Body at that time, as will appear by what I shall say hereafter. The properest Food of the vegetable King- dom that Mankind make Use of, is taken from the mealy Seeds of some culmiferous or Stalk-bearing Plants, as Barley, Wheat, Oats, Rice, Rye, Mays, Panick, and Millet; or from some of the Pulse or Leguminous Kind, such as Pease and Beans, &c. and as those are Seeds containing the most elaborate Part of and ferments with Acids, as all lixiviate Salts will do, which are Anti-acids, that is, contrary to Acidity. As for acid or four Salts, one has a Notion of from Taste, Sourness being one of those simple Ideas which one cannot more plainly describe; so that whatever being mix'd with an Acid, causes an Effervescence or Ebullition, is called Alkali. Ch. VI. thro' the various Stages of Life. 167 of the Plant, they are oily, and consequent- ly proper to be converted readily into an animal Emulsion or Chyle: Besides, their Oil is not highly exhalted and hot, as that of the aromatical and acrid Plants, but on the contrary, mild, benign, and nourishing to the human Body. Barley is detergent, emollient, and expe- ctorating, and it was first chosen by Hippo- crates as proper Food in inflammatory Dis- eases. Wheat is the properest of any Grain for Bread, which, if not entirely purg'd from the Bran, is laxative and stimulating to the Bowels. Oats are cleansing, resolving and pectoral, which being outwardly apply'd mix'd with Batter, will dry Scabs on the Head. Rice, which two thirds of Mankind per- haps feed on, is most kindly nourishing and benign, good in Hæmorrhages, or Fluxes of Blood, and proper for consumptive Persons; but the Bread made of it is more acid and tess nourishing than that of Wheat. Rye is more acid, laxative, and less nou- rishing than Wheat. Millet is cleansing, diuretic, and therefore good in Distempers of the Kidneys. Panick is opening, and boil'd with Milk temperates Acrimony. Mays affords strong Nourishment, but not being so easily brought to a Fermentation as other Grains, is more viscous or glewy, and L4 conse- 168 A GUIDE to HEALTH Part II. consequently harder to digest. All the fore- mention'd Plants are highly Acescent †, ex- cept Pease and Beans. Pease are mild, and demulcent in a great Degree, being depriv'd of all aromatick Parts. Green Pease are very pleasant to the Taste, and provoke Appetite; but they are injurious to many, being full of aërial Particles, creating Flatulency when dissolv'd by Digestion. They are alkalescent §. Beans cleanse and fatten, and resemble Pease in most of their Qualities, but are more windy, and occasion sometimes Colic Pains, and disturb the Head. The French or Kid- ney-Beans are best, being less windy. People that live a sedentary Life should not feed much upon Pease or Beans, by reason of their Viscosity creating top much Flatulency. The mealy Parts of the above-mention'd Plants dissolv'd in Water for constant Food, is too viscid an Aliment, and for that Reason justly condemn'd by Hippocrates; and upon that Account, Mankind have found the means to make them more easy of Digestion, by fermenting and making some of them in- to Bread, which is the lightest and properest for † See Note following. § Substances which are not perfectly Acid, but naturally turn so, are called Acescent; and Substances that are not per- fectly Alkaline, but naturally turn so, are called Alkalescent. See the Explanation of Alkali in Note *, p. 165. These two Qualities in Bodies are not merely imaginary, but have very different and contrary Effects upon human Bodies. Ch. VI. thro' the various Stages of Life. 169 for human Food; for the Leaven, by its acid Salt, divides the slimy and oily Parts of the Meal. The next Sort of vegetable Substances that Mankind feed upon, are Fruits of Trees and Shrubs: They all contain an essential Salt, combin'd with Earth, Water, and Oil, much elaborated; and their different Qualities are known by their sharp, sweet, four, or styptic Taste. Apples are pectoral, cooling, laxative, and open the Breast; they differ considerably in Kind, and their Qualities are easily known by their Taste. Pears have most of the same Qualities, but they are more cordial, by their high Fla- vour, than Apples. Peaches are likewise cordial and pectoral; the best are those that are odoriferous, well colour'd, and full ripe. Apricocks quench Thirst, excite Appetite, provoke Urine; their Kernels are good against Worms, and excellent for the Heart-burning: unless they are mellow and full ripe, they are rather somewhat styptick. Plumbs purge Choler, extinguish Heat, take away Thirst in Fevers; but they are bad for weak and cold Stomachs, and for phlegma- tic Persons, and such as are subject to Colics. Those of the austere Kind are astringent. Mulberries are pectoral, and correct a bi- lious Alkali. Gooseberries 170 A GUIDE to HEALTH Part II. Gooseberries extreamly ripe are lenient; but unripe, they are both sour and astrin- gent. Currants are good in spitting of Blood, ex- treamly cooling, and somewhat astringent. The Jelly or Rob of Currants mix'd with Water, is an excellent Drink in bilious Fevers. Cherries are cooling and laxative, and their Kernels are good for the Gravel in the Kid- neys. Strawberries, by their fragrant Smell are Cordial. Their Juice mix'd with that of Li- mons in Spring-Water is an admirable Drink in bilious Fevers. Oranges that are sweet are more relaxing than the Seville Oranges; but these last are an excellent Remedy for the hot Scurvy. The sweet Oranges increase Choler. Citrons or Limons excite Appetite, stop Vomiting, cut gross Humours, are good in Fevers, and their Juices are more cooling and astringent than those of Oranges. Grapes taken in moderate Quantities when ripe, help the Appetite and Digestion; but in great Quantities, they dissolve the Gall too much, and produce Fluxes; and dry'd they are pectoral. Figs are great Correctors of Acrimony, they are good in Coughs and Hoarseness; they are likewise extremely emollient, relax- ing the urinary Passages, diuretick, and good in bloody Urine. Quinces Ch. VI. 171 thro' the various Stages of Life. 171 Quinces are often useful to weak Stomachs, and good in stopping Fluxes of Blood. Pomegranates likewise, containing an astrin- gent Juice, are extremely cooling. Barberries and Medlars are useful in Bloody-Fluxes. Tamarinds are cooling and astringent, yet laxative to the lower Belly. Capers are astringent and diuretick; they excite the Appetite, and are good for phleg- matic and melancholy People. Olives are Anti-acids, or contrary to Aci- dity by their Oil; but all oily Substances be- get an Acrimony of another Sort. Almonds are pectoral, especially the Oil. Walnuts are cordial and Anti-hysteric, and promote Perspiration in a small Degree. Hazle-Nuts are in some Degree good against spitting of Blood; but they are very hard to be digested, they cause Wind, Coughs, and Pains in the Head. Chesnuts are good against some Female Weaknesses, and afford very good Nourish- ment. There are other Fruits of the low pomise- rous Kind, which contain a great deal of cooling and viscid Juice, combin'd with a ni- trous Salt, which renders them often offen- sive to the Stomach; and such are Pompions, Cucumbers, Gourds, and Melons; tho' the last, when good, have a rich Juice, and some- what aromatick; they are diuretick, and there are Instances when eaten in great Quan- tities, 172 A GUIDE to HEALTH Part II. tities, to have thrown People into bloody Urine: they are likewise cooling and refreshing, good for hot Stomachs, and the Kidneys; they ought to be taken fasting. The Juice of Cu- cumbers is too cold for weak Stomachs, and ought not to be taken by such as have thin and poor Blood. Among the alimentary Leaves, the Pot- Herbs afford an excellent Nourishment: Of those are all the Cole or Cabbage Kind, which are emollient, laxative, and resolvent, and for that Reason proper against Acidity. There are likewise amongst the Pot-Herbs some * Lactescent Plants, as Lettuce, Endive, Ci- chory, and Dandelion, which contain a milky Juice extremely wholsome, resolvent of the Bile, anodyne, cooling and diuretick, and very useful in the Distempers of the Liver. Artichokes are pleasant to the Taste, pro- voke Urine, and contain a rich, nutritious and stimulating Juice; they are good against Aci- dity. Asparagus is opening and diuretic; by the fœtid Smell it gives the Urine, it is suspected to be hurtful to the Kidneys; it is likewise good against Acidity. Parsley provokes Urine, the Courses, cleanses the Kidneys, and removes Obstru- ction and Wind; but it is bad in Bloody- Fluxes. Celery contains a pungent Salt and Oil; it is diuretick and aperient, and exceeding good for cold Constitutions. Spinage * Vegetables containing a milky Juice. Ch. VI. thro' the various Stages of Life. 173 Spinage is emollient or opening, good in Inflammations. Beet is emollient, nutritive, and relaxing, good in hot and bilious Constitutions. Sallads of all Sorts, mix'd with sweet Oil and Vinegar, are good for hot and strong Constitutions; because they are cooling, diu- retick, and emollient; but they are not pro- per for phlegmatick or weak Constitutions, or those that are subject to Colics or Indige- stion. Of the alimentary Roots, some are pulpy, and very nutritious; as Potatoes, Turnips, and Carrots, &c. Potatoes, of all Roots in general, are the best and most nourishing for healthy People, and there are Instances enough to prove the same both in Ireland, and in other Provinces, where two Thirds of the Husbandmen, and meaner Sort of People, constantly feed upon them, and are the principal Part of their Food; yet they are healthy, active, and vi- gorous, and for the most Part live long. Turnips are very nutritious, good in Con- sumptions, Asthmas, and all Diseases of the Breast; they are emollient and diuretick. Carrots are fattening, they provoke Urine, and the Menses, and likewise help to open Obstructions; but they are windy, and there- fore not proper for colicky or weak Sto- machs. Parnisp is a very nourishing and palatable Root; it fattens, and is a Provocative; it opens, 174 A GUIDE to HEALTH Part II. opens, attenuates, and cleanses; but it is hard to digest, and not good for asthmatick and consumptive People. There are other Roots which abound with an acrid, volatile Salt; as Garlick, Onion, Rockambole, Shalot, Leeks, Radishes, and Horse-radishes: They contain a pungent, vola- tile Salt and Oil; they are extremely diure- tick, and when stimulating Diureticks can be safely used, they are very effectual. Experience teaches, that Garlick is a very excellent Remedy in Dropsies, Jaundices, and in Asthmas proceeding from a cold and viscid Phlegm. Cresses and Mustard contain likewise, in their Degrees, a pungent Salt and Oil, as well as the last mention'sd Roots; and as all of them subdue Acidity, they are very improper in Cases where the Blood is too much dissol- ved, as in spitting of Blood, and bloody Urine, or where the Blood or Juices have a Tendency to a State of alkaline Putrefaction; and in general they are fitter for cold Con- stitutions and old People, than for the young and sanguine. Mustard indeed is a very powerful Remedy in viscid and cold phleg- matick Cases. The Fungous Kind, as Truffles, Morelles and Mushrooms, contain an Alkaline volatile Salt, and an exalted Oil of a grateful Savour; but are heating, and the best Method of cor- recting them is by Vinegar: Some of them being poisonous, render the rest justly suspi- cious; Ch. VI. thro' the various Stages of Life. 175 cious; the poisonous Sort operate in a suffo- cating Manner, in which Case the best Re- medy is Wine, or Vinegar and Salt, and vo- miting as soon as possible. There are Vegetables used by Mankind in Seasonings, which afford an exalted aroma- tick Oil, and of a spicy Nature, as Marjoram, Basil, Savory, Thyme, Rosemary, Sage and Mint: They are heating, and most of them hard to digest: Other Spices of a more power- ful Nature, as Nutmeg, Mace, Cinnamon, Cloves, Ginger and Pepper, abound with a high exalted Oil and volatile Salt, by which Principles they are heating, and act powerfully upon the Fluids and Solids, by stimulating the Solids and resolving glutinous and fat Sub- stances: They are all proper in phlegmatick cold Constitutions. But Sage being a stimu- lating, drying, and astringent Plant, when used in great Quantities will produce Disorders like Drunkenness; therefore the Infusion or Tea made of it is very improper in all inflamma- tory Fevers as a Diluter. Of Tea, Coffee, and Chocolate. As the Infusions and Deco- ctions make so considerable a Part of Aliment at present, especially among the Female Sex, it will not be improper to say something of their Qualities in particular. Of Tea, Coffee, and Chocolate. Tea, by its Manner of affecting the Organs of Taste and Smell, affords very little of a vo- latile Spirit its bitter and astringent Rosin or fix'd Oil cannot be extracted by Water, but requires 176 A GUIDE to HEALTH Part II. requires rectify'd Spirit of Wine for that Pur- pose. The most active Principles of it that can be extracted by Infusion are the most se- parable Parts of its Oil or Gum, and Salt. Its Salt and Gum are astringent, as appears by mixing it with Chalybeat-Waters, which will produce a Tincture of the same Colour as that of Oak-leaves; it is * Acescent, as appears by its affecting Stomachs troubled with Acidity, which Disorder it will rather promote than correct: By its astringent Quality it moderate- ly helps to correct the relaxing Quality of the warm Water; and by its styptick and stimu- lating Quality, it affects the Nerves, very of- ten producing Tremors. By the frequent drinking too great Quantities of it, as is now become a common Practice, it will relax and weaken the Tone of the Stomach; from whence proceed an Inappetency, Nausea, Reachings or Vomitings, Indigestion and Sickness at the Stomach; and generally speak- ing, a pale and wan Complexion, with a Weakness of the Nerves and Flabbiness of the Flesh, the Solids and Fluids being thereby deprived of their proper Nourishment. Hence we may easily perceive, how perni- cious Tea-drinking may prove to the Seden- tary, especially the Female Sex, who for the Generality have weak and tender Nerves; but as Milk abates some of the fore-mention- ed bad Qualities, by rendering it softer and nu- tritious, and Sugar as a Salt, encreases it stimu- lating * See Note §, Page 168. Ch. VI. thro' the various Stages of Life. 177 lating Quality, it may be a proper Breakfast e- nough, as a Diluent, to those who are strong, and live full and free, in order to cleanse the alimen- tary Passages, and wash off the scorbutick and urinous Salts from the Kidneys and Bladder. But Persons of weak and tender Nerves, as I have just now observ'd, ought carefully to avoid and abstain from it, as from Drams and cordial Drops; for such fall into Lowness, Trembling and Vapours, upon using it with any Freedom, by its Irritation on the tender and delicate Fibres of the Stomach *. As to Coffee, it is a meer Calx, or a kind of burnt Horse-Bean, but lighter on the Sto- mach and somewhat of a better Flavour; and what is extracted from it by hot Water, is the most separable Parts of its Oil, which of- ten appears at the Top of the Decoction. This Oil is volatile, and affords very little Nourish- ment, producing all the bad Effects of a vola- tile Oil and aromatic Acrimony, such as Heat, Dryness, Stimulation, Tremors of the Nerves; for which Reason, it has been deem'd to cause Palsies, Watchfulness, Leanness, and destroy masculine Vigour: Hence it is very plain, that it must; be pernicious to hot, dry, and bilious Constitutions, and only beneficial to Phlegmaticks, if moderately us'd; but when drank in too great a Degree of Strength or M Qua- * For further Satisfaction herein, see Dr. Thomas Short's learned and elaborate Dissertation upon Tea, in which the Author has not only given us the Natural History of the Plant, but likewise its Analysis, with great Skill and Industry. 178 A GUIDE to HEALTH Part II. Quantity, it will prove destructive even to phlegmatick Constitutions. Chocolate is undoubtedly much the best of the three; for its Oil appears to be both rich, nutritious and anodyne *, and is as soft as that of Sweet-Almonds: This Oil combin'd with its own Salt and Sugar renders it saponaceous † and detergent; by this Quality it often helps Digestion and excites the Appetite; and is only proper for some of the leaner and stronger Sort of phlegmatick Constitutions, and some ancient healthy People, who are accustom'd to bodily Exercise. There are other Preparations of Vegetables by Fermentation, whereby they are changed into spirituous Liquors, which are, or may be called by the general Name of Wines; Such fermented Liquors have different Qualities from the Plants that produce them; for no Fruit taken crude has the intoxicating Quality of Wine. Of these Liquors I shall take par- ticular Notice, after I have given the Reader a short Account of the Nature of animal Diet, as far as it regards the Nourishment of Human Bodies. Animal Food is more easily converted into animal Substance than Vegetables; and there- fore more nourishing to human Bodies: And the † Easing, or taking away Pain. ‡ Sope is a Mixture of Oil and fix'd alkaline Salt, and in common Use its Virtues are cleansing, penetrating, attenuat- ing, and resolving; so that any Mixture of an oily Substance with Salt maybe call'd a Sope; hence Bodies of this Nature are call'd Saponaceous. Ch. VI. thro' the various Stages of Life. 179 the Nature of Animal Diet must depend up- on the Nature, Age, Food, and other Cir- cumstances of the Animal we feed upon. The Animal as well as Vegetable Juices are in their greatest Perfection, when the Ani- mal is full grown; for young Animals par- take of the Nature of their tender Food, as Sucklings of Milk, &c. All Animal Diet in general is anti-acid, or contrary to Acidity or Sourness; because no found Animal has any acid Salt in it, as has been often prov'd by Experiments. Those Animals that feed upon other Animals have their Flesh and Juices more alkalescent, that is, more anti-acid than those that live upon Vegetables; such are most Fishes, all Birds which feed upon Worms and Infects, several kinds of Water-Fowls, Woodcocks, Snipes, and several kinds of small Birds; which, for that Reason, afford a more exalted Nou- rishment than those that feed upon Grain or other Vegetables. Animal Flesh differs according as the Ani- mal is terrestrial, aquatick, or amphibious; and the same Species of Animals differs accord- ing to the Soil and Air it lives in, and the Food which it takes; as those that live in Mountains and Marshes; the Flesh of Oxen, Sheep, Deer and Hogs in different Pastur- age. Fishes abound more with alkaline Salt and Oil than terrestrial Animals; for which Rea- son they are sooner corrupted: And amphibi- ous Animals partake somewhat of their Na- M2 ture 180 A GUIDE to HEALTH Part II. ture by feeding upon them, and are therefore oily; and notwithstanding the Redundancy of Oil in Fishes, yet they do not increase Fat so much as Flesh-meat, by Reason of their watery Quality; and as Fish and Water- Fowls are highly alkalescent, and abound with a great deal of rancid Oil, they should be always qualified by a due Quantity of Salt and Vinegar. The most healthy Animals afford the best Aliment, and the Castrated are better than those that are not so; and the only Way of having found and healthful animal Food, is to leave them to their own natural Liberty in the free and open Air, and in their own pro- per Element, with Plenty of Food and due Cleanness, and a Shelter from the Inclemency of the Weather when they have a Mind to retire to it. Therefore we should never make Choice of cramm'd Poultry, or stall-fed Butch- er's Meat for our Food, did we consider the foul, gross, and filthy Manner in which they are confin'd, and the stinking, putrid, and unwholsome Food with which they are fed, especially Poultry and Hogs; for we may be well assured, that perpetual Foulness and Cramming, gross Food and Filthiness will rot the Juices, and mortify the muscular Sub- stance of human Creatures, and consequently can do no less in Brute Animals, and thus make even our Food Poison. Besides, stall-fed Cattle and cramm'd Fowls are often diseas'd in their Livers. The same may be likewise said Ch. VI. thro' the various Stages of Life. 181 said of Plants and Vegetables, forc'd and pro- duced by Hot-beds. Animals, Herbs, Fruits and Corn are to be chosen in high Places, such as are refresh'd with wholsome Winds and cherish'd with the warm Beams of the Sun, and where there are no Marshes, Lakes, and standing Waters; for in such Places they are quickly corrupted; and likewise the Flesh of all Animals that live in Fens and standing Pools are to be avoided, such as Ducks, Geese, &c. The Flesh of Animals too old is unwhol- some, being hard, dry, sinewy, and of little Nourishment, and hard to be digested; and on the contrary, such as are too young abound with too much Moisture, and are full of Su- perfluities, and therefore cannot nourish so well as an Animal full grown, in as much as they partake of the Nature of their tender Food, as I have observ'd already. Salt Fish produces gross Humours, and had Juices in the human Body; for it dries much, and breeds many Superfluities, and is of little Nourishment; it occasions Thirst, Hoarseness, Acrimony, or Sharpness in the Blood, and Erosion of the small Fibres, Pains, and all the Symptoms of the Muriatick or briny Scurvy, upon account of the Salt, which is unalterable in all the Circulations of the human Body, and therefore very improper Food for all Constitutions, except some strong labouring People, and even in those it will pro- duce very bad Effects, if they feed upon it M3 for 182 A GUIDE to HEALTH Part II. for a Constancy, as we see in Sea-faring Peo- ple. The same may be said of Salt Flesh. The Flesh of Birds is lighter, drier, and easier digested than that of four-footed Beasts, and for that Reason, more agreeable to those of a studious Profession, who exercise the Mind more than the Body; for as they are more easily digested, so they breed better Blood, that is, clear, clean, and full of Spi- rits, which is fit for the Exercises of the Mind. The Flesh of the wild Kind of Animals, such as frequent Woods, high open Places, and Mountains, is better than that of tame ones, having more Exercise and no Confine- ment, have their Juices more elaborated, and their Flesh will keep longer uncorrupted; be- cause they live in a better Air, and feed upon what they like best without Constraint; for the same Reason their Fibres are harder, es- pecially when old. This Rule in some mea- sure holds true with Fishes; for Sea-fish and River-fish living in an Element more agitated, are better than those in Ponds. For these Reasons Hippocrates commends the Flesh of the wild Sow preferable to the tame; and doubtless the Animal is more or less healthy, according to the Air it lives in; for the Flesh of the same Species differs very much, as the Animal lives in Marshes or Mountains. Flesh boil'd is more wholsome (especially for weak Stomachs) than roasted; for boiling draws more of the rank and strong Juices from Ch. VI. thro' the various Stages of Life. 183 from it, and renders it more diluted, lighter, and easier of Digestion, tho' not so nutritive; but on the other hand, roasting leaves it ful- ler of the strong nutritive Juices, harder to digest, and wanting more Dilution *; there- fore those who eat the Flesh of full-grown Animals, ought to eat it well boil'd, if their Digestion is weak. They who live upon young animal Food, which is best for weak Stomachs, ought to eat it roasted, and lessen the Quantity in respect of the same Food boil'd, but they must dilute it more; for as roast Meat has a stronger Flavour, more Nourishment, and lies more compact in the Stomach; so it will require to be more di- luted with some small Liquors to soften its more rigid and crisp Fibres. Meats bak'd, fry'd, and broil'd, generate nauseous Humours and Crudities in the Sto- mach, and are very difficult to be digested, tho' they are very nourishing. Lamb, Veal, and Kid, afford excellent Nourishment, and are easy to be digested, and therefore proper Food for those of a se- dentary Life and studious Professions. Beef affords great Nourishment to those that labour and exercise much, and generates much Blood; but it is too strong for tender, weak, and sedentary People, especially when Stall-fed, and very large; for Grass Beef and M4 Mutton * Dissolving or making thinner any Substance, with the addition of Fluids or Liquids, which are called Diluents or Diluters. 184 A GUIDE to HEALTH Part II. Mutton are lighter than Stall-fed Oxen and Sheep. Mutton breeds good Blood, nourishes ex- ceeding well, and is easily digested; and by Experiment is found the most perspirable of all animal Food, and Hogs-Flesh and Oysters the least. Rabits are of a good Nourishment, they consume the superfluous Moisture and Phlegm in the Stomach, and the Flesh is not near so dry as that of a Hare, and therefore nou- rishes better, and is much easier to be di- gested. Young Hares are very sweet and pleasant to the Stomach when well dressed, they are good for such as are too fat. It is said, that the Blood of a Hare fry'd and eaten, is good against the Bloody-Flux, inward Im- postumations, and the Gravel in the Kid- neys; and that the Brains of a roasted Hare cures Tremors, and facilitates the breeding of Teeth in Children; but the Moderns justly despise such whimsical and groundless Pra- ctice. Pork and Bacon afford great Nourishment, but as they feed the foulest of any Creature, and their Juices are the rankest, their Sub- stance is the most surfeiting; and as they are the most subject to † cutaneous Diseases and Putrefaction of any Creature, they are highly injurious to valetudinary, sedentary, and stu- dious People; for they cause the Gout and Stone † Diseases of the Skin, such as Pimples, Scabs, Mange, &c. Ch. VI. thro' the various Stages of Life. 185 Stone in Kidneys, Scurvy, and cutaneous Eruptions. The Flesh of sucking Pigs is endued with the same bad Qualities, tho' not in so great a Degree. Brawn made of the Flesh of young Boars is tolerable good eating, having not so much Slime and excrementitious Moisture as Pork, Pig, and Bacon; but the hard and horny Part is very difficultly digested. Deer affords good Nourishment, and is apt to make lean such as are too fat, accord- ing to the Observations of some Authors, but I very much doubt the Veracity of such As- sertions, for it seems even contradictory to say, that whatever affords good Nourish- ment, shou'd render corpulent and fat People, thin or lean. Of all the Parts of Birds and other Beasts, some are better than others; for all the Ex- tremities, as the Head, Neck, Feet, and Tail, in respect of the rest, are of a hard, viscid, and gross Nourishment; but the Parts about the Wings, Back and Breast, are better, and more savoury. Cream, Butter, and Marrow, are all leni- ent and nourishing: Marrow is excellent in the dry Scurvy with crackling of the Bones, where it performs its natural Office in moisten- ing them. Cheese that is new fattens, tastes pleasant- ly, and is not very injurious to the Stomach, especially Cream-Cheese, which is the best and most wholsome when newly made. Cheese 186 A GUIDE to HEALTH Part II. Cheese of no kind is good for Children or weak People, for it lies too heavy in the Stomach, is apt to breed Slime and Worms in Children, and it ought to be eaten only after Meals, to close up the Mouth of the Stomach at such times; but too much of it is bad at any time, especially old Cheese, for it occasions Thirst, inflames the Blood, and is often the Cause of the Gravel and Stone in the Kidneys or Bladder; therefore it is only proper for Mechanics and labouring People, or those that are strong and healthy, and use much Exercise. Milk is a most noble, nourishing, and wholsome Food; it is neither Acid nor Al- kaline; but when there is an Acid and Al- kali mix'd in it, they presently manifest themselves by their Fermentation and Con- flict. Milk, after standing some Time, na- turally separates into an oily Substance called Cream, and a thinner, blue, and more pon- derous Liquor called skimm'd Milk, and nei- ther of these Parts is naturally acid or alka- line, nor in the least acrimonious; for being dropp'd into the Eye, they cause no manner of Pain or Sensation of Sharpness; but by standing too long, they will turn both sharp and four. Milk is a kind of Emulsion, or white animal Liquor, resembling Chyle, after it has been mixed with the Spittle, Bile, and pancreatick Juices, &c. is easily separated from them again in the Breasts. A Ch. VI. thro' the various Stages of Life. 187 A Nurse that would abstain from all acid vegetable Food, from Wine, and Malt Li- quors, and feed only upon Flesh, and drink Water, her Milk, instead of turning sour, would become putrid, and smell like Urine; so that an alkalescent Diet †, (as is often the Case of Nurses in great Families) Subjects the Child to Fevers; but on the other hand, the Milk of poor People that feed upon an § acescent vegetable Diet, subjects the Child to Diseases that proceed from Acidity in the Bowels, such as Colics, Gripes; the Symp- toms of such a Constitution are a four Smell in their Excrements, four Belchings, Disten- sions or Swellings of the Bowels, and Pale- ness of the Flesh. The Cure of both Diseases is effected by a Change of Diet in the Nurse, that is, from Alkalescent to Acescent, or contrary ways, as the Case requires. But the best Diet for Nurses is a Mixture of both, and no Nurse should give Suck after twelve Hours fasting; for then her Milk is apt to turn yellow, which is an early Sign of a Fever in the Nurse. It appears from the fore-mention'd Quali- ties, that Milk is a very proper Diet for hu- man Bodies, especially for thin, hectical, and emaciated † Alkalescent Diet is the Flesh, Broths, and Juices of all Animals, both Terrestrial and Aquatick, which in a found State have no manner of Acid in them, as is very well known by Experiments. § An Acescent vegetable Diet, is taken from Plants, Fruits, and their Juices, and all fermented Liquors, which are either actually acid, or naturally turn so. 188 A GUIDE to HEALTH Part II. emaciated People, and where Acrimony in the Blood and Juices is to be subdued or avoided; but it is not proper for those that are troubled with the Colic or Stone, neither is it proper in Obstructions of the Vessels, it being void of all saline Quality. Whey is good for such as are of a hot Con- stitution, it quenches Thirst, promotes Sleep, and of all Drinks is the most relaxing, and is a powerful Remedy in the hot Scurvy. The different Nature of Birds is known by the Time, Age, Food, Place, and Air they live in; because Domestick as well as Wild Fowl, grow lean, and feed little at the Time of their coupling. And some Birds are best in Spring or in Summer, at which Time they feed upon Corn; others in Autumn, because they eat Grapes, Figs, Apples, Berries, and such like. Others again are best in Winter, such as Thrushes. Blackbirds, wild Geese, Cranes, and all Water Fowl. Some live on Worms, Infects, and Fish, as Woodcocks, Snipes, &c. but most feed on Grain, as Pigeons, Doves, and all Dome- stick Fowls, and the like: Some are nourish'd on Land, others in Rivers, Lakes, and in the Sea, and a great many Birds feed upon Herbs; and it is very remarkable, that the Flesh of wild Fowl has always the Taste of such Things as they feed on, as Fish, Slime, Mud, Worms, and other Infects. Mountain Fowls are always preferable to the rest; besides, castrating or cutting a Fowl, renders Ch. VI. thro' the various Stages of Life. 189 renders it fat and sweet, as appears in the Flesh of Capons; and the Flesh of young Birds is always better than that of old ones. Duck is the hottest of all tame Fowl; the Wings and Liver are the best, but of hard Digestion, and gross Nourishment; it is good in cold Weather for strong Stomachs, and such as labour much. Capon nourishes better than all other tame Fowl, and breeds good Blood and Juices in the human Body. Pigeons afford good Nourishment; they are very hot, and therefore only proper for old and phlegmatic People, or such as labour much, who generally speaking, will digest any Food without any Trouble or much Dan- ger. Pheasants are very agreeable to human Na- ture; they comfort and strengthen the Sto- mach, afford great Nourishment, and fatten very much. Pullets nourish exceeding well, are easily digested, and generate good Blood and found Juices; but old Hens are dry, hard to be di- gested, and afford little Nourishment; and the Flesh of a Cock is drier, hot, and sul- phurous, and therefore very improper Food for any Body, and fit for nothing else than to make Broth of it, with a little Mutton, Veal, or both. Geese, especially the young Geese, afford good Nourishment; but old ones, that feed and live in Fenny Places, are coarse, and hard 190 A GUIDE to HEALTH Part II. hard to be digested, and not fit Food for tender People, or weak Stomachs. Turkey is good Food, and affords good Nourishment, but harder to be digested than Capon or Pullet; yet a Turkey-Pout is deli- cate eating, breeds good Blood, and is easily digested. Partridges afford good and sweet Nourish- ment, and are easily digested; they fatten, and likewise dry up the superfluous Moisture of the Stomach, and contribute much to the Preservation of Health, their Flesh being bet- ter than that of Pullets. Plovers, especially the Grey Sort, are good wholsome Food, and afford good Nourish- ment, only they are somewhat of melan- choly Juice, according to some Writers. Blackbirds nourish sufficiently when they are fat and young; but they are hard of Di- gestion. Larks, if they are fat, nourish well, and are easily digested; they are best in Autumn and Winter. Sparrows, when young, afford good Nou- rishment, and are reckon'd to be Provoca- tives; but they are not easily digested. Peacocks nourish poorly, and are of a hard and slow Digestion, and breed melancholy Blood, therefore not worth any Body's eat- ing. Stares, if young and fat, nourish pretty well, but old ones are good for nothing. Thrushes Ch. VI. thro' the various Stages of Life. 191 Thrushes nourish very well, and are easily digested, and the Mountain Thrushes are the best. Quails are very nourishing, and pleasant to the Taste, they are likewise good for melan- choly People; but some Authors say, that they cause the Cramp, and falling Sickness, with which it is said, this Bird is troubled. This, by the by, I take to be only the ground- less Opinion of some credulous and whimsi- cal Writers. Turtle Doves nourish exceeding well, and are easily digested; they are good for the Stomach, and, according to some Authors, quicken the Understanding. Woodcock, Snipe, and all other long-billed Birds that suck only animal Juices, or that feed upon Worms and other Infects, have their Juices more elaborate and exalted than those of Pullets, Turkeys, Pheasant or Partridge; and for that Reason they are much harder to be digested, tho' they are very nourishing. Fish in respect of Flesh is less nourishing, because it is gross, phlegmatic, cold, and full of watery Superfluities. The old nourish better than the young, and those that live among Stones, Rocks and Gravel, are best. Fish in general are hard of Digestion; for they feed upon one another, and their Juices abound with an alkaline Salt, that corrupts the Blood and causes chronical Diseases; for it is very remarkable, that those who live much 192 A GUIDE to HEALTH Part II. much on Fish are afflicted with the Scurvy, Breakings-out upon the Skin, and other Dis- eases of a foul Blood: Besides, a true Sign of their Indigestion is, that every Body finds him- self more thirsty and heavier than usual after a full Meal of Fish, tho' ever so fresh; and is commonly forc'd to have Recourse to a Dram of some Spirit or other to carry them off. The following Rules concerning Fish may be of use to the Reader. First, That all fresh Fish should be eaten hot, and to eat less of Fish than of Flesh- meat. 2dly, Not to eat them too often, nor after great Labour and Exercise; for then they easily corrupt; neither should they be eaten after other solid Food. 3dly, Fish and Milk are not proper together; nor are Eggs to be used unless with Salt-Fish. 4thly, Great and slimy Fish are better pickled than fresh; and observe, that the clearer and deeper the Water is, the better are the Fish that are nourish'd therein. 5thly, Sea-Fish are whol- somer than fresh water Fish; for they are hotter and not so moist, and their Nourish- ment comes near that of Flesh-meat. 6thly, Of all Sea and River Fish, those are best that live in rocky Places; next to these, in gravel- ly or sandy Places, in sweet, clear, and run- ning Water, where there is no Filth: but those Fish are bad that live in Pools, muddy Lakes, Marshes, and in any still or muddy Water. 7thly, Amongst all the Fish both Sea Ch. VI. thro' the various Stages of Life. 193 Sea and River, those which are not too large are the best, and which have not hard and dry Flesh, that taste and smell well, and are crisp and tender, and have many Scales and Fins. 8thly, Fish are bad for cold and phlegmatic Constitutions, and only proper for hot and choleric People. The best Way of dressing Fish is to broil it; to boil it is the next, and to fry it is the worst. Eels for want of Exercise are fat and slimy; they are of a delicate Taste, and nou- rish very much; but they offend the Sto- mach, and are hard to be digested, and be- ing used too often, are apt to breed the Stone in the Kidneys and Bladder, and occasion the Gout and Spasmodic Disorders; therefore whoever eats much of them, and often, en- dangers his Health. Carp of all Pond-fish is certainly the best, and the most noble, being of a very pleasant and grateful Taste, and nourishes well, in whatsoever manner it is eaten. Lampreys are of great Nourishment; they are of a most delicate Taste, and are al- so Provocatives; but they are hard of Di- gestion, and bad for gouty People, and such as ate troubled with Convulsive Disorders. Pike is a clean, sound Fish, and nourishes very much; but is of hard Digestion. Sturgeon nourishes well, and excites Ve- nery; but is very hard to be digested. Of the Spawn or Row of this Fish pickled, is N made 194 A GUIDE to HEALTH Part II. made what is called Caveer, which excites Appetite, and makes Liquor relish well. Crabs and Lobsters are much of the same Nature; the Broth of them is good for thin and emaciated People, for they nourish very much; but they are, like all other Shell-Fish, hard to be digested. Oysters are very nourishing, and preferable to all Shell-Fish, and ought to be eaten al- ways before Dinner, and never to drink spi- rituous Liquors upon them, which harden them in the Stomach, and prevent their being digested. They are likewise very hard of Di- gestion when stew'd; therefore the Substance of them dressed in that manner is very im- proper for weak Stomachs. They cure the Heart-burn proceeding from Acidity or Sour- ness in the Stomach, and are proper Food in such, and many other Cases. Turbut, Soles, and Plaice, are highly com- mended among Sea-Fish; for they have de- licate Flesh, and afford very good Nourish- ment, are not easily corrupted, nor hard to be digested. Pearch are reckon'd fine Fish; but they have soft, moist, and tender Flesh; they nourish but little, and are full of Excremen- titious Juices, therefore they are not near so good as People imagine them to be. Tench are very nourishing, but hard of Di- gestion. Gudgeons and Smelts, of all small Fish are the best; they are wholsome Aliment, easily digested, Ch. VI. thro' the various Stages of Life. 195 digested, and may be as safely given to sick People as Whitings unless they are fry'd. Flounders are good wholsome Aliment enough, and proper now and then as a Change for sickly People, and weak Stomachs, as they are not hard to be digested. Salmon is grateful to the Palate, and very nourishing, affords good Juices, but is too luscious to make a hearty Meal upon it, or live on it for any considerable Time. Trout is delicate eating, nourishes very well; the biggest, and such as is bred in gra- velly Rivers, and sweet running Waters, is best. Trout is good for hot and young Peo- ple, but bad for those that are decrepid, and for phlegmatick Constitutions. Cod-Fish, when fresh and in Season, is very good Nourishment, and not hard to be di- gested; but if it be dry or Salt, it is gross Food, and of hard Digestion. Haddock is much of the same Nature, but drier, yet it affords very good Nourishment. Skate and Thornback are Fish of good Nourishment, and delicate eating, when rightly manag'd; for if they are newly taken and dressed, they are scarcely digestable even by the strongest Stomachs; but if they are too stale, then they smell Urinous, and are in a State of Putrefaction. Barbel is very pleasant to the Palate, and the little ones are better than the great, and such as live in stony Places, and clear running N2 Waters; 196 A GUIDE to HEALTH Part II. Waters; but their Flesh being hard, are not easily digested. The Roe of this Fish is care- fully to be avoided, it having the Quality of a strong Cathartick. Mackarel are very agreeable to the Taste; but their Flesh being hard, dry, and easily cor- rupted, is of little Nourishment, hard of Di- gestion, and therefore not proper Food for tender, weak, or sickly People. Herrings afford a great deal more Nou- rishment than the former; but their being so very hard of Digestion, renders them im- proper for every Body, except some hard la- bouring People. Sprats newly catch'd, and being either boiled or broil'd, afford good Nourishment, and are very agreeable to the Taste; but they are windy, and for that Reason not pro- per for such as are subject to Flatulency. Here it will be very necessary to give At- tention to the following Particulars in the Choice of our Aliments. 1. That those Vegetables and Animals that come soonest to Maturity, are lightest of Di- gestion: thus the Spring Vegetables, such as Asparagus, some Sorts of Sallading, and Strawberries, are more easily digested than Pears, Apples, Peaches, and Nectarines; because they have less of the Solar or Sun-Fire in them; for their Parts are united by a weaker Heat, that is, with less Velocity, and besides they contain little or no strong or fix'd Salts. 2. Among Ch. VI. thro' the various Stages of Life. 197 2. Among Animals, the common Poultry, Sheep, Kids, Hares, and Rabits, &c. which come to their Maturity, and propagate their Species in the same or a few Years, are much more tender, and readily digested, than Cows, Oxen, Boars, &c. for the Reason already given; and because their Parts cohere less firmly. And it is observable, that Vegetables which are longest in ripening, that is, whose Juices contain most of the Solar Heat in them, their fermented Juices produce the strongest vinous Spirits, such as Grapes, El- der-Berries, and the like: and that Animals, which are longest coming to Maturity, their Juices yield the most rank and most fœtid Urinous Salts. 3. That the larger and bigger the Vege- table, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested. Thus a large Onion, Apple, or pear, and large Beef and Mutton, are har- der to be digested than the lesser ones of the same Kind; not only, as their Vessels being stronger and more elastic, their Parts are brought together with a greater Force; but also, because the Qualities are proportionably more intense in great Bodies of the same Kind. Thus a greater Fire is proportionably more intensely hot than a lesser one; and likewise, the Wine contain'd in a larger Ves- sel becomes stronger than that contain'd in a lesser, and consequently the Juices of larger Vegetables and Animals are more rank N3 than 198 A GUIDE to HEALTH Part II. than those of smaller ones of the same Kind. 4. Sea-Fish or Animal's, are harder to di- gest than Land Animals; because, generally speaking, their Food is other Animals; and the Salt Element in which they live, renders their Flesh more firmly compact, Salts having a stronger Power of Cohesion † than any other Bodies. And for the same Reason, salt- water Fish is harder to digest than fresh-wa- ter Fish. 5. Vegetables and Animals, that abound with oily, fat, and viscid Substance, are har- der to digest than those of a drier, fleshy, and more fibrous Substance; because oily and fat Substances commonly elude the Force and Action of animal Digestion, especially in such as have little Exercise and weak Stomachs; for their Parts attract one another, and unite more strongly than any other Substances, ex- cept Salts; inasmuch as their Softness and Humidity relax and weaken the Tone and Force of the Stomach, the Fat and Oil be- ing shut up in little Bladders, that are with Difficulty broken and separated. Thus Nuts of all Kinds, as they contain a great deal of Oil, pass thro' the Alimentary Duct almost undi- gested; for the same Reason, Olives are more difficult to digest than Pease, and fat Meat than the lean of the same. 6. That all Vegetables and Animals of a strong, pungent, and aromatic hot Taste, are harder ‡ Sticking together. Ch. VI. thro' the various Stages of Life. 199 harder to digest than those of a softer, mild- er, and more insipid Taste; because such Substances abound with a great deal of Salts, or an Oil extremely active and heating; for high Relish comes from abundance of Salts and exalted Oils. A great deal of Salts sup- poses such Vegetables and Animals as are a long time coming to Maturity; and where Salts abound, the Fibres are dryer, harder, and more firmly in Contact with each other; for that Reason they are more difficultly sepa- rated, and harder to be digested. But however, Sea-Salt, or Rock-Salt, being fixed and of the same Nature, of all Season- ings is the best, without which no Food is good, and is used by Mankind in their Ali- ments for the following Reasons. 1. That thereby the Food may descend easier into the Stomach, and render it more savoury. 2. Be- cause it resists Putrefaction; consuming by its Dryness, that Moisture whereby Putrefaction might have been occasion'd. 3. It excites the Appetite, and digestive Faculty, and pre- vents Nauseating. 4. It dissolves, attenuates, and dries up the superfluous Moisture, pro- vokes the Bowels to discharge the Excrements, and is therefore used in Clysters and Supposi- tories. Besides, as all animal Substance contain no fix'd Salt, they want the Assistance of those, in order to promote Digestion, which preserve them both within and without the Body from Putrefaction; and as these fix'd Salts pass unalter'd thro' all the Strainers of a N4 human 200 A GUIDE to HEALTH Part II. human Body, the moderate Use of them is very proper to preserve Bodies through which they pass from Corruption. But on the other Hand, the immoderate Use of Salt produces a Multitude of woeful Disorders; such as Melancholy, Vapours, and bad Nourishment; it dries up the Blood, and causes the Muriatick, or Briny-Scurvy, Scab- biness and Itchy Ring-worms or Tetters, and even the Leprosy, with a great many other foul Humours and Eruptions in the Face and other Parts of the Body; and likewise it occasions Obstructions in the Urinary Passages, which oftentimes produce Ulcerations, Stone, and Gravel in the Kidneys and Bladder. And it will easily appear, that Salt can produce all these bad Effects, if we consider that Salts consist of hard and plain Surfaces, and in all Changes recover their Figure, and unite the most firmly of all Bodies whatever; for their plain Surfaces bring many Points in- to Union and Contact, and their Hardness and constant Figure render them durable and un- alterable; and thereby the active Principle, and Origin of the Qualities of Bodies, if in a Strict Sense there be any such Thing as a Principle; and when they approach within the Sphere or Limits of one another's Activity, they firmly unite in Clusters, all which ren- der the Separation of their original Particles the more difficult, and by that Means they obstruct the cuticular Glands, which are the Emunctories or Strainers of the whole Body, thro' Ch. VI. thro' the various Stages of Life. 201 thro' which not only the peccant Humours pass, but likewise the greatest Part of the Li- quors we drink, after having convey'd the Aliments into the Blood, being part of their Office, and in the next Place to dissolve the saline or terrestrial Particles to be carried off thro' the Glands of the Skin and Kidneys. So that when Salts adhere and unite in Clusters in the excretory Ducts of the Glands of the Skin, or the Kidneys, in the former they stop and pen in between the Scales of the * Scarf-skin the excrementious Humours, which ought to be carried off by insensible Perspiration, and thereby corrode the Skin, and produce Scur- vies, and other cutaneous Eruptions; in the latter, they cause Inflammations, Ulcera- tions, Suppression of Urine, and, as I have ob- served before, Stone and Gravel. Thus we may plainly see, how the immoderate Use of Salt is capable of producing not only all the disorders already mentioned, but likewise a great many more in the animal Oeconomy, Honey is the most accurate or exact Pro- duction of the vegetable Kind, perform'd by the Bee, being a most exquisite vegetable Soap, resolvent of the Bile, balsamick and pectoral: It is likewise detersive and opening, provokes * It is the outermost Covering of the Body, and is that soft Skin which rises in a Blister upon any Burning, or the Application of a Blistering-Plaister. It sticks close to the Surface of the true Skin, to which it is tied by the Vessels which nourish it, tho' they are so small as not to be seen. 202 A GUIDE to HEALTH Part II. provokes Urine, and cleanses its Passages, and is excellent for old and phlegmatick People of a cold Constitution; for it warms the Sto- mach, moves the Body, resists Corruption, and breeds good Blood; but sometimes it causes Wind and Gripes in some Constitutions. Oil of Olives is sweet and pleasant, and very agreeable to Nature; and it is best when two Years old, and ought to be made of ripe Olives. Oil of Sweet Almonds, when fresh drawn, is next to it in Goodness, and much properer for Sick People, it being of a cooler Nature, and more easily digested, tho' not so agreeable to the Palate. Oil fattens, and taken in great Quantities, is excellent to expel Poison by vomiting, and by sheathing the Coats of the Stomach from its corrosive Salts; but eating Oil too often destroys the Appetite, because all Oils are very hard to be digested, as I have already proved. Vinegar: The best is that which is made of the best Wine: It is an Acid of very pe- culiar Quality, different from that of all other Acid; for it is cooling, and yet not coagu- lating; for it gently dilutes the Serum of the Blood, as has been often proved by Experi- ments. It is inciding, digestive, and opening. It is good against the Redundancy of Bile, and to extinguish the Heat of Choler and Thirst. It strengthens the Gums, excites the Appetite, removes Obstructions, helps Diges- tion, and is good for hot Stomachs, and re- sists Ch. VI. thro' the various Stages of Life. 203 sists Putrefaction; therefore it is very useful a- gainst pestilential Diseases, especially in Time of the Plague: But too much Use of it breeds melancholy Humours, injures the Nerves, emaciates some Constitutions too much, offends the Breast, and makes People look old and withered, with pale Lips. CHAP. VII. Of the Power of Aliments upon human Bo- dies, with their good and bad Effects. ALL Bodies which can be changed into the Fluids and Solids of our Bodies by the animal Powers, are called Aliment, as has been observed in the first Paragraph of Chap. VI. And to take it in the largest Sense, by Aliment is understood every Thing which a human Creature takes in common Diet, as Meat, Drink; and Seasoning, as Salt, Spice, Vinegar, &c. Our Food therefore consists, not only of such Particles as are proper for the Nourishment and Support of the Body, but likewise contains in it certain active Principles, such as Salts, Oils, and Spirits, &c. which are endued with such Properties, as both to vellicate and sti- mulate the Solids, to quicken the Circulation, and by attenuating the Fluids, render them more 204 A GUIDE to HEALTH Part II. more fit to undergo the necessary Secretions of the Body. The Art then of preserving Health, and obtaining long Life, chiefly consists in a Mediocrity of such Diet as neither increases the Salts and Oils, so as to produce Distem- pers, nor too few, so as to suffer the Solids to become too much relaxed; and if this desirable Medium be attained, by following the common ordinary Diet of the healthiest People in any Country or Climate; that is then, indisputably, the best Method in general to prefer Health. For it is certainly true, that the infinitely wise Creator has provided Food proper and peculiar to every Country and Climate, which is best for the Support of the Creatures he has placed therein, as may be seen by the Chear- fulness and Health of the middling Sort of People of all Nations, who use only a simple Diet, without lusting after voluptuous or fo- reign Delicacies. Yet the Diseases of human Bodies often require Substances of more active Principles than what are found in common Aliment, in order to produce sudden Altera- tions; but where such Alterations are not necessary, the same Effect may be obtained by the repeated Force of Diet, with more Safety to the Body, where the sudden Changes are less to be apprehended. The smaller Ac- tivity of the Aliment is compensated by its Quantity; for according to the Laws of Mo- tion, if the Bulk and Activity of Aliment and Medicines are in reciprocal Proportion, the Ef- fect will be the same; for they both only bring about Ch. VII. thro' the various Stages of Life. 205 about the Effect, by acting either upon the So- lids or Fluids, or upon both; upon the first, by stimulating, contracting, or relaxing; upon the last, by attenuating, coagulating, or ren- dering them acrimonious or mild, or by in- creasing or diminishing their Motion through the Vessels. That all these Actions can be performed by Diet as well as Medicine, is evident from Reason, Experience, and in some Cases by ocular Demonstration; as in Chirurgery, in Wounds and Sores, where the Influence of Diet upon them is plainly seen; for a Diet too relaxing weakens the Spring of the Ves- sels so much, that they cannot sufficiently re- sist the Influx of the Liquid, and so begets a a Fungus, or proud Flesh; and when too as- tringent, it produces a Cicatrice, or callous Substance. The Effects of warm Water and mealy Substances in relaxing; of Spirits, in stopping Hæmorrhages, or Fluxes, and conso- lidating the Fibres; the Power of Alkaline Absorbents in subduing Acidity, and Oil in stopping Perspiration, is very well known to both Physicians and Chirurgeons. All those Substances which stimulate the solid Parts, produce the greatest Alterations in animal Bodies; for violent Sneezing pro- duces Convulsions in all the Muscles of Re- spiration, and an universal Secretion of all the Humours, as Tears, Spittle, Sweat, Urine, &c. And even all this Alteration can be pro- duced by the tickling of a Straw or Feather; there- 206 A GUIDE to HEALTH Part II. therefore acrid or sharp Substances, that are minute enough to pass into the capillary Tubes, must stimulate the small Fibres, and irritate them into greater Contractions. And many Things which we take as Food, or with our Food, have this Quality in some Degree: Such as the Juices of acid Vegetables, fermented Liquors, especially sharp Wines, and ferment- ed Spirits; aromatical Vegetables, as Savory, Fennel, Thyme, Garlick, Onions, Leeks, Mus- tard, all which abound with a volatile pungent Salt; and, in short, all Spices in general, and all Vegetables, which being corrupted, easily re- solve themselves into a fœtid, oily, alkaline Substance. The solid Parts of an animal Body may be contracted variously: First, by dissolving their Continuity. For as a Fibre is cut through, it contracts itself at both Ends; therefore all Things that are so sharp as to destroy the small Fibres, must contract them. Secondly, Whatever empties the Vessels, gives Room to the Fibres to contract; so that Abstinence produces this Effect in the best Manner: And whatever shortens the Fibres, by insinuating itself into their Parts, as Water in a Rope, contracts them; and fermented Liquors pos- sess this Quality in a great Degree. The more sulphurous or chymical Oil any Spirit contains, the more pernicious it proves to the human Body, because it is harder to be wash'd away by the Blood; therefore Brandy is more easily carried off than Spirit of Ju- niper; Ch. VI. thro' the various Stages of Life. 207 niper; and that than Spirit of Annise-seed or Rum. Compound aromatical Spirits destroy, first, by their fermentative Heat; 2ndly, By their oily * Tenacity: 3dly, By a caustic Quality residing in all Spices apt to destroy the solid Parts. However these Qualities may tender them proper in some Cases, taken in small Quantities. Austere acid Vegetables have this Quality of contracting and strengthening the Fibres, without a great many of the bad Effects of distilled Spirits, such as all Sorts of Sorrel, the Virtues of which consist in an acid, astrin- gent Salt, which is a Sovereign Remedy a- gainst a putrescent, bilious Alkali; and seve- ral kind of Fruits, as Quinces, some Sorts of Pears, with the Marmalades made of them; likewise Medlars, Capers, Barberries, Pome- granates, and Purslain, all such are easily distinguish'd by a rough and styptic Taste. And amongst Drinks, austere Wines, unripe Fruits likewise have the same Quality; but they are apt to cause foul Eruptions on the Skin, to obstruct the Nerves, and occasion Palsies. Relaxing the Fibres, is rendering them flexible, or easy to be lengthen'd without Rup- ture or Breaking, which is perform'd only in the capillary vascular Solids. Of all Liquids endued with this Quality of relaxing, warm Water is the first; and next to it, the watery Decoctions and Infusions of Mealy * Adhering or sticking together. 208 A GUIDE to HEALTH Part II. of Mealy Vegetables, or Grains, as Oats, Bar- ley, &c. likewise all sweet and mild Garden Fruits, and almost all Pot-Herbs, as Spinage, Beets, Cabbage, Coleworts, and all that Class; lactescent Plants, such as yield a milky Juice, as Lettuce, Succory, and Dandelion, if un- fermented, for Fermentation changes their Nature; also fresh oils of mild Plants, or Nuts, Cream, Butter, Marrow, and Whey; all which Things help to weaken and relax the Fibres, and are therefore proper Reme- dies for a too rigid, strong, or elastic State. The Qualities of the Fluids of a human Body can be likewise chang'd by Diet; as by attenuating or diminishing the Cohesion of the Particles of the Fluid: and the Cohesion of the Particles depends upon the Weight and Quantity of Fluids; therefore Abstinence and a slender Diet attenuates or thins them, be- cause emptying the Vessels gives room to the Fluid to expand or dilate itself. Besides, whatever penetrates and dilutes at the same Time, as Water impregnated with some pe- netrating Salt, attenuates very powerfully; and the great Effects of medicated Waters may be justly ascrib'd to this Quality; likewise all saponaceous Substances composed of Oil and Salt, such are Honey, and the Robs and Gellies of most Fruits; Vinegar and Honey mix'd is a powerful Resolvent. All stimula- ting Substances, by increasing the Motion of the Blood, attenuate, unless they increase the Motion Ch. VII. thro' the various Stages of Life. 209 Motion so much, as at last to produce Coagu- lation. The second manner of operating upon the Fluids is by thickening the Blood, which is perform'd by dissipating the most liquid Parts of it by Heat, or by insinuating some Sub- stances which make the Parts of the Fluid cohere more strongly: and the acid, au- stere Vegetables just now mention'd, have this Quality of condensing the Fluids, as well as strengthening the Solids. Another manner of operating upon the Fluids, is by increasing or lessening their Quantity: and the first is effected by a plen- tiful Diet, and the Suppression of Evacuations; the latter, either by a spare Diet, or promo- ting the animal Secretions, that is, expelling the Fluids out of the Body; which may be perform'd by Substances that are laxative, as animal Oils, fresh Butter, Cream, Marrow, or fat Broth; the Oils of mild Vegetables, as that of Olives, Almonds, and the Fruits themselves; likewise all oily and mild Fruits, as Figs, and most Garden Fruits, by the Salts they contain, lubricate the Intestines; and some saponaceous Substances which stimulate gent- ly, as Honey, Hydromel, or boil'd Honey and Water, and even brown Sugar. Besides, Sub- stances that are diuretick, are proper for this Intention, such as Whey, and Salts of all Kinds, Parsley, Celery, Sorrel, Chervil, As- paragus, Eringo, and Nutmegs, &c. O Acrimony 210 A GUIDE to HEALTH Part II. Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies, either by Sickness, as in Cachexies, or ill Habits of Bodies, and Scurvies, &c. or by Diet that is either briny or acid, which con- sists of two Sorts, that is, of Things natural- ly acid, or render'd so by Fermentation; or alkaline aromatick Substances, consisting of Salts, and highly exalted Oils intimately uni- ted, which by increasing the Velocity of the Blood beyond what is natural, occasions an Attrition of the Parts, and thereby disposes the Blood and Juices to an alkaline Acri- mony. But the Juices of found Animals consist of Water impregnated with Salts of a peculiar Nature, which are neither acid, nor perfect- ly volatile; for, in the Evaporation of hu- man Blood by a gentle Fire, the Salt will not rise, but only the Spirit and Water, nor per- fectly fix'd; for human Blood calcin'd, yields no fix'd Salt, nor is it a Sal Ammoniac; for that remains immutable after repeated Distil- lations, and Distillation destroys the ammonia- cal Quality of animal Salts, and turns them alkaline. So that it is a Salt neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline, nor yet quite ammoniacal; but soft and benign, approaching nearest to the Na- ture of a Sal Ammoniac. Hence we may easily perceive, that the elementary Salts of found Animals are not the same as they appear by Distillation; for these Alte- Ch. VII. thro' the various Stages of Life. 211 rations are produc'd by Fire: and those Salts are of a peculiar, benign and mild Nature in healthy Persons, who have * vital Force to subdue all the Substances they feed upon; but in such who have not that vital Force, or commit some Errors in their Diet, these Salts are not sufficiently attenuated, and retain their original Qualities, which they discover in Cachexies, or ill Habits of Bodies, Scurvies of several Kinds, and many other Distempers; the Cure of which chiefly depends upon the Choice of Aliment with Qualities opposite to the Nature of these Salts. Acrimony in the Blood commonly consists of three Sorts, according to the Nature of the Salts in which it resides; that is, either Acid, Alkaline, Muriatic, or briny, as in the Sea- Scurvy; but this last approaches more towards the alkaline State, and admits of the same Cure. Acid Acrimony resides chiefly in the first Passages, that is, the Stomach and Inte- stines, proceeding often from the Weakness of Digestion, and the too long Duration of Vegetables, and Milk, or fermented Liquors the Stomach. All animal Substances are alkalescent; and of Vegetable Substances some are acid, others alkalescent, and each Sort is to be used according to the two different In- tentions hereafter mention'd. O2 The * By vital Force, is understod the Sum of all these Pow- ers in an animal Body, which convert; his Aliment or Food in- to its own Nature. 212 A GUIDE to HEALTH Part II. The proper Diet for the Cure of the acid Acrimony, are Vegetables of all Kinds, as Garlick, Onions, Leeks, and Celery; the an- tiscorbutick Plants, as Cresses, Brooklime, Scurvygrass, &c. Carrots, Turnips, Pota- toes, Eringo Roots, Asparagus, Horse-radish, Mustard, and Cabbage. All animal Substan- ces being likewise Alkalescent, or contrary to Acidity, are also very proper Food in this Disorder, more particularly all Fishes of the Shell-kind. Water, by its diluting Quality, subdues Acidity very powerfully. Oils are Anti-acids, so far as they blunt Acrimony; but as they are sometimes hard of Digestion, they may produce Acrimony of the alkaline Sort. The alkaline Acrimony being opposite to the former, is cur'd by a proper Diet made of the Decoctions of farinaceous or mealy Substances, especially such as are made of Oats are proper, as having an acescent Qua- lity. Therefore this alkaline Acrimony requires a plentiful Use of Vinegar, and acid Fruits, such as Oranges, which contain a Juice most effectual in the Cure of the muriatic or briny Scurvy of Sea-faring People; the Juice of Lemons is likewise proper, and more cool- ing and astringent than that of Oranges: and in this Case all the mild Antiscorbuticks are indicated, as Sorrel, Cichory, Endive, Lettuce, and Apples, &c. and of Liquids Whey. On the contrary, all the acrid Antiscorbuticks, as Horse-radish, Mustard, and Scurvygrass, &c. are very hurtful in this, and all other hot Scurvies. Other Ch.VII. thro' the various Stages of Life. 213 Other Sorts of Antiscorbuticks proper in this alkalescent State of the Fluids, are called Astringents, such as Pomegranates, Capers, and most of the common Pickles prepar'd with Vinegar, And as the Extremity of Al- kali is Putrefaction; so all acid Substances, and Sea-Salt, resist such a putrescent Quality in the Fluids; but as the latter is a sharp solid Body, and unalterable in all the Circulations of the animal Body, and when it is taken constantly in a Diet of Salt Meat in too great Quantities, (as I have taken Notice of in the latter End of the preceding Chapter) it breaks the Vessels, produces Erosions of the solid Parts, and all the Symptoms of the briny Sea-Scurvy, which is to be cur'd by acid Ve- getables, and not by the hot Antiscorbutics, as I have just now observ'd. There are other Sorts of Substances which are proper in the Cure of both Sorts of Acri- mony, which are demulcent or mild, because they sheath these sharp Salts, as farinaceous or mealy Pulse, such as Pease, Beans, Len- tils; native Oils of Animals, as Cream, But- ter, Marrow. Likewise all Plants that are without Smell or pungent Taste are demulcent; and also all the alimentary Parts of found Ani- mals; for none of their Juices will hurt or smart either the Eye or a fresh Wound. As Liquors make a considerable Part of our Aliment, it will not be improper to give a short Account of their principal Qualities in O3 this 214 A GUIDE to HEALTH Part II. this Place, before I treat of different Consti- tutions, with the Diet proper for each in Par- ticular. Drink being an essential Part of our Food, is either Water, Milk, or Whey; or ferment- ed Liquors, such as Malt Liquors of different Sorts, Cyder, Wines, or a Mixture of these: And as the chief Intentions of Drink are, 1st, To moisten and convey our Food into the Stomach, and the Nutriment thereof to the respective Parts of the Body, and to allay Thirst; 2dly, To dilute the Blood, that it may circulate through the minutest Vessels; 3dly, To dissolve and carry off; by Urine and Perspiration, the superfluous Salts we take in our Food, which are unalterable in a human Body, as I have observ'd in one or two Places already: so pure Water answers all these Intenti- ons best, except in some few Cases hereafter mentioned; for no Liquor that we drink will circulate so well, or mix with our Fluids so im- mediately as Water; because all other Liquors we drink are impregnated with Particles that act strongly either upon the Solids or Fluids, or both; but as Water is the only simple drinkable Fluid, and being altogether inac- tive, so it is the fittest and most innocent Li- quor for diluting, moistening, and cooling; which are the chief Ends of Drink pointed out to us by Nature: Besides, nothing will dissolve Salts and carry what is superfluous of them out of Body, so well as pure Water, that Ch. VII. thro' the various Stages of Life. 215 that being the proper Menstruum or Vehicle for dissolving all Kinds of Salts. The benign, mild, and other useful Qua- lities of Water plainly shew, that it was de- sign'd by the most wise Creator for our com- mon Drink; and, without doubt, was the primitive original Drink: And happy had it been for Mankind that other mix'd and arti- ficial Liquors had never been invented; for Water is so necessary to our Subsistence, that we could not live a Moment without it; be- cause this Element furnishes all the fluid Parts of our Humours, without which they could not circulate; and it dissolves all the Salts in the Blood, whereby some are carried to their pro- per Places within the Body, and others to proper Emunctories for their Expulsion from it. It serves to prepare our Food, and then for a Vehicle to convey it out of the Stomach into every little Meander of the Body, both for Health and Nourishment: So that Water alone is sufficient and effectual for all the Purposes of human Wants as to Drink. Therefore it is evident from what has been said, that Water is the best and most whole- some Drink in general; but in some Constitu- tions, where something is necessary to warm and act as a Stimulus, then fermented Li- quors taken in Moderation are proper, such as Beer, Ale, Cyder, Wine, &c. the Quan- tity and Choice of which depends upon the Age, Constitution, and Manner of Living of the Drinker; for in Youth, Milk, Water, or O4 Whey 216 A GUIDE to HEALTH Part II. Whey are the properest, and in a middle Age a little more generous Liquors may be some- times allow'd; but most of all in old Age; for according to the old Saying, Lac senûm est Vinum, Wine is old Men's Milk. As to Malt Liquors, small Beer well boil- ed, and of a due Age, is the best for common Drink; otherwise it must be very hurtful to Persons of weak Nerves and flow Digestion; for by fermenting anew in the Bowels it will fill the whole Cavity of the Belly with Fumes and Vapours, which will at last produce very bad Effects in a weak Constitution. As for strong Beer, it should be made of Water that will bear Soap; be well hopp'd and boil'd, that it may keep till all the gross and viscid Parts fall to the Bottom of the Vessel, without the Help of any pernicious Composition for fining Liquors, too frequent- ly made Use of to the Destruction of thou- sands; for it is very notorious, that all your fine Ales, or Home-brew'd, as they are call'd, have neither due Age or Hops enough to cla- rify of their own Accord, being brew'd one Week and drank the next, or soon after; so that the Seller is obliged to have Recourse to some Art or other to fine them down, which is very often with unslack Lime, or at best a Mixture of Ising-glass *, and other Ingredients * Is a very strong Glew, made of a Kind of Fish catch'd in great Quantities in Rivers in Hungary and other Parts: It is used by Cabinet-makers, and sometimes ordered as a Medicine to stop Fluxes and Seminal Weaknesses; but it is very improper for Ch. VII. thro' the various Stages of Life. 217 very destructive, if not poisonous, to many Constitutions: Besides, these Liquors are of so agglutinating and thickening a Nature, as to produce Stone, Gravel, Gout, Bloatedness, and great Thirst, with the Loss of Appetite: And to prove the agglutinating Qualities of all such Liquors, it is experimentally known, that they make excellent Bird-lime; and when simmer'd for some Time over a slow Fire, make the most sticking and best Plaister for old Strains. We have likewise convincing Reasons to have the same Opinion of the Yorkshire, Not- tingham, and Welch intoxicating Ales; and, in short, all fine Ales brew'd for Sale: For it is certainly true, that all these fine Liquors, far fetch'd and dear bought, have always some- thing in their Composition hurtful to our Con- stitution, more than meer Water, Malt, and Hops; therefore I would advise all those, who have any Regard for their own Health or Lives, to avoid, as much as possible, the use of all such Liquors, and more especially the valetudinary, sedentary, studious, and contem- plative People; and, in fine, all such as have weak Nerves and slow Digestion. As the frequent Use and Excess of Drams, or distill'd Spirituous Liquors, is a Vice of so horrid for such as are otherwise in good Health; for the constant Use of it will produce Gravel, Stone, Blotches, and Eruptions on the Skin, by glewing up as it were the Urinary Passages, and likewise stopping insensible Perspiration; and, in short, it will produce the same bad Effects in human Constitutions, as the common Glew used by Joyners and Carpenters. 218 A GUIDE to HEALTH Part II. horrid a Nature in itself, and now become epidemical, not only among Mechanicks and Tradesmen, but among Persons of the brightest Genius, and finest Taste and Accomplish- ments; and, alas! even among the finest Part of the Creation, I mean the Fair Sex; and those of them too, which is still more a- stonishing, who are in all other Respects blameless, and of the strictest Virtue! I say, as the Case is so, it will not be improper to explain the poisonous Qualities and direful Ef- fects of such pernicious Liquors, which de- stroy Millions, both in Body and Soul. Let us then consider, that distill'd Spirits are but an Accumulation of fine Salts and light Oil, compacted together into the smallest Bulk; the Salts are so hard and solid as naturally to re- tain their Heat and Activity the longest, into which Water cannot enter; the Oil † is so inflammable, that it most readily receives Heat and Fire, and by that Means defends the Salts from the Power of Water over them: So that in the continued Distillation of Spirits, this † They are guilty of a gross Error, who imagine that the more oily any distill'd Spirit is, the more wholsome it will prove to the Constitution; for they do not consider that it is a very subtile, sulphurous, chymical, inflammable Oil, blended with Portions of very fine Salts, raised by the Force of Fire, and that it is quite different in its Nature and Quality from the benign and pectoral Oil of Olives or Sweet Almonds, or any other express'd Oils produced without Fermentation or Fire. Hence it is evident that Rum, or double-distill'd Spirit of Annise-seeds, and Spirits distill'd from aromatick Plants, are much more difficult to be digested and carried off than Brandy, or Spirit of Juniper; and that for no other Reason, than that they contain too great a Quantity of burning Oil. Ch. VII. thro' the various Stages of Life. 219 this Action of the Fire is so strong as to re- duce the Spirits at last into liquid Flames, which will, of their own accord, evaporate in visible Flames and Fumes. Besides, it is observable that every Thing that has pass'd the Fire so long a Time as to divide and penetrate its Parts as far as it pos- sibly can, retains ever afterwards a corrosive and burning Quality. This is manifest from the firey and burning Touch and Taste of new- distill'd Spirits; as also from the burning of a Lime-stone, which retains its heating and drying Quality ever after, tho' extinguish'd by Water. Hence it will manifestly appear, that run- ning into the frequent Use and Habit of Dram- drinking will as certainly kill as Laudanum, or Arsenick, tho' not so soon; for such Li- quors contract, harden, and consolidate many Fibres together, abolishing many Vessels, or Canals in the Body, especially where the Fi- bres are the tenderest, as in the Brain, by which Quality they destroy the Memory and intellectual Faculties, abrade and wear off the villous Coat of the Stomach, and thereby ex- pose its nervous Coat to the Insults of the most firey, corroding, saline, and caustick Particles of the Spirits; by which means the Springi- ness or Elasticity of the Fibres is so weakened, that the whole Stomach becomes at last soft, flabby, and relax'd. Hence a Loss of Appe- tite, and an Inability to digest the small Quan- tity of Food that is taken in; whence arise Cru- 220 A GUIDE to HEALTH Part II. Crudities, Nauseas, Vomitings, Tremors, ner- vous Convulsions, Consumptions, Dropsies; likewise Gout, Stone, Rheumatism, raging Fe- vers and Pleurisies, which for the most part nothing but Death alone can remove at last. What a melancholy Scene do we daily be- hold, in all Parts of this great Capital, of Numbers of miserable Creatures, render'd not only useless to themselves, to their Families, Friends and Relations, but likewise burthen- some to the Publick, and a Scandal to both Chri- stianity and the rest of their Fellow-Subject! And all this great Calamity entirely ow- ing to the Folly of a bewitching Habit of Dram-drinking. And what is still most sur- prising, we see even the Moral, and the Sen- sible, bound in these Chains and Fetters, that nothing less than Almighty Grace, or the un- relenting Grave can release them; for they are deaf to Reason, and to their own Experi- ence, and even to the express Words of the Scripture, which says, That the Drunkard shall not inherit the Kingdom of Heaven. From this Doctrine it will appear, to the Evidence of a Demonstration, that next to Drams, no Liquor deserves to be stigmatized and detested more than Punch; for it is a Composition of such Parts, that not one of them, except the pure Water and Sugar, is wholsome, or friendly to any Constitution, espe- cially to valetudinary, tender, weak, and studious People. The chief Ingredient being either Arrack, Rum, Brandy, or Malt-Spirits, and all Ch. VII. thro' the various Stages of Life. 221 all of them rais'd by Fire, from the fermented Juices of Plants brought from hot Countries, or which have born the Heat of the Sun longest in our own Climate; for it is observable that Vegetables, whose Juices have most Solar Heat in them, their fermented Juices yield the strongest Spirits in Distillation. The other principal Part of the Composition being sour Juice of unripe Oranges or Li- mons. And if we consider, that the Juice of a Crab-Apple, of unripe Goosberries, or Grapes, or even the Juice of Sorrel, would come up at least to their Virtue in extinguish- ing the Heat of the burning Spirits, if not to their Flavour; And yet every body who is not depriv'd of his Senses, must know how destructive an Ingredient such Juices would be to the fine Fibres of the Stomach and Bowels. For it is evidently true, even from Experi- ence, that all fermenting Juices, such as these are in a very great Degree, must be highly injurious to the human Constitution; for meeting with Crudities in the Bowels, they must raise a new Struggle or Fermentation there, and so fill up the whole Cavities of the Body, with acrid Fumes and Vapours, which is ex- tremely prejudicial to the Bowels, especially when the Constitution is tender and weak. And in the West-Indies, where the People are forced to drink much Punch, by reason of the Violence of the Heat, and for Want of other proper Liquors there, tho' the Limons and 222 A GUIDE to HEALTH Part II. and Oranges are in full Perfection, yet the Inhabitants are universally afflicted with ner- vous and mortal Dry-Gripes, Cramps, Pal- sies, and Convulsions, which kill them in a few Days, and all intirely owing to this poisonous Mixture, Punch. Notwithstanding what I have advanced against the deliterious † Qualities of Drams and Punch, at least when taken for any Con- stancy, or in any great Quantity, for some Poisons are only so by their Quantity, yet I would not be understood here to discourage the innocent Means of enlivening Conversa- tion, promoting Friendship, comforting the Sorrowful, and raising the drooping Spirits, at proper Times with a chearful Glass of some good wholsome Liquor or other; for the Sober can receive no Prejudice from a mode- rate Use of Liquors: On the Contrary, it will help to invigorate and re-establish the Constitution, especially after the Fatigues of Labour or Study. Neither am I against the taking a proper cordial Dram sometimes, as in an actual Fit of the Colick or Gout in the Stomach; or upon a full Meal of Fish, Pork, &c. when a Glass of good Wine cannot be had. But the Frenzy of being given to the too frequent Use and Excess of Liquors, is abo- minable; for a Sot is the lowest and the most contemptible Character in human Life; and as for the Profligate, the Sensual, and Vo- luptuous, † Poisonous. Ch. VII. thro' the various Stages of Life. 223 luptuous, they are past reclaiming, and there- fore deserve no Advice, at least they will take none. However, I present them here with a short Sketch of the Effects of Drunkenness, to contemplate upon at their Leisure, if they can spare any Time from the bewitching Folly of sotting and drinking. The Effects then of Drunkenness render the Blood inflamed into a Gout, Stone, and Rheumatism, raging Fevers, Pleurisies, Small- Pox, or Measles. 2. The Passions are enraged into Quarrels, Murder, and Blasphemy; the Juices are dry'd up; and the solids scorched and shri- velled. 3. A Resolution of the Nerves, Cramps, and Palsies. 4. Inflation of the Belly and Dropsies. 5. Redness and Rheums, with an Inflamma- tion in the Eyes. 6. Tremblings in the Hands and Joynts, Head-Aches, Quinsies, and Scurvies of all Kinds. 7. Sicknesses at the Stomach, with four Belchings, Reachings and Vomitings. 8. A furious and unmanageable Disposition to Lust, which hurries them to the base and sordid Company of Harlots, and impure Wo- men, by whose Means they most commonly acquire a foul Disease, under which they often labour for the greatest Part of the Remainder of their Lives, in Shame and Tor- ments; 224 A GUIDE to HEALTH Part II. ments; nay some become incurable, and even rot by Piece-meal, before their Dissolution. 9. A Decay of Memory and Understanding, Loss of Credit and Reputation. 10. An Unfitness for Business, or the Dis- patch of the Affairs of Life; and a Readiness of discovering all Secrets. These, with a great many more, are the bitter Fruits of Drunkenness, even in this Life; and in the next, according to the express Words of holy Writ, will be re- warded with everlasting Miseries, as being thereby excluded the Kingdom of Heaven. A short Account of different Wines in gene- ral. As it would be endless to enter into a long Account of the diffe- rent Qualities of all Sorts of Wines, therefore I shall only say in gene- ral, that all the light Wines, of a moderate Strength, due Age, and full Maturity, are much more wholsome for the Constitution, and preferable for Conversation, Cheerfulness, and Digestion, than the rich, hot, strong and heavy Wines: For the light Wines inflame the Juices of the Body less, and go off the Stomach with less Difficulty; they likewise afford longer Time for Conversation and Cheerfulness, with less Danger. Red Port Wine is strong and astringent; but white Port and Spanish Wines are stimu- lating and attenuating. French Wines are lighter, and not so strong as the Portugal and Spanish Wines; which renders them 2 whol- Ch. VII. thro' the various Stages of Life. 225 wholsomer for thin and dry Constitutions. Fine old Rhenish and Moselle Wines are very wholsome, especially the Former, which is exceedingly good for most Constitutions. Strong made Country Wines are prejudicial to all Constitutions, being very windy, heavy, and heady, taken in any considerable Quan- tity; therefore it is surprising the extreme Fondness People of the better Sort in England have run into, for such Liquors; and for no other Reason that can be thought of, than the only one the Vulgar give for drinking Brandy or Gin, that they sooner intoxicate them. The last Thing I have to say concerning Liquors, is, that Wine, and all other strong Liquors, are as hard to digest, and require as much Labour of the concoctive Powers, as solid and strong Food itself; and this is not only evident with respect to Persons of weak Stomachs and Digestion, but also from strong and healthy People, who only drink either water or Small Beer at their Meals, and shall be able to eat and digest almost double the Quantity of what they could, did they drink strong Liquors. Therefore it appears very Plain, that we should always drink very little strong Liquors at our great Meals, otherwise we must certainly impair the Constitution, and load it with various Diseases at last; for such Liquors, by their Heat and Activity, hurry the Food unconcocted into the Habit of the Body, and by that Means lay a Founda- P tion 226 A GUIDE to HEALTH Part II. tion for Fevers, Colicks, and several chronical Distempers. CHAP. VIII. Of different Constitutions, the Diet proper for each. ALthough I have given an Account of Tem- peraments or Constitutions in general in the Begining of Part I. Chapter I. of this Treatise; yet it will be necessary to treat of them in a more peculiar Manner in this Place, that every one may easily know the Nature of his own in particular. And as I have explained the Na- ture and Qualities of Aliment, in the two preceding Chapters, with their good and bad Effects upon human Bodies, it will be like- wise necessary to lay down Rules of Diet pro- per for each Constitution in particular, in this Chapter, by which Means it will not be diffi- cult for any one to observe a sure and easy Method in regard to what may be either use- ful or prejudicial to his own Constitution in particular, in order to preserve Health and prolong Life; or when impair'd, to restore it again, which are the chief Ends of the noble Art of Physick. A general Method as to Diet, without re- gard to particular Constitutions, is absurd. 3 The Ch. VIII. thro' the various Stages of Life. 227 The most common Difference of human Constitutions proceeds either from the solid † Parts, or from the different State of the Fluids, (as I hinted in the first Part of this Book.) From the former, as to their different Degrees of Strength and Tension; for in some Constitutions they are too lax and weak, in others they are too strong and elastick; from the latter, as they consist of Water, Spi- rit, Oil, Salts, and earthy Parts, they differ according to the Redundance of the Whole, or of any of the said Ingredients in particular; and for which Reason they may be justly called either plethorick, sanguine, phlegmatick, saline, oily on fat, earthy or melancholick Con- stitutions. The Fibres of the Solids in a human Body are too weak and lax, when the Cohesion of their Parts is so small, that they may be re- solved or broken by a Force not much greater than what happens commonly in the Body of a healthy Person; and when the Weakness of the Vessels or Organs, proceeding from a too small Cohesion of their constituent Parts, renders them unable to discharge the com- mon Functions of Life, consider'd in a State of Health. And notwithstanding there is a Debility or Weakness of Fibres in Infants, yet it is no P2 Disease, † The Solids of an animal Body are composed of small Fi- bres or Threads, which may be divided into still less; and this Division proceeds so far, as that at last they become so incre- dibly small, as to exceed the Power of Imagination; but Reason tells us that there must be an End at ast. 228 A GUIDE to HEALTH Part II. Disease, because they lengthen by the Influx of the Liquids, which is the Cause of their Growth; but in grown Persons, when their Fibres cannot any more give way or stretch, they must either break or lose their Spring. The common Causes of Weakness of the Fibres are, either a Defect or great Loss of the nutritious Juices; for if there is not a Sufficiency of Blood, the Chyle cannot be ea- sily assimilated to nourish the Fibres. And People who lose great Quantities of Blood daily, by Blood-letting or otherwise, become dropsical; for when a Fibre, which is natu- rally elastick like a Bow, loses its Spring, it is only passive, and consequently useless to the Individual. Likewise Nourishment too glu- tinous or viscid to be subdued by the concoc- tive Powers of Digestion. Also a sedentary and lazy Life; for Motion or Exercise en- creases the Circulation of the Fluids, and of Course an Application of the solid Parts to- gether. People who live healthy in a dry Air, commonly fall into Diseases that depend upon weak and relax'd Fibres when in a moist one. Lastly, a natural Weakness from the Frame and Constitution of the Body, which is too often the Case. The Sign of weak and lax Fibres are, a weak Pulse, Paleness, flabby and soft Flesh, Palpitations of the Heart, Bloated- ness, Lassitude, and scorbutical Spots; Coldness of the Skin, four Belchings upon taking vegetable Food, or foul Eructations, like that of The Signs of weak Fibres. rotten Ch. VIII. thro' the various Stages of Life. 229 rotten Eggs, after eating animal Food, are also Signs of weak Fibres in the Organs of Diges- tion; likewise Atrophy, or a Decay of the Flesh, which indicates a Destruction or Ob- struction of the Vessels that convey the Nou- rishment; and Dropsies proceed from a Weak- ness and Laxity of the Fibres, as having lost their Elasticity or Springiness to return the Fluid. And, in short, most of all the chro- nical Diseases proceed from Weakness and Laxity of the Fibres. Therefore the chief In- tention of Cure must be to restore the Tone of the solid Parts; for all other Attempts, without this, will prove fruitless. So that they who have weak Fibres ought to forbear all great Evacuations, especially Bleeding, viscid Substances, and all other Food hard of Digestion; they Should likewise avoid a sedentary Life and moist Air as much as possible: They should eat often, but in small Quantites, of such Things as are nourishing, and of easy Digestion, as Milk, Broth, and Jellies made of Flesh Meat, Rice Gruel, Pa- nadas, &c. And their Drink should be some of the light Wines of due Age and Maturity, mix'd with Water, for Water alone is too re- axing; or any good Wine with acidulated and Steel Waters, such as Pyrmont or Spaw, &c. They should likewise use in their Diet austere or acid Vegetables, if their Stomachs can tolerably bear them; such as Pears, Plumbs, Quinces, Pomegranates, Barberries, Medlars, Sorrel, Purslain, Burnet, Tama- P3 rinds. 230 A GUIDE to HEALTH Part II. rinds, Limons, Capers, or any other Pickles they like best. The Fibres are too strong and too elastick, when the Cohesion of their Parts is in such a Degree of Rigidity or Stiff- ness as renders them inflexible to the Causes they ought to yield to, so as to pre- serve the Animal in Health; for too great Elasticity is not only a Quality by which they resist against being lengthen'd, but likewise they restore themselves, by that Means, with too great a Force and Pressure upon the moving Fluids, to the Detriment of the Ani- mal. Too strong Fibres. Rigidity of the Vessels or Organs is such a Degree of Cohesion as prevents their being ex- panded so far as is necessary to carry on the vital Functions *, as usual in a true State of Health. And the Rigidity of the Fibres must necessarily produce a Rigidity of the Vessels and Organs, because the Fibres make up their constituent Parts. The Cause of such a State, besides the na- tural Frame and Constitution of the Body, is old Age, in which the Fibres are conspicu- ously rigid and dry; or too long a Course of such Diet as strengthens the Fibres too much; likewise hard Labour or Exercise. Signs. The Signs of such a Constitution are, a hard, dry, hairy, scraggy, and warm * Vital Functions are the muscular Action of the Heath, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions through their pro- per Organs; and also the Veins, Arteries, and Nerves. Ch. VIII. thro' the various Stages of Life. 231 warm Body., without a Disease, with firm and rigid Muscles, a strong Pulse, Activity and Promptness in the animal Actions *; and such Constitutions are most subject to inflam- matory Diseases. Their Diet should be Things contrary to those already mentioned in the State of too great Laxity of the Fibres; that is, of such Things as are emol- lient and cooling, the Pulps, Jellies, Juices, Mucilages, and Decoctions of Vegetables that are softening and relaxing; such as all Pot- herbs of the emollient Kinds, Lettuce, Ci- chory, Spinage, Beets, Carrots, Barley, Rice, Mays, Millet, Pease, and Beans; animal Oils, such as Cream, Butter, Marrow, and all Things which relax or increase Fat, refrain- ing always from Things season'd with Spice, and with as little Salt as possible, for Salt har- dens the Fibres: Their animal Food should be boil'd Meat and Broths without Seasoning, preferable to any other Form: Their Drink should be Water, Barley-water, Milk and Water, or Whey; avoiding all fermented Spirits and austere Wines, and Pickles of all Kinds, all which are extremely hurtful to such Constitutions. Bathing in warm Water The Regimen. P4 often * Are such, as when perform'd, the Understanding con- ceives Ideas of Things united to that Action; or the Will is either concerned in exciting such Actions, or moved by them when excited; such are the Touch, Taste, Smell, Sight, Hearing, Perception, Imagination, Memory, Judgment, Rea- son, Passions of the Mind, and voluntary Motions. 232 A GUIDE to HEALTH Part II. often is beneficial to such, but immoderate Labour or Exercise very injurious. How the Fluids act upon the Solids of a human Body, so far as to cause Diversities of Constitutions and Diseases, is accounted for in the following Pages, in treating of different Constitutions. The Definition. A plethorick Constitution is such as abounds with too great a Quan- tity of laudable and good animal Juices; the Causes of which are strong Organs of Digestion and Chylification, a good Stomach, plenty of nourishing Diet, little Exercise, much Sleep, Laziness or want of muscular Motion, a moist Air, and a Suppres- sion of some of the usual Evacuations, especially that of Perspiration. Therefore the Cure proper for this Constitution, is to avoid the Causes of it, just now mentioned, and use a more sparing Diet, greater Ex- ercise, and proper artificial Evacuations, in order to restore the natural ones; for The Cause. The Cure. This Constitution is subject to a Stoppage of the Circulation, by too great a Weight of Blood upon the Heart; Rupture of the Ves- sels, Suffocation, and sudden Death. But it is to be observed, that long Abstinence is not proper in the Cure of such a Constitution; for in that Case the most fluid Parts of the Blood fly off, and the grosser remain in the Vessels. Likewise frequent Bleedings, in small Quantities, often increases the Disorder, by augmenting the Force of the Organs of Di- gestion. Ch. VIII. thro' the various Stages of Life. 323 gestion, and by that Means promote Fatness. Persons of such a Constitution should al- ways avoid all oily and too nourishing Sub- stances; therefore Vegetables, being less nou- rishing than animal Food, are more proper; and, by the same Rule, to feed upon Fish pre- ferable to that of Flesh-meat. A sanguine is that Constitution is that which abounds with a great deal of good Blood; and the common outward Sign of such a Constitution, is a florid Colour in the Complexion, a Ful- ness and Blueness of the Veins, and a particular fair and lively Colour of the Skin, without Paleness. Those of a sanguine Con- stitution are subject to frequent Bleedings at the Nose and other Parts, and Inflammations of the Lungs, Impostumations, and often to scrophulous or evily Diseases. Definition. Diagnostick Signs. The Blood is the most universal Fluid in the animal Body, from which all the rest of the Juices are derived; for the red Part of it differs from the Serum, the Serum from the Lymph, the Lymph from the nervous Juice, and that from the several other Humours that are separated in the Glands. The red Globules of the Blood are elastick, and one Globule will break into six small ones, and then turn yellow; those yellow Globules break into others less, and so proceed till they become white and transparent at last; for the Vessels which admit the smaller Globules to pass, cannot admit the larger without a Rupture, 234 A GUIDE to HEALTH Part II. Rupture, or some other Disorder. So that as the Blood circulates thro' the smaller Chan- ness, the Redness will disappear more and more. A strong and free Motion of the Blood will occasion a Floridness upon the Skin of such Constitutions; for such a strong Motion will force the red Part of the Blood into more ca- pillary Vessels, Besides, another Cause com- monly concurring is the greater Transparency of the Vessels, occasioned by the Delicacy and Thinness of their Coats, which is evident from the large Veins of sanguineous Constitu- tions appearing blue and transparent, by the Colour of the Blood circulating in them. And if the Vessels are in a State of too great Rigidity, so as to be inflexible, a strong Motion of the Blood will occasion a Rupture of them, with Hæmorrhages; especially in the Lungs, where the Blood is more abun- dant, and the Vessels more delicate: But if the Vessels yield instead of bursting, the Per- son is subject to the Inconveniences of a faulty Circulation; that is, the Blood forces into the Vessels appointed to carry Serum or Lymph, from whence proceed Inflammations and Obstructions. And as the Delicacy and Thinness of the Vessels run through the whole Body, it must affect the Glands and Lympha- ticks, as well as the Blood-vessels; so that such Constitutions must be subject to glandu- lous and evily Tumours, and Ruptures of the Lymphaticks. The Ch. VIII. thro' the various Stages of Life. 235 The Diet of such Constitutions should be cooling and relaxing, with Moderation in the Quantity of all Things, They ought to avoid every Thing that acce- lerates the Motion of the Blood, as violent Exercise and Watching; likewise they ought to abstain from the Use of all Things that a- bound with an acrimonious Salt, as Onions, Garlick, Leeks, Mustard, and the hot Herbs used in Seasoning, and all Spices in general; but Vinegar is exceeding useful to such as will use it constantly with their Food, for it will very much abate their florid Colour. The Regimen. For more particular Directions, as to the Diet proper in this Constitution, I refer the Reader to the Diet prescribed for the Cure of Rigidity and Elasticity of the Fibres, which answers this Intention in every Particular. A saline Constitution of the Fluids in an animal Body; is either acid, alkaline, or muriatick †. A Saline Constitution It has been proved in the foregoing Chapter, that the Juices of a found Animal are nei- ther acid nor alkaline; for all the Solids and Fluids of such, even fed with acescent or acid Substances, yield no Acid; because the vital Force of such Animals converts the acid Sub- stances they take in Food, into soft nutritious animal Liquids of their own Nature. A Cow fed with Daisies, Trefoil, and Sorrel, will give Milk in which there is not the least Aci- dity; but if the vital Force is weak, it is not sufficient † Briny. 236 A GUIDE to HEALTH Part II. sufficient to subdue the Acidity of the Food taken in. Therefore as there is no Acid naturally in a found Animal Body, but what must be ta- ken in by Food; so that if it be not subdued in the Passages of the Chyle, it will get into the Blood; and if there is not a due Quantity of Blood, and a sufficient Strength of Circu- lation to subdue it, it will infect the Fluids, so as to produce various Distempers. The Effects of a Constitution subject to Acidity, are sour Belching, a crav- ing Appetite, Sourness in the Sto- mach, with Pains; Green-sickness, the Case of a great many Girls craving after earthy Substances, such as Clay, Chalk, Meal, Cynders, &c. Colick Pains about the Navel, Dry Gripes, such as those in the West-Indies, chiefly occasioned by too great Quantities of the Acid of Lime-Juice in their Punch, with a great deal of other Acids in their Sea- sonings. The Colicks in Infants proceed from Acidity, and the Air expanding itself in the fermenting Food in the Stomach; the true Signs of which are a sour Smell of the Excre- ments, acid Sweats, Paleness of the Skin, and oftentimes Convulsions, from Acidity passing into the Blood, and affecting the tender Fi- bres of the Brain. Eruptions of the Skin, such as Scurvy and Itchy, and even Leprosies, are produced by feeding much and often upon acid unripe Fruits, and mealy Substances that are acescent. Effects of an acid Consti- tution. The Ch. VIII. thro' the various Stages of Life. 237 The most subject to this Disorder are Chil- dren, by reason of the Weakness of their Fibres and Digestion, and a Milk Diet; like- wise such as lead a sedentary Life; and others again, who eat and drink much Bread and Wine, and acid Vegetables; and lastly. Ar- tificers, who deal much in the Preparations of Acids. As Acidity is not the natural State of the Fluids in an animal Body, but introduc'd into the Habit by Food; so it is to be cur'd by Aliment of a contrary Quality, for which the Reader is referr'd to the Diet proper for acid Acrimony, in the foregoing Chapter, Page 212. All anti-acid Medicines being ineffectual without a proper and continued Diet of the same Nature, here I must observe, that an Abstinence from strong fermented Liquors is absolutely necessary in the Cure of this Dis- order; and likewise that Acidity in the In- fant may be cur'd by a Flesh-Diet in the Nurse. An alkaline Constitution of the Fluids in a human Body is opposite to the former, and abounds with alkaline Salts, the Nature and Quality of which I have explain'd in Note *, Page 165, which see. And tho' no Animal unputrify'd, when burnt, produces any alka- line Salt, yet being putrify'd, it produces a volatile Alkali; so that in a found Animal no true Alkali is found, as I have observ'd A Constitution subject to an alkaline Acri- mony. in 238 A GUIDE to HEALTH Part II. in the preceding Chapter; but when an Ani- mal degenerates from a true State of Health, by such Diseases or Food as increases the At- trition and Heat of the Fluids, the animal Salts that were before mild and benign, now become almost of an alkaline Nature; for found human Blood when first drawn, is so mild as not to make an Eye, or a fresh Wound smart; but let it stand in a Degree of Heat equal to that of a human Body, and it will grow fœtid in three Days time, and produce a volatile rancid Oil, as likewise a volatile alkaline Salt, which will ferment with Acids; so that the Blood in the Vessels, after it has passed thro' almost infinite Degrees of Circu- lation, may come to that State at last, which is the Case in pestilential and malignant Fe- vers, where neither the Strength of Nature or Art can prevail to save the Life of the In- dividual. All animal Substances being de- priv'd of Life, and exposed to the Air, turn presently alkaline of their own Accord, and consequently will soon putrify. Causes. The Causes of such a Constitution are commonly a plentiful and con- stant Use of animal Diet, such as Fish and Flesh, and all Vegetables which abound with an acrimonious Salt, such as Mustard, Onions, Leeks, Spices, and all hot and pungent Anti- scorbuticks, &c. likewise a plentiful Use of Salts in general, for all animal Salts are alka- line; and tho' Rock and Sea-Salts are of a mix'd Nature, yet they increase the Disorder. All Ch. VIII. thro' the various Stages of Life. 239 All Animals that live upon other Animals have their Juices more alkalescent than those that live upon Vegetables, and for this Reason Fishes are more alkalescent than terrestrial A- nimals, for they putrify sooner in the open Air; and no Person is able to support a Diet of Flesh and Water without Acids, such as Salt, Vinegar and Bread, without falling into a putrid Fever. Another Cause of this Distemper is a vigo- rous Action of the Vessels thro' which the Fluids circulate; for which Reason the strong and healthy, and young People, are more in danger by pestilential Fevers, than the weak and old; for violent animal Motion by Attri- tion produces this alkaline State. The Symptoms of such a Constitu- tion in any great Degree, are Heat, Thirst, foul Belchings, Foulness of the Tongue and Palate, a bitter and hot Taste in the Mouth, Sickness, Loathing, bilious Vomi- tings, Stools with a cadaverous Smell, Pains in the Belly. Besides, such a State dissolves the Blood, and disposes it to Putrefaction, hinders Nutrition, for no Chicken can be hatch'd of a rotten Egg; and likewise the Blood turning Acrimonious, corrodes the Vessels, producing Hœmorrhages. Eruptions on the Skin, dark, livid, Lead-colour'd, and of a gangrenous Nature, and likewise a hot Scurvy, and al- most all Distempers of the Inflammatory Kind. Diagnosticks. The 240 A GUIDE to HEALTH Part II. The Diet of such Persons ought to be a plentiful Use of acid Sub- stances, such as much Bread, and Seasoning of Vinegar, and all other Acids without Spi- ces, and live much upon Food made of Grain or mealy Substances; in short, they should live on such a Diet as is describ'd for an alkaline Acrimony in the foregoing Chap- ter. The Regimen. Plethorick Constitutions are apt to fall into this alkaline State of the Fluids, which is more hurtful than that which proceeds from Aci- dity; for the Bile being redundant, is the strongest Anti-acid, and when it is raised to a high Degree, and acrimonious, is sufficient to produce all the terrible Symptoms of ma- lignant and pestilential Fevers, as is mani- festly evident from the Experiments that were made at Marseilles in Time of the Plague; and nothing subdues the Acrimony of the Bile more than the acid Diet already men- tion'd, so that by a timely Use and Applica- tion of such Remedies, many fatal and dan- gerous Diseases might be prevented. A briny State of the Blood. A muriatick or briny State of the Fluids, which is common among Sailors, is commonly introduc'd into the Habit of the Body by too great Quanti- ties of Sea-Salt; and its usual Symptoms are a Salt Taste in the Spittle, Itching, and red Breakings out of the Skin, a lixivial Urine with a fat Substance swimming on the Sur- face of it. The Ch. VIII. thro' the various Stages of Life. 241 The Cure of this Disorder is per- formed by the constant Use of a Diet of fresh and unsalted Things, watery and cooling Liquors acidulated; mealy and emol- lient Substances, with a plentiful Use of acid Fruits; Sower Milk, Butter-Milk, avoiding all Spices, and the hot Antiscorbuticks of the pungent Kind: In a Word, the Diet ordered in the Alkaline Acrimony in the foregoing Chapter is proper in this Case. The Cure. A phlegmatick Constitution is such a State of the Fluids, wherein Phlegm or a cold, viscous watery Humour predomi- nates; and the Causes of it are, commonly viscid Food, such as mealy Substances unfermented, and taken in great Quantities; for the Flower of all Sorts of Grain, mix'd with Water, make a Paste that sticks like Glue, having an Oil in them which causes a Cohesion of their Parts toge- ther; the frequent Use of unripe Fruits; like- wise great Loss, or Want of Blood, which preserves itself and the Food, by constant Motion, from Coagulation; a Weakness and Indigestion in the alimentary Passages, by which the Food is rendered slimy and vis- cous; a Defect, or Want of Bile, which is the principal Resolvent of the Food; and a Stagnation of the Fluids, from a Weakness of the Instruments of Excretion; for if the Phlegm stagnates, it must grow viscid by the Heat of the Body. Definition. The Causes. Q Like- 242 A GUIDE to HEALTH Part II. Likewise Tumours and Inflations of the Belly, with Paleness, are Signs of a phlegma- tick Constitution; as when a Child grows pale, and his Belly swells, which happens to those that are rickety, there must be cer- tainly tough Phlegm in the Intestines, which shuts up the Mouths of the Lacteals, and prevents the Nourishment from getting into the Blood. But no Cause whatever produces a Viscidity in the human Fluids, more than a sedentary Life, and Laziness, and no Reme- dy more effectual than good Labour and Ex- ercise. The Cure. Cold phlegmatick Constitusions ought to use constantly an alka- lescent Diet; likewise well fermented Bread, and fermented Liquors; for Fermentation re- moves the Viscidity of all mealy Substances; and high seasoned Food is proper for them; likewise Spices, Salt, Garlick, Leeks, Onions, Thyme, Rosemary, Savory, Marjoram, Basil, Mustard, and all the hot and pungent Anti- scorbuticks; for all these being highly alka- lescent, exalt the Bile, which is necessary in this Case, whereby the Viscidity of both the Aliments and Fluids of the Body is dissolved. Their animal Food, both Fish and Flesh, should be nourishing, and easy to be digested; their Drink should be good fermented Li- quors, hot mineral Waters, and generous good Wines, such as will put the Blood into a vigorous Motion. But for farther Satisfa- ction herein, see what is said of alkalescent Sub- Ch. VIII. thro' the various Stages of Life. 243 Substances, both animal and vegetable, in the foregoing Chapter. A fat or oily Constitution is so very well known to every one, as to the Symptoms, that it needs no Description, and falls in with the pletho- rick and phlegmatick Constitution already de- scrib'd; it being but one Species or Sort of Cor- pulency, as there is often Bulk without Fat, from a great Quantity of muscular Flesh, which is the Case of robust People; for an Animal in the Course of hard Labour appears to be very little else than Bones, Vessels and muscular Flesh; but let the same Animal remain long at Rest, with tolerable good Food, it will probably double almost its Weight and Bulk, and this additional Surplus is nothing but Fat or Oil. A fat Con- stitution. The common Causes of this Dis- order, besides a particular Family Disposition of the Body are, first, strong Or- gans of the first Digestion, and a Laxity of the Fibres of the circulating Vessels, especi- ally those about the Membrana Carnosa ‡ ; for by the Action of those Fibres of the Vessels upon the Fluids, if they are duly elastick, the oily Parts of the Chyle are intimately mixed with the Blood; but when this Action is not strong enough, and that the Chyle is The Cause. Q2 ex- * The fleshy Membrane, is a fat Sort of a Membrane, in some Parts thick and musculous, in other Parts thin with many Ducts of Fat in it, and covers all the nervous and fleshy Parts of the Body, and is interwoven with an infinite Number of Blood-Vessels. 244 A GUIDE to HEALTH Part II. extremely redundant, then the thicker Oil is never intirely subdued by Circulation, and so turns Fat. 2dly. Great Quantities of oily Nourishment, Milk, Butter, and oily fer- mented Liquors. 3dly, All Things which pro- duce Coldness in the Skin, so as to stop Per- spiration, by which Means the fat or oily Parts are congealed, which Heat dissolves and attenuates; for the Inhabitants of cold and moist Countries are generally fatter than those of warm and dry Climates. But the most common Cause of all is, too great Quantity of Food, and too little Motion or Exercise; that is to say, Gluttony and Laziness, for which a spare Diet and Labour is the best Re- medy. Fat or Oil in all Animals, in due Propor- tion, is very necessary for both the Motion and Nourishment of the Fibres; but too great Abundance of it is very prejudicial to the hu- man Constitution; for it is an Impediment to the Motion of the Joints, rendering them more heavy, by filling the Spaces occupy'd by the Muscles when they contract and swell; it subjects them to all the Distempers depend- ing upon a defective Motion of the Blood; and as the Want of a due Quantity of Motion of the Fluids increases Fat, so the Disease seems to be the Cause of itself. It endangers them in all inflammatory Dis- eases; for a Fever resolves many Things which do not circulate, and among others the Fat, which mixing with the Blood, becomes vola- tile, Ch. VIII. thro' the various Stages of Life. 245 tile, and causes an Acrimony much more dan- gerous than the saline one; for Salts can be dissolved and diluted with Water, but Oils cannot: And it is manifest that Fat is dissolved by Fevers, if we consider the great Loss of it which People undergo in such Dis- eases. But among the many Inconveniencies and other bad Effects of a fat or oily Consti- tution, there is one Advantage to such as arrive at an advanced Age, that they are not subject to a Stricture and Hardness of Fibres, which is the Effect of old Age. As Gluttony and Laziness are, for the most part, the Causes of a fat Constitution, such People ought to eat sparing- ly, sleep little, and use much Exercise; in which the Cure of such a Disorder chiefly consists. The Regimen. Substances which heat moderately, abound- ing with acrid and pungent Salts, are proper in this Case; such as Horse-Radish, Mustard, Garlick, Leeks, Onions, Spices, and all the aromatick Plants us'd in Seasoning; likewise Saffron, all Seeds that expel Wind, Meats well season'd with Salt, Pepper and Vinegar, are all proper to dissolve Fat, and carry it off by Perspiration; but the only Inconveni- ency they have, is, that they create Thirst, whereby great Quantities of Liquids are drank, which increase the Disorder, by diluting and relaxing the Solids too much. They should avoid all oily Nourishment, and use Honey, ripe Garden Fruits of an acid Q3 Taste. 246 A GUIDE to HEALTH Part II. Taste, and the astringent sub-acid Vegetables mentioned in the Cure of a weak and lax State of the Fibres, in the Beginning of this Chapter; for the Fibres of fat People are com- monly too lax. Their Drink should likewise be the same as is there mentioned, to which I refer the Reader. Tea and Coffee are also useful, as they dilute and stimulate moderately; but the frequent Use of oily spirituous Liquors, as Rum, Anniseeds, &c. is extremely hurtful, because they increase Fat; a moist Air is like- wise prejudicial to fat People, by relaxing the Fibres and stopping Perspiration both sensible and insensible. Definition. An earthy Atrabilarian, or melancholy Constitution, is such a State of the Fluids, wherein the spirituous and most fluid Parts of the Blood are dissi- pated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body. Diagnosticks. The Signs of such a State, or a Tendency thereto, are known by Darkness, or Lividness of the Complexion, Leanness, Dryness of the Skin, and a quick penetrating Genius, with a slow Pulse and Respiration; Obstructions of the Belly, and a Difficulty of being purged. The Causes. The Causes of it are all such as expel or evaporate the most volatile and subtile Parts of the Blood, and fix the rest: As great Applications of the Mind to some Ch. VIII. thro' the various Stages of Life. 247 some Objects or other, such as may produce great Joy or Sadness, both which equally ex- pel and dissipate the Spirits; likewise great Exercise or Labour in hot Weather, with un- quenched Thirst; also Food of hard Dige- stion, such as dry'd and salted Fish or Flesh, unripe Fruits, unfermented mealy Substances, or the immoderate Use of spirituous Liquors. The Effects of such a Constitu- tion of the Fluids are Stagnation, Obstructions, Acrimony, Putrefactions, Visci- dity, and an imperfect Secretion of the Gall, a defective Circulation in the Vessels, especi- ally in the lateral Branches appointed for the Separation of the more fluid Parts; hence arise viscid and insufficient Secretions in the Glands: Likewise the Motion of the Blood through the mesenterick and * celiack Arteries being too slow, produce various Disorders in the lower Belly and † hypochondriack Regions; hence Persons are denominated Hypochondria- cal. And the Signs of most of these Disorders of the lower Bowels, arising from too slow a Mo- tion of the Blood through the said Arteries, are, a Sensation of Weight, Anxiety, Repletion, and a bad Digestion, from whence different Sorts of Food acquire such a State in the alimentary The Effects. Q4 Passages, * Arteries in the lower Belly needless to be described in this Place. † Are the two Regions lying on each Side of the Tip or Extremity of the Breast-Bone or Sternum, and those of the Ribs; which contain in one the Liver, and in the other the Spleen. Hence Disorders of those Viscera, especially of the Spleen, are called hypochondriacal Affections. 248 A GUIDE to HEALTH Part II. Passages, as they affect of their own Nature; that is, acid, if the Diet be of acid Vegetables; and alkaline, if of animal Substances, espe- cially Fat, which remains rancid, so as that the Spittle will flame in the Fire sometimes; and all this Indigestion owing to the Inactivity of the Gall, which likewise occasions a Co- stiveness of the Belly, and a Difficulty of be- ing purged. This State of the Fluids will at last affect the tender Vessels of the Brain, by the Visci- dity of the Matter impacted in them, and thereby endanger the Imagination; and like- wise produce Corruption in the Bowels of the lower Belly at last. Hence it is evident, that such a Disorder is not to be removed by active Remedies *, no more than Pitch or Dirt sticking to a Skain of Thread is to be taken away by Violence; but the Viscidity should be gently attenuated, diluted, and carried off gradually, by a pro- per continued Course of Diet, avoiding al- ways all heating Substances, which still eva- porate and dissipate the volatile and fluid Parts more; therefore Waters impregnated with some of the pungent Salts, as that of Nitre, Tartar, &c. are found to be of great Effect in this Disorder. Their * Are such Medicines as produce sudden Alterations in the Body, by their penetrating and stimulating Qualities, acting upon the Fluids or Solids, or upon both, either inwardly ta- ken, or outwardly applied. Ch. VIII. thro' the various Stages of Life. 249 Their Diet should be light, easy of Di- gestion, moistening, and resolvent of the Bile, such as Honey, the Juices of ripe Fruits, emollient Pot-herbs, light Broths of animal Food, Lettuce, Spi- nage, Cichory, and Dandelion; and their Drink ought to be Water, Barley-water, and Whey. For farther Instructions herein, see the Diet directed for the Rigidity of the Fibres in this Chapter, which is likewise very- proper in this Case. The Regimen. One Thing to be observed is, that the Diet ought to be contrary to the particular Acri- mony residing in the Fluids, which might have occasioned the Disorder; for if it pro- ceeds from Acidity, then an animal Diet is altogether proper; if from an alkaline Acri- mony, the contrary Method must be used; which may be easily distinguish'd, by ob- serving what has been already said of acid and alkaline Constitutions, to which I refer the Reader. As there is a continual Dissipation or Waste in all animal Bodies, insensibly; so the fre- quent Repetition of Meat and Drink is ne- cessary, not only for repairing the Fluids and Solids, but likewise for preserving the Fluids from a putrifying alkaline State, which they would acquire by constant Attrition, without being soon and sufficiently diluted with fresh Chyle. Hence it appears, that long Fastings or Abstinence may be the productive Cause of great Distempers, especially in hot and bilious 250 A GUIDE to HEALTH Part II. bilious Constitutions; and very prejudicial to acid Constitutions, occasioned by the uneasy Sensation and Vellication produced in the Stomach. Therefore the Quantity of Food necessary to preserve our Bodies in a due State of Health and Vigour, ought to be divided into Meals at proper Intervals of the natural Day, that the former Food may be digested before any more be taken in, and at such a Distance from Bed-time that our Digestion may be almost finished before we sleep; by which Method neither the Organs of Digestion, nor the Blood- vessels will be overloaded, nor the Fluids too long deprived of a fresh Supply of nutritive Chyle, Hence the grand Secret of Health conists in keeping an Æquilibrium † between the Fluids and Solids; for when the Fluids move so equally, that they do not press upon the Solids with a greater Force than they can bear; and, on the other hand, when the Solids resist and act upon the Fluids so equally, that there is no uneasy Sensation, the Person is then in good Health; and whatever is in our Food or Actions that destroys this Æquilibrium, ei- ther by relaxing or contracting the Solids too much, or by attenuating or rendering the Fluids too viscid or acrimonious, must pro- duce the Effects already mentioned under each of those particular Heads, which see. From † An exact or due Ballance. Ch. VIII. thro' the various Stages of Life. 251 From what has been hitherto said of the Nature and Effects of Aliment, as also of the Nature and Difference of Constitutions in par- ticular, with the Diet proper for each, it will be as easy to determine Rules of Diet in the different natural healthy States, as in the mor- bid or sickly States of human Bodies; there- fore I thought it both useful and necessary to lay down here some general easy Rules, for the Benefit of those who value Health and long Life; but with this Caution, that Re- gard must be always had to the Nature of the Constitution in particular. I. Infancy requires a thin and copious nou- rishing Food, such as lengthens their Fibres, without breaking or hardening them, by rea- son of their Weakness and State of growing; so Milk answers this Intention best. II. The Solidity, Strength, and Quantity of the Food, ought to be in Proportion to the Strength of the Solids, Labour, and Ex- ercise of the Body; for such as labour and exercise much, have their solid Parts stronger and more elastick; therefore they require stronger Food, and more in Quantity, than those that are in their declining Age, or those that lead a sedentary or studious Life. III. Youth being still in the State of Growth, their Diet ought to be emollient and relaxing, plentiful, and without Acri- mony. IV. In the State of Manhood the Diet should be solid, with a sufficient Degree of Viscidity; 252 A GUIDE to HEALTH Part II. Viscidity; and their chief Drink Water, with a Quantity of fermented Liquors at Times, proportioned to their natural Constitutions. V. Ancient People require a Diet resem- bling that of Children, often repeated, and little at a Time, emollient and diluting, with a little Wine sometimes; because in old Age the Fibres harden, many Canals or Vessels are abolish'd, and the Solids grow together; from whence arises Dryness, Weakness, Im- mobility, Debilty of the vital Force of Di- gestion, Loss of Teeth, and Depravation of chewing, which terminate in Death at last. VI. Excess in Meat and Drink is to be avoided; for a little Food well digested and assimilated, preserves the Body stronger and more vigorous, than Superfluity. VII. We should not eat, because the cu- stomary Time for it is come, unless our Ap- petite be so too; for to load the Stomach with a fresh Supply upon a Semi-digestion of the former Meal causes Crudities, and a foul Sto- mach, which must overload the Blood, and thereby produce Diseases. VIII. It is better to eat twice a Day with Moderation, than to make one over-large Meal, tho' one abstains double the usual Time for Compensation; however, if one transgresses at any Meal, let such abstain from the next, or let it be a very slender one. IX. Variety of Meats, and made Dishes, destroy a Multitude of People; for they pro- long Appetite far beyond what Nature requires, and Ch. VIII. thro' the various Stages of Life. 253 and by that Means over-charge the Stomach. Besides, different Meats have different Quali- ties, and some are sooner digested than others; whence arise Crudities, and a depraved Di- gestion: Therefore we ought to avoid Feasts and Banquettings as much as possible; for it is more difficult to refrain from good and deli- cate Cheer when present, than from the De- sire of it when away. X. A temperate Diet preserves from diseases; for such are seldom ill, but when they are, they bear it better, and are sooner recovered. 2dly, It lengthens Life, and mitigates the Agonies of Death. 3dly, It arms the Body against external Accidents, such as Heat, Cold, Labour; and if afflicted with Wounds, Dislocations, or Bruises, they are much sooner and easier cured. 4thly, It maintains the Senses intire and vigorous, and moderates Peoples Passions and Affections. 5thly, preserves the Memory, sharpens the Wit and Understanding, and allays the Heat of Lust. XI. Galen, recommending a temperate diet, says, that those of a weak Constitution from their Mother's Womb, may attain to an extreme old Age, by Help of a sober and moderate coarse Diet; and that too without diminution of Senses or Sickness of Body; and says farther, that tho' he never had a healthy Constitution of Body from his Birth, yet by using a proper Diet after the 27th Year of his Age, he never fell into any Sickness, 2 unless 254 A GUIDE to HEALTH Part II. unless now and then into an Ephemera, that is, one Day's Fever, occasioned by Fatigue or Weariness. And it is very well known, that Galen lived to an hundred Years of Age. XII. In the Winter and Spring we require a greater Quantity of solid Food, and less Drink, than in the Summer and Autumn; because in the cold Season our Stomachs are hottest, and we sleep a great deal more; for as the Cold increases, so our Heat for the most Part recedes to the central Parts of the Body. And the Reason we require less Drink in Winter is, that then our Bodies are moi- ster, like the Seasons; and likewise, that the Cold hinders the watery Vapours to be per- spir'd, and so turn into Humours in the Body. But in Summer what is wanting in Meat or solid Food, may be taken in Drink, and moist cooling Nourishment; for then the Body is dry, and the inward Heat is distri- buted thro' all the Parts thereof, and Perspi- ration is so considerably increased by the ex- ternal Heat, that the watery Vapours or Effluvia are exhal'd and carry'd off thro' the Pores. XIII. The same Rules for eating serve al- so for drinking, the chief Intention of which is to allay Thirst, to moisten and convey the Food in the Stomach, and the Nutriment thereof into the respective Parts of the Body; to dilute the Blood, and dissolve the super- fluous Salts, and carry them off both by Per- spiration and Urine. But for farther Satis- faction Ch. VIII. thro' the various Stages of Life. 255 faction herein, see the Particulars of the Use and Intentions of Drink, in the latter End of the foregoing Chapter. Here I must observe, that moist Food, such as Broths, Pottage, Soop, and boiled Meats, require little Drink, and the solid only a Sufficiency to moisten and convey it into the Stomach, and prevent Obstructions; there- fore they who drink much at Meals, especial- ty strong Liquors, incur a double Inconveni- ency; for first, by causing the Food to float in the Stomach, which ought to reside in the Bottom, they hinder Digestion, and by moistening the upper Orifice thereof too much, by which means it is kept open, it thereby occasions Vapours and Fumes to a- scend and disorder the Head. Secondly, it causes the Aliment to pass too soon out of the Stomach, crude and indigested; whence arise Fluxes in the Bowels, and putrid Cru- dities of the Blood in the Veins and Arteries. XIV. It is very prejudicial to eat or drink too much, or fast too long, or do any thing else that is preternatural; for whoever eats or drinks too much, must be sick, or vitiate his Juices at last. XV. Growing Persons have a great deal of natural Heat; therefore they require a great deal of Nourishment, otherwise the Body will gradually waste. XVI. Hippocrates fays, that a Person can- not be healthy, and digest his Food well without Labour, and that the Quantity and Quality 256 A GUIDE to HEALTH Part II. Quality of Diet must bear a due Proportion to the Labour. XVII. Young, hot, strong, and labouring People, may feed on Meats that afford a hard and gross Juice, such as Beef, Bacon, powder'd Flesh and Fish, hard Cheese, Rye- Bread, and hard Eggs, &c. which may nourish slowly, and be digested by Degrees; for if they did eat things of light Nourish- ment, either their Meat would be too soon digested, or else converted into Choler. XVIII. When a Person is sick or distemper'd, his Meats should be of contrary Qualities to his Disease; for Health itself is but a kind of Temper gotten and preserv'd by a conve- nient Mixture of Contrarieties. XIX. Fat Meats are only good for dry Stomachs; for in sanguine and choleric Sto- machs they are soon corrupted; and in Phleg- matics they procure Looseness, and hinder Retention. XX. Such as are of hot Constitutions, should abstain from violent Exercises, use Bathing in tepid Water, feed upon Mays, Pot-Herbs, and a cooling moist Diet. XXL. The Quantity of Food that Is suf- ficient, the Stomach can perfectly concoct, and answers to the due Nourishment of the Body; hence it is evident, that we may eat a greater Quantity of some Meats than of others of a more hard Digestion. XXII. The Difficulty lies in finding out an exact Measure; but eat for Necessity, and not for Ch. VIII. thro' the various Stages of Life. 257 for Pleasure, for Lust knows not where Ne- cessity ends. XXIII. If a Person is dull and heavy after Meat, it is a Sign he has exceeded the due Measure; for Meat and Drink ought to re- fresh the Body, and make it cheerful, and not to dull or oppress it. XXIV. If we find those ill Symptoms, we are to consider, whether too much Meat or Drink occasions them, or both, then we ought to abate by little and little, till this Inconve- nience is remov'd. XXV. Pass not immediately from an ir- regular Life to a strict; and precise one, but by Degrees; for ill Customs come by Degrees, and are to be wore off gradually; for all sud- den Alterations in Extremes, either of Re- pletion, Evacuation, Heat or Cold, are dan- gerous. XXVI. Acids taken in too great Quanti- ties, especially such as are austere, as unripe Fruits, produce too great a Constriction of the Fibres, and thicken the Fluids; hence Pains, Rheumatism, and Gout, Paleness, Itch, and other Eruptions of the Skin. XXVII. Spices taken in too great Quantities produce Thirst, Dryness, and Heat, quicken the Pulse, and accelerate the Motion of the Blood, and dissipate the Fluids; hence Lean- ness, Pains in the Stomach, Loathings, and Fevers. XXVIII, Strong Liquors, especially distill'd spirits, taken in great Quantities, intoxicate. R contract, 258 A GUIDE to HEALTH Part II. contract, harden, dry, and stimulate the Fibres, and coagulate the Fluids; they like- wise corrode and destroy the inward Coat of the Stomach and Intestines. XXIX. A Diet of viscid Food, such as un- fermented mealy Substances, Peas, Beans, Lentils, &c. creates Flatulency, and Crudi- ties in the Stomach, Obstructions in the small Vessels of the Guts, and in the Mouths of the Lacteals and Glands: Hence Tumours and Hardness of the Belly, Paleness of the Skin, and Viscidity in the Fluids. XXX. An oily Nourishment relaxes the Solids, and particularly the Stomach and In- testines; it creates foul Belchings, Loathings, oily and bitter Vomitings; obstructs the ca- pillary Vessels, by hindering the Entrance of the watery and fluid Part, with which it will not mix; it produces Thirst and Inflamma- tions. CHAP. IX. Of Sleeping and Waking. SLEEP is a Cessation of the external Senses from Action; for, when waking, we walk, talk, move this or that Limb, &c. but in a natural or undisturb'd Sleep, there is 2 no- Ch. IX. thro' the various Stages of Life. 259 nothing of all these Actions; that is, when awake we perform several Motions by the voluntary Contractions of our Muscles; when asleep, those Muscles are only contracted, Whose Action is involuntary, or does it by a Habit, without the Intervention of the Rea- soning Faculty; such are the muscular Actions of the Heart, Breast, Lungs, and Arteries, &c. so that at this Time there is a kind of Re- laxation of the moving Fibres of the several Members of the Body. And this is one great Design of Sleep, to recover their former Force to the Parts overstretch'd by Labour or Motion; for when we compose ourselves to Rest, we must put our Body into that Pos- ture which favours most the particularly Weary'd Limbs. In the next Place it is very evident, that in Sleep there is not only a Rest and a Suspension from acting in most of our bodily Organs, but likewise of our Thinking Faculty too: That is, a Cessation from such Thoughts as, when awake, we are exercised about, which we re- flect upon, and Will to imploy our Mind with. For tho' Dreams are Thoughts, yet they are imperfect and incoherent ones; and are either so faint and languid Representations, as to be consistent with our Sleep, or else, if they be strong and lively, they are the Inter- ruption and Disturbance of it. From whence it will follow, that the Mo- tion of the arterial Fluid must be more se- R2 date 260 A GUIDE to HEALTH Part II. date, even, and regular, in the Time of sleep- ing than waking; for besides the various Al- terations it receives in this latter State, from the several Passions of the Mind, the very Contractions of the Muscles themselves, in the Exercises of the Body, will forward its Course differently and more unequal; where- as in Sleep the Motion of the Heart, Arte- ries and Veins is stronger, slower, more equal, and full; likewise Respiration is deeper, stron- ger, slower, and more equal, by which Means the Blood circulates and digests more commo- diously, and Secretion, Perspiration, and the Distribution of Nourishment are more success- fully carried on; the Humours circulating quicker through the Blood-vessels and the Parts near the Heart, but slower through the Sides of the Body, and the remote Parts, as well as the Muscles. Hence it also comes to pass, that the In- flux of the nervous Fluid into the Organs of the Body, as also its Reflux towards the Brain, is in Sleep either none, or very in- considerable; for it is muscular Action and Sensation that required this Fluid to be thus determined this Way or that, which are in this State hardly any: And yet, by the Arri- val of Blood at the Brain, this Juice will still be separated there, fit to be deriv'd into its Tubes and Canals; so that by this Means there will be a new Production, or a kind of Accumulation or laying up in Store, of Spi- I rits, Ch. IX. thro' the various Stages of Life. 261 rits, in order to perform our animal Func- tions. Thus we may look upon the Time of waking as the Time of wearing out, or the Destruction of the animal Fabrick; and the Time of Sleep, as that in which it is repaired and recruited; not only upon account of what has been just mentioned concerning the ner- vous Fluid, but also with regard to all other Parts of the Body, as well fluid as solid: For Action must necessarily impair the Springs and Organs; and in Motion something is continually abraded or fil'd off from the con- tractile Fibres, which cannot otherwise be restored, than by their being at Rest from Tension. Besides, the regular and steady Course of the Blood, as has been observ'd, in Sleep, is by far more fit and proper for Nu- trition, or an Apposition of Parts to the Ves- sels; which an uneven Hurry of Nourish- ment is more apt to tear off and wash away. The Use and Benefit of Sleep Sleep is occasioned, promoted, and increased by eating and drinking, in removing the Stimulus or painful Sensation of Hunger and Thirst, when the Stomach is empty, or by drinking plentifully, especially of strong Liquors; but some can- not sleep for a long Time when they drink much, because the Spirits are thereby too much heated and enraged. It is also encouraged by much or long con- tinued Labour, the Spirits being too much The Causes of Sleep. R3 dissapted 262 A GUIDE to HEALTH Part II. dissipated and exhausted. In like manner, after the taking of Opium, or other sleepy Things, we are disposed to sleep; because they seize the Spirits by their volatile Oleosity; also a quiet Disposition of Mind; a Body free from Motion, and unaffected by external Objects; by Excess of Heat, Cold, or Care; and by all such Causes as hinder the Protru- sion or Impulse of the Blood into the glandu- lous Part of the Brain, or its Passage through its Vessels, and the necessary Separation of Spirits, and the Derivation of them into the Nerves, being the Organs of Sensation, and the Muscles serving to voluntary Motion; and the Reflux of them towards the Sensorium Commune †. Sleep is hindered by a continual Mixture of Water, or hot Liquors, with the Blood, or any sharp Thing that vellicates or twinges the Nerves of the Brain; also by violent Pas- sions of the Mind, or the Brain's being di- sturbed by any internal or external Cause. Therefore it appears from what has been said, that Sleep is such a State of the Brain, wherein the Nerves do not receive from it so large or so strong an Influx of Spirits, as is required for the Organs of Sense and volun- tary Motions to perform their Actions with Ease and Quickness. The † The Seat of Common Sense, is-in that Part of the Brain, in which the Nerves, from the Organs of all the Senses, are terminated, which is in the Beginning of the Medulla Oblon- gata, and not in the Glandula Pinealis, as Des Cartes and o- thers would erroneously have it. Ch. IX. thro' the various Stages of Life. 263 The most immediate Cause here- of is perhaps the Defect of a subtile Spirit, which requires a long Time to prepare it, and being now spent and ex- hausted; so that the finest Vessels being emp- tied and flagg'd, for a Time fall together; or there is too great a Flux of thicker Blood im- pell'd to the Cortex of the Brain, so that the Medullary Part is compress'd, and the Motion of the Spirits hindered; therefore the natu- ral Cause of Sleep is every thing that may produce these two Particulars. The natural Cause of Sleep Therefore if we consider the Na- ture, Necessities, and Advantages of Sleep, already mentioned, we may easily perceive how too much Watching will deprive the Solids of that due Supply of Spi- rits so absolutely necessary to enable them to perform their several Functions; and that for want of a good Digestion Perspiration will be very much obstructed, which must render the Body dull and heavier; for, according to Sanctorius, “ interrupted and unquiet Sleep “ lessens the Quantity usually thrown off by “ Perspiration about a third Part:” * And likewise, “ whatsoever hinders Sleep, hinders “ also the Perspiration of that digested Matter, “ which ought to exhale;” § because interrupted Sleep keeps the Fibres in that Degree of Ten- sion, which is not suitable to forward the Juices to the Extremities, and let the Matter of Per- spiration go off by the Pores of the Skin: The Effects of too much Watching R4 For * Aph. 5. Sect. iv. § Aph. 8. Sect. iv. 264 A GUIDE to HEALTH Part II. For whatsoever hinders that easy Relaxation necessary for found Sleep, must likewise hin- der Perspiration; so that full, heavy, and luxurious late Suppers must hinder it; be- cause such a Load in the Stomach will keep the Fibres upon the stretch, and conse- quently our Sleep will be uneasy and inter- rupted, until that be removed. It is therefore very certain, that according as our alimentary Organs are easy, quiet, and not overloaden with Food, our Sleep is found, sweet, and refreshing; for if any Per- son not labouring under a Disease, is restless in his Sleepy it must arise from his Stomach's being overcharg'd with indigested Food, or Crudities not carry'd off by proper Exercise; or his Intestines are filled with Wind, Choler, or superfluous Chyle: and the restless Nights which are generally ascrib'd to Vapours, are entirely owing to the said Causes. There- fore all those that would preserve their Health, and lengthen out their Days, ought to avoid large and late Meat-Suppers; especially the sedentary, studious, and such as have little or no Labour or Exercise, should eat very light or no Supper; if any, it ought to consist of some vegetable Food; neither ought they to go soon to Bed after any Sup- per whatever. And such People in general should give Attention to this Aphorism of the Schola Salernitana, Somnus Ch. IX. thro' the various Stages of Life. 265 Somnus ut sit levis, sit tibi cœna brevis: Viz. That your Sleep may be sweet, let your Supper be light. Immoderate Watching and want of Sleep, produces Diseases of the Head, corrupts the Temperature of the Brain, causes sometimes Madness, inflames the Humours, generates and excites a saline Acrimony in the Blood and Juices; hence arise cutaneous Eruptions of different sorts; likewise the want of mo- derate Sleep occasions bad Digestion, fills the Stomach with Crudities, and dissipates the Spirits, by which means a thorough Waste and Decay of both the Solids and Fluids suc- ceed at last. Sanctorius observes, that * “ They who “ sleep well and do not dream, perspire “ well; and on the contrary, they who “ dream much perspire less.” Because dream- ing is a State between sleeping and waking, therein, altho' the Mind does not exercise such a Power over the Body, as to direct its Motions in the same Degree as when awake, yet by its Attention to those confused Ideas which pass thro' it, the Solids are kept in some Degree of Contraction, greater than is agreeable with found Sleep; and therefore Perspiration, which depends upon a settled Relaxation, cannot be perform'd so well at such times, as when in quiet and profound Sleep * Aph. 27. Sect. IV. 266 A GUIDE to HEALTH Part II. Sleep, neither have they that Refreshment, Lightness and Agility, which spreads all over the Body, and principally the Brain, as those who sleep quietly without dreaming. The Effects of too much Sleep. Long and superfluous Sleep is very pernicious to both the Mind and the Body; for it chills the Body, weakens the natural Heat, breeds phlegmatic Humours, and fills it with Crudi- ties; whence arise much Sloth and Lazi- ness, the Parent of many Diseases; it like- wise fixes the Spirits, and renders them flug- gish and stupid; it dulls the Understanding, hardens the Excrements, and makes the Body costive, which is frequently the Cause of va- rious Distempers. In short, superfluous Sleep is neither good for the Body nor the Mind, nor for Business; for he who sleeps too much is but half a Man, Sleep rendering him in all Points like a dead Man, except his Digestion and the Pulsation of his Arteries; for he nei- ther sees, hears, speaks, or understands, and is absolutely depriv'd of all Reason, which for the Time is a perfect Death. Besides, too much Sleep occasions in both found and firm Bodies a Shortness of Breath, and is a constant Fore- runner and Disposition to an Apoplexy, Le- thargy, Palsey, and Numbness, by hindering the seasonable Evacuations of the Excrements, causing them to remain too long in the Body. Sanctorius is very clear on this Head, and says, * in one of his Aphorisms, “ By too “ much * Aph. 50. Sect. IV. Ch. IX. thro' the various Stages of Life. 267 “ much Sleep both the inward and outward “ Parts grow cold, the Humours are obstru- “ cted and render'd unperspirable, and the “ whole Body heavier.” So that by the very same means by which moderate Sleep is serviceable and necessary, too much of it proves injurious; because too much Relaxa- tion overcharges the Nerves with too thick and too great a Quantity of Juices, which instead of rendering them fitter for Motion, clogs them, and makes them less capable of recovering their Springs afterward; so that when once the Solids fail, the Fluids of course slacken in their Motions, by which means the natural Heat decays, and the Flesh grows cold, and they themselves be- come also more fizy or gluey; for which Reason they suffer less to pass off thro' the Pores by insensible Perspiration, or otherwise, and consequently the Body is render'd heavier. Sleep in the Day time, or after Dinner, is not to be allow'd, unless a Person has ac- custom'd himself to it, or has not rested Well the Night before, or if he perceives a kind of Lassitude or Weariness in his Limbs; in such Cases, I say, one may sleep an Hour, or half an Hour after Dinner, and even it is slow Digestion; for according to Sanctorius *, “ An Hour's Sleep at Noon after a Meal, “ sometimes occasions the Body insensibly to “ perspire a Pound, and sometimes half a “ Pound: * Aph. 37. Sect. IV. 268 A GUIDE to HEALTH Part II. “ Pound: a Pound when any of the per- “ spirable Matter of the former Day has “ been retain'd; when not, but half a Pound.” This is recommended as a most excellent Re- medy in weak People for imperfect Digestion, and there is a great deal of Reason why it should be of Service; because such an addi- tional Help every Day, may compensate for the Deficiencies of the last Night's Perspi- ration; but they must not be too free with this Practice, who are inclin'd to grow fat or phlegmatick. For according to the same Au- thor *, “ Immoderate Sleep after Dinner in- “ jures all the Bowels, and obstructs Perspi- “ ration.” So that altho' a little Sleep at such Times, and in the Cases above-mention'd, upon a full Stomach may be of Service, by perspi- ring what did not sufficiently pass off the Night before; yet if it be continued too long, there will such a Quantity of indigested Mat- ter follow, as will be too gross to pass, and consequently stop up the excretory Ducts of the Body, and thereby occasion very conside- rable Disorders. The ordinary Time allow'd for Sleep is seven Hours; for that Time seems sufficient for perfecting Digestion, and recruiting the Spirits; but some require more Sleep, and some less: So Children, antient People, Cho- lerick and dry Constitutions require more, be- cause it moistens and restores the Spirits; but fat * Aph. 66. Sect. IV. Ch. IX. thro' the various Stages of Life. 269 fat and phlegmatick Constitutions of all People should sleep the least, for Reasons already given. As nothing seems more directly pointed out to us by Nature, than the Day for Exercise and Labour, and the Night for Rest; so the fittest Time for Sleeping † is about four Hours after Supper, for then the Stomach is not loaded with Food, the first Concoction being then perfected, and by this Time the Chyle has got into the Blood; so that such a a quiet and relaxed State as Sleep produces, is most necessary to both Nutrition and Per- spiration: and the fittest Time for that Pur- pose is in the Night; because the Damps, Vapours, and Exhalations, which are rare- fy'd by the Heat of the Sun in the Day-time, are now condensed, and fall down upon the Surface of the Earth again, which must ob- struct the Pores of the Body, and consequent- iy hinder Perspiration, if exposed to such Damps by Night-watchings, or unseasonable Sittings-up; and this is one of the principal Causes of various Diseases, both acute and chronical, which soon break and shatter the Constitution, shorten Life, and beget a de- crepid Age; so that Watching by Night, and sleeping by Day, is of the most pernicious Consequence to Health and long Life, and plainly contrary to the Indications or Dictates of Nature, and the Constitutions of our Body. Therefore † This is conformable to Aph. 28. Sect. IV. of Sanctorius. 270 A GUIDE to HEALTH Part II. Therefore all those who value Health and long Life, ought carefully to avoid Night Damps and Dews, and unseasonable Watch- ing or Sitting-up, but go to Bed by eight, nine, or ten, and rise betimes in the Morn- ing, that is, by five or six; for according to the old Proverb, Surgere diluculo saluberri- mum est; that is, To rise betimes is most con- ducive to Health. The following Rules ought to be carefully observ'd in regard to the Position or Posture of our lying in Bed. In the first Place, we should never lie too close or too warm, which may obstruct the Fumes and Vapours neces- sary to be exhal'd from the Body; and we should always lie with our Heads a little raised, to prevent the Food from rising from the Bottom of the Stomach, to its upper Orifice. Secondly, We should never sleep upon our Back; because thereby we prevent the usual Excrements of the Brain, which are dis- charg'd by the Nose and Mouth, from fall- ing upon the Windpipe and Back-bone; but if we sleep upon our Back, we over-heat the Reins, by being pressed between the Inte- stines and the Bed, and thereby oftentimes produce Stone and Gravel, and send many Fumes and Vapours to the Head. Thirdly, It is necessary to take our first Sleep upon our right Side, to prevent the Liver's pressing the Stomach, then replenish'd with the Food we took in at Supper, which must Ch. IX. thro' the various Stages of Life. 271 must happen if we lie on the left Side. Be- sides, by sleeping first on the right Side, what is concocted of the Food descends gradually and easily out of the lower Orifice of the Stomach into the Intestines, and then the Liver comes underneath it, and is instead of a Chasing-Dish to it, which promotes Di- gestion very much. After this, we should turn to the left, that thereby the Steams and Vapours retain'd on the right Side may ex- hale. And lastly, when we go to Rest, we ought not to stretch our Joints, but rather bend them a little; for as * Galen observes, The Ease of the Muscles consists in a mode- rate Contraction. CHAP. X. Of MOTION and REST. BY Motion, I mean here Exercise and Labour, as Walking, Riding, Running, playing at Ball, &c. They encrease natural Heat and consume the Crudities of the Body; for it is very certain, that all Sorts of Ali- ment tho' never so pure, have yet always something in them unlike our Nature, which can never be assimilated to either our Juices or Substance; so that some Excrement must always * Galenus, lib. 1. de motu Musculari. 272 A GUIDE to HEALTH Part II. always then remain in every Concoction, which being retained in the Body, may pro- duce a Multitude of various Diseases: But the grossest Excrements are discharged by a sensible Evacuation, and the most subtile are insensibly dissipated and resolved by Exercise or Labour. This made the divine Hippocrates very justly say, in his Book of Diet, that “ One “ cannot preserve Health, except he joins “ Exercise with his Diet; for the one repairs “ what is lost, and the other dissipates what “ is superfluous.” Hence moderate and re- gular Exercise prevents Repletion, which is often the Parent of many Diseases; by en- creasing the natural Heat, it keeps all the Ca- nals of the Body open, and free from Ob- structions; it renders the Body supple; pre- pares and disposes all the Superfluities for both Secretion and Excretion, as well in general as in particular; it likewise fortifies the Nerves, and strengthens all the Joints which is con- firm'd by the great Hippocrates, in his Epi- demicks, saying that, “ As Sleep is proper for “ the Bowels, so is Exercise for strengthen- “ ing the Joints.” Celsus also tells us, that “ Idleness makes the Body dull and heavy, “ but Labour strengthens and renders it firm “ and active; Laziness makes us soon grow “ old, but Exercise preserves Youth a long “ Time †.” To † Lib. I. Caput I. Ch. X. thro' the various Stages of Life. 273 To prove the Necessity of Motion or Exer- cise, for the Preservation of Health and long Life, it will be necessary to observe, that a human Body, as it comes under the Conside- ration of a Physician, is merely a Machine. Considering it therefore in this Manner, it is divided into Solids and Fluids; the Solids are vascular, and have continually propell'd thro' them some Liquor or other necessary for the Purposes and Support of the Machine: And these circulating Fluids are of different Kinds, arising from the different Agitations and Ve- locities impress'd upon them by the Vessels which circulate them. But in this View they have a necessary De- pendence upon each other; for as the Disten- sion and Power of Restitution in the Vessels, is owing to their being duly moisten'd by some convenient Fluid, separated and dispensed to them from the Blood, which is the common Promptuary of all the animal Juices; so likewise that due Constitution of the Blood, which fits it for yielding some of its Parts for that Use, depends upon its certain Degrees of fluidity, which are always as the Contraction of its circulating Vessels: But yet even in this the Solids have the principal Share; be- cause, as that Power by which the Blood is Preserv'd in a due Crasis or Constitution is de- rived from itself, that is, of beflowing upon the Solids a Juice necessary for the Preserva- tion of their Springs, yet that Constitution enabling it to afford such a Power, being pri- S marily 274 A GUIDE to HEALTH Part II. marily derived from the Actions of the Solid upon it, the chief Spring or Rise of Motion is in the Solids. To know therefore the most ready Ways of altering the Constitution of the Fluids, is to find out the most convenient and effectual Means of influencing the Contractions of their Vessels; but this cannot be done, without knowing first upon what Texture and Me- chanism of Parts their Powers of Contraction and Distension depend. And in order to come to any Certainty of this Matter, we are to consider, that it is very well known, that any Membrane or Ves- sel may be separated or divided into very small Fibres and Threads, when just taken out of the Body, and that these Threads may be drawn out a considerable Length beyond what is natural to them without breaking, and that when such external Force which so distended them is removed, they will again, by their Elasticity, restore themselves to their former Dimensions. And it is farther like- wise known, that these Properties of Disten- sion and Contraction are preserved in them by a convenient Moisture; because, if one of these Threads be dried, it will immediately lose it, so that upon the Application of any Force to stretch it, it will break; as also its being soak'd too much in Liquor will render it flaccid; as likewise destroy its Elasticity or Power of Restitution when distended. But Ch. X. thro' the various Stages of Life. 275 But what is exactly the constituent Tex- ture, or what are perfectly the Shapes and Arrangement of those Parts which compose an animal Fibre, is scarce possible to be justly determined; because they are too fine to be perceived by the naked Eye, or even by the Help of the best Microscopes when very mi- nutely divided; which Division proceeds so far at last, that the component Fibrillœ be- come so incredibly small, as to exceed the Power of Imagination; but Reason con- vinces us that there must be an End. However, as to the present Enquiry con- cerning the Effects of Motion or Exercise on the Solids and Fluids of a human Body, it will be sufficient, with what has been al- ready said, that it is known to a Demonstra- sion, that all the Fibres in a living Body are in a State of Distension; that is, they are drawn out into a greater Length than they would be in, if separated from any Part, and taken out of the Body; which is easily de- monstrated, by cutting transverse, or dividing of a Nerve or Artery, which are intirely a Composition of the Threads we are now speaking of; for immediately we see the di- vided Parts run up and leave a great Distance between them, as in Wounds, and the Fluids contained in them upon such Contraction, to be so squeez'd out; and this also makes it ap- pear, that their natural Distension is owing to some Fluid being propell'd into the Vessels which they compose, with a greater Force S2 than 276 A GUIDE to HEALTH Part II. than their Endeavours of Restitution, so far as to obtain a close Contact of all their transverse Surfaces, but yet lesser than that which is necessary to distend them, so far as to bring them to Coincidence, for in such a Case the Vessels would break. In the next Place then, this State of Di- stension of the Fibres must necessarily leave some little Vacuities or Interstices between all their transverse Surfaces, which Vacuities will continue as long as the longitudinal Sur- faces of their component Parts continue so close to one another, as to prevent the En- trance of any foreign Matter between, how subtile soever, for the same Reason as when the Embolus of a Syringe is drawn, and the Pipe is stopp'd, there must needs be a conti- nual nisus restituendi, or an Endeavour of Contraction. There is also a farther Necessity of being supported in such a State of Disten- sion; because, if they were closely in Contact with each other in all Parts, they could not be put into, and continue in those undulatory Motions, which they are always in, in a living Body, without being very much al- ter'd both in their Figures and Contextures. But it being manifest that all the animal Fibres are continued by the perpetual succes- sive Impulse of the Fluids, in such undulatory Motions; besides this Necessity of their being distended, they also must be continually moi- sten'd with some convenient Fluid, otherwise their continual Attritions against one another would Ch. X. thro' the various Stages of Life. 277 would soon wear out, and render it difficult to move them. The Fluid likewise suited for this Purpose must be very fine and subtile, because other- wise it cannot be insinuated into all the In- terstices the Fibres, without separating their Parts so far as is inconsistent with the Contexture and Mechanism of a Fibre, al- ready described; and the Parts also of this Fluid must not only be very subtile, but like- wise soft and yielding, whereby the Motions of the Particles against one another may be Maintained the better; and also as by a Ce- ment, that they may be prevented in their receding from each other in their longitudinal Surfaces, so far as to admit of no foreign Matter to insinuate itself between their trans- verse Surfaces, in such Quantities as to hinder their Re-union when Occasion may require it. From what has been said it will appear, that the most natural Consequence of Mo- tion, will be the breaking still smaller and smaller the component Particles of that Fluid, which is dispensed to the Fibres to lubricate and facilitate their Motions; which Commi- nution will be continued till it is rendered so fine, as to fly off at last at the Surface of the Body, being of no farther Use to Nature, whenever it happens to get there, and by that Means must be there continually made a Waste of, and that merely by such an Attrition of the Parts, as necessarily arises from their due S3 Dis- 278 A GUIDE to HEALTH Part II. Discharge of the vital Functions; and that Matter, which thus insensibly flies off, is the true Matter of insensible Perspiration, the Exhalation of which is absolutely necessary for the Preservation of Health and long Life. But this Waste makes it necessary that there be a continual Supply of what is lost; and this is made from what is taken in by the Stomach, which, after divers Digestions and Alterations, at last is mixed with the Blood, and there fitted for some of the finest Parts to pass through the Glands constituted for that Purpose in the Brain, which from thence are dispens'd through the whole ner- vous System, in such a Manner, as constantly to keep up a due Supply of this animal Fluid. Yet there is another Way by which the Fibres receive fresh Supplies, and that a much nearer; for, according to their natural Con- structures, it is very likely that even in the Stomach, and throughout the whole Passage of the Food into the Blood, the most subtile Parts of what is taken in, which are soon se- parated from the rest, and ready fitted for this Use, may, when they chance to strike against any of the Interstices of a Fibre, be laid hold on, and by Degrees convey'd into the Substance of the Thread; for it is certain the most subtile Part of the Chyle passes imme- diately into the Blood by the absorbent Ves- sels Ch. X. thro' the various Stages of Life. 279 sels * of the Intestines, as I have observed in another Place, which discharge themselves into to the Mesaraick Veins †, and from thence are convey'd directly into the Liver and Spleen. Besides, this is farther supported by com- mon Experience, by which it is evident, that the Solids are invigorated with fresh Recruits of Spirits, immediately upon taking into the Stomach such Meats and Drinks as are spiri- tuous, and contain in their Composition plenty of Particles very fine and active, and easily to be divided from the rest: And thus every one, Upon eating a good Meal, or upon drinking of any spirituous Liquor, especially if it be after long fasting, or a large Expence by hard La- bour or Exercise, finds himself immediately, as soon as it is in his Stomach, raised with new Spirit and Vigour; which could by no Means happen, were the Solids to obtain these Re- cruits altogether from the Chyle's passing through the Lacteals to the Thoracick Duct, S4 and * Are Vessels which suck in. † They are Branches of the Vena Portœ, interspersed in great Numbers in and upon the Laminœ of the Mesentery, which is a membranous Part in the lower Belly, to which the Guts are connected, and they carry the Blood back to the Liver: Their Largeness and Number demonstrate what in said above; for they are numerous and vastly larger than their correspondent Arteries; besides, wherever there are Emissaries, which are little Vessels which throw out a Liquid, there are likewise absorbent Vessels; for Example, in the Skin, by the absorbent Vessels of which Mercury will pass into the Blood. Moreover Birds, which have strong and large Breasts, small Bellies, and their Ribs upon their Backs, have no Lacteals nor Thoracick Duct, and their Aliment passes immediately into the Mesaraick Veins, by which Means they receive their Nourishment intirely. 280 A GUIDE to HEALTH Part II. and thence into the Blood; because it is im- possible that what a Person finds himself so soon recruited by, should in so short a Time have gone through the usual Digestions and Cir- culations, which require some Hours for that Purpose, according to Sanctorius, and a great many Authors of undoubted Authority. Upon a View of what has been said, with what ease may be explained, how the Body, by moderate Exercise, is rendered lighter up- on a twofold Account! Because, in the first Place, there is occasion'd by it a Substraction of its absolute Weight, as it assists Digestion, and by breaking the Matter to be perspired finer; secondly, it promotes the Discharge of that Matter through the Pores; and because by the Vibration of the Solids, at the same Time, there is a larger Quantity of fresh Spi- rits taken up by them from the circulating Blood, both by the Secretion made of them in the Brain, and in the Manner they are convey'd by the absorbent Vessels just now explained, whereby the Fibres become more invigorated, and so much the more able to carry on a due Discharge of all the vital Functions, inso- much that the Body will not have the Sense or Perception of so much absolute Weight as before. Moreover, the Muscles and Ligaments are cleared of their Excrements by Exercise; that is, whatever superfluous Particles of the digested perspirable Matter may adhere to them, is by Motion dislodg'd and shook of: And Ch. X. thro' the various Stages of Life. 281 And the Spirits are rendered finer; that is, such Parts of the nervous Fluid as are just re- ceived by the Fibres, are by the Actions of their component Threads broke smaller, and tendered fitter for the Purposes of the whole Body. Upon this View likewise it will be easy to account for some Disorders this Fluid is likely to fall into, or how it is most liable to be di- stemper'd; which is very plain, that it must be either by becoming too gross and sizy, or too fine or exhalable. The first may be occasioned by a want of sufficient Agitation or Motion in the Solids, whereby its Parts attract each other, and form viscid Cohesions, in the same Manner as it happens in the Blood in the same Case, which renders the Motions of the constituent Threads of the Fibres very difficult and troublesome, and sometimes so obstructs or blocks up those little Vacuities or Interstices between their transverse Surfaces, which are necessary for the Support of their Elasticity, as to prevent, in a great Measure at least, their Power of Resti- tution when they are distended; as happens in a Leucophlegmatia, Anasarca, and such like Disorders, where the Springs of the Fibres are so much destroy'd, that by any small Pressure upon a Muscle, the Impression will sometimes remain a long Time before their constituent Threads can recover their natural Dimensions; or, as it is commonly express'd, the Part will pit. The 282 A GUIDE to HEALTH Part II. The other Disorder of this Fluid, oppo- site to the former, is, its being broke too fine; which will render it so exhalable as to fly off in greater Quantities than the concoctive Power in the Stomach is able to recruit or supply; and this is often brought about by too violent Exercise, too large Evacuations, or drinking too great Plenty of spirituous and hot Liquors, whereby the Constitution of the Blood is so far weaken'd, as not to give due Resistance to the Constractions of the Vessels which circulate the Juices, whereupon they vibrate quicker, and break the nervous Juice too fine; which brings on a Hectick, and Death, if not timely remedied. As to the first of these Disorders, it is evi- dent that it is to be remedied by giving brisker Motions to the Solids, and encreasing the Vi- brations of the contractile Vessels, in which how far Exercise may be useful, is evident from what has been said already; for every Thing which acts as a Stimulus comes under this Head; and their Efficacy is chiefly to be determined by their greater or lesser Power of stimulating, shaking, and contracting the Fi- bres, which Exercise rightly pursued produces more efficaciously, and with less Danger, than any other Method whatsoever. For by such Means the component Threads of the Fibres are so put in Motion, as to loosen such Parts of the animal Oil, as are obstructed in their Interstices, and by Degrees break them small enough for Expulsion; and a fresh Ch. X. thro' the various Stages of Life 283 a fresh Stock of such Spirits will be supply'd, as will restore them to their natural Springs. As to the latter Disorder, it is to be re- moved by a Diet that agglutinates, and gives a greater or stronger Consistence to all the Fluids, and by all such Means as check the in- ordinate Motions of the Solids. So that upon the Whole it is evident, that to keep from ei- ther of these Extremes, Care is to be taken to maintain a just Ballance between the elastick Force of the Solids and the Resistances of the circulating Fluids, in which true Health con- sists; because, if the Equilibrium is lost on either Side, the Body cannot but fall into some Distemper; and in this consists the whole Art and Business of a rational Practice, to know when to add to, or substract from, the Resistances of the Fluids, and when to check or spur the Motions of the Solids; as also to be well acquainted with the various Methods by which all these Intentions may be brought about. And here I cannot omit just taking Notice, how wonderfully the Effects of Musick in some extraordinary Cases are hereby account- ed for; and tho' Musick, strictly speaking, may not be deem'd Exercise, unless it be so to those who exercise it themselves; yet it will manifestly appear otherwise, if we consider, that according to the Nature and Contexture of an animal Fibre or Thread, it is very plain that the least Stroke imaginable upon it, must move its component Fibrillœ in all their 284 A GUIDE to HEALTH Part II. their Parts; therefore every Wave or Undula- tion of the Air, which is made by a musical Instrument, gives the Fibres of the whole Body more or less correspondent Concussions, according to their Degrees of Tension, where- by all the component Fibrillœ are successively moved from one to another throughout the whole Thread; and consequently the Spirits are not only raised and made finer, but like- wise the other animal Fluids are also more briskly agitated, and their preternatural Co- hesions and Viscidities destroyed: All which plainly prove, that Musick is not only good Exercise for the Mind, but likewise very use- ful for the Body, by the agreeable Concus- sions and Thrillings we sensibly perceive from it in all the fleshy Fibres of the Body. Hence Musick has this Advantage above any other Exercise, that those Concussions made upon the Fibres thereby are short, quick, and easy, whereupon the nervous Fluid is not only more briskly agitated, but also the natural Contexture of all the animal Threads are better preserved, being never o- verstrained hereby, as they frequently are with other Exercises: Therefore upon this View the extraordinary Effects of Musick in several Diseases, as that of the Bite of a ta- rantula *, &c. ceases to be a Wonder, and it * Among all the wonderful Effects ascrib'd to the Power of Musick, none is more surprising and important than that of curing the venomous Bite of the Italian Spider, called the Tarantula. The Part bitten is soon affected with a very acute Pain, Ch. X. thro' the various Stages of Life. 285 it rather comes to be admired that it is not much more brought into Use here for the Be- nefit of valetudinary and weakly Constitu- tions, as it is in Italy and other Countries, and that even by the Direction of their Phy- sicians. What has been said farther explains that common Effect of Exercise, in its giving al- ways, conformable to Hippocrates's Opinion, a greater Firmness and Strength to the Solids; for the more a Fibre is kept in Action, the clearer it will keep its component Parts from the Lodgement and Adhesion of any foreign and superfluous Matter upon them, by which Means whenever it is distended or stretch'd, there will be the more Room for each Par- ticle to draw up again, and consequently its Return will be with greater Force; but the Exercise which produces this Effect, is such only as does not exceed the Powers of the Con- Pain, and a few Hours after with Numbness; upon which ensues a profound Sadness, and a Difficulty of Respiration; the Pulse grows weak, the Sight is disturbed, and the Person loses Knowledge, Sense, and Motion. The Doctor is in vain con- sulted; the Musician here alone performs the Cure; he tries a Variety of Airs, and when he happens to hit on that Har- mony that accords with the Patient, he begins to move by Degrees, and keeps Time with his Fingers, Arms, Legs, and Body; then he raises himself up and dances, increasing in Strength and Activity. This dancing Fit continues six Hours, or a Day, or sometimes two Days. When the Musick ceases, the Person gives over dancing, and is put to Bed. And this Process is repeated till the Patient is recovered, which is by little and little; and every sick Person has a particular Tune or Air, and always a very brisk or sprightly one. See Der- ham's Physico-Theology, Book IV. Chap. iii. and Malcolm's Musick, Chap. xiv. Sect. 3. &c. 286 A GUIDE to HEALTH Part II. Constitution; for too much Exercise destroys the Solids, by consuming the Fluids too much. But on the contrary, by too much Rest and Inactivity every Part will lose its Strength, and the less it is mov'd, be still render'd less able for Motion. And upon this Account it is that we see daily such a very great Diffe- rence between active and stirring Persons, and such whose Circumstances of Life in- ures them to Labour and Exercise, and those whose Inclinations and Condition indulge them in Ease and Inactivity; for the for- mer are strong, hardy, and healthful, but the latter tender, weakly, and diseas'd. From the Doctrine of this Chapter, it is manifest to a Demonstration, that there is an absolute Necessity for Labour and Exer- cise, to preserve the Body any time in a due State to maintain Health, and prolong Life: For let whatever Diet be pursued, though never so well adjusted both in Quantity and Quality, and let whatever Evacuations be used to lessen the Disorder, or any Succeda- neum or Equivalent be proposed to prevent the ill Effects; yet our Bodies are so made, and the animal Oeconomy so contriv'd, that without due Labour or Exercise the Juices will thicken, the Joints will stiffen, the Nerves will relax, and on these Disorders, chronical Distempers and a shatter'd old Age must soon ensue. And Ch. X. thro' the various Stages of Life. 287 And tho' light Food may in a great mea- sure prevent the thickening of the Fluids, yet it cannot do it sufficiently without Exer- cise; nor can it at all keep the Fibres in due Tension, for to that Purpose Exercise is ab- solutely necessary: Even the joint Power of warm Air and light Food, cannot supply the Place of Exercise in keeping them pliant and moveable, and preserving them from growing hard and stiff. But we should al- ways avoid too much Labour or Exercise, as I have just now observ'd; for Sanctorius tells us, “ That by too much Exercise the Fibres “ become hard, whence old Age proceeds, “ which is an universal Hardness and Stiff- “ ness of the Fibres *.” There are general and particular Exercises; the former, which move and stir the whole Body, are Walking, Dancing, Fencing, Run- ning, Leaping, Bowling, Tennis, Pumping, Riding a Horseback, or in a Coach, &c. of all which Walking is the most natural, and would be also the most useful, if it did not exhaust the Spirits of weakly Constitutions too much; but Riding is certainly the most manly, the most healthy, and the least labo- rious and expensive of the Spirits of any, shaking the whole Body, and thereby pro- moting an universal Perspiration and Secre- tion of all the Fluids; to which may be added the various Changes of the Air thro' which they so quickly pass, the Alterations of * Aph. 35. Sect. V. 288 A GUIDE to HEALTH Part II. of which become as it were a new Bath, and by that means variously stimulating the Fibres to brace and contract them; besides the different Objects or new Scenes, which at the same Time amuse the Mind. The immortal Sydenham laid so great a Stress on Riding, that he thought he could not only cure slight Consumptions, but an almost desperate Tabes, attended with nocturnal Sweats, and a violent Diarrhœa, by Riding alone; nor did he believe Mercury more ef- fectual in the Cure of the Venereal Disease, or the Bark in intermittent Fevers, than Riding was in a Consumption. Those who cannot ride may use a Coach, Chaise, or Chair, which is the only proper Method for lame, old, and decrepid Persons, as well as for those who are so young, that they are not able to manage their own Exer- cise. There are also particular Exercises appro- priated to certain Parts of the Body; as Shooting, for the Breast; Talking, Singing, Hollowing, Blowing the Horn, or Wind-In- struments, for strengthening, opening, and clearing the Lungs; Tennis or Foot-ball, for those who have weak Arms or Hams; Bowl- ing or Skettles, for the Reins and Loins; Riding, for weak Nerves and Digestion, and those troubled with Head-aches. In short, there is no one particular Part of the Body, but might be strengthen'd and kept in due Plight by Labour or Exercise rightly Ch. X. thro' the various Stages of Life. 289 rightly appropriated to the particular Organ; for it is very remarkable, how the several different Limbs of labouring Men are streng- then'd, and render'd fleshy and nervous, as they happen to be most employ'd in their different Occupations: so the Thighs, Legs, and Feet of Chairmen; the Arms and Hands of Watermen; the Backs and Shoulders of Porters, grow thereby thick, strong, and hard in time; for it is very certain, that using any Organ or Member frequently and forcibly, brings Blood and Spirits into it, and by that means is render'd plump and strong. The following Conditions ought to be ob- serv'd with Regard to Exercise, in order to render it the most beneficial that may be. The first, that it be upon an empty Stomach, for then all the Matter which is digested enough for Perspiration, will thereby be easily discharg'd; but Exercise on a full Meal is very pernicious, for it subverts the Stomach, and forces the Aliment from thence crude and indigested, and so hurries it into the Veins and Habit of the Body, whereby Secretions are precipitated, and the found Juices are carried off with the corrupted Hu- mours; hence arise frequently putrid Fevers, Pleurisies, Head-achs, weak Eyes, and a general Cacochymy, or a vitiated Constitu- tion. Secondly, the Morning Exercise is always the best, for then the two Concoctions are finish'd; and Hippocrates is very clear upon this Head, T in 290 A GUIDE to HEALTH Part II. in one of his Aphorisms, wherein he says, Let us exercise before eating. But it should be moderate and equal; I call that Exercise moderate which is not tiresome, and equal when all the Parts of the Body are equally mov'd. Thirdly, They that are lean should exer- cise only ad Ruborem, that is, till the Body and Spirits are gently heated, for that will help to fatten them; but they who are fat may exer- cise ad Sudorem, that is, till they sweat, for that will help to melt down Part of their Fat, and consequently extenuate the Body. Fourthly, We must carefully avoid drink- ing any cold Liquors after violent or great Exercise, or when we are hot and sweating, which Heat and Thirst intice us to do; the dangerous Effects of which, are chilling and almost extinguishing the remainder of the Heat which is left in the inward Parts, and surfeiting the Blood and Juices, by mix- ing cold Drink with the Fat, which is at that Time partly melted and floating in the Body. Fifthly, Another great Error to be avoid- ed is, drinking of strong and spirituous Li- quors after hard Labour or Exercise, in order to avoid the former Inconveniencies, not con- sidering that we thereby incur another, which is over-heating and drying our Bodies, too much heated and dry'd before; but to avoid both, and to refresh the Body at the same time, the best Way is, first to rest a while warm, Ch. X. thro' the various Stages of Life. 291 warm, if we can conveniently, and then to drink a Draught of warm Ale or Beer, with a little Mace and Sugar in it, or some other innocent Supping, analogous in Heat or Warmth to that of our Bodies, by which means the Blood and Spirits will soon settle, and be refresh'd, and so the Limbs after Rest will be enabled with Ease to undergo new Labour. Sixthly, We should carefully avoid catch- ing of Cold after Exercise, by retiring into a warm Room, or some convenient Shelter from the Injuries of the Weather. CHAP. XI. Of RETENTION and EXCRETION. THE Things to be excreted or evacua- ted, and retained, are the Excrements of the Belly, Urine, insensible Perspiration, the Semen, and the Menses; for these must be regulated, and evacuated in due Time, and in due Quantity, all which conduce very much to the Preservation of Health and long Life, otherwise they will injure it, and bring on a Multitude of various Diseases. There- fore in a natural and healthy State, we should go to Stool once in 24 Hours, and the Fœces should be of a due Consistence, that is, some- T2 what 292 A GUIDE to HEALTH Part II. what soft, and stick together, according to the old Saying, Oportet sanorum sedes esse configuratas; that is, The gross Excrements in healthy Persons ought to be of such a Con- sistence, as to take the Impression of the Guts. They who are costive, and otherwise not well, have either over-heated their Bodies with spirituous Liquors, or have fasted too long, or eaten too sparingly, or they have too slow a Digestion, or too great Weakness of the Intestines; and by that means the Food is retain'd too long before the Mouths of the Lacteals, and is thereby over-drain'd of its Moisture, and harden'd. The best Proportion of the gross Eva- cuation to the Quantity of the Food we take in, is about the third Part; for they who much exceed that, have the Mesaraick Veins stopt or obstructed, and so cannot be nou- rish'd; and if it exceeds it, 'tis certain that the Body wastes, unless the Matter of some Disease be thereby evacuated; or else, if they have purging Stools, they have eaten too much of Things too strong for their Powers of Digestion; for it is very certain, that superfluous Nourishment leaves too much Chyle in the gross Excrements, which fermenting in the Guts, stimulates them so as to become purgative. But if the Looseness be not violent, and the Appetite remains good, it is not to be suddenly and rashly stopp'd; for Nature thereby frequently prevents, and often times rids Ch. XI. thro' the various Stages of Life. 293 rids herself of many a Disease, which upon an unadvised Astriction would be riveted in the Body; and therefore the Rule is, first cleanse and then close. But if it be too vio- lent and frequent, and the Stomach thereby decay'd it must be carefully and speedily remedied; and in this Case Advice is very necessary, for it is easy to commit an Error, but the Consequence is dangerous. Here I cannot omit inserting an Abstract of some few Passages out of Cheyne's Essay of Health and Long Life, which are admi- rable upon this Subject, and very worthy of every Body's Perusal. ' I have often ob- ' serv'd, says he, that a full Meal of strong ' Meat, as Fish, Beef, Pork, baked Meat, ' or made Dishes, in tender Persons goes off ' with the Hurry and Irritation of a Purge, ' leaving the Bowels instated, colick'd, grip'd, ' and the Spirits sunk to the last Degree. ' The Food by its various Mixture, Weight, ' and Fermentation, Stimulating all along ' from the Stomach to the Rectum *, and ' being scarce ever drain'd of its Chyle, ' without affording any Nourishment to the ' Body, runs off thus crudely, and becomes ' equal to a total Abstinence from Food for ' a long Time. And hence we have a most ' infallible Rule, † a Posteriori, to judge ' if we govern'd ourselves in our Diet in T3 ' Pro- * The straight or last Gut. † A Posteriori, i. e. after the Trial has been made. 294 A GUIDE to HEALTH Part II. ' Proportion to the Necessities of Nature, ' and the Forces of our concoctive Powers. ' This is the very Reason why the Bark ' over dosed, and given to Persons of weak ' Digestion, so constantly purges them, and ' why Mercury given either inwardly, or ' by Frictions, runs off in violent Purging, ' and cannot be raised into a Salivation; to ' wit, the not adjusting the Doses to the ' Strength of the stomach and nervous Fi- ' bres; for the Bark naturally binds, and ' Mercury naturally rises to the most § per- ' vious Glands. ' And in this Sense I myself have frequent- ' ly observ'd in weak and scrophulous Bowels, ' even Diascordium and Venice Treacle to ' purge: whereas, had the Doses been duly ' proportion'd, or had they begun by un- ' der-dosing, and taken a little longer time, ' they might have been effectually answer'd, ' as I have often experienc'd without ever ' failing. ' 2. There is a very great Error commit- ' ted in Nurses and Parents in rearing up ' young Children; the perpetual Gripes, ' Colicks, Loosenesses, hard Bellies, Choak- ' ings, Wind and Convulsive Fits, which tor- ' ment half the Children in England, are en- ' tirely owing to the too great Quantities of ' too strong Food, and too rank Milk, thrust ' down their Throats by their over-laying ' Mothers § Pervious, i. e. the easiest or readiest Way to be passed through. 295 thro' the various Stages of Life. Ch. XI. ' Mothers and Nurses; for what else do their ' slimy, their gray or chylous, their blackish, ' and cholerick Discharges, the Noise and Mo- ' tion in their Bowels, their Wind and Choak- ' ings imply, but Crudities from superfluous ' Nourishment? This is so certain, that they ' are universally and infallibly cur'd by testa- ' ceous Powders, which only absorb sharp Cru- ' dities; by Rhubarb Purges, which at once ' evacuate and strengthen the Bowels; and by ' Milk Clysters, Issues, and Blisters; and by ' obstinately persisting in these and the like, ' (intended to evacuate and strengthen the ' alimentary Passages) and a thin, spare and ' nutritive Diet; for nothing nourishes but ' Food duly concocted. ' 3. I have often heard valetudinary and ' tender Persons, and those of sedentary Lives, ' and learned Professions, complain of Head- ' achs, Sickneses at the Stomach, Colicks and ' Gripes, Lowness of Spirits, Wind and Va- ' pours; and yet pretended they were very ' moderate and abstemious in their Eating ' and Drinking; but upon Enquiry, I con- ' stantly found these very Persons pursued ' with purging Stools, which was an evident ' Proof to me, that they had taken down ' more than they wanted, or could digest: ' for 'tis universally certain, that those that ' do not exceed, must have either Costive, ' or at least Stools of a middle Consistence. ' There is nothing more ridiculous, than ' to see tender, hysterical and vapourish Peo- T4 ' ple, 296 A GUIDE to HEALTH Part II. ' ple, perpetually complaining, and yet per- ' petually cramming, crying out, they are ' ready to sink into the Ground and faint ' away, and yet gobbling the richest and ' strongest Food, and highest Cordials, to ' oppress and overlay them quite. The pro- ' per Remedy in this Case, is first, to cleanse ' the fœtid Abyss, and then to preserve it ' clean, by cutting off all the Inlets of Pu- ' trefaction. This will require a little Cou- ' rage, Labour and Pain; but the future ' Ease and Sweetness will more than abun- ' dantly recompence them; for there is no- ' thing more certain, than that the Head-achs, ' Colicks, and nervous Pains and Disorders, of ' those born found here in England, univer- ' sally proceed from Idleness and Fulness of ' Bread. 4. ' Those who pretend to cure themselves ' of nervous Disorders, or any other chroni- ' cal Diseases, or preserve themselves from ' them, or lengthen out their Days, must ' under-dose themselves, even tho' they ' should undergo the Pain of Costiveness; ' for it is impossible the Nerves of those who ' have slippery Bowels, should ever be braced ' or wound up; for there the Cure must be- ' gin where the Evil began, and must be ' communicated thence to the rest of the ' System; as a Rope-maker begins the Twist at ' one End of the Rope, and communicates ' it to all the other Parts. ' Our Ch. XI. thro' the various Stages of Life. 297 ' Our Access to the Nerves of the Sto- ' mach and Bowels, is obvious and open; to ' the rest the Way is difficult, and far about. ' And since a Relaxation, Weakness, and ' want of Spring in the Fibres, is the Origin ' of all nervous Distempers, no Medicines ' but such as contract, stiffen, wind up, and ' Shorten them, can remedy this Evil; and ' they must necessarily contract and bind up ' the Fibres of the Stomach and Guts, as the ' Parts they first approach and exert their ' Virtue upon. And he who without firm ' Bowels, thinks to cure a nervous Distemper, ' labours as much in vain, as he who would ' keep a Fiddle-string soaking in Oil and ' Water, to make it vibrate or play off a fine ' Composition of Musick. 5. ' There happens also an Evacuation ' both by Stool and Urine, to some weak ' Persons of relax'd Nerves, that extremely ' alarms them, and is not so readily account- ' ed for in that Part of Physick, which teaches ' the Causes of Diseases. It is when either ' a white transparent, viscid Substance like ' Gelly, is constantly voided by the Bowels, ' more or less; or when a white, milky, gluey ' Substance like Cream or laudable Matter, ' settles in the Urine. Both these Appearances ' are commonly ascrib'd to an Ulcer in the ' Guts, or in the Kidneys; and yet I am ' very certain, there is neither Ulcer or true ' Matter in either Case, as I propose them. ' For where there is violent and acute Pain, ' or 298 A GUIDE to HEALTH Part II. ' Matter of different Colours or Mixtures, ' there very possibly may be, nay certainly ' there is an Ulcer. But in the Case I here ' intend, there is very little or no Pain, no ' hectical Paroxysms, which always attend an ' inward Ulcer; no bloody or sanious Mix- ' tures, which always betray the inward Sore; ' no fœtid Smell to imply Corruption. ' The first Case I take to be either an ' Obstruction of some of the Lacteals, where- ' by the Chyle cannot be carried off in any ' sufficient Quantity, but passing thro' the ' Guts, and its more watery Part being eva- ' porated, it becomes thick and gelatinous, ' and is thrown off at last with the Remains ' of the Food; else it must be an Obstru- ' ction of those Glands of the Guts, by ' which a viscid Matter for lubricating of ' them is commonly secerned, by the Im- ' prisonment and Evaporation of which Mat- ' ter it thickens and turns like a Gelly (as it ' does by Cold or Over-feeding, in the Glands ' of the Mouth, Throat, and Windpipe) and ' at last, by squeezing of the Guts is thrown ' off. And in the same manner, I take that ' milky Substance subsiding in the Water, in ' such a Case as I have mention'd, to arise ' from a Relaxation of the Glands of the ' Kidneys and Bladder, and other urinary ' Passages; and that both are to be cur'd the ' same Way as other nervous Distempers are ' cur'd; viz. by a proper Regimen of Diet, and Ch. XI. thro' the various Stages of Life. 299 ' and a Course of contracting, strengthening, ' and volatile Medicines.” The second Evacuation is by Urine, be- ing a serous Humour strain'd in the Kid- neys, which comes with the Blood (which it diluted) to the Reins by the Arteries of the Kidneys, but is separated from it as ex- crementitious, and that continually, as Part of the Blood is constantly driven to the Kid- neys to nourish them. The Urine contains not only the watery Part of the Blood, but the sharpest Salt, which is most subtile and volatile, and nearly of an alkaline Nature, render'd exceeding volatile. In the watery Part there is also a fœtid Substance contain'd, and a viscid Oil so attenuated, that it readily mixes with Wa- ter, and is scarce separable from it; which may therefore in some Measure be called a Spirit. The natural Salt of Urine is of a lixivi- ate, soapy Disposition, and much like Sal- ammoniac, yet in some Respects different from it: It also contains a fix'd Salt, of the Nature of Sea-salt, being composed of a li- xiviate one, and a nitrous; of which Nature is that which swims in the Blood, the nitrous Parts being imbibed into it thro' the Lungs in Inspiration; so that the Salt in Urine in a found State, is neither acid, alkali, ammoni- cal nor briny, but of a peculiar Disposi- tion. But 300 A GUIDE to HEALTH Part II. But as Urine is a * Lixivium of the Salts contained in a human Body, and the proper Mark of the State and Quantity of such Salts; therefore very certain Indications may be taken from the Condition of Urine, to discover both the State of our Constitution, and the Regulation of our Diet; and tho' the Salts of human Urine be neither acid nor alkaline, as I have just now observ'd, yet by the violent Motion of the Blood, as in burn- ing and putrid Fevers, &c. they may be turn'd alkaline, and even corrosive; and when they begin to turn so, they affect the small and tender Fibres of the Brain more sensi- bly than any other Part of the Body. When the Urine is of a bright Amber Colour, and of a moderate Thickness, with a light Cloud hanging in it, and in Quantity of about three Quarters of the Liquor taken in, it is best, and a certain Sign of a due Con- coction, a just Proportion of Food, and a to- tal Riddance of Repletion and Crudities; for they who live moderately, use due Exercise, and enjoy a perfect State of Health, always evacuate such Urine. But when it is retain'd too long, either by the Fault of the Kidneys or Bladder, or because the Matter of it is not sufficiently separated from the Blood, or that it is kept too long in the Bladder thro' Laziness or Bash- fulness, (as is often the Case) it occasions Stone and Gravel, and sometimes Blotches and Erup- tions * Lixivium, i. e. Lye, such as that of Soap. Ch. XI. thro' the various Stages of Life. 301 tions upon the Skin, Dropsy, fainting, and sleepy. Diseases, with a great many other Disorders, too tedious to enumerate in this Place. If there be too great an Evacuation of Urine from any Cause whatsoever, by taking away the Serum, or watry Parts of the Blood, it will occasion a Stagnation of the Humours, encrease Heat, an unextinguishable Thirst, Crudities, and many Evils of the like Na- ture; and by depriving the Blood, and carry- ing out of the Body the most nutritive Parts, produce an Atrophy, or a total Decay, as in a Diabetes, and Death at last. The Urine differs both in Taste, Smell, Colour and Quantity, according to the Diffe- rence of Ages, Constitutions, Sexes, Seasons of the Year, and Alterations of their Way of living, and Diversity of Medicines; so that they who live freely, and make Quan- tities of pale, or limpid and sweet Urine, it is a manifest Sign that their Perspiration is ob- structed; that neither the first nor the two last Concoctions * have been rightly perform'd; and that the Chyle has not been sufficiently attenuated, nor the minutest Secretions duly made by the lesser Drains of the Body, and that the urinous Salts are still retain'd in the Habit. The * Concoction in an animal Body is three-fold; the find is confin'd to what Alterations are made of the Food in the Stomach and Intestines; the second is applied to the Alterati- ons made of it in the Blood-Vessels; and that made in the Nerves, Fibres, and minutest Vessels, is not improperly called the third and last Concoction. 302 A GUIDE to HEALTH Part II. The Cure, as to Diet, consists in living re- gular, that is, in eating and drinking less, and using more Air and Exercise, drinking freely of small warm White-Wine Whey; likewise a little Gascoign's Powder, or Sir Walter Raleigh's Confection will be proper at the same time, in order to set Perspiration to rights again. High-colour'd, foul, and very turbid Urine in small Quantities, proceeds from either an immoderate Use of strong or spi- rituous Liquors, or from too great abundance of Salts retain'd in the Body; which must be remedied by diminishing the Quantity of their Flesh Meats, and drinking small Li- quors, or Water with their Wine, otherwise they will hurry themselves into some acute Inflammatory, or dangerous Chronical Dis- ease. Dark Brown, or dirty Red-colour'd Urine, without any Sediment, and in small Quan- tity, in acute Distempers is always a sure In- dication of insurmountable Crudity, high Inflammation tending to a Mortification, and a dying Weakness in Nature: But in those who labour not under any visible Disease at the Time, it is a certain Sign of almost a total Weakness of the digestive Powers, an inseparable Cohesion of the component Parts of the Blood, and a Deadness in all the ani- mal Functions; in which Case, a Physician's Advice is highly necessary. A Ch. XI. thro' the various Stages of Life. 306 A bloody, mattery, wheyish Urine, or that with Films, Bits of broken Membranes, or white Gravel, denote or Gravel, or Symptoms of an Ulcer somewhere in the urinary Passages. Fat, which is observ'd upon the Top of the Urine, especially of consumptive People, signifies a wasting of the Body. The third Excretion or Evacuation to be consider'd is insensible Perspiration, which is imperceptibly discharg'd through all the Pores of the Skin, and other Parts of the Body, being the Recrements of the second and third Concoctions, divested of all that can be of any farther Use to the Parts of the Body; the free and full exhaling of which, is as necessary to Health as any of the gros- ser Evacuations, being in Quantity at least equal to all that is evacuated both by Stool and Urine; and an Obstruction thereof is ge- nerally the Parent of all acute Distempers, as it is a Consequence of all chronical Dis- orders. But having fully treated of this Matter in another Place already, for far- ther Satisfaction herein, I refer the Reader to Page 99. Note *, Part II. Nothing hinders and obstructs Perspiration more than catching of Cold, which is nothing but great Quantities of moist Air impreg- nated with nitrous Salts imbib'd through the Passages of Perspiration, by which means not only the Blood and Juices are thicken'd, but likewise insensible Perspiration is obstructed, and 304 A GUIDE to HEALTH Part II. and immediately a small Fever, and a Hurry in the whole animal System succeeds; which oftentimes lays a Foundation for Consumptions, Obstructions of the great Viscera †, and an universal Cachexy, or ill Habit of Body. Therefore, in order to remedy this Disorder, and prevent the ill Consequences of it, we should lie much longer in Bed than usual, drinking small warm White-Wine Whey plentifully, with some few Hartshorn-drops, Posset-drink, Water-gruel, Barley-water, or any other warm small Liquors, taking twenty Grains of Gascoigns Powder Night and Morn- ing, and at the same Time living low upon Spoon-meats, Pudding, Chicken, and drink- ing every Thing during the Height of the Illness warm; but if any Cough or Spitting should encrease, Bleeding should be perform'd, and to take now and then a little Sugar- Candy, Oil of Sweet Almonds, or a Solution of Sperma Ceti, to render Expectoration free and easy; and afterwards to be cautious of going abroad too soon, and without being well cloathed. Gripes, Purging, Colical Pains, much belching of Wind, Low-spiritedness, Yawning and Stretching, are sure and certain Indica- tions that Perspiration is deficient or ob- structed; therefore, in order to remove these Disorders, we must have recourse to a greater Degree of Exercise and Abstinence, and to some gentle Purge or other, such as Sena † Viscera, signify any of the Bowels or Intrails. 305 thro' the various Stages of Life. Ch. XI. Sena and Manna, or Rhubarb, &c. to clear the first Passages of the Load that oppresses them, otherwise the Person will suffer at last; and, as Sanctorius observes, Wind in the Body is nothing but Perspiration † ob- structed. The fourth Evacuation to be considered is the Semen, consisting of a white, hot, spiri- tuous, thick, clammy, and saltish Humour, which is elaborated in the Testicles and Epi- didymes, out of the purest and most spiritu- ous Parts of the Blood. Considering it there- fore in this Light, Moderation in Coition is absolutely necessary, both for the Preserva- tion of Health as well as Pleasure; for in Immoderation we do not consult Delight, but Lust, and lose the Pleasure by being too in- tent upon it: And it is certainly true, that those Parents who are most continent, have more and the most healthful Children; for they meet their Pleasure by Necessity: In these it cheers the Heart and Spirits, and makes them breath free and easy; it appeases Melancholy and Sadness, mitigates Anger, and disposes to Rest. But then that Mode- ration receives its Difference very much from the different Temperature of Constitutions; for less is sufficient for the Melancholy and the Cholerick, the Old and Emaciated; but more for the Sanguine and Plethorick, and those of a middle and flourishing Age: The Feverish if in any kind of Constitution must a- U void † Aph. xiii. Sect. 3. 306 A GUIDE to HEALTH Part II. void it, and likewise they who are subject to the Gout, and Diseases of the Joints. On the other Hand, the immoderate Use of Coition not only hinders Perspiration, by keeping the Fibres too strait, and lessening the Passages, and thereby giving rise to all the Dis- orders which attend an obstructed Perspira- tion, but likewise it disorders and weakens that due Tension and Elasticity of the Solids, upon which depends a right Discharge of all the animal Functions. I say, therefore, what- ever weakens this Disposition of the Solids, cannot but very much prejudice the whole Constitution. And that all violent Actions, such as that of immoderate Coition is, are de- structive to the Textures of the Solids, can- not be doubted; for their constituent Fibres or Threads will not only be much injured in their Contextures, but also that animal Oil or Spirit which nourishes them, and facilitates their Motions, will be so much press'd out and wore away, as to disable them very much afterwards in their natural Motions; and the Body will be, by that means, so weaken'd and dispirited, that the several Parts will not be able to discharge their respective Offices, whereby Digestion, Concoction, and all the natural Evacuations will be disordered. Hence follow a Dissolution of Strength and Spirits, Dulness of Memory and Understand- ing, Dimness of Sight, Diseases of the Nerves and Joints, as Palsies, and all kinds of Gouts, Weakness of the Back, and Consumptions; Seminal Ch. XI. thro' the various Stages of Life. 307 Seminal Weaknesses, and sometimes bloody Urine; a deprav'd Appetite and Head-achs, with a great many other Disorders needless to be mentioned here; and, to conclude, there is nothing that so wonderfully shortens hu- man Life, as the immoderate Use of Venery. In the fifth Place we are to consider the Menses as a necessary Evacuation, which are Excretions of arterial Blood every Month from the Womb: They begin usually when young Maids grow ripe at fourteen, and sometimes at twelve, but very seldom before: They cease naturally in pregnant Women, and those past bearing Children, and likewise those that give suck; yet it happens some- times that pregnant and suckling Women have them. The Quantity of them ought to be in pro- portion to the Quantity and Heat of the Blood; but, generally speaking, a certain Quantity cannot be limited, for some have a great many, and some but a few; nor do they continue upon all alike; some have them two Days, some three, some four, some six or eight Days. They that have them too much are weak- en'd, and their Blood being rendered crude, watery, and pale, are subject to Faintings and Waste: Those in whom they are sup- press'd, become hysterical and breath diffi- cultly, look pale, and lose their Appetite, and fall into Fevers, Inflammations, and a U2 great 308 A GUIDE to HEALTH Part II. great many Diseases, both acute and chroni- cal, if they are not timely remedied. There are other Excretions which could not conveniently come in under the foregoing general Heads; such as Sweat, Spittle, Mucus or Snot, Tears, and the Wax in the Ears. Sweat is a thin serous Fluid, mix'd with some Sulphur, a good deal of briny, but more volatile Salt, and a very little Earth: And the same Properties being found in Urine, we may conclude, 1. That Sweat and Urine may supply each other's Defects: Accordingly we find, that as Sweat is promoted, the Excre- tion of Urine is diminished, and on the con- trary. 2. That they may be provoked by the same Remedies: Thus Diaphoreticks, or such Medicines as promote Sweat, fail- ing to answer their Intention, prove Diu- reticks; that is, purge by Urine. 3. That Sweat carries off many of the sharp Salts, with which the Blood abounds, and by that means may accidentally prevent or cure many Distempers, is not to be doubted. Sweat therefore differs very much from, insensible Perspiration; for if it be encreased, and its Vessels enlarged, Perspiration must unavoidably be diminished, and its Vessels compress'd. Perspiration also is turn'd into Sweat, by violent Motion, and too much Heat, tho' by moderate Motion and gentle Heat it is very much promoted; but nothing can be more serviceable to promote it than gentle Friction of the Skin for some Time Night Ch. XI. thro' the various Stages of Life. 309 Night and Morning, as I shall observe in a another Place. The Saliva or Spittle, (of which I have given a Hint before) is a thin transparent Humour, almost void of Smell and Taste, which will entirely evaporate by Heat, but not curdle; and when shaken affords a ropy Froth. It is separated from the purer Part of the arterial Blood or Serum by the Glands; and when a Person is hungry it flows in great Quantities, and is then more fluid and sharp; after long fasting it is very penetrating and de- tergent; it ferments with Bread, Meal, or Sy- rup, and promotes Digestion. Men, as well as Brutes, swallow it in Health, and likewise wWhen asleep: When too much of it is spit out, it occasions loss of Appetite, slow Dige- stion, and an Atrophy or Consumption. It is composed of Water, Salt, Oil, and Spirit, all which can he extracted from it, which ren- ders it saponaceous, or of the Nature of Soap. This Fluid then being press'd out of the Glands, lays the first Foundation of assimi- tating the Food to the Body, and promotes the Mixture of oily and aqueous Substances, and a Solution of saline ones: It also pro- motes Fermentation, excites an intestine Mo- tion of the Parts of the Food in the Stomach; so that Digestion could not be perform'd without it. Therefore as this Fluid is of such great Use, when mixed with our Food, it ought not to the U3 lavishly 310 A GUIDE to HEALTH Part II. lavishly spit away; for when it is swallow'd, having perform'd its Office in the Mouth, and being return'd into the Blood, it is still far- ther improved by repeated Circulation and Digestion; and when separated in the Glands again, is highly amended. Hence it is manifest, that they who im- mediately upon eating fall a smoaking or chewing of Tobacco, as is generally the Custom here, and that even among People of the better Sort, commit two very great Errors, highly destructive to their own Constitutions : 1st, In diverting the Saliva or Spittle from its natural Offices, by spitting it away in smoaking or chewing, being one of the chief Menstruums, or Medium, for promoting Di- gestion, as I have just now demonstrated. 2dly, In using that stupifying American Hen- bane upon a full Stomach, which, besides the great Injury it does Nature, in depriving her too much of that necessary Fluid the Saliva, has also an intoxicating opiate Quality, by which (as all other Opiates do) it destroys the Appetite and hinders Digestion, the Truth of which is evident to all good Practitioners in Physick, Therefore, I sincerely advise all those who have any Regard for the Preserva- tion of their own Health, to avoid carefully this pernicious Custom, and never to smoak but upon an empty Stomach, or at least till the greatest Part of the Food is out of it, which always requires some Hours after eat- ing; and, even then, no Body except gross and 311 thro' the various Stages of Life. Ch. XI. and phlegmatick People, should smoak at all; because lean, thin, scraggy, dry, and cholerick Constitutions are heated and dry'd too much by it, which throws them oftentimes into Consumptions or other Decays. Mucus, or Snot, is a clammy and viscid Humour, which flows from the Extremities of the olfactory Nerves * through the Os Cri- briforme † into the Nostrils and Palate: It also signifies that slimy Liquor, or Mucilage, which daubs over and guards the Bowels, and lubricates the chief Passages in the Body from being corroded by any saline or sharp Hu- mours; but the Superfluities of it are excreted by the Nostrils and Intestines. Tears are a serous Humour, prepared out of the arterial Blood in the Lachrymal Gland ‡, and are of a saline, watery, clear, and smooth Disposition, discharged always in a small Quantity, but more plentifully when the Eye is rubbed or compressed by the Orbìcular Muscle ‖. This Humour serves to moisten, U4 wash, * Are those Nerves which give the Sense of Smelling. † It is a Bone full of small Holes, like a Sieve: It is also called Os Ethmoides, situated in the Middle of the Basis of the Os Frontis, or Forehead-Bone. ‡ It is a pretty large conglomerate Gland or Kernel, being broad, compress'd, rough, and placed within the Orbit, to- wards the outward Angle of the Eye, near the rough Chink, and inclosed in Fat; is endowed with Arteries, Veins, Nerves, Lymphaticks, and Ducts, which carry a Humour to the Eye prepared from the arterial Blood. ‖ It is the Muscle which serves to join the Eye lids toge- gether, contracting them like a Sphincter, and by a strong Contraction presses the Ball of the Eye, and squeezes out Tears upon the external Superficies of the Eye, which is thereby cleansed of its Filth, and the Eye itself washed. 312 A GUIDE to HEALTH Part II. wash, and render the Eye slippery, and pre- vents it from sticking to the Eye-lids: It like- wise serves to wash off any Filth or external Bodies, which, by adhering to the Eye, might cause Pain, or darken the Sight; but if this Humour be too much, so that it cannot be received by the Lachrymal Points *, it flows from the Eyes, and is called Tears. Cerumen, or Ear-wax, is the Excrement of the Ears, which sweats or ouzes out of the Cartilages and Glands bordering upon the Ears: It consists of Abundance of Salt and Sulphur, which gives it its Bitterness: It serves to hinder Dust, Motes, cr little Ani- mals from getting into the Ears. CHAP. XII. Of the Passions or Affections of the Mind. I Shall briefly treat of the Passions here, not as a Natural Philosopher, but as a Physician; therefore I shall not consider their Essences and Causes, but their Effects and In- fluence * They are Holes in the Bone of the Nose, by which the Matter that makes Tears passes to the Nostrils; but if these Holes grow hard and are stopp'd, from an Ulcer in one of the Glands in the Corners of the Eyes, thence arises a Fistula Lachrymalis. Ch. XII. thro' the various Stages of Life. 313 fluence upon human Bodies, and how their Regulation conduces to the Preservation of Health and long Life. For as to the Manner how the Mind or Thought operates upon the Body, or how such a Constitution of the Humours can affect the Passions of the Mind, and what that Tye or Bond of Union is, be- tween the Mind and the animal Fluids, is a Mystery unreveal'd to Man, being, at least mechanically, not reducible to Reason, it be- ing impossible to represent and delineate, as we do corporal Substances, the several Steps and Ways of Procedure of those Agents, which can by no means be brought under the Notice of our Senses, only in their Effects; and therefore we cannot have any Notion of the Procedure by which they are brought a- bout, as we can have of all those affected by physical Agents. But as it is certain that the Passions of the Mind do influence very much and alter the Constitution, especially when very sudden and intense, so far as necessarily to bring it under the Physician's Care, still the wisest must herein be contented to e- stablish his Rules upon Observation and Expe- rience only. There is nothing more remarkable, than that violent Passions of the Mind waste and consume the Spirits, and plunge the Consti- tution into great Disorders; and this they seem to bring about by universally stimulating, irritating, and twitching the Nerves and Fibres, in such a Manner as disturbs their re- gular Contractions: And altho' we cannot positively 314 A GUIDE to HEALTH Part II. positively tell, either how Thought can pro- duce such an Alteration in the Humours of the Body, or how such a Constitution of the Humours can affect the Passions of the Mind; yet if by constant Observation and Experi- ence it can be found, that such a Passion or Temper of the Mind is always attended with such Consequences in the Constitution; and that such a particular Temperature of the Constitution always affects the Mind with such particular Passions and Dispositions, it will very sufficiently afford a Ground of Certainty to any considerable Person, in his Reasoning upon their Consequences, and in the Mea- sures which ought to be taken in remedying the Disorders of either. For Instance, if Joy or Anger are always found to render the Body lighter, tho' we cannot tell how these particular Passions do first modify any particular Parts of the Body, so as to produce that Effect, yet it being plain how physical Agents do the same, it will be most reasonable to conclude, that these do it also by the same Means; that is, thus far we know, that an Invigoration, or an Increase of the contractile Force of the Solids, will promote Digestion, increase the Evacuations, and render the Body lighter. Therefore we have the greatest Reason to believe, when we see the same to be the Con- sequences also of a Person's being passionate- ly angry or very merry, that these Disposi- tions of the Mind (altho' we know not how) do Ch. XII. thro' the various Stages of Life. 315 do give that particular Modification likewise, and Degree of Tension to the Fibres, as Cold- bathing, a cold clear Air, or moderate Ex- ercise, when we see them attended with the same Consequences. But as we know these physical Causes have this Effect, by contracting and shaking the Fibres of the Solids, and thereby promoting their Power of Elasticity, and breaking the animal Juices finer; so it ought to be con- cluded, that these Passions of the Mind do likewise give the same Modifications to the Fibres, by which the same Effects are pro- duced. In like Manner, if Fear and Sorrow are found to be attended with an Increase of Weight in the Body, it is reasonable to think that they do it by the same Means as by which all those physical Agents produce the same Effect; that is, by slackening the Fibres too much, diminishing Digestion, and conse- quently by lessening the Evacuations. Therefore when any Passion of the Mind is said to have this or that Effect upon the Body, we ought to consider that Passion only as a physical Agents that is, as it contracts or slackens the Fibres, and as it increases or di- minishes the Evacuations; but in this we are guided only by Observation and Experience, which is very sufficient to a Person of any tolerable Judgment. The chief Passions of the Mind, from whence all the rest proceed, are Joy, Grief, Anger, 316 A GUIDE to HEALTH Part II. Anger, Love, Hatred, Shame, Hope, and Despair. Joy or Mirth is a Delight arising from some Good we suppose we have obtained; and this, above all the rest, conduces to Health, at least if it be moderate; for it keeps the Fibres in their natural Tension, assists the Secretion and Derivation of the Spirits to all Parts of the Body, and consequently pro- motes the Circulation and Digestion, and raises thereby a plentiful Perspiration, and renders the Body lighter; but immoderate Joy is very injurious, and proves sometimes mortal, the Spirits being thereby too much raised, and by the Suddenness of the Passion too much rarefied beyond their natural Stan- dard. Grief or Sorrow is a troublesome Languish- ment afflicting the Mind, arising from the Apprehension of some Ill happened or befall- ing us: By it the Spirits in the Brain and Nerves move slowly and very feebly; so that it produces a great Weight in the Breast, Suf- focation, and oftentimes Death, when sud- den and extreme. Anger is the Desire of Revenge, upon the Apprehension of some Injury done or offer'd to us: By it the Spirits are violently agitated in the Brain and Nerves: It encreases the natu- ral Heat, and, if moderate, it may be useful sometimes, in order to stir up a brisk Circula- tion of the languid Fluids in a cold and phlegmatick Constitution, by which means the Ch. XII. thro' the various Stages of Life. 317 the Body is rendered lighter; that is, it will then perspire better: But, on the contrary, Anger is pernicious to hot, dry, and cholerick Constitutions; because, in such it will dissi- pate the Spirits and dry the Constitution too much. Love is a certain Passion of the Mind, ex- cited in the Soul by the Motion of the Spirits, arising from an Object which we judge to be good, convenient, delectful, and amiable; so that the proper Effects of Love consist in this: That we consider ourselves as united to the Object we love, and that it is, as it were, ano- ther Part of us. Love may be properly distinguished into three Kinds: 1. The first is spiritual, as the supreme Love of the blessed Author of our Being, (to which our Love to all other created Beings is subordinate, at least it ought to be so,) which is that Union, Tendency, Biass, and Impulse of the Soul and other Spirits towards their blessed Creator, without any indirect Ends, without Deceit or Dissimulation, for his own Sake; because he is infinitely good, infi- nitely amiable, and infinitely perfect, abstract- ing from all other Considerations, even that of our own Happiness, in the Enjoyment of, or Union with him. Yet it is certain that these two, our Love to God and our own Happiness, cannot be actually separated: And this Love was communicated by him to them in their original Formation, by Virtue of which they constantly tend, press, and urge to unite; and, if 318 A GUIDE to HEALTH Part II. if Obstacles were removed, would unite with one another, and so be all united with their omnipotent Maker. But now, alas! this principle of the intelligent Soul, in this her lapsed State, being drowned in Sense, chain'd and setter'd by Ignorance and Perverseness, drawn and hurried away by the Devil, the World, and the Flesh, is disabled from exert- ing this inherent and innate Principle of Re- union, and wants sufficient Light on the Understanding, and a right Turn of the Will, to be put in a Capacity of exercising it; but in its proper Vacuity, and being freed from these Letts and Impediments, it would unite with its first Author, the Centre and Rock out of which it was hewn, and mount to- wards him like an Eagle towards the Sun. And even in this our lapsed and forlorn State, there remain evident Footsteps of this innate Principle still uneffaced; such are the Checks of Conscience, natural Affection, and the universal Desire of Immortality, and the Dread of Annihilation; and the Worship be- stow'd by all Nations, who are not sunk into mere Brutality, on some superior and invi- sible Powers: I say, these are Remains of this Principle, and its Operations, sufficient to shew its Reality à posteriori, as the Laws of Analogy, and the Nature and Attributes of the first Being, shew it à priori. For the Au- thor of Nature, who created intelligent Beings only in order to make them happy, could not leave them to so many different Attractions, without Ch. XII. thro' the various Stages of Life. 319 without implanting into their Essence and Sub- stance, as an Antidote to so many Distrac- tions, an infinite Tendency, Bent, and Biass to- wards Beings of the same Nature, and towards himself, who was the Cause and Object of their Felicity: And those, who admit of Revela- tion, cannot doubt of it a Moment. Moses * calls it, a Law engraven on the Heart of Man; and St. Paul †, the greatest Perfection of human Nature; whatever Men of Self-love and carnal Minds may think of it otherwise. The Second is Human, towards particular Persons and Things, as Parents, Wife, Children, Friends, or Things. Towards the first, Love ought to be sincere, hearty, constant, begotten, continued for their Sakes, and not for our own; but yet it should be limited and subor- dinate, Submission to the Will and Love of God: That to Things is not to be fixt, but changeable, as Necessity requires for our Support and Use; because the Things themselves are so, which we are to love, as if we loved them not, according to the Apostle. The third Sort of Love, is that which is shewn from one Sex to another, and ends in Matrimony: This is naturally imprest upon us, and it is carefully to be preserved from Dotage and Lust; for when it takes Fire from the last, it is never permanent, but soon cloys itself, and vanishes upon Satiety: Rea- son is here lost, which is the principal Cause of so many unhappy Marriages we so fre- quently * Deut. xxx. 14. † 1 Cor. xiii. 320 A GUIDE to HEALTH Part II. quently see. As to Dotage, it is an impotent and unreasonable placing of the Affection up- on another, which gradually draws all the Faculties, both of the Soul and Body, into a Languor and Consumption, oftentimes pro- ducing Lunacy or Madness. However foreign this metaphysical Specula- tion, concerning spiritual Love, may seem to a physical Treatise about Health, which I pro- posed to avoid in the Beginning of this Chap- ter; yet having seriously and attentively con- sider'd the Matter since, I found it both use- ful and necessary; because, if we steadily be- lieve it, and reduce its natural Consequences to Practice, it will not only become the most effectual Means to prevent Diseases, but also the most powerful of any Thing to promote Health and long Life, which I shall evidently make appear, before I finish this little Chap- ter. Hatred is the Apprehension of an Object which we judge hurtful or inconvenient; It is likewise Sorrow for the Good, and Chearfulness for the Ill of another. It occasions a slow and unequal Pulse; a sharp and stinging Heat, intermix'd with Cold piercing the Breast; the Stomach ceases from its natural Office, so that the Food being thereby crude and indi- gested, produces Nauseas and Vomitings, or is converted into corrupted Humours in the Habit of the Body, which are oftentimes the Parent of many grievous Diseases. Shame Ch. XII. thro' the various Stages of Life. 321 Shame is an Uneasiness of Mind upon Ac- count of having done something that is un- seemly, or that lessens one's Esteem among others: It is likewise a great Apprehension of Scandal: The Humours and Spirits being thereby variously agitated and confounded, frequently plunges the Body into fatal Dis- orders. Hope is a Desire of some future Good, which seems difficult to be obtained, but yet possible. By it a great Flow of Spirits tends to the Heart, which quickens its Pulsation, and accelerates the Motion of the Blood. And this Affection oftentimes prevents the ill Effects of other Passions, such as those of Grief or Sorrow, Hatred and Despair, &c. Despair is a Passion of the Mind arising from the Apprehension of some Good, which we judge impossible to be obtained. In De- spair the Pulse is generally very obscure, un- equal, and sometimes almost lost and creep- ing, the spirituous and most fluid Parts of the Blood being dissipated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body, which at last affect the tender Vessels of the Brain, by the Vis- cidity of the Matter impacted in them, that thereby the Imagination is disordered. Thus dark Melancholy, slow and long Grief hope- less love, and presumptuous Pride (which is a violent Degree of Self-Love) impair the Body, by causing the proper Times of ne- cessary Food and Exercise to be neglected, X and 322 A GUIDE to HEALTH Part II. and thereby depriving the natural Functions of their usual Supplies, overworking and wearing out some Part of the nervous System, and leaving the other, as it were, to rust, and so become too rigid and stubborn for want of Use: Besides, some of the Passions, as Pride, Love, and Grief, when immoderate and in- tense, terminate oftentimes in Lunacy and Madness; nay farther, even the Frequency and daily Increase of wanton and common Self-Murderers, are chiefly produced by these inordinate Passions, and their blasphemous and frantick Apologies grafted on the Prin- ciples of Infidels, and propagated by their Disciples, scarce known or heard of, at least not practised, in any Christian Nation but this, and her Daughters; for it is a manifest Truth, that those who have no Notion or Thought of a future State, with regard to either Happiness Misery, cannot have the true Love of God; and therefore such will always give a full Scope to all the Excesses of their brutish Passions, till at last, through some Disappointment, or Despair in gratifying their Sensualities, they most atrociously lay violent Hands upon themselves, contrary to the very Dictates of both the Law of Nature and their own Reason, revealed Religion being always a mere Phantom in the Thoughts of all such unhappy Wretchess; and thus, alas! they wantonly destroy both Body and Soul at once. The Ch. XII. thro' the various Stages of Life. 323 The Passions may be divided very properly into acute and chronical, in the same Manner, and for the same Reason, as Diseases are. The acute Passions, either pleasurable or painful, produce much the same Effect, and act much after the same Manner, as acute Diseases do; for they cause a brisk and lively Circulation of the Fluids, and brace up and contract the Solids for some Time. Thus sudden Joy, Grief, Pleasure, or Pain, stimulate and contract the nervous Fibres, and the Coats of the animal Tubes, and thereby accelerate the Motion of the included Fluids, for the same Time; but as the Motions of the Heart and Lungs are involuntary, they produce their more immediate Effects upon them; so that both sudden Joy and Grief occasion short and quick Breathing, and a small and fre- quent Pulse. A sudden painful Idea renders a quicker Circulation of the Blood, whereby a greater Quantity of it is thrown upwards, through the larger Branches of the great Artery, from the Heart, and makes it appear in the super- ficial Vessels of the Face, Neck, and Breast, which prodcues what we call a Blush. Thus we see that the Reasons why we sigh upon some Occasions, and blush at other Times, depend upon the different Structure of the Heart and Lungs, being the Organs of Pul- sation and Respiration; for a quick surprizing Pain of the Mind acts immediately upon the Heart, because its Motion is altogether invo- X2 luntary; 324 A GUIDE to HEALTH Part II. luntary; so that any sudden Contraction takes Place there directly, to accelerate the Pulse. On the other Hand, we have some Power o- ver the Breathing; for we can retain it for a little while; because, when we think in- tensely, our Attention is partly the Cause of retaining our Breath, from whence proceeds Sighing rather than Blushing. The Effects of the Suddenness of these Passions being thus accounted for; yet when they become extreme, they drive about the Blood with such Violence, that Nature is o- verwhelm'd, like a Mill by a very great Flood; insomuch that what drove it only brisker round before, intirely stops it now, and renders the Complexion pale and ghastly. Thus sudden and great Fear or Grief so much convulse the whole System of the Nerves, that they alter the very Position of the Parts sometimes, and fix them in another Place; so that in a great Fright the Hair stands upright, and the whole nervous System becomes so stiff and rigid, that they lose their Elasticity; by which Means the animal Functions cease from all Motion, and then Fainting, and oftentimes Death succeeds. Chronical Passions are called all those slow Passion of a long standing, which, like chro- nical Diseases, waste, wear out, and con- sume the nervous System; for those Nerves which are necessary for administering Ideas to the Imagination, being constantly employ'd, are impair'd, broken, and worn out; and the rest, Ch. XII. thro' the various Stages of Life. 325 rest, for want of being used, become stiff and unactive, dull and destitute of a sufficient Quantity of warm Blood and due Nourish- ment, as I have observed already; so that the whole Fabrick languishes, and runs into a total Decay at last. But as the Passions, when slow and long continued, relax, unbend, and dissolve the nervous Fibres too much, so the violent and sudden ones contract, stretch, and bend them in too great a Degree, by which means the Fluids are hurried about with violent Rapi- dity; so that all the Secretions are either stopp'd by the Contractions, Cramps or Con- vulsions produced by those Passions, or are precipitated crude and indigested into the Ha- bit of the Body, and so beget, or at least dispose it to, Inflammations, Fevers, and Mor- tifications: For Example, a sudden and high Degree of Anger, Hatred, and Malice, are but Degrees of Frenzy, and that is one kind of a raging Fever. Hence it is evident, that the violent and sudden Passions, which I call acute, are more dangerous to Health than the slow and continued chronical ones, as a- cute Diseases are more pernicious than chro- nical. From what has been said, it is manifest that the Passions have very great Influence on Health, being of such Force as not only to hurry us into Numbers of Diseases, but like- wise to bring upon us oftentimes sudden and unprovided Death, But if we would prevent X3 the 326 A GUIDE to HEALTH Part II. the ill Effects, and totally extirpate all the Evils arising from our Passions, we must necessari- ly lead a sober and virtuous Life; make use of our Reason, which, assisted with the Di- vine Spirit, is able to keep down the Surges of all our Passions, and is given us, by the in- finitely wise Creator, to be a Check and Bridle to prevent and restrain all their Extravagance: So that notwithstanding the great Force of our Passions, yet are we not left without a sufficient Power of Resistance; but to yield to them for want of exerting that Reason, by which we might restrain them, would be base Cowardice, unworthy a rational Being, and the blackest Ingratitude to the glorious Author of all Happiness. Towards him all our Thoughts should be bent; in him all our Hopes should center: Nor should our Affec- tions cease flowing to him incessantly, not only as he rewards and recompences Virtue, but as it is a Remedy against all those various Diseases that are ingender'd by Excess in the Passions; For as the Love of God is a sove- reign Antidote against all other Miseries, so, in particular, it prevents effectually all the bodily Disorders the Passions produce, by keeping them within due Bounds; and, by that unspeakable Joy and perfect calm Serenity and Tranquillity it gives the Mind, becomes the most powerful of all the Means of Health and long Life. Therefore, if thou wouldst enjoy good Health, love thy Creator, keep thyself virtuous, and regulate thy Passions. I shall Ch. XII. thro' the various Stages of Life. 327 I shall conclude this Chapter with an ex- cellent Passage upon this subject, from Dr. Cheyney's Essay on Health and Long Life, which, in his own Words, is as follows. ' If Men would but observe the Golden ' Mean in all their Passions, Appetites, and ' Desires; if in all their Thoughts, Words, ' and Actions, they would but mind, I will ' not say the End of their Being and Exi- ' stence here, but the End to which their ' Thoughts, Words and Actions tended in ' their last Resort; and lastly, if in the Gra- ' tifications of their Appetites, Passions, and ' Desires, they followed the uncorrupted ' Dictates of Nature, and neither spurred her ' on beyond her Craving, nor too violently ' restrain'd her in her innocent Biass; they ' would enjoy a greater Measure of Health ' than they do, have their Sensations more ' delicate, and their Pleasures more exqui- ' site, live with less Pain, and die with less ' Horror. For had it not been for the Lewd- ' ness, Luxury and intemperate Gratificati- ' ons of the Passions and Appetites, which first ' ruined and spoiled the Constitutions of the ' Fathers, whereby they could communicate ' only a diseased, crazy, † and untuneable ' Carcass to their Sons; so that with the ' World's Decay, vicious Souls and putrified ' Bodies have, in this our Age, arriv'd to ' their highest and most exalted Degrees; I ' say, had it not been for these Evils, there X4 ' never † The Temperature of Humours in an animal Body. 328 A GUIDE to HEALTH Part II. ' never had happen'd so much Sickness, Pain ' and Misery, so many unhappy Lives, and ' such wretched Ends, as we now behold ' among Men. ' But even in this our lapsed Estate and ' Condition, had the Dictates of Nature and ' Reason, not to say Religion, been follow- ' ed, we might have passed our Days in In- ' dolence (at least from chronical Distem- ' pers) if not innocent Pleasures, arrived at ' a good old Age, with our Senses free, and ' our rational Faculties clear, and at last de- ' parted in Peace, as a Lamp goes out for ' want of Oil. And let the Gentlemen of ' Wit and Fire, of Banter and Sneer, hug ' themselves ever so much in their boasted ' Tranquillity and Security, gratify their Pas- ' sions, Appetites, and Humours to the full, ' and despise Futurity and Whining; I dare ' promise when the Farce is ended, and the ' last Minutes are drawing on, they would ' prefer a Life thus led, and an End so calm, ' to all the Pleasures of Lewdness and Sen- ' suality, and the Bounces of a false and ig- ' norant Security.” A (329) A GUIDE to HEALTH &c. Part III. CONTAINING The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of BATHING and FRICTIONS. INTRODUCTION. BEFORE I proceed upon Fevers, as mention has been so often made of acute and chronical Diseases, it will not be improper to give the English Readers a clear Account of their Nature and Difference in this Place. Acute Diseases then are such, as within some short limited Time have their Periods either of a perfect Crisis and subsequent Re- covery, or of putting an End to Life and the 330 The INTRODUCTION. the Disease both together; and they are there- fore called quick, sharp, or acute Diseases, being attended with an increased Velocity of the Blood; the Symptoms of which are more violent, their Duration shorter, and their Periods more quick, terminating either in a sudden Death, or a Victory over the Distem- per, and they are generally limited within forty Days. But those Diseases that run out longer be- come chronical, whose Periods are more slow, their Symptoms less severe, and their Duration longer: and they likewise would, by the Course and Efforts of Nature, and the animal Oeconomy, have their Periods, and terminate at last, if fresh Fuel had not been frequently added to them by Intemperance and Debauchery; for the Viscidity of the Fluids, and the Laxity of the Fibres, would be removed in time, by proper Remedies and a due Regimen, and so People would recover in these as well as in acute Disorders. But as this requires long Time, much Care, and great Caution, Patience, and Perseve- rance; and so long and continual a Course of Self-denial, that few People are willing to undergo it; so that it is become the Reproach of both Physick and Physicians, that acute Cases are cured by themselves, or rather that Nature cures them, and that chronical Dis- orders are never cured, as a great many do falsly The INTRODUCTION. 331 falsly assert: for in acute Cases, Art and Care judiciously and timely applied, will always asswage the Symptoms and Suffering, and like- wise forward Nature to the Relief she points out, and hasten the Crisis, which it will con- stantly bring about if the Disease is not too great for the Constitution; and even then it will allay the Pain, and lay the Patient gently down. And as for the last Case, if due Care be had to follow seasonably the Advice of an honest and experienced Physician, certainly a Period may be brought about in most chro- nical Diseases, provided the great Viscera or Bowels are not spoiled and destroyed. And the Fault is commonly in the Patient him- self, who will not, or cannot deny himself for a sufficient time to bring about the Cure. There are some chronical Diseases indeed, such as either by having been gone too far, or by being hereditary, and interwoven with the Principles of Life, are never to be radi- cally cur'd or got over: and these last must rest contented with that Measure of Health their original Frame will admit of. Yet I am morally certain, that if the Rules and Directions set down in this Treatise, be care- fully and constantly observ'd and steadily pur- sued, very few chronical Distempers but will receive such Relief and Ease by them, as to render the remainder of Life tolerably easy, and free from grievous Sufferings; and that is 332 The INTRODUCTION. is all that is left for Art to do in the above- mention'd Case. But in other chronical Dis- eases, where the Bowels are not quite vici- ated, and taken in due time, by observing and steadily following the same Rules, would in- fallibly bring about a perfect Cure. In acute Diseases, a quick Pulse is a cer- tain and distinguishing Sign; but in chroni- cal Cases it is slow: and the first consumes the Fluids, and wears out the Solids in a short Time; but the last will require a lon- ger Time to produce the same Effects. Some acute Diseases terminate sometimes in chro- nical ones; and some chronical Distempers towards the last fatal Period of Life turn acute. CHAP. (333) CHAP. I. Of FEVERS, both in general and particular. A Fever is an inordinate Motion, and too great an Effervescence of the Blood, attended with Cold first, and afterwards with Heat, Thirst, and other Symptoms, whereby the animal Oeconomy is variously disturb'd; or according to our En- glish Hippocrates, Dr. SYDENHAM, ' A Fever is nothing else but the ' Effort of Nature to free herself of some ' morbifick Matter, which she finds injuri- ' ous, in order to establish a better Health.” A Fever what Sydenham's Definition. The learned Boerhaave says, that a Fever is the most frequent Di- stemper that happens, an inseparable Com- panion of Inflammations of all kinds, and is ever attended with a manifold variety of Symptoms. Boerhaave's Sentiments. In every Fever from an internal Cause, the three chief observable Symptoms are, first, an universal Trembling, then a quick Pulse, and an increased Heat, various as to Time and Degrees. When the Symptoms are very urgent, and very hastily make their Progress, the Fever is called acute; but when more mild and gentle, it is deno- The Symptoms. minated 334 A GUIDE to HEALTH Part III. minated a slow Fever. And a Fever almost always begins with a sort of cold Shivering, soon after the Pulse growing quicker, affords the primary Diagnostick * of a Fever; so that an increased Velocity of the Contraction of the Heart, together with a greater Re- sistance at the capillary Vessels, make up the Idea of an acute Distemper, which may be produced by an infinite number of Causes. The Health of the Patient seems to be the primary Aim of Nature in Fevers; notwith- standing, Fevers often end in Death, and sometimes they degenerate into some other Diseases. The general Cure. The general Cure of Fevers is summarily comprehended in con- sulting the Strength of Nature, in correcting and discharging Acrimony from the Blood, in dissolving gross Humours, and expelling them, and in mitigating the Symptoms: and if we perceive the Symptoms to run high, and Nature to grow exorbitant, we moderate it by enjoining Abstinence, a slender and cool- ing Diet, drinking tepid Water a little aci- dulated, Bleeding, cooling Clysters, &c. But if Nature seems to be too sluggish, she is to be excited by Cordials, Aromaticks, and Vo- latiles, &c. Of the Symptoms. The Cause of the Fever be- ing taken away, the Symptoms will cease, in as much as they primarily de- pend * Is that Judgment of a Disease that is taken from the pre- sent Symptoms, and Condition of the Patient. Ch. I. thro' the various Stages of Life. 335 pend upon it; so that if they can be born without Danger of Life, they scarce require any particular Cure, nor many times are they to be interrupted without great Caution; but if they be unseasonable, and too violent, they are to be mitigated with proper Reme- dies, due Regard being had to the Cause and State of the Distemper. In the beginning of Fevers, if the Stomach has a natural Inclination to cast, it is abso- lutely necessary to give a Vomit; for else in the Progress of the Fever, a Looseness will be apt to break forth, which may be of dan- gerous Consequence: and the proper time to give an Emetick is indeed in the Beginning; however, if it should happen to have been omitted, it may be given at any time of the Distemper, provided there be sufficient Strength to bear the Operation, and after it some Anodyne, or quieting Medicine. After- wards, if Bleeding be not indicated, and there be no Looseness, a Clyster may be ad- minister'd every other Day, until the tenth or twelvth, at which time Nature inclining towards a Crisis, in my Opinion, some warm- ing Medicines may be given to hasten the Concoction. If the feverish Ebullition pro- ceeds regularly, and in due order, there seems to be no need of giving any Medicines at all; for as much as the Depuration of the Blood is wholly and solely the Work of Nature. The Benefit of ex- hibiting a Vomit. Commonly 336 A GUIDE to HEALTH Part III. A Purge may be given towards the End with Advantage. Commonly about the 15th Day, if there be a laudable Se- paration in the Urine, and a Re- mission of the Symptoms, a gentle Purge ought to be given, left the no- xious Humours secreted from the Blood be- ing absorbed again into it, should cause a Re- lapse; notwithstanding it is sometimes requi- site to defer the purging until the 17th Day. From repeated Trials, I affirm, that no- thing does so certainly and powerfully cool the Body as Purging after Bleeding; and any one may find it in Experience true, that it abates and allays a Fever beyond any Re- medies whatever, both as it cleanses the In- testines, and prepares the Way for an Ano- dyne. Sydenham in his Schedula Monitor ria. The Cause of Fevers. The Cause of a Fever, accord- ing to Hippocrates, De Medic. Vet. ' is not Heat alone, but Heat ' and Bitterness together, Heat and Acidity, ' Heat and Saltness, and an innumerable other ' Combinations in the Blood.' It is however known by Experience, that Persons from found and perfect Health, where there has been neither Plethora, nor any ill Habit of Body to cause it, have fallen into a Fever; because some very extraordinary Change in the Air, or an Abuse in some of the rest of the Non-natural have happen'd; therefore found Bodies on such Occasions may, and are seized with a Fever, in order that their Blood Ch. I. thro' the various Stages of Life. 337 Blood may acquire a new State and Condi- tion to accommodate itself thereby to the Al- teration of the Air, and the Way of Living, &c. By how much the more acute a Fever is, by so much the more sparing and slender the Diet ought to be; for in Fevers, tho' they lie many Days without eating any thing, it is so much the better, for no one ever starv'd to Death in a Fever; but rather upon eating and drinking the Fever would be exasperated; because in taking of Food, the Appetite prescribes the Rule, the Quantity, the Quality, and the Time. A Rule of Diet. The most natural and general Division of Fevers is into Essential and Symptomatick. Division of Fevers. An essential Fever is such, whose primary Cause lies in the Blood itself, which derives its Original from no other Distemper of the solid Parts of the Body, or is any way de- pending on them, and this is properly called a Fever. A symptomatick Fever is a secondary Fe- ver, which does not properly subsist of it- self, but owes its Original to the Disorder of some particular solid Part, and most com- monly depends on some remarkable Inflam- mation, from whence the Variety of inflam- matory Fevers so called. An essential Fever is divided into a Diary or Ephemεra, a continual, continent or re- mitting, and an intermittent Fever. Y A 338 A GUIDE to HEALTH Part III. A Diary or Ephemera, so called by the Greeks, is the least compound of Continual Fevers, which doth begin, increase, arrive at its Height, and decline within the Space of 24 Hours: It is occasion'd by the scorching Heat of the Sun, too much Exercise, or by some other Error committed in the Non- naturals. The Cure is easily perform'd by Abstinence, Rest, and Diluting. But if the said Fever lasts several Days, it is called a continual, not putrid Fever: Its Causes, Signs, and Cure, are the same, and chiefly require large Bleeding, and a cooling Diet and Medicines. A continual putrid Fever, call'd by the Greeks, Synochos, is that Sort of Fever which is continual, without any distinct Paroxysms or Remis- sions, but for many Days continues much the same, until it has run its full Length, and then its Period is determin'd; and it is distinguished from the preceding, by its being * putrid: of this Kind are malignant Fevers, pestilential Fevers, and even the Plague it- self. A putrid Fe- ver what. It proceeds from the following Causes, as flight Inflammations, an Obstruction of the Bowels, a Constriction of The Causes. the * A Fever is said to be putrid, where the Humours or Part of them have so little circulatory Motion, that they fail into an intestine one and putrify, as is commonly the Case after great Evacuations, or great and excessive Heat, where there is such a Scarcity of Spirits, that the Solids cannot suf- ficiently vibrate. Ch. I. thro' the various Stages of Life. 339 the Pores of the Skin, a Stoppage of almost all the capillary Vessels, and a very sharp Acri- mony in the Fluids. It is known by an intense Heat even to the Touch of the Finger or Hand, by a Pulse not only feverish. but at the same time unequal and inordinate; a thick, red, turbid Urine, and crude with- out any Sediment; from a hot and sanguine Constitution, Age and Complexion. Diagnostick Signs. This Distemper is more dangerous and mortal, as the Pulse is weaker, quicker, more unequal in Strength, more irregular as to Time, and more inter- mitting in its Stokes; as Breathing is more difficult, frequent, short, with a great Mo- tion of the Nostrils, the more painful about the Vitals, and the more inordinate in its Time; as Weariness and Weakness are greater, the Tossing of the Body more fre- quent; as the Urine is higher colour'd, thick- er, muddier, with the least Sediment; or as the same is thinner, more watry, more spar- ing, and difficultly retained; as the Patient trembles and shakes more, chiefly in his Hands and Lips, shy of being felt, plays with his Fingers and Hands, and as it were catches at Flies, or some Things he fancies to see upon the Bed-clothes, and about him; and as his Eyes appear more sorrowful and moist with involuntary Tears. Moreover, when the Pa- tient labours much in his Sleep, and wakes worse after it; when either livid or purple Prognostick Signs. Y2 Spots 340 A GUIDE to HEALTH Part III. Spots appear upon the Body, the Sides of the Belly stiff and blown up, then Death is at hand. Continual putrid Fevers commonly require Bleeding in the Beginning, according to the Strength and Constitution of the Patient; but Malignant and Intermitting Fevers seldom admit of it: And in the Progress of all Fevers, when they draw near the Height, Bleeding is prejudicial, according to the unanimous Opinion of the Antients: For Cœlius Aure- lianus, Celsus, and the rest, allowed Bleed- ing only in the first three Days of a Fever, and not after; but there is no general Rule without an Exception. As for the Cure of the Symptoms, or ra- ther the Mitigation of them, which are more than ordinary pressing, they shall be account- ed for in another Place, where I shall treat of the Symptoms of Fevers in general: But here I must observe, that, in a putrid Fever the Patient ought to dilute plentifully with subacid Liquors, and take such Medicines as resist Putrefaction, such as the Juice of Le- mons and Salt of Wormwood made up into Draughts, or Mixtures, &c. A continent or remit- ting Fever. A continent or remitting Fever, called by the Greeks, Synechos, is in fact a continual Fever in regard to its Duration, tho' not in Degree: For it continues many Days together without Intermission; but then it has its periodical Returns of Exaspe- ration and Remission, either every Day, or every Ch. I. thro' the various Stages of Life. 341 every other Day, but no thorough Intermis- sion; nor has it any cold Shiverings, after the manner of Agues or Intermittents. About the End of every Paroxysm, when the Violence of the Fever begins to remit, Sweats general- ly ensue, and the Urine, which during the Height of the Fit was intensely high-colour'd, in these Intervals of Remission usually depo- sits a laudable Sediment, which is the true Characteristick of a continent or simple re- mitting Fever. There is likewise a spurious Kind of remitting Fever, which is attended with outrageous Symptoms of the nervous Kind, imitating Rheumatisms, Pleu- nisies, Colicks, and other inflammatory or spas- modick Distempers: It also often affects the glandulous Parts, producing from thence ma- nifold Excretions, causing Vomitings, Cholera Morbus, Diarrhœa, Bloody-flux, &c. which greatly obscure the fundamental Signs of this Fever, rendering the Paroxysms or Fits un- certain as to their Access and Duration: For by how much more the Evacuations and Pains, now mention'd, are augmented, by so much the febrile Heat is diminish'd and the Pulse weaken'd, and vice versa. Of the Spurious A simple remitting Fever, as such, and as long as it remains such, is very seldom, if ever, mortal; for before it be- comes fatal it changes its Type and Kind, and degenerates into a continual malignant Fever. But the spurious Kind, tho' it is not in its Prognostick. Y3 own 342 A GUIDE to HEALTH Part III. own Nature mortal, yet on the Account of the violent Symptoms accompanying it, it pretty frequently proves so. The more regu- lar the Fits are in point of Time, and the longer the Remissions are, the less dangerous they are, and vice versa. The Evacuations which Nature makes in these Fevers seldom procure any Benefit, they being for the most part symptomatical. But the critical and salutary Evacuations are ei- ther by Sweats or Spitting; the first is the quickest, tho' the latter is equally certain, yet slow and troublesome. During the In- crease of the Distemper, it is a bad Sign if the Urine gradually changes thin and pale, and the Pulse becomes quicker, weak, and staggering, &c. On the contrary, a strong and constant Pulse, Urine much tinctured with Redness, and full of Settlement, particularly when there is a laudable Sediment, and the Distemper is come to the State or Height, they are good Signs. The Cure. A simple remitting Fever gives way to the Bark, as certainly as an intermitting one: For the feverish Ferment in both is almost the same. The Efficacy of the same Medicine in curing a spurious remit- ting Fεver, is almost as certain as in a simple one, provided it be rightly administer'd, Re- gard being had to the more violent Symp- toms; but it has not so quick an Effect, be- cause the Distemper is greater and stronger, and therefore requires a greater Quantity of the Ch. I. 343 thro' the various Stages of Life. 343 the Medicine: So that the radical Care of these Fevers consists in the regular giving and Repetition of the Peruvian Bark, with due Regard to a proper Diet in all such Diseases. It will be necessary, in order to establish a rational Method of Cure of con- tinual Fevers; to have Regard to the Division of them into burning and slow Fevers, because the Method of treating each of these is vastly different. A Division in- to burning and slow Fevers. Of a Burning Fever. In a Burning Fever the Person is affected with a most ardent Heat, a Dryness of the whole Skin, of the Nostrils, Ears, Mouth, and Tongue: Respi- ration is thick, difficult, and quick; the Tongue dry, yellow, black, rough, and burnt up; Thirst unquenchable, sometimes going off suddenly without any other good Sign; an Aversion from all Sorts of Aliment; a Nau- seating, Vomiting, Anguish, Uneasiness, a great Weariness, a little Cough, a hollow Voice, a Delirium, Phrensy, obstinate Wake- fulness, Dozing, Convulsions; and on the odd Days a renewing and increase of the Fever. The chief Symptoms. A Burning Fever very often kills on the third or fourth Day; it seldom gets over the seventh, if it be a perfect Causus: It often goes off with an Hœmor- rhage, which if but small and sparing on the third or fourth Day, the Fever commonly proves mortal: This may be foretold from Progno- sticks. Y4 the 344 A GUIDE to HEALTH Part III. the Patient's complaining of a Pain in the Neck, Heaviness of the Temples, Dimness of the Sight, a Working and Labouring of the Heart and Lungs without any Sense of Pain, involuntary Tears, without any other fa- tal Signs, Redness of the Face, and Itching of the Nostrils; but if it happens on a critical Day, it is most advantageous. A Solution of this Fever also on a critical Day, may be expected by Vomiting, Looseness, Sweating, much Urine, spitting thick Phlegm; but growing worse on the second or fourth Day is a very bad Sign, on the sixth not so bad: Black Urine, thin and small in Quantity, is mortal; spitting of Blood and bloody Urine, are mortal; a Difficulty of swallowing is a bad Sign; nothing worse than Coldness of the extreme Parts; the Face red and sweaty, is bad; a Swelling behind the Ears and not ripening, is mortal; the Belly too loose, fatal; a Trembling turning to a Delirium, ends in Death. This Fever often changes to an In- flammation of the Lungs, with a Delirium attending it. The Regimen in such a Fever is, keeping the Air of the Room pure and cool, untainted with Fire, or Smoke, or the Breaths of many People; and they ought to have no more Bed-cloaths than barely defends them from Cold; their Curtains ought to be kept open, so as to renew the Air; and their Posture in lying as erect as they can well bear. Regimen. Their Ch. I. thro' the various Stages of Life. 345 Their Drink should be cool, mild, sub- acid, tepid, given in moderate Quantities, and often, as Water with Juice of Lemon or Tamarinds. Their Aliment out to be light, of mealy Vegetables, as Water-gruel, Prepa- rations of Barley, with some Juice of Lemon; Rice boil'd in Whey and strain'd; roasted Apples in the Progress of the Disease; a little toasted Bread sometimes, with Rhenish Wine and Water; Jelly of Currants; Broaths and Jellies made of Animal Substances, and quali- fied with Juice of Lemon or some other Acid, may be sometimes allowed. Bleeding is requisite in the Be- ginning of the Distemper, if there be the Signs of a Plethora, or of a particular In- flammation, or that the Heat is intolerable, the Sweat too great, a Revulsion be necessary, the Symptoms very urgent, and hardly to be master'd by any other Means; in these Cases Bleeding is of an absolute Necessity. Some- times also gentle and cooling Clysters are to be given, as often as the Heat of the Distemper or Costiveness shall require them. Diluents will likewise be proper, and Nitrous Me- dicines, and such as very gently loosen the Belly. The Cure. Here it will not be improper to take parti- cular Notice of what Walschmidius says, viz. A malignant Fever often in the Beginning ap- pears in the Shape of a Causus or burning Fever; so that a Physician ought to be cautious lest he should fall into a Mistake about it; therefore let 346 A GUIDE to HEALTH Part III. let him be diligent to inform himself, whether the Patient complains of an Anxiety or Uneasi- ness at his Heart, a sudden Loss of Strength, and other grievous Symptoms: Let him also examine the Urine, &c. for the Cure of these Fevers is very different. A Calenture is a Fever peculiar to Mariners, of a high inflammatory Nature. Those that are seiz'd with this Distemper are affected with a peculiar Sort of Delirium; for they frequently say they will walk into the green Fields, which they always seem to have in View, thinking they are just going into them, and, unless they are kept by Force, they jump into the Sea; and that is an inseparable Sign of this Distemper. Young lusty Men, of a sanguine Complexion, are most subject to it. The Cure chiefly consists in plentiful bleed- ing and diluting. Of Slow Fevers. Slow Fevers, tho' they are not so acute as the Burning or Putrid Fevers, yet they are however continual, as they constantly afflict the Patient labouring under them; but they pass through their several Stages more slowly, for which reason they are of a longer Conti- nuance, and the Symptoms not so violent. Catarrhal Fevers. In the Class of Slow Fevers we may justly reckon Catarrhal Fe- vers, which in the Beginning and Increase are attended with a Catarrh, a Run- ing at the Nose, a Cough, Hoarseness, &c. These Ch. I. thro' the various Stages of Life. 347 These Fevers are for the most part gentle and slow in the Day-time, and commonly some- what worse in the Evening: They are also attended with great Weariness of the Limbs, and the Symptoms continue, with an Increase of the Running at the Nose and Cough, till the Distemper rises to its highest Pitch, when the Matter of the Catarrh is ripen'd, and the Mucus becoming thicker, is discharged, and the Fever goes off. The Seat of this Disease is in the Conglobate Glands †, more particu- larly occasioned by some Obstructions in the Pituitous Glands. A Decoction of Sassafras, with Li- quorish-root and Raisins, is very pro- per in Catarrhal Fevers, on account of the Acrimony of the Humours; likewise the Juice of Turnips, with a little Sugar; Vola- tiles and gentle Sudorificks; a Solution of Gum Arabick, and whatever besides is pro- per in Coughs and Hoarsenesses, will be like- wise useful in this Case. The Cure. Besides the fore-mentioned, there are likewise Lymphatick or Pitui- tous Fevers, occasioned by the Fault of the Lymphatick Fever. Pituita † A Conglobate Gland is a little smoofh Body or Kernel, wrapp'd up in a fine Skin, by which it is separated from all the other Parts, only admitting an Artery and Nerve to pass in, and giving Way to a Vein and excretory Canal to come out. Of this Sort are the Glands in the Brain, as the Pi- tuitous Gland, the Pinealis Gland, the Glands of the Mesen- tery, Groin, Testes, and Labia: All the rest of the Glands in the Body are called conglomerated Glands, being composed of many conglobate Glands, tied together and wrapp'd up in one common Membrane. 348 A GUIDE to HEALTH Part III. Pituita of the Conglomerate Glands, which discharge their Juice into some certain Cavity, of which the Parotid Glands and the Pan- creas are remarkable, discharging the Liquors separated into the Mouth and Intestines, and consequently into the Mass of Blood; which Humours, when vitiated, become viscid, salt, and sharp, produce these Fevers, which are likewise sometimes not improperly call'd Scor- butick Fevers. Continual Acute Fevers, and sometimes Intermittents, degenerate into these Slow Fevers, and sometimes into Hecticks; and the Original of these Fevers is most com- monly in the Stomach, proceeding from In- digestion and Crudities. The Cure Therefore a gentle Vomit, as well in the Beginning as in the Increase of these Slow Fevers, ought to pave the Way for the Cure; and afterwards the Viscidity and Acrimony to be corrected; and the Symptoms are to be mitigated, and the Stomach to be strengthen'd, &c. for which Purpose vitro- lated Tartar, Testaceous Powder, Diaphore- ticks, and Volatile Salts, &c. are proper. Of Intermitting Fevers. An Intermitting Fever is a præ- ternatural Heat, kindled in the Blood by an unusual Expansion of the Spirits, returning at certain Periods. In this kind of Fever a Chilness, Shivering, Heat, and Sweats successively follow one another. The Fit is attended with an universal Sickness, Nause- The Definition. ousness, Ch. I. thro' the various Stages of Life. 349 ousness, and Vomiting; Pain of the Head, Loins, &c. The Paroxysm or Fit is very acute, but the Distemper in itself generally more or less chronical. A simple Intermitting Fever is easily known, for it discovers itself of its own Accord; and how great a Variety soever there may be of them, let them be either Quotidians, Tertians, Quartans, &c. the morbifick Ferment of all is the same, which certainly yields to the Force of the Peruvian Bark, if duly and skillfully administer'd. The common Species of Intermitting Fe- vers are simple Quotidians, Tertians, and Quar- tans; double Quotidians, Tertians, and Quar- tans; half Tertians, half Quartans, &c. There are likewise Intermitting Fevers which return every fifth, sixth, or seventh Day. Intermitting Fevers in this Country are sometimes very obstinate, often returning in spite of all Remedies; and by long Continu- ance they degenerate into Hepatical Fevers, and many chronical Distempers, as Jaundice, Dropsy, Schirrus's, and Scurvies; therefore in this Disease a right Method, both of Me- dicines and Diet, is very necessary. We should begin the Cure with a Vomit, or Purge, according to the Strength, Age, and Condition of the Patient, and afterwards administer the Bark often between the Fits, in good large Doses; but if the Patient's Strength and present Case will not allow of a Vomit or Purge, then the Bark should be given, 350 A GUIDE to HEALTH Part III. given, without any previous Preparation at all; and there is a different Regimen to be used during the Continuance and Absence of the Paroxysm, and in the Paroxysm itself, during the Rigor or cold Fit, the Heat and the Sweat. During the Rigor nothing is more proper than a Draught of warm Water, with a little Rhenish Wine, or Juice of Lemon and Su- gar, which dilutes and relaxes at the same Time, and will make the Symptoms wholly abate, and terminate the cold Fit sooner, and throw the Patient into a Sweat, than the warmest Cordial. In this Case likewise strong Frictions of the Extremities relieve very much; Proper Care must be taken to shorten the Pe- riod as much as possible, and by warm Dilu- ents a little acidulated, to bring on the Sweat soon, but not to push it beyond its due Mea- sure; because an Intermitting Fever of itself relaxes and weakens the Body extremely. Between the Fits too great Abstinence is hurtful, as much as too great Repletion. As Intermitting Fevers are often of long Conti- nunace, extreme Abstinence is impracticable, and would reduce the Patient to a Condition not to be able to sustain the Shock of the next Attack. Between the Fits, such Substances as tem- per, correct and subdue the bilious Alkali, as acid Substances, nitrous Salts, small thin Wines, Chicken-Broth with Juice of Lemon, Wine with Bitters infus'd, are proper. Ex- Ch. I. thro' the various Stages of Life. 351 Exercise, to as great a Degree as the Pa- tient can bear, is extremely beneficial between the Fits. Bleeding in Intermitting Fevers seldom does any Good, but oftentimes a great deal of Harm; yet the Patient's Condition is to be considered in this Case. But there are spurious Intermitting Fevers, as was observ'd of Remittents: Their Symp- toms are sometimes very urgent and violent, and their fundamental Signs are disguised un- der the Appearance of some other Distem- per, as Vomiting, Diarrhœa, and some great Pain, &c. The true and genuine Sign of the real primary Distemper being chiefly known by the Exasperation and Remission of those violent Symptoms, and by the Urine of a Brick-dust Colour; but these spurious or illegitimate Intermittents creating a great Variety of direful Symptoms, such as enor- mous Vomitings, Griping, Looseness, Cholera Morbus, Colicks, Pains in the Side like pleu- ritick Pains, Apoplexies, Pains on one Side of the Head, Spasms or Cramps, nephritick Pains, &c. Notwithstanding the great Va- riety there may be of these Disor- ders, in their manifold Shapes and Forms, yet they all depend upon one and the same Ferment, and are certainly cured with that one fovereign Antidote the Peruvian Bark, if prudently administer'd, as well as any other Intermitting Fever. The Cure. No 352 A GUIDE to HEALTH Part III. Prognostick. No one has been known to die of an Intermitting Fever, except it be in the cold Fit, that Excess of Coldness arising from a Viscidity in the Blood, and an absolute Oppression of the Spirits. The proximate Cause of In- termitting Fevers. After an accurate Examination into the whole History of Inter- termitting Fevers, the proximate Cause is assign'd to be the Visco- sity of the arterial Liquid, there happening at the same Time some Cause or other for a quicker and stronger Contraction of the Heart, and a Dissolution of the stagnating Viscidi- ties. Boerhaave. Having thus far treated of Benign Fevers, I shall now proceed to give the Reader a suc- cinct and clear Account Of Malignant Fevers. Diagnostick. The first Sign of a Malignant Fever, is a remarkable Loss of Strength on a sudden, without any mani- fest Cause, with a weak Pulse: The external Heat is not so violent as in some other Fevers; the internal Heat is rather greater. It is attend- ed from the very Beginning with obstinate Watchings, and anxious Uneasiness: The Sick complains and shews the Region of the Stomach, or the Heart; the Urine is not unlike that of a Person in Health; the Coun- tenance looks hideous sometimes, and much changed from the natural State, sometimes of a livid Colour. The Reason why the feverish Heat and Ebulli- Ch. I. thro' the various Stages of Life. 353 Ebullition in these Fevers, is not do great as in other Fevers, is entirely owing to the Ma- lignity which has seiz'd the Blood; and is rather a Sign of some great Disorder of the Spirits, which are greatly affected, and as it were sphacelated or deaden'd, than of any Disturbance in the Humours; or it may be sometimes the said Disorders may be propa- gated into the Humours, especially the Blood, from the malignant Taints; from which arises great Confusion, and an inordinate in- testine Motion, which indeed produce an in- ternal Heat, but is not carried so sensibly to the external Parts. By this means Nature being, as it were, oppress'd, is not able to exert those Symptoms more regularly, which are agreeable to, and might attend the Dis- ease. There is a great Variety of Malignant Fe- vers, on account of the Diversity of their Symptoms: In some there are very remark- able cutaneous Efflorescencies; in some more abundantly, in others less; and in some no such Appearances at all; others, in fine, are attended with other kind of Symptoms. Some assert, from microscopical Observa- tions, that in all malignant Fevers and gan- grenous Ulcers, there is so great a Putrefac- tion of the Blood, that it gives Occasion for the Generation of a Multitude of little Worms, from whence they believe the great Variety of Symptoms so vexatious do arise; but these Worms cannot be bred without a preceding Z Putre- 354 A GUIDE to HEALTH Part III. Putrefaction; and the Blood in Malignant Fe- vers is preternaturally fluid, insomuch that when it is let out of the Body it will not co- agulate as usually; but this is the Product of the Distemper, and not the Cause. The very naming a Malignant Fever strikes a Terror into Mankind; because all Malignant Fevers are very dangerous, and as to the Event very uncertain; which made Galen assert that Malignant Fe- vers will not admit of a Prognostick. Deaf- ness in the Beginning portends the greatest Danger, but in the Height of the Distemper it is a favourable Symptom; but bleeding at the Nose and a Looseness through the whole Course of the Distemper, are very bad Signs: And it is almost always reckon'd a very bad Symptom when they employ their Hands as if they were catching Flies, or picking up Straws or Bits of Threads. If on or about the eleventh Day Buboes arise in the Groin, it betokens well, and terminates the Fever. The Prog- nosticks. The Cure, according to Etmuller and others. Malignant Fevers by no Means admit of Bleeding; for the more malignant they are, the more Mis- chief it would do, and the farther from the Beginning the worse. Vomits in the very Beginning of the Distemper are a- bove all Things exceedingly proper; but then they should be given before any cuta- neous Eruptions appear, otherwise the Op- portunity is lost; and afterwards the Cure is to be endeavoured by Medicines, and Sub- Ch. I. thro' the various Stages of Life. 355 Substances that procure Sweating, Nature herself teaching us so much; for frequently Sweating carries off the Cause and Fewel of the Distemper. The greater the Malignity is, the more Sudorificks, or sweating Medicines, are to be employ'd, regard being always had to the Nature of the Distemper, and its Diversity, as also the Strength of the Patient. Sudori- ficks are to be given at least three or four Times in twenty-four Hours; Analepticks and moderate Acids are to be used in the in- termediate Times, amongst which dulcify'd Spirit of Nitre is very good; also Tincture of Saffron extracted with sweet Spirit of Nitre; likewise the Juice of Citrons and Quinces; &c. Camphire is a noble Alexipharmick, but every Body cannot bear the Use of it, espe- cially some Women, and studious Men, whose animal Spirits are easily moved and dissipated. Blisters are of singular Use in the State or Height of the Distemper. The volatile Salts of Hartshorn, and of Vipers, are Sudorificks, and resist Malignity; and here the Mistura Simplex of Paracelsus takes Place, as well as in all pestilential Fevers, being a very noble Remedy. Its Dose is from one Dram to two, to be given once in six or eight Hours, a proper Vehicle. Notwithstanding Bleeding in this Disease has been, and is accounted dangerous by a great many Practitioners, it only proves so when it is triflingly performed; for if a large Z2 Quantity 356 A GUIDE to HEALTH Part III. Quantity of Blood be taken away in the very Beginning, it secures the Party from Danger. But Bleeding had better been quite omitted, than not to be performed to a large Quantity, even almost to Fainting; and to prevent Fainting the Patient ought to be let Blood in his Bed. It is to be minded, that where there is a Plethora, or the Patient is of a strong Constitution, more Blood may be taken a- way than in a weakly or a phlegmatick Con- stitution. After a sufficient Evacuation by Bleeding, plentiful Sweating must be pro- cured by proper Medicines and Drinks, such as Venice Treacle, Mithridate, Diascordium, London Treacle, Camphire. Lapis Contrayerva, Pulvis ad Guttetam, Sir Walter Raleigh's Confection, Treacle-water. Plague-water, Ca- stor, Saffron, Cochineal, &c. Of these and the like many excellent Sweats may be fram'd into either Bolus's, Draughts, or Mixtures, interlac'd with nitrous Medicines and Acids, according to the Exigency of the Case. When Spots appear, neither Bleeding, Vomiting, nor even Glysters are to be administered, but Su- dorificks and Blisters. If the Blood tends to a Dissolution, sweat- ing Medicines and spirituous Cordials are very improper; but Emulsions, acidulated Drinks, and the like, with Bezoarticks, Nitre, and gentle astringing Remedies, in order to re- duce the Humours to their natural Texture and Firmness. Their common Drink ought to Ch. I. thro' the various Stages of Life. 357 to be acidulated with Juice of Lemon, Spirit of Sulphur, Elixir of Vitriol, &c. Of Spotted Fevers. A Spotted Fever is a very ma- lignant one, in which, besides the Symptoms common to other ma- lignant Fevers, there is a very remarkable Weariness of the whole Body, an universal throbbing and pricking Pain: The Spots ap- pear sometimes the fourth Day, but oftener about the seventh, especially on the Breast and Shoulder-blades, then on the Belly, Legs, Arms, and Neck, seldom in the Face. Not only Spots, but likewise large Marks, black and blue, sometimes appear; and in the De- clension of the Distemper sometimes a Spitting comes on, which carries it off. The Symptoms of a Spotted Fever. The Spots in the milder Sorts of this Fever are florid and very red, like Flea-bites: Afterwards they grow pale, yellow, and so disappear: The more red they are, the better: On the contrary, those that are of a livid or pale red, or appear blackish, are the worst. If they strike in again, it foretells a great deal of Danger. Prognosticks. These Distempers are contagi- ous, and sometimes epidemical or spreading: They are very danger- ous; for of those that are seiz'd with it, more die than recover. They are contagious. Spotted Fevers being a Species of the Malignant, the same Indications of Cure are here required as were mentioned The Cure. Z3 above 358 A GUIDE to HEALTH Part III. above for the Cure of malignant Fevers in general. If the Spots strike in too soon, Vesicatories are to be employ'd; upon which, tho' we are not to expect the Spots to appear again, yet in some Measure the Blistering answers the End of their not appearing, and sometimes very happily prevents the dire- ful Symptoms in the nervous System. No Evacuation of the Bowels must be attempted, such as Vomiting or Purging, or even by Glysters, as long as there is any Appearance of the Spots. CHAP II. Of the Cure of the most urgent Symptoms attending Fevers. Rigor in Fevers. THE Coldness and Shiverings which happen in the Beginning of acute Fevers, are owing to a Diminution of the Contraction of the Heart, the Circu- lation then being less quick, and the Blood actually stagnating in the extreme Parts, and pressing upon the Heart, creates great Anxie- ties, and may produce polypose Concretions about the Heart, and in other Parts of the Body; therefore a Rigor or Coldness encreases an Inflammation. Those who die of Quartan, Fevers, Ch. II. thro' the various Stages of Life. 359 Fevers, die in the cold Fit; and in truth, there is no Mischief but what may proceed from a Rigor of long Duration; for if it re- mains long, sudden Death sometimes ensues; and therefore the greater and longer such Coldness is, the more dangerous is the Fever. In such Rigor or Coldness, all warm Cor- dials and stimulating Substances are improper; for the first acting with Force upon the right Ventricle of the Heart, may drive the Blood with too much Force thro' the Lungs; and stimulating Substances, by contracting the Vessels, often increase Symptoms, which are best reliev'd by drinking warm Water with a little Rhenish-Wine, wherein a little Nitre is dissolved; likewise strong Frictions of the extreme Parts are very useful in this Case. See farther in the Cure of intermitting Fe- vers. The Degree of feverish Heat may be known by the Thermoscope, the Sensation of the Patient, the Intense- ness of the red Colour of the Urine, the Siziness of the Blood, the Dissipation of ths fluid Parts, which renders it thicker; the Hardness, Strength, and Frequency of the Pulse, which makes the Friction or Rubbing the stronger, to which the Heat is proportio- nal, the bad Disposition of the Humours, the Temperament of the Body. Feverish Heat. This Heat is moderated by Bleed- ing, by muscular Rest, by mode- rate Ligatures, which compress the Veins The Cure. Z4 only, 360 A GUIDE to HEALTH Part III. only, and often remov'd from Joint to Joint, by a mechanical Reason retard the Circula- tion; of such Sort is dry Cupping, Bathing the lower Parts, watery Liquors for Drink, not cold but warm; subacid, as Jelly of Cur- rants dissolv'd in tepid watery Liquors, De- coctions of mealy Substances acidulated, Sub- stances that are Anodyne, Substances which dissolve Concretions, such as Sugar, Honey, and the simple Oxymel; plentiful diluting, and restoring as much Water to the Blood, as is dissipated by the Heat; all demulcent and relaxing Substances, cooling the Air in the Room, opening the Curtains, and removing too heavy Bed-cloaths. All stimulating and styptick Substances are to be avoided; because they increase the Force of the solid Parts. Lenient Glysters and Emulsions are also use- ful to mitigate such an excessive Heat. Caution. But great Care is to be taken left by cooling too much, the Spirits shoul'd receive a sudden Damp, and by that means be depriv'd of their Elasticity, whereby the burning Fever might unwarily be changed into a malignant one, which has been many a time the Case. In Thirst, attending Fevers, the Liquors should not be drank quite cold; for cold Liquors by constringing the Glands of the Palate and Throat, do not quench Thirst so well as Liquors moderately warm: In this Case acidulated small Liquors should be plentifully drank. All Salts in- Thirst. crease Ch. II. thro' the various Stages of Life. 361 crease Thirst, except Nitre, and dulcify'd Spirit of Nitre mix'd with Water, or the Patient's common Drink, is useful in this Case; so are Barley-Water and Emulsions, except in great Weakness and Flatulencies of the Stomach; in such Case Water mix'd with a small Quantity of Rhenish-Wine is best of all. In these Anxieties which at- tend Fevers, when the cold Fit is over, in such a Case a warmer Re- gimen may be allow'd; because Anxieties in Fevers often happen by Spasms, or Convul- sions from Wind, therefore Spices are useful. And in those Anxieties, saponaceous Sub- stances which dissolve the Blood are proper, as ripe Fruit, and especially Honey, Sugar, &c. Anxieties in Fevers. Sickness and Vomiting may be owing to an original Surfeit, and is one of the most troublesome Symp- toms attending Fevers; because it renders the Patient incapable of taking any thing. It is often prevented by giving a gentle Vomit, or cur'd by promoting the Vomiting for a while by warm Water, or thin Chicken-Broth; for which Purpose likewise Carduus Tea drank in large Draughts may do very well; but if it does not of itself succeed well, half a Dram of Salt of Vitriol, or a Spoonful of Oxymel of Squills, may be given with the Posset. Sickness and Vomiting. During 362 A GUIDE to HEALTH Part III. During the Symptom, acid Liquors, and even such as are austere and astringent, are to be used; because such strengthen the re- laxed Fibres of the Stomach; for which Pur- pose the following Julap is very effectual. Take of Salt of Wormwood 4 Scruples; of fresh Juice of Lemon, 2 Ounces; mix, and when Ebullition is over, add to it of Barley Cinnamon Water, 3 oz. of Mint-Water and Nephritick Wa- ter, each 1 Ounce; Spirit of Saffron, half an Ounce; Syrup of Quinces, 1 Ounce; mix for a Julap, of which let the Patient take 2 or 3 Spoonfuls every 3 Hours, or oftner. Diluting, and sometimes relaxing the Belly, and carrying the bilious Salts downwards, often cures this Symptom. And Attention is to be given to the Appetites of Patients in this and many other Cases, who sometimes covet odd things which have relieved them, as Salt, Vinegar, &c. Vomiting from a bilious Cause is cured by acidulated small Liquors; and vomiting from some putrid Cause, by Salts of all Sorts; and in such a Case, Water-Gruel with Cream of Tartar, Rhenish Wine with Water, Jelly of Currants, Marmalade of Quinces, Sorrel boil'd in Broths well skimmed from Fat, are exceeding beneficial. But Ch. II. thro' the various Stages of Life. 363 But if the Vomiting proceeds from a phlegmatick Cause, Spices and Bitters will relieve; for the Counterpoison must be adapt- ed to the Cause: As for Example, in Poison from sublimate Corrosive and Arsenick. In the first, alkaline Substances are properest; in the second, oily Substances are fittest, in both Diluents are proper. It will not be dif- ficult to judge of the Cause by what the Pa- tient throws up from the Stomach, Whether a Vomit may be safely or properly given, must be judg'd by the Circumstances; for if there be any Symptoms of an Inflamma- tion of the Stomach or Lungs, a Vomit is extremely dangerous. A Caution in giving Vomits. A Diarrhœa or Looseness some- times happens in Fevers, which proves often a dangerous and fatal Symptom; and this Evacuation is not the genuine Motion of Nature for its Relief, but arises rather from the Impetuosity and Vio- lence of the Distemper, or the stimulating Acrimony of the Humours, which in reality is a symptomatical Diarrhœa, and ought to be stopt; for it weakens, excoriates, and in- flames the Bowels, occasioning bloody Fluxes, thickening the circulating Juices, and ex- hausting the Strength of the Patient very much; however, a critical Diarrhœa is not to be stopt, for fear of incurring the same Dangers. A Looseness in Fevers. 2 Attention 364 A GUIDE to HEALTH Part III. Attention should be given to the Cause: If it proceeds from Acidity, it is to be cured by Anti-acids; but as in Fevers the Cause is more commonly alkaline and bilious, acid or four things relieve best; and it happens some- times, that oily Substances by blunting the Acrimony will do a great deal of good in Diarrhœas; for oily Substances of themselves do not irritate or provoke Loosenesses, they only lubricate or make the Bowels slippery. Vomiting, by evacuating the irritating Cause, often cures Diarrhœas. Anodyne Substances are proper, and gene- rally speaking, solid and dry Food rather than liquid. The white Decoction of burnt Hartshorn is very proper for common Drink, and absor- bent testaceous Powders mix'd with Diapho- reticks, are likewise very useful in the Case; and lastly, we may have Recourse to Venice Treacle, Diascordium, &c. But it is obser- vable in general, that Laxness of the Body in the beginning of Fevers is better than over Costiveness, but in the Progress of the Di- stemper it is worse. Strangury in Fevers. A Dysuria or Strangury in Fe- vers is very troublesome. The com- mon Emulsions are very proper to mitigate the Ebullition in burning Fevers; and commonly they very much asswage this vexatious Symptom; as likewise Oil of sweet Almonds, with Syrup of Marsh-mallows, or a Solution of Sperma Ceti: also a Solution of Ch. II. thro' the various Stages of Life. 365 of 1 Ounce of Gum-Arabick in a Quart of Barley-Water for common Drink, is an ex- cellent Remedy, especially when this Symp- tom is occasion'd by Blistering. Profuse Sweats which happen in Fevers, either in the Beginning of the Disease, or at any other Time before the Crisis, and before the Signs of Concoction appear, are symptomatical, and oftentimes Colliquative: They proceed from a Laxity of the Vessels, and too vehement a Circula- tion of the Blood, and ought therefore to be restrain'd by Art; for they are very trouble- some to the Patient, and they exasperate the Distemper, in depriving the Blood of its most fluid Parts, thicken and often cause Obstru- ctions; so that it is a very bad Practice to push Sweating too much in Fevers, except in such as are pestilential Profuse Sweats. In profuse Sweats, Care should be taken by diluting, to restore the Liquid which the Blood loses, and to use the Methods advised already in too great Heat, by taking away some of the Coverings of the Bed, and ad- mitting of cool Air, and using a Diet mo- derately astringent, and mild Acids, &c. Tinctura Antiphthisica, on Account of the Sugar of Lead in the Composition, is esteem'd an efficacious Remedy for suppres- sing such Sweats; and likewise Sage is very good in the Case of profuse Sweats. A 366 A GUIDE to HEALTH Part III. Pain of the Head. A violent Pain in the Head, Back, or in the Limbs, especially in the beginning of Fevers, requires Bleeding; and if that does not relieve, it will be proper to give a gentle Vomit if the Sto- mach be foul, otherwise a laxative Glyster may suffice. Watchfulness is a Symptom in Fevers, which is sometimes called a Coma Vigil, and often precedes too great Sleepiness, and is perhaps the most ill-boding Symptom of a Fever; therefore the Cause is to be narrow- ly enquir'd into; if it proceeds from too great Heat and Dryness, cooling and moisten- ing things are to be administred; if Pain be the Cause, we must endeavour to asswage it by proper Remedies, avoiding Opiates, with- out an absolute Necessity, especially about the time of the Crisis, when the Physician may perceive great Restlessness and Inquie- tude in the Patient; for it should be always remember'd as a Maxim, that a Space of time before the Crisis happens, is the most troublesome, Nox ante Crisin est molestissima. Other Expedients in this Case are, extreme Care to keep the Patient from Noise, and whatever makes any strong Impression upon his Senses, and some of those Helps used in a Delirium, for this is an Approach towards it; a moist softening Diet, ail Preparations of Barley, Emulsions of Poppy Seeds and Al- monds, Aliment of Lactecescent or milky Plants, especially Lettuces, Decoctions of Scorzonera Ch. II. thro' the various Stages of Life. 367 Scorzonera Roots, Almond Cream, and what is called Winter-Flummery, used as Aliment; Tea made of Cowslip Flowers, relaxing gent- ly the Belly. Coma, or Sleepiness in Fevers, is di- rectly contrary to the fore-mentioned Symp- tom Wakefulness; the Patient has a continual Propensity to doze or sleep, sometimes with a real Sleep, and often without it. A Coma will proceed either from a Pressure upon the Original of the Nerves in the Brain, by too great Repletion; or from a Penury or Waste of Spirits by too great Inanition. Coma. Old People are subject to Comas by the Glewiness of the Fluids circulating in the Brain, which being resolved by the Fever, obstruct the small Canals of the Brain: But in young People it commonly proceeds from Fulness, and is best cur'd by Bleeding and re- laxing the Belly. The Sign of such a Fulness is, a red Countenance and inflamed Eyes; but if it proceeds from a glutinous Oil, it ought to be resolved by Water, nitrous Salts, Soaps, Subacid Liquors, and Blisters, not forgetting the Use of sharp Glysters. In a feverish Delirium there is a small Inflammation of the Brain; therefore any- thing which increases the Circulation in the Lower Parts, and diminishes the Pressure on the Brain, is beneficial; as bathing the Feet in warm Water; nothing relieves the Head more than the Piles, therefore Suppositories of Honey, Aloes, and Rock-salt ought to be Delirium made 368 A GUIDE to HEALTH Part III. made use of; relaxing by emollient and wa- tery Substances, both in Drink and Glysters, especially Barley, Cream, and Barley-gruel, are to be frequently used: Likewise Bleeding in the Foot, and Blisters will be of great Ser- vice in this Case. Of Convulsions in Fevers. Convul- sions. Nothing is of more Importance than rightly to know the Cause and the Seat of this Distemper, which is com- monly very obscure. In Infants Convulsions commonly proceed from Acidity in the Sto- mach and Intestines, which are cured by Ab- sorbents, such as testaceous Powders of all sorts, and gentle Purges and Glysters; but in such indeed Convulsions attending Fevers are not altogether so dangerous. Convulsions arising from Acrimony in the Stomach, or from any thing vellicating a Nerve in its Extremity, and not in its Origi- nal where it rises from the Brain, are not very dangerous; but Convulsions, which pro- ceed from too great Evacuations, as great Hæmorrhages attending Fevers, are very dan- gerous, and frequently mortal. Convulsions proceeding from an Inflamma- tion of the Membranes of the Brain are com- monly fatal: The Symptoms attending such are, a great Heat and Thirst, a hard Pulse, and a Delirium; so that the Remedies, and even those from Diet, are to be used accord- ing to the particular Seat of the Distemper; for Ch. II. thro' the various Stages of Life. 369 for if it be from the Stomach, such Aliments as are contrary to the particular Acrimony, Acid, Alkaline, or Oily, impacted there, as in the Case of Vomiting, already described. But if they arise from something obstructed in the Brain, such Convulsions are generally cur'd by Diluting, Relaxing, Revulsions, and softening both the Fluids and Solids, and using such Substances especially as open the Belly; and in general the Regimen prescribed in a Delirium or Coma: For it would be a Folly to rely here on the Medicines, which, by their pompous Titles of Anti-spasmodick and Anti-hystericks promise a specifick Cure; besides, all Volatiles, spicy and cordial Sub- stances, are here destructive. Of Weakness in Fevers. A feverish Weakness proceeds from too great Fulness in the Beginning, and too great Penury or Inanition in the latter End of the Distemper; for whatever stops or retards the Circulation of the Fluids in the smallest Vessels, especially those in the Brain, produces this Symptom, which either of the Causes now mentioned will certainly do; And those two Causes require a different Method of Cure; for in the first, emptying and diluting is re- quisite; in the latter, a more plentiful Nou- rishrnent, the Use of Wine diluted with Wa- ter, and Spices in small Quantities, Jellies, Broths qualified with some gentle Acid, un- less there be Signs of Acidity; but in that Weakness. Aa Case 370 A GUIDE to HEALTH Part III. Case the Diet should be contrary to that Symptom; in which Case Viper Broth, and all other Broths are both anti-acid and nourishing. In Weakness from too great a Loss of Blood, Wine and Food which is easily digested and assimilated or converted into Blood, is pro- per; for a small Quantity of Blood often- times brings the Patient into a Dropsy. Fric- tions of the Limbs relieve Weaknesses, as they promote a Flux of Juices and Spirits in the Joints and Limbs, by which Means they will bring Nourishment to those Parts. Fat People are most subject to the Symp- tom of Weakness in Fevers; because the Fat, being melted by the Heat of the Fever, Part of it obstructs the small Canals or Vessels, and consequently produces this Symptom; which is evident from the great Loss of Fat such Persons sustain in Fevers, by the Laxity of the Fibres, and the Emptiness of the smaller Vessels; and therefore such should be treated with particular Care, for after due Evacua- tions they ought to dilute plentifully both by Drink and Glysters, avoiding all fat and oily Things, and using Sugar, Honey, and ripe Fruits. Of inflammatory Eruptions in Fevers. In all these of any Kind whatever, as Small- Pox, Meazles, Purples, Scarlet-fever, Ery- sipelas, or St. Anthony's Fire, the Intention of Diet ought to be, to avoid strong Sudorificks, or sweating Things, which push out too great a Quan- Ch. II. thro' the various Stages of Life. 171 a Quantity of the Matter upon the Skin; to use cooling and temperate Diluters, which will keep the Matter moveable, so that it may be secreted from the Blood; to keep warm during the Eruption; and that the Diet be cool; for which Reason the moderate Use of Acids, as Juice of Limons, &c, are necessary; and above all things Bleeding must not be omitted. A due Attention to the few Rules above- mentioned, in the several Symptoms, will prove successful in the Cure of most Fevers. Of the Small-pox. Notwithstanding I have taken notice just now of Eruptive Fevers in general, yet as this is one of the most dangerous and universal that infests Mankind, I shall treat of it in this Place in particular. Therefore, the greatest and most important Steps for the Recovery of the Patient must be made at the Time of the Invasion, or first State of this Distemper; wherefore it is very necessary to know the first Symptoms of it; for many have suffer'd by mistaking it for another Disorder. In general, young People who have not had the Disease, ought to be very care- ful in avoiding Irregularities in their Diet; because the Small-pox which seizes such Per- sons often proves fatal. This Disease is like- wise more dangerous as the Fluids are more heated and dissipated, and the Solids more Aa2 strict 372 A GUIDE to HEALTH Part III. strict and compacted, and consequently it is more so, as People are advanced in Years. First Stage. The first Symptoms are a Chilness and Rigor, succeeded by a Fever and constant Heat, a certain Splendor or Shining- in the Eyes, with a little Moisture, which is very observable in Children; a great Pain in the Head, with Drowsiness, Dullness, and Sleepiness; a Pain in the Back in some, but Pains in the Limbs in all; Anxiety, Inquie- tude notwithstanding their Drowsiness; loath- ing Sickness at the Stomach, Vomiting, and Convulsions in Infants shortly before the E- ruption; and the Blood taken away the first Time, florid; but on the second, third, and fourth Time it appears sizy, like that of pleu- ritick People. Therefore it is manifest that in this State the Distemper ought to be treated as any other inflammatory Disease, by such Methods as if it were possible to hinder any Suppuration at all; and to resolve and digest as much of the feverish Matter as possibly we can; for the longer the Eruption is a coming, and the fewer when it comes, the Disease is less dangerous; therefore all the Methods practised in the Be- ginning of inflammatory Distempers are here necessary and proper, with a particular Care of cleansing the alimentary Passage by Vomit- ing and Glysters, the Impurities of which will otherwise be carried into the Blood. The learned Boerhaave says, that as there is not yet found any particular Antidote to the poisonous Ch. II. thro' the various Stages of Life. 373 poisonous Quality of this Disease; but that if any such could be found, as he is of Opinion it may, it must be in Antimony and Mercury brought to a great Degree of Penetrability, without being too corrosive by a Saline Acri- mony, but well united; for the Effects of Mer- cury on all Ulcerations are notorious. In the first Stage then of the Small-pox, the whole Habit of the Body ought to be relax'd both inwardly and outwardly, and a free Perspiration through the Pores of the Skin, without violent Sweats be promoted; the Viscidity or Glewiness of the Fluids taken off by Diluters: All these Things may be affected by Glysters, Fomentations and Gargles, and a plentiful life of Drinks often repeated, made of thin Water-gruel and other mealy Decoc- tions, and such like cooling Liquors, with nitrous and acid Salts, or some other acid Sub- stances mix'd with them, such as the Juice of Oranges, Limons, Tamarinds, and other sub- acid Fruits, &c. no Flesh to be allow'd, un- less some small Chicken-broth at Times; the Air ought not to spoiled by Heat, or the Bed- Clothes so thick and heavy as to produce great Sweats. For more People are lost in the Small-pox, by being thrown into large and violent Sweats in the Beginning of the Eruption, than by any other Errors committed at all other Times: The Reason is, because great Sweats drain the small Blood-Vessels of the necessary Fluid, by which Circulation is hinder'd and the Blood Aa3 coagu- 374 A GUIDE to HEALTH Part III. coagulates, by which Means the Inflamma- tion is hurried on into a Gangrene, without being able to furnish the necessary Work of Impostumation in the Glands of the Skin, or of being dissipated by other proper Means. Second Stage. When this Disease has run off its first Stage, which is call'd by the learned Boerhaave, that of Contagion, it enters into the second, in the following Manner: The Skin of the Head and Face first, then of the Hands and Arms, and lastly of the Body and lower Parts, are mark'd with little red Points like Flea-bites; thereupon the Symp- toms abate, and the red Pustles increase every Hour in Largeness and Number; they con- tinually rise higher and higher, inflame more, and the Skin is stretch'd; they begin to pain and to burn ; the Circulation is interrupted, and Perspiration hinder'd; hence a great Re- turn of the Humours towards the inward Parts; a Fever arises, with Anxieties, Diffi- culty of Breathing, a Pain in the Jaws, some- times a Quinsy, a Looseness, Bloody-flux, Bloody-urine, Spitting of Blood. The Parts of the Skin free from Pustles are red and in- flamed, painful and hot; all which, or most of which, when they have lasted four, five, or six Days, are now intirely suppurated, and converted into as many small Impostumes. And this is likewise call'd by the above-men- tioned Author, the Stage of the Inflammation until the Suppuration: It lasts (according to the Difference of the epidemical Season, and that Ch. II. thro' the various Stages of Life. 375 that of the Patient, the Greatness and Vio- lence of each particular Case, and the Regi- men hot or cold made use of) most times four or five Days; so that the Suppuration is compleated about the eighth Day, reckoning from the first Beginning; and the Blood, if let out of a Vein, is extremely inflamed. From what has been said, the Diagnosticks and Prognosticks of the second State of the Small-pox may be learned, and the Rationale of it, and all its Symptoms, which will be plainer still by observing the following Rules. 1. The gentler the State of Contagion, that is, the first Stage, the easier likewise is the in- flammatory State, which is the second Stage of the Distemper. 2. The slower the Pustles break out, the longer therefore the State of Contagion, so the easier and milder is the whole Course of the Disease through all its Stages. 3. The fewer, more distant, bigger, more remote from the Face, whiter and afterwards the yellower the Pustles are, and the later they appear, so much the better Event they promise. 4. The more in Quantity, more mix'd and intangled, the less in Bulk those that stand single, the more they appear upon the Face, tawny or black, and the quicker they grow, so much the worse. 5. The more the Matter of the Pimples is like to kind and perfect Pus, the better. Aa4 6. The 376 A GUIDE to HEALTH Part III. 6. The more the Matter in the Pimples resembles a gangrenous Ichor, the worse. 7. The more the Space between the Pim- ples appears red, is hot, stretch'd, and swell'd about the Time of their impostumating, so much the greater Hopes, because it is a Sign of the Circulation's being preserved there. 8. But the more that same Space looks paler, or grows tawny or black, so much the worse; for there follows a mortal Quinsy or Peripneumony, unless a thin Salivation, or a great Swelling of the Hands or Feet doth ensue: The Reason is, because the Circula- tion of the Fluids is cut off in those Parts, and drove back and increased in the internal nobler Parts. 9. If in the Space between the Pimples there appear purple Spots, it is a sign that a mortal Gangrene is at hand or present. The Indication in this second State of the Disease, is different according to the different Time that the Disease has lasted, and is like to last: for in the Beginning of the external Inflammation shewing itself, it appears rea- sonable to endeavour to prevent its proceeding to an Impostumation, as has been observed already; or, if that be neglected, Care ought to be taken that the Suppuration be as lit- tle as possible, and promoted slowly and far from the Head; which may be effected, first, by keeping the Patient to the thinnest Diet, which at the same time resists Putrefaction, Secondly, by giving him diluting, soft and sub- acid Ch. II. thro' the various Stages of Life. 377 acid Drink. Thirdly, Medicines that prevent the making of much Pus or Matter, such as are opening and diluting, in great Quantities and often given; likewise Blisters applied to the Hollows of the Feet and Legs. Fourthly, A cool Regimen, and chiefly by the Admis- sion of pure and fresh Air, (as was observed in the first State) and at the same Time co- vering the Limbs and lower Parts of the Body warm. Fifthly, If the Distemper pro- ceeds too violently on the fifth Night, a gentle Opiate may be safely given to an Ad- vantage, and repeated every Night to the End of the Disease, if the Lungs are not too much oppress'd, and Respiration very diffi- cult. After the running off of the second Stage follows the third State, being that of Impostumation, during which it increases and arrives at its Height: In this the Pustles, already purulent, grow larger every Day; then they ripen, turn white, yellow, and break on the third or fourth Day of this State. Then the whole Skin, and its subjacent Fat, abound with a moveable Pus or Matter; it is dried exter- nally, and inflamed in every Part free from Matter or Pus: Hence, from the Impedi- ment of Perspiration and Circulation, from the Irritation of the membranous and nervous System, from the absorbing of the Pus into the Veins, there comes on a Fever of the worst Kind, with the worst Symptoms; and if this Third Stage. puru- 378 A GUIDE to HEALTH Part III. purulent Matter mix'd with the Blood is moved long, it putrefies: Hence, according to its falling upon different Parts of the Body, it produces cruel and scarce superable Effects, such as Deliriums, Phrensies, Quinsies, Peri- pneumonies, Pleurisies, Vomitings, Bloody- fluxes, Inflammations of the Liver, Impos- tumations of the same; Boils, Tumors, Ab- scesses, and Stiffness of the Joints; a Wasting, Consumption, and a great many more Evils. In this third State great Care ought to be taken to promote the Discharge of the Pus to the external Part, driving it from the In- ternals; which may be effected by relaxing the Skin with lukewarm softening Fomenta- tions, and often; constantly walking and gargling the Mouth and Throat; drinking much of warm, cordial, detergent, and o- pening Decoctions, which are contrary to Pu- trefaction; injecting daily a gentle, diluting, emollient, and laxative Glyster, and to be kept long; or sometimes a gentle Purge with Rhu- barb and Manna; dieting upon thin Broths duely salted and acidulated; allowing now and then a moderate Glass of good generous Wine; giving also a sufficient Dose of Syrup of White Poppies, or some other Opiate, a- gainst any violent or troublesome Symptoms that may arise. If the Small-pox proves to be of the worst Kind, and that there is rather a gangrenous Ichor than laudable Pus, that almost the whole Skin is beset with it; hence it may easily Ch. II. thro' the various Stages of Life. 379 easily appear, why this Disease is often so un- avoidably fatal, notwithstanding all the pos- sible Care taken; and it will be yet much plainer to any one acquainted with Dissections, that as the external Skin is full, so the Eyes, all the Membranes of the Nostrils, all the Covers of the Mouth, the Wind-pipe, the Bronchia, the Stomach, the Gullet, Intes- tines, Liver, Spleen, and Lungs, are full of the like Pustles; and hence he will under- stand what has been said, and see what is re- quisite for the Cure. Thus far the Senti- ments of Boerhaave concerning the Small- pox. The Greatness and Danger of this Disease is estimated by the Quantity of Pimples on the Face and Head; therefore the Matter ought to be solicitated to the lower Parts by all possible Methods, especially the Legs, by Fomentations, Bathing, Blistering, and, thro' the whole Course of the Disease, keeping the Feet and Legs warm; the Breast and Head not any more cover'd than to keep them from the Injury of the cold Air. During the filling and ripening of the Pustles the Diet may be allow'd a little more plentiful, but yet not hot or inflammatory, with the due Use of anodyne Things, or such as allay Pains and Restlessness. In this State every Thing that abates Acrimony is proper; and, where the Circumstances of the Patient require it, a Spoonful or two of good White Wine, twice or thrice a Day, may be likewise useful. The 380 A GUIDE to HEALTH Part III. The Diet in this State should also be adapted to the particular Symptoms of the Disease, as cleansing, attenuating, and expectorating; and to promote spitting by Diureticks. When the Temperament, Age, high Pulse, and especially Watchfulness and Delirium re- quire Bleeding in any other Case, why not in this State? which is known to have been used with great Success; for a great many Vessels in this State are almost unpassable by the Fluids; and those who die of this Distem- per have inward Inflammations, especially in the Lungs, all which seem to justify that Bleeding is necessary in the Case. But the gangrenous Disposition which ap- pears in the malignant Sort, is a Reason against it; for hardly any Thing will avail in ex- treme malignant Cases. In such malignant Kinds, all that is left, is, at least to endeavour to evacuate the peccant Matter by other Ways, as Blistering and Stools, procured by Lenitives not irritating, which would only hurry the Humours and increase the Fever. For farther Particulars concerning this dreadful Distemper, see the celebrated Sy- denham's Account of the Distinct, Confluent, and Anomalous Small-pox, which nothing can excel. The Meazles and Scarlet Fever, (tho' not near so dangerous) require much the same Regimen, and the same Method of Cure, as the Small-pox, the Scarlet Fever not differing from the Meazles, except it be in the Manner of Ch. II. thro' the various Stages of Life. 381 of the Efflorescence only, insomuch that it may not improperly be called the Confluent Meazles, for the Efflorescence in the Meazles makes its Appearance in different Figures and Shapes, from whence the Skin is diversify'd with several Colours; whereas in the Scarlet Fever the Skin is spread all over with one con- tinued Inflammation and Redness. CHAP. III. Of Inflammatory Diseases with a Fever. NOW those inflammatory Distempers are to be considered, which being attended with an acute Fever, do besides induce a sin- gular Inflammation of this or that Organ of the Body, the depraved Function of which gives a Name to each particular Disease of that Kind; such are the Phrensy, Quinsy, Pleurisy, Peripneumony, the Inflammation of the Breast, of the Diaphragm, Stomach, Li- ver, Spleen, Mesentery †, Guts, Kidneys, Bladder; of the Joints, as in Rheumatisms; and of the Surface of the Body, as in the Meazles, Scarlet Fever, and Small-pox. Of † A membranous Part in the lower Belly, to which the Guts are connected. 382 A GUIDE to HEALTH Part III. Of a Phrensy, or Inflammation of the Brain. True or symp- tomatick. A Phrensy is either essential or symptomatick: An essential or true Phrensy is when there is a primary Inflammation of the Brain, or ra- ther of the Meninges ‡, with a Delirium and an acute Fever. The Symptomatick Phrensy, or Phrenitis, is occasioned by a Translation of the febrile Matter or Inflammation, &c. from other Parts upon the Brain. A true Phrensy kills the third, fourth, or seventh Day, or else it produces Madness, a Lethargy, or Coma; and a Phrensy coming upon a Peripneumony, or the Iliack Passion, is mortal; upon the Small-pox, is very dan- gerous. This Disease, of all others, requires the most powerful Remedies without any Delay, which are able to remove the Inflammation of the Arteries of the Brain, and are chiefly to be taken from the general Cure of Inflam- mations in Fevers, describ'd in the foregoing Chapter, observing at the same time the fol- lowing Rules. Copious Bleeding, by opening the tempo- ral Arteries, or more Veins at once, in the Foot, Throat, and Forehead, with large Ori- fices, are the most effectual Remedies. Great Quantities of cooling Decoctions ought to be given ‡ Are Membranes which cover and embrace the Brain, and they are called the Dura Mater, and the Pia Mater, or Meninges. Ch. III. thro' the various Stages of Life. 383 given often and warm, with large Portions of Nitre. Then cooling Purges, and at the Time of their working, to give Draughts of diluting nitrous Liquors. Sometimes Glysters of the like Kind, with lenitive Electuary, or Honey, or any such Openers may be given. Solliciting the Blood to other Parts of the Body; therefore tepid Bathings of the lower Parts, and emptying the Piles with Leaches, relaxing Fomentations apply'd to the Veins, which carry the Blood from the Head, re- lieve in this Disease. We should likewise ap- ply Blisters and Cupping-glasses to the inferior Parts; Blistering the Back, and even the Head sometimes, in phlegmatick Constitutions espe- cially, has been found useful. The Body ought to be kept moderately cool, and set upright if possible, for the warm Air of the Bed exagitates the Blood. But if the Phrensy has been occasioned by a pre-existent inflammatory Distemper in some other Part, it ought to be carefully minded, whether the Nature of that Illness will bear the Applications above-mention'd; which if not, then it ought to be cured ac- cording to the Method peculiar to that ori- ginal Distemper, always adding the Reme- dies that divert from the Head, and that are externally apply'd. The Diet ought to be slender, of mealy Substances, as Water-Gruel acidulated, or subacid ripe Fruits, with their Jellies, the Drink small, diluting and cooling, Barley- Water, 384 A GUIDE to HEALTH Part III. Water, and the Decoction of Tamarinds are all necessary and useful. For farther Satis- faction herein, see the Articles of Delirium and Watchfulness in the preceding Chapter. Of a Quinsy. A Quinsy without a Tumour almost always mortal. There are two Species of it; the first is without any sensi- ble Tumour either externally or internally; but the other Species of a Quinsy is attended with a Tumour. The first Sort is commonly the Conse- quence of some very long continued Disease, chiefly after very large and often re- peated Evacuations. It is accompa- nied with a Paleness, Dryness, and Thinness of the Jaws; because for the most part the Nerves and Muscles of those Parts being relaxed, are most times paralytick, and it is a Sign almost always that Death is just- at hand. It is seldom cur'd, and then only with Remedies which fill the empty Vessels with good vital Nourishment, and things that warm and strengthen the Body in general. The Cause. The Signs. The Cure. A Quinsy with a Tumour of various Sorts. The other Species of the Quinsy, viz. with a Tumour in the Throat, occasioning a Dif- ficulty of Breathing and Swallowing, may be of various Sorts; sometimes it proceeds from a Serosity obstructing the Glands, which may be watery, œdematous, or schirrous, ac- cording Ch. III. thro' the various Stages of Life. 385 cording to the different Degrees of the Vi- scidity of the Humours, sometime inflam- matory, which Inflammation will sometimes terminate in a Suppuration, or Gangrene. The Regimen and Cure in those Quinsys, which proceed merely from watery, œdematous, and thin catarrhous Hu- mours obstructing the Glands, must be first, to use such warm Liquors as relax gently, soften and moisten these Glands; Secondly, such Medicines as carry off the redundant Serum, by Stools, Sweat, and Urine; or by stimulating, and opening the Emunctories of these Glands to secern the stagnated Hu- mours, which may be obtained by the Ap- plication of Cataplasms, Gargles, Injections with Syringes, and by lessening the Quan- tity of the Lympha with Masticatories, Bli- sters, and smart Purges that will promote watery Stools. The Cure. In a mere watery Tumour, the Diet may be more warm than in inflammatory Kinds; and therefore the moderate Use of Wine of- ten relieves the Patient. But a Difficulty of Breathing and Swallow- ing, proceeding from Schirrosities of the Glands, is not to be cured any other Way than by extirpating the Schirrus, which alone will be a safe Remedy: or the Surgeon must with Prudence endeavour to fix a Cau- stick in the middle of the Tumour, to eat the same out; which is feasible enough when the Seat is near the Jaws. Bb In 386 A GUIDE to HEALTH Part III. In the inflammatory Species of a Quinsy we ought, by all means possible, endeavour to procure a Resolution: First, By large and repeated Bleedings. Secondly, The Belly must be loosened stoutly with either Purges, or purging Glysters frequently injected. Thirdly, By a very thin and slender Diet, such as Whey with Tamarinds boiled in it; Decoctions and Emulsions of farinaceous Vegetables moderately acidulated, and such as abound with a cooling nitrous Salt. Fourth- ly, By Medicines of the nitrous and acid Kind. Fifthly, By soft, warm Vapours con- stantly receiv'd upon the Part, bathing and fomenting the Feet, and Derivations by Bli- sters. When Swallowing is totally abolish'd, the Patient may be nourish'd by nourishing Gly- sters, which is known to have been done for a whole Week, after which the Tumour sup- purated. If the Inflammation ends in a Gangrene, the Case proves generally mortal, except it be only in the Tonsils, Uvula, and Palate, and reach no farther, which Parts may be separated, and the Patient recover. Of a Pleurisy. Diagnostick. A Pleurisy is an Inflammation of the Pleura, being a double Mem- brane which covers all the Cavity of the Breast; tho' that is hardly distinguishable from Ch. III. thro' the various Stages of Life. 387 from an Inflammation of any other Part of the Breast, which are all from the same Cause, a stagnant Blood; for there is no Part of the Internal Integuments of the Chest, which is not capable of being seized there- with, whether it be the Pleura or the Me- diastinum; and therefore the pricking Pain may be felt in any Part of the Breast: But most commonly it attacks the Sides, and this having a Fever join'd with it, is a true Pleurisy; but if such a Pain affects the su- perior intercostal Muscles, it is called a spu- rious Pleurisy. In a true Pleurisy, Bleeding large- ly, and often repeated in the Begin- ning ought to be perform'd, and that by a large Orifice; and the Rule is, to repeat Bleed- ing so often until there appears no longer any Siziness on the Top of the Blood: and at the same time, Fomentations and Leniments may be used externally. For internal Use, Di- luters, Resolvents, Coolers and Lenients that will asswage Pain, are proper; and all such Things should be taken warm, and in great Quantities. The Cure. Sometimes the Part inflamed tends to a Suppuration, which is known by the obsti- nate Violence of the Pain and Fever, &c. and continuing longer than the 4th Day. That an Abscess is form'd may be known by a fre- quent shivering, a Remission of Pain, Short- ness of Breath, and being able only to lie on one Side, which is the Side that is affected. Bb2 When 388 A GUIDE to HEALTH Part III. When the Abscess is broken, the purulent Matter falls into the Cavity of the Chest, and increases by the Discharge from the Ul- cer, which produces an Empyema, of which I shall give an Account hereafter. But some- times the Part affected becomes schirrous, with an Adhesion of the Lungs and Pleura; hence an Asthma and dry Cough, an incura- ble Distemper, unless perhaps there may be some Relief had from much Exercise and Riding. Sometimes a Pleurisy turns to a Gangrene, which causes sudden Death; that a Gangrene is begun, may be known from the Delirium, the livid Colour of the Chest, a sort of bi- lious Spitting, and from a Cessation of Pain. The Prog- nosticks. Hippocrates observes, that if in Beginning of a Pleurisy, within the space of three Days, the Spit- ting is Bloody, it shews that the Distemper will be but short; if the Spitting of Blood comes on later, the Distemper will likely run into a greater Length. He adds, that if Pleuritick Persons do not expectorate, an Ab- scess will be form'd in fourteen Days; and such may be freed from that, if they can fully discharge the Matter by spitting in forty Days from the Time of the Rupture of the Abscess, otherwise they fall into a Consump- tion. In this Distemper the Spitting is to be regard- ed more than the Urine; and a Pleurisy that seems slight in the Beginning, and proceeding so Ch. III. thro' the various Stages of Life. 389 so till the fifth Day, but growing worse the sixth, is commonly mortal. When the Sup- puration is made, or Matter form'd in a Pleurisy, the Side must be open'd to let out the Matter. Of a Peripneumony. A true Peripneumony is an Inflammation of the bron- chial and pulmonary Vessels, or of the whole Body of the Lungs, or of one Lobe only. If the whole Lungs are affected the Case is desperate, and deem'd incurable; because the Circulation must be stopt, and no Blood can flow back into the Heart; the others sometimes admit of a Cure. It is to be treated after the same Manner, and with the same Remedies as a Pleurisy, and most commonly it has the same Event. A true Peripneumony or Inflammation of the Lungs. If the Inflammation be not dis- cussed in fourteen Days Time, an Abscess will be formed; the Signs of which are Shiverings, an Abatement of the Pain, and a low Pulse, Difficulty of Breathing, Thirst, and a slight Fever still remaining in the Evenings, &c. Upon this sometimes a sudden Suffocation happens from an Eruption of the purulent Matter into the Wind-pipe; some- times it is evacuated by spitting it up in great Quantities; or, if the Rupture so happens, it falls into the Cavity of the Chest, from whence proceeds an Empyema, a Phthisis, &c. Prognostick. Bb3 Lastly, 390 A GUIDE to HEALTH Part III. Lastly, the purulent Matter is absorbed by the pulmonary Veins, and is mix'd with the Blood; and by means of the Circulation, is deposited in some one of the Viscera, as the Liver, the Spleen, the Brain, &c. Hence it comes to pass that peripneumonick Abscesses happen about the Ears, Legs, or Hypochon- dria, where if they suddenly disappear, and the Peripneumony returns, the Case is mor- tal. The Type of a spurious Peri- pneumony. A spurious Peripneumony com- monly proceeds from a thick pi- tuitous Matter, generated in the Mass of Blood, which gradually settling itself on the Lungs, forms the Distemper. Old People, and such as are of pituitous, cold, catarrhous Constitutions, and such as are troubled with Defluxions of Rheums, are more subject to this Distemper than others. It creeps on unawares upon People with a fallacious Lenity at first; they are slightly in- disposed, complaining of a sort of Weariness and Debility; they seem to be dispirited; they grow short-breath'd, and feel an Op- pression of the Breast; but as the Disorder is hardly considerable enough to raise any great preternatural Heat or Fever, they are not apprehensive of any Danger: After a while however they are seiz'd with Shiverings and a small Fever, from whence the Difficulty of Breathing and great Weakness increase, and Death approaches, which surprizes the By- standers, Ch. III. thro' the various Stages of Life. 391 standers, the Urine and Pulse having not such a sudden Change. This Distemper is cured by the following Method; first, let the Pa- tient be blooded out of a large Vein; second- ly, a Glyster ought be given every Day, till it appears that the Lungs are eased; thirdly, his Diet ought to be of thin Flesh Broths, Jellies with some Juice of Lemon or Oranges; his Drink also small, of Water and Honey; fourthly, to use diluting, cleansing, and gently opening Apozems, often and in large Quan- tities, bathing the Legs and Feet, and ap- plying many Blisters, The Cure. Of an Empyema. An Empyema is a Collection of purulent Matter in the Cavity of the Thorax most commonly occasion'd by the Rupture of an Abscess, produced by a Pleurisy or Peripneumony: It is known, if for twenty Days after the Beginning of the Inflammation there has been no Expectora- tion; from a dry Cough, a Weight on the Diaphragm *, being able to lie only on one Side; from a fluctuating Noise of the Pus or Matter upon moving the Body, a slow Fever, Redness in the Cheeks, Hollowness of the Eyes, Heat in the Tops of the Fingers, Crook- edness of the Nails, and a Tumor of the Belly. Empyema what. Bb4 As * It is a tranverse Membrane, which separates the Thorax or Chest from the Abdomen or lower Belly. 392 A GUIDE to HEALTH Part III. The Cure. As to what relates to the Cure of an Empyema, when it is once known that there is a Rupture of an Abscess of the Lungs, Pleura, Diaphragm, or the Mediasti- tium †, or Pericardium ‡, endeavours must be used to discharge the Matter by Expec- toration, by the urinary Passages, or by Stool, if Nature offers to do it those Ways; for if purulent Mttter appears in the Urine, let diu- retick Medicines be given; if purulent Stools happen, laxative Purges; if Spitting offers, expectorating Medicines: Some make Issues with Causticks betwixt the Ribs. For inter- nal Use, Balsamicks, Vulneraries, Decoctions of the Woods, Jellies of Hartshorn, and Ground-Ivy, are very much commended. But if all Remedies fail, the Cure must be attempted by an Aperture of the Thorax, with a proper Instrument on the Side affected, between the 4th and 5th, or 5th and 6th Ribs, counting from the lowermost, drawing off the Matter gently and gradually: From the Nature of the Pus, when taken out, and other Circumstances of the Patient, one may deduce a Prognostick of what may likely be the Event. If the Empyema be of a long standing, and the Strength of the Patient exhausted, the Hair of the Head falling off, and there be a colliquative Looseness, the Habit of the Body † Is a Membrane which divides the Lungs and other Vi- scera of the Breast into two Parts. ‡ A Membrane which surrounds the whole Substance of the Heart. Ch. III. thro' the various Stages of Life. 393 Body tabid, &c. the Operation of the Para- centesis will serve only to hasten Death. Of a Paraphrenitis, or an Inflammation of the Diaphragm. A Paraphrenitis is a Disease much like a Pleurisy, wherein the Diaphragm, or at least part of it, is really inflamed; and this is what happens more frequently than is commonly- believed, mistaking it for another Distemper, It is known by a continual Fever, an exqui- site Pain very much increased upon Inspira- tion, by which it is distinguish'd from a Pleu- risy, in which the greateft Pain is in Expira- tion; besides, the Breath is fetch'd deep, quick, and suffocating, and seems only to be performed by the Motion of the Breast; It is likewise attended with a Delirium, Fury, and an involuntary Laughter, and Convul- sions; and altho' the Whole of the Distem- per is known, yet it is generally mortal. This Distemper terminates as Pleurifies and Peripneumonies, but a great deal more fatal; If it suppurates the Pus, it is evacuated into the lower Belly, where it produces Putrefac- tion, and a most miserable and painful Death. The Regimen, if any can be successful, ought to be the same as in Pleurisies, and the Cure likewise. Of an Inflammation of the Stomach. As other Parts of the Body, so may likewise the Stomach he seized The Signs. with 394 A GUIDE to HEALTH Part III. with a true Inflammation: The Symptoms and Effects are a burning, fix'd, and pungent Pain in the Stomach, attended with an acute continual Fever, a great Exacerbation of this Pain the Moment after swallowing any thing, succeeded with Vomiting, a painful Hickup and great Anxiety, unquenchable Thirst, want of Sleep, and a continual Tossing of the Body; these are succeeded with Deliriums, and most times Convulsions, ending in Death. The Causes. The Causes of these Symptoms are those common to all Inflamma- tions in general, a natural Weakness, and perhaps Erosion of the Coats of the Stomach, by acrid Substances taken as Aliment and Medicines. Care must be taken rightly to distinguish between an Inflammation of the Stomach, and that of the Liver: In the for- mer the burning Pain and Heat seem to lie deeper; when the Liver is inflamed the In- flammation is more limited, and the Symp- toms are milder. If this Disease is not speedily cured, it soon proves fatal; for People commonly die of it the third or fourth Day; and sometimes indeed, tho' seldom, it tends to a Suppuration, and the Abscess breaks either into the Cavity of the Stomach or lower Belly and even then they hardly ever escape. Of all Diseases this requires most a total Abstinence from any Thing that has Acrimo- ny in it; even the nitrous cooling Salts, which are Ch. III. thro' the various Stages of Life. 395 are beneficial in other Inflammations, irritate too much in this; likewise Vomits, all Cor- dials of volatile and spicy Substances; spiri- tuous Liquors are no better than Poison, and Milk generally curdles. Aliments must be given frequently, and by Spoonfuls at a time, for any Distension of the Stomach increases the Inflammation. A thin Gruel of Barley, Oatmeal, Whey with very little Sugar, or Honey, or Chicken- broth, are proper Aliments; Whey, emol- lient Decoctions of Barley-water, and Emul- sions, are proper Drinks; and it has been found by Experience, that Chalybeat Waters have been agreeable to the Stomach in this inflammatory State. If there happens an Im- postume, Honey, and even Honey of Roses, taken inwardly, is a good Cleanser, and a De- coction of Comfrey Roots is healing; Speedy and effectual Bleeding, Fomentations, and Glysters have the same good Effect in this as in other inflammatory Distempers, Likewise the same Regimen and Remedies ought to be used in a Schirrus or Cancer of the Stomach; tho' nothing will prove quite effectual. The same Method is to be pursued in the Inflam- mation of the Spleen, Pancreas, and Caul. Of the Inflammation of the Liver. As other Bowels and Parts of the Body are capable of Inflammations, so is the Liver likewise; but as the Hepatical or Liver Ar- tery, and the Vena Portæ, carry the Blood into 396 A GUIDE to HEALTH Part III. into the Liver, the first being very small, and the Motion of the Blood being slow in the last, are the Reasons that Inflammations in the Liver are not so frequent as in some other Parts of the Body; but when they happen they are extremely dangerous, unless they take up but a small Part of the Liver; and such happen more frequently than is thought of. Diagnostick Signs. The best Cautions, both in Diet and Cure, may be taken from the Causes and Symptoms of this Di- stemper, which, besides the general Causes of Inflammations, are extreme Fatness; for Fat dissolved by Heat and Inflammation obstructs the Vessels of the Liver very suddenly; and Cattle fatten'd by good Pasturage, after vio- lent Motion or Running, sometimes die sud- denly, in such the Liver is found to be in- flamed and corrupted. An atrabilarian a- dust Temper of the Blood and Gall, an acri- monious or purulent Matter, stagnating in some other Organ of the Body, is more easily deposited upon the Liver than any other Part, especially if it is attended with the Use of hot and spicy Aliments, spirituous Liquors, great Heat and a Fever; Erosions of the Vessels by the Acrimony or Sharpness of the Gall, or Obstructions by Viscidity; likewise any Callosity, Schirrus, or Stone generated in the Liver; Thirst long endured, being sud- denly chill'd by cold Air, cold Water, or drinking cold Liquors after great Heat; Vo- mits Ch. III. thro' the various Stages of Life. 397 mits given injudiciously, when the Liver is already unsound, which, if they do not re- move the Obstruction, exagitate the Liver too much; inveterate hypochondriacal Diseases; are all Causes which may produce Inflamma- tions of the Liver. In such a Case therefore, the Liver being swell'd, compresses the Stomach, Diaphragm, and all the neighbouring Viscera of the lower Belly, stops the Circulation of the Juices, the Generation and Excretion of the Gall, and all Digestion; produces numberless bad Symp- toms, as the Jaundice, with all the Distem- pers depending upon it; for the Liver re- ceives the refluent Blood almost from all the Parts of the Abdomen or lower Belly, and is the chief Instrument of all the Digestions which are there made. A slow Fever, which is more or less acute; an Inflammation and pungent Pain on the Region of the Liver and Diaphragm; a Tension of the Hypochondres especially on the Right Side; Yellowness of the Skin and Eyes, and a saffron-coloured Urine, are Signs of an inflammatory Disposition of the Liver. This Distemper terminates as other Inflammations, being cured either by Resolution, Concoction, and Ex- cretion of the morbid Matter; or it ends in an Abscess, Schirrus, or Gangrene: When it suppurates, the purulent Matter is discharged sometimes by Stool, sometimes by Urine, sometimes by Expectoration, and sometimes Prognostick. it 398 A GUIDE to HEALTH Part III. it is dischargcd by manual Operation. For when a Tumor rises and grows to the Peri- toneum, and forms there an outward Impos- tume of the Liver, easily discernable, then it is opened with a burning Iron, or with Caus- ticks; afterwards the Wound is widen'd with gentle corrosive and suppurating Applica- tions, untill there is a Penetration made into the very Bag or Vomica, which is in the Body of the Liver; then it is treated as an Ulcer, and cleansing internal Medicines are duely administer'd at the same Time. Indication of Cure. But during the first State of the Disease, that is, before there are any Signs or Suspicion of Impostumation, the Regimen should be cooling, resolving Li- quors taken inwardly, as Whey with Sorrel boil'd in it; outward Fomentations and fre- quent Injection of emollient and diuretick Glysters, Bathing, and Frictions, relax and render the Matter fluid and moveable; Honey, with a little Rhenish Wine or Vinegar, in- wardly taken, is likewise proper; also the Juices and Jellies of some ripe Garden-Fruits are useful, and those of some Plants of a milky Juice, as Dandelion, Endive, and Let- tuce, are Resolvents. Bleeding in the Be- ginning, especially in the Foot, will not be improper. Violent Purges hurt, but gently relaxing the Belly relieves. Diluters, with nitrous Salts, are beneficial, and Tamarinds boil'd in Water or Whey: Bloody Stools, not in a great Degree, or when streak'd with Blood, Ch. III. thro' the various Stages of Life. 399 Blood, ought not to be stop'd, because they help to resolve the Disease; and oftentimes Bleeding at the Nose produces the same good Effect. The Fever attending is often carried off by Urine, therefore diuretick Substances, that are not highly pungent and stimulating, are use- ful in this Case; and Sweating by high Cor- dials ought not to be attempted; but encourag- ing and promoting it with warm diluting Li- quors is proper. The Case is deplorable when the Inflam- mation of the Liver terminates in an Abscess, unless it points and appears outwardly, so that it may be open'd; for if the Matter be eva- cuated into the Lower Belly, it produces woeful Symptoms, as Putrefaction, or an in- curable Bloody-flux, &c. When the Pus or Matter of an Ulcer in the Liver grows thin and ichorous, it corrodes the Vessels, (for the Liver, of all the Bowels, is the most friable, and the easiest crumbled or dis- solved) and it is frequently carried into the Mass of Blood, and rejected by vomiting, with a cadaverous Smell, attended with great Thirst; but if it is carried downwards, it produces a purulent colliquative Looseness: In which Case the constant Use of subacid Decoctions, and other Substances of the acid Kind, relieve the best. If this Distemper happens to produce a Cancer, or Schirrus, as sometimes it does; yet the latter is not absolutely incurable, be- cause 400 A GUIDE to HEALTH Part III. cause it is experimentally known that Grass and fresh Pasturage has cured it in Cattle, and some opening Plants have produced the same Effect sometimes in Mankind, as those of the lactescent or milky Plants already men- tioned, with a great many other Vegetables too tedious to insert in this Place. But it is to be observed, that the Diet re- commended here is likewise necessary in the Jaundice, and all Distempers of the Liver; and also an Abstinence from all such Things as induce Putrefaction, especially salt Fish and Flesh, and above all strong Liquors. Of an Inflammation of the Mesentery. Inflammations and Tumors of the Mesen- tary, (being a Membrane in the Lower Belly to which the Guts are connected, and through which all our Nourishment is convey'd to the Blood,) are frequently the Origin and Foun- dation of many obscure and latent chronical Distempers, which greatly afflict People la- bouring under them, and perplex those who undertake their Cure as well. Diagno- stick. Persons affected with these Disorders complain of Pain about their Back and Loins, sometimes in the Belly about the Navel, with Gripings, yet these Pains are commonly periodical and chronical; and every now and then comes on a small wandering Fever, and the Ch. III. thro' the various Stages of Life. 401 the Pains come and go, having their Remis- sions and Exacerbations. When an Abscess in the Mesentery suppurates and breaks, it causes sometimes remarkable Shiverings and Shakings, which are followed by febrile Heats, and then the purulent Matter is most commonly discharged by Stool. Abscess. The Body in this Case gradually wastes, the Breathing grows more than usually difficult; and every now and then they complain of something that is very troublesome to them, which they cannot well explain: They tell you, that it lies deep in their Belly about the Navel, or below it; they are most commonly very much troubled with Wind. These Tumours oftentimes continue many Years, being turn'd schirrous and strumous. Prognostick. When the Disorders of the Mesen- tery are of a long standing, they are cured as other chronical Diseases, such as chachectick and hypochondriack Affections: Yet they are to be treated with Caution, and gently without any Violence. Externally, Em- plastrum de Cicuta cum Ammoniaco, de Ranis cum Mercurio, &c. are convenient. Inter- nally, Medicines that open Obstructions, such as Millepedes and Preparations of Steel, &c. likewise Remedies against strumous Distem- pers are proper, and opening of the hœmor- rhoidal Veins by Leaches; but rough Purges are hurtful, and Glysters are useful. The Cure. Cc Of 402 A GUIDE to HEALTH Part III. Of the Inflammation of the Guts. The Intestines or Guts, chiefly the small ones, are very often seiz'd with the like acute Inflammation in their Membranes, as the Stomach, from Causes common to all Inflammations carried thither; or from the Matter of acrimonious or sharp Drink, Aliments, high Sauces, Medicines or Poisons reaching those Parts, and detain'd in the Foldings of the Valvules and sticking to them; also from a sharp, putrid and fœtid, purulent, ichorous, gangrenous, bilious Mat- ter, convey'd hither from the Gullet, Stomach, Liver, Spleen, Pancreas, and Caul, which sticks also to them and corrodes them; or lastly, from a Convulsion filling them with Wind. The Cause. Symptoms. The Symptoms are a total Stop- page of the Passage, a vehement fix'd burning Pain, irritated by Things taken in- wardly; when any thing touches the Part af- fected, it excites Vomitings, sharp griping Pains, with Wind in other Parts of the Bowels; and the Consequences of such an Inflammation are the Iliac Passion, or what is vulgarly call'd the Twisting of the Guts, but in fact is either a Circumvolution or In- sertion of one Part of the Gut within the other; an Impostume, Gangrene, Schirrus, Cancer; a very acute Fever, with great Weakness from the Fierceness of the Pain, and a very sudden Death. It Ch. III. thro' the various Stages of Life. 403 It is of the utmost Importance to know what the Causes of Colicks are; for as they are various, so the Remedies in one Case are quite opposite and destructive in the other; for spicy, warm, carminative Things, which are given in Colicks proceeding from a phlegmatick or cold Cause, are Poison in an inflammatory one; but they may be distin- guished by the Fever, high Pulse, Thirst, and high-colour'd Urine attending the In- flammation. As to the Heat, tho' it is like- wise great by the Violence of the Pain, yet the Extremities grow cold; and besides, there is a hidden Prostration of Strength, or Weak- ness, attending this inflammatory Colick more than any other. This Disease requires a speedy Remedy, or none; for otherwise it terminates in an Iliac Passion, and Mortification of the Bowels very soon; therefore plentiful Bleeding, and fo- menting and relaxing the Bowels with emol- lient warm Liquors, both taken inwardly by the Mouth, and by Glyster injected hourly, is the most sovereign Method that can be made use of; yet it has been known, that Acids have relieved in very desperate Cases, as Juice of Lemons taken by the Mouth, and Vinegar and warm Water given in Glysters, have saved the Patient; by Reason of the con- tinual Vomiting, Opiates likewise to quiet the Convulsions are oftentimes necessary; also Warm Fomentations, even of warm Animals applied to the Belly, are extremely useful. Cc2 When 404 A GUIDE to HEALTH Part III. When the Inflammation happens to be in the Lower Guts, it is not so dangerous; and even when it suppurates it will admit of a Cure; for then it can be come at by proper Medicines in the Form of Glysters; and in the latter End of such a Case Chalybeat Wa- ters are very beneficial. If the Patient lives three Days, the Acute- ness of the Pain abates; and if a Shivering or Chilliness affects the Body, it is a Sign of a Suppuration, and in some few Days the Mat- ter flows either into the Cavity of the Belly, producing all the Symptoms which happen in an Impostumation of the Liver, or into the Cavity of the Guts, and causing a purulent Bloody-flux, and often a Consumption, Si- nus's and Fistulas; in which Case Whey and Chalybeat Waters are proper Drinks. The Aliment ought to be of such Substan- ces as generate little or no Excrements, as Broths of Flesh-meat, with Scorzonera, Par- sley, or Fennel boil'd in them: Goat's Whey is likewise excellent in the Case; but fat and oily Substances generally do harm. If the Fever continue with clammy Sweats, Paleness, an ichorous Loosness, fœtid, black, or like the Washings of Flesh, a small inter- mitting Pulse, and at last a Cessation of Pain totally, they are Signs of a Gangrene, and Death at hand. But if none of the foremention'd Signs hap- pen, and that the Fever abates, and the Per- son complains of a Weight, dull Pain, Stop- page Ch. III. thro' the various Stages of Life. 405 page of the Excrements, a Schirrus is form- ing, which increases daily, and may terminate in a Cancer; which Purging, and indeed all Medicines irritate: The Patient in such a Case may protract a miserable Life with an exact thin Diet of Whey, Broths, and such Things as produce no Fæces, or by nourish- ing Glysters. Inflammations of the Kidneys. The Kidneys as well as other Parts of the Body are subject to Inflam- mations: Which may be known from a pungent, burning, inflammatory Pain in the Region of the Kidneys, a Numbness, or dull Pain in the Thigh on the Side affected; likewise Colick, Wind, Vomiting, an acute continual Fever, Urine sometimes totally sup- press'd, often made in small Quantities, high colour'd; and which is worse, sometimes very watry and quite pale without any Sedi- ment. As to the outward Sensation of Heat, the Extremity of Pain oftentimes produces a Coldness in the extreme Parts, which is very consistent with inflammatory Distempers. Diagnostick Signs. This is produced by all the Causes of a general Inflammation directed to the Kidneys; and therefore, whatever ob- structs the Blood in the Extremities of the Arteries of the Kidneys, will produce this Distemper; a Wound, Bruise, Abscess, Swel- ling, Lying often long on the Back, too vio- The Cause. Cc3 lent 406 A GUIDE to HEALTH Part III. lent Motion, especially walking, or hard rid- ing in hot Weather; and whatever obstructs the Passage of the Urine into the Pelvis, Ureter, or Bladder, as a viscid Matter, Gravel or Stone; likewise every thing which forces the gross Parts of the Blood into the urinary Passages, as Heat, hard Riding, Straining, too great Fullness of Blood, and especially sharp and forcing Di- ureticks; and lastly, a convulsive and invo- luntary Contraction of the small Vessels of the Kidneys, if long continued. Coffee-colour'd Urine is not a dangerous Sign; for it proceeds from the Mixture of a small Portion of Blood with the Urine, and oftentimes it prognosticates a Resolution of the obstructed Matter, and the Expulsion of Gravel, or a Stone after great Pain; but pale Urine is a Symptom which portends the Di- stemper to be more lasting and dangerous. The Cure is to be perform'd by plentiful and repeated Bleeding, avoiding carefully at the same time all stimulating Diureticks, which in this State would increase the Dis- ease: Afterwards the Expulsion of the ob- structing Matter is to be promoted by emol- lient and soft Liquors plentifully drank, and by Glysters of the same kind frequently inject- ed; by Bathing and outward Fomentations, by opiate and anodyne Substances, which both ease and relax the Fibres; and those soft Liquors should be drank plentifully not- withstanding the frequent Vomitings; for Vomiting is an Effort of Nature in order to pro- Ch. III. thro' the various Stages of Life. 407 promote the Expulsion of the Gravel, Stone, or any other obstructing Cause. Therefore Whey, and in a great feverish Heat, Butter-milk; likewise Emulsions of Barley and Poppy Seeds, Honey in Whey and Water, are all very proper Liquors for this In- tention; also a moist and soft Diet, Rest, and keeping out of a warm Feather-bed, and par- ticularly avoiding lying upon the Back. If the Pains or Convulsions be very urgent, without waiting for the Effects of other Re- medies, Opiates with due Caution ought to be given; but when the Gravel, Stone, or any other obstructing Cause is separated from the Kidneys, soft express'd Oils, and oily Substances relax the Passages; and if the Pain proceeds only from Gravel, or a Stone, then oily Substances may be safely join'd with sti- mulating Substances, as with Juice of Lemon, Juniper-Water, and some diuretick Syrup, as that of Marsh-mallow, &c. In this Case the Jolting in a Coach, and such-like Motion may be used with Advantage. If the Pain is protracted beyond se- ven Days, an Abatement of the Pain, its changing into a Beating or Throb- bing, often-returning Shiverings, a Heaviness or Numbness of the Part, are Signs that Matter is a forming, which when made will appear in the Urine; in which Case, soft and balsamick Substances are the most beneficial; for if the Matter remains long, the Case is in- curable. Progno- sticks. Cc4 Some- 408 A GUIDE to HEALTH Part III. Sometimes it happens to terminate in a Fistula, with which the Person may live many Years in no great Uneasiness. All Bal- samicks are good in Ulcerations of the Kid- neys: Likewise Butter-milk not quite sour has been deem'd a Secret in the Cure of Ulcers of the Kidneys, and Steel-waters have proved very beneficial to some; Spruce-beer is also a good Balsamick in such a Case; and soft Malt Liquors are preferable to Wines. Inflammations of the Kidneys terminate sometimes in a Schirrus, or large Stone. But a sudden Remission of the Pain, with cold Sweats, a weak and intermitting Pulse, Hick- up, no Urine, or in very small Quantity, black and fœtid, are sure Signs of a Mortifica- tion and ensuing Death. Regimen. The Regimen of those who are subject to nephritick Disorders may be in some measure collected from what has been above-mention'd; and such ought to be ex- tremely careful of the Choice of their Li- quors; for sharp Wines which abound with Tartar, are very hurtful; soft Malt Liquors, not stale, are certainly much better to be made use of, and some of the softest diure- tick Substances often mention'd already; and to avoid acrimonious Things in their Food, use moderate Exercise, and not lie too hot, soft; nor much upon the Back. Of Ch. III. thro' the various Stages of Life. 409 Of an Apoplexy. This Distemper is a sudden Sus- pension of all the Senses, both ex- ternal and internal, and a Privation of all voluntary Motion, by the Stoppage of the Flux or Reflux of the animal Spirits through the Nerves destin'd for those Motions, com- monly attended with a strong Pulse, and dif- ficult Breathing, with Snoaring, together with an Appearance of a deep and continual Sleep. Definition. The most common Causes of A- poplexies are a particular Conforma- tion of the Body, as a short Neck; for there are some Persons who have fewer Vertebræ in their Necks than others; polypous Concre- tions of the Blood, an inflammatory Spissi- tude of it, a thick, glutinous, or pituitous Blood, and a dull Inactivity of the whole Mass; a gross, plethorick, fat, or phlegma- tick Constitntion; whatever hinders the Mo- tion of the Blood thro' the Arteries of the Brain, as Tumours arising within the Cra- nium, or Polypus's, especially about the Heart, attended most commonly with an unequal Pulse, a Vertigo, and sometimes a momentary Loss of the Eye-sight; old Age, attended with a glutinous, cold, catarrhous, leucophlegmatick Constitution; for in suck the Forerunners of an Apoplexy are, Dulness, Inactivity, Drowsiness, Sleepiness, Slowness The Causes. of 410 A GUIDE to HEALTH Part III. of Speech, and giving Answers, Vertigoes, Tremblings, Oppressions in Sleeping, Night- Mares, Weakness, Wateryness, and Turgi- dity of the Eyes, a great Fulness of Blood, with its Velocity increased by Heat and vio- lent Motion, a high Diet, and Spirituous Li- quors, a partial and imperfect Circulation of the Blood towards the lower Parts; the Effusion and Pressure of any Serosity, or Blood upon the Ventricles of the Brain, which is the most common and immediate Cause of Apoplexy; violent Passions and Affections of the Mind. The immediate Fore- runners of an Apoplexy are most commonly a Vertigo, Staggering, Loss of Memory, Stu- por, Sleepiness, a Noise in the Ears, and a deep and laborious Breathing. To these may be added, Extravasations of the Blood or Serum from Contusions or Concussions, oc- casion'd by external Violence, and an innu- merable other latent Causes. The Division of Apoplexies into sanguine- ous and pituitous is of Use, but then it is not an exact and perfect Division; because there are other Kinds, viz. serous, atrabilarious, and polypous Apoplexies, &c. Prognosticks. A slight Fit of an Apoplexy is carried off by a plentiful, warm, and equable Sweat, a great Discharge of thick Urine, a Flux of the Piles, or of the Men- ses, by a Looseness, or a great Fever coming upon it. If the Apoplexy be more severe, it usually terminates in a paralytick Disorder of Ch. III. thro' the various Stages of Life. 411 of some Part of the Body, or of all one Side, which is called a Hemiplegia; or sometimes of all the Body below the Head, which is called Paraplegia, and is seldom curable, but al- ways leaves behind it a great Defect of Me- mory, Judgment and Motion. An exquisite Apoplexy soon carries off the Patient; it is seldom known that they live beyond the se- venth Day. The Cure is to be varied ac- cording to the Difference of the Causes; for if occasion'd by a cold phlegmatick Cause, we ought immediately to endeavour that the Pressure of the glutinous Siziness may be diverted from the Head, by Derivation into other and opposite Parts, and universal Evacuations: for this Intention, Blisters, Causticks, Frictions, Ligatures, Anti- phlegmaticks, sneezing Medicines, and all sharp and stimulating ones are to be used, as Emeticks, strong Purges, and sharp purging Glysters. Yet in the Use of all these the Mischief is oftentimes increased, the Matter being there- by more violently moved and afterwards fix'd, and the Strength sinking under the Evacua- tions; therefore in endeavouring a Resolu- tion, we ought to insist upon Evacuations and Revulsions, as much as the Case will bear; whence the Rule of Hippocrates, Bleeding except it relieves, kills; and Celsus says, that it kills or cures. But if the Apoplexy pro- ceeds from a hot Cause, and that the Dis- The Cure va- rious. temper 412 A GUIDE to HEALTH Part III. temper seems inflammatory, then presently take a large Quantity of Blood out of the Jugular Veins, and repeat it as often as there is Occasion; by which, if the Distemper is curable, some Relief will arise. A Loose- ness is by all means to be promoted, and we are to give Diluters, Attenuants and Diure- ticks at the same time, keeping the Patient as much as we can out of Bed, especially from lying down. As the Applications in the Fit are of a medicinal Kind, it being too acute a Disease to admit of any Helps from Diet, yet that may be of great Use for Prevention; there- fore a thin, slender, cool, and regular Diet, opposite to the particular Symptoms above- mention'd, will be useful; so that the Regi- men is to be varied according to the Cause of the Disease, which may be collected from the Constitution of the Patient in these Apo- plexies, which depend upon a sanguineous Cause; the Regimen prescrib'd in a sangui- neous Constitution, in Part II. of this Trea- tise is proper. Fat and phlegmatick People, who are very subject to this Distemper, ought to give Attention to the Rules set down in the same Place, in their Case; and as there are Apoplexies from inveterate Gouts, the Re- gimen of such must be different from both, as I shall explain hereafter in treating of the Gout, the Intention being to translate the Gouty Matter upon the Extremities of the Body: and all those who have a Disposition to Ch. III. thro' the various Stages of Life. 413 to this Distemper, ought never to go to Bed with a full Stomach, nor to lie with their Head low. CHAP IV. Of Chronical Distempers. Of a Palsy. A Palsy is a Resolution or Relaxa- tion of the nervous Parts from their natural Tone, by which means their Motion and Sense, either one, or both, all over the Body, or in some particular Part or Parts, are impair'd, so as to be unable to exert their natural Functions. Definition. The best Rules of Diet in this Disease are taken from the Know- ledge of its Causes; for whatever stops either the Flux of the Spirits, or that of the Blood to any Part, induces a Palsy, for both are necessary for Sensation and Motion; such are all the Causes of an Apoplexy, an Epilepsy, extreme and lasting Pains, the Suppression of usual Evacuations, either natural or mor- bid, Translations of diseased Matter in acute Distempers, whatever distends, distorts, com- presses, or contracts the Nerves; strong and The Causes. strait 414 A GUIDE to HEALTH Part III. strait Ligatures, Luxations, Fractures, any Inflammation in the Integument, or mem- branaceous Sheath of a Nerve, especially in the Plexus, where they are tied together; likewise serous Defluxions, Excess in astrin- gent Aliment, chiefly unripe Fruits, drink- ing too much warm Water, is weakening and relaxing; also Excess in Tea or Coffee; extreme Heat or Cold, poisonous Fumes of Arsenick or Mercury. This Distemper is more or less dangerous according to the Cause, or the Extent and Seat of the Disease; for when the original of it is in the Brain, it is most dangerous; when it seizes the Heart or Organs of Breathing, it is fatal; because Life cannot be continued a Moment without the Use of those Parts. Difficult to cure. A Palsy succeeding an Apoplexy, Convulsions, the Colick, and other Affections of the Brain or nervous System, if it does not grow better in a little time, or give Way to Medicines, it commonly remains incurable. Regimen. The Regimen in this Distemper should be warm, attenuating, con- sisting of spicy and cephalick Vegetables, such as produce a feverish Heat; because such are necessary to resolve the Viscosity of the Fluids. Of such as consist likewise of an acrid, volatile Salt and Oil, as Mustard, Horse-Radish, &c. stimulating by Vomits, sneezing, relaxing the Belly by purging, and diluting strongly at the same time, promoting Sweat 415 thro' the various Stages of Life. Ch. IV. Sweat by such Motions as can be used, or other Means, and strong Frictions are here very useful; but Bleeding is to be used or omitted according to the Symptoms which affect the Brain: It relieves indeed, in any inflammatory Disposition of the Coat of a Nerve, yet it is not convenient in general for all Persons; for some Paralyticks are cold, and others of a hot Constitution; therefore Remedies ought to be of a different Kind, as is usual in the Scurvy itself. The most noted Medicines in this Case, are of Vipers, Amber, Earth-worms, Wood- lice, Emets, Antimonials, Mercurials, Steel Preparations, the Antiscorbutick Juices, with compound Horse-radish Water, and Juice of Oranges, Gum Guaiacum, Tincture of Amber, Spirit of Hartshorn with Amber, Bezoar Mineral, &c. And externally, Fo- mentations, Liniments, Cupping-glasses, Bli- sters, nettling the Members affected; also putting the relax'd Part into Grains, after the Wort is drawn off, or into the Belly of a Beast newly killed; or lastly, an artificial or natural Bath, as that in Somersetshire; like- wise Issues and Setons are proper in this Case. Of an Hemiplegia and a Paraplegia. A Hemiplegia is when only half of the Head, and of the rest of the Body on that Side is affected, after the manner of an Apo- plexy. A 416 A GUIDE to HEALTH Part III. A Paraplegia or Paraplexia, is, when the whole Body, except the Head, is affected by reason of the Spinal Marrow's being ob- structed; and more commonly this and a Hemiplegia are secondary Distempers, tho' sometimes they are primary; Sense and Mo- tion, or both, are either entirely lost, or much impaired. When either of those Distempers imme- diately follow an Apoplexy, Epilepsy, and o- ther Diseases, they are commonly called Pal- sies; but a Palsy is a different Distemper, as plainly appears by what has been said of it already. The Cure. Vomiting and purging are proper in all Paraplegia's, to cleanse the first Passages; and Bleeding is necessary in plethorick Bodies. In the next Place Sudo- risicks are very useful, mix'd with Specificks; a Decoction of Sassafras with Rosemary and Juniper-Berries is very proper; and for the rest of the internal Medicines for the Cure of these two Distempers, use those directed in an Apoplexy and Palsy. A Fomentation made with a Decoction of Emets and their Hillocks in common Water, used every Day to paralytick Limbs, often proves very bene- ficial, and sometimes procures present Re- lief, by restoring the Parts to their natural Strength. Of 417 thro' the various Stages of Life. Ch. IV. Of the Epilepsy or Falling-sickness. An Epilepsy is a Convulsion or convulsive Motion of the whole Body, or of some of its Parts, with the Loss of both internal and external Senses, attended with violent Concussions and reciprocal invo- luntary Motions of all or some of the Muscles, with alternate Rest, and new Insults thereof. It is called the Falling-sickness, because the Persons affected with it fall suddenly upon the Ground. The Definition. The Causes of this Distemper are various; sometimes an hereditary or Family Disposition from Parents; a sudden Fright of the Mother when with Child of the Patient; an ill Affection of the Brain by Wounds, Bruises, Blows, or Con- tusions; Abscesses, acrimonious Serum, bony Excrescencies of the Inside of the Skull, its pressing down upon the Brain; Inflammation, Corruption, or Corrosion of the Meninges or Membranes of the Brain; Repletion or Ful- ness, Heat, Drunkenness, intense Study, Ter- ror; all violent Affections and Irritations of the Nerves in any Part of the Body; especially by acrimonious Things in the Stomach or Bowels, by Worms, by Teething, and Aci- dity in the Stomach in Infants; by some Contagion or purulent Matter after acute Diseases; likewise by Suppression of usual Evacuations, as the Menses, Piles, and Urine, &c. also by hysterical Affections contracted The Causes various. Dd by 418 A GUIDE to HEALTH Part III. by Accidents in Lying-in; and often by too great Inanition or Weakness, occasioned by want of due Nourishment; by Fragments or Splinters of Bones, or sharp Instruments hurting the Meninges or Brain, or Quicksilver carried thither any how; by the Caries of a Bone, black Choler, or venereal Ulcers cor- rupting or corroding the Meninges or any Part of the Brain. Hence it is evident, that different Medi- cines and different Indications are requisite to cure this Disease, according to the known Variety of the Cause, the peccant Matter, and the Place to which the Remedy ought to be applied, and by which the Evil is to be eradicated: Hence likewise is sufficiently ex- posed the Vanity of the celebrated Specificks and Methods, which boasting idle People do brag of in this Disease. And it is also evident, that the proximate Cause of all true Epilepsies is always the too great Action of the Brain upon the Nerves serving for Motion, and the Privation of that in the Nerves dedicated to Sensation; and that the Causes which create the reciprocal Paroxysms are many in Number and Va- riety. The Cure. The Intentions in the Cure of this Disease must be different, ac- cording to the Cause, as I have just now ob- served: Bleeding and plentiful Evacuations, when there is a Plethora or inflammatory Dis- position in the Brain, are necessary; and Ali- ments Ch. IV. thro' the various Stages of Life. 419 ments that are without Acrimony, demulcent, avoiding every thing which stimulates, and taking such Things as are opposite to the par- ticular Acrimony that causes the Distemper; relaxing the Belly without irritating. In acute and periodical Pains to take anodyne Sub- stances; but if the Disease be the Conser quence of an hysterical Disposition, a warmer Regimen is necessary, in which Case anti- hysterick Medicines are proper. If the Cause is in the Stomach, generally Anti-acids re- lieve; if they are not flatulent or windy, se- veral have been cured by a Milk Diet; but in Case of Acidity in the Stomach it will do Harm. When the irritating Cause is in some outward Part of the Body, it is proper to e- radicate it by Suppuration; if it proceeds from Gnawings and Irritations of Worms, Teeth, sharp Humours turning Milk sour and curdled like Cheese, or any other Acid in Infants, Diacodium or Diascordium given them unseasonably, or the Contagion of the Small-pox in the first State: Hence the tes- taceous Powders, Anodynes, Paregoricks, An- tihystericks, all Medicines against Worms, and a seasonable Cutting of the Gums, and car- rying off the acrimonious Matter from the Bowels by gentle Purges; then all these, I say, become, by their Operation, Anti-epilep- tick Medicines. But if the Cause proceeds from a Stoppage of the usual Evacuations, as the Menses, Cleansings in Women, the Piles, or Urine, &c. Dd2 it 420 A GUIDE to HEALTH Part III. it may be remedied by dissolving the viscid Matter, and opening the Obstructions: In this Case Blisters, Issues made with Causticks, Steel Preparations, forcing Medicines, such as provoke the Menses and open the Piles, and Diureticks are all proper. An Epilepsy from Inanition or Weakness may be cured by a nourishing Diet, easy of Digestion, and a proper Use of nervine Me- dines; and the following are reckon'd amongst the anti-epileptick Specificks; Native Cinna- bar, Wild Valerian, Male Piony Roots and Seeds, Flowers of Lilies of the Vallies, Seeds of Rue, Misletoe of the Oak, Castor, Cam- phire, Rosemary, Earth-worms prepared, the Gum and Wood of Guaiacum, the Salt and Oil of Amber, Peacocks Dung, with a great many more too tedious to enumerate in this Place. Epilepticks ought to breath in a pure Air, untainted with any Steams, even such as are very fragrant; and their Diet should be nou- rishing, of easy Digestion, avoiding Hogs Flesh, Water Fowls, and all Vegetables that are pungent, windy, and, generally speaking, all Fruits, especially Nuts; they should use but little Wine, and none if they have not been accustomed to it; they ought not to turn round nor stand on Precipices, to keep regular Hours for Eating and Sleeping, for every unusual Thing is a Stimulus: But of all Things, the most necessary is to avoid the Occa- 421 thro' the various Stages of Life. Ch. IV. Occasions of violent Passions of the Mind, and keeping themselves chearful. Of Melancholy Madness. That Disease is called by Physicians a Me- lancholy, under which the Patient labours long, and is obstinately delirious without a Fever, and always intent upon one and the same Thought. This Disease arises from that Malignity in the Blood and Humours, which the Ancients have called Black Choler; and tho' this Dis- ease begins in the Mind, yet it renders the Choler black in the Body very soon. It will be therefore necessary to give a small Sketch of this wonderful Disease, the Doc- trine of which is supposed to be so obscure, that Antiquity is unjustly blamed for it. If the most fluid Parts of all the Blood be dissipated, and leave the less moveable united in the Body, then will the Blood become thick, black, fat, and earthy; and this Defect is called by the Name of an atrabilarian Humour, or melancholy Juice. The Cause whereof is whatever expels the most fluid Parts of the Blood, and fixes the rest: A violent Exercise of the Mind; the dwelling Night and Day upon one and the same Object; a constant Wakefulness; great Motions of the Mind, whether Joy or Sorrow; great and laborious Motions of the Body, often repeated, chiefly in a very hot and dry Air; to these may be The Causes. Dd3 refer'd 422 A GUIDE to HEALTH Part III. refer'd immoderate Venery; rough, hard, dry, earthy Aliments, long used without Motion or Exercise of the Body to digest them; the like Drink; Parts of Animals dried in Smoak, Air, or Salt, chiefly of old and tough ones; unripe Fruits, and mealy and unfermented Substances; astringent coa- gulating, sticking, and cooling Medicines, and slow Poisons of the same Nature; hot Fevers hanging about long, often returning without a good Crisis, and going off without the Help of diluting Means. When this Evil, already bred in the Blood, and produced by the abovementioned Causes, does yet infect equally all the circulating Mass of Humours, it will produce some Diseases, which will appear immediately, and are most- ly as follow: The Colour of the Patient in- ternally and externally is first paler, yellower, and more tawny; livid, black with like Spots; the Pulse flower; the Circulation through the Blood-vessels free, more sparing through the Side-vessels and less free; hence a slower, less, and thicker Separation of all the secretory and excretory Humours, and a less Wasting of them; a lessen'd Appetite; a Leanness, Sorrowfulness, Love of Solitude, all the Affections of the Mind violent and lasting; an Indifferency to all other Matters; a Laziness as to Motion, and yet a very great and earnest Application to any Sort of Study or Labour. Its Ch. IV. thro' the various Stages of Life. 423 Its Matter therefore is the Earth and thick Oil of the Blood united and closed up toge- ther, which is worse in its Effects, and more difficult to cure, according to its Degrees of Fluidity, Softness, Dryness, Thickness, inti- mate Mixture, and Time of being so. Hence the Diagnosticks and Prognosticks are plain enough, and the Rationality of the Cure does also occur easy enough from these Principles. Thus far I have transcribed the learned Boer- haave's Sentiments of this Distemper. The atrahilarian Constitution, or a black, viscous pitchy Consistence of the Fluids, which most frequently produces this Disease, makes all the Secretions difficult and sparing; the Intention therefore ought to be to render the Humours fluid, moveable, and carry them out of the Body, especially the Bile, which is viscous; but Sudorificks are not here so pro- per, because they thicken. Therefore the Diet prescrib'd, Chap. VIII. Part II. in an atrabilarian Constitution, is very proper in this Case, to which I refer the Reader. The learned Author just now mentioned relates an Instance of a Patient, who, by a long Use of Whey, Water, and ripe Garden- Fruits, evacuated a great Quantity of black Matter, or Choler, and recover'd entirely his Senses. Cold Bathing, and especially a sud- den Immersion into the Sea, has produced very good Effects by acting upon the Nerves and Spirits. Dd4 Madness 424 A Guide to Health Part III. Madness proceeding from a Plethora, or too great Fulness in young, strong, hale Peo- ple of a hot Constitution, is cured by plenti- ful Bleeding, Purging, Vomiting, and other Evacuations, with Diluters; and the Weak- ness which succeeds Madness requires a more refreshing and warm Diet, and especially the Use of Chalybeat or Steel Waters. If this Distemper continues long, it pro- duces Foolishness, Epilepsies, Apoplexies, fu- rious Madness, Convulsions, Blindness, won- derful Fancies; for some will imagine them- selves to be Beasts, or to be earthen Vessels, or they will fancy themselves dead; others will crow like a Cock, believing themselves to be such a Creature; others laugh, sing, cry, sigh, groan and belch; others obstinate- ly refuse to eat any Victuals, as believing they are actually dead; some think themselves Kings, Prophets; others a Grain of Wheat, Grass, or Wax: Sometimes they have great Evacuations of Urine, clear like fair Water; at other times very thick; a Retention, mulation, and often a sudden Excretion of bloody Fæces in the Vessels of the abdominal Viscera or Belly; an obstinate Costiveness, with a thin and frequent Spitting, and they can endure to be without Sleep, Aliment, or Fire, even to a Wonder. This Distemper grows worse upon taking Medicines that weaken and evacuate roughly, or such as put the Fluids into a violent Mo- tion; therefore the curative Indications will be Ch. IV. thro' the various Stages of Life. 425 be to bring the Fluids of the Brain and Nerves into a good Order; by withdrawing, first, the Mind from the usual Object to others contrary to the same, and raising art- fully, if possible, another Passion of the Mind, contrary to the melancholy one; by siding sometimes with them in their false and de- prav'd Fancies, or often opposing the same with great Force. Secondly, By opening, softening, inciding, and stimulating the Obstructions, or the Cause, or the EfFects of a false Imagination, with Mineral Waters, Whey, Water and Honey, Splanchnick, Hepatick, or Anti-hypo- chondriack Medicines and Decoctions; like- wise Waters made with the Addition of lixi~ vious or compound Salts, especially Nitre; also loosening Mercurials, Vomits, Motions, Exercise, and Riding; and Medicines which cleanse and purge the Womb, or the Piles, Bathings, Ointments and Plasters, and easing the Symptoms by Bleeding, plunging into cold Water, and using Carminatives and Opi- ates sometimes. Of Madness from the Bite of a Mad Dog, or any other Creature, called Hydrophobia. The Fury or Madness mostly proceeding from the Bite of Mad-Dogs is call'd Dog- Madness; and from that terrible Symptom of dreading Water, an Hydrophobia. It 426 A GUIDE to HEALTH Part III. It almost ever arises from other Animals, which were first mad, and that by Contagion; tho' also sometimes of its own accord in some acute Fevers, as has been observed, and is well attested. Almost all sorts of Animals may be affected with this Evil, and by their Contagion infect others, and even Men. Dogs, Cats, Wolves, Foxes, Horses, Asses, Mules, Oxen, Sows, Monkies, Turkey-cocks, and Men, all these being first mad themselves, have communicated the same Madness to others; but it is common to none so fre- quently as to Dogs, Wolves and Foxes, and it invades these chiefly from inward Causes, without catching it from any others. A hot Country, open and exposed to vio- lent Heats, or to very cold raw Weather; hot and dry Weather long continued; the living upon rotten, stinking and worm-eaten Meat; Want of Drink; Worms grown in the Kidneys, Guts, Brain, or the Inside of the Nostrils; all these are preceding Causes of Madness in Animals just now mentioned. The Symptoms of a Person infected with this Poison, after different Distances of Time, are much in the following Manner: The Place where he was bit pains him; then fol- low wandering uncertain Pains in other, but chiefly the nearest Parts; a Weariness, Hea- viness, and Slowness succeed in the whole System of the Muscles; his Sleeps are disturb- ed, uneasy, all with Frights, Convulsions and Catchings in the Tendons; he is continually restless, Ch. IV. thro' the various Stages of Life. 427 restless, sighs, looks dejected, and affects to be alone; and it is much after this Manner that this Disease begins and finishes its first Stage. Then all the foregoing Symptoms are in- creased, and there follows besides a prodigious Narrowness and Pressure about the Heart and Chest, Breathing is difficult, and accompanied with Sighs; he frequently shakes all over; his Hair stands an end, and trembles all over at the Sight of Water, or any sort of Liquors, or even at the Sight of transparent Things, or reflecting like Looking-Glasses; he loses his Appetite entirely, yet he can swallow any thing that is very dry and solid: The Touch of any Moisture, chiefly with his Lips or Tongue, creates an incredible Anguish, Tremors, vio- lent Convulsions, and a Raving; he vomits tawny glewish Choler, or green, like Leeks; he grows very hot, feverish, sleepless; is trou- bled with a Priapism; and he thinks disor- derly of Things quite foreign and unusual. Thus it goes on, and here ends its Second Stage. But afterwards every thing grows constant- ly worse; for he soon lolls out his rough and dry Tongue, gapes wide, speaks hoarse, has a great Drought, grows raving and fu- rious at every Attempt to drink, and at the Sight or Touch of all Drinkables and Liquors; he gathers Froth in and about his Mouth, endeavouring the spitting of the same upon the By-standers, and that even against his Will; bites and snaps at every thing within his 428 A GUIDE to HEALTH Part III. his Reach, and that likewise involuntarily, nor yet to be witheld from those; he gnashes his Teeth with Froth, snarling like a Dog; his Pulse and Breathing begin to fail, cold Sweats break out on all Sides; he raves in the highest Degree, notwithstanding which he is all the while sensible, and is afraid that he shall unwillingly hurt the By-standers. Hence you may always reckon upon his dying (within the fourth Day from the first State of his Illness, convulsed with a most terrible Anguish upon drawing his Breath. As Brevity, and the want of Leisure and Room at present, oblige me to proceed to the Method of Cure without any farther Disqui- sition about the Nature of this dreadful Con- tagion, I present the Reader with the follow- ing short, easy, and in all Probability the most infallible Method hitherto discover'd. A French Physician of the University of Bourdeaux, and a Gentleman of Note and great Merit in his Profession, has publish'd a Treatise * some few Years ago, in which there is a Dissertation on the Hydrophobia, wherein he candidly communicates a very rational Method of curing this terrible Con- tagion, after a new and easy manner, of which he has made several Trials, and always with the desir'd Success, as may be seen in his own Treatise at large; therefore as this Remedy * Dr. Desault's Treatise translated from the French, by John Andree, M. D. and printed for John Clarke, under the Royal-Exchange, Cornhill, 1738. Ch. IV. thro' the various Stages of Life. 429 Remedy he proposes (in all human Probabi- lity,) may prove successful and certain, (at least it bids the fairest of any hitherto known in the Art of Physick for that desirable End) I thought proper and necessary to communi- cate the same to my Readers, in order to impart it to all their Friends and Acquaint- ance. The Remedy consists of a Powder called Palmarius's Powder, and an Ointment made in the following manner. The Powder. Take of the Leaves of Rue, Vervain, Sage of Virtue, Plantane, Polypody, common Wormwood, Mint, Baum, Betony, St. John's Wort, lesser Cen- taury and Coraline, of each equal Parts; mix them, and reduce them to a Powder. The Ointment. Take one third Part of Mercury reviv'd from Cinnabar, one third Part of hu- man Fat, and as much of Hog's Lard, mix all very well till all the mercurial Globules disappear. Here I give you the Author's Method in administering the Powder and Ointment in his own Words. 'I 430 A GUIDE to HEALTH Part III. 'I order one Dram of the Powder (says he) 'in White-Wine every Morning; and 'Persons of the fair Sex, who cannot bear 'Wine, take it in a Draught of warm Wa- 'ter. 'In this Method I continue 30 Days with 'those who have been bit in an uncover'd 'Place, or have receiv'd some considerable 'Wound by the Bite; but to those who have 'been bit in a Place that was cover'd, and 'had only a few Holes made with the Teeth, 'I give the Powder only 20 Days. 'From the first Day of using the Powder, 'I make them administer a Friction of one 'or two Drams of the Ointment upon the 'Wound and neighbouring Part, and spread 'the Ointment all over the Part that was 'wounded. 'The Friction is repeated every other Day 'in the beginning, and after the third time, 'every third Day; after the 6th, every 4th, 'till two or three Ounces of the Ointment 'have been used; the Quantity of which 'ought to be proportion'd to the Strength, 'Age, Temperament, Sex, the Bite, &c. 'But when the Patient comes to me seve- 'ral Days after the Bite, for fear of Acci- 'dent, and to prevent the Rabies or Mad- 'ness, I order to make the Frictions every 'Day to four or five times, and increase the 'Dose of the Powder sometimes to half a 'Dram; afterwards I leave a Day or two be- 'tween to avoid a Salivation, which might 'ensue Ch. IV. thro' the various Stages of Life. 431 'ensue from the daily use of the Ointment, 'altho' but a particular Friction. 'In the last Place, I let him keep his 'usual Meals, forbidding him all Excess; for 'Experience proves, that they increase all 'other contagious Distempers. I let him 'drink Wine with moderation: I take Care 'that they be not left alone, and desire their 'Relations and Friends to keep them Com- 'pany, forbidding them to mention Madness 'to them, or mad Creatures. A more circumstantial Account of this Method may be seen in the Author's own Observations, to which I refer the Reader; but here I cannot omit observing, that if 20 or 30 Grains of native Cinnabar were added to every Dose of the Powder, the Cure might be thereby perform'd with much greater Certainty. As for his directing to make the Ointment with human Fat, &c. it is need- less; for the common strong salivating Oint- ment, which is always ready prepar'd in the Shops, is every bit as good, if not better. The Experiments of the ingenious Dr. James seem to confirm the Efficacy of the above Method, at leasst that of Mercury, in curing the Bite of a mad Dog; wherefore I beg leave to transcribe Part of the Conclusion to his New Method of preventing and curing the Madness caused by the Bite of a mad Dog, laid before the Royal-Society, 1741. 'Firft I would (says he) rub into the 'Place wounded as soon as possible, a Dram 'of 432 A GUIDE to HEALTH Part III. 'of the Ointment recommended by Desault. 'I would then give Turpeth Mineral by 'Way of Vomit, in a Dose proportion'd to 'the Age and Constitution of the Patient; 'and this I would repeat more than once, at 'Intervals, which would secure it from rais- 'ing a Salivation, always remembring to rub 'the Wound once in a Day, or oftener, with 'the Mercurial Ointment. 'But when thro' Neglect, any Symptoms 'of approaching Madness should appear, I 'would increase the Quantity of Mercurial 'Ointment, and give Mercury in some Form. 'or other internally, in as large Doses, and 'those as often repeated as could be done, 'without hazarding the Patient by a Saliva- 'tion too precipitate. 'In both Cases I would recommend the 'Cold-Bath, as a Thing of great Conse- 'quence, as soon as ever the Patient can 'make Use of it without Danger; but in 'this Case, as in all others, many accidental 'Circumstances will occur, for which it is 'impossible to lay down universal Rules; it 'must therefore be left to the Prudence of a 'Physician to guard against, and remedy In- 'conveniencies arising from particular Acci- 'dents. Of the Scurvy. It is impossible to define this Distemper by Words, containing any simple or distinct Idea; for it is rather a Name used to signify a Ch. IV. thro' the various Stages of Life. 433 a Multitude of Symptoms, different and sometimes opposite in their Causes and Cures. It is a Disease affecting the Inha- bitants of cold Countries, and a- mong those, such of them as inhabit marshy, fat, low, moist Soils, near stagnating Wa- ters, fresh or Salt; and it invades chiefly in the Winter Season, such as lead a sedentary Life, or live upon salted and smoaked Flesh and Fish, or Quantities of unfermented mealy Vegetables, and drink bad Water; and likewise such as are Hysterical or Hypochon- driacal, and sometimes such as have taken. great Quantities of the Bark, without pro- per Evacuations; so that from these Causes the best Rules for Prevention may be taken. The Cause. The Symptoms of this Distemper are a spontaneous Lassitude or Sensation of Weari- ness, being unrefreshed by Sleep, laborious Breathing upon small Motion, cold Swellings in the Legs, going off and returning; some- times Paleness, or a livid Colour in the Face, Spots on the Skin of various Colours, as red, violet-colour'd, yellow, or livid; oftentimes an ill Smell in the Mouth, and of the Breath, painful and bleeding Corrosions of the Gums, and by these Means the Teeth grow bare and loose; Fluxes of all Sorts, untractable Ul- cers, especially in the Legs, with a gangre- nous Appearance in the Skin; the Itch, dry and crusty Eruptions, and sometimes a small Degree of Leprosy; the Blood when taken away is black, grumous, and the red Part Ee without 434 A GUIDE to HEALTH Part III. without a due Consistence; the Serum very salt, and of a yellowish green; wandering Pains in the Limbs, increasing when warm in Bed, and sometimes a feverish Heat. These Symptoms arise from a bad Tem- perature of the Blood, either too thin, or too thick, being of a saline Constitution, either from an acid, alkaline, or Muriatick Cause, which requires very different and oftentimes contrary Remedies; for which Reason, See Part II. Chap. VIII. where I have treated of acid and alkaline Constitutions. The Scurvy of Seafaring People is generally cur'd by Acids, such as all Sorts of ripe Fruits, Lemons, Oranges, Butter-Milk; but all alkaline Spirits do harm; and acid Spirits, as that of Salt and Nitre are proper for them. If the Symptoms are attended with an ill Smell of any kind, either in the Mouth, Breath, or Urine, with Drought, Heat, Bleeding of the Gums, or of any kind, such a Disease will be cur'd by the Use of Acids, and none better than Whey; and in this Sort of Scurvy Steel Waters are commonly effectual. But if the Scurvy be muriatick or briny, occafion'd by a Diet of sait Flesh or Fish, the Plants commonly called Antiscorbutick, as Water-cresses, Scurvy-grass, and Brooklime, may be taken with Success, but always mix'd with Acids, as the Juice of Lemons and Oranges; and all the Pot-Herbs which are antiacid, as describ'd in Part II. Chap. VI. are a proper Diet in this Case; but if there be 435 thro' the various Stages of Life. Ch. IV. be a high Degree of Heat and Inflammation, all the hot Antiscorbuticks will be very im- proper. When a Patient is pale, cool without Thirst, with pale or natural colour'd Urine, and has made Use of an acescent Diet for any- time, that the Eruptions are not of a high inflammatory or livid Colour, then the warm Antiscorbuticks, animal Food, and Salts are necessary. In the Scurvy great Attention should be always given to the Condition of the Mouth, Gums and Teeth, from which the Nature and Degree of the Distemper may be pretty Well known. All sharp and strong Purges injure scorbu- tick Constitutions; but Lenitives are of great Service, and Bleeding is not proper, unless where the Symptoms are urgent and inflam- matory. Of a Cachexy, or ill Habit of Body. A Cachexy is so called from an ill Habit of the Body. It proceeds most commonly from the Intemperance of the Person, or the ill Cure of some preceding Disease; from a scirrhous Tumor of the Li- ver or Spleen, or from a too long and pro- fuse Flux of the Piles, or other Fluxes; from long continual Fevers, or intermitting Fevers ill cur'd; from a Surfeit, or too plen- tiful use of spirituous Liquors; from the Causes. Ee2 Green- 436 A GUIDE to HEALTH Part III. Green-Sickness, from an Obstruction, or too great a Flux of the Menses; from Aliments of unfermented mealy Substances, as Pease, or such as are coarse, fibrous, fat, sharp, watry, and rough; from Bodies that cannot be digested at all, as Clay, Cinders, Chalk, Sand, Tobacco-pipes, Lime, &c. from a Defect of animal Motion in lazy and idle People, and such as sleep too much. Signs. The Diagnostick Signs are a Paleness of the Face, with a livid, yellow, greenish, or ruddy Colour; and frequently with a tumid or bloated Habit of Body, a Sluggishness; there is also often a slow Fever, scarce perceivable by the Person that has it. Cure. The Cure is to be begun with a Vo- mit; but before a Vomit it will be ad- viseable to make use of saline Dlgestives to dissolve the Viscidities, as Cream of Tartar, vitriolated Tartar, Salt of Wormwood, Tin- cture of Salt of Tartar, Elixir Proprietatis with Tartar, and the absorbent testaceous Powders; but if an Emetick be not judged convenient in the Beginning, a Purge may be given, and repeated as need requires; and then after these Things have been done, we may advantageously proceed to the Use of Chalybeats, and Fuller's Ecphratick Mixture is a powerful Remedy in this Disorder. This Distemper sometimes disposes to Con- sumptions, Bloatedness, and Dropsies, and is attended often with Palpitations of the Heart; therefore 437 thro' the various Stages of Life. Ch. IV. therefore the Rules of Diet must be drawn from the Nature of the Symptoms. Of a Consumption. A Consumption is commonly defined to be a Wasting of the whole Body, arising from an Ulcer of the Lungs, but not justly; be- cause I have open'd the Bodies of several who died of this Distemper, whose Lungs I found without Ulcers, but full of Tubercles, Stones, and fabulous Matter; wherefore a Consump- tion is better defined to be a Wasting of the whole Body from a bad Conformation of the Lungs. Willis Pharmaceut. Rat. Part II. Sect. I. Chap. 6. A Consumption, or Marasmus, is a Wasting of the whole Body, or some of its Parts, aris- ing from a Distemperature of the Fluids, or from their Defection, or an unequal and dis- proportionate Heat. Dr. Christopher Bennet, in his Theatrum Tabidorum, translated by Quincy, Page 135. By these two last Definitions we see, that an Ulcer of the Lungs is neither the Ante- cedent, nor Concomitant Cause of a Con- sumption, but only a Symptom, as will evi- dently appear presently, in a few Passages ab- stracted from a Dissertation of a modern Au- thor *, supported by Reason and Observation, the surest and best Guides: afterwards I give the Reader his Method of curing this Di- Ee3 stemper, * Dr. Desault's Dissertation upon Consumptions. 438 A GUIDE to HEALTH Part III. stemper, which I found in many Instances to answer the Intentions he proposes. Before I declare the Causes of a Consump- tion (says he) I thought proper to give a Description of them in behalf of such as are not of the Profession who may read this Disser- tation. A Consumption attacks Youth sooner than other Ages; that is, from 18 till the 35th Year it makes its principal Havock. Hippocrates, Aph. 9. Sect. 5. Not that the other Ages are exempted from it, since we see consump- tive People under and above the Time set down in the Aphorism; but not so often. 1. Those who have a narrow Chest, a long Neck, high Shoulders, like Birds Wings, are most subject to it; of those Hippocrates speaks in his first Book of Epidemicks. 2. Those who have the Misfortune of be- ing born of consumptive Parents are very subjed to it; for this Distemper has this in common with many others, that it is propa- gated by Inheritance. 3. Such as are obliged to live with con- sumptive People, to wait on them, may con- tract it, if they are any ways inclin'd to it, for it is contagious; thus Women who attend their consumptive Husbands catch it of them, and Husbands of their Wives. The Disorder manifests itself, and makes its Progress in the following manner. The Patient seems to have a Cold, he is seiz'd with a dry Cough, which fatigues him most at 439 thro' the various Stages of Life. Ch. IV. at Night: Afterwards he brings up a well- digested Phlegm of a sweet Taste. Nevertheless as this Cough continues, as it exceeds the Bounds of a common Cold, as it goes daily increasing, as the Patient's Legs are observ'd to waste, and the rest of the Body in Proportion, as his Colour changes, and he grows pale and yellow, as the Phlegm changes Taste, and becomes a little bitterish, as some small Quantity of Blood is mix'd with it, as a slow Fever associates with it, with a Pain in the Breast, and in short, when he is at the Brink of the second Stage, he is frighted, and very much alarm'd. Besides these Symptoms which Authors have taken Notice of, and which establish the first Degree, I have always found a con- siderable Disorder in the Liver, so that an Obstruction in this Bowel plainly appear'd from its Hardness, and sometimes a great Pain. I am surpriz'd to see, that Authors have not taken Notice of this, which how- ever is a Symptom deserving of great At- tention, since it is of great Importance for the Discovery of the Cause of Consumptions, and of the Agreeableness of the Remedy I have to propose. Notwithstanding all the Remedies, Se- crets, and other Specificks, the Patient grows worse, and comes to the second Stage, which makes itself known by the Cough being stronger and more frequent by Night, by Night Sweats, which fatigue and drain the Ee4 Patient, 440 A GUIDE to HEALTH Part III. Patient, by the Quantity of Blood in his Spit- ting, and lastly he comes to spit Matter. The Leanness to which he was reduced by the first Degree, increases considerably in the second; the Fever, stronger and more violent, has even some Returns, with cold Shiverings, which encourages his taking the Bark regu- larly, to stop at least the Returns complicated with the slow Fever, and to continue the Medicines to heal the Ulcer, the Existence of which is no more to be doubted. His Nails grow crooked, and the Distemper, be- comes contagious in this Stage. Let us observe, that it is not always ne- cessary the Patient should spit Blood, to die consumptive; neither is it even necessary for the Patient to spit Pus to determine the Exis- tence of a Consumption, as I shall prove by Observations made at the opening of con- sumptive Bodies. The Cough, the Spitting of certain Phlegm without Blood or Pus, the Wasting, the nocturnal Sweats, and last- ly a Looseness, put an End to Life, it not being essential to this Distemper to spit Blood or Pus. The Patient at last comes to the third Stage; his Leanness is at the last Period; he resembles a Skeleton covered with a human Skin, which is hard, wrinkled, and rough; his Breath smells strong, and what he expec- torates stinks so that he loaths it; he brings up almost pure Matter, and his Life termi- nates with a Looseness. Let Ch. IV. thro' the various Stages of Life. 441 Let us now speak of the Causes of a Con- sumption: We shall divide them into con- comitant and antecedent. The concomitant Cause of a Consumption, I say, consists in Tubercles and Concretions form'd in the Sub- stance of the Lungs, and which are spread thro' its Lobes. These Concretions are like Hail-stones, and of different Dimensions. These Tubercles in the Lungs are real, and fall under the Cognizance of the Senses, and are no Supposition invented by a System- monger, to explain the easier his Hypothesis. That great Observator Hippocrates speaks of them in his Book de Morbis: He makes them of two Sorts; some crude, which do not suppurate; and others which suppurate, and leave an Ulcer. Etmuller, who has compiled the Opinions of the Moderns, has a whole Chapter de Tuberculis Pulmonum, Lib. II. Part. II. Cap. 8. p. 436. Read Morton's Book upon Consumptions, he never open'd a consumptive Body where he did not find them: He mentions them in almost every Passage; he imputes to them all the Disorder, and thinks they are the Source of all the Symptoms of a Consump- tion. Bonetus, in his Practical Anatomy, Lib. 2. Sect. 7. proposes several Observations collect- ed from Dissections of Bodies, where the Tu- bercles have been deemed the true Cause of a Consumption, and the Pus and Ulcers only as 442 A GUIDE to HEALTH Part III. as the Consequence of these same Tubercles suppurated and degenerated into Ulcers. But why should we look for Proofs in An- tiquity, why employ the Evidence of Fo- reigners? I appeal to all the Surgeons who have open'd consumptive Carcasses, and to the Physicians who have assisted thereat: Have they not regularly found in all these Tu- bercles, tho' less in Quantity in those who died of a long Consumption, they having had Time to melt away, and be confirmed by Ulceration? Some however have always remained, Death having prevented their Sup- puration. This being allow'd to be the con- comitant Cause of a Consumption, it will be easy to explain all its Symptoms. The dry Cough in the Beginning comes from the Pressure of the Tubercles upon the Ramifications of the Aspera Arteria, dis- persed through the Substance of the Lungs. Morton, p. 36. The same Irritations which this Compression makes in the Aspera Ar- teria, squeeze at length a Phlegm out of the Glands, spread about the internal Membrane of the Trachea; and the Cough, which in the Beginning was dry and hard, becomes moist, and throws up the Matter press'd out of the Glands by the Strength of the Cough. Mort. p. 34. The Difficulty of Breathing comes from these Tubercles, which fill up part of the Lungs, and lessen in Proportion the Quantity of Air which used to enter there; besides, the Com- Ch. IV. 443 thro' the various Stages of Life. 443 Compression they make upon the Ramifica- tions of the Aspera Arteria renders its Ad- mission more difficult. The Leanness and Wasting are the Effcts of these Tubercles, and not the Ulcer of the Lungs, as has been supposed; and as it is of the greatest Importance for the Indication, which should be pursued in this Distemper, to prove that the Ulcer is not the Cause of the Wastings, we shall insert here the follow- ing Proofs. 1. Hippocrates, in his first Book of Epi- demicks, acknowledges a Consumption with- out an Ulcer of the Lungs. Ægrotabant macilenti citra Pulmonum Ulcus: They were sick and wasted without an Ulcer of the Lungs. 2. Hippocrates has also observed, that Lean- ness has begun before the Rise of the Ulcer, and that it is even far gone when the Ulcer appears. Temporis autem progressu exaspe- ratur Pulmo, & intus ulceratur à Pituita inhœrente & putrescente, & gravitatem exhi- bet Pectori & Dolorem acutum ante & re- tro caloresque acutiores in corpus incidunt. It appears from these Passages of Hippo- crates, and especially the last, that the Wast- ing, Cough, Spitting, and slow Fever, have begun before the Ulcer comes on. Temporis autem progressu exulceratur Pulmo: It is only in the Course of the Distemper; temporis progressu, says he; in progress of Time. 3. Lastly, 444 A GUIDE to HEALTH Part III. 3. Lastly we prove by an invincible Rea- son, that the Ulcer of the Lungs is not the Cause of a Consumption. There have been Persons who died of a Consumption with the whole Train of Symptoms, yet during the whole Course of the Distemper never spit any Pus; and upon the opening of their Bodies no Ulcers were found in their Lungs, but Tubercles in great Numbers. For Proof of this Fact we shall introduce the Observa- tions † upon the Body of Mr. Clever, Mer- chant, of this City, and of a young Gentle- woman; and also Willis's Observations al- ready mentioned. The slow Fever depends as much upon the Obstructions of the Liver, as of the Lungs: When the Blood finds its Passage shut up in any Part, it rebounds in a greater Body into the other Vessels; besides, when the Blood, which has not been sufficiently broke in the Lungs, nor depurated in the Li- ver, does not give way, but resists the Im- pulse of the Heart and Arteries, it revives its Play, and occasions two or three Pulsa- tions, where one would be sufficient, if it did not resist, and was thin and fluid. The nocturnal Sweats are owing to the thick and gross Disposition of the Blood: When the Serum is not exactly mixt with the other Principles of the Blood, it easily escapes through the Pores. It † Observations of the Author in his Dissertation upon Consumptions, which see. Ch. IV. thro' the various Stages of Life. 445 It is easy to comprehend the Spitting of Blood: Who can now be surprised, that a Vein squeezed between two Tubercles should open and furnish some Blood in the Spittle? We are now come to the second Stage: Some Tubercles come to be inflamed; Matter is formed there; the Fever increases, as also the Difficulty of Breathing; the Tubercle bursts, and the Pus comes away like Spittle, which the Patient voids in abundance. But as the Pus which was contained in this Tubercle served its Neighbours as a suppurating Cataplasm, they are not long before they are inflamed, and come to Suppuration in their Turn, and the Lungs are thus destroy'd and ulcerate every Day more and more. And now the Distemper becomes contagious, the Suppuration of the Tubercle breeds Worms, which institute the Characteristick of the Ulcer. These Worms spread themselves a- bout the neighbouring Tubercles, as proper Beds for their Nourishment and Breeding, and by their Means it is that the Distemper be- comes contagious. [The Author has shewn, in his Treatise on Venereal Disorders, that all Infection pro- ceeds from Worms.] The Looseness comes from hence, that the Pores are destroyed by the Dryness of the Skin, which has begun with effacing the Pores of the insensible Perspiration, and now even stops up those which evacuate Sweat: The Serum not being well mixt with the Blood, 446 A GUIDE to HEALTH Part III. Blood, and finding no more its former Out- lets, falls upon the Feet and Legs, and after- wards upon the intestinal Glands, which brings on a Diarrhœa, and makes an End of Life. We come now to examine the antecedent Causes which produce Tubercles in the Lungs, and shall make it apppear, by an exact En- quiry, that they owe their Rise to eager and coagulating Juices, and not to sharp and cor- rosive ones. Authors tell us, and we see it confirmed by daily Experience, that Grief is a power- ful Cause to bring on a Consumption. The Soul being continually employ'd in Affliction about the Object which causes it, studies Night and Day to find out a Remedy: This continual Attention of the Soul employs the Spirits in the Brain, hinders their descending into the Stomach, the Appetite disappears, the Digestion suffers, the Chyle is sent gluti- nous and ill digested into the Blood, disposed to bring on Obstructions either in the Lungs or Liver. But the free Course of the animal Spirits is not only suspended in the Stomach, but also in the Organs of Respiration; for we see Per- sons under Affliction forget as it were to breathe to that Degree, that as the Blood stagnates in the Lungs, they are oblig'd to fetch at Intervals deep Sighs, which are called sorrowful Sighs. Besides, Ch. IV. thro' the various Stages of Life. 447 Besides, Grief suppresses the insensible Transpiration. Sanctorius, Aph. 2. Sect. 7. And Consolation restores it, Animi Consolatio liberam facit Perspirationem. Aph. 6. Sect. 7. For the same Reason Men of Letters, who keep their Spirits continually upon the stretch, by the Excess of Meditation are also subject to Consumptions, as Morton observes. The eager Wines, according to Etmuller, produce abundance of Consumptions in the Province of Moravia, as being very proper to form Coagulations and Concretions. [The Author mentions a Case in his Dis- sertation, which proves how apt this Cause is to bring on a Consumption.] Melancholick Persons, according to Mor- ton's Observation, are very subject to Con- sumptions, their Blood being disposed to form Obstructions and Tubercles: Likewise, pag. 27, he has oserved, that Cold is always the Cause of Consumptions. His Observation a- grees with that of Hippocrates, Frigus genitor est phthiseos pulmonis, scilicet, venulis a fri- gore constrictis ac convulsis. Cold is the Pa- rent of the Phthisis of the Lungs, viz. when the Veins are drawn together by Cold. Van Helmont has observed, that Steams of Spirit of Vitriol, and of Aqua Fortis, have sometimes occasioned Consumptions. This Effect proceeds from the Concretion of the Juices by these acid Vapours, which form the Tubercles. From 448 A GUIDE to HEALTH Part III. From this Enquiry into the Causes which are capable of producing Tubercles in the Lungs, it appears, that they owe their Ori- gin to acid and coagulating Juices; and if afterwards the Fluids grow pungent by stag- nating there, it is an Effect of the Part which alkalises them, in like manner as we see some Fruits change their Taste, according as they come near to be ripe or rotten. The Question then is, to look out for Re- medies which can dissolve and destroy these Tubercles. This is the Indication which you ought not to lose out of Sight: They are the Obstacles which you must either conquer or die. The Roman Hippocrates, Baglivius, in se- veral Places of his practical Writings, exhorts us to give aperitive Medicines in all the Dis- orders of the Breast; and Duretus, in his Coac. p. 423. says, that the urinary Passages are the Emunctories of the Breast, the Flux of Urine being augmented, procures a Di- version of the Phlegm, which otherwise would take its Course to the Lungs. These Authors not only propose that Indi- cation, but also the Remedies which I make use of to discharge it. Read Morton, p. 81. I don't at all doubt, says he, but by a pru- dent Choice and frequent Use of a thin and sharp Air, and by a long Use of balsamick, mercurial, and chalybeat Medicines and Mil- lepedes, but more especially of Mineral Wa- ters, and other anti-scrophulous Remedies, those Ch. IV. thro' the various Stages of Life. 449 those Tumors may as well be destroy'd in these Parts as any other, and the Patient be freed from a phthisical and scrophulous Disorder, as we have often found by Ex- perience. This is very certain, for all the English Consumptions, generally speaking, proceed from a scrophulous Disposition; therefore, in the Accesses of such a Distemper, aperitive and deobstruent Medicines, free from much Acrimony, with the mild Anti-scorbuticks, will always prove the most effectual Reme- dies; but whatever heats too much, disposes to Suppuration; and it is upon these Princi- ples that the Author establishes his Method of Cure in the following Manner. 'As soon as I am call'd to a consumptive 'Person of the first Degree, fatigued with a 'Cough, which at first was dry, and after- 'ward is become moist, which exceeded the 'Bounds of a common Rheum, accompanied 'with a slow Fever, Difficulty of Breathing, 'Leanness, &c. I examine immediately the 'Liver, where I constantly find a conspicu- 'ous Hardness and often a Pain. 'I afterwards examine if any general Me- 'dicines are indicated, in which Case I order 'the Patient to bleed and purge; I even 'repeat Bleeding when the Pain is violent, 'and if the Patient is young, heated with 'drinking of Wine, or spirituous Liquors, to 'prevent the Inflammation of the Tubercles. Ff 'Then 450 A GUIDE to HEALTH Part III. 'Then I apply a great Plaster of the Empl. 'Diabotanum upon the Region of the Liver, 'with which Mercury revived from Cinnabar 'is incorporated, or in default thereof the 'Empl. Vigonis cum Mercurio. Every Night 'I order the Plaster to be taken off, and the 'Quantity of a Dram of the Mercurial Oint- 'ment to be rubb'd in at the Swelling, and then 'the Plaster is put on again, which remains 'there Night and Day. 'Internally I give twice a-day the follow- 'ing Powder. 'Take of prepared Mars, Millepedes, 'Benjamin, red Coral and Crabs Eyes, 'one Scruple of each; mix all well to- 'gether to make into a Powder, to be 'taken in the Morning and to be re- 'eated at Night. 'Or made up into Troches in the following 'Manner: 'Take of Mars, Millepedes, Benjamin, 'Coral and Crabs Eyes, of each half an 'Ounce, Powder of Cinnamon three 'Drams, fine Sugar half a Pound; mix 'all together, and with the Mucilage 'of Gum Tragacanth made with O- 'range-flower Water, make Troches 'of two Drams each, of which let the 'Patient take one Night and Morning. 'After every Dose of the Powder or Tro- 'ches I order them to take a Draught of 'Ptisane Ch. IV. thro' the various Stages of Life. 451 'Ptisane made of Nettle-Roots, or Whey 'well clarified, with which I mix two Oun- 'ces of the Juice of Water-Cresses, and as 'much of the Juice of Chervil; or some Broth 'made of a Piece of Veal, Radishes, Cresses, 'Brooklime and Chervil, or an Infusion of 'Green Tea.' The Powder is in two great a Bulk, as he orders it, therefore it would be much a neater Way, and much easier for the Patient to take, if he had ordered the Steel, Millepedes, and Benjamin in a Bole with Syrup of Balsam, and the testaceous Powders in a Julap, or in an Emulsion of Sperma Ceti, to be taken by two or three Spoonfuls after each Bolus, and at other Intervals. This shews the Injudicious ness of foreign Prescribers in dosing their Me- dicines in a neat and proper Form, though otherwise never so learned. Our Author strenuously recommends Rid- ing twice a-day, in all Stages of a Consump- tion, if the Weather permits, the Usefulness of which he demonstrates from Observation, Reason, and Experience. In the first Stage of a Consumption he allows light Meats of easy Digestion without any Seasoning; but in the second Stage, he orders the Medicines to be taken three times a-day, and makes the Patient live upon Cow's Milk, boil'd and skimm'd, and mix'd with an equal Quantity of Green Tea, and sometimes without it, but a thorough Forbearance from all manner of Ff2 Flesh- 452 A GUIDE to HEALTH Part III. Flesh-meat: He likewise recommends the Use of Asses Milk, Chearfulness and Musick. Other Con- sumptions. As Consumptions are mostly occa- sioned by Tubercles in the Lungs, there are some also that owe their Origin to Obstructions of the Liver, Spleen, Pancreas, Mesentery, Kidneys, Womb, and Bladder, &c. The Knowledge, Prognostick, Effects, Cure, and Palliation are easily drawn from the distinguishing Marks of each parti- cular Bowel, of which no good Physician ought to be ignorant. For a more ample Account of the Nature and Cure of this lingering Disease, I refer the Reader to the Author's Observations in his Dissertation upon Consumptions. Of a Dropsy. When a watery Serum is shed out of its Vessels and received into Cavities, or when stagnating it distends its Vessels too much, it is called a Dropsy. Which may take place consequently wherever there are such serous Vessels, that is, in the whole Habit of the Body, and in each Particular thereof. Therefore this Distemper may happen wherever there are serous Vessels; an Hydro- cephalus or Dropsy of the Head, which is only incurable when the Serum is extravasated into the Ventricles of the Brain; and it is generally fatal in Infants, when the Sutures are closed and the Skull will yield no more. A Dropsy Ch. IV. thro' the various Stages of Life. 453 A Dropsy of the Breast is attended almost with the same Symptoms as an Empyema, and cured by the same Chirurgery. A Dropsy of the Lungs, either by Hydatides or Water-Bladders, or by Lympha extravasated in the Body of the Lungs. A Dropsy in the fore Part of the Windpipe like a Bronchocele. Likewise a Dropsy in the Oviarium, Testes, Scrotum, or Uterus. An Ascites, or Collection of Water in the Abdomen. First, in the Foldings of the Peri- toneum. Secondly, Between the Peritoneum and the Bowels. Thirdly, When the Water is contained in the membranaceous Coat of the Glands. Sometimes the Air is so rarified in the Tu- mor as makes it hard and tight like a Drum, and from thence it is call a Tympany. When the Tendon is from Air, it is easily distin- guished by the specifick Gravity of the Pa- tient, and so is Water. And when the Wa- ter or Lymph stagnates, or is extravasated under the Skin, it is called Anasarca. What- ever hinders the Return of the Lymph into the Veins, or breaks the Lymphatick Vessels, or obstructs the absorbent Vessels, so as the Lymph cannot be absorbed, or exhal- ed, produces a Dropsy; likewise any Stop- page of the Circulation will occasion a Dropsy, as by strong Ligatures or Com- pression. The most of the Causes are hereditary Dis- positions; drinking great Quantities of wa- Ff3 tery 454 A GUIDE to HEALTH Part III. tery Liquors, which are not discharged again; violent acute Distempers; stubborn Obstruc- tions of the Bowels; the Jaundice; obstinate intermitting Fevers; Bloody-fluxes; great Evacuations, especially of Blood; viscid Ali- ment and hard of Digestion; inveterate Scur- vies: But the most common and most perni- cious of all is the habitual and plentiful Use of spirituous Liquors. The Effects are a Swelling of the Legs at Night by Degrees, still rising higher; like- wise a Swelling of the Belly increasing; but in a Tympany, sounding and tense like a Drum; sometimes the Sensation and Noise of fluctu- ating Water; Shortness of Breath; Thirst; Urine in too small a Quantity; no Sweat; the stagnating Serum at last turns acrimonious, exulcerates and putrefies the Bowels, produc- ing most dismal Symptoms. The best Cautions and Rules of Diet may be drawn from the Enumeration of these Causes and Effects; for the Intentions to be pursued are in removing the Causes, as Ob- structions, dissolving the Viscidity or Glewy- ness of the Serum, and discharging it out of the Body. The Viscidity of the Serum is best correct- ed by such Things as contain abundance of alkaline and volatile Salts, Spices, acrimoni- ous pungent Vegetables, soapy Substances; and what has been prescrib'd in a phlegmatick Constitution, Part II. which see. The Ch. IV. thro' the various Stages of Life. 455 The only Contradiction in this is, too great Heat and Thirst, to which Attention is to be given, and indicates the Use of Acids, Juice of Lemons and Oranges, Sorrel, &c. And it may be taken for a general Rule, that when the Urine is high-colour'd Acids are proper, for they are contrary to that alkalescent State of the Humours, and resist the Putrefaction, which is the Product of acrimonious Serum. Their Drink should be sparing; but as the Thirst is sometimes insufferable, the Patient may be indulged the free Use of Spaw-water and Rhenish Wine: And the Aliment should be dry and diuretick; but Diureticks of the acid Kind are the best: Strong Frictions of the Skin are very beneficial, which attenuate and promote the Circulation of the stagnating Serum or Water. Vomiting in strong Constitutions has proved oftentimes very effectual; because the Con- cussion of the solid Parts dissolves and expells the stagnating Humours; and likewise Gly- sters of sharp and purgative Ingredients are very beneficial. Smart Purges are useful to carry off the Waters; but they should not consist of Vola- tiles, because such dissolve the Blood, which is pernicious. Abstinence from Drink is very beneficial, and eating dry Biscuit, which cre- ates no Thirst; likewise strong Frictions four or five Times a Day. When the Waters are carried off, the Diet ought to be such as stengthens the solid Parts, Ff4 allow- 456 A GUIDE to HEALTH Part III. allowing Spices and generous Wine, but espe- cially the Use of Chalybeat Waters, dry Food, and astringent Vegetables, Exercise, especial- ly Riding; and in general, such a Diet as ge- nerates good Blood. When the Serum stagnates long, it turns acrimonious, and commonly renders the Pa- tient feverish and thirsty; then acid or four Things are properest, both to prevent and cure these Symptoms, as they are specifically proper against that alkaline Putrefaction. For a more circumstantial and accurate Account of this Distemper and its Cure in every Par- ticular, consult the learned Boerhaave's Apho- risms upon it. Of the Gout. This Distemper is a very painful Illness, seated principally in and about the Ligaments of the Bones of the Foot and its Joints, seiz- ing Persons mod commonly in the Spring and Autumn; which when undisturbed com- monly runs its own natural Stage, and is usually the Companion of People of the mid- dle Age, of the Male Sex, Men of acute and deep Sense, who exercise the same much, and study late by Nights, such as lead a voluptu- ous and debauched Life, and at Night drink great Quantities of Wine or spirituous Liquors: Such as have been much addicted to Venery in their younger and unripe Years; large ple- thorick Men; such as are much used to Acids Ch. IV. thro' the various Stages of Life. 437 Acids, and cool their sweaty Feet too sud- denly; sweat in wet Stockings or Shoes; hence such as do hunt or ride much in cold Weather; and finally, such as have it by Inheritance from Parents, or lie much with gouty People. This Distemper may affect any membra- nous Part, but commonly those which are the most remote from the Brain and Heart, where the Motion of the Fluids is the slow- ed, the Resistance, Friction, and Stricture of the solid Parts the greatest, and Sensation of Pain by the Obstruction of the small Ves- sels and Dilaceration of the nervous Fibres extreme. The most common Seat of it is in the Foot, its Tendons, Nerves, Membranes, Li- gaments and Periosteum, or Membranes in- vesting the Bones. The Patient immediate- ly is sensible of a stretching, tearing, strait- ning Pain, gradually increasing and decreas- ing again, with a Moistness, Redness, Tu- mor, ending with a breathing Sweat, an Itch- ing, furfuraceous Skinning, or changing into a chalky Substance, which breaks the Vessels. By all which it appears, that the proximate Cause of this Disease is a vitiated Temper of the least, and consequently the nervous Ves- sels in the Body; and also of the Liquid which waters those nervous Parts; and more- over, that this Liquid here is defective by its Acrimony and by its great Viscidity, and the solid Vessels by too great Rigidity and Nar- rowness: 458 A GUIDE to HEALTH Part III. rowness: Whence it shews itself in Parts the most remote from the Brain, as resisting Motion the most, because of their Solidity, Hardness, Exercise, and Weight incumbent upon them. Now the immediate Origin of this Defect is from an Indigestion of the Bowels, which do not sufficiently attenuate or assimilate the Aliment into a Substance fit to supply the Nerves with Juices proper for them, which require a most elaborate Con- coction. The Cure therefore is impossible, unless wrought by such Medicines as are able to mend these Defects entirely. So that the Gout has hitherto been reputed incurable by Antients as well as Moderns, if except a few Quacks and boasting Empiricks in all Ages. From the same may be known, that Bleeding does not reach either the Matter, Seat, or Cause of the Disease: yet that same is sometimes found not only beneficial, but also necessary to cause a Revulsion, and lessen the most urgent inflammatory Symptoms that often attend it. As one of the Causes of the Gout is the Suppression of Sweat and Perspiration, so the procuring a due Degree of these seems to be the best Preventative of it; and if the Feet could be made to sweat in due time, it would prevent the Gout, which invades in such Constitutions of the Air as suppress Perspi- ration. Violent Ch. IV. thro' the various Stages of Life. 459 Violent Purges in the Absence of the Fit, by agitating the Humours too much, often hurt, and may draw the Gout into the Sto- mach if given during the Paroxysm. The best Diet is Abstinence from all man- ner of Acids, high Sauces, and Gluttony; the moderate use of such things as promote Perspi- ration, as aromatick Substances with volatile Salts, which relieve Gouty People, by ren- dering the Body perspirable; diluting Li- quors, taken in such a Degree as not to in- jure the Stomach or Bowels, Moderation in Food of a nourishing light Sort, that is easily digested, as likewise in the use of strong Liquors; Exercise without Fatigue, such as Riding constantly in a pure, open Country Air, and Frictions and Motions of the Parts often repeated; going to Bed early, and ly- ing long in the Morning. It will be likewise necessary to restore the lost Vigour in the Bowels, by carrying off the corrupted Liquid flowing yet in the Ves- sels, or stagnating in the Places already as- sign'd. To the first relates the Us of aro- matick, bitter, antiscorbutick Plants, and chiefly the Juice with a little Honey; the use of lixivious fix'd Salts taken in small Doses, and often repeated for a long time together, observing at the same time the Diet as above directed. To the second (that is, the stag- nating of the Humours) will be useful, 1. Volatile Salts long taken and in small Quan- tities, in the Morning sometime before rising, with 460 A GUIDE to HEALTH Part III. with a large Draught of some softening Apo- zem, and thereby promoting a gentle breath- ing Sweat for about an Hour together. 2. Warm Frictions with dry Cloths. 3. Repeated Doses from time to time of such Medicines as purge serous or watery Humours, taking a gentle opiate Draught the same Night. In the Fit of the Gout, as temperate and as cool and diluent a Diet as the Patient can bear, abstaining from Opiates, except when the morbid Matter is separting, otherwise the constant Use of them is injurious; keeping the affected Part warm without the Applica- tion of Plasters, or Cataplasms; for even such as are emollient, weaken and relax too much. It will be of the greatest Importance to know if any Disease proceeds from a Trans- lation of the gouty Matter; for the Me- thods, especially Evacuations, used in an ori- ginal Distemper, would be very improper in a gouty Case, where the Intention must be to draw the Gout down to the Feet by Blis- ters applied to the Thighs or Legs, and acrid inflammatory Cataplasms and Plasters. If a Person subject to the Gout, (except he has Chalk Stones) can bring himself en- tirely to a Milk Diet, he may by that means so change the whole Mass of the Juices of his Body, as to eradicate the Distemper. The Effects of Riding. The English Hippocrates, Syden- ham, in recommending Riding in the Cure of this Distemper, says, that if a Medicine could be known to any one, Ch. IV. thro' the various Stages of Life. 461 one, and he could conceal it, that would be as effectual for the curing this Distemper as Riding on Horseback is; and not only here, but in most other chronical Diseases, he might get immense Riches by it. And Dr. Lister likewise says, that one single Golden Rule of Ab- stinence pleases me beyond all things, Parva cibatio summœ Curœ sit, viz. Beware not to eat and drink too much, which is a thing every one ought to regard who has his Health at Heart; and this Abstinence is in all People's Power, in whatever State or Condition they are in, to be substituted in- stead of Exercise, when they have even lost the Use of their Feet. The Effects of Abstinence. Of the Rheumatism. This is a Distemper ally'd to the Gout and Scurvy, and is common in all the Northern Parts of Europe. Such are most subject to this Dis- ease as are of a sanguine Con- stitution, infected with some acrimonious De- fect, manly Age, plentiful Living, a sudden Cooling of a heated Body, Spring and Fall, Perspiration interrupted, an inflammatory Disposition, but appearing slower than in a Pleurisy. It begins with a continual Fever, causes a most terrible tearing Pain, increasing cruelly upon the least Motion, long continu'd and fix'd in one Place, seizing the Joints of Diagnosticks. any 462 A GUIDE to HEALTH Part III. any Limbs, but most particularly trouble- some to the Knees, Loins, and Rump-bone, tormenting and invading sometimes the Brain, Lungs and Bowels, with a Tumor and Red- ness of the Place, going off and returning again by Fits. The proximate Cause. The immediate Cause of this Distemper seems to be an Inflam- mation in the serous part of the Blood affecting the lymphatick Arteries, and for that Reason affecting those Parts where the Vessels are the smallest, but not fierce enough to change it into an Impostumation. The Blood, as in other inflammatory Cases, is sizy, the alkalescent Salts in the Serum a- bounding with coreaceous or leathery Concre- tions. The Cure. The Cure consists in repeated Bleedings, cooling, repeated Purges, always allaying the Pain those Nights after purging with gentle Opiates join'd with mild Sudorificks, bathing in warm Water, and Fomentations apply'd to the Parts, and Bli- sters when it is obstinately fix'd in one Place. As for the Diet, it must be cooling, dilu- ting, and chiefly Vegetable. The constant Use of Whey is most effectual in rhis Disease, likewise a Milk Diet for changing the saline Constitution of the Serum of the Blood, is very useful and proper. Cream of Tartar taken either in Whey or Water-Gruel, for several Days together, will abate the Pains and Swellings considerably, by Ch. IV. thro' the various Stages of Life. 463 by its Acidity correcting the alkaline Salts in the Blood. Of the Gravel and Stone. When any insoluble Matter stops in any Part of the Body, it gathers a Crust about it, which may grow into a Stone or stony Matter in any Part of a human Body; as a small Drop of concreted Blood may grow to be a Stone; for by the Evaporation of the most fluid Parts it grows hard, and by At- traction of new Matter it increases in Bulk. When these stony Concretions happen in the Kidneys, and are expell'd, or drop into the Ureters, they produce what is called Gra- vel; when they lodge and stick in the Body of the Kidneys, and grow to such a Bulk as not to drop into the Pelvis, or pass by the Ureters into the Bladder, they make the Stone in the Kidneys. But these Concretions hap- pen generally in the Kidneys and Bladder; and it is very certain, that if the Tartar and other Contents of the Urine were not con- stantly discharg'd, such Concretions would happen to all Mankind; for the Urine of most found Persons being inspected after it has stood a while with a Microscope, will discover a black Speck in it, which is Sand; and wherever this Sand sticks, it grows still bigger by the Apposition of new Matter. The 464 A GUIDE to HEALTH Part III. The chief Signs or Symptoms of a Stone in the Kidneys are a fix'd Pain in the Region of the Loins, continually heavy like a Weight in the Substance of the Kidneys, with a kind of Numbness in the Part; but the Stone passing out of the Pelvis or Bason of the Kidneys into the Ureters, a most tormenting Pain follows, of all the most severe; an In- flexibility of the Back Bone, by the Exten- sion and Compression of the Nerves; a burn- ing Heat in the Loins, a Numbness of the Leg of the same Side, by means of the Nerves being affected; a Retraction of the Testicle for the same Reason; the Urine either bloody, upon any hidden Jolt or vio- lent Motion, or thin and watry, and little in Quantity; but after the Stone is fallen into the Bladder, the Urine presently becomes very thick, turbid, blackish, and in great Quan- tity. Fleshy Filaments, or Matter voided by Urine, are suspicious Symptoms of a Stone in the Kidneys, especially if the Patient has been subject to voiding of Gravel. The Symptoms of a Stone in the Bladder, are, a Titillation about the Neck of the Blad- der, and Parts thereabouts; a Sense of Weight in the lower Belly under the Share-bone, and the Region of the Groin; a perpetual Desire of making Water, with a great Pain, espe- cially upon any hidden Motion, which causes a Concussion of the Bladder, a Dribbling dif- ficultly, and a hidden Suppression of Urine by the Stone's stopping the Orifice of the Bladder, Ch. IV. thro' the various Stages of Life. 465 Bladder, attended with great needing to go to Stool, and a burning Pain in the Urethra; sometimes a white Mucus or Slime in the Urine; this may happen without a Stone in the Bladder: But the most certain Sign of all is, when it can be most certainly felt with the Finger in Ano, or by a Catheter. The Regimen in the Cure of the Stone in the Kidneys, is, by diluting and soft Diure- ticks, both medicinal and dietetical, to try to expel it, if it is small enough to pass; but if it is brittle, it will often crumble and pass in the form of Gravel by those Means: If the Stone is too big to pass, nor will not crumble, the only Method is to come to a sort of Composition or Truce with it, and use a cooling and diluting Diet constant- ly, to hinder, as far as possible, its Increase; to use Diureticks that resolve gently, as Pars- ley, Fennel, Scorzonera, Mallows, Tea, Dan- delion, Cichory, Sassafras, Oats, Barley, Honey, Vinegar and Honey; likewise nitrous Salts, and dulcify'd Spirit of Nitre; but the most soft and cooling Diluent of all is Whey, and the Emollients are Decoctions of Marshmal- lows and Linseed-Tea. Bathing in warm Water, and Glysters, are proper; seasoning the Food with Sea-salt moderately will not be amiss, for the mode- derate use of it is resolving and diuretick; and the Belly, in all Cases of the Stone, should be kept lax and open. In a confirm'd Stone in the Kidneys violent Exercise or Motion is dangerous. Gg While 466 A GUIDE to HEALTH Part III. Stimulating Things not proper in the Beginning. While the Stone is passing, we should avoid the Use of all forcing and stimulating Things at first; but relaxing and lubricating the Passages, and quieting the spasmodick Disorders by O- piates, is by far the safest and best Method; and where Bathing cannot be performed, Ox- bladders, half full of warm Water, constantly apply'd to the Part affected, may be very usefully substituted; and Bleeding takes off the Tension and prevents an Inflammation better than any Thing, and is therefore very necessary, especially when the Symptoms are urging and violent: When the Parts are suffi- ciently relaxed, forcing Diureticks joined with Opiates will be properly given. The best Way to prevent the Generating of a Stone, is to keep the Body open by Whey, Broth, and a liquid Diet, especially for all such as are troubled with Gravel. When the Stone is fallen into the Bladder, all Endeavours must be used to make it pass as soon as possible, otherwise if it should happen to continue there long, it would in Time become a large Stone, which nothing but the Operation could cure. If all the Symptoms abate without finding the Stone, it is not certain that it remains still in the Bladder, because a very small Stone may pass by Urine insensibly; and if the Stone has passed, it is not certain that the Affair is over, for there are often more Stones remaining, and therefore the usual Remedies ought not to be discontinued. When Ch. IV. thro' the various Stages of Life. 467 When the Stone stops in the Urethra, emol- lient Fomentations ought to be apply'd to the Parts, and Oil injected; or in Case of Extre- mity, an Instrument with a Cavity in it, dipt in Oil, may extract the Stone. Irritations in the Membranes of the Bladder, occasioned by a Stone, may be mitigated very much by an Injection of Linseed Oil, or that of Sweet Almonds into the Bladder. CHAP. V. Of the Nature and Use of Bathing and Frictions. BATHING being either hot or cold, it will be necessary to enquire a little into the Nature of it, and what Alterations it produces in human Bodies, in order to know in what Cases and Constitutions the Use of it may be either beneficial or hurtful. There- fore I shall begin with Cold-Bathing, which was in the greatest Esteem with the Egyptians, Jews, Greeks and Romans, as evidently ap- pears by the Account given thereof in the Writings of Hippocrates, Galen, Suetonius, Seneca, Pliny, Oribassius, Celsus, Ægineta, and others, needless to make mention of in this Place; But they who require to be fully satisfied as to that Point, may peruse Floyer and Baynard on Cold-Bathing, wherein they will likewise find a great many Instances of surprising Cures performed by Cold-Bathing Gg2 in 468 A GUIDE to HEALTH Part III. in Rheumatisms, Palsies, Scurvies, Cachexies, Epilepsies, Gout, and Rickets, &c. It is experimentally known, that Cold contracts the Fibres, as I have observed in treating of the Qualities of Air, pag. 104. and the more suddenly it is applied to our Bodies, the more violently it operates: It has been likewise observed, pag. 87. that our Bodies undergo various Changes by the Al- terations of the Pressure of the Air, in its Weight and Elasticity: Now if we consider that Water is 800 Times heavier than Air, what Alterations must we not then expect and be sensible of upon bathing or plunging all over into cold Water? For the Cold and Weight of the Water and Atmosphere acting all together, must consequently first brace up and straiten the Fibres and Vessels conside- rably in the Surface of the Body, and those Parts adjoining to it, and those at the Center the least and latest; so that the Blood will be forced in great Plenty upon the Viscera or Bowels, where there is the least Resistance: for which Reason it is never safe for those to bath who have weak or ulcerated Bowels, without endangering Life. But those Ends which are compassed by a greater Weight or Pressure, are more effec- tually obtained by whatever encreases the Weight of the Water, or contracts the Fibres of the Body: Thus Sea-Water, by reason of the Salt it contains, is heavier and more preferable; upon which Account all the Humours in the Body must be propell'd with Ch. V. thro' the various Stages of Life. 469 with greater Force thro' the Vessels in which they circulate. Besides, the Tension of the Fibres being greater, their Vibration will be both quicker and stronger; so that the Blood and Spirits will not only move more swiftly through the Vessels, but also be much more ground and broken, digested and rendered fitter to pass the Glands and small Vessels: Moreover, as the Immersion into the Cold Bath mightily encreases the Blood in the Brain and Viscera, being forced thither where there is the least Resistance, whereby the Quantity of animal Spirits, of Urine, of Gall, of the pancreatick Juice, and of all other Secretions, will be very much encreas'd, these Humours being thrust forwards with greater Celerity, will probably remove any Obstruction that is not too long fixed and obstinate; for which Reasons, if we would have the Blood dis- solved, or any viscid Matter adhering to the Sides of the Vessels removed, or the Glands deterged, or a greater Quantity of Spirits se- creted, and moved with greater Celerity thro' the Nerves, or would force Urine, or remove Obstructions in the Liver, Spleen, pancreatick and mesenterick Glands, if they are not grown too obstinate (in which Case it is very dange- rous) we should order Cold-bathing. In fine, whatever is to be effected by bracing the Solids, invigorating and quickening their Vi- brations, and accelerating the Blood's Motion, is with Certainty to be had from the Use of Cold-bathing. All Diseases therefore from a viscid Blood, Gg3 and 470 A GUIDE to HEALTH Part III. and a Lentor in the animal Juices (if the Elasticity of the Vessels is not worn out with Age and Debauches) will find Relief from this Practice. Besides, whatever Inconveni- ences proceed from a bad Perspiration, or when Humours are thrown upon the Surface pf the Body, which cannot get through the Skin, this Method will relieve; for upon Immersion the whole nervous System is so shook, that the very Capillaries feel the In- fluence, and the minutest Passages are forced open by an encreased Velocity of the circu- lating Fluids, whereby the Skin will be cleared, and instead of retaining gross and a- crimonious Humours in the cuticular Glands, will promote insensible Perspiration; and this is the Reason why People are so brisk and chearful after Bathing. And it is for the Reasons already given, that Cold-Bathing is proper in most cutane- ous Diseases, Scurvies, Leprosy, Elephantiasis, Rheumatisms, Lameness, Sciatica, Melancholy, Madness; some Palsies, Cachexies, Icteric and Hydropic Cases, before the Distempers be too, far advanced; it likewise stops Hæmorrhages, Gleets, Fluor Albus; and cures also venereal Impotency and nervous Disorders. Necessary Rules to be observed before Cold- Bathing 1. To Bleed and Purge, and use such proper Diet and Medi- cines, both before and after Bath- thing, as your Physician knows to be suitable to your Disease and Constitution. 2. Not to bathe when hot and sweating, but cool; and not to stay in the Bath above two Ch. V. thro' the various Stages of Life. 471 two or three Minutes, as the Patient can bear it; and to go in and out immediately, on the first Bathing, after an Immersion of the whole Body, because staying in too long would relax the Solids too much, instead of contracting and strengthening them. 3. To use the Cold-Bath before Dinner fasting, or in the Afternoon towards Four or Five o'Clock: It is dangerous to go in after great Drinking, or a full Stomach. 4. To use Sweating with Cold-Bathing in Palsies, Rickets, and several Diseases affecting the Nerves with Obstructions. 5. In Windiness or Siziness of the Hu- mours, no Sweating is necessary, nor where Bathing is used for the Preservation of Health, or the invigorating of the animal Spirits. 6. Jumping in precipitantly, or throwing the Head foremost into the Cold-Bath, gives too violent a shock to Nature, and endangers too much the bursting some of the smaller Vessels; therefore the best Way is, holding by the Rope, to walk down the Steps as fast as one can, and when got to the Bottom, bending the Hams to shorten their Length, so as to bring their Heads a good Way under Water, and then popping up again to take Breath; and thus alternately for two or three Times, and out again, rubbing themselves very well with a dry Cloth, before they are dress'd. They who have weak or little Heat, and are much decay'd, ought not to venture on Cold Bathing; nor they who are intemperate, and have Wherein Cold Bath- ing is inju- rious. Gg4 eat 472 A GUIDE to HEALTH Part III. eat extraordinarily; because the Distribution and Consumption of an abundant Chyle being thereby stopp'd, must occasion Fevers or De- fluxions. If the Spirits are depress'd by Looseness, Vomiting, Venery, Watching, or any other Evacuation, we cannot well bear Cold Bath- ing; for the Spirits being weak, will be over- come by its Chilness. In the Fits of the Gout, Epilepsy, and in Inflammations of the Lungs or inward Parts, and in the Beginning of putrid Fevers, Iliac Passions, and the Gripes, Colicks, and dur- ing any Defluxion, Cold Baths are improper; for they hinder Expectoration, repell Pains, promote the present Defluxions, Fluxes, and Pains; but when these acute Diseases, or chronical Pains and Defluxions are ended, it may be safe and it is certain that Gout Pains are prevented by Cold Baths, and using to wash the Feet. Corpulency, unfound Viscera or Bowels, and inveterate Obstructions, forbid the Use of Cold Bathing; for first, in very fat Persons the Fibres are so stuffed round that they have not Room to vibrate or contract with the sud- den Squeeze of the Bath; and in unsound Viscera, or where any Part is much weaker than the rest, such an additional Force will press the Fluids upon that, very much to its Detriment, which may be either the burst- ing of the Vessels, or promoting the Discharge of some ill Humours upon that Part, which might otherwise drain somewhere else. in Ch. V. thro' the various Stages of Life. 473 inveterate Obstructions it is likewise improper, because the more violently the Fluids are pro- pelled, the more the Obstructions will be ri- veted and lock'd in. As the Pressure of Water is ren- dered more effectual by Cold, so its relaxing Power is augmented by a moderate Warmth; for a gentle Heat always relaxes the Fibres of our Body, it being plea- sing and agreeable to the Sense of Feeling. So that when we would have the Benefit of universal Relaxation, we ought to use a tem- perate Bath, which has only a mild Heat, like that of our Bodies, and is therefore less beneficial to cold Diseases, and less injurious to the Healthful, who use it chiefly to wash their Bodies, to temper the Natural Heat, and to take off Weariness. The Use of Warm Baths But temperate Baths have many physical Uses besides Cleanliness and Pleasure, and are observed to be beneficial in the following Cases. Tepid Baths moisten and warm; but if more hot, they heat and moisten less; they likewise open the Pores and promote a free Perspiration, and are proper in most Erup- tions and Foulnesses of the Skin, especially where the Obstructions will not yield to the Cold Bath; for they not only relax the Pores, but likewise dilute the obstructed Matter at the same time, in being absorbed by the cuti- cular Vessels. Warm Baths are proper in most scorbu- tick Habits, Sciatica, Rheumatism, Colicks, Gravel, 474 A GUIDE to HEALTH Part III. Gravel, Costiveness, Gripes, Stiffness of the Joints and Muscles, and in most Cases pro- ceeding from an obstructed Perspiration. Temperate Baths are useful in all hot In- temperies, and are likewise proper in the bi- lious, viscid, or acrimonious State of the Blood: But they are injurious in Fevers, Inflamma- tions, and in all acute Diseases, especially be- fore the Concoction of the Humours. In using the Warm Bath, the Diet in ge- neral should be easy of Digestion, thin and diluting, and in many Cases sweating in Bed after warm Bathing is necessary; but in this and in other Circumstances which may occur, the Patient is to consult his Physician. The naturally hot Mineral Baths, such as that famous one at Bath in Somersetshire, are much more powerful in curing Diseases and removing Obstructions, than the Artificial; the Waters of the former being impregnated with balsamic, volatile, stimulating, and sub- astringent Particles, which the last can never have by any Art or Contrivance whatever. These natural hot Mineral Waters are like a Fomentation, which both supples and strengthens the Parts of the Body all over at once, and by gently shaking and undu- lating the Fibres, helps forward the vital Mo- tions, which are ready to be at a Stand. In old Pains and Aches, which have been the Remains of nervous Distempers, and where some particular Part continues contracted, or has any Humours fix'd upon it, which it can- not dislodge, these Waters pump'd upon it hot from Ch. V. thro' the various Stages of Life. 475 from the Spring, do more towards a Cure than all the most efficacious Compositions of Medicines. Bathing all over in these Springs cannot but wonderfully open that almost infinite Number of secretory Orifices upon the Surface of the Body, and clear the cutaneous Ducts of the Matter which is apt to stick in them; by the opening of which Spiracula the Fluids of the whole Body have more Room to move in, and have proper Vents to reak out a great deal, which is of great Service to the Oeconomy to get rid of. These small Sulphur-Fountains likewise inwardly taken, to Astonishment warm and strengthen a decay'd Stomach, especially if relax'd and worn out almost with Luxury and Debauches: The most grievous Nauseas and Vomitings from these Causes have been re- moved by them: For they both soften again with proper Moisture the Fibres which have been render'd incapable to vibrate, by the Use of hot, burning, spirituous Liquors, and at the same time draw them into greater Tensi- ty; as a Cord which relaxes with over-drying, fills up and straitens upon the Contact and Attraction of a convenient Moisture. The small Share of fine Salt which likewise attends, and is as it were wrapped up in the Particles of Sulphur, cannot but contribute somewhat in restoring the Tone of such de- cay'd Parts. But besides the Benefit these do to the Stomach, they also carry along with them into the most remote Recesses of the Body 476 A GUIDE to HEALTH Part III. Body, a Balsamic of Nature's own Prepara- tion; whereby such Decays in the Stomach, or in any of the Viscera or Bowels, from Ab- scesses, Ulcerations, or any like Causes, are with great Success reliev'd; and particularly if they be of the Kidneys and Urinary Passages, because they wash through them in more plenty, than where they come by the ordinary Course of Circulation. Of Frictions. Friction, or Rubbing with a Flesh-Brush, Cloth, Hand, &c. is, as it were, an alter- nate Compression and Relaxation of the Parts of the Body. A gentle Friction only com- presses the Veins; but by a stronger Degree, the Arteries are also compressed. By com- pressing the Veins by Friction, the Motion of the viscous Blood to the Heart is accelerated; hence the Motion of the Heart is roused: By which Means, the Blood is with greater Velo- city propell'd through all the Vessels. The vital Force may, therefore, be augmented to any Degree, by means of Frictions, without giving any Medicine internally; for by means of Frictions a burning Fever may be excited in the most dropsical Patients. In those Bodies where almost all the Or- gans of Digestion are so languid, as not duly to perform their respective Functions, Fric- tions with rough woolen Cloths over the whole Abdomen, or Belly, when the Patient is fasting, have been found to produce sur- prisingly happy Effects. Hence the Ancients had Ch. V. thro' the various Stages of Life. 477 had Frictions in so great Veneration, not only for the Preservation of Health, but also for the Cure of Diseases, that the Grecians, Ara- bians, Romans, and Egyptians in general con- stantly practised that Method; and Galen wrote a whole Book, intitled de Frictionibus. Celsus likewise recommends the Usefulness of Frictions in his Works: But this Practice has been almost neglected among the Moderns till of late, and is now reviv'd again with no less Success than in former Days, tho' not so general; for it is experimentally known, that it will strengthen weak Limbs, and bring Nourishment to the Parts, and likewise cure the Rickets in Children, especially if Cold Bathing be used. Therefore I would recommend to all Mo- thers and Nurses, to rub the Back, Sides, Shoulders, Hips, and Limbs of their Children by a warm Fire Night and Morning, being very necessary to prevent Obstructions and Rickets, and to promote their Growth and Ac- tivity; and likewise to preserve their Limbs strong and straight. By Frictions a free and full Circulation and Perspiration may be usefully promoted; and this is performed by abiding Nature to throw off by Perspiration the Vapours and Recre- ments of the third Concoction, which are of- ten retained and pent in between the Scales of the Scarf-skin, as likewise in the Interstices of the outward Muscles and Membranes of the Body; so that by the Use of Frictions Nature is not only assisted in discharging by insensible Per- 478 A GUIDE to HEALTH Part III. Perspiration those excrementitious Particles, which frequently hinder a full and free Cir- culation, but likewise Blood and Spirits are thereby attracted to those Parts mod remote from the Seat of Heat and Motion, by which Means also the natural Heat is increased, and the superficial Muscles are render'd plump and strong. Hence it is evident, that ancient People, and such as have weak Nerves and lead a se- dentary Life, especially those who are subject to Numbness, Weakness, or Obstructions in their Joints, or are threaten'd with paralytick Disorders, in order to supply the Want of Ex- ercise of other Kinds, ought to have their whole Bodies, more particularly their Limbs, rubbed for half an Hour every Morning espe- cially, and at Night, with a Flesh-Brush, Flannel, or Napkin, till the Parts begin to grow red and warm. The Friction should be made first on the Arms, Hands, Feet, Legs, and Thighs, from whence we ought to proceed to the Shoulders, Back, and Breast; and the Head should be rubb'd the last of all. Among the Ancients there were Frictions of various Kinds, and subservient to different Purposes. Hence Hippocrates in his Treatise De Med. Offic. tells us, 'That Friction may 'resolve, contract, incarn, diminish: Since 'strong Frictions contract, gentle Friction 'resolves, much Friction diminishes; and 'moderate Friction condenses.' Any Part of the Body is render'd more lax, by being rub- bed with soft oleous Substances. Nothing. Ch. V. thro' the various Stages of Life. 479 Nothing is more beneficial in curing a Weak- ness of the Fibres, than Frictions with rough warm woolen Cloths, especially if previously impregnated with the Smoke of burning Am- ber, or Mastick, that at the same time this aromatick and corroborating Steam may enter the relaxed Parts. But we are to proceed gradually in this Work, and not to use too strong Frictions at first; lest either the stag- nated Fluids in the preternaturally distended Vessels should be too copiously convey'd to the Heart, and by that Means overwhelm and suffocate it; or the tender Vessels should be broken by imprudently increasing the Motion of the Blood. When the Ancients wanted to reduce exte- nuated Parts to their natural Situation, they sti- initiated and irritated these Parts so as to produce a gentle Inflammation and Swelling; for by this Means, the Humours being convey'd with a greater Impetus and a brisker Motion to the Parts, they distended the too rigid Vessels pro- portionably the more. By often repeating this Irritation, the top great Strength of the Ves- sels was so diminished, as to yield to the Hu- mours, which, in order to their good State of Health, must necessarily flow into them. Thus Galen, in the third Chapter of his fifth Book De Sanitate Tuenda, informs us, 'That 'by Frictions with pinguious Substances, he in 'a few Days restored the Flesh of many, who 'had been for a long time emaciated.' Hence Frictions with fat Substances are highly proper in these Cases, but only to such a Degree 480 A GUIDE to HEALTH Part III. Degree as to excite a slight and gentle Redness of the Part; for when the Friction is violent, that which it attracts to the Part is discussed; but, in this Case, a large Distension of the too strong Vessels is required. Galen, in the seventh Chap. of his seventh Book De Method. Medend. gives this Caution in the following Words: 'When, says he, we 'intend to produce Flesh on any Part, we are 'by Friction to heat it, so as to render it tu- 'mid; but, when we intend to discuss and 'evacuate, this Friction and Heat are to be 'continued till the tumid Part subsides.' And in the sixteenth Chapter of his fourth Book De Method. Medendi, he tells us; 'That it was customary with some to strike 'emaciated Parts with slender Rods, slightly 'anointed, till the Parts became moderately 'tumid.' He also informs us, that by such a Percussion repeated daily, or every other Day, together with a moderate Friction or Stimulus, the diminutive and extenuated Buttocks of Children were wonderfully enlarged. Hence the Reason is obvious, why Friction sometimes produces opposite Effects; for a strong Friction with rough dry woolen Cloths, especially when impregnated with the Fumes of kindled Aromaticks, as I have observed be- fore, cures too weak Fibres; whereas a gentle Friction with pinguious Substances, by at- tracting the Humours, and relaxing the Solids, softens too rigid Fibres. FINIS.             A GUIDE to HEALTH THROUGH THE Various Stages of LIFE. Wherein are Explained, I. The different Degrees and Changes of Age, the prin- cipal and inevitable Causes of OLD AGE, and finally of our Dissolution; with a Chronological and Hi- storical brief Account of long LIVES from before the FLOOD to this present Time. II. The Nature, Properties, Qualities, and Influence of AIR. Of Aliments; the Choice of them; their Power upon Human Bo- dies, with their good and bad Effects. Of Sleeping and Waking; of Motion and Rest; of Retention and Ex- cretion; and of the Passions of the Mind. III. Of the Definitions, Di- agnosticks, Prognosticks, and Curative Indications, both Medicinal and Dietetical; of Acute and Chronical Dis- eases incident to Human Bodies; with the Nature and Use of BATHING and FRICTIONS. The whole illustrated with useful ANNOTATIONS, methodically and succinctly digested, and con- firmed by the Authority of the most celebrated Authors, both Ancient and Modern. By BERNARD LYNCH, M. D. Pugnandum tanquam contra Morbum, sic contra Senectutem. Crc. de Senectute Optima quæque dies miseris mortalibus ævi Prima fugit: subeunt Morbi, tristisque Senectus: Et labor. & duræ rapit inclementia mortis. VIRG. Lib. III. Georg. THE SECOND EDITION. LONDON: Printed for M. COOPER in Pater-noster-Row. 1754.  TO Dr. JOHN BEAUFORD. Sir, THE Friendshlp you shew'd gd me in the Infancy of my Practice has been too essen- tially useful to me ever to be forgotten; and it is with great Self-Satisfaction that I take this pub- lick Opportunity of acknowledg- ing the Obligations I lie under to you. My Interest in Town was not A2 only iv DEDICATION. only strengthened and extended by the Share you were seen to take in it, but my Knowledge was enlarged by my Converse with you, and my Prac- tice was formed by my Observation of yours. I carefully examined the Modus of Practice here, of the most Emi- nent of the Profession, when I first came to Town, intending to shape my own with that which should seem to me the most conformable to the Sentiments of the Great Hippo- crates; and finding none more na- tural and uniform than Yours, I took it for my Model, and have continued it ever since with all the Success I could hope for. The Profession of Physick is held in higher Esteem in this, than any other Country in Europe; and no wonder; because none can produce so learned a Body of Physicians. But among that Body, more learned and skillful than any other in the World, your v DEDICATION. Your long Experience, Sir, sets you in the first Class of it. This is a Truth unquestioned, not only by the Publick, but even by those of the Profession. You have a natural Right to the Patronage of the following Work, being founded chiefly on your own Maxims, and originally begun that I might have a publick Opportunity of owning your Favours, and doing Justice to your Merit. How I have succeeded in the Choice and Con- texture of my Subject, I submit to the Publick with the utmost Defe- rence; but however I may have fail'd in the Opinion of other learned Men, I have too often experienced your In- dulgence, not to flatter myself that you will view all Inaccuracy of Stile and Diction, and other as minute Imperfections, with your usual Can- dour and Good-nature. As for more capital Errors, I shall most readily own and reform any such, and most A3 grate- vi DEDICATION. gratefully thank any friendly Hand that shall be at the Pains of pointing them out to me. I am, with the greatest Sincerity, SIR, Your obliged, and most obedient humble Servant, Stanhope-street, June, 1744. BERNARD LYNCH. (VII) PREFACE. WHERE a Title-Page is so expres- sive of the Contents of a Book as the foregoing, a Preface might seem unnecessary; and I should think it so, if Custom did not seem to exact that a Bill of Fare should be serv'd up to the Company before they sat down to Table. To comply then with the Humour of this modern Tyrant, I must in- form the courteous Reader, that the sole End of my Labour was to inform the Uninform'd and to erect such Lights as might help them to form such a Judgment of their own Con- stitutions, as should prevent their fancying themselves in a worse State of Health than they are, and running after every Empirick, who pretends to the Knowledge of Catholi- cons, or universal Remedies. These are the Bane of all Societies; and tho' Quacks are soon detected, yet as the Succession of them is so very constant and rapid, the Commonal- ty for the most part, see not the Injury done to them, nor the Wrong they suffer. This is a Misfortune to be lamented, but diffi- cult to be removed, whilst Man is prejudic'd A4 in viii The PREFACE. in Favour of Novelty, and in Disfavour of the Regular Physician, who can't afford to bellow the Fruits of his hard Labours on the Public promiscuously. There is one Thing in the following Sheets which the Author owns to have labour'd more than any Part of his Subject, which is the Doctrine of Non-naturals, the Knowledge of which, he thinks, no reasonable Man who values his own Health should be ignorant of; and which he presumes to say, has been more obscurely treated heretofore, than it ought to have been, or indeed he believes it was de- sign'd it should be. In treating of acute and chronical Diseases, there are general Remedies, but except in one or two Occasions, such as the Bite of a mad Dog, and some Consumptions, there are no formal Recipes, which, it is found by Expe- rience, are generally productive of more Evil than Good. For the general Ignorance, I may say Infatuation, is such, that the Vulgar too often make material Mistakes in the Pre- paration of the most plain and simple Reci- pes. Besides, that as the Nature of Diseases and Constitutions is so various and different, not to mention the Climate, Air, Season, Age, and a thousand other differing Circumstan- ces, it would be too presuming for the Au- thor to take upon him to prescribe for every particular Distemper. He would not do so great a Wrong to the Illiterate, nor, to use the learned Boerhaave'ss Words, Would do any ix The PREFACE. any thing so prejudicial to the noble and ge- nerous Science of Physick, or expose it to Re- proach, as they must inevitably do, who pre- tend to adapt a particular Remedy to gene- ral Diseases. Having mention'd the ever-famous and-to- be-rever'd Boerhaave, the Author takes this Opportunity of owning his Obligations to him, not only in his Practice, but in this Work particularly. He has all along kept that Great Man in his View, nor has he been un- mindful or neglected any other eminent Wri- ter in Physick, either ancient or modern. He has frequently quoted their Words, and al- ways endeavour'd to conform himself to the Sentiments of the most approv'd Authors. And that his Gratitude to all such great Men as well as Justice may be seen, he has an- nex'd a Catalogue of such Authors as he owns himself indebted to in the Compilation of the following Treatise, thinking this Method more orderly and eligible than a constant Quotation. A A LIST of the Authors. Ægineta, Paulus. Anhornius. Arbuthnot. Boerhaave. Boyle. Borelli. Baglivius. Blondell. Bonetus. Baynard. Boutius. Barlow. Celsus, Aurel. Cornel. Celius Aurelianus. Cheyne. Duretus. Diodorus Siculus. Default. Etmuller. Floyer, Sir John. Galen. Hippocrates. Hugens. Hales. Halley. Hook. Keil. Lommius. Laurentius. Leeuwenhoek. Lister. Livy. Malpighi. Mead, Richard. Morton. Newton, Sir Isaac. Oribassius. Paree, Ambrose. Prosper, Alpinus. Pliny. Quincy. Ruyschius Riverius. Romer. Rowning. Ramazini. Robinson, Tancred. Solomon. Sydenbam. Seneca. Sanctorius. Suetonius. Torricellius. Van Helmont. Verulam. Willis. Wainright. Waldschmidius. A A LIS of the SUBSCRIBERS. A. ARundel, the Rt. Hon. Lord Arundel, the Hon. Tho- mas, Esq; Aston, the Hon. James, Esq; Astley, Mr. Apothecary, 2 Books Aston, George Joseph, Esq; Andree, M. D. Addis, Mr. Apothecary Asbridge, Mr. Adean, Mr. James Allanson, William, Esq; B. Beaufort, His Grace the Duke of Butler, the Hon. John, Esq; Bartholomew, M. D. Bennet, Philip, Esq; Mem- ber for Bath Burnham, Mr. Boult, Mr. Attorney at Law Boudon, Mr. Apothecary Benion, Mr. Apothecary Beauford, John, M. D. Butler, M. D. Bodkin, Mr. Valentine Brown, William, Esq; Barrabee, Mr. Bird, Edward, Esq; Bostock, M. D. Beaumont, Mr. Apothecary Beetenson, Mr. Surgeon Brewerster, Tho. M. D. Brett, Mr. Nathanael Bernardeau, Mr. 3 Books Bradshaw, James, Mr. Button, Mrs. Barwell, Mr. Bolney, Mr. Henry Blake, Andrew, Esq; Blake, D. Esq; Barry, M. D. Buckeridge, the Rev. Mr. Thomas Bateman, the Hon. Capt. Boswell, Mr. Thomas Backas, Mr. Apothecary Betts, Mr. John Bostock, Mr. Henry Bradley, Mr. Boyle, Henry, Esq; Butcher, Mr. Apothecary Bannister, Mr. Charles Bower, Archibald, Esq; Bridgen, Mr. Robert Bridgen, Mr. Thomas C. Cavendish, The Rt. Hon. Lord James Clarke, Mr. xii A LIST of the SUBCRIBERS. Carrol, Mr. Corless, Mr. Alexander Carmault, Mr. Coleman, Mr. Constable, Mr. John Cary, Esquire, Surgeon. Cheeke, Mr. Apothecary Cheeke, Mr. Apothecary Cibber, Colley, Esq; Caldwell, Mr. Robert Chittick, Mr. Surgeon Clempson, Mr. Coughlan, Mr. Cumming, Rev Mr. Wil- liam, A. M. Chettey, Mr. William Connel, Michael, M. D. Cooper, Mr. Apothecary Clarke, Mr. Apothecary, 2 Books. Currer, Mr. Jun. D. Dillon, The Rt. Hon. the Lady Frances Viscountess Dowager Dillon, The Rt. Hon. the Lady Bridget, Viscountess Dowager Dawkins, Esq; Member for Woodstock Davis, Mr. William, Sur- geon Dorrel, Mr. Daffy, the Hon. Capt. Draper, Mr. Apothecary Death, Mr. Apothecary Deschamps, Mr. Doyley, Mr. Edward, At- torney at Law. Delany, the Revd. Mr. Duggin, Mr. John Dumbleton, Mr. Daniel Duggin, Mrs. Davis, Mr. E. Ewer, Mr. Eliott, Mr. Apothecary Eyre, Mr. Edward Ebrall, Mr. Apothecary Emet, Mrs. Egan, Mr. F. Fairfax, The Rt. Hon. the Lady Viscountess Firebrace, Sir Cordell,Bart. Kt. of the Shire for Suf- folk Fisher, Mr. Thomas Fowler, Mr. Apothecary Foot, Mr. Asher, Apothe- cary Firmin, Mr. Farrel, Mr. Francis, Mr. George Frazier, Mr. Apothecary Farrel, Mrs. Farrel, Mr. Apothecary Fort, Mr. Francis Firmer, Mrs. Hellena Farrin, Mr. John Freeman, Samuel, Esq; Fitzgerald, Mrs. G. Graham, the Reverend Mr. 3 Books Gammon, Mr. Robert, Apothecary Goodacre, xiii A LIST of the SUBCRIBERS. Goodacre, Mr. Apothecary Godfrey, Mr. Ambrose, Chemist Gardiner, Mr. Thomas Griffin, Mr. Philip Garvan, Francis, Esq; Gibbon, The Rev. Dr. John H. Hemet, Mr. Operator for the Teeth to his Royal High- ness the Prince of Wales Harrison, Mr. Apothecary Hoddy, Edward, M. D. Hodgson, Mr. Apothecary Hernon, Mr. Apothecary, 4 Books Hudson, Mr. Apothecary Henley, the Rev. Mr. A. M. Harriott, Mr. Surgeon Hawkins, Mr. Barnaby H—M—Mrs. Harrow, Mr. Robert Hibber, Mr. Haward, Mr. Watkinson, Attorney at Law Hayrick, Mr. Apothecary Horseman, M. D. Hall, Mr. I. Jones, Mr. Tho. 2 Books Jayer, Mr. Apothecary, 2 Books Izard, Mr. James, M. D. Jernegan, M. D. Jernegan, Henry, Esq; K. Kilby, Robert, Esq; Kirwood, Mr. William, Surgeon Kingsley, Mr. Keating, Mr. King, Mr. Maynard Kitchen, Mr. L. Litchfield, The Rt. Hon. the Earl of Lainsborough, The Rt. Hon. Lord Viscount Lainsborough, The Rt. Hon. the Lady Viscountess Lynch, Sir Henry, Bart. Lynch, Robert, Esq; Lynch, The Rev. John. S. T. P. Dean of Can- terbury Lynch, George, M. D. Lynch, Robert, A. B. Lynch, Francis, Esq; Lynch, Mr. Nicholas Lynch, Mr. Isiodore Lynch, Mr. William Lynch, Mr. Thomas Lloyd, the Hon. Capt. Lyster, Mr. Apothecary Leake, Mr. Langley, Mr. L'Herondell, the Rev. Mr. Lawley, George, Esq; Littlejohn, Alexander, Esq; Lister, Richard, Esq; Kt. of the Shire for Salop Loukup, George, Esq; Lewis, Mr. Lucas, xiv A LIST of the SUBCRIBERS. Lucas, Mr. Jeremiah Lane, James, Esq; Lawson, Esq; M. Mannington, Mr. Monins, The Rev. Mr. Ri- chard, A. M. Middleton, Capt. Christo- pher, Esq; Maul, Mr. Apothecary Marshal, Mr. Surgeon Macdonough, D. D. Montague, Mrs. Morgan, Mr. Apothecary Mills, John, Esq; Maud, Mr. Apothecary Maud, Mr. William Monkeman, Mr. Attorney at Law. Manby, Mr. Apothecary Mann, Mr. Thomas Macket, Wilmer, Esq; Mills, John, Esq; 20 Books Martin, Thomas, Esq; Metcalf, Mrs. 2 Books Morehead, William, Esq; Maurin, Mr. Metcalf, Mr.Roger, Surgeon Mayfield, Mr. Thomas Mitchel, Mr. Apothecary Mitchell, Mr. Apothecary Mitchel, Mr. Francis, Sur- geen Macartey, Alexander, Esq; Manley, Apothecary N. Nebot, Mr. Balthazar Nevil, Mr. John, Apothecary Noone, Mr. John Nesbit, Mrs. Nelson, Rev, Mr. Rector of Oakley O. Orton, Mr. Oliver, Mr. Nicholas P. Parsons, Mrs. Parker, Mrs. Pack, Mr. Daniel Pile, George, M. D. Pearson, Mr. Poulson, John, Esq; Prude, Mr. Apothecary Palmer, Mr. Benjamin Popham, Edward, Esq; Member for Wilts Pakington, John, Esq; Pakington, the Hon. Capt. R. Rust, Mr. Rawlins, Mr. Apothecary Rossel, The Rev. Mr. Sa- muel Raikes, Mr. Apothecary Richardson, Mr. Radford, Mr. William Reynolds, Mr. Christopher, 2 Books Robinson, Tancred, M. D. Rivett, Thomas, Esq; Raoult, Mr. Surgeon Rankin, Mr. Thomas Redfern, Mr. S. xv A LIST of the SUBCRIBERS. S. Sweet, Mrs. Rebecca Street, Mr. jun. Scott, Mrs. Sadler, Daniel, Esq; Smith, Mr. Sedgwick, James, Apothe- cary Scrooby, Mrs. Elizabeth Savage, Mrs, Anne Savage, Mr. George Savage, Mr. William Smith, Mr. Edward Sherwood, Mr. Noah, Sur- geon Simmons, Mr. Edward SherifFe, Mr. Shepard, Mr. Smithson, William, M. D. Sams, Mr. Henry Smith, Thomas, Efq; Schamberg, Mayer, M. D. Schamberg, Isaac, M. D. Seed, Mr. Shelton, Mr. Richard Stubbs, Mr. William, At- torney at Law. Snowden, Mr. Stuart, James, Esq; Stuart, Simeon, Esq; Shaw, Mr. Smith, Mr. John Shipton, John, Esq; Stainforth, Mr, George, Merchant T. Tash, Mr. Thompson, Thomas, M. D. Turbut, Mr. Benjamin Thompson, Francis, sen. Esq; Turnball, Mr. William Thomas, James, Esq; Thompson, John, Esq; Thompson, Francis, Esq; Turner, Mr. Tonge, Mr. Trant, James, Esq; Trant, John, Esq; V. Venables, Mr. Vaughan, Mr. Attorney at Law Umfreville, Edward, Esq; W. Wharton, Her Grace the Dutchess of Whiteall, Mrs. Wilton, Mr. Wilford, Mr. West, Lewis, Esq; Wilson, Edward, Merchant Williams, Mrs. Walker, Mr. Wilson, Mr. Thomas Wilson, Mr. John Wells, Mrs. Mary Wilson, Mr. John Wilson, Mr. Edward Webb, Thomas, Esq; Westby, Robert, Esq; Wilmot, Mr. Z. Zincke, C. F. Esq; ERRA- ERRATA. Page 35. Line 17, after wholsome Food, add, probably they might. Page 214. Line 21, for immediately read intimately. (xvii) THE CONTENTS. PART I. Of the different Degrees and Changes of Age; the principal and inevitable Causes of Old Age; and, finally, of our Dissolution; with a brief chronological and historical Account of long Lives, from the Creation to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life, with a Description and Definition of Old Age. OUR Bodies subject to Changes page 1 Man's Life divided into se- veral Periods ib. The Egyptians Opinion of Ages 2 The Pythagoreans Doctrine of Numbers ib. Five remarkable Changes in Man's Temperament, viz. Infancy, Adolescency, Youth, and Manhood, and old Age ib Temperament what, Note *, ib. Infancy, Adolescency, Youth, and Manhood described 3 Old Age begins at fifty, and is divided into three Pe- riods ib. The first is called Verdant 3 The second begins at Seven- ty 4 The third is called Decrepid ib. The Pains and Miseries of de- crepid old Age, according to the Royal Prophet ib. An allegorical Description of decrepid old Age, according to the Royal Author, So- lomon 5 The same explained 6 Some Men old at forty 7 A great many young at sixty ib. The different Qualities of Constitutions ib. a The xviii The CONTENTS. The melancholick Constitu- tion grows old sooner than any of the rest—p. 8 Females grow old sooner than the Males—ib. Hippocrates's Opinion con- cerning the same—ib. Sloth and Idleness soon bring on old Age—ib. The Causes of different Tem- pers or Constitutions—ib. The Proportion of the Parts of the Body, and their Con- formation, contribute to the Difference of Constitutions 9 The different Tempers of the Parts of the Body, in re- spect of one another—10 Sexes and Age make a Diffe- rence in Constitutions ib. Women colder than Men—ib. Infants and Children hot and moist—ib. Heat decreases in old Age—ib. Different Climates, and the Manner of living, are Causes of different Consti- tutions—11 The Definition of Old Age—ib. The same explained—ib. The great Secret and sole Method of long Life, is, to preserve the Blood and Juices in a due State of Fluidity and Thinness—12 Nothing will bring a Person to the State of universal Hardness and Stiffness of the Fibres, and a Viscosity and Thickness of the Juices, than indulging in strong high Meats and strong Li- quors—13 The only Method of pro- curing a contrary State of the Solids and Fluids—14 All the Parts constituting a human Body are made up of small Fibres—ib. The Divison of the Fibres becomes so small at last, as to exceed the Power of Imagination—15 CHAP. II The principal and inevitable Causes of Old Age, and of our Dissolution. The Causes of the Alteration of our Bodies, and of our Dissolution, are either ex- ternal or internal—16 The internal Causes are two—ib. The internal Causes what—ib. The Principles of our Com- position what—17 Animal Actions distinguish- ed into vital, natural, and animal—ib. Vital what—ib. Natural actions what—ib. Animal Functions what—ib. The Principles of our Com- position being duly distri- buted through the whole Body, may be called an E- quilibrium between the So- lids and Fluids—18 Their Alliance is of short Duration, and why—ib. The xix The CONTENTS. The inevitable Causes of Old Age, and of our Disso- lotion—p. 19 Farther Particulars necessary to be considered to prove the same, concerning the Nutrition, Growth, and De- crease of the Body—ib. to 28 The internal Causes of our Dissolution are born, grow, and are nouristied with us, and will bring on gradually and inevitably old Age, and destroy the Body at last—28 All the great Promises made with Assurance, as to the Prolongation of Life for many hundred Years, are vain and imaginary, being unsupported both by Rea- son and Experience—ib. External Causes of our Disso- lution, which are likewise inevitable—ib. Other external Causes, which are accidental, as Wounds, Fractures, &c.—29 CHAP. III. An historical Account of Long Lives, from the Creation to the present Time. Men lived many hundred Years before the Flood—30 None of the Fathers attained to the Age of a thousand—ib. This Length of Life was not peculiar to Grace or the holy Line only—ib. There are eleven Generations of the Fathers to the Flood 31 Of the Sons of Adam by Cain, eight Generations only—ib. The Length of Life was re- duced to one half imme- diately after the Flood, in the Post-nati only—ib. Noah and Sem, who were born before the Flood, each of them liv'd 600 Years—ib. Of the Ages of Abraham, Isaac, Jacob, Ismael, and Sarah ib. Of Joseph, Levi, Moses, Aaron, and Phineas, Grand-child of Aaron—32 Of Joshua, Caleb, and Job—33 Of Isaiah the Prophet, and Tobias the Elder and the Younger—34 Of Epimenides the Cretan, and Xenophanes the Colophonian 36 Of Gorgias the Sicilian, and Democritus of Abdera—37 Of Terentia, Cicero's Wife—39 Of Simeon the Son of Cleophas, called the Brother of our Lord, and Bishop of Hie- rusalem; and Aquilla and Priscilla, St. Paul's Fellow- helpers—42 Of St. Paul the Hermit, and St. Anthony the Monk—43 The Popes of Rome, and their Number to this Time—44. Dando of Illyrinm, reported to have liv'd 500 Years—45 Hippocrates of Cos, the Prince of Physicians, Euphrenor the Grammarian Seneca and a2 Joannes xx The CONTENTS. Joannes de Temporibus, a Native of France p. 46 Of Cornaro the Venetian, and William Postell, a crazy Frenchman 47 The surprizing Age of Henry Jenkins, a Yorkshireman ib. Of Thomas Parr, a Shropshire- man 48 Francisco Lupatsoli, Venetian Consul at Smyrna 49 Remarkable Instances of Ab- stemiousness, Continency, and many other Virtues in the Life of Aurenzebe, one of the late Great Moguls ib. to 52 Richard Lloyd, born within two Miles of Montgomery ib. John Bailes of Northampton 53 The Western Islands of Scot- land remarkable for long Lives ib. Mrs. Hudson's abstemious Life described ib. Mr Johnston's Life 54 A remarkable Inscription on the Tomb-stone of Mar- garet Scot, who liv'd 125 Years ib. Of Margaret Paten's great Age 55 —Bright, of Ludlow in Shropshire, likewise ib. Mrs. Agnes Milbourn's long Life, very remarkable for the great Number of Chil- dren she had by one Hus- band ib. Instance manifestly proving Milk to be of salubrious, safe, and sweet Nourish- ment ib. Temperance and a cool Diet are absolutely necessary to the Prolongation of Life 56 Man' Life has stood much a- about the same Standard of Years, from the Time of Moses to our Days ib. The Continuation and Num- bers of Successions of Ge- nerations make nothing as to the Length or Brevity of Man's Life ib. People live longer when the Times are barbarous, and they fare less deliciously, and are more given to Bo- dily Exercises; but shorter in civiliz'd Times, People abandoning themselves to Luxury and Ease ib. The great Abridger of Age was undoubtedly the De- luge 57 There were Men of Gigantick Stature before the Flood; but no such have been pro- duced any where since ib. The immediate Condition of the Parents conduces very much to the Length or Shortness of the Life of their Offspring 58 The best Rule is to use mo- deration in all things 59 Conjugal Love more condu- cive to Health and long Life than an unlawful one ib. The best Time for Genera- tion ib. PART xxi The CONTENTS. PART II. Introduction to the Six Nonnaturals. CHAP. I. Of the Nature of Air. Air defin’d—p. 60 Air the principal Instrument of Nature in all its Opera- tions—62 The Lower Parts of the Air are impregnated of particles ib. Air is differently impregnated in different places of the Surface of the Earth, which must considerably alter its State—ib. Water, Earth, and Salts of all Kinds, are Ingredients of Air—63 Other Contents of Air—ib. Vegetables of all Kinds per- spire Particles, which float in the Air—64 Animal Perspiration and the Effluvia of all their other Excrements, are Ingredi- ents of the Air, which of- ten infect that Part of the Atmosphere, and produce pestilential Disease—ib. Doctor Hale's computation of Animal Perspiration, and how it may infect the Air—ib. The Air in great populous Cities, in Camps, or near Numbers of dead Carcasses, in a hot fultry Season, may be infected so far as to dis- posed the People to putrid and malignant Fevers—6; the Inhabitants of Countries where great Numberss have been slain in Battle, and left unburied, were soon after infested with pestilen- tial Distempers—ib. Several Instances to prove the same—66 It is of the utmost Consequence to every one, to take care what kind of Air they live in—ib. The first Consideration in building Houses and Cities 67 All high Hills and Mountains are damp, and Nests of Minerals, and Covers for Reservoirs of Rain-water—ib. Rain the Origin of Rivers, and Fresh-water Springs—ib. Dew is not mere Water, but a Collection of watry, oily, faline and volatile Sub- stances exhaling from the Earth—68 Dews of different Places are of a different Nature—ib. Why Air soon corrodes the Bricks and Tiles of House, and rots the very Hangings of Rooms in some Coun- tries—69 Air in some Places impregnat- ed with arsenical Steams—ib. The Steams of Sulphurs and Charcoals extremely per- nicious to human Bodies—ib. a3 Sul- xxii The CONTENTS. Sulphureous Vapours infest Vegetables, and render the Grass pernicious to Cattle 70 How the sulphureous Steams and Vapours of Mines affect the Miners—ib. Why Diseases are more fre- quent and more dangerous in Cities than in the Coun- try—ib. Why the close and confin'd Air of Prisons, Bays, and Harbours, often produces mortal Diseases—71 To what the great Mortality that is so often in Camps, and Sieges, is chiefly owing ib. Infects and their Eggs often float in the Air we breathe in—ib. Why Infects floating in the Air are often the Cause of many grievous Diseases—72 There are Showers of Rain sometimes in Africk, affect- ing the Inhabitants with Shivering?, a ltd Infects found in the Drops of these Showers—ib. Air in most Places contains near the same Quantity of Water—73 All the different Ingredients of the Air are digested and attenuated ly the Heat of the Sun, and constantly agi- tated by Winds, which mix the Air of different Regions together—74 The particular Causes of Thunder and Lightning—ib. The wonderful Effects of Lightning—75 The Opinion of Philosophers upon these strange Effects ib. A Thunderbolt what, Note * ib. The Rays of the Sun are the true Cause of infinite varie- ty of Ingredients contained and floating in the Air—77 Light is not above ten Minutes in passing from the Sun to the Earth—ib. The Earth is 10,000 of its own Diameters distant from the Sun—ib. The Velocity of Light to that of a Cannon Ball, will be as 25 Years to 10 Minutes ib. The Effects of the Rays of the Sun collected in the Fo- cus of a burning Glass upon Gold, which is unalterable by any artificial Fire—ib. The Rays of the Sun are ca- pable to abrade and file off from the most solid Bodies, small Particles lighter when separate than the least com- pounding Particle of Air 78 CHAP. II. Of the Properties of Air. The Properties of Air what p. 78 Galileus was the first Lisco- verer of the Gravity of Air 79 The specifick Gravity of Air according to Sir Isaac New- ton and Dr. Halley—ib. Specifick Gravity what—ib. Note * xxiii The CONTENTS. Air may possess a Space 520, 000 times greater at one time than another 80 The Specifick Gravity of the Air cannot be exactly de- termined ib. Air readily enters into the Vessels of Animal Bodies 82 The same Thing happens in Vegetables and Liquids 83 The Globules of the Blood contain Air 85 Elasticity is a Property in Air which it never loses 89 The Solids and Fluids of Ani- mals contain more Air in them in Proportion than any other Substances—90 Fluidity is a Property in Air which cannot be destroy'd 91 Air a Fluid in constant Mo- tion 92 The difference between Flui- dity and Liquidity ib. Air is compressible and dila- table 93 Divisibility a Property of Air 94 CHAP. III. Of the Qualities of Air. The Qualities of Air what 95 Heat is a Quality relative to our Senses 96 The Spirit of Wine in Weather- Glasses is affected with the least Alerations of Heat or Cold 97 Why Languid and Hysterick People suffer in hot Wea- ther ib Excessive hot Air capable of reducing animal Substances to a State of Putrefaction 98 Dr. Boerhaave's Experiment upon a Sparrow and a Dog ib. Perspiration what 99 Air not cool'd by the Motion of Winds 102 Great Mischief arising from keeping the Air of the Rooms of People in Fevers too hot 103 Cold condenses the Air in Pro- portion to the Degrees of it 104 Cold suppresses Perspiration 105 The fatal Extremities of Cold in Greenland ib. The Effects of extreme Cold or extreme Heat 106 The Effects of moist Air ib. Dryness, a Quality in Air producing different Effects to those of moist Air 109 The Doctrine of absorbing Air thro' the Pores of the Skins of living Creatures demonstrated 111 CHAP. IV. Of the Influence of Air upon human Bodies. Hippocrates knew more of the Influence of Air than all his Predecessors and Suc- cessors 113 xxiv The CONTENTS. Hipocrates's Advice concern- ing Air—ib. —Could foretell the Diseases from ths Weather 115 The Affair of Generation is influenc'd by Air—116 The different Shapes, Com- plexion, and Tempers of Mankind influenc'd by Air 117 The different Forms of Go- vernment, and even the Courage of People, is ow- ing to the Influence of Air ib. Air the Cause of most Dis- eases—118 Astronomy useful in Physick 119 The Constitution of the Air according to Hippocrates 120 Dr. Arhuthnot's Explanation of Hippocrates and others, concerning the Influence of Air—124 The whole Constitution of the Spirits, Humours, and the Body, depends upon Air—147 What we are to do when the Air is corrupted—148 What regards ancient People concerning Air—ib. CHAP. V. Of Aliments in general. The first Stage of Digestion, and how it is perform'd 150 The second Stage of Diges- tion—155 The most subtil Parts of the Food pass immediately in- to the Blood by the absor- bent Vessels of the Inte- stines—156 The last Stage of Digestion 161 CHAP. VI. Of the Choice of Aliments. All Animals are made either immediately or mediately of Vegetables—p. 164 Vegetables consist of Salt, Oil, Spirit, and Earth—165 Of different Tastes—ib. Of the properest Food of the vegetable Kingdom.—166 Of the Qualities of Barley, Wheat, Oats, Rice, Rye, Millet, Panick and Maise 167 Of Peas, Beans, Apples, Pears, Peaches, Apricocks, Plumbs, and Mulberries—168, 169 Of Gooseberries, Currants, Cherries, Strawberries, O- ranges. Citrons, Limons, Grapes and Figs—170 Of Quinces, Pomegranates, Tamarinds, Capers, Olives, Almonds, Walnuts, Hazle- Nuts, Chesnuts, Pompions, Cucumbers, Gourds, and Melons—171 Of Pot-Herbs—172 Of Artichokes, Asparagus, Parsley, and Celery—ib. Of Spinage, Beet, Sallads, xxv The CONTENTS. Potatoes, Turnips, Car- rots, Parsnips—173 Of Garlick, Onions, Rock- ambole, Shalot, Leeks, Radishes, Horse-radishes, Cresses, Mustard, Truffles, Morelles, and Mushrooms 174 Of Marjoram, Basil, Savory, Thyme, Rosermary, Sage 175 Of the Qualities of Tea, Coffee, and Chocolate—175, 176, 177, 178 Animal Food more nourish- ing than Vegetable—ib. Animal Diet is anti-acid—179 Animal Flesh differs accord- ing as the Animal is terre- strial, aquatick, or am- phibious, and Fishes abound with more alkaline Salt and Oil than terrestrial animals ib. The only Way of having found and healthful animal Food—180 The Flesh of Animals too old, unwholsome—181 Salt Fish produces gress Hu- mours, and bad Juices—ib. Why the Flesh of wild Ani- mals keeps longer uncor- rupted than that of tame ones—182 Flesh boiled, wholsomer for weak Stomachs than roasted ib. Why Meats bak'd or fry'd, are bad—183 Of Lamb, Veal, Kid, and Beef—ib. Of Mutton, Rabies, young Hares, Pork and Bacon 184 Of Brawn, Deer, Cream, Butter. Marrow and Cheese 185 Milk, a most noble, nourish- ing, and wholsome Food l66 A proper Diet for Women that give suck, or Nurses 187 Whey, good for hot Consti- tutions and Scurvies 188 How to know the different Nature and Qualities of Birds or Fowls in general ib. Of Duck, Capon, Pigeons, Pheasants, Pullets, and Geese—189 Of Turkey, Partridges, Plo- vers, Blackbirds, Larks, Sparrows, Peacocks, and Starts—190 Of Thrushes, Quails, Turtle Doves, Woodcock, Snipe, and all other long-billed Birds—191 Of Fish in respect of Flesh, and why it is in general hard of Digestion ib. General Rules concerning Fish 192 Of Eels, Carp, Lampreys, Pike, and Sturgeon—193 Of Crabs, Lobsters, Oysters, Turbut, Soles, Place, Perch, Tench, Gudgeons, and Smelts—194. Of Flounders, Salmon, Trout, Cod-fish, Haddock, Skate, Thornback, Barbel, Mac- karel, Herrings and Sprats 195, 196 Vegetables and Animals that come soonest to Maturity are lightest of Digestion. ib. The larger and bigger the Vege- xxvi The CONTENTS. Vegetable, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested 197 Sea Fish or Animals harder to be digested than Land Ani- mals 198 Vegetables and Animals a- bounding with oily, fat, and viscid Substance, are harder to digest than those of a drier, fleshy, and more fibrous Substance ib. Of the Nature and Effects of Rock and Sea Salt 199 Of Honey, Oil and Vinegar 201, 202 CHAP. VII. Of the Power of Aliments upon human Bodies, with their good and bad Effects. Aliment what 203 The Art of preserving Health consists in a Mediocrity of Diet 204 Substances which stimulate the folid Parts, produce the greatest Alterations in animal Bodies. 205 The solid Parts of animal Bodies may be contracted variously by Diet 206 The more sulphurous or chy- mical Oil any Spirit con- tains, the more destructive it proves to the Constitu- uon, as Rum and distill'd Spirits of Annifeeds, &c. ib. Austere acid Vegetables have a Quality of contracting, and strengthening the Fi- bres without a great many of the bad Effects of di- stilled Spirits 207 Warm Water the best Liquid for relaxing the Fibres ib. How the Qualities and Quan- tity of the Fluids of a hu- man Body may be chang'd by Diet 208 Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies either by Food or Sickness 210 The Juices of found Animals consist of Salts of a pe- culiar Nature, neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline ib. Acrimony in the Blood con- sists of three Sorts, acid, alkaline, and muriatic or briny 211 The proper Diet for the Cure of the acid Acrimony 212 The Diet proper in the alka- line and briny Acrimony ib. Several Sorts of Antiscorbu- ticks proper in an alkale- scent State of the Fluids 213 Drink, an essential Part of our Food, and the chief In- tentions of it 214. Pure Water answers all the Intentions of Drink, best of any Liquor ib. The Usefulness of Water for the Purposes of human Life 215 Water the best and most wholsome xxvii The CONTENTS. wholsome Drink in gene- ral, some few Cases ex- cepted—ib. Of Malt Liquors—216 Of strong Beer—ib. Of the Nature of fine Ales, or Home-brew'd, and how they are fin'd, which is pernicious, if not poison- ous to Health—ib. Yorkshire, Nottingham, Welch, and all fine Ales brew'd for Sale, destrudlive to Health—217 The frequent Use and Excess of distilled spirituous Li- quors, is become a Vice of so shocking a Nature among the People in general—ib. The poisonous Qualities of di- stilled Spirits consider'd—218 The direful Effects of the fre- quent Use of Dram-drink- ing explain'd—219 The great Calamity of Dram- drinking farther consider'd 220 Next to Drams, no Liquor de- serves to be stigmatized and more detested than Punch ib. The principal Ingredients of Punch separately consider'd 221 When a Cordial may be use- ful 222 A Sot the most contemptible Character in human Life—ib. The melancholy Effects of Drunkenness explain'd—223 A short Account of different Wines in general—224 Strong made Country Wines prejudicial—225 The Conclusion, concerning Wine, and all other strong Liquors—ib. CHAP. VIII. Of different Constitutions, and the Diet proper for each. A general Method as to Diet, without Regard to parti- cular Constitutions absurd 226 Enumeration of the several Sorts of Constitutions 227 Qf the Debility of the Fibres ib. The Causes and Signs of weak and lax Fibres assign'd—228 A Regimen for those of weak fibres—229 The Effects of too rigid a state of the Fibres—230 Rigidity what, and likewise the Signs of such a consti- tution—ib. The Regimen in such a State 231 The Definition, Cause, and proper Diet of plethorick Constitutions—232 Of sanguinecus Constitutions and their Diagnostick Signs 233 The Diet proper for such Con- stitutions—235 A saline Constitution of the Fluids in an animal Body, is either acid, alkaline, muria- tick, or briny—ib. Of acid Constitutions and their Effects—236 Of Constitutions subject to an alkaline Acrimony—237 xxviii The CONTENTS. The Causes and Symptoms of such Constitutions—238, 239 The Regimen for such—240 The Causes and proper Diet for the muriatick or briny Scurvy—ib. Of phlegmatick Constitutions, their Causes, Signs, and proper Diet—241, 242 Of fat or oily Constitutions, their Causes, Symptoms and proper Diet—243, 244, 245 Of atrabilarian or melancholy Constitutions, their Signs, Causes, Effects, and proper Diet—246 to 250 The grand Secret of Health consists in keeping an Equi- librium between the Solids and Fluids—ib. Aphoristical Rules of Diet in the various Stages of Life 251 to 258 CHAP. IX. Of Sleeping and Waking. Sleep, what—258 The Use, Benefit, and Causes of Sleep—261 The natural Cause of Sleep 263 The Effects of two much Watching—ib. Late Meat suppers prejudicial to Health—264 The Effects of too much Sleep—266 Of sleeping in the Day-time, or after Dinner—267 The ordinary Time allowed for Sleep—268 The properest Time for sleep- ing 268 Nothing more pernicious to the Constitution, than watching by Night and sleeping by Day—ib. Rules to be observ'd in regard to the Position or Posture of our lying in Bed—270 CHAP. X. Of Motion and Rest. The use of Motion and Rest 271 The Necessity of Motion or Exercise mechanically proved—273 to 282 Of the Effects of Musick—283 Its wonderful Effects in cur- ing the Bite of the Taran- tula, Note *—ib. The Effects of too much Rest—286 The absolute Necessity of La- bour and Exercise for the Preservation of Health far- ther consider'd—ib. The bad Effects of too much Labour or Exercise—287 Of general Exercises—ib. Riding of all Exercises the best—ib. Of particular Exercises ap- propriated to certain Parts of the Body—28 Conditions to be observ'd what regard to Exercise—29 CHAP. xxix The CONTENTS. CHAP. XI. Of Retention and Excretion. What Things are to be ex- creted or evacuated, and what retain'd—291 The Cause of costive Stools 292 The best Proportion of the gross Evacuations to the Quantity of Food taken in ib. Purging Stools how they dis- cover the Badness of the Regimen we use—293 The Reason why Mercury will purge instead of sali- vating—294 That the same Reason will make appear why Restrin- gents and Opiates prove purgative—ib. A dangerous Mistake in rear- ing up Children—ib. Loose and purgative Stools discover intemperate Eat- ing—295 The Mischief arising to Hy- sterical and Vapourish Peo- ple, by perpetually cram- ming and gobbling the richest and strongest Food, and highest Cordials—ib. The common Cause of Head- Aches, Stomack-Aches, and Colicks—296 The right Method of bracing relax'd Nerves—ib. An uncommon Evacuation both by Stool and Urine, and the Causes of it—297 Urine, and what it con- sists of—299 Unite of a bright Amber Co- lour the best—300 The Effects of Urine too long retained—ib. The Effects of too great an Evacuation of Urine—301 Of the different Tastes, Smell, Colour, and Quantity of Urine—ib. Of high-colour'd, foul, and turbid Urine—302 Of dark-brown, or dirty red- colour'd Urine—ib. Of bloody, mattery, or whey- ish Urine—303 Obstructed Perspiration the Cause of most acute Di- seases, and the Effect of chronical ones—ib. Catching of Cold what, and how dangerous—ib. A present, easy Remedy a- gainst it—304 Certain Indications of Per- spiration's being deficient or obstructed, with Direc- tions how to remedy the same—ib. The Semen what, and the Effects of moderate Coition 305 Immoderate Coition and its bad Effects—306 The Menses a necessary Eva- cuation, and what,—307 Of Sweat and the Nature of it—308 Sweat different from insensible Perspiration—ib. Of the Saliva, or Spittle, and the Use of it—309 Of Tobacco and its Effects 310 Of the Mucus or Snot, and Tears—311 Of Ear Wax and its Use—312 CHAP. xxx The CONTENTS. CHAP. XII. Of the Passions or Affections of the Mind. The Essence and Causes of the Passions not consider'd, but their Effects and Influ- ence upon Human Bodies 312 The Manner how the Mind operates upon the Body 313 How the Passions of the Mind consume the Spirits and disorder the Body—ib. Joy and Anger render Body lighter—314 Fear and Sorrow increase the Weight of the Body—315 The Passions to be consider'd as physical Agents ib. An Enumeration of the chief Passions of the Mind—ib. Of Love (properly distinguish ed into three Kinds) and its Effects—317 Of Hatred and its Effects—320 Of Shame, Hope, Despair, and their Effects—321 The Passions are properly di- vided into acute and chro- nical—323 The Effects of acute Passions ib. The Cause of Blushing—ib. The Cause of Sighing—324 The Effects of the Suddenness of the Passions when ex- treme—ib. Of chronical Passions—ib. The Effects of chronical Pas- sions—325 The Passions have a very great Influence upon Health—ib. The Advantages of Spiritu- al Love with regard to Health—326 It banishes all those Vices winch must ruin Health, and gives continual Joy and Serenity, inseparable from Health—ib. The Conclusion—327 PART III. CONTAINING, The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of Bathing and Frictions. The Introduction—329 CHAP. xxxi The CONTENTS. CHAP. I. Of Fevers, both in general and particular. A Fever, what—333 Sydenham's Definition—ib. Boerhaave's Sentiments—ib. The Symptoms of Fevers in general—ib. The general Cure of Fevers 334 Of the Symptoms—ib. The Benefit of giving a Vo- mit in Fevers—335 When a Purge may be given with Advantage—336 The Cause of Fevers accord- ing to Hippocrates—ib. A Rule of Diet in Fevers—337 A Division of Fevers—ib. Of an Ephemera and putrid Fever, what—338 The Causes of a putrid Fever ib. The Diagnosticks and Prog- nosticks—339 Of a continent or remitting Fever—340 Of a spurious remitting Fever, and its Prognosticks—341 Of a simple remitting Fever—ib. The Method of Cure—342 A Division of continual Fevers into Burning and Slow Fe- vers, with the chief Symp- toms and Prognosticks—343 The Regimen—344 The Method of Cure—345 Of a Calenture, and of Slow Fevers—346 Of Catarrhal Fevers—ib. The Method of Cure—347 Of Intermitting Fevers—348 The Method of Cure—349 Of Spurious intermitting Fe- vers, and the Cure—351 The proximate Cause of In- termitting Fevers—352 Of Burning Fevers—ib. Great Variety of Malignant Fevers—353 Prognosticks and Cure of Ma- lignant Fevers—354 Of Spotted fevers; their Symptoms, Prognosticks, and Cure—357 CHAP. II. Of the Cure of the most urgent Symptoms attending Fevers. Of Rigor or Shivering in Fe- vers—358 Of Feverish Heat, and the Cure—359 Of Thirst, Anxieties, and Vo- miting in Fevers—360, 361 Of a Looseness in Fevers—363 Of a Strangury, and profuse Sweats in Fevers—364, 365 Of a Pain in the Head, Watch- fulness, Coma, and Deliri- ums in Fevers—366, 367 Of Convulsions in Fevers—368 Of Weakness in Fevers—369 Of inflammatory Eruptions in Fevers—370 Of the Small-Pox; its diffe- rent Stages and Cure, from 371 to 380. CHAP. xxxii the CONTENTS. CHAP. III. Of inflammatory Diseases attended with a Fever. Of a Phrensy, or Inflamma- tion of the Brain—382 Of a Quinsy; its different Sorts, and Cure—384 Of a Pleurisy—386 Of a Peripneumony, or In- flammation of the Lungs 389 An Empyema, what—391 Of a Paraphrenitis, or Inflam- mation of the Diaphragm 393 Of an Inflammation of the Stomach—ib. Of an Inflammation of the Liver—395 Of an Inflammation of the Mesentery—400 Of an Inflammation of the Guts, Symptoms and Cure 402 Inflammations of the Kidneys 405 Of an Apoplexy—409 CHAP. IV. Of Chronical Distempers. Of a Palsy—413 Of an Hemiplegia, and a Pa- raplegia—415 The Cure—416 Of an Epilepsy, or Falling- Sickness—417 The Causes Various—ib. Of Melancholy Madness, and the Causes—421 Of Madness from the Bite of a Mad-Dog—425 A new and sure Method of Cure—429 Of the Scurvy—432 The Cause—433 Of a Cachexy, or ill Habit of Body—435 The Signs, and Cure—436 Of a Consumption—439 Of the concomitant Cause of a Consumption—441 The Method of Cure, from 449 to 452 Of a Dropsy—452 Of the Gout—456 The Effects of Abstinence in the Gout—461 Of Rheumatism—ib. The Cause and Cure—462 Of the Stone and Gravel—463 CHAP. V. Of the Nature and Use of Bathing and Frictions. Of Cold Bathing—467 Necessary Rules to be observ'd before Cold Bathing—470 Wherein Cold Bathing is in- jurious—471 The Use of warm Bathing—473 The Use and Effects of hot Mineral Baths, such as that famous one in Somersetshire 474 Of Frictions and their good and bad Effects—476 A (1) A Guide to Health, &c. PART I. Of the different Degrees and Changes of Age; the principal and inevita- ble Causes of Old Age; and, final- ly, of our Dissolution. To which is annex'd A brief, chronological, and historical Account of LONG LIVES, from before the Flood to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life; with a Description and Definition of Old Age. As our Bodies are subject to Changes and Alterations, from the Minute we come into the World; so the Physicians, regarding the most ap- parent and sensible Changes only, have divided man's whole Life into several Periods, which A they 2 A GUIDE to HEALTH Part I. they call Ages: The Egyptians reckon'd as many as there are ‡ Septenaries in a hundred; for they were of Opinion, that Man's Life could not exceed that Term. The Pythagoreans, who were very super- stitious in the Doctrine of Numbers, have publish'd in their Writings, that we undergo remarkable Changes every seven Years, as well in regard to the Temperature of the Body, as the Qualities of the Soul; all which must be referr'd to the Excellency and Perfection of the Number Seven. But I will not enter into Disquisitions upon Numbers in this Place; it is enough for me to have the Concurrence of all the most cele- brated Authors, that Man, according to the natural Course of Life, undergoes five remark- able Changes in his * Temperament, and passes five Ages or Periods; that is, Infancy, Ado- lescency, Youth, Manhood, and Old Age. Infancy is hot and moist; but the Moisture is predominant, and keeps the Heat in such Subjection, that it can no way shew its Effects. It ‡ Septenarius, or Septennium, containing the Space of seven Years. Some of the Antients reckon'd every Constitution underwent some remarkable Change in every such Revolution, whence the seventh Year was call'd critical, or climacterick Year. * Temperament is that Diversity in the Blood of different Persons, whereby it is apt to fall into some certain Combina- tions more in one Body than another, whether into Sanguine, Choler, Phlegm, or Melancholy; from whence Persons are said to be of a sanguine, cholerick, phlegmatick, or melancholy Tem- perament or Constitution. Of all which I shall speak more at large hereafter. Part I. thro' the various Stages of Life. 3 It continues to the thirteenth or fourteenth Year. Adolescency follows, which is likewise hot and moist, but the Heat begins to be predo- minant; for we see its Sparks shine and lighten every where. In Males the Voice then begins to grow loud and hoarse; they spread and dilate every way, and cast their first Downs. In Females the Breasts grow visibly harder and larger, the Blood is in Motion thro' the whole Body, and pushes on all Sides till it finds Passage. This Period extends to the Age of four or five and twenty, which is the Term limited by Nature for Growth. This is succeeded by Youth, which is full of Heat, Vigour, and Agility: It runs to thirty- five or forty. In this Age the Body comes to its full State, and the Fibres, Membranes, and Bones to their due Solidity. This is what is call'd Manhood, and is the most temperate of the Ages of Man, participating of the four Extremes equally, and extending to the fiftieth Year; where Old Age begins, which com- prises the Remainder of our Lives. Now this last Period of Man's Life may be divided into three Stages; but I pass over that which is call'd Senium ex morbo, that is, Old Age brough on by Sickness. The first is call'd Verdant: It is accompa- nie with Prudence, and is full of Experience, and fit for governing Commonwealths, and managing Affairs of Importance. The se- A2 cond 4 A GUIDE to HEALTH Part I. cond begins at Seventy, and is attended with several little Ailments, and is cold and dry. As to the first, there are such apparent Marks of it, that none ever doubted it; for if we touch old Men of those Years, we shall find them generally very cold in all their Muscles; they have no lively or Vermillion Colour; all their Senses are weaken'd, and they are subject to a great many cold Distempers: But as to the other Quality, Dryness, some have endea- vour'd to dispute it, saying that this Period is moist, but not dry. To this Galen replies, in his first Book de Sanitate Tuenda, that old Men have all those Parts dry which are moist in Children; that is, the solid Parts, upon which the whole Constitution depends. This is even the Opinion of the Moderns, and what we should follow; for Leanness, Wrinkles, Hardness of the Nerves and Skin, the Stiff- ness of the Joints, are sufficient Demonstra- tions of this dry Temperament at that Age. At length comes the last Step of Old Age, and is call'd Decrepit; in which, according to the Royal Prophet, there is nothing but Pains and Grief; for all the Faculties of the Soul and Body are weaken'd, the Sentiments dull and heavy, the Memory lost, the Judg- ment defective. This Last Period of Old Age is describ'd in the twelfth Chapter of Ecclesiastes, under so beautiful an Allegory, that nothing can excel it; and as the Royal Author was the greatest Philosopher and Naturalist that ever wrote, I will Part I. thro' the various Stages of Life. 5 will therefore present the Reader with his Description of this Stage of Life at large, which, besides its Beauty, will likewise serve Us for Instruction and Counsel. Remember, says he, thy Creator in the Days of thy Youth, while the Sun, or the Lights or the moon, or the Stars be not darkened, nor the Clouds return after the Rain. In the Day when the Keepers of the House shall tremble, and the strong Men shall bow themselves, and the Grinders cease, because they are few; and those that look out of Win- dows be darkened, and the Doors shall be shut in the Streets, when the Sound of the Grinding is low, and he shall rise up at the Voice of the Bird, and all the Daughters of Musick shall be brought low. And when they shall be afraid of that which is high, and Fears shall be in the way, and the Almond-tree shall flourish, and the Grashopper shall be a Burden, and Desire shall fail, because man goeth to his long home, and the Mourners go about the Streets. Then shall the Dust return to the Earth as it was: and the Spirit shall return to God that gave it. This is the Description of Stage of man's Life, which is admirable. In decrepit old Age, the Sun and the Stars are darken'd; that is, the Eyes of Man, which are grown dim; nor the Clouds return after the Rain; A3 that 6 A GUIDE to HEALTH Part. I. that is, after they have been weeping a long time, they seem to have thick Clouds before their Eyes. The Keepers of the House shall tremble; that signifies the Hands and Arms, which have been given to Man for the Defence of his whole Body. And the strong Men shall bow themselves; that is, the Legs, which are the Columns that support the whole Building. And the Grinders cease; that is, the Teeth, which grind and chew the Aliments. And those that look out of the Windows be darken'd; that is, the Eyes, which are troubled with Cataracts, and several other Disorders incident to the Sight of decrepit old People. And the Door shall be shut in the Streets, when the Sound of the Grinding is low; those are the Chops, which cannot open to chew, or the Canals thro' which the Aliment us'd to pass, but are now grown straight and narrow. And be shall rise up at the Voice of the Bird; that is, decrepit old People cannot sleep, and are always awaken'd by the Cock's Crowing. And all the Daughters of Musick shall be brought low; that is, their Voice, which fails them. And the Almond-tree shall flourish; that is, the Head, which is all white. And the Grashopper shall be a Burden; that is, the Legs, which are swoln, &c. Having now describ'd the Ages terminated by Years, I would not however be so far con- fin'd to the usual Number into which Man's Life is divided, as if Youth and Old Age must intirely depend upon it; We ought rather to regu- Part I. thro' the various Stages of Life. 7 regulate ourselves by the * Temperament, or Nature of our Constitution: for we may call every Man that is cold and dry, an old man; there are a great many such at forty, and a great number of young Men at sixty. some Complexions fail sooner, and others later. The sanguine are of long Duration, be- cause they have a deal of Heat and Moisture, which Constitution or Temper is most com- modious to Mankind, and qualifies them best for Action, and is therefore most consistent with Health and long Life; whereas the contrary Temper, viz. cold and dry, soon tends to Decay and Death; for the sooner a Body wi- thers and dries away, the sooner it grows old, and draws near its Dissolution. This Heat and Moisture hath also its several Degrees, but these Qualities are best when moderate; those which differ and recede from that Me- diocrity, are called hot and moist, hot and dry, or cold and moist, and cold and dry, tho' all in general are hot and moist in some Degree. These differences of Tempers are com- monly distinguish'd by the Denominations, which I have observ'd already of Sanguine, Choleric, Phlegmatic, and Melancholic Con- stitutions, according tothe Nature and Dis- position of the Juices in the several Bodies, where the excrementitious Discharges answer thereto. They whose Blood is of a mode- rate Templer, between hot and moist, are called sanguine; those who exceed in beat, A4 and * Temperament, See Pag. 2. Note * 8 A GUIDE to HEALTH Part I. and whose Blood is dryer, are called Choleric; those who are cold and moist, Phlegmatic; and lastly, those who are cold and dry, Me- lancholic; and this last Temper or Constitu- tion grows old sooner than any of the rest. As to what regards the Sexes, the Fe- male, generally speaking, grows old sooner than the Male, which Hippocrates justly ob- serves, in his Book concerning those Chil- dren who are born at the End of the seventh Month. The Females, says he, are later in forming and growing in the Womb than the Males; but when they are out of it, they grow faster, have earlier Understanding, and are sooner old, on account of the weakness of their Bodies, and their manner of living. Weakness hastens their Growth, and brings them likewise sooner to old Age; for as the Plants which are short-liv'd grow in a few Minutes, so the Bodies which have no long Duration, soon come to their Perfection. Their manner of living likewise contributes very much to their growing old soon, as they most commonly lead an unactive life; for nothing brings us sooner to old Age than Sloth and Idleness. As to the different Tempers and Constitu- tions of Men, they depend, in a great mea- sure, not only upon the various Dispositions of the Humours contain'd in the Body, but also on the peculiar Conformation and Struc- ture of the noble Parts, and their various Proportions in respect to each other, which disposes Part I. thro' the various Stages of Life. 9 disposes them to breed Humours of diffe- rent Kinds and Dispositions; and endows them with various Qualities, according to the several Alterations they undergo in diffe- rent Bodies, and the Proportion of such ani- mal Fluids differently fermented, exceeding or falling short in Degrees of Digestion; or being variously vitiated by the assimilating Qualities of Humours already contain'd, or of fresh Food taken into the Body, which may pervert the Disposition of the Fluids al- ready contain'd in the Blood Vessels. The Proportion of the Parts of the Body, and their Conformation, may contribute to the difference of Constitution, as they sepa- rate and discharge Humours, not only diffe- rently prepar'd, but in greater or less Quan- tities: Thus, if the Heart be larger in Pro- portion to the Body than the rest of the Parts, the Blood must circulate more briskly, and with greater Force; if the Liver be large, and separate a great Quantity of Bile, the Chyle and Blood must be more bilious; and as the Stomach digests differently, the blood must be supplied with Nourishment in greater or less Quantities, more or less di- gested, and so occasion Sanguine, Choleric, or Phlegmatic Constitutions. Thus the noble parts contribute to the different Temper of the whole, as well as other particular Parts themselves. Hence it is; that different Parts of the Body are, in respect of one another, esteem'd to 10 A GUIDE to HEALTH Part. I. to be of different Tempers; as the Heart, up- on account of its Situation and constant Mo- tion, may be reckon'd one of the hottest Parts of the Body. The others reckon'd of a hot Temper, are the Liver, the musculous Flesh, the Spleen, the Kidneys, Lungs, Veins, Arteries, and Fat. The cold Parts are, the Bones, Cartilages, Ligaments, Tendons, Nerves, Membranes, Spinal Marrow, and the Brain. Those which are accounted moist, are the Fat, Marrow, Brain, Breasts, Testicles, Lungs, Spleen, Kidneys, musculous Flesh, Tongue, Heart, and the softer Nerves. The dry Parts are, Bones, Cartilages, Ligaments, Tendons, Membranes, Arteries, Veins, and hard Nerves. There is moreover another difference in the Tempers or Constitutions of human Bodies, in respect of Age and Sexes; thus Women are naturally colder than Men, too much Heat being supposed apt to consume and vi- tiate the tender Nourishment of Infants, which is to be prepar'd in the Mother. Age likewise alters Constitutions, according to the several Stages and Periods, as I have ob- serv'd before; thus Infants and Children are hot and moist. Youth more temperate, Men and full-grown Persons hot and dry; where- as in old Age the Heat decreases, and Nou- rishment is dry'd up for want of its usual Supplies. Another thing that makes Constitutions differ, is the difference of Climates, the manner Part I. 11 thro' the various Stages of Life. 11 manner of living, the nature of the Food they use, and the Liquors wherewith the more solid Parts of the Food are diluted; but for a more particular Account of different Constitutions, see Part II. Chap. IX. where I treat of the Diet proper for each respe- ctively. Having hitherto given the Reader an Ac- count of the different Degrees and Changes of Age, as likewise a Description of decrepit old Age, supported by the Authority of the wise Solomon; and lastly, of the Causes and Nature of different Constitutions, I shall now finish this Chapter with the Definition of it, which will be of singular Use to such as will observe the Precepts hereafter men- tion'd, in order to preserve Health and long Life. The incomparable Sanctorius, most ele- gantly and concisely defining old Age, says in Aphorism xxxv. Sect. v. Senectus est univer- salis fibrarum durities, &c. that is, old Age is an universal Hardness of the Fibres, &c. which implies; that when there is a greater Waste of the nervous Fluid than can be repair'd, then the component Machinulœ * of all the Fibres of the human Body, for want of a Sufficiency of this animal Oil or Fluidt are harden'd and dry'd, the Pores are thereby straiten'd * Machinulœ signifies in Anatomyy the various Textures, Combinations and Decussations of the Fibres, compounding the Muscles, Nerves, and Membranes of the Body; which is only a Diminutive from the Word Machine. 12 A GUIDE to HEALTH Part I. straiten'd and obstructed, by which means the natural Heat is stifled, and at last Death en- sues; hence it is, that the nearer a Person is brought to this State of an universal Hard- ness of the Fibres, &c. by any means what- ever, the farther such a Person may be said to be advanc'd towards old Age. Wherefore the great Secret and sole Me- thod of long Life, is to preserve the Blood and Juices in a due State of Fluidity and Thinness whereby they may be capable of making all those Circulations and Rounds thro' the animal Fibres, wherein Health and Life consist, with the fewest Rubs, and least Resistance that can be. But notwithstanding all our Efforts, Time and old Age will stiffen and fix our Solids at last; for Age and Time, by weakening the Appetite and Concoctions, impairing the natural Heat, which consists in a brisk and extended Circu- lation of the Fluids to all the Parts of the Body, by the converting those Juices into solid Substances, and thereby fixing and hardening these Solids, and depriving them of their due Elasticity; so the remaining Fluids circulate slower, and with less Force, and seldom reach the Extremities and smallest Ves- sels, but only pass slowly through the larger Vessels..And tho' with all these unavoidable Circumstances, both the nutritious Juices, the serous and globular Part of the Blood be- come viscid, thick, and gluey, so that the Circulation must stop, and come to an end at last; yet it is certainly in a great measure in Part I. thro' the various Stages of Life. 13 in our own Power to put a Stop to the too quick Approaches of such an irremediable Period, by keeping our Juices in a due State of Fluidity and Thinness, and to render them such, if they are not corrupted to an extreme Degree; so that the remainder of Life be not too short to undertake such a Work; for it is very certain, that we may dilute and thin any Fluid, that has an Inlet and Outlet. And the smaller and finer the Parts of any circulating Liquor are, the less Force it will require to set it a going, and to continue its Motion: And it is just even so in animal Bodies; for the more fluid and thinner the Juices are, they will not only circulate with less Force, and with less Resistance or Pain, but they will likewise preserve, by their Cir- culation, the Solids the longer from harden- ing and stiffening. Now, as nothing brings a Person sooner to that State of universal Hardness and Stiff- ness of the Fibres, and a Viscosity and Thick- ness of the Juices, than indulging in strong high Meats, which the concoctive Powers cannot divide small enough to be converted into red Globules of Blood, or circulate thro' the small Vessels, but overload them with corro- sive urinous Salts, which run into Clusters, and first obstruct, and afterwards tear and break these small vessels, and likewise in swilling of strong Liquors, which by their caustick Quality dry up, burn, and destroy the tender and delicate Fibres of the Solids; I therefore 14 A GUIDE to HEALTH Part I. therefore I say, as nothing but such an Indul- gence, and such long-continued Excesses, and obstinately persisted in, can so soon produce such a State of the Fluids and Solids, and consequently bring on many fatal chronical Diseases, according to the particular Habit, Make, and Constitution of the Person: So it is evident, that the only Method and most effectual means that can solidly and thorough- ly accomplish the contrary State of the Blood and Juices, is to render them thin, sweet, and in a continual flowing Condition, by taking the contrary Measures, in keeping to a strict Regimen of a fluid, thin, spare, plain, and lean Diet; for as Dr. Cheyne justly ob- serves, No voluptuous and lazy Person, unless be had an original Constitution of BRASS, ever liv'd to a great Age; and even then, as his Life has been more Misery and Pain, than ever a SOBER GALLY-SLAVE endur'd, his End, and the latter Part of his Days has been RACK and TORTURE, HORROR and DESPAIR. So that Longœvity is scarce ever found but among the abstemious. As all the Parts of the human Body are made up of Fibres, which are small, trans- parent, solid, and elastick, or springy Threads or Filaments, of which mention is made in the foregoing Definition of old Age, and which have been sufficiently demonstrated by Physician and Anatomists already; yet it will not be improper to give some Account of them here, for the sake of as many of the English I Readers Part I. thro' the various Stages of Life. 15 Readers as may be unacquainted with either Physick or Anatomy, and for whose Benefit I have chiefly compiled this Treatise. Therefore these Fibres, or small Threads, that constitute the human Body, are of diffe- rent Sorts; some are soft, flexible, and a lit- tle elastick ‡, and these are hollow like small Pipes, or spongious, and full of little Cells, as the nervous and fleshy Fibres. There are others more solid and flexible, but with a strong Elasticity, as the membranous and car- tilaginous Fibres; and a third Sort hard and inflexible, as the Fibres of the Bones. And of all these some are very sensible, as those of the Nerves, Blood-vessels, Membranes, Ten- dons, and Muscles; and others are destitute of all Sense, as those of the Bones; some so very small as not to be easily perceiv'd; and others, on the contrary, so big as to be plain- ly seen; but most of them, when examin'd with a Microscope, appear to be composed of still smaller Fibres, and may be divided still into less; and indeed this Division proceeds so far, that at last they become so incredibly small as to exceed all the Power of Imagina- tion; but Reason will shew us, there must be an End. Now these simple Fibres do first constitute the Substance of the Bones, Cartilages, Liga- ments, ‡ Elastick or springy, signifies a Force in Bodies, by which they endeavour to restore themselves to the Posture from whence they were displace by any external Force. 16 A GUIDE to HEALTH Part I. ments, Membranes, Nerves, Veins, Arteries, and Muscles. And again, by the various Texture and different Combinations of some, or all these Parts, the more compound Organs are fram'd, such as the Lungs, Stomach, Liver, Legs, and Arms, the Sum of all which makes the human Body. CHAP. II. The principal and inevitable Causes of OLD AGE, and of our DISSOLUTION. I Shall shew in this Chapter, with what has been already said, such things as alter our Bodies, and whatever makes them grow old, and brings us at last to our Dissolution. The Causes, then, of the Alterations of our Bodies, and likewise of our Dissolution, are either external or internal: These last are born with us, and always attend us, even to the Grave: The others come from without us, surround us on all Sides, and, tho' we can guard ourselves against some of them, there is however an infinite Number of them which we cannot escape. The internal Causes which come into the World with us, are two, viz. the Contrariety of the Principles of which our Bodies are composed, and the Animal Actions or Func- tions of the human Body The Ch. II. thro' the various Stages of Life. 17 The Principles of our Composition are, 1. A Water or Phlegm. 2. A volatile Fluid or Spirit. 3. A saline Matter or Salt, both Volatile and fix'd. 4. A fat Substance or Oil, otherwise call'd Sulphur. 5. An Earth, or Caput Mortuum. But the Spirit being only a Mixture of Phlegm and Salt, these five may be properly reduced to four †. The Animal Actions, or Functions, which happen in all the Parts of human Bodies, by the Motion of the Humours in their distinct Vessels, and the Effects they have upon one another, are distinguish'd into vital, natural, and animal, Those call'd vital so much con- duce to preserve Life, that they are of abso- lute Necessity; as the muscular Action of the Heart, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions thro' their proper Organs; and also the Veins, Arteries, and Nerves. The Natural Actions are those that so alter our Aliment, as that it may become Part of our Substance; and such are the Actions of the Bowels, vessels and Humours that receive, re- tain, move, change, mix, separate, apply, discharge, and consume. The Animal Functions are such as, when perform'd, the Understanding conceives Ideas of Things, united to that Action; or the Will is either concern'd in exciting such Actions, or mov'd by them when excited: Such are B the † Boerhaave Institutiones Medic. de Natura & Part. Sang. 18 A GUIDE to HEALTH Part I. the Touch, Taste, Smell, Sight, Hearing, Per- ception, Imagination, Memory, Judgment, Reason, Passions of the Mind, and voluntary Motions. From hence we may know, that Health is such a Disposition of the Body as fits it to exercise all its Actions, and that all the Effects of those Actions respect determinate Motions, and the Change made in our Ali- ment. The Principles of our Composition just now mention'd, being duly distributed thro' the whole Body, may be call'd an Equilibrium between the Solids and Fluids of a Person in Health; or, which is the same thing, an exact Ballance of Contrarieties, making a kind of Agreement or Harmony amongst themselves, in order to mix and unite; wherein each of them quits something of its Sovereignty, and reduces itself to a Mediocrity, which is call'd Temperament. But this Alliance is of short Duration; for the Body, by the Actions inse- parable from Life, suffers such a gradual Change, that the smallest Vessels become stiff, and the minutest grow together into Fibres, unfit for the Humours to pass thro' them; the greater Vessels become hard and narrow, and all are contracted, and, being compress'd, grow together, which occasions Dryness, and Un- aptness to Motion in old People. By this means the Actions of the small Vessels are de- stroy'd, and the Humours stagnate and grow thick in them, and the Fibres adhere toge- ther: Thus the most subtile Parts of the Juices Ch. II. thro' the various Stages of Life. 19 Juices are wanting and dissipated, Digestion is weaken'd, Nourishment is deficient, and the grosser Humours only circulate thro' the large vessels slowly, and support Life alone, with- out the Animal Action till at last these Changes bring on Death from Old Age, the Successor of perfect Health; which happens sooner if the Actions of Life have been violent, but later if moderate; and this is one of the Causes of our Dissolution: It is inevitable, and we bring it with us from the Womb, But, in order to make this more evidently ap- pear, it is necessary to consider the following Particulars concerning Nutrition, Growth, and Decrease of the Body. As there is an Aptness to Motion requisite in the Vessels, Muscles, and Fibres of the hu- man Body, in order to enable it to make due Use of all the Motions of its Humours, Ves- sels, and Muscles, without Detriment there- unto; So, for this Purpose, the Parts which are coherent, should be partly free from Con- tact, and partly remain in it, which cannot be, unless the greater Parts consist of the smallest, thinest, and shortest ones; nor will that happen again, unless a renovating Hu- mour passes continually betwixt them, to hin- der their growing together; therefore, as the whole human Body is flexile, and subject to Changes from Contact, of Necessity it ought to consist of small Vessels. But this very Motion, being continually and violently perform'd, in Vessels of such a B2 tender 20 A GUIDE to HEALTH Part I. tender Fabrick, the least Parts must of neces- sity be thereby worn off from the Solids; and thence, being mix'd with the Liquids, be mov'd round by the perpetual Circulation of the Juices, as well as by the Action of the Muscles, and exhale. In the mean while the Fluids, being ground small by the continual Attrition of their Parts, and drove to the Ves- sels thro' which they exhale or transpire, are quite excluded out of the Body; and thus the Animal Body, from the very Condition of its Frame, is soon destroy'd. Therefore it is requisite, for the due Con- tinuance of Life, that as much Matter, and of the same Kind, should be continually re- stored to the Humours and solid Parts, as was lost by those Motions, which Action is call'd Nutrition. The Humours that are worn away, are again supplied, as to their Matter, by Air, Meat, and Drink. As to the Qualities re- quir'd, those are produced by the concurring Assistance of all the Parts of the Body, and by means thereof applied to the Vessels where they are wanting. Every solid Part of the Body is composed of other less Solids, very like the greater; the Vessels, of smaller Vessels; and the Bones, of smaller Bones. And this manner of Structure proceeds beyond all the Limits of Sense, as- sisted by what Art soever, as Malpighi, Ruysche, Leeuwenhoek, and Hook, have de- monstrated by accurate Experiments: yet this Divi- Ch. II. thro' the various Stages of Life. 21 Division scarce seems to proceed ad Infinitum, as appears by the Nature of the Nourishment and Fluids themselves. Moreover Microscopes, Injections, the least imaginable Wounds, Vesicatories, Comsump- tions, and the withering away of the Body, inform us, that our solid Parts, in respect of the Humours, are but very small; for it is al- most demonstrable, from the Consideration of the Rise and Generation of the Vessels, and the Resolution of the greater Canals into their least constituent Parts, that the whole solid Mass of our Bodies is almost wholly compos'd of mere Nerves, consider'd in their primary Composition and Communication. And truly all that Mass, except an incre- dible small Particle, at first grew together, from those which were before the most sub- tile Liquid of the Colliquamentum or Fluid, almost all which goes to compound the Body, being much like the nervous Fluid, according to Malpighi; for the White of an Egg does not nourish, before it has been long brooded upon, till that thick clammy Humour has pass'd thro' a vast many Degrees of Fluidity, by several Changes, to fit it at last for the Purposes requir'd; but even then, when it comes to supply the Embryo, it is very thick, and must be much more subtiliz'd in its Ves- sels and Bowels. The first tender solid Parts being made out of this most subtile Humour, which are then almost fluid, they pass again thro' a vast many B3 diffe- 22 A GUIDE to HEALTH Part I. different Degrees of Solidity, before they ar- rive at the Perfection of solid Parts; as ap- pears from Malpighi's Experiments upon Eggs, and the incomparable Ruysche's upon Embryos and Fœtuses, and even from the differ rent Parts themselves. Hence it appears, that the solid Parts, in their first Origin, differ only from Liquids, whence they spring, by Rest, Cohesion, and their Figure; therefore such a Particle, while fluid, will become Part of Solid, to be form'd thereof, as soon as the Power that causes it to cohere with the other solid Parts, shall act, by what means soever it be. This Cohesion of the Parts is best pro- duc'd in a Fibre already form'd, if there be a sufficient Place in the Solid, left by that Particle which was lost, and at the same time, another Particle in the Fluid of equal Bulk, Figure and Nature, and endow'd with suffi- cient Force to thrust it in, or fit it to that Place. Therefore there will be a true Nutrition of the Solids in the smallest Vessels, which, by Addition, become greater; that is, in the Nerves or Vessels like them; which, since it cannot be perform'd without a Liquid be brought into those Vessels, seems very plain, that the most immediate matter of Nourish- ment is the most subtle, nervous Fluid, or some other like it; and therefore appears to be perform'd and produc'd from the last and most refin'd Actions of Nature; and that it may Ch. II. thro' the various Stages of Life. 23 may be well perform'd, all the preceding Actions ought to be perfect. The Chyle therefore may fill the greater Vessels, but cannot recruit the solid Parts; but being attenuated, alter'd, rarefied, mix'd, and made fit to pass thro' some Vessels, by the force of Respiration in the Lungs, it is render'd the more proper indeed, but still not fit Matter for this Purpose. However, by the repeated Effects of the Lungs, Bowels, and Vessels, it becomes a white, tenacious, forming Liquor, almost Without Smell, thickens by the Heat of the Fire, or in Spirit of Wine; being then like the White of an Egg, and called Serum; and therefore is such a Fluid, as has all the requi- sites which ought to be in that Humour; whereof Experience teaches us, that all the solid Parts of an animal Body are constantly made or form'd, only by Incubation, or a constant Heat and Digestion. Thus then the Matter is brought a Degree nearer, but yet is not quite fit for Nutrition; much less is red Blood, which never enters the smallest Vessels. But as the Heat of Incubation, so the action of the Viscera and Vessels, occasions divers Changes on this circulating Serum, till Part of it is turn'd into such a subtle Humour as is here requir'd; and being consumed, it is again supplied, and this at length becomes the true and immediate Matter of Nourish- ment; which, how simple it is, how insipid, B4 or 24 A GUIDE to HEALTH Part I. or without Smell, will appear from the Fire, Putrefaction, or the Art of Chymistry, for it leaves behind but a pure and exceedingly light Earth. Nor can this Matter be prepar'd, without undergoing the foremention'd Alterations: But the same Humour may, by too often and repeated turns of Circulation, grow sharper, or lose its Liquidity, and become thick; be- ing drain'd of its oily Parts, and render'd pun- gent by Salts, and then it is unfit for this Use; which may, perhaps, be partly dis- charg'd by Perspiration, and partly by Urine. Therefore there is a necessity of new Chyle, and consequently of Aliment, to supply this Nourishment. As to the Manner how, and the Cause why Nutrition is perform'd, that will appear from what follows. The Humour being forced forwards, thro' a full, conical, cylindrical, elastic, or stiff and rigid Tube, if it flows from a broad Part into an narrower, or with a Resistance against its Motion, it will endeavour to extend the Sides of the Canal, according to its longer Axis; and this happens all over the Body, ex- cept in the Veins, and the Cavity of the Re- ceptacles. And by this Force, tho' small, be- ing constant and repeated, the Vessels will by Degrees, and insensibly be lengthen'd; and by growing longer, will become thinner, and soon be more and more attenuated: By this means, the utmost Extremities of the Vessels, which are smallest, will be less coherent, and next Ch. II. thro' the various Stages of Life. 25 next to a State of Dissolution. And thus the Extremities of the Vessels will be ren- der'd much finer and weaker, and little different from Fluids. Whilst therefore this Motion perpetually proceeds in a continual Propulsion, it must necessarily happen, that the last Particles of these very fine Tubes being worn away, will again put on the form of a Liquid, in what- ever Part of the Body they remain; and then the smallest Parts, which compose the finest Fibres, by their Union will be so mutually separated from one another, as to leave small Intervals in those Places where they before grew together; and this will constantly hap- pen every where, as long as Life continues, especially where it is strong, and the Action of the Body violent. But the same Humour wherein all this happens, contains a great many such Particles as were separated or lost, which it carries, ap- plies, and adapts to these very Intervals, with that very Force with which it endeavours to break the Vessels, and then fixes, fits and fastens those intercepted Particles in these Cavities; so that they grow together as the former: for the Matter, the Preparation and Application thereof, with the Force of Mo- tion, will always continue the same; and therefore what is lost will be easily restor'd, and so the solid Parts remain as they were, that is, they are nourish'd and preserv'd con- tinually, And 26 A GUIDE to HEALTH Part I. And this shews the wonderful Wisdom of our Maker, that the same Cause which in- evitably destroys, shall also at the same time repair the Structure of our Frame; and that too according to this Rule, that the greater the Loss, the larger shall be the Supply; and that those Parts, which by the Actions of the Body are first worn, are always the first sup- plied. It is plain then, that the more tender those Vessels are, the newer, and the nearer to the moving Cause, so much the easier they are stretch'd, distended, destroy'd, and re- new'd; and consequently, the nearer our Bodies are to their Origin, the more they grow and increase. Whilst this Action goes forwards, the greater Vessels are more distended by the Li- quor they contain; but at the same time, the small Vessels, which being interwoven, com- pose the Membranes of the greater, are more compressed, dried, and grow nearer together which adds Strength to the Fibres, at the Expence of vascular Property; so that in time our Vessels turn to hard Ligaments, and the Humours become firm and solid. By a Concurrence of these Causes, the Solids be- come strong, hard, stiff and thick. There- fore the vast number of Vessels that are in an Embryo, gradually decrease as Age comes on; and for the same reason, on the other hand, as Weakness decreases, Strength increases; and so in young Persons, the Quantity and Vigour Ch. II. thro' the various Stages of Life. 27 Vigour of the Humours exceed that of the Solids; but in old People, the Solids in Quantity and Strength exceed the Liquids; from whence plainly appears the manner of the Increase, Decrease, and Death of the Body, merely from old Age, with the Causes and different Appearances thereof. Whoever therefore considers this whole Account, and then compares these Accidents which happen to the Body therewith, will clearly perceive this to be the State of the Case; for the whole Cuticle every where per- petually scales off, perishes, and renews again; the Hair, Nails, Teeth, shav'd, par'd, cut off or wore, grow afresh; and Parts of the Vessels and Bones taken away, in a short time return on every side; and if the Filth in the Extremities of the Vessels throughout the whole Body, that is either worn off, or collected there by Exhalation, be view'd in Water with a Microscope, after being eva- porated or diluted, it appears to consist of Solids and Fluids; and the same when ob- tain'd by Washing, Rubbing, or Abrasion, ex- hibit the like Appearance. From hence appears the Reason why the Fabric of our Solids is not dissolv'd by the liquid Contents; and why our Machine con- tinues so long fit for Motion; why, when the Nerves are by any means corrupted, the Part to which they lead, loses its Nourish- ment; why in an Embryo there are no So- lids, in a Fœtus few, and in very old People a 28 A GUIDE to HEALTH Part I. a vast many; so that even the Nerves, Ten- dons, Arteries, and Receptacles in those, first become cartilaginous, and then bony. It is therefore evident from the foregoing Particulars, that the two internal Causes of our Dissolution already mention'd, viz. The Contrariety of the Principles of our Fabric, and the animal Actions or Functions of the human Body, are born, grow, and are nou- rish'd with us, and that, gradually and in- evitably, they bring on Old Age, and destroy the Body at last: nor can all the Physicians in the World guard us against them; for the great Promises made with Assurance, as to the Prolongation of Life for so many hun- dreds of Years, are vain and imaginary, be- ing unsupported both by Reason and Expe- rience: Of this Tribe are Van Helmont's Primum Ens, Paracelsus's Elixir Proprie- tatis; the Primum Ens of Animals; all those precious Liquors, that potable Gold, those Conserves of Rubies, Emeralds, Elixirs of Life; that fabulous Fountain, that was reported to make People grow young, can- not hinder us from Decay and Old Age. Nor is it likely that Life should be prolong'd even by the best Methods in Nature, so many Years as the Chymists pretend by their Art; but their own Experience is a Proof of their Temerity and Inability herein. There are other Causes of our Dissolution, which are external, and likewise inevitable; for as our Bodies consist of three dissipable Sub- Ch. II. thro' the various Stages of Life. 29 Substances, one of which is subtile and airy, the second liquid, and the third solid; so we must necessarily have something that pro- ceeds from without us, in order to repair them, otherwise our Lives could subsist but a few Minutes. That which repairs our Substance is called Aliment, and is threefold. Air, Meat, and Drink; the first nourishes the spirituous Sub- stance, the second the Liquid, and the third the solid Substance. But this triple Aliment, tho' never so pure, has yet always something unlike our Nature, which can never be assimilated to either our Juices or Solids, which must then become excremen- titious; and where an Excrement is genera- ted, and being detain'd in the Body, con- sequently alters it, and causes an infinite number of Diseases; by which means our Bodies are variously chang'd and affected, and often finally brought to an intire Disso- lution. I pass over all the other external Causes, such as too violent Exercises, an unactive and sedentary Life, long and continual Watch- ings, those Passions of the Mind which are most capable of making us grow old, as Fear and Sadness, &c. I say nothing likewise of all accidental Causes, such as Wounds, Fractures, &c. I have only endeavour'd to demonstrate, that the living Creature must necessarily grow old and decay; that he nourishes the natural Causes of Death in himself, and that there I are 30 A GUIDE to HEALTH Part I. are likewise some external ones, which are inevitable. I thought proper to insert in this Place a Chronological and Historical succinct Account of long Lives, from before the Flood down to the present time; with a true and short Character or Elogy of each, faithfully col- lected from the Records of both sacred and profane History; which perhaps, may prove useful as well as entertaining to the Reader. Herein he will observe, not only the Ne- cessity of Temperance towards attaining long Life, but that the length of Life by the running on of Ages, or Succession of Generations, has not in the least abated, from the Time of Moses to our present Days; for the Term of Man's Life has stood near about fourscore Years of Age ever since, as will appear by the following Account. CHAP. III. An Historical Account of Long Lives from the Creation to the present Lime. BEFORE the Flood, Men liv'd many hundred Years, as the Holy Scriptures relate; yet none of the Fathers attained to the Age of a thousand. Neither was this length of Life peculiar only to Grace, or I the Ch. III. thro' the various Stages of Life. 31 the holy Line; for there are eleven Genera- tions of the Fathers reckon'd to the Flood, but of the Sons of Adam by Cain, only eight Generations; so that the Posterity of Cain seems to have liv'd longer. But this length of Life, immediately after the Flood was reduc'd to one half, in the Post-nati only: for Noah, who was born before the Flood, equalled the Age of his Ancestors; Shem also lived six hundred Years. Afterwards, three Generations from the Flood being ran, the length of Man's Life was brought down to a fourth Part of the Primitive Age, that is, to about two hundred Years. Abraham lived a hundred and seventy-five Years, a Man of great Virtue, and was ab- stemious, and prosperous in all things. Isaac arriv'd at the Age of an hundred and eighty Years; a chaste Man, who enjoy'd more Quietness than his Father. But Jacob, after many Crosses, and a numerous Progeny, liv'd a hundred and forty-seven Years; a patient, gentle, religious, and wise Man. Ishmael, a military Man, liv'd an hundred thirty-seven Years, and always observ'd Temperance to be his only Guide for obtaining Health and long Life. Sarah, whose Years only amongst her Sex are recorded, died in the hundred and twenty- seventh Year of her Age: she was a beautiful and virtuous Woman, a singular good Mo- ther and Wife, and yet no less famous for the Liberty from, than Obsequiousness towards her 32 A GUIDE to HEALTH Part I. her Husband. Joseph also, a prudent and politick Man, passing his Youth in Affliction, afterwards advanc'd to the Height of Ho- nour and Prosperity, liv'd an hundred and ten Years; he was sober, chaste, and reli- gious Man. But his Brother Levi, who was older than him, attain'd to an hundred thirty- seven Years; he was a Man that was revenge- ful, and impatient of Reproach or Affront, yet always temperate and moderate in his eat- ing and drinking. His Son liv'd almost to the same Age, as also his Grand-child, the Fa- ther of Aaron and Moses: they were both strictly moderate in their way of living. Moses liv'd an hundred and twenty Years; a stout and virtuous Man, yet the meekest upon Earth, but of very slow Speech; how- ever he pronounces, that the Life of Man is but seventy Years; but if of a more than or- dinary Strength, eighty; which seems gene- rally to be the Term of Man's Life even at this Day. Aaron, who was three years elder, died the same Year with his Brother Moses: he was a Man of a readier Speech, and of a more easy Disposition, but less constant; he was religious, abstemious, and moderate in his Actions of Life. Phineas, Grand-child of Aaron, out of extraordinary Grace, may be collected to have liv'd three hundred years; if so be that the War of the Israelites against the Tribe of Benjamin, in which Expedi- tion Phineas was consulted, was perform'd in the Ch. III. thro' the various Stages of Life. 33 the same order of Time in which the Hi- story has ranked it; he was a Man of most eminent Zeal and Virtue. Joshua, a martial Man, and an excellent Commander, and always victorious; yet he was religiously sober and moderate, and lived to be an hundred and twenty Years of Age. Caleb, who observ'd Temperance, was his Contemporary, and seems to have lived as long as he did. Ehud the Judge, liv'd to the Age of an hundred Years; for after the Victory over the Moabites, the Holy Land remain'd under his Government eighty Years; he was a bold and an undaunted Man, and one that in a great measure neglected his own Life for the good of his People, and was like- wise a strict Observer of Temperance. Job liv'd after the Restauration of his Happiness, an hundred and forty Years, being before his Afflictions of such an Age, as to have Sons at Man's Estate; he was a politick Man, eloquent and charitable, and the true Emblem of Patience. Eli the Priest liv'd ninety-eight Years; a corpulent Man, and of a calm Disposition, and indulgent to his Children. But Elizeus the Prophet seems to have died when he was above an hundred Years old; for he is found to have liv'd after the Assumption of Elias sixty Years, and at the time of that Assumption he was of those Years, that the Boys mock'd him, by the Name of Bald- head; he was a severe and vehement Man C against 34 A GUIDE to HEALTH Part I. against Vice and Luxury, and a Contemner of Riches. Isaiah the Prophet seems to have liv'd to the Age of an hundred Years; for he is found to have exercised the Function of a Prophet seventy Years together, the Years both of his beginning to prophecy, and of his Death, being uncertain; he was a Man of admirable Eloquence, and an evangelical Prophet, full of the Promises of God, and of the New Testament, as a Bottle with sweet Wine. Tobias the elder, liv'd an hundred fifty- eight Years; the younger, an hundred and twenty-seven; both of them were merciful Men, and great Alms-givers; they were like- wise abstemious and moderate in all their Actions. It seems, that in the Time of the Capti- vity, many of the Jews who return'd out of Babylon, liv'd to great Ages, seeing they could remember both the Temples, there be- ing no less than seventy Years between them, and wept for the Unlikeness of them. Many Ages after that, in the Time of our Saviour, liv'd old Simeon, to the Age of ninety Years; a devout Man, and full both of Hope and Expectation. Also Anna the Prophetess, who could not possibly be less than an hun- dred Years old; for she had been seven Years a Wife, about eighty-four years a Widow, besides the Years of her Virginity, and the Time that she liv'd after her Prophecy of our Ch. III. thro' the various Stages of Life. 35 our Saviour; she was a holy Woman, and passed her Days in Fasting and Prayer. As to the long Lives mention'd in Heathen Authors, they have no Certainty in them, both for the intermixture of Fables, to which these kind of Relations were very liable, and for their false Calculation of Years. And we find nothing of Moment of the Egyptians in those Works that are extant, concerning the length of Lives; for their Kings, who reign'd longest, did not exceed fifty, or live and fifty Years, which is no great Matter, since many at this Day live to those Years. But the Arcadian Kings are fabulously re- ported to have liv'd very long; and, as that Country was Mountainous, full of Flocks of Sheep, and produc'd most wholsome Food; but when Fable is the only Guide, there can be no Certainty. Numa King of the Romans liv'd to the Age of eighty; he was a peaceable and con- templative Man, and much devoted to Reli- gion. Marcus Valerius Corvinus compleated an hundred Years, there being forty-six Years between his first and sixth Consulship; he was a Man full of Courage, affable, popu- lar, and always fortunate and sober, observ- ing constantly a cool and moderate Diet. Solon of Athens, the Law-giver, and one of the seven Wise Men, liv'd above eighty Years; a Man of high Courage, popular, and well affected to his Country; he was also C2 learned, 36 A GUIDE to HEALTH Part. I. learned, given to Pleasures, but always mo- derate in his Diet. Epimenides the Cretan is reported to have lived an hundred and fifty- seven Years: this Matter is mix'd with a prodigious odd Relation; for he is said to have slept fifty-seven of those Years in a Cave. Half an Age after, Xenophanes the Colopho- nian lived an hundred and two Years, or ra- ther more; for at the Age of twenty five Years he left his Country, seventy-seven com- plete Years he travel'd, and after that return'd: A Man no less wandering in Mind than in Body; for his Name was chang'd, for the Madness of his Opinions, from Xenophanes, to Xenomanes; a Man no doubt of a vast Conceit, and that minded nothing but Infinitums. Pindarus, the Theban, lived to eighty Years. He was a Poet of an high Fancy, singular in his Conceits, and a great Adorer of the Gods, but a sober Man. Sophocles, the Athenian, attain'd to the like Age; a lofty tragick Poet, given over wholly to Writing, and neglectful of his own Family. Artaxerxes, King of Persia, lived ninety- four Years; a Man of dull Wit, averse from the Dispatch of Business, desirous of Glory, but rather of Ease. At the same time lived Agesilaus, King of Sparta, to eighty-four Years of Age; a moderate Prince, as being a Philosopher amongst Kings; but notwith- standing ambitious, and a Warrior, and no less stout in War than in Business. Gorgias, Ch. III. thro' the various Stages of Life. 37 Gorgias, the Sicilian, was an hundred and eight Years old. He was a Rhetorician, and a great Boaster of his Faculty, one that taught Youth for Profit. He had seen many Countries; and, a little before his Death, said, that he had done nothing worthy of Blame since he was an old Man. Protagoras of Abdera lived ninety Years: This Man was likewise a Rhetorician; but profess'd not to teach so much the liberal Arts, as the Art of governing Commonwealths and States; not- withstanding he was no less a Wanderer in the World than Gorgias already mention'd. Isocrates, the Athenian, lived ninety-eight Years: He was likewise a Rhetorician, but an exceeding modest Man, one that shun'd the publick Light, and open'd his School only in his own House. Democritus, of Abdera, reach'd to an hundred and nine Years: He was a great Philosopher, and, if ever any Man amongst the Grecians, a true Naturalist; a Surveyor of many Countries, but much more of Nature. He was also a diligent Searcher into Experiments, and, as Aristotle objected against him, one that follow'd Similitudes more than the Laws of Arguments. Diogenes, the Sinopean, lived ninety Years, was a Man that used Liberty towards others, but Tyranny over himself; he lived upon a coarse Diet, and was a Pattern of Patience. Zeno, of Citium, wanted but two Years of an hundred; a Man of high Mind, and a Contemner of other Men's Opinions. He C3 was 38 A GUIDE to HEALTH Part I. was also a Man of great Acuteness, but yet not troublesome, chusing rather to take Men's Minds than to enforce them; the like where- of happen'd afterwards in Seneca. Plato, the Athenian; attain'd to eighty-one Years; a Man of great Courage, but yet a Lover of Ease. He was in his Notions sub- lime and full of Fancy, neat and delicate in his Life, rather calm than merry, and one that carried a kind of Majesty in his Counte- nance, and a strict Observer of Moderation in his Diet. Theophrastus, the Ethesian, lived eighty Years; a Man of sweet Eloquence, and sweet also for the Variety of his Subjects, and who selected the pleasant Things of Philosophy, and let the bitter and harsh go. Carneades of Cyrene, many Years after, attain'd to the like Age; a Man of fluent Eloquence, and one who, by the acceptable and pleasant Variety of his Knowledge, delighted himself and others. But Orbilius, who lived in Cicero's time, no Philosopher nor Rhetorician, but a Grammarian, lived to the Age of an hundred Years. He was first a Soldier, then a School- master; a Man by Nature tart both in his Tongue and Pen, and severe towards his Scholars. Quintus Fabius Maximus was Augur sixty- three Years, which shew'd him to be above eighty Years of Age at his Death; tho' it is true, that in the Augurship Nobility was more respected than Age. He was a wise Man, Ch. III. thro' the various Stages of Life. 39 Man, and a great Deliberator, and in all his Proceedings moderate, not without Affability, severe. Masinissa, King of Numidia, lived ninety Years; and, being more than eighty- five, got a Son. He was a daring Man, and trusting to his Fortune, who in his youthful Days had tasted of her Inconstancy; but in his succeeding Age was constantly happy. But Marcus Porcius Cato lived above ninety Years of Age; a Man of an Iron Body and Mind. He had a bitter Tongue, and loved to cherish Factions. He was given to Hus- bandry, and was, to himself and his Family, a Physician. Terentia, Cicero's Wife, lived an hundred and three Years. She was a Woman afflicted with many Crosses; first with the Banish- ment of her Husband, then with the Diffe- rence betwixt them, and lastly with his last fatal Misfortune. She was also very often troubled with the Gout. Luccica, the Actress, must needs exceed an hundred by many Years; for it is said, that she acted a whole hundred Years upon the Stage; at first perhaps representing the Person some young Girl, and at last of some old decrepit Woman. Galeria Copiola, a Player also and Dancer, was brought upon the Stage very young, but in what Year of her Age is not known; and ninety-nine Years after, at the Dedication of the Theatre by Pompey the Great, she was shewn upon the Stage again; not now for C4 an 40 A GUIDE to HEALTH Part I. an Actress, but for a Wonder; neither was this all, for after that she was shewn a third time upon the Stage in the Solemnities ce- lebrated for the Health and Life of Augustus. She is reckon'd to have liv'd sober and vir- tuous from her Youth. There was another Actress somewhat in- ferior in Age, but much superior in Dignity, who liv'd very near ninety Years, I mean Livia Julia Augusta, Wife of Augustus Cæsar, and Mother to Tiberius (for if Au- gustus's Life was a Play, as he himself would have it, as when upon his Death-bed he charg'd his Friends that they would give him a Plaudite after he was dead) certainly this Lady was an excellent Actress, who could carry it so well with her Husband, by a dis- sembled Obedience, and with her Son, by Power and Authority; she was an affable Woman, and yet of a Motherly Carriage, pragmatical, and upholding her Power. But Junia, the Wife of Caius Cassius, Sister to Marcus Brutus, was also ninety Years old; for she surviv'd the Philippic Battle sixty- four Years. She was a magnanimous Woman, in her great Wealth happy; in the Calamity of her Husband and near Relations, and in a long- Widowhood, unhappy; yet much ho- nour'd by all, for her Sobriety and Virtue. The Year of our Lord seventy-six, hap- pening in the time of Vespasian, is memora- ble, in which we shall find as it were a Ca- lendar of long Lives; for that Year there was Ch. III. thro' the various Stages of Life. 41 was a Taxing; (now Taxing is the most au- thentic and truest Informer as to People's Ages) and in that Part of Italy which lies between the Apennine Mountains and the River Po, there were found an hundred and twenty-four Persons, that each of them ei- ther equalled or exceeded an hundred Years of Age; namely, fifty-four Persons of an hun- dred Years each; fifty-seven Persons of an hundred and ten; two only of an hundred and twenty-five; four Men of an hundred and thirty; four more of an hundred and thirty-five or seven; three Men of an hun- dred and forty. Besides these, Parma in particular pro- duc'd five, whereof three fulfilled an hun- dred and twenty years each, and two an hundred and thirty. Bruxels produc'd one of an hundred and twenty-five years old, Placentia one aged an hundred and thirty- two. Faventia one Woman, aged an hun- dred and thirty-two. A certain Town situ- ated in the Hills about Placentia, then called Velleiacium, afforded ten, whereof fix ful- filled an hundred and ten Years each, and four an hundred and twenty Years of Age each. Lastly, Rimino one of an hundred and fifty years, whose Name was Marcus Aponius. And it will not be amiss to ac- quaint the Reader here, that all upon this foregoing List observ'd Temperance and So- briety during most part of their Lives. As 42 A GUIDE to HEALTH Part I. As there are but few found among all the Grecian, Roman, Gallick and German Em- perors to our Days, that have lived to the Age of fourscore Years, and none that ex- ceeded ninety; I will not therefore trouble the Reader with any farther Account of them, but proceed to the Princes of the Church. St. John, an Apostle of our Saviour, and the beloved Disciple, liv'd ninety-three Years; he was rightly denoted under the Emblem of the Eagle, for his piercing Sight into the Divinity, and was as a Seraphim among the Apostles, in respect of his burning Love. St. Luke the Evangelist compleated eighty- four Years; an eloquent Man, and a Tra- veller; St. Paul's inseparable Companion, and a Physician. Simeon the Son of Cleo- phas, called the Brother of our Lord, and Bishop of Hierusalem, liv'd an hundred and twenty Years, tho' he was cut off at last by Martyrdom; he was a stout Man, constant, and full of good Works. Dionysius Areopagita, Contemporary to St. Paul the Apostle, liv'd ninety Years; he was called the Bird of Heaven for his sub- lime Divinity, and was famous as well for his holy Life, as for his Meditations. Aquila and Priscilla, first St. Paul's Hosts, and afterwards his Fellow-helpers, lived together in happy Wedlock at least to an hundred Years of Age apiece; for they were both alive under Pope Xystus the first; a noble Pair, Ch. III. thro' the various Stages of Life. 43 Pair, and prone to all kinds of Charity, who among their other Comforts, which doubt- less were great to the first Founders of the Church, had this added, to enjoy each other so long in a happy married State. St. Paul the Hermit lived an hundred and thirteen Years; his Diet was so slender and strict, that it was thought almost im- possible to support human Nature therewith; he passed his Days in a Cave, only in Medi- tations and Soliloquies, yet he was not illi- terate, or an Idiot, but learned. St. Hie- rome, by the Consent of most Writers, ex- ceeded ninety Years of Age; a Man power- ful in his Pen, and of a manly Eloquence, variously learn'd, both in the Languages and Sciences, also a Traveller, and lived strictly to- wards his old Age in a private State, and not dignified; he had high Spirits, and shined far out of Obscurity. St. Anthony the Monk lived to the Age of an hundred and five Years; his Life was au- stere and mortifying, notwithstanding he lived in a kind of glorious Solitude, and ex- ercised a Command, having his Monks under him, and besides many Christians and Phi- losophers came to visit him as a living Image worthy of their Veneration, on account of his holy Life and pious Works. St. Athanasius exceeded the Term of eighty Years; he was a Man of invincible Constancy, commanding Fame, and not yielding to the Frowns of Fortune; he was free towards the Great, 44 A GUIDE to HEALTH Part I. Great, gracious and acceptable to the People, wise and couragious in delivering himself from Oppositions, and always leading an abstemi- ous and religious Life. The Popes of Rome are in number to this Day 246; but of so great a number, few only have attain'd to the Age of 80, or up- wards, as I could find recorded in History: yet the full Age of twenty-eight of the first Popes was intercepted by the Prerogative and Crown of Martyrdom. John, the twenty-third Pope of Rome, ful- filled the ninetieth Year of his Age; he was abstemious and frugal, an Enemy to Luxury, and acquir'd a good deal of Riches and Trea- sure for the Support of the Church; he al- ter'd many Things much for the better. Gregory the twelfth, created in Schism, and not fully acknowledg'd Pope, died ninety Years old; of him, in respect of his short Papacy, there is nothing found in History to make a Judgment upon, but that he liv'd strictly virtuous and abstemious. Paul the third lived eighty-one Years; he was a temperate Man, and of profound Wis- dom and Learning, greatly skill'd in Astro- nomy, and always careful of his own Health. Paul the fourth liv'd eighty-three Years; he was a Man naturally tart, and somewhat severe, and a little prone to Anger; his Speech was eloquent and ready, his Diet was always lean, thin, and cool, by which means he kept Ch. III. thro' the various Stages of Life. 45 kept his Passions under Subjection, and ar- riv'd at that good old Age with all his Senses. Gregory the thirteenth liv'd to the same Age, and was absolutely a good and great Man, found in Mind and Body, politick, tem- perate, religious, full of good Works, and a great Alms-giver. The following Instances are more promis- cuous in their Order, and more doubtful as to the Certainty of their Ages. King Argan- thonius, who reigned at Cadiz in Spain, live an hundred and forty Years, according to some Historians, of which he reigned eighty Years. Cyniras King of Cyprus, living in the Island then called the happy and pleasant Island, is affirmed to have lived an hundred and sixty Years. Two Latin Kings in Italy, the Father and Son, are reported to have lived, the one eight hundred Years, and the other six hundred: But this Account is de- liver'd unto us by certain Philologists, who tho' otherwise credulous enough, yet they themselves have suspected the Veracity of this matter. Others record some Arcadian Kings to have lived three hundred Years; the Coun- try no doubt is a Place apt for long Life, but the Relation is justly suspected to be fabu- lous. One Dando, in Illyrium, is reported to have lived without the Inconveniency of Old-Age, to five hundred Years; but the ju- dicious Reader will make the necessary Al- lowance. Hippocrates 46 A GUIDE to HEALTH Part I. Hippocrates of Côs, the Prince of Physici- ans, lived an hundred and four Years, or ac- cording to some, an hundred and nine: He was skill'd in the several Particulars requisite for the Knowledge of Physick, and provided with numerous Observations of his own, composed out of the whole a System of Physick, and was the first that truly deserved the Title of Physician; He joined Learning and Wisdom together, was most conver- sant in Experience and Observation, and did not hunt after Words, but severed the very Nerves of Science, and so taught them. Enphrtœnor the Grammarian grew old in his School, and taught when he was an hun- dred Years old. Seneca, according to some accounts, lived to an hundred and fourteen Years of Age. But Joannes de Temporibus, among all the Men of our latter Ages, according to common Fame and vulgar Opi- nion, lived the longest, even to a Miracle; his Age being reputed to be above three hundred Years: He was a Native of France, and followed the Wars under Charles the Great. Among the Venetians there have been found a great many long Livers, and those of the more eminent fort of the People; but the most memorable is that of Cornaro, who being in his Youth a sickly Person, be- gan first to eat and drink by measure, to a certain Weight, to recover his Health there- by; this Cure, by Use, turn'd into a Diet, that Ch. III. thro' the various Stages of Life. 47 that Diet into an extraordinary long Life, even of an hundred Years and better, with- out any Decay in his Senses, and a constant Enjoyment of his Health. In latter times, William Postell, a French Man, lived to an hundred and twenty Years; he was a Man somewhat crazy, and of a Fancy not altogether sound, a great Travel- ler and Mathematician. Henry Jenkins, a Yorkshire Man, attain'd the Age of one hundred sixty-nine Years; he was twelve Years old when the Battle of Flowden-field was fought, which happen'd upon the 9th of September, in the Year of our Lord 1513, and departed this Life the 8th of December 1670, at Ellerton upon Swale, This Henry Jenkins was a poor Man, could neither Read nor Write; there were also four or five in the same Parish where he then liv'd, that were reputed all of them to be an hundred Years old, or within two or three Years of it, and they all affirm'd he was an elderly Man ever since they knew him, for he was born in another Parish, and before any Registers were in Churches, as it is thought. In the last Century of his Life be was a Fisherman, and used to wade in the Streams. His Diet was coarse and sower, but towards the latter End of his Days, he begg'd up and down. He hath sworn in Chancery and other Courts to above 140 Years Memory, and was often at the Affixes at York, whither he generally went on foot. It 48 A GUIDE to HEALTH Part I. It was likewise affirm'd by some of the Country Gentlemen, that he frequently swam in the Rivers after he was past the Age of an hundred years. * Thomas Parr was a poor Countryman of Shropshire, whence he was brought up to London by Thomas Earl of Arundel and Surry, and died at the Age of 152 Years, 9 Months, after surviving nine Princes. Nov. 6, 1635, being open'd after his Death by Dr. Harvey, his Body was found still very fleshy, his Breast hairy, his Genitals unimpaired, and they served to confirm the Report of his having undergone public Censures for his In- continency. At the Age of one hundred and twenty he married a Widow, who owned he acted the Part of a Man, and that for twelve Years after. He had a large Breast, Lungs not fungous, but sticking to his Ribs, and distended with much Blood; his Face livid, having had a Difficulty of breathing a little before his Death, and a lasting Warmth in his Arm-pits and Breast after it. His Heart was great, thick, fibrous and fat; the Blood in the Heart blackish and diluted, the Carti- lages of the Sternum not more boney than in others, but flexible and soft; his Viscera were sound and strong, especially his Stomach; and it was observ'd of him, that he used to eat often both by Day and by Night, taking up with old Cheese, Milk, coarse Bread, * An Abstract of Dr. Tancred Robinson's Letter, giving an Account of Jenkins's Age. Small- Ch. III. thro' the various Stages of Life. 49 Small-beer, and Whey; and which is more remarkable, he eat at Midnight a little be- fore he died. All his inward Parts appear'd so sound, that if he had not chang'd his Diet and Air, he might in all Probability have liv'd a great while longer. His Brain was en- tire and firm; and tho' he had not the Use of his Sight, or of his Memory, several Years before he died, yet he had his Hearing and Apprehension very well, and was able, to the 130th Year of his Age, to do any Husband- man's Work, even Threshing of Corn. * Francisco Lupatsoli, a Venetian Consul at Smyrna, lived 113 Years, and had by his Wives and other Women, fifty Children; he drank nothing but Water and Milk, some- times a small Sherbet; his usual Diet was small Soups of Flesh, sometimes of Bread, Water and Figs. He saw at that Age with- out Spectacles, and could bear well; he drank neither Tea, Coffee, Chocolate, nor any fermented Liquor, as Mr. Ray, then En- glish Consul there, relates; and farther adds, that he saw a Tooth cut in his upper Gum that great Age. In the Life of the great Aurengzebe, one of the late Moguls, we have such a nota- ble and shining Example of Abstemiousness, Continency, and many other Virtues, as may well recommend this Royal Infidel to the Admiration and Imitation of all Christian Princes upon Earth; wherefore I make no D Doubt * Phil. Trans. No. 44. p. 886. 50 A GUIDE to HEALTH Part I. Doubt but the following Account of that Emperor will no less instruct, than entertain the Reader. There was no Part then of this great Prince's Time, which he did not assign to some useful Purpose; for early in the Morn- ing, before break of Day, he bathed, and spent some Hours at his Devotions; then having eaten a little Rice or Sweat-meats, he shut himself up with his Secretaries, and before Noon he gave publick Audience to his Sub- jects; after which he pray'd again, and then went to Dinner, his Table being furnish'd only with Rice, Herbs, Fruits, or Sweet- meats, for neither Flesh or Fish, or any strong Liquors were ever brought before him. In the Afternoon he gave Audience again, which being over, he prayed a third and a fourth time; and the remainder of the Day, till two Hours after it was dark, he spent in the private Concerns of his own Family; then he supp'd, and slept afterwards only three Hours, after which, it is said, he read the Al- coran, and pray'd all the remaining Part of the Night. And here we have a remarkable Instance of what vast Advantage an abste- mious regular Course of Life is towards pro- curing Health and long Life, and rendering a Prince always fit for the most important and intricate Affairs; for this Emperor, not- withstanding he was an indefatigable Hearer of Causes, and constantly directed the Af- fairs of so vast an Empire, and conquer'd se- veral Ch. III. thro' the various Stages of Life. 51 veral large Kingdoms, lived without con- tracting any Distemper; neither his Judg- ment, Memory, or other Senses, were at all impair'd when he was ninety Years of Age. Aurengzebe, it is true, had several hundreds of fine blooming Girls in his Haram, or Seraglio, as all Eastern Princes have; but these seem to have been kept only for State, or in Conformity with the Custom of the Country; for it is related of him, that even in his Youth, having singled out a young Lady in the Haram to lie with him one Night, and she had dressed and prepar'd herself to receive her Royal Lover, the King coming into the Apartment at the appointed Hour, instead of going to Bed, fell to read- ing, and between his Books and his Devoti- ons he passed the whole Night, without ever taking Notice of the expecting Lady. When the Eunuch came the next Morn- ing to acquaint the Emperor that his Bath was ready, which is ever used by the Maho- metans when they have been with their Wo- men, the Lady answer'd, There was no need of a Bath, for the Sultan, had not broke Wind, intimating that he had been at his Prayers; for if a Mahometan has the Mis- fortune to break Wind at his Prayers, then he immediately bathes, looking upon himself to be too much polluted to go on with his Devotions, till he has washed off the Impu- rity contracted by such an Accident. D2 From 52 A GUIDE to HEALTH Part I. From this short Account of the Life of a Mahometan Prince, we may learn an exceeding useful Lesson, worthy of being imitated by all Christian Princes and others, who value Health and long Life; for notwithstanding he was depriv'd of the Light of Gospel Truth, yet so strong were his Notions of a Supreme Being, that he most constantly and, fervently adored that Being, by which means he led a Life religiously abstemious, conquer'd and regulated the Surges of the rest of his Pas- sions, amidst so many Allurements and Temp- tations of numbers of fine blooming Ladies, vast Riches, Power and Grandeur, which he always had at his Will without Controul, and like a true Christian Hero, preferr'd the Ado- ration of his Creator, and the Preservation of his Health, to all the Pleasures which his vast Dominions and great Power could afford him. Richard Lloyd, born within two Miles of Montgomery, was aged 133 Years within two Months; he was a strong, strait, and upright Man, wanted no Teeth, had no grey Hairs, could hear well, and read without Glasses; he was fleshy, and full cheek'd, and the Calves of his Legs not wasted or shrunk, could talk well, and was of a tall Stature: his Food was Bread, Cheese, and Butter, for the most Part, and his Drink Whey, But- ter-milk, or Water, and nothing else; but being persuaded by a neighbouring Gentle- woman to eat Flesh Meat, and drink Malt Liquors, Ch. III. thro' the various Stages of Life. 53 Liquors, soon fell off and died. He was a poor labouring Man in Husbandry, and the Truth of his great Age has been confirm'd to Dr. Baynard and others, by a produc'd Copy of the Register. John Bailes of Northampton, was 128 Years and a half old when Dr. Baynard ex- amin'd him: he was a short broad-breasted Man; his Food was for the most part brown Bread and Cheese; he cared not much for Flesh Meats; he was never drunk in his Life, and his Drink was Water, Small-beer, and Milk. He told the Dr. that he had buried the whole Town of Northampton, except three or four, twenty times over; strong Drink, says the old Man, kills them all. He was a sensible old Fellow, and had no Dis- ease but Blindness, which Misfortune he did not experience above four or five Years be- fore his Death. Mr. Martin, in his Description of the Western Islands of Scotland, says, that Do- nald Roy, who lived in the Island of Sand, where they have neither Physic nor Physi- cian, died lately in the hundredth Year of his Age, and was able to travel and manage his Affairs till about two Years before his Death. He makes mention of one that died some Years before, aged one hundred and forty; and of another, who, they said, died at one hundred and eighty Years of Age. Mrs. Hudson, Mother to Mr. George Hud- son, a Sollicitor in Chancery, lived an hundred D3 and 54 A GUIDE to HEALTH Part I. and five Years, and then died of an acute Disease, by catching Cold: her Eyes were so very good, that she could see to thread a Needle at that great Age; her Food was little or nothing else all her Life-time, but Bread and Milk. Mr. Johnston, the Father of Dr. Johnston of Warwick, who was always a strong and lusty Man, died at an hundred and eleven Years: his usual Drink was Milk and Ale, or Milk and Small-beer mix'd together. An Inscription on the Tomb-stone of Margaret Scot, who died at Dalkeith, twelve Miles from Newcastle, Feb. 9, 1738. Stop, Passenger, until my Life you've read, The Living may get Knowledge by the Dead. Five times five Years I liv'd a Virgin Life, Ten times five Years I was a virtuous Wife; Ten times five Years I liv'd a Widow chaste, Now, tir'd of this mortal Life, I rest. I, from my Cradle to my Grave, have seen Eight mighty Kings of Scotland, and a Queen. Four times five Years the Common-wealth I saw. Ten times the Subjects rose against the Law. Twice did I see old Prelacy pull'd down, And twice the Cloak was humbl'd by the Gown. An End of Stuart's Race I saw: no more, I saw my Country fold for English Ore. Such Desolations in my Time have been, I have an End of all Perfection seen. 2 Margaret Ch. III. thro' the various Stages of Life. 55 Margaret Paten, born at Locknugh near Paisly in Scotland, died in St. Margaret's Workhouse Westminster, June 26, 1739, at the Age of one hundred thirty-eight Years, and enjoy'd the Use of all her Senses to her very last Hours. She lived the most Part of her Life upon Oat-bread, Butter, Milk, and Roots, especially in her own Country; but here in England she indulg'd herself with the moderate Use of Flesh, and fermented Liquors. January 1743, died at Ludlow in Shrop- shire, one Bright, aged one hundred and five, who had his Memory and Eye-sight to the last, insomuch that he could discern to pick a Pin off the Ground. He was called the se- cond old Parr, and was born and always liv'd in the same County; his Food was, for the most part, coarse Bread, Cheese, Milk, Butter, Small-Beer, of Water. February 1743, died in St. Luke's Work- house, London, Mrs. Agnes Milbourn, one hundred and six Years of Age; she had 29 Sons and a Daughter by one Husband, 20 of whom she has had following her to Church at a time for several Years, but out-lived all her Children and Grand-children, save only one Grand-son. She religiously observ'd Temperance, and always avoided the Use of Spirituous Liquors as Poison; her usual Drink was Milk, Ale, or Small-Beer. From these Instances it is manifest, that Milk is of a salubrious, safe and sweet Nou- D4 rishment, 56 A GUIDE to HEALTH Part I. rishment, as also by the many Nations be- fore and since the Flood, that eat much of it, and lived to great Ages, of which num- berless Examples may be found both in sa- cred and profane History, to confirm the Doctrine of Temperance and a cool Diet, as absolutely necessary to the Prolongation of Life; but, as Dr. Baynard rightly observes, if an Angel from Heaven should come down and preach it, one Bottle of Burgundy, or a full flowing Bowl of Bunchy would be of more Force with this Claret-stew'd d Gene- ration, than ten Ton of Arguments to the contrary, tho' never so demonstrable and divine. By what has been said thro' the Course of this Chapter, we see, that from the Time of Moses to our Days, the Term of Man's Life has stood much about the same Standard of Years, (a few Lives here and there being ex- cepted:) so it evidently appears, that the Con- tinuation and Number of Successions of Ge- nerations, make nothing to the Length or Shortness of Life, tho' a great many People imagine the contrary. It is certain however, that there are Times in all Countries, where- in People are longer or shorter liv'd: longer, for the most part, when the Times are barba- rous, and Men fare less deliciously, and are more given to bodily Exercises: shorter, when the Times are more civiliz'd, and People abandon themselves to Luxury and Ease. Therefore from what has been hither- to Ch. III. thro' the various Stages of Life. 57 to advanc'd, it is likewise evident to a De- monstration, that Temperance, moderate Ex- ercise, and a cool Diet, are absolutely requi- site for the Preservation of Health and long Life, as I shall shew more at large in the Sequel. The same, no doubt, happens in other li- ving Creatures; for neither Horses, Oxen, nor Sheep, are abridg'd of their usual Ages, even at this Day; and therefore the great Abridger of Age was certainly the Deluge; and perhaps some notable Accidents, such as Inundations, universal Droughts, Earthquakes, or the like, may produce the same Effect again. And the like Reason may be given, in re- gard of the Dimension and Stature of hu- man Bodies; for they are not lessen'd by the Succession of Generations, notwithstanding what Virgil (led by the vulgar Opinion) di- vin'd, that After-ages would bring forth less Bodies than those in his time; whereupon he says, Grandiaque effossis mirabitur ossa Se- pulchris; that is, After-ages shall admire the great Bones dug out of ancient Sepulchers. But tho' it is not denied that there were, some time before the Flood, Men of Gigantic Stature, (the Bones of such as, for certain, have been found in ancient Sepulchers and Caves in Sicily, and else where:) yet for these last three thousand Years, a Time whereof we have authentic Records, no such have been produc'd in those Places, nor indeed any where else; for which Reason it is evident, that they are very 58 A GUIDE to HEALTH Part I. very much mistaken, who are wholly carried away with an Opinion, that (by Succession of Ages) there is a continual Decay, as well in the Term of Man's Life, as in the Stature and Strength of his Body; and that all things decline, and change to the worse. Therefore, as the Succession of Generations contributes little or nothing, either to the Length or Brevity of Life, as appears from what has been said already, yet the imme- diate Condition of the Parents, without doubt, conduces very much to it; for some are be- gotten of old Men, some of young Men, some of middle-aged Men; again, some are begotten of healthful Fathers, and well dis- posed, others of diseased and languishing ones; again, some of Fathers after Repletion, or when they are drunk; others after Sleeping, or in the Morning; others again, after along Intermission of Venus, some upon the Act repeated; again, some in the Fervency of the Father's Love; others after the cooling of it, as happens in long-married People. The same things ought to be consider'd on the Part of the Mother; to which we must add her Condition during her Pregnancy, as concerning her Health, her Diet, and man- ner of living; the time of her bearing in the Womb, as to the seventh, eighth, ninth, or tenth Month. But to reduce all these things to a Rule, how far they concern long Life, is difficult; for those things which we often conceive to be the best fall out to the con- trary; Ch. III. thro' the various Stages of Life. 59 trary; as for Instance, that Alacrity in a Generation that begets lusty and lively Chil- dren, will be less profitable to long Life, be- cause of the Acrimony and inflaming of the Spirits, which soon dissipate, and leave the Body dry and wither'd: so that the best Rule is to use Moderation in all things, conjugal Love rather than an unlawful one; the best time for Generation being in the Morning, or after a due Concoction of our Aliments, and after Sleep, but never when the Body is in a languishing or sickly or too much fatigued. A GUIDE (60) A GUIDE to HEALTH, &c. Part II. INTRODUCTION. AS the principal and inevitable Causes of Old Age, and finally of our Dissolu- tion, are three, viz.* the Contrariety of the Principles of our Composition, the Actions in- separable from Life, called Animal Actions, and the Excrements, which are unavoidably engender'd by Aliment in our Bodies; there- fore we must (if we would preserve the Body in a good State, and guard ourselves against the too quick Approaches of old Age) dispose these three things in such a manner, that the Harmony and Union of our Princi- ples, which are called Temperament, be well Supported, that the Spirits which are dissi- pated every Moment be repair'd, and the Excrements retain'd in the Body be expell'd. All this may be easily obtain' by the means of a good Regimen, without the Assi- stance of any Medicine: and this Regimen com- prehends many things, which are all reduc'd * See the Explication of these three things at large, in Chap. II. Part. I. INTRODUCTION. 61 to fix general Heads. They are called, by the Physicians, Nonnaturals; because, if we manage them with Dexterity, and make proper use of them, they preserve Health, and may be called Naturals; but if they are abused, or fall short, or exceed a just Proportion in the least, they cause Distem- pers, and, in that Sense, may be said to be against Nature. These Nonnaturals are, Air, Meat and Drink, Sleeping and Watch- ing, Motion and Rest, Retention and Excre- tion, and the Passions of the Mind; of which I shall now discourse in order. CHAP. I. Of the Nature of AIR. IN order to account for the different Ef- fects, and Influence of Air upon Hu- man Bodies, in the following Discourse, it is necessary to premise in this Place, that Air, (according to its Nature, and the Idea we can form of it) is, that thin and invisible Fluid, in constant Motion, wherein we breathe and move, encompassing the Earth and Seas on every side, and containing the Vapours, Clouds, and other Meteors; the whole Body of which is called the * Atmo- sphere; * From the Greek Words, 'AΓμòs a Vapour, and εφûeα., a sphere; so that Atmosphere in English, is a round Body of Vapours; and such is the Air surrounding the Earth, as being constantly repleat with Vapours exhaled by the Rays Of the Sun. 62 A GUIDE to HEALTH Part II. sphere; and that it is the principal Instrument of Nature in all its Operations: for no Ve- getable, Animal, Terrestrial, or Aquatic can be produced, live, or grow without it: So that Air is the chief Instrument in the Genera- tion, Resolution, Accretion and Corruption of all terrestrial Bodies; for it is certainly true, that it enters into every Composition, more or less, of all Fluids and Solids, all which produce great Quantities of Air. The lower Parts of the Air, in which all Animals live and breathe, are impregnated with an infinite Variety of the Effluvia, Steams, and Particles of terrestrial, aqueous, metal- line, vegetable and animal Substances, which, by Attrition, become so small and light as to float in it. Hence it is evident, that the Air must be differently impregnated in different Places of the Surface of the Earth, which produce considerable Alterations in its State, whereby human Bodies are differently affect- ed, as will plainly appear heareafter. Water being an Ingredient of the Air, is continually exhaled, and as continually de- scends; for when the Air is overcharged with it, it returns again, and falls upon the Surface of the Earth, in Rain, Hail, Snow or Dew; but the Dew falls chiefly when the Sun is down. Earth, when calcined, flies off into the Air; and the Ashes of Vulcanos or burning Mountains: Likewise Salts of all kinds are ingredients of Air; for even fixed fossil Salts may Ch. I. thro' the various Stages of Life. 63 may be digested, and thereby rendered volatile, and evaporate into the Air. There are besides Particles of all Minerals whatever in the Air; even Gold, the most compact and heaviest of them, can be evaporated and exhaled into Air, as will be made appear in the latter End of this Chapter. The Smoke and Fumes which are raised by natural or artificial Fires, all vanish into the Air. The Steams of fermenting Liquors, and the poisonous Fumes of Mines, impreg- nated with sulphureous Exhalations, and combin'd with different Salts, or Metalline Particles, which are stinking, oily, and in- flammable, evaporate into the Air, and make up part of its Contents; which must neces- sarily so alter its Constitution, as to render it not only insalubrious, but even pernicious to every Animal that breathes in it. The watery Exhalations, with the fragrant and volatile Spirit of all Vegetables, being Ingredients of the Air, contribute very much towards its Salubrity, or Insalubrity, as well when growing, as when cut down and in a decaying State; for the most volatile parts of Vegetables will evaporate into the Air, by a Degree of Heat much less than that of Sum- mer; as is evident both by Chymistry* and the sense of our own Smelling; for spicy Odours are smelt at a great Distance from the Countries where the Spices grow; so that the Quantity of vegetable Perspiration must be very considerable in Summer-time; and by * Boerhaave Chem. vol. 2. Process. I. 64 A GUIDE to HEALTH Part II. by the Reverend Dr. Hale's * Experiments we are farther convinced, that Vegetables of all kinds perspire Particles which float in the Air, and are either wholsome or destruc- tive to human Bodies, according to their dif- ferent Qualities. Hence we may infer, that upon the account of the Perspiration of Vegetables, the Summer Air must be very different from that of the Winter. Animal Perspiration is another Ingredi- ent of the Air, as well as the Effluvia of all their other Excrements, which oftentimes in- fect that Part of the Atmosphere, as to pro- duce pestilential Diseases. The Perspiration of a human Body, according to Mr. Hale's, ‡ Computation, is about I-50 Part of a Inch in 24 Hours all over the Surface of the Body; and the Quantity of the Moisture, by Respi- ration from the Lungs, he computes at 9792 Grains, or I. 39, in 24 Hours; § the Surface of the Body he computes at 2160 square Inches, or 15 square Feet consequently the Surface of the Skins of 2904 such Bodies, would cover an Acre of Ground, and would make an Atmosphere of the Steams of their own Bodies about 71 Foot high in 34 Days, which would be- come Pestiferous in a Moment, if not dis- persed by Winds. The great Quantity of Animal Substances imbibed into the Air, farther appears from this, I that * Hale's Veg. Stat. p. 49, 50. ‡ Veg. Stat. p. II. Exp I. § Hæmast. p. 326. p. 328. Ch. I. thro' the various Stages of Life. 65 that all the Excrements of all the Carcasses of Animals, such as those that are burnt, those that are exposed later, and those that Are buried, in length of Time all vanish in- to Air at last, except a small Quantity of Bones, which turn into Earth. From hence we may infer, that living in great and populous Cities, or in Camps, or near Numbers of dead Carcasses in a hot or sultry Season, may infect that Air so far, as to dispose the People to putrid and malignant Fevers, of which we have several instances in History, too tedious to insert in this Place. And though Nature makes use of all pos- sible Means to preserve the Mass of this he- terogeneous Fluid, wherein we breathe, in a wholsome State; yet it must necessarily hap- pen, that the Air of particular Regions, Sea- sons and Places may differ very much in the Proportions of the Mixture of Ingredients already mentioned; so that such Air must affect human Bodies variously, by such Ex- cesses or Defects; For Air, when too moist, affects us with one Class of Diseases; and when too dry, with another. Air impreg- nated with the Effluvia of Animals, espe- cially of such as are rotting, has often pro- duced pestilential Diseases in that Place, as we find by Experience: for the Inhabitants of such Countries, where great Numbers of Men have been slain in Battle, and left unburied, were soon after infested with pestilential Distempers; as that which hap- E pened 66 A GUIDE to HEALTH Part I. pened * at Massanissa, where 80,000 Persons were destroyed, and at Utica, wherein 30,000 Persons died of the Plague. That menti- oned by ‡ Livy, which invaded the greatest Part of Italy, owed its rise to the dead Bodies of the Romans and Fidenates left unburied in the Field of Battle. The Plague mentioned by Ambrose Paree, 1562 §, was occasioned by Carcasses thrown into a Ditch. Great Quantities of dead Locusts driven into the Sea, by Winds, and from thence cast up in Heaps on the Shore by the Waves, produced the same Effects, as Diodorus Siculus relates: And likewise the Steams of great Quantities of corrupted Vegetables have produced the like Effects in their Neighbourhood. The Steams and Effluvia of human living Crea- tures are extremely corruptible, as has been observed already; and likewise the Water in which human Bodies wash and bathe, by keeping, smells cadaverous, a great part of which evaporates into the Air. From hence we may conclude, that it will be of the utmost Consequence to every one, to take care what kind of Air it is they sleep and wake, breathe and live in, and are per- petually receiving into the most intimate Union with the Principles of Life; for as the Air being attracted, received into our Bodies, and mixed with our Fluids every Instant * Sane. August, lib. 3. de Civit. Dei Cap. 31. ‡ Histor. Roman. § Lib. 21. de Peste. Ch. I. thro' the various Stages of Life. 67 Instant of our Lives, any ill Quality abounding in it, so continually introduced, must in Time cause fatal Effects in the Animal Oeconomy. The first Consideration then, in Building of Houses and Cities, should be* to make them open and airy, and well perflated; therefore we should never build upon high Hills, very near any great Confluence of Water, or in the Neighbourhood of any great Mines, near Beds of Minerals, or on marshy or mossy Foundations; but either in a champaign Country, or on the side of some small Eminence, sheltered from the North and East Winds, or upon a light gravelly Soil. The best Method of finding out the Nature of the Soil, will be known from the Plants and Herbs that it produces, and from the Nature of the Waters that spring out of it, which ought to be sweet, clear, light, soft and tasteless. All high Hills or Mountains are damp, for it is common to see it rain or snow on Mountains, when the Valleys below are clear, dry, and serene. All great Hills are Nests of Minerals, and Covers for Reservoirs of Rain- Water, and the Clouds are only great Fleeces of ratified Water floating in the Air, and these high Hills intercepting them, are com- pressed into Rain or Dew, and are con- stantly straining down the Chinks of the Mountains into the Sea and other Reser- voirs of Water; and Rain is allowed to be the Origin of Rivers and Fresh-Water E2 springs. 68 A GUIDE to HEALTH Part II. Springs. Moreover, these Mountainous Places are always exposed to great and almost con- tinual Winds; and where any great Con- course of Water is, the Air must needs be always damp there, because the Sun is per- petually exhaling Dews and Vapours from these Waters. Dew is another Ingredient of the Air, which is not mere Water, but a Collection of the watry, oily, saline, and volatile Sub- stances, exhaling and transpiring from the Earth, and are not to be seen, as long as they are agitated by the Sun, but in its Ab- sence, and as soon as the Air cools, they become visible; and as the Air is a thin or rare Body, it cools much sooner than the Earth, which continues to transpire this Substance after Sun-set; and a great deal of it falls down again in the Form of Wa- ter, by the Cold of the Night; for it is ob- servable, that when there is no Wind, there is a Coat of this Vapour generally to be seen Surface of the Earth. Dew then, being a Composition of all the Substances that are exhaled from that Tract of Earth, must of consequence be ve- ry different in different Tracts of Ground, for which Reason, according to the learned Boerhaave ‡, the Chymists can never agree about the component Parts of it; be- cause they make their Experiments upon Dows of different Places, and consequently of a different Nature of Ingredients; for in ‡ Chym. vol. I. pag. 471. Ch. I. thro' the various Stages of Life. 69 in some Places it produces such volatile and explosive Salts, as to break Glasses in Distil- lation; in others it stains the Glass like the Colours of the Rain-bow, which nothing can efface. In some Countries, as in Bermuda *, the Air being impregnated with corrosive Salts of different kinds, will corrode the Bricks and Tiles of Houses, and even rot the very Hangings in Rooms, as has been observed by many. The Perspiration of metalline acid Salts from certain Places of the Earth, which, upon the account of their Gravity, rise only to a certain Degree of Height, are exceedingly offensive when taken in by the Breath; for they either contract the Vesicles, or immediately coagulate the Blood in the smaller Vessels, which creep along the Surfaces of the little Aërial Bladders of the Lungs, that Are in immediate Contact with the outward Air; and such are those arsenical Steams in the Grotto Del Cane near Naples, and in some Mines in Carniola, Campania, and at the Cape of Good Hope. Of all the Collection of Ingredients in the Air, none are more pernicious to human Bo- dies, than Sulphurs; and also Charcoal Steams confined in close Places, such as Cellars and Caverns under-ground, will suffocate Ani- mals in a Moment; but when sulphureous Vapours abound too much, then kind Nature fets them on Fire by Lightning. Sulphureous E3 Vapours * Boerhaave Chym. vol. I. p. 494. 70 A GUIDE to HEALTH Part II. Vapours likewise infect Vegetables, and ren- der the Grass and Herbs very pernicious to the Cattle that feed upon it, as Mr. Jones * and others relate. The † Observations of the Learned made on several Mines, give an Account, how the sulphureous Steams and Vapours differently affect and frequently destroy the Miners who work in them; some fall into Convulsions, Faintings, Palsies, and apoplexies; others are instantly suffocated; and others again are kill'd by Explosion, resembling in its Nature that of Thunder or Gunpowder, as soon as the sulphureous Matter takes Fire: yet it must be allow'd, that Sulphur in itself, is neither un- wholsome nor unfriendly to the Lungs; for the Exhalations from Tracts of Earth abounds ing with Sulphur, are esteem'd wholsome in the open Air, such as those about the City of Naples; but it must be observ'd, that these Exhalations are in the free and open Air, and not in too great Abundance, and in all Probability unmix'd with any other perni- cious Salts, which those in Mines must be im- pregnated with. From what has been said already, in Page 65 and 66, it must follow, that the Air in great and populous Cities differs very much from that in the Country, and that it is from offensive Smells and Fumes, among other things, that Diseases are more fre- quent * Philos. Trans. vol. 2. p. 101. and likewise Philos. Trans. abridg. vol. 2. p. 180. ‡ Philos. Trans. vol. 2. p. 575. Ch. I. thro' the various, Stages of Life. 71 quent and more dangerous in the former than they are in the latter. Great Calms have often preceded the pestilential Constitutions of the Seasons; hence the close and confined Air of Prisons often produces mortal Diseases; and in Bays and Harbours,the Crews of Ships turn sickly, that would be healthy in the open Seas; and the great Mortality that is so often in Camps is chiefly owing to offensive Smells and Steams; for nothing contributes more to the Production of Distempers than the infected Air that they breathe in, occasion'd by the Filth which is the necessary Attendant of such Places; especially at Sieges, where the cor- rupted Particles of dead Bodies, both of Men and Beasts, fill the Air with an intolerable Stench. Besides, the Effluvia and Steams of Perspiration exhal'd into the Air, from the Bodies of Men and other Animals, must so charge that Air, as to encrease its Weight very much; and at the same time the Heat of the Camp will weaken its Spring so considerably, as to render it very unfit for Respiration; for thereby the Blood will remain unbroken in the Lungs, and so dispose the People to those Distempers, occasion'd by a Viscidity in the Blood; such as malignant Fevers, Dysenteries and Agues. According to the learned Boerhaave and others, the Eggs of Infects, and even Infects themselves very often are floating in the Air, and are so small as to be generally invisible by the Assistance of the best Microscopes, E4 which 72 A GUIDE to HEALTH Part II. which render the Air very unwholsome, and are often times the Cause of many grievous Diseases, being suck'd in with our Breath, and swallow' down with our Food; and the low and marshy Grounds are most commonly subject to be infected with them; for there we always find great Quantities of Flies and other Infects. Caterpillars and o- ther Infects, which eat up and destroy the Leaves of Trees and Plants, are proba- bly produced by the Eggs of those Infects floating in the Air; otherwise we cannot easily conceive how they can be generated in the Plants themselves. Historians relate, that there are Showers of Rain sometimes in Africk which affect the Inhabitants with Shiverings, and that there are Infects found in the Drops of these Showers; hence it appears that there are Infects in the Air, though not visible to the naked Eye: for it has been ob- serv'd, by the Help of Glasses, that in part of a Room illuminated with the Beams of the Sun, Flies are seen sometimes darting like Hawks upon a Prey. Tho' the Air on or near the Surface of the Earth is impregnated with an infinite Num- ber of heterogeneous Particles, as appears evi- dently by what has been said already; yet the wise Author of the Universe has so temper'd this Mixture, as to render it wholsome to all the Animals that live and breathe in it, except in some few accidental Cases; for doubtless pure Air without any such Ingredients would be Ch. I. thro' the various Stages of Life. 73 be very unfit for Animals and Vegetables to subsist in; therefore, in order to render salubri- ous this Element wherein we breathe, infinite Wisdom has so ordained, that the whole Mass is never overcharged with these Contents; for as human Creatures are unable to bear Ex- cesses of any kind, such as too much Heat, too much Dryness or Moisture, there is a con- tinual Circulation of Water and other Ingre- dients in the Air, and in mostPlaces the Air contains near the same Quantity of Wa- ter: for as the Sum of all the Force of the Sun upon the same Surface of Land and Water, and the Heat of the Surface of Earth within the Year is very near uniform, consequently the Quantity of Exhalation is the same: And as the Air has a Power of imbibing and su- staining only certain Quantities of Water with other Ingredients, and the Sum of all the Quantity that falls from the Air over the Surface of the Earth in Rain, Hail, Snow, and Dew, is the same; yet, by accidental Causes, such as Winds, the Stoppage of the Clouds by Tracts of Mountains, more of these Exhalations or Vapours may be carried and fall in one Place than another. This Water is again carried, by its natural Gra- vity, in Streams into the Sea, and other Reser- voirs of Water, and from thence again exhal'd, of which there is only left a sufficient Quantity for the Nourishment of Plants and Animals, the Perspiration of whose Bodies is again exhaled; and this Circulation is constantly main- 74 A GUIDE to HEALTH Part II. maintained and directed by the wise Order of Divine Providence. And all these different Ingredients of the Air are digested and atte- nuated by the Heat of the Sun, and they are constantly stirr'd and agitated by Winds, which mix the Air of different Regions together. There are likewise Fermentations in the Air, which are succeeded by violent Motions and Explosions in Thunder and Lightning; by which Means the redundant sulphureous Steams, and other pernicious Particles are destroyed and consumed in those Storms. The particular Causes of Thunder and Lightning seem to be nothing else than the Sun exhaling moist Particles into the Air, these condense and gather into Clouds, and when these inclose a Quantity of sulphureous, nitrous and bituminous Exhalations, and like- wise Salts of various Sorts, Acids and Alka- lies, extracted both from the Earth and Ocean, which being violently agitated by the Oppo- sition of Heat and Cold, and the Motion of the Air, operating upon those sulphureous and nitrous Particles, together with a watery Mat- ter, till at last they ferment and are kindled; then the Fire bursts open the Cloud with Ex- plosion in Thunder and Lightning, where the Passage is most easy, and the Cloud not able to make any farther Resistance: Sometimes the Opening is very wide, and stands a smali time, with a firey Edge about it; the Cloud is then dash'd with great Violence, the Air assisting with its Motion, and the sulphureous Matter Ch. I. thro' the various Stages of Life. 75 Matter breaks out again in various Sounds: the first Discharge being over, presently suc- ceeds a second, and this is back'd with a thirds fourth, fifth, &c. as long as the Store of combustible Matter holds out to maintain the Fire, till at last the Equilibrium of the Air is perfectly restored. The Effects of Lightning are wonderful; it being a most subtile and refin'd Matter, will sometimes burn a Person's Cloaths, while his Body remains unhurt; and on the con- trary, it will sometimes break a Man's Bones, while his Cloaths and Flesh receive no Harm. In like manner it will sometimes melt or break the Blade of a Sword in the Scabbard, and the Scabbard remain un- touch'd. It has drank up Vessels of Water, the Cover being left untouch'd and no other Token remain'd. Gold, Silver, and Brass, have been melted, and the Bags wherein they were contain'd not burnt, nor even the Seal off Wax defac'd. Marcia, Queen of the Romans, was Thunder-struck when she was big with Child, which was killed in her Womb, and she receiv'd no Harm. The Reason of these strange and contrary Effects, Philosophers can but conjecture at, imputing it to the different Figure and Qua- lity of the Particles of the * Lightning, as 2 to * There is a fort of Stone or Mineral, which is vulgarly called a Thunder-bolt, and it is thought, that it falls from the Clouds in a Clap of Thunder, and thereby great Mischief is done many times. But this is a vulgar Error; for the Stone seems to resemble more an artificial than a natural Producti- on, 76 A GUIDE to HEALTH Part II. to the Rarity and Thickness of the Fire; for the more subtile penetrates more easily, and the thicker with more Difficulty; whence the latter does more Harm than the former; and tho' it produces various and wonderful Effects, yet it is of such singular Use to the Inhabitants of the Earth, that they could scarce subsist without it; for it clears the Air, destroys and consumes all the redundant and noxious Steams and Particles that float in it, breaks the Clouds, and sends down Rain up- on the Earth. * It is certain, from undoubted Experiments, that the Air near the Surface of the Earth is more or less impregnated with all those Heterogeneous Particles already mention'd, and a great many more not possible to enu- merate. And in truth it cannot be otherwise, by the known Laws of Nature; for by what means soever a Body becomes divided, till some of the Particles become less than the component Particles of Airy and by that means become lighter, they will be elevated into the Air, until by their * Coalescence, their Gravity be so much encreased, as to fink on, by the Make and Figure of it; and being most common- ly found where Sepulchers have been, makes the Learned in- cline to think, that they are some Remains of Antiquity, and were formerly of Use in War and Arms, which was cu- stomary with the Ancients to bury with their Ashes. See Rowning's Comp. System, p 146. Part II. and Philos. Trans. No. 313, 316, 319, 331. * Coalescence, is the gathering together and uniting into a sensible Mass, those minute Particles floating in a Fluid, which were not before visible in it. Ch. I. thro' the various Stages of Life. 77 sink them again to the Earth. And for the Production of such wonderful Effects, even in the hardest and most solid Bodies, we need have Recourse to no other Cause than the Rays of the Sun; for as it has been demon- strated by † Astronomical Observations, that Light is not above ten Minutes in passing from the Sun to the Earth, and as the Earth is at least 10,000 of its own Diameters distant from the Sun; therefore it must run 1000 of these Diameters in a Minute, which is above 100,000 Miles in a Second. So that if a Bullet, moving with the same Velocity with which it leaves the Muzzle of a Cannon, re- quires 25 Years to pass from the Earth to the Sun, as Huygens ‡ has computed it, then the Velocity of Light, to that of a Cannon- Ball, will be as 25 Years to 10 Minutes; therefore we may expect proportionable Ef- fects from such Particles, notwithstanding their exceeding Smallness. And we may guess at the Effects of the Rays of Light separate- ly, by what we can observe when collected in the Focus of a burning Glass; for no Body, tho' ever so hard and compact, is able to resist their Force: even Gold, which is un- alterable by any artificial Fire, may be * * vi- trified by the concenter'd Rays of the Sun, one † Mr. Romer's Observations on the Eclipses of the Satellites Of Jupiter. ‡ Huygens in his Treatise upon Light and Gravity. He was a celebrated Mathematician. ** Vitrified, made or chang'd into Glass by the Force of Fire 78 A GUIDE to HEALTH Part II. one Part of it exhaling into the Air, as the other is turned into Glass; and that in a few Seconds of Time, according to Mr. Blundel and others. Hence it appears, that the Rays of the Sun are not only capable to abrade and file off from the most solid Bodies, such small Par- ticles as will be render'd lighter when sepa- rate, than the least compounding Particle of Air, but also by the Celerity with which they will be reflected, will thereby be capa- ble to carry into the Air such little Collec- tions of Matter, as are in Fact heavier than the Air they mount up in, which, when the Force impressed becomes less than will im- pel them higher, they must necessarily fall down to the Earth again, which will vari- ously affect human Bodies, both in their As- cent and Descent, according to their different Nature and Properties. CHAP. II. Of the Properties of AIR. THE Properties of Air are, Gravity, Elasticity, Fluidity, and Divisbility. They are so called, because they constantly remain in the whole Mass and in every part of it. The Ch. II. thro' the various Stages of Life. 79 The Gravity of the Air was first dis- cover'd by Galileus, by trying to what Height Water might be raised by pumping; and when he found it could not be raised higher than 33 feet, justly concluded, that it was from the Counter-ballance of the Weight of the Air that it was raised so high. The * specifick Gravity then of Air, when the Barometer † stands at 30 Inches, according to Sir Isaac Newton's Observations, and Dr. Halley s, is to that of Water, about 1 to 800, and to that of Mercury as 1 to 10,800; So that the Air we breathe in, *Specifick Gravity, is the appropriate and peculiar Gravity or Weight which any Species of natural Bodies have, and by which they are plainly distinguishable from all other Bodies of diffe- rent Kinds, when compared with them: And it is not im- properly called relative Gravity, to distinguish it from absolute Gravity, which encreases according to the Proportion of the Bulk or Bigness of the Body weighed. Thus, if a Body weighs a Pound, one as big again will weigh two Pounds; and let the Bodies be of what Nature or Degree of Specifick Gra- vity soever, a Pound of one will be as much as a Pound of the other absolutely considered. Thus a Pound of Feathers is as heavy as a Pound of Lead; but if we consider Lead and Feathers relatively, the specifick Gravity of the former will be much greater than the later; or Lead, Bulk for Bulk, will be much heavier than Feathers, and Gold heavier than Lead. † Barometer is a Glass Tube or Instrument to measure the height of the Atmosphere by; it is about three Feet in Length, and 1/16 or 2/10 of an Inch bore, seal'd up at one End, and at the other End it is fill'd quite full of Quicksilver, and thus immersed in a small Vessel of Quicksilver, that will fink down in the Tube, or run out into the Vessel, till it remains in the Tube between 28 and 31 Inches perpendicular height; and this Column of Mercury in the Tube, is equal in Weight to a Column of Air of the same Basis, and of the Height of the Atmosphere, and consequently is suspended by it; which therefore by its rising higher or falling lower, shews the proportionally greater or lesser Weight or Pressure of the Atmosphere 80 A GUIDE to HEALTH Part II. in, takes up 10,800 times the Space that the like Quantity of Mercury would. And the Honourable Mr. Boyle proves by Experi- ments †, that the Air without any adven- titious Heat, may, by the Force of its own Spring, possess 13,000 times the Space it does when pressed by the incumbent Atmo- sphere; and therefore may possess a Space one hundred forty-five Millions, and six hun- dred thousand times greater than the same Weight of Mercury; and that by the Ad- dition of Heat, it may be forced to fill a Space much larger. And if we consider that the Air we breathe in, may be compressed into 40 times less Space than that which it now fills; therefore Air may possess a Space 520,000 times greater at one time than ano- ther. The Gravity of Air counterpoises a Co- lumn of Mercury from 27 1/2 Inches to 30 1/2, the Gravity of the Atmosphere varying some- times 1/10, which are its utmost Limits, so that the specifick Gravity of the Air cannot be exactly determined. And the Account that Dr. Halley gives of the Causes of the Variation of the Gravity of the Air, seems very clear and conclusive; for they must either proceed from the Air's being more or less charged with Quantities of ponderous Ingredients in one Time and Place, which, as has been said in the former Chapter, arc plentifully exhaled into ‡ Boyle's Tracts about the wonderful Rarefication of the Air. Ch. II. thro' the various Stages of Life. 81 into it, or by its being accumulated more in one Place than in another by Currents of Winds; thus contrary Currents of Air com- ing to the same Place, must accumulate the Air in that Place, and consequently raise the Mercury in the Barometer; but two Currents of Air from the same Place, must link the Air in that Place, and consequently the Mer- cury in the Barometer. This is very possible in Liquids, and hap- pens even in the Motion of the Tides; for if there was a perfect Calm always, the Equi- librium could only be charged by the greater or smaller Quantity of ponderous Ingredi- ents in the Air; in Confirmation of which it is discovered, that where the Winds are not variable, as near the Line, the Al- terations of the Barometer are very small; And these Variations of the Air's Weight cannot proceed from letting its ponderous In- gredients fall, as in great and heavy Showers: Tho' it is certain, that a heavy Body falling through a Fluid, during its Descent, does not press upon it, but by the Resistance which the fluid gives to its Motion in Descent; but the Decrease of the Atmosphere's Weight during the fall of Rain, Snow, or Hail, is not pro- portionable to this Cause, therefore cannot be accounted for from it. As the incumbent Atmosphere is fluid and heavy, it presses equally upon the Surface of a human Body, with a Weight equal to a Column of Mercury, whose Basis is F equal 82 A GUIDE to HEALTH Part II. equal to the Surface of a Human Body; and Altitude, that of the Barometer, as in a mid- dle-siz'd Man, with a Weight of 32,000 Pounds; for as it is possible for the Air to vary 1/10 in its Weight, so that such a human Body must sustain a Weight of 3,200 Pounds Weight more at one Time than at another; and if the Mercury varies only one Inch in Height, there will be a Difference of about 1000 Pounds Weight: Such Alterations would affect both the Solids and Fluids of hu- man Bodies very much, were it not that the Ballance between the Air within and that without the Body is quickly restor'd, by the free Communication that is between them; so that these Changes are suffered without any sensible Inconvenience to healthful Peo- ple. This proves the ready Admission of the Air into the Vessels of human Bodies, and the Egress of aërial Particles from within the Body, in each Case of the Variation of the Weight of the external Air, from less to more, or from more to less; for if this Bal- lance between the external Air, and that within the Body was not kept, the Fibres and Fluids being elastick, in case of an In- crease of the Weight of the external Air, both the Fluids and Solids would be too much compress'd; and in case of a Decrease of this Weight, they would be dilated with a painful Sensation, and endanger the Life of the Individual; for the Fall of the Mercury in Ch. II. thro' the various Stages of Life. 83 in the Barometer is the same with the Ex- suction of so much Air in the Air-pump; and the Rise of the Mercury the contrary. This Alteration happens in Vegetables and in fermenting Liquors, as well as in Animals; and how these considerable Changes are made by Heat, Cold, or great Winds in fermenting Liquors, is an Observation of every one con- versant with them; for all these Changes are brought about by altering either the Weight or Spring of the circumambient Air: It is for this Reason like wise, that se- veral People, by their Akings and Pains, can foretell any considerable Change of the Wea- ther; for their Blood being more rarefied at the approach of wet Weather, or high Winds, will more forcibly press upon the sensible Membranes of the Body, so as to cause Pains that they were free from before: And this the rather happens, because the Blood hereby becomes not in the least the more fluid; for Froth, which is only Water blown into Bubbles by Air, is less fluid than Water itself; and the Globules of the Blood be- ing blown larger by the contained Air, when the Pressure of the external Air is removed, the Blood then is rendered less fluid, and will pass through the Capillaries with great Difficulty. A Fluid must have its Parts small, smooth, spherical, or approaching thereunto, and of equal Density, if the Fluid be homogeneal *, F2 accord- * homogeneal is such Particles as are pure, entire, un- mixed, and altogether like one another. 84 A GUIDE to HEALTH Part II. according to Borelli ‡: and it is not neces- sary that the Parts of a Fluid should be in Motion, because it is neither apparent that the Parts of all Fluids are so, nor that the Parts of some solid Bodies are not so; there- fore, the Blood in this rarefied State is rather less, than more fluid, in which Condition it will remain, whenever the Gravity of the Air is lessen'd, or its Spring weakened, by any Cause whatever. There is no Liquor that can be blown up into Bubbles, but what is somewhat viscid, and the more tenacious the Parts of any Liquids are, the fitter it is for this Use; for the Bubbles will be both larger and more lasting; for Example, a Mixture of Soap and Water may be blown into Spheres or Bubbles above six Inches in Diameter; and human Blood con- sists of Parts like what is in such a Mix- ture; for there are watry, oily, and saline Particles in the Blood, as is evident to our Senses: And that the Blood is blown into such little Spherulœ beyond dispute, is what may be observed with a Microscope in the Tail of a Fish; for the Globules of Blood being too large to pass through the smallest Arteries, they change their spherical* Fi- gure to a spheroidal † one; and when they come into a wider Channel, they recover their former Figure again. Now as it is the Property ‡ Borelli de motibus à gravitate factis, Præpos. p. 142. * Spherical, round like a Ball. † Spheroidal, an oblong Sphere or Ball. Ch. II. thro' the various Stages of Life. 85 Property of an Elastick Body alone, that when its Figure is changed, to recover it again; and nothing being Elastick but Air, or at least, what contains Air in it; it is a plain Reason that the Globules of the Blood must contain Air in them. From what has been said, it appears, that whenever the Blood is too viscid, so that the Force of Cohesion be not greater than that by which the Air contained in the Blood endea- vours to expand itself, in such a Case the Person will be more sensibly affected by the Alteration of Weather; from hence better Indications may be taken both for the Cure and Prevention of those Diseases that pro- ceed from a Viscidity in the Blood, than from any other Source whatever. Human Species can live in Air of very dif- ferent Gravity; for the Air in the same Place may differ 1/10 in Weight, the Variation of the Mercury in the Barometer being so much; but what is still more extraordinary, human Creatures can live in Airs, where the difference of the Weight is double; for Exam- ple, in the Bottom of deep Mines, where the Mercury stands in the Barometer at 32 Inches, and at the Top of the highest Mountains, supposing 'em to be 3 Miles high, the Mercury then mud stand at a little above sixteen inches. Notwithstanding human Creatures can sus- tain such a Difference of Weight or Pressure of Air, as (in the common Variation of Gra- F3 vity 86 A GUIDE to HEALTH Part II. vity in the same Place) makes the Difference of Pressure upon a Person of a middle Size 3600 Pounds Weight, and in the Difference of Height in the Bottoms of Mines, and at the Tops of the highest Mountains the Dif- ference of 18000 Weight; which Difference of Pressure or Weight must produce great Alterations in the bending or stretching of the Fibres, and in dilating the Fluids of a Human Body: For in the case of a greater Weight, the Fibres will be more strongly braced, and the Fluids will be rendered more compact; and, as has been observed already, were there not a free Communication between the outward Air, and that within the Animal Fluids, these Alterations would be insupportable; for the Animal would be, in such a Case, as in an Air-pump with the Exsuction of half the Air; in which Case the Blood would boil up and expand itself to a very great Degree, by having so much of the Pressure of the outward Air taken off. And it seems very reasonable, that in di- minishing the Force of the Pressure of the outward Air upon human Bodies, the Fibres thereby will be rendered more un- braced, and consequently must create a Weakness in Muscular Motion; which is the Reason, in a great Measure, that People breathe shorter and with more Difficulty than usual, in going up to the Tops of high Hills and Mountains; for the Air in ascend- ing is a great deal lighter than at the Bot- 2 tom, Ch. II. thro' the various Stages of Life. 87 tom, and by the Diminution of the Pressure of the Air upon the Muscles, less Exercise puts People out of Breath; and likewise the Over-ballance of the Air contained in the Cavity of the Breast, may help to produce this Effect But then perhaps it will be said, that the Inhabitants of Mountains are not weaker nor less active than those of lower Situations: In answer to which it must be observed, that the Excess of Coldness of the Air on the Tops of Mountains above that of the low Countries, counter-ballance the less Weight of the Air, and braces the Fibres more strongly: Another Reason is, that such as live in a rarer or lighter Air, as on high Mountains, are accustomed to the Exercise of a greater muscular Strength; as in the Case of Birds performing their Motions in a thinner Fluid, must always use a greater muscular Strength, which, though Nature has accustomed them to the Use of this Ele- ment, must strengthen their Fibres; for which Reason tame Birds cannot fly so well as wild ones. The Alterations of the Pressure of the Air in its Gravity and Elasticity, must pro- duce proportional vibrating Motions, both in the Solids and Fluids of human Bodies; and when these Variations are frequent and ex- treme, such violent Motions of the Fluids and Solids must cause great Changes in hu- man Bodies; for which there was no Ne- cessity of having recourse to any occult or F4 hidden 88 A GUIDE to HEALTH Part II. hidden Qualities in the Air, as a great ma- ny have imagined; and though the Air does not much hurt the Animal Fibres, by the Softness of its Contact; yet the alternate bracing and unbracing of the Fibres strongly, may produce these Changes; and such Al- terations are not only producible by the Va- riations of the Air's Gravity and Elasticity, but likewise by its Qualities, such as Heat, Cold, Moisture and Dryness, which will be the Subject of the next Chapter. * Elasticity is another Property of the Air, which is a Force equal to its Gravity; for, as the Honourable Boyle and others have proved by Experiments, the smallest Bubble of Air by its Elasticity or Spring can bal- ance, resist, and equiponderate the whole Atmosphere of equal Density, as far as it is exposed thereunto; for otherwise it would be more compressed than in Fact it is; and by these two Qualities of Gravity and E- lasticity, and the Alterations of them, the Air produces great Effects in living Creatures; for by these, Respiration is performed, and the Equilibrium or Ballance is kept between the outward Air and that contain'd in the Vessels of the Body. True * Elasticity or Springiness, which most Bodies have more or less, is a Power in a Body to return to its first Place and Condition, as a Stick which is forcibly bent; and the Air has it in a very remarkable manner, which being compressed, it endeavours with a very great Force to restore itself to its former State. Ch. II. thro' the various Stages of Life. 89 True Air never loses its Elasticity, as Steel, Wood and other Bodies do; yet it exerts it only when it is collected into a Mass; which is confirmed by the Air-Gun; for Mons. De Roberval of the Royal Academy of Sciences, having let his Air-Gun remain charged for the Space of 16 Years, found on discharging it, that the Air's Elastick Force was not at all abated, but produced the same Effect as at first *. By this Elastick Force the Air insinuates itself into the Spaces of Liquors not sufficiently filled with it already; there it remains divided in its minutest Par- ticles, and as it were in a fixed State, till it is expanded by Heat, or the incumbent Pres- sure is taken off, and then it is collected in- to greater Masses, and exerts its Elasticity in Proportion to the Diminution of the in- cumbent Pressure. The Elasticity of the Air has been suffi- ciently demonstrated by various Experiments of the Air-pump, and otherwise: One very plain is this; an empty Bladder, the Neck of which being tied round fast, that no Air could either get in or out, and being put into the Receiver of an Air-pump, and the ex- ternal Air therein exhausted, the small mat- ter of inclosed Air in the Bladder, will, by its own proper Spring or Elasticity, gradual- ly expand itself, and at last will so extend the Bladder as to burst it: Thus also the Air compressed in a Wind-Gun, will, by its Elas- tick * Hist. de l'Academ. Roy. 1695. p. 368. 90 A GUIDE to HEALTH Part II. tick Force (being discharged) drive a Ball through a Board at several Yards Distance, in the same manner as with Gun-powder. The Solids and Fluids of Animals contain more Air in them in Proportion, than any other Substances; and Animal Solids contain more Air than Fluids; and they contain a greater Proportion of Air than any other watery Fluid: For example, Blood contains 1/27 Part of its Weight in Air, and 33 times its Bulk; whereas 54 Inches of Well-water yield only 1 Inch of Air; but Spaw and Pyrmont Wa- ters yield double the Quantity of Air, to that of common Water; and therefore the Activity of Steel and Mineral Waters is owing to some aërial Particles in them; for when these are evaporated, the Waters become insipid, and without any Virtue, by the Quantity of Air lost, which the Blood and other Fluids of Animals contain, as has been often demonstrated by Experiments of the Air-pump; for they will expand them- selves in an exhausted Receiver to a great Degree, in the same Manner as in the Ex- periment of the Bladder just now mention'd. Hence the Alteration of the Weight and Spring, or elastick Force of the Air, which dilates and expands proportionably the Liquors, with which the external Air communicates, must produce sensible Effects in animal Fluids; for as Air is a principal Instrument in the Animal Oeconomy, and consequently a prin- cipal Ingredient in the Composition of all animal Ch. II. thro' the various Stages of Life. 91 animal Substances, it must in a particular man- ner affect animal Bodies, and by its Changes differently influence all their Operations. Fluidity is a Property of Air, which can- not be destroy'd or congealed like Water or other Fluids, by any Power of Art or Na- ture hitherto known: and this Property of Fluids arises from the exceeding Tenuity or Smallness of the constituent Particles of such Bodies, and their Disposition to Motion, from the Sphericity or Roundness, and Lubri- city or smooth Slipperiness of their Figures, whereby they can easily slide over one ano- ther's Surfaces all manner of Ways, and can touch but in few Points; so that Particles thus modified, must always produce a fluid Body or Substance, as Water, Fire, &c. No Coagulation, Fermentation, or Condensation of any Mixtures where Air resides, have ever destroy'd its Fluidity; for it preserves it in Cold 44 Degrees greater than any natural Cold, which Property is absolutely necessary to an Element, in which both Animals and Vegetables live and grow. As Water is a Fluid much denser or thicker than Air, it supports and keeps together the Bodies of larger Animals than Air can do. The Air is pellucid or transparent to such a Degree as not to be discernible even by the best Microscopes, by reason of the great Po- rosity thereof; for the Pores and Interstices of the Air being so very great and large, it not only admits the Light in right Lines, but in such 92 A GUIDE to HEALTH Part II. such great plentiful Rays, that the Brightness and universal Lustre thereof, not only renders the Air diaphanous or transparent, but en- tirely hinders the Opacity or Darkness of the very small Particles of Air from being at all seen; and the whole Body of the Air must consequently be invisible. But notwithstand- ing the Minuteness of the Particles of Air, many thicker Fluids will pass where it can- not; for Oil, Water, and Liquids will enter thro' Leather, which will exclude Air. That Air is a Fluid in constant Motion, may be easily perceiv'd in that Part of a Room illuminated by the Rays of the Sun, entering at a small Hole or Crevice, where- in the visible and floating Corpuscles or Atoms are in continual Motion; likewise a constant undulatory Motion in the Air may be seen by the help of a Telescope; and these Undu- lations or Wavings of the Air to and fro, affect small and tender Bodies, but not so much as to alter their Figure. The Difference between Fluidity and Li- quidity is, that the former is a general Name for all Bodies whose Parts yield to the small- est Force or Impression; and thus a Quan- tity of Sand as well as Water, is called a Fluid: But what is properly called a Liquid or Liquor, is only that Kind or Species of Fluids which cleaves to the Touch, or sticks to the Finger, &c. or, as may be said, wets it, as Water, or any kind of Juices do: And the Reason of this Difference is owing to Ch. II. thro' the various Stages of Life. 93 to the exceeding Smallness of the Particles of Liquids above those of fluid Bodies; and also to their Ponderosity or Weight: for by these means, the Particles of Liquids enter the Pores of the Body which touches them, and by their Gravity or Weight, cohere or stick to, and abide therein, and cause Wetness. Air is compressible as well as dilatable; for it can be compressed into a less Compass, and smaller Volume, like a Fleece or Lock of Wool, either by its own Weight, or by any other Force; which Weight or Force being remov'd, it immediately recovers its former Bulk and Dimensions again by its Spring. Heat will encrease the Force of the Elasti- city of the Air to a prodigious Degree, accord- ing to the Experiments of Mr. Boyle, as has been observ'd in the Beginning of this Chap- ter. To prove which by an easy Experiment, take a Bladder entirely empty as you think, and tie the Neck of it very well with a Pack- thread, and lay it before the Fire, the Heat will presently so dilate and rarefy the little Air inclosed, as to make it extend the Blad- der to its utmost Stretch, and if continued, will break through it with a Report like that of a Pistol. That Air also may be com- pressed by Art, so as to take up but 1/60 Part of the Space it possessed before, has been prov'd by Numbers of Experiments made by Boyle and others; for farther Proof and Sa- tisfaction thereof, see Sir Isaac Newton's Op- tics, p. 342. Divisi- 94 A GUIDE to HEALTH Part II. Divisibility is a Property of Air, by which living Creatures move in it without much Resistance; for it is always divisible by the smallest Force imaginable. Fishes and Birds move thro' their respective Element after the same manner; and Fishes may be called the Birds of the Water; they pass thro' an Ele- ment which is 800 times thicker than Air, as has been observ'd in p. 71; for which Reason Fishes must employ a Force propor- tional to the greater Resistance of the Fluid. On the other Hand, a great deal of the Force of Birds is employ'd to support themselves in a much thinner Fluid; but the Bodies of Fishes are poised or equilibrated with the Water in which they swim. However Air has some Degree of Tenacity or Adhesion, by which its Parts attract one another, as is ma- nifest by the round Figure of Water-Bubbles, which attract and run into one another; and at the same Time the Particles of Air, by their Elasticity, have a Power in other Cir- cumstances, of flying off from one another, which two Properties are consistent, as may be seen in Light. The Resistance of Air is very considera- ble in Bodies swiftly moving thro' it, or by its swift Motion against Bodies. In the first Case, the Resistance increases in the dupli- cate Proportion of the Swiftness of the mov- ing Body; that is, the Resistance is a hun- dred times greater when the Velocity is but ten times; so that for this Reason, if light Bodies are moved with great Swiftness, the Air's Ch. II. thro' the various Stages of Life. 95 Air's Resistance will throw them back in another Direction. Air moving with Rapidity, as in violent Storms or Winds, produces very sensible Ef- fects in human Bodies, to which if we add the Motion of the Person moving opposite, then the Pressure will be very considerable; hence Walking or Riding against great Winds is a great and laborious Exercise, the Effects of which are a Redness and Inflamma- tion of all the Parts exposed to the Air, be- ing like the Effects produc'd by a soft Press or Stripes, Heat and Drowziness. CHAP. III. Of the Qualities of Air. THE Qualities of Air are Heat, Cold, Dryness, and Moisture; they are called Qualities of the Air, because they are change- able, and do not constantly reside in the whole Mass, nor in the Parts thereof. By these variable Qualities of Heat, Cold, Dryness, and Moisture, the Air must of Ne- cessity produce various Alterations in human Bodies. For if we consider, that human Blood is a Fluid continually warm, and in- closed in a Composition of thin and flexible Tubes, to which the outward Air has Admit- tance 96 A GUIDE to HEALTH Part II. tance or Entrance by the innumerable Pas- sages of the Pores of the Body: Again, if we consider this Machine, with its inclosed Fluids steaming and reaking hot thro' num- berless Pores, and often changing Situation, sometimes within, sometimes without Doors, and exposed to the hot, cold, dry, or moist Air, and all the various Alterations that oc- cur in that Element; the Changes which must happen to a human Body in such Cir- cumstances, must be very considerable, and far greater than we generally suppose or ima- gine; for besides the real Influence of the circumambient Air, human Bodies are affect- ed by these Changes with a painful or plea- sant Sensation, which they have not always in their Power either to escape or possess. Heat is a Quality relative to our Senses excited in the Mind, by a great and swift Agitation of Particles of the hot Body ex- erting its Action or Influence on us; so that Heat in us is only the Idea thereof; and in the hot Body, Activity and Motion, and no- thing else: for no Heat is sensible, unless the Particles of the Body which act upon us, be greater than the Motion of the Organ or Part of the Body acted upon. But when the Motion of the Particles of the Body acting, is less than that of our Organs of feeling, then it causes in us the Sensation or Idea of Cold, which is only a Privation or less Degree of Heat or Motion. The Ch. III. thro' the various Stages of Life. 97 The Spirit of Wine in Thermometers * or Weather-Glasses, is affected with the least Alterations of Heat and Cold; and therefore is the best Guide to know the Variations of the Weather, tho' the Degrees marked in the Tubes of them do not exactly measure their Quantity. The natural Heat of a grown Person is 92, and of Children 94 Degrees; but no Animal can live long in Air of 90 Degrees, or near the natural Heat of the Body. The Rarity or Thinness of the Air ren- ders it more sensible of the Alterations of Heat and Cold, than any other Fluid what- ever; for the least Increase of Heat dilates it, but a Diminution thereof contracts it im- mediately. The Degrees of Expansion of the Air cannot be determin'd; for the great- est Heat will not totally expel it, but by this continual Expansion and Contraction, by different Degrees of Heat, it is kept in con- stant Motion. Heat, but not so great as to destroy ani- mal Solids, relaxes the Fibres, and rarifies the Humours; whence proceeds the Sensation of Faintness and Weakness, and whence lan- quid and hysteric People suffer in a hot Day; for the Fluids are dilated, as is manifest to both the Sight and Touch, and the external G Parts * Thermometer or Weather-Glass, is a Glass Tube filled with Spirit of Wine of a red Tincture: It is an Instrument of great Use in the Hands of skilful Persons, in discovering the Degrees of Heat and Cold in Air, animal and vegetable Bo- dies, Liquids, Hot-Beds, &c. 98 A GUIDE to HEALTH Part II. Parts swell, and are plumper in hot than in cold Weather. Excessive hot Air is capable to reduce ani- mal Substances to a State of Putrefaction, and therefore very hurtful to the Lungs in parti- cular; for the Blood, by its Circulation thro' the Lungs, is heated to a degree so as to render it spumous; and the Surface of the Vehicles of the Lungs being exposed to the external Air, which has a free Communication to it; so that Refrigeration by cool Air is one, tho' not the principal Use of Air in Respiration: but when the outward Air is many Degrees hotter than the Substance of the Lungs, it must necessarily destroy and putrify the Solids and Fluids: Which is confirm'd by an Ex- periment of the learned Dr. Boerhaave, who relates, that he put a Sparrow into a Sugar- Baker's drying Stove, where the Air was heated 54 Degrees more than the natural Heat of Human Blood, which died in two Mi- nutes; a Dog being put in began to pant very much for Breath in seven Minutes, and in a Quarter of an Hour express'd very great Un- easiness; soon after he grew very faint, and ex- pired in 28 Minutes; he drivell'd a great Quan- tity of red Foam most part of the Time, which stunk so intolerably that a labouring Man that went near it was almost struck down in- stantly with the Stench. Dr. Boerhaave ob- serves in this Experiment the direful Effects of this Degree of Heat, how soon it occasion'd a most acute Disease, with violent and mortal Symptoms; Ch. III. thro' the various Stages of Life. 99 Symptoms; and how suddenly the Humours were changed and thoroughly putrified in 28 Minutes: He moreover observes, that these were not the mere Effects of the Heat of the Stove; for if the Flesh of a dead Animal had been hung up there, it would have dried, and not turn to a pestilential Corruption; which must arise from the Friction caused by the Circulation of the Blood through the Lungs, and being not in the least refrigerated, as in this Case. By the Degrees of the Heat of the Air act- ing upon Human Bodies, the Quantity of * Perspiration both sensible and insensible is regulated; for, by the Journals of the industri- cus * Perspiration is twofold, sensible and insensible; by the first is meant what we discharge by Spittle, Sweat, Urine and Stool; by the latter is understood what is imperceptibly exhaled or expell'd through the whole external Skin of the Body, as also from that of the Mouth, Nose, Jaws, Larynx, Lungs, Gullet, Stomach, Intestines, Bladder and Womb; so that the Quantity of it exceeds that of all other Excretions join'd together; for when the Body is strong and healthy, and after moderate living, especially in a warm Climate, such as Italy, that which is discharged insensibly by the Pores of the external Skin, Mouth, Nostrils, &c. is five Eighths of what is taken into the Body in Meat and Drink. It will not appear incredible, that animated Bodies should thus perspire, when we find by Mr. Boyle's Experiments, that he has observ'd the like even in the most solid and inanimate Substances. Besides, we see the Air, when return'd in Respiration from the Lungs, brings along with it a Vapour, which in cold Weather con- denses into considerable Drops. We likewise find that a Fin- ger, or any other Part of the Body, or our Breath, applied to a Glass, or polish'd Metal, will presently moisten and tarnish it. This perspirable Matter, according to the learned Boer- haave, is a Mixture of Phlegm, volatile Salt, and Oil, in cer- tain Proportions; and after a long Course of Circulations in G2 all 100 A GUIDE to HEALTH Part II. ous and learned Dr. James Keil of Northamp- ton, it appears, that the Perspiration in Eng- land scarcely equals all the other Excretions, and that in Summer it is near double to that in Winter; whereas we find, by the incom- parable Sactorius's Aphorisms, that the Per- spiration in Italy the Year round is to all the other Evacuations as five to three, and pro- bably the Proportion may be still greater in hotter Climates; and yet the same Author tells us in Aphorism vii. Sect. I. that the Quantity of insensible Perspiration varies ac- cording all the Forms of the Animal Fluids, is deprived of all that can be of farther Use to any Part of the Human Body; and is secreted by the capillary Arteries, and passes off insensibly and almost invisibly through the Pores of the Skin, and other Parts of the Body. But whenever this Evacuation is either dimi- nish'd or obstructed, it is almost an infallible Indication of Dis- eases, and probably the Cause of them, likewise. And Nature has so provided, that if by any external Cause this Evacuation is hinder'd in any one Part, it is always increased in another, or otherwise a Distemper will ensue; for which Reason when the Coldness of the Air, which more immediately affects the outward Skin, or any thing else lessens the Discharge of insen- sible Perspiration that Way, either the sensible Evacuations are increased, as commonly the Urine, or greater Quantities are carried off by Respiration from the Lungs and Parts about the Mouth, as we see in frosty Weather, like Smoak out of the Mouth; or else it is perspir'd into the Cavities of the Stomach and Guts, which afterwards is discharged by breaking of Wind either upwards or downwards: For as long as the Im- pulse within remains the same, wherever there is the least Re- sistance, there will be always the greatest Derivation of the perspirable Matter. And from hence it is, that we so fre- quently find, when the Body is more than usually exposed to the external Cold, Gripings, Loosnesses, Colics, and great Uneasinesses in the Bowels, which is nothing else but some Part of the perspirable Matter, that ought to have passed the outward Skin, check'd by the Cold, and by an opener Pas- sage Ch. III. thro' the various Stages of Life. 101 cording to the Differences of Constitution, Ages, and Countries, Seasons, Distempers, Diet, and the rest of the Non-naturals: Which must occasion a great Diversity of Constitutions and Distempers, according to the different Climates; for the serous Part of the Blood is carried off by Sweats or sensible Perspiration, in far greater Quantities in hot Countries, than in cold or temperate Cli- mates, which must consequently render the Crassamentum or fibrous red Cake of the Blood larger; hence we may know the Reason why the Blood of People residing in those hot G3 Coun- sage within thrown off that Way. Leeuwenhoek by the Help of Glasses, has discover'd the Texture of the Scarf-Skin to be scaly; and that those Scales cover one another in several Lays, more or less, according to the different Thickness of the Scarf- Skin in the several Parts of the Body; and that in the Com- pass of one cuticular Scale he reckons there may be 500 Excretory Channels, and that one Grain of Sand will cover 125000 Orifices; and that from these a most subtile Humour continually transpires in all the Parts of the Body; which was first observ'd by the incomparable Sanctorius, to whom alone the Glory and Perfection of this Discovery is entirely owing. Insensible Perspiration therefore, both as to the Matter and Quantity of it, is so absolutely necessary to the Health of a human Body, that a Distemper can neither be removed, nor Health preserv'd, unless it be rightly digested and discharg'd; For which Reason it ought to be of the utmost Concern to a Physician not only thoroughly to acquaint himself with the Nature of this Evacuation, but likewise thoroughly to know by what Means it is to be promoted or lessen'd, according to the several Exigencies of his Patients, either for the Preservation or Recovery of their Health: For according to the last men- tion'd Author, in Aphorism ii. Sect. I. ' If a Physician who ' has the Care of another's Health is acquainted only with ' the sensible Supplies and Evacuations, and knows nothing of ' the Waste that is daily made by insensible Perspiration, he ' will only deceive his Patient, and never cure him unless by ' Accident.' 102 A GUIDE to HEALTH Part II. Countries is commonly thick and black when drawn from any Part of a human Body, as Experience teaches. Air is not cooled by the Motion of Winds, but by the Air of cooler Regions that they bring along with them; for the Thermometer will not change by Winds or by the strongest Blasts of Bellows, unless it is blown through Ice or some other Body colder than Air, ac- cording to Mr. Boyle's Experiments, but then such a Blast will sink it considerably. Winds cool animal Bodies by driving away the hot Steams that surround them; for if we sup- pose that the Heat of a human Body is 90 Degrees, and the Heat of the Air 48, by blowing off the hot Steam, then the animal Body will be surrounded with an Atmosphere of 48 Degrees, and consequently near the one half of its natural Heat taken off in a Second of Time. Therefore, if immediately after Ex- ercise we rest in a cold Air, we run a great Hazard of falling into great Diseases, of which there has been frequently woeful Instances, especially such Distempers as affect the Lungs, as Inflammations, Asthmas, Pleurisies and Ca- tarrhs; for this Change of their Atmosphere happening every Second of Time, is, much the same thing as putting on a cold Suit of Cloaths every such Time. Therefore, as human Bodies may be cool'd by Air cooler than their own Temperament, so there may be great Use made of tempera- ting feverish Heat by the outward Air, pro- 2 vided Ch. III. thro' the various Stages of Life. 103 vided it be done with Caution; which is very well known by Experience, as in inflamma- tory Diseases, such as the Small-Pox, Measles, &c. scarcely can any Liquor taken inwardly cool human Blood sooner than cool Air; for, by its Admission into the Pores of the Skin, and its being in immediate Contact with the Vesicles upon the Surface of the Lungs, it cools the Blood in a very little Time: So that great Mischief frequently happens by keeping the Air of the Rooms of People in Fevers too hot, by depriving them, in the first Place, of the Benefit of being refresh'd by it, and in the next, by the bad Effects of animal Steams pent up in the Room, which spoil the Air and destroy its Elasticity or Spring. Therefore it is the Opinion of the most celebrated Phy- sicians, that renewing and cooling the Air in a Patient's Room, by giving it a free Admis- sion, in opening the Door sometimes, the Bed- Curtains, and in some Cases the Windows, or letting it in by Tubes or Pipes, in order to change the hot Atmosphere about the Patient, (provided the Intention of keeping up a due Quantity of Perspiration is not disappointed) and in general the right Use and Manage- ment of the Air, is one of the principal Parts of a Regimen in all inflammatory Diseases; but, through the Ignorance and scrupulous Care of Nurses, in so material a Point as this, the Distemper is frequently increas'd, lengths en'd, and at last proves fatal; and this Mi- stake proves far more dangerous to strong, G4 vigorous. 104 A GUIDE to HEALTH Part II. vigorous, compact, and heavy Constitutions, than to lax ones; according to this Axiom, Heat is detain'd in proportion to the Density of Bodies. Cold is a Privation or Diminution of so many Degrees of Heat, as I have observ'd al- ready in Page 96, and it produces a propor- tionable Abatement of the Effects of Heat; so that, from what has been said already con- cerning hot Air, the Effects of cold Air may be inferr'd. Cold Air, according to Philoso- phers and Naturalists, is the immediate Cause of freezing; it first begins in the Air, by congealing the watery Particles in it; but the Effects of this Cold sometimes do not reach so far as to freeze the Water on the Sur- face of the Earth; as in Summer Hail and Icy Showers. Cold condenses the Air in proportion to the Degrees of it; and likewise contracts animal Fibres and Fluids, which are denser; for as Cold braces the Fibres, not only by its con- densing Quality, but likewise by congealing the Moisture of the Air which relaxes; so for this Reason Animals in cold Weather. are of less Dimensions than in hot Weather. Extreme Cold produces at first a pricking Sensation in human Bodies, and afterwards a glowing Heat, or a small Degree of Inflam- mation in all the Parts of the Body exposed to it; and by bracing the Fibres more strongly, thickening the Fluids, and stimulating, it pro- duces Strength and Activity in human Bodies, of Ch. III. thro' the various Stages of Life. 105 of which healthy People are very sensible in clear and frosty weather. Now, if the Effects of cold Air be so con- siderable upon the Surface of the Body, why may not they be much more so upon the Lungs, wherein the Blood is much hotter, and the Membranes or Coats very thin, and in immediate Contact with the external Air? But were it not that the warm Air is not alto- gether expell'd out of the Lungs in Expira- tion, the Contact of the cold Air would be insupportable to human Creatures; and the Effects of cold Air in producing Inflammations of the Lungs in all Nations is common, espe- cially upon the blowing of cold north-easterly Winds in Europe, or north-westerly Winds in America. Cold suppresses some of the grosser Parts of the perspirable Matter, by which Means a great many Salts, that would b exhaled in warm Weather, are detain'd, by contracting the Pores of the Skin, and cooling the Blood too much in the Vessels that are exposed to the Air; as also by Stimulus the cold Air vel- licates and inflames these Vessels, as has been obser'd already, and at the same time pro- ducing Scurvies with dismal Symptoms, being a Distemper of cold Climates; the fatal Ex- remities of which we may see in Captain James's Journals, in Gerat de Veer'd a Hol- lander, and in Captain Middleton's, and in those of many others, who have win- ter'd in Greenland, and other cold Coun- tries; for the Cold that froze their spirituous I Liquors 106 A GUIDE to HEALTH Part II. Liquors produc'd almost the same Effect in their Blood, by reducing the animal Substan- ces of some to a gangrenous State, with Mor- tifications of their Limbs and Gums, being oblig'd to cut off the putrid or rotten Flesh; a total Incapacity of chewing, not capable to move themselves, and intolerable Pains in many Parts of the Body, with black and blue Spots and Blisters on their Skins; and by sup- pressing Perspiration, and retarding the Cir- culation of the Blood, others were seiz'd with Giddiness, Sleepiness, Pains in the Bowels, Looseness, Bloody-Fluxes, Iliack Passions, and a Mortification in the Guts; but seldom any Loss of Appetite, which is very surprizing: All such dismal Symptoms could not be attri- buted to the Effects of Salt Provisions, in as much as they frequently had fresh both ani- mal and vegetable. Extreme Cold or extreme Heat will de- stroy animal Substances, or reduce them to a gangrenous State, but with this Difference, that a Degree of Cold that will produce a Mortification in living Bodies, will preserve those that are dead from Putrefaction; and in order to produce such a Change, there must be a Concurrence of Heat and Motion in the animal Fluids with the Stimulus of the Cold to produce the Change; for which Reason, Blisters cannot be raised on dead Bodies by the strongest blistering Plaisters imaginable. Moisture is a Quality of Air which affects animal Bodies in relaxing and lengthening their Ch. III. thro' the various Stages of Life. 107 their Fibres; for it has been often demon- strated by Experiments, that the single Fibres both of Animals and Vegetables are lengthen'd by moist Air, and that it relaxes is likewise evident from daily Experience upon Leather, Vellum, Paper, and a Drum. By cold Bath- ing there is a momentary Contraction of the Fibres of the Body effected by the Cold- ness of the Water only, and the Sensation of which works as a Stimulus in human Bodies; but the Water in its own Nature would re- lax, and continually does so, if we remain too long in it; which is the Reason that Peo- ple using the Cold Bath are order'd not to stay in above half a Minute, or a Minute: and warm Water relaxes a great deal sooner than cold, and Swimming fatigues and dispi- rits more by relaxing the Fibres than Exer- cise. Air, by the Assistance of Moisture, will sooner insinuate itself into the Pores of Bo- dies than otherwise; for a dry Bladder will sooner burst than let Air pass thro' it, but when it is moisten'd it easily passes. Yet Moi- sture diminishes the Elasticity of Air, for in rainy Weather it is less Elastic; so that Moisture relaxes human Fibres, by weaken- the Spring of the Air; but dry Air will lessen those Effects, or produce their Con- traries, such as bracing and contracting the animal Fibres, which were before both re- lax'd and lengthen'd by too much Moisture. And a great many Symptoms which People are 108 A GUIDE to HEALTH Part II. are sensible of in moist or rainy Weather, are chiefly owing to the Relaxation of the Fibres by moist Air, by which means they lose some Degree of their elastic Force for cir- culating the Fluids; hence arise those Aches and Pains which are felt in the Parts of the Body, where the Circulation of the Fluids is not perfect, as in Cicatrices, or Scars of Wounds, old Sprains, Dislocations, or bruised Parts. Likewise a moist and foggy Air, espe- cially where the Country is low and marshy, will so weaken the Tone of the Vessels, as to hinder a proper Discharge of what ought to be carried off by insensible Perspiration, ac- cording to Sanctorius *; and particularly weaken those of the Lungs, by which means the Viscidity of the Blood will be increased; hence arise Coughs, Catarrhs, Consumptions, Asthmas, Pleurisies, Head-aches, Dulness, and Stupidity, Epilepsies, Hoarseness, cuta- neous Eruptions, pale and languid Complexions: and such People are also subject to scorbutic Habits, weak Appetites, Fevers of different kinds, Diarrhœas, Dysenteries, and Drop- sies.† When the Air is overcharg'd with Va- pours near the Surface of the Earth, and when * Med. Stat. Sect. 2. Aphor. 8. † Hippoc. Aph. 16. lib. 3. & lib. de Aëre, Aqua & Lo- cis; in which last Book Hippocrates tells us, that the Phasians, who inhabited a low and marshy Country, were frequently subject to the above-mention'd Distempers, and which is commonly, and almost always the Fate of all such Situations, as both History and Experience teach. Ch. III. thro' the various Stages of Life. 109 when those Vapours are more in a falling than in an ascending State, it is then properly called moist Air; tho' the Body of the Air may contain more Water in it at other times; but then the Water and Air are more intimately mix'd, and the Vapours are higher, and a less Quantity of them in contact with our Bodies; so that Air in such a State may be justly called dry; and sometimes the Air may be said to be in a State of exhaling and imbibing, and at other times in a State of precipitating its Waters and other Contents. Dryness is another Quality of Air, by which it produces Effects contrary to those of moist Air: and as dry Air exhales and imbibes volatile Spirits, and Oils of animal Bodies, so it does consequently influence Perspiration. But great Dryness is capable of changing the very Texture, as well as the Si- tuation of the Pores of the Skin of human Bodies; and either extreme Dryness, or ex- treme Moisture have very often proved dan- gerous, if not fatal to human Bodies; and tho' our Bodies are not capable of bearing Excesses of any kind, yet of the two, ex- treme Dryness has been found most destru- ctive to animal Bodies. By the Properties and Qualities hitherto enumerated and explain'd, Air must pro- duce very great Alterations in human Bodies; for it does not only operate by outward Contact, but we likewise imbibe it at all the Pores of the Body, as is evident by what has been 110 A GUIDE to HEALTH Part II. been said already; otherwise the Air could not have a free and constant Admittance in- to the Body, and consequently the Ballance between the outward Air, and that within the Vessels, could not be so quickly restor'd; and it is upon the due Ballance of the Air within and without the Body, that the Life of ail Animals depends. The Skins of Animals dry'd exclude Air; but those of living Creatures being moist and oily, it will easily pass thro' them; for where- ever there are Emissaries, there are also ab- sorbing Vessels: And to prove this Assertion farther, many Bodies a great deal thicker and heavier than Air, such as Mercury, Spanish Flies, and Garlick, &c. readily enter the Pores of the Skins of animal Bodies. So that while we perspire, at the same time we ab- sorb part of the outward Air; and the Quan- tity of perspir'd Matter, discover'd by the Method of weighing, is only the Difference between that and the Air absorb'd; therefore after great Labour and Abstinence, which produces an Emptiness in the Vessels, and consequently a great Diminution of Perspi- ration, it is very probable, that in such a Case, the Quantity of the Air absorb'd may exceed that of the perspir'd Matter: which must be true, if Sanctorius's and Dr. Keil's Journals of Perspiration be faithful and ex- act; for there is an Instance in the Doctor's Journals, of a Person's growing 18 Ounces heavier by absorbing Air. The Doctrine of absorbing Ch. III. thro' the various Stages of Life. 111 absorbing Air thro' the Pores of the Skins of living Creatures, was taken for granted both by Hippocrates, Galen, and their Followers, which has been since confirm'd and demon- strated by that accurate and most ingenious Observer of Nature, Mr. Hales, in many Bodies, particularly in Vegetables, by plain and easy Experiments; by which it appears, that Air freely enters thro' the Bark, Stem, Leaves, and all the Surface of Vegetables. By absorbing external Air, with all its Qua- lities and Contents, many great Effects must necessarily follow, and many sudden Altera- tions happen in human Bodies; and nothing can account more clearly for epidemical Distempers seizing People inhabiting the same District of Land, and who have nothing else in common that affects them, except Air, which is confirm'd by * Hippocrates, † Sy- denham, and many others. * Hippocrates, Epid. lib. 3. Sect. 3. & lib. de Aëre, Aq. & Locis. † De Febribus Intermit. Thucydid. lib. 2. p. 130. 147. Diod. Sicul. p. 101, 102. Hallerius libel. de Peste, p. 577. Hippoc. lib. de Flatibus, p. 297. & lib. 6. de Morb. po- pular. Sect. 8. p. 1199. CHAP. 112 A GUIDE to HEALTH Part II. CHAP. IV. Of the Influence of AIR upon Human Bodies. THE Influence or Power of the Air up- on human Bodies is as different as the Diversity of the Weather, Seasons, Climates and Countries; but the true Knowledge of it is very obscure and imperfect, especially in that Part which will be always difficult to find out, that is, the different Qualities of the Air, and the manner of their acting upon human Bodies; yet if Journals of Diseases, compar'd with the Weather, had been kept for some Centuries in many Places and Kingdoms, we should at last have come to more than a conjectural Knowledge of this important Matter. The divine Hippocrates, after a Series of many Years indefatigable Practice and just Observations, has left us in his Books of Epidemics, and third Section of Aphorisms, an inestimable Treasure of Golden Rules to go by for this Purpose; and tho' he had nei- ther * Barometer, † Thermometer, nor ‡ Hy- groscope * Barometer, See Page 79. Note ‡. † Thermometer, vid. p. 97. Note *. ‡ Hygroscope is a useful Instrument to be made several Ways, for-measuring the Moisture and Dryness of the Air. Ch. IV. thro' the various Stages of Life. 113 groscope, to measure either the Weight, Heat, Cold or Moisture of the Air by, yet knew more of the Influence of Air on human Bodies, than all his Predecessors and Succes- sors put together; for none of them ever made such just and curious Observations up- on Airy and its Effects, as he did, which plainly appears in his Works: he judg'd only according to Reason and his Senses, which are surer Guides than the Thermometer, in re- spect to the Effects of Heat and Cold upon our Bodies; for by the Thermometer, stagnant Water is of the same Degree of Heat as the ambient Air, but if apply'd to our Bodies, we shall feel it much colder; therefore, Air abounding with more or less watery Particles, is colder or hotter to our Senses, tho' the Thermometer still remains at the same Height.* This sagacious Great Man tells us, that ‖ Whoever would understand Physic, it is first necessary to understand the Seasons of the Year, and then their Effects on our Bodies; and that † we ought to know the Constitutions of the Air, what they are, and in what Times and Regions they mostly appear. He says likewise, ‡ That Distempers seldom arise from any other H Cause * According to Lord Verulam's Observations, Water seems colder than Air; and the Froth of any Liquor seems warmer than the Liquor itself; and the Powder of any solid Body, warmer than that solid Body, tho' the Thermometer still proves the same Degree of Heat in each to be alike. Hist. Nat & Experiment. de Ventis, cap. de forma Callidi, p. 143. ‖ Hippoc. lib. de Aëre, Locis & Aquis, p. 280. † Hip. lib. 4. p. 1138. de morb. Epidem. ‡ Hip. lib. de Flatibus, p. 297 114 A GUIDE to HEALTH Part II. Cause than the Air; for either it is too much or too little, or abounds with infectious Filth. He tells us in another Place ‖, That the Air is to he consider'd as to its Heat or Cold, Thickness or Thinness, Dryness or Moisture, and their several Changes. According to his Instructions, we are like- wise § to consider the Situation, Air, and Water of a City, in order to come at the Knowledge of their popular Diseases, and their Seasons: for Instance, that Cities ex- posed to the ‡ hot Winds, such as blow be- tween the rising and setting of the Sun in Winter, to which Situation such Winds are peculiar, and at the same time are defended from the Northerly Winds, abound with Water of a saltish Taste, which as it comes from above, must needs be warm in Sum- mer, and cold in Winter; but Cities that are well situated as to the Sun and Winds, and at the same time supply'd with wholsome Water, are free from many Distempers, which those in different Circumstances are subject to, as has been already mention'd: that if the Summer proves dry, the Diseases are of a shorter Duration than in a wet one in which they prove obstinate, and apt to de- generate into Suppurations, Heat and Moi- sture in the Air producing Putrefaction: that Defluxions, ‖ Idem de morb. popular, lib. 6. p. 1199. § Hip. lib. de Aëre, Locis & Aquis. ‡ Hippocrates means in this Place a Southerly Situation, and the Winds that blow from thence. Ch. IV. thro' the various Stages of Life. 115 Defluxions, much Phlegm, and Hoarseness are occasion'd by cold Weather: that Deflu- xions from the Head, and Disorders of the Belly, from Phlegm distilling downwards, producing Fluxes, were the Effects of the Winter, which made Women subject to Miscarriages, and Children to Convulsions; likewise such as were exposed to Cold, sub- ject to Inflammations of the Eyes and Lungs. This great Man could foretell the Diseases from the Weather, and says, that Heat coming upon a wet Season will produce se- rous Defluxions upon the Head and Belly, and acute Fevers. That cool Weather, about, the Dog-Days, if not succeeded by a tem- perate Autumn, is dangerous for Women and Children, producing Quartan Fevers, and from these they fall into Dropsies: if the Winter is mild and rainy, and succeeded by Northerly Winds in the Spring, it will be dangerous for Women that happen to be with Child, producing Abortions, likewise Deflu- xions upon the Lungs, Dysenteries and Co- licks in the Phlegmatick, and Inflammations in those that are Bilious, because of the Heat and Dryness of their Flesh; and that Ob- structions after Relaxations produce Palsies, and sometimes sudden Death in old People. A rainy Summer and Autumn must; needs make a sickly Winter; burning Fevers will happen in People above 40 and Phlegmatic; in the Bilious, Pleurisies, and Inflammations of the Lungs: but if the Summer be dry with H2 Northerly 116 A GUIDE to HEALTH Part II. Northerly Winds, succeeded by a wet Au- tumn with Southerly Winds, Head-aches and paralytick Diseases are likely to happen in the Winter; likewise Hoarseness, Stuffings in the Head, Coughs and Consumption: but a dry Autumn with Northerly Winds is pro- fitable to phlegmatic Constitutions, and ex- tremely hurtful to the Bilious, the watery Parts which dilute the Gaul being exhaled. He says farther, that whoever considers these Things, may know before-hand the greatest Part of what will happen from the Changes of the Seasons, and advises to con- sider the Constitution of the Air in Opera- tions of Surgery; excepts against cutting for the Stone in the Solstices *, especially in the Summer Solstice. The divine old Man goes still farther, and says, that the Affair of Generation is influ- enc'd by the Difference of the Constitutions of the Air, and that such a Variety should thus happen in the Formation or Mixture of the Semen, which is not always the same in the same Person, in Summer and Winter, in wet Weather and dry, that it is oftener cor- rupted in the Formation or Mixture of it, where the Seasons change frequently, than where * Solstice is the Time when the Sun being come to either of the Tropical Points, is got farthest from the Equator, and seems to be at a stand for some Days before it returns back, which happens twice a Year in the Summer and Winter. The Summer Solstice is when the Sun entering the Tropick of Cancer on June 11, makes the longest Day, and the shortest Night. Ch. IV. thro' the various Stages of Life. 117 where they remain pretty near alike. He likewise attributes the different Shapes, Com- plexions, Tempers of Mankind, and even their different Forms of Government, to the Influence of the Air: that the fertile Coun- tries of Asia, upon the account of moderate Heat and Moisture, produce large and hand- some Animals; and that the Softness of their Climate disposes them to Mildness and Effeminacy, not enduring Labour or Hard- ships of any Kind, like the Greeks, frequent Changes in the Body, produced by Labour and the Alterations of the Weather exercis- ing both Body and Mind; for which Reason the Asiaticks are less bold and couragious, they are slavish and subject to Masters, and tho' they are forc'd, yer they are not willing to quit their Ease and Families, or to endan- der their Lives for the Power and Wealth of others, in Expeditions from which they are to reap no Advantage to themselves: that on the contrary, the Greeks and Northern Asi- aticks were bold, hardy, and full of Courage; and that, being at their own Disposals, wil- lingly underwent Dangers and the greatest difficulties, because the Reward of the Vic- tory was to be their own. He says besides, that as the Equality of the Temperature of the Seasons render'd the Asiaticks indolent and lazy; so the great va- riety of Heat and Cold, by differently affect- ing Body and Mind, render'd the Europeans couragious and active; Activity, Labour, and H3 Exercise 118 A GUIDE to HEALTH Part II. Exercise begetting Bravery, and Bravery begetting Laws to secure Property; and being govern'd by such, they were enabl'd to reap the Benefit of the Fruits of their In- dustry, which those that live under Abso- lute Monarchy are not capable to enjoy: Here this great and wise Man expresses his Dislike to Despotick Government. The Phasians *, says he, are tall, soft, bloated and pale, on account of the excessive Moisture of the Air they breathe; for their Country is marshy, hot, watery, woody, and subject to violent Showers at all Seasons, and such Effects proceed from lax Fibres occasi- oned by excessive Moisture; but such as in- habit Mountainous Places, where they are of a large Make, have a variety of Weather, and are bold, fierce and active; and the Inha- bitants of fertile Plains, with stagnating Waters, are the reverse; for a fat Soil produces dull and heavy Understandings. The Inhabitants of barren and dry Soils, with cold Winters, are passionate, warm in their Tempers, posi- tive, proud, and of a quick Understanding. In one of his Books ‡, he attributes the Causes of all Diseases, especially of the Pesti- lential, to proceed from the Influence of the Air: And in another Place †, he far- ther * The Phasians were Inhabitants of the City Phasis, in the ancient Kingdom of Colchis, upon the eastermost Side of the Black Sea, between Georgia and Circassia, not far from the ancient Sauromatœ. ‡ Hippoc. lib. de Flatibus. † Hippoc. lib. de Morbo Sacro. Ch. IV. thro' the various Stages of Life. 119 ther affirms, that Air gives Sensation, Life and Motion to all the Members of Animal Bodies; for which Reason he strenuously re- commends Astronomy as an essential Part of the true Knowledge of the Art of Healing; and says, that if any one should think it to be only Meteorological Speculations, he may soon learn, if he can part with his Opinion, that Astronomy is so far from being of little Use in Physick, as to be of the greatest; for as the Seasons change, so do the Constitutions of Men likewise §: And to prove the Useful- ness of Hippocrates's Doctrine and Opinion in this Particular, we need only consult a Treatise of a Cotemporary learned Author, who is not only an Honour to his Country, but likewise an Ornament to his Profession, wherein we shall find not only the Usefulness of Astronomy in the Art of Physick, but likewise the Influence of Air upon human Bodies geometrically de- monstrated †. Hippocrates goes on still farther in the same Book, and says, that where the Variety of the Weather is oftenest, and the Diffe- rence between the Seasons greatest, there the Nature, Customs, and Habits of the People will be found most different, which are the principal Causes of all the Changes in Nature; and next to these, the Country wherein we are brought up, and the Waters we are obliged to drink; for we H4 shall § Hippoc. in his Book of Water, Air, and Situation. † Richardus Mead de Imperio Solis & Lunæ in Corp. Hum. 120 A GUIDE to HEALTH Part II. shall generally find that the Complexions and Manners of the People correspond with the Nature of their Country. He has left us a curious History of Diseases, and the Weather, in his valuable Books of Epidemics, from whence he drew many useful and nice Observations; and where we may see a vast Conformity between the Constitution of the Air, and that of Dis- tempers, throughout the whole Work. The Constitution mentioned in his 1st Sec- tion, was a wet Autumn, the Winter dry, with southerly Winds and very little norther- ly, the Spring cold, with southerly Winds, a little wet, a cloudy and dry Summer, with little or no northerly Winds to cool the Air; in this Constitution he observ'd some few burning Fevers of a good sort, some with Hæmorrhages; a great many had Swellings behind both or one Ear, but generally with- out a Fever, and disappear'd without much Inconvenience or Suppuration. The Constitution of the next Year, related in Section the Second, was a wet Autumn, with northerly and southerly Winds; the Win- ter was moist and affected with cold norther- ly Winds, attended with great and heavy Showers of Rain and Snow, and a cold and northerly Spring, both watery and cloudy; the Summer not very Scorching, and was continually affected with northerly Winds, and a great deal of Rain fell again sudden- ly; so that the whole Year being cold and moist, Ch. IV. thro' the various Stages of Life. 121 moist, and attended with northerly Winds for the most part, produced Inflammations of the Eyes in the Spring, and in the Summer, Co- licks, Fluxes of the Belly, with Bilious Purg- ings, and sometimes Bilious Vomitings with Phlegm and indigested Food, some with Cat- tarrhous Fevers, others again without Fe- ver or Confinement; but they all in gene- neral sweated, Moisture being then so redun- dant every where. In the Autumn and Winter continual Fe- vers appear'd; there were likewise diurnal, nocturnal, tertians, semitertians, some quar- tans and erratick Fevers; besides some were afflicted with Catarrhs and Defluxions upon their Joints; Convulsions were also frequent among Children; all such Diseases being the natural Product of a Cold and Moist Year, affected by too much Moisture in the Air, which human Bodies continually breathe and imbibe. He tells us in his third Section, that the Constitution of that Year was a cold dry Winter attended with northerly Winds, as was likewise the Spring and Summer till to- wards the beginning of the Dog-Days, then scorching Heats and Droughts continu'd till Autumn, which prov'd to be moist and rainy: This Year was remarkable for Paraplegias or Palsies, which were epidemical in the Winter; likewise Hæmorrhages of all Kinds and Dy- senteries reign'd in the Spring and Summer, be- ing the Effects of a Constriction of the Fibres, oc- 122 A GUIDE to HEALTH Part II. occasion'd by too much Cold and Drought; burning Fevers with Delirium and Thirst, be- ginning with Shiverings, Watchings, Nauseas, and Anxiety continued, which were most dan- gerous and fatal to young and vigorous Peo- ple, especially in the Autumn, but most of all in the Winter, when the Hæmorrhages ceas'd. In his Second Book he attributes the great Frequency of Carbuncles and other large Pustules of the putrid kind in Summer to the great suffocating Heats attended with Calms and Moisture; and that Sweats suc- ceeded Showers, because Moisture relaxes the Fibres of the Body; that inflammatory Dis- cases, such as burning Fevers, Pleurisies, &c. are most violent in a dry and hot Summer; that in constant and settled Weather and Seasons, the Distempers will be more equal and of a good Sort and easily determined; but that if the Weather is variable they will likewise be irregular and resolv'd with difficulty; that the Diseases of the Spring are least destruc- tive of any of the other Seasons: He like- wise remarks that a mild Winter, attended with southerly Winds, a dry Spring, and a moist Summer with small Rains, produced Fevers, and Tumours or Swellings behind the Ears. In his third Book he observes a kind of a Pestilential Season, which proceeded from a hard Winter, a rainy warm Spring, succeed- ed by an excessive hot Summer with little or no Winds; it was notable for all inflam- matory Ch. IV. thro' the various Stages of Life. 123 matory Pimples and Eruptions upon the Skin, and likewise for all Distempers of the putrid Kind, such as Erysipelas, Aphtas and Ulcers in the Mouth and Throat, burning Fevers with Deliriums, Tubercles upon the Private Parts, Inf animations of the Eyes, Carbuncles, Swellings in the Groins, Abscesses and Defluxions upon the Joints, some with Suppurations of Pus well digested, and others again with a copious Running of putrified Matter of different sorts. He remarks in his sixth Book, that the frequent Alterations of the Winds from South to North, are very often the Cause of Inflammations of the Lungs and other Parts of the Body; and that, generally speaking, the Nature of the Diseases is determined by the Seasonableness of the Weather, as it happens sooner or later, either dry, cold, hot, moist, and attended with Winds or otherwise. From these few Instances, we may easily discover the great Genius, Sagacity, and In- dustry of this Divine old Man, as likewise with what Assiduity and Integrity he apply'd himself to study the Nature and Influence of the Air upon human Bodies; wherein he suc- ceeded better than any one of his Profession: And if his Successors had laid aside all their ri- diculous, and, as I may fay, absurd Hypotheses, together with their useless metaphysical Specu- lations, and followed the same Method with the same Perspicuity and Honesty as he did, to this present Time, we then should have had more than 124 A GUIDE to HEALTH Part II. than a conjectural Knowledge, both of the Nature and true Causes of Diseases, especial- ly of Epidemics, which at this Time puzzle even the greatest Physicians. Therefore Rea- son join'd with Observation is the only cer- tain Method we should pursue in order to come at the true Knowledge of Diseases and their Cure; for it evidently appears in the Annals of Physick, that the small Num- ber of Physician who have happily attended to it, made so considerable a Figure in their Profession, that they will always shine, even to the latest Posterity. The ingenious Dr. Arbuthnot having ex- plain'd Hippocrates and others upon the Sub- ject of the Influence of Air on human Bo- dies and Diseases, so accurately well, accord- ing to Mechanical Principles, that nothing can excell it; therefore, I thought it not only proper, but likewise very useful and necessary to give the Reader an Abstract of what he says upon that Head in this Place. He observes, that as this Subject has not been treated of by modern Physicians with that Accuracy it deserves, Observations of that kind are but few, and there is no Series of them in any Country: What would give most Light in this Matter, is a Collection of Observations in Countries where both the Qualities of the Air have great Excursions towards Extremes, where the Seasons and these Excursions, and the Diseases depending upon Ch. IV. thro' the various Stages of Life. 125 upon them are regular. Egypt is a Coun- try which answers all these Intentions in some Degree: It is situated between Ethi- opia, the Mediterranean Sea, Arabia and Barbary, which lie, in the Order mention'd. South, North, East, and West of it. Grand Cairo, where Prosper Alpinus, a very emi- nent Physician, practis'd and made his Ob- servations, lies in 30 Degrees Northern La- titude, as Ptolomy says, 6 Degrees beyond the Tropick of Cancer. This great City is situated at the Foot of the Mountains of the Stony Arabia, which lie towards the East. It is quite expos'd to the north- erly Winds which blow over the Mediter- ranean: Southerly of it there is a hot sandy Soil; so that the Alterations of Heat and Cold, as the Winds blow North and South, over the Mediterranean, or over this hot Sand are excessive, and the Alterations of Heat and Cold from the other Winds but small, lying near the Tropick; and as it is a sandy Soil, fructify'd only by the Slime of the River Nile, without Rain, there is hardly any humid Perspiration from the Ground itself, the Air receiving Mois- ture only from the watery Surface of the Nile during the Inundation, or from the Vapours brought from the Mediterranean by the northerly Winds. From these Causes the Air is extremely hot, and the tropical Heats would be insuffe- rable, were it not for the Northerly Winds. And 126 A GUIDE to HEALTH Part II. And in fact, the Heats are sometimes so ve- hement, that the Inhabitants defend them- selves from them by many Contrivances, such as Fountains in the middle of their Houses, Pipes to convey fresh Air by Grottos, and high Edifices, by which their Streets are shelter'd from the Sun, and a temperate Diet. During the tropical Heats *, the Air is sometimes so much moisten'd and cool'd by the Notherly Winds, and the watery Surface of the Nile, that the acute and pestilential Distempers are check'd by this Constitution of the Air: the Inhabitants often suffer from Catarrhous Distempers, more than in North- ern Countries, their Bodies being more de- licate, and their Pores more open by the pre- ceding Heat. As to their Seasons, their Spring lasts from the Beginning of January to March; their Summer is double, the first, from the Begin- ning of March to the Solstice †, and the se- cond, from the Solstice to the Beginning of September; and this second Summer is more constant, healthy, and less scorching than the first, by reason of the difference of the Winds, and other Causes hereafter mention'd. Their Autumn lasts September and October; and their Winter, November and December. The extreme Heat of the first Summer proceeds from the hot Winds which blow from * Tropical Heat, see p. 116. Note *. † Solstice is likewise explain'd in the same Note. Ch. IV. thro' the various Stages of Life. 127 from the South and South-East, called by the Inhabitants Campsin from their Conti- nuance of fifty Days; tho' they have no determin'd Time, but last sometimes more than three Months, and reign March, April, and May; they blow over the Sands, which they raise in Clouds, sometimes so as to darken the Sun: during this Time, many epidemi- cal Diseases rage, especially Inflammations of the Eyes, a Fever, which the Inhabitants call Demelmuia, attended with a Delirium, and proves often mortal in a few Hours, and even the Plague itself. And this extreme Heat has sudden Interruptions of Cold, which renders the Inhabitants still more unhealthy, and they live under Ground during the Campsin. The Heat during the Months of June and July, which by the Course of the Sun should be the greatest, is so moderated by the Northerly and moist Winds blowing over the Mediterranean, and by the overflowing of the Nile, that the Inhabitants grow heal- thy, and sow their Seed in the Months of September and October, Their Winter has seldom any Snow, Frost, or Rain, or any thing besides Dew, unless in some Places bordering upon the Mediterranean, and re- ceiving Clouds from thence. So that the reigning Winds in Egypt are the Southerly, blowing as it were from an Oven; and the Northerly, moist and cold over the Mediter- ranean, and this last perhaps two Thirds of 2 the 128 A GUIDE to HEALTH Part II. the Year, and during the greatest Solar Heats. Another Cause by which both the Heat and Drought of the Air is temper'd, is the overflowing of the Nile, which rising in the Mountains of Ethiopia, bends its Course Northerly thro' a Tract of Land near 30 Degrees. By the Rains falling in those Mountains, the Nile has ever since the Me- mory of Man begun to swell the 17th of June New Stile; and it rises every Day about 8 or 10 Inches, and begins to fail in August, and decreases till May, when it is in a man- ner stagnating. The Limits of its Height are, from 26 the highest of all, to 18 the lowest, in Cubits; the middle 24; 18 is a Height barely sufficient to make an Inunda- tion. Its Water not only refreshes the Air with a kindly Moisture, but is the most de- licious Drink in the World, when purify'd by the Deposition of its Sediment, being of itself a Cure for most Distempers, where Dilution, a Diuresis or Sweating is necessary, as Prosper Alpinus found by Experience. There are several remarkable Things in the Constitution of the Egyptian Air; for the Perspiration of the Soil, which is sandy and barren, cannot affect the Air very much, the Exhalations being mostly either from the Surface of the Inundation, or the Mud and Slime after it is over. The natural Heat and Dryness of the Air, and the Change from that to cooler Moisture; the Abate- ment Ch. IV. thro' the various Stages of Life. 129 ment of the Tropical Heats by Northerly Winds; the Extremity of Heat and Drought, by the Southerly Winds blowing over Sands, and the Moisture again induc'd by the Clouds from the Mediterranean, and the Inundation; the Exhalations from stagnating and putrid Water, when the Inundation is quite over; and lastly, the Temperance and regular Diet of most of the Inhabitants, must give a fair Experiment of the Effects of Air upon hu- man Constitutions. And accordingly, those who labour and live hard, and cannot defend themselves from the Injuries of the Wind, mostly hot and dry, are extreamly lean and squalid. The Rich, by a plentiful and nourish- ing Diet, and preserving themselves from the Heat and Drought, by Bathing, Relaxation of their Fibres by drinking the Water of the Nile, are often fat. The Air of Egypt having no noxious Qualities from the Perspiration of the Ground, Were it not from the accidental ones above- mention'd, would be extremely wholsome; and the People who know how to defend themselves from those Accidents, live to great Ages. The frequent Changes of Heat and Cold, Moisture and Drought, produce all the Distempers of the Catarrhous Kind, and Arthritick Diseases; and by the strong Per- spiration, Leprosies, even Elephantiasis, The Effects of a hot dry Air by a Southerly Wind, blowing over a sandy Country, are felt strongly; inflammatory Distempers, es- I pecially 130 A GUIDE to HEALTH Part II. pecially a raging Fever with a Phrenzy, called Demelmuia, mortal in a few Hours: they feel likewise all the good Effects of the A- batement of this Heat and Drought by Nor- therly Winds, and the overflowing of the Nile. They are likewise subject to all the Diseases from putrid and stagnating Water, and Exhalations from Heat after the Inunda- tion is over, and these are often pestilential. Pestilential Distempers are frequent in Egypt, and what I think demonstrates the Plague to be Endemial * to that Country, is its regular Invasion and going off at cer- tain Seasons, beginning about September, the time of the Subsidence of the Nile, and end- ing in June the time of the Inundations. In the first Case, are all the Causes productive of Putrefaction, Heat, and putrid Exhala- tions, and no Winter Frost to check them. But what is wonderful, the Plague, and the Fevers from the Heat of the Campsin, go off by the Northerly Winds, and the over- flowing of the Nile: and the wholsome Qua- lity of Northerly Winds for checking pesti- lential Distempers, has been observ'd by all ancient Physicians, And to shew that the Plague depends upon the Temperature of the Air, Prosper Alpinus takes Notice, that up- on the swelling of the Nile, the Infection, and * Endemial or Endemick, is a Disease that infects a great many in the same Country, proceeding from some Cause pe- culiar to the Country, or the Place where it reigns, such as the Scurvy to the Northern Climes, the Plague to Turkey and Egypt. Ch. IV. thro' the various Stages of Life. 131 and even the Danger from infected Cloath and Furniture goes off; besides the cooling of the Air, the Northerly Winds may dissipate the stagnating Vapours, and the running of the Nile the stagnating Waters. Hippocrates and Galen have both observ'd, that the Etesiæ, or Northerly Winds blowing in Sum- mer, made a wholsome Season; but this Ob- servation is more sensible in hot Countries than in ours. Boutius, a very learned and sagacious Phy- sician, has left us a Description of the Air and Diseases of the Inhabitants of Java: it is situated under the Line, and is very hot; it is likewise moist, from the great Quantities of Rain and stagnant Waters; and from Heat and Moisture, and Salts produc'd from those Qualities, the putrifying Quality of the Air is very manifest in rotting of Cloaths, and rusting of Metals. From these Qualities the Air feels to human Bodies piercing and active; and as all the Inhabitants of hot Countries have that Sensation of the penetrating Qualities of Air, Cold after great Heats, which proceeds chiefly from the Pores of their Skin being relaxed before by Heat, such Bodies must imbibe Air faster. In Java, as in Egypt, the Northerly Winds render the Air wholsome, by abating The extreme Heat; some Land Winds carry- ing along with them the stagnant Vapours, are often otherwise. The Soil being here fruitful and rich, emits Steams, consisting of I2 volatile 132 A GUIDE to HEALTH Part II. volatile and active Parts, which fructify the Soil, but are hurtful to human Bodies. The Seasons here cannot be distinguish'd by their Heat, by reason of the Smallness of their Latitude: there are only two, what may be called Winter is the rainy Season; this Season is attended with Diseases which de- pend upon Putrefaction. The Inhabitants measure their Seasons of Heat and Cold by the times of the Day; the Mornings and Evenings are cooler by the Absence of the Sun, and by the Sea Breezes; the scorching Heat of the middle of the Day makes that Time unfit for Business. The popular Diseases here are, a kind of Palsy, called by the Inhabitants Beriberium, the Cause of which is evidently cold Air, imbib'd by the Pores of the Skin, extreamly relaxed by Heat before, and therefore in- vades such as incautiously expose themselves to the Morning Air, or throw their Bed- clothes off in the Night. Another Disease, called * Catalepsis, is likewise popular in this Country, proceeding from the penetrating Qualities of the Air imbib'd by relax'd Bodies, which renders the Patient rigid like a Statue, and dies in a few Hours. Diarrhœas and Dysenteries are common from the same Cause, by sudden Suppression of Perspiration. It is a Matter of Observation, that great Heats exalt the Bile, by exhaling the watery Particles which dilute it, by a strong sensible Per- * Catalepsis, is a convulsive Disease like an Apoplexy. Ch. IV. thro' the various Stages of Life. 133 Perspiration; and therefore the Cholera Mor- bus †, and other Diseases of the Liver, are common and fatal in the East-Indies; and from diseased Livers, Dropsies and Atrophies are frequent in Java: and in this Country Fevers are seldom intermitting, but conti- nual, with Phrensies, and other dreadful Symptoms, as during the Campsin in Egypt, proving mortal in a short time. It seems agreeable to Reason and Expe- rience, that the Air operates sensibly in forming the Constitutions of Mankind, the Specialities of Features, Complexion, Tem- per, and consequently the Manners of Man- kind, which are found to vary much in dif- ferent Countries and Climates. As to Fea- tures, what an infinite Variety arises from the Combination of the Parts of a human Face! so that since the Creation of the World, per- haps there were never two, upon a narrow Inspection, that perfectly resembled one ano- ther; for there are Faces not only individual, but Gentilitious and National; European, Asiatick, Chinese, African, Grecian Faces, are characteris'd: and this Diversity of Na- tional Features and Shapes is not altogether the Effect of Propagation from the same ori- ginal Stock; for it is known by Experience, that Transplantation, changes the Stature and outward Shape both of Plants and Animals. I3 Hippo- † Cholera Morbus, is a convulsive Motion of the Stomach and Guts, whereby the bilious Excrements are discharg'd in great Plenty, both upwards and downwards. 134 A GUIDE to HEALTH Part II. Hippocrates makes great Account of the Influence of the Air upon the Fœtus, both before and after Birth. He is of Opinion, that the great variety of European Faces, is owing to that of the Air and Seasons, as has been observ'd in another Place, there being such great Excursions in the Extremities of Heat and Cold, that their Offspring is as it were begot and brought forth in different Climates. That the Shape of Animals should be modi- fy'd by the Air, is in no Ways unaccountable; for an Animal growing, expands its Fibres in the Air as a Fluid, which by a gentle Pres- sure resists the Motion of the Heart in the Expansion and Elongation * of the Fibres; and tho' the Fibres of several Animals shoot as it were in this Fluid, according to their original Shapes, yet such a Fluid resisting by its Pressure, is, in respect to the Animal, like a soft Mold, in which the Body is form'd; and therefore, according to the Quantity of its Pressure, depending upon its most perma- nent State of dense, rare, hot, cold, dry, moist, must have some Influence in forming the outward Figure of such a Body in a State of Acretion or Growing : besides this out- ward Pressure, the Air being mix'd with the Animal Fluids, determines their Condition as to Rarity, Density, Viscosity, Tenuity, and several other Qualities. That * Lengthening. Ch. IV. thro' the various Stages of Life. 135 That the Complexion depends much upon the Air, is plain from Experience; the Com- plexion of the Inhabitants of several Coun- tries being fair, swarthy, black or adust, ac- cording to the Degrees of Heat, Drought, Moisture, or Coolness of the Air they live in; for the Inhabitants of Countries in great Latitudes are generally fairer than those that live nearer the Sun. That the Temper and Passions are influ- enc'd by the Air, is no less certain: People of delicate Nerves and moveable Spirits, are often joyful, sullen, sprightly, dejected, hope- ful, despairing, according to the Weather; and these Changes happen in stronger Con- stitutions, but pass unobserv'd. There are Days in which the intellectual Faculties of Memory, Imagination, Judg- ment, are more vigorous; therefore it seems probable, that the Genius of Nations de- pends upon that of their Air; for Arts and Sciences have hardly ever appear'd in very great or very small Latitudes. The Inhabitants of some Countries succeed best in those Arts which require Industry and great Application of Mind; others in such as require Imagi- nation: from hence some Countries produce better Mathematicians, Philosophers, and Mechanics; others better Poets, which be- sides the Rules of Art, require Imagination; and it seems, that Labour is more tolerable to the Inhabitants of colder Climates, and Liveliness of Imagination to those of hot. I4 There 136 A GUIDE to HEALTH Part II. There are two Things common to all Mankind, Air and Aliment, and both differ very much in their Qualities, in different Countries and Climates but those of the Air perhaps are more different than those of the Aliment or Food. In perusing the Accounts of the Temper and Genius of the Inhabitants of different Countries, we dis- cover in them a great Uniformity, even tho' the Race has been chang'd; for the Temper of the Gauls, describ'd by Cæsar and other Writers, is much the same with that of the present French, of which there is a remark- able Instance in the Misopogon of the Em- peror Julian; he tells us, that he had passed a Winter at Paris, where there were more Comedians, Dancers, and Fiddlers, than there were Citizens besides. And I believe if a Race of Laplanders were transported thither, in a few Years they would be found in the Con- dition describ'd by the Emperor Julian. If we consider the Causes assign'd by Hip- pocrates, of the different Temper of the Inhabitants of different Climates, we shall find them sufficiently proportion'd to their Effects. In Northern Countries, where the Alterations of the Height of the Mercury in the Barometer, and consequently of the Weight of the Air, are frequent and great, the Fibres of human Bodies are in a continual oscillatory * Motion from a Pressure of 1200, 1800, * Oscillatory Motion is properly the Swing or Motion of a Pendulum of a Clock, and thence comes to be used for all tremulous or undulating Motions having Resemblance thereto. Ch. IV. thro' the various Stages of Life. 137 1800, nay, 3600 more at one time than another; and tho' this, by the Softness and Rarity of the Fluid, is insensible, and not painful, it is a sort of Exercise, which the Inhabitants of Countries where the Variation of the Height of the Mercury is small or no- thing, do not feel. By the Difference of the Tension of the Fibres, the whole nervous System and the animal Spirits are in some manner affected; And let us consider again the Extremes of Heat and Cold in great Latitudes, operating after the same manner, relaxing and con- stringing the Fibres by turns, and the ex- treme Cold acting likewise as a Stimulus, in consequence of which we find an Activity and Tolerance of Motion and Labour in dry frosty Weather, more than in hot; whereas the People within the Tropicks are constantly in the State of our hottest Weather. Therefore, whoever considers Mankind in such different Circumstances, will find, that the Temper both of their Body and Mind must be different, and that a greater Varie- ty in the Oscillatory Motion of the Fibres of Northern People, must produce the same in their Spirits; and therefore a proportional Inequality in their Passions, and consequent- ly greater Activity and Courage. That the Inhabitants of Climates, where the Difference of the Weight, Heat and Cold of the Air is but small, feel only the Changes 138 A GUIDE to HEALTH Part II. Changes of the Tension of their Fibres pro- ceeding from Drought and Moisture, being free from the Agitations and uneasy Sensa- tions of northern People, proceeding from the Causes above-mention'd; and the Mo- tions of their Fibres and Spirits being more uniform, they may be for that Reason, and from excessive Heats, lazy and indolent. That the Constitutions of Mankind differ according to the Qualities of the Air in which they live, is an uncontested Matter of Fact, and depends upon obvious Causes: For as Hippocrates observed, that the In- habitants of moist Countries were bloated, leucophlegmatic, and dull, from the Rela- xation of their Fibres, and the Moisture im- bib'd with the Air; and contrary Causes must; produce contrary Effects: Heat indeed relaxes the Fibres, but by absorbing the Moisture may likewise harden, and render them more solid: For the Bones of Ani- mals in hot Countries are more solid, and specifically heavier than those in cold Cli- mates, as may be seen in comparing the Bones of the Limbs of African Horses with those of northern Countries. The Blood likewise in hot Countries is thicker and blacker, by the Dissipation of the serous Part by sensible Perspiration, which is Matter of Fact well attested by Physicians who have practised in those hot Countries: And from this black adust State of their Blood, they are Atrabilarious; for great Ch. IV. thro' the various Stages of Life. 139 great Heats exalt the Bile, by dissipating the Moisture which dilates it; but Bile, of itself, is the most unperspirable of Animal Fluids, for it stops at the Surface of the Skin, and discolours it. There is some Anology * between Plants and Animals, and both are longer in coming to Maturity in cold and moist Air; for the prolifick Age of Mankind is much earlier in hot than cold Countries, the Females be- ing in that State at ten Years of Age. And the Inhabitants of warm Countries are not subject to be fat, for a strong Perspiration keeps an Animal from being so; yet a copi- ous Diet and Inactivity will always occa- sion Exceptions from the general Rule. Cold and moist Air must necessarily pro- duce phlegmatic and lax Constitutions, and by stopping Perspiration, with a copious Diet, accumulate the Animal Oil: But dry and cold Air in a Degree tolerable to human Bodies, which is a state of our Winter Frosts, creates a strict or tight Constitution of the Fibres, and all the Effects thereon depending, as Vigour and Activity, &c. As the Force of human Bodies is limited, they are not capable of bearing Extremities of any kind, of too great Rarety, Density, Heat, Cold, Moisture, or Drought in the Air. From the same cause human Bodies do * Analogy is the Relation which one Thing bears to ano- ther. 140 A GUIDE to HEALTH Part II. do not easily sustain violent and sudden Changes, which agitate the Fluids and Solids too much; for as the State of our Fluids and Solids change with the Air, violent Alte- rations in the latter produce the same in the former. For Example: Suppose such a State of the Air as makes a great Stric- ture of all the external parts of the Body, and consequently an Abatement of the Cir- culation in the Vessels exposed to the Air, and in those which immediately communi- cate with them: Suppose again, the Air is suddenly changed from this State to one which violently relaxes the Fibres; by their Relaxation it is possible that the Vessels which were destin'd before to carry the Serum or Lymph, may admit the Blood, which is an inflammatory State: Accordingly we find, that inflammatory Distempers of several kinds are rise in moist and warm Weather, preceded by hard and lasting Frosts: Frosts stop the Perspiration of the Earth, which being restored by Thaw, fills the Air with an unusual Quantity of Vapours, which affect human Bodies, not only by Relaxation, but as they imbibe them with the Air. Cold both congeals the Fluids and con- stringes the Solids; for it acts like a small Li- gature upon the Vessels affected with it, by which the Circulation through the Vessels is retarded; the natural Effect of which is a greater Secretion of Serosity through the Glands Ch. IV. thro' the various Stages of Life. 141 Glands contiguous; for the Extremities of the Vessels near the Glands being press'd, they cannot so plentifully carry off the re- fluent Fluid, by which there must be a greater Flux of Liquor towards the Glands, and consequently a greater from its Emuncto- ries; therefore Catarrhs, or serous Defluxions upon all the Parts of the Body, but especially from the Glands of the Head and Throat, are a natural Effect of Cold. Obstructions by Cold in the outward Parts of the Body, drive the Blood pressing with greater Force upon the inward Parts, and in- crease Heat, and likewise may occasion a Siziness in the Blood: And Cold, by sup- pressing the Perspiration of Salts in the Blood, by congealing the Blood, and likewise by a painful Stimulus corroding the Skin, is apt to produce Scurvies, and other cutaneous Erup- tions, and in extremity is capable of freezing the Fluids, and reducing Animal Substances to a gangrenous State. Cold Air is also capable of rendering in- flammatory Distempers with cutaneous E- tuptions more dangerous, by hindering the Relaxation of the Skin; as the Small-pox is found to be most fatal during hard Frosts, and cold north-easterly Winds. Cold Air likewise, by its immediate Contact with the Surface of the Lungs, is capable of abating or stopping the Circulation of the Blood, and bringing them into an inflammatory State, and by producing Catarrhs and Coughs, is 142 A GUIDE to HEALTH Part II. is productive of all the Effects of such De- fluxions upon the Lungs, as Ulcerations, and all Sorts of Pulmonick Consumptions. Hot and moist Air producing Relaxations, and consequently an Abatement of the Force of the Solids in propelling the Fluids, must produce Stagnation, Tumours, and Putrefac- tion in the Liquids, and all the other Diseases depending upon a lax State of the Fibres: Hippocrates observed such Diseases always consequent upon a moist Constitution of Air with southerly Winds, which are warm; and the same has been often observed here in England. As Perspiration is the last Action of per- fect Animal Digestion, that Constitution of Air which suppresses Perspiration, must hinder Digestion; therefore cold and moist Air must be hurtful to the Stomach: And as Catarrhs and Coughs are the Effects of cold and moist Air, and those habitually affecting the Lungs, they often produce pul- monick Consumptions; yet it seems probable, that where those Consumptions are a po- pular Disease, they proceed from some par- ticular Acrimony in the Air of that Country, affecting that tender Organ by immediate Contact, and perhaps most of the Glands of the Body; for our Consumptions are for the most part scrophulous, and scrophulous Distempers are common in this Country. And where the Air is charg'd with any saline acrid Particles, they will naturally co- agulate Ch. IV. thro' the various Stages of Life. 143 agulate the Fluid where they touch; and from the abundance of Mineral Waters of all Sorts in England, it may be inferr'd, that there are abundance of Mineral Steams, which are capable of producing such Distempers. From what has been said on the Subject of the Influence of Air upon human Bo- dies, it is plain that no vitious State, either of the Solids or Fluids, but is producible by the common Properties and Qualities of Air, and their Changes and Combinations. By the Qualities of the Air, the solid Parts may be stimulated: For example, the Sti- mulus of extreme cold Air is very sensible. Heat, or any Quality of Air, so excessive as to produce a painful Sensation, acts as a Stimulus: And what obstructs the Passages of the Vessels which communicate with the Air, is stimulating, by increasing the Force of the Heart and Fibres to overcome the Obstruction; this either Cold or Moisture may do, which often produce, first a Chil- ness, and then a succeeding Heat, which are feverish Symptoms. Many volatile Particles floating in the Air, as the Odoriferous Ve- getables, act as a Stimulus, and produce Heach-Achs, as we often find. That the Fibres are constring'd and re- lax'd by the Alterations of the Properties and Qualities of the Air, has been already de- monstrated; and that the Fluids may be Vitiated in the same manner, is no less plain: That the Blood may be condensed by 144 A GUIDE to HEALTH Part II. by Heat, by absorbing the most fluid Part; That a certain Degree of Heat will attenuate, and a greater coagulate the Serum; and that Heat in general is capable of producing great Acrimony and putrid Fevers of all Sorts, is true from Experience: And any Degree of Heat greater than that of a human Body will do so; for our natural Heat is near the Degree of Coagulation. Cold likewises condenses the Fluids in immediate Contact with it; and is capable of producing Siziness and Viscosity of the Blood: And by the same Causes Acrimony of all Sorts, to the De- gree of Putrefaction, is producible by Air. Evacuations of all Sorts, from all the glandulous Parts of the Body, are producible by the Stoppage of Perspiration by Cold; for there is no diuretick Medicine that works so strong in a Flux of Urine, as a Suppression of the perspirable Matter in hysterical Cases. Cold likewise promotes all Catarrhs and Coughs; and moist Air, Diarrhœas, and copious Secretions from the Glands of the Guts, without which Evacuations, Stoppage of Perspiration produces a Plethora or Ac- cumulation of the Humours in the Vessels. From these Considerations it appears, that die Diseases, especially the Acute of any Sea- son, chiefly depend upon the Constitution of the Air, by which they are modified as to their Rifeness, Duration, Degrees of Danger, their particular Symptoms, Circula- sons and Periods; In which we must not only Ch. IV. thro' the various Stages of Life. 145 only consider the present, but likewise the preceding State of the Air; because, as they are more similar, or contrary, so the Alterations produced in human Bodies are more or less violent; particularly it will be found, that sudden Changes from the Ex- tremes of Cold and Dry, to Heat and Mois- ture, are Causes which operate strongly in modifying the Diseases of that Season. That long and excessive Heats, by inducing Weakness, are apt to stamp the Succeeding Fevers with nervous Symptoms: That such a dry Constitution of Air, as is apt to con- tract the Skin, and obstruct its Pores, makes the Crisis by sweating more difficult; and perhaps the different Periods of Fevers, Quo- tidian, Tertian and Quartan, may depend upon a preceding greater Viscosity, or Ob- struction in the Vessels, produced by the Constitution of the Air: That the more dangerous State of the Small pox, and other inflammatory cutaneous Eruptions, depends upon the Air; and it seems very plain, as it induces a greater Laxity or Stricture of the Fibres, or creates Obstruction in the Vessels of the Skin. That Diseases of the Lungs, as far as they are not the product of bad Diet, depend chiefly upon the Qualities of the Air, seems evident; for the Lungs are expos'd to the outward Air, which has an immediate Ad- mission into the Air-bladders, and perhaps into the Blood-vessels; and whatever Effect K the 146 A GUIDE to HEALTH Part II. the Air has upon the Skin, this must be ex- pected upon the Lungs in a particular Man- ner. Thus far I thought necessary to give the Reader an Abstract of the ingenious Dr. Arhurthnot's Explanations of Hippocrates, and others, on the Subject of the Influence of Air upon human Bodies. But to conclude, I shall only add; that of all the Causes that are capable of altering our Bodies, no one is so necessary and so sudden as the Air; the Necessity of which is evident from the use of Air in Respiration; for if it happens, that any of the chief Or- gans appropriated either for the Entrance or Reception of Air receive any great Injury, the Animal dies suddenly by Suffocation; whereby it manifestly appears, that Air and Life in perfect living Creatures are insepe- rable. According to Hippocrates, natural Heat is preserv'd by moderate cool Air; for if you take away the Air from Fire, it will not burn, but will immediately be extinguish'd: and our Spirits, which are the principal In- struments of the Soul, are generated and nourish'd by Air, and supported by its going in and out; and it is principally for this Rea- son that our Bodies are every where perfora- ted or porous, that our Arteries are continu- ally beating, and that Nature has made such admirable fine Mouths to the two Vessels called the Lungs; so that the Air is as ne- cessary Ch. IV. thro' the various Stages of Life. 147 cessary to a living Creature as the Soul it- self. As to the Suddenness of the Air, we feel it every Moment; for it instantly ascends to the Brains by the Nose, and traversing almost an infinite number of minute Passages, which are to be seen in the admirable Net-work of animal Bodies; proceeds to the inmost Re- cesses of the Body, and descends with incre- dible Velocity into the Lungs by the Mouth, and thence to the Heart: it likewise pene- trates the Pores of the Skin insensibly, and enters the Arteries by Transpiration, as far as the deepest Cavities of our Bodies; it sur- rounds us always, and never abandons us one Minute; so that we must constantly imbibe or suck it in whether we will or not. The Divine Hippocrates, being thoroughly acquainted with the Power of Air upon hu- man Bodies, tells us in his Epidemicks, and in the second Book of Diet, that the whole Constitution of the Spirits, Humours, and the Body, depends entirely upon the Air. Therefore the Choice of good Air, and a pleasant Habitation, must always claim the first Rank in the Regimen of Health; so that such as would preserve their Health, and obtain a long Life, ought to know the Good- ness of the Air, as well in regard to its Sub- stance as to its Qualities. As to its Substance, when it is pure and has no Seeds of Corruption, and that it is K2 not 148 A GUIDE to HEALTH Part II. not impregnated with malignant Vapours pro- ceeding from dead Bodies, or from the Sinks or common Shores of great Cities, or stand- ing Waters; or from the sulphureous Exha- lations of Mines, combin'd with different Salts, or metalline Particles, which are stink- ing, oily, and inflammable, of which I treated at large already in Part II. Chap. I. But if the Air happens to be corrupted or infected, and that we cannot remove as soon as we would, it must be purified with artifi- cial Fires made of Rosemary, Juniper, Lau- rel, Cyprus, and Perfumes made of Aloes- wood, Juniper-berries, and other Aromatics; likewise the Steams of Vinegar correct the Malignity of the Air in a surprizing man- ner. As to the Qualities of the Air, all Ex- cesses of Heat, Cold, Moisture and Dryness, are pernicious; for which Reason we should chuse moderate Air if possible; therefore serene Air moderately hot and dry, blowing from clear inland Places, or from Rivers with a gentle Breeze, free from sudden and great Changes, open and rural, purg'd of salt and oily Exhalations, is generally the best to preserve Health. As to what regards ancient People, a warm Air is certainly the best for them, and their Chambers should never be without Fire, es- pecially in the cold Seasons of the Year; for it is experimentally true, that their State of Health is much better in Summer than in Winter; Ch. IV. thro' the various Stages of Life. 149 Winter; because they always carry the Win- ter along with them. Their Bed-Chambers should be in the upper Apartments, and their Houses open to the East, that the Morning Sun might enter their Rooms: there should likewise be an opening on the North Side, in order to let in Air from that Side, and by that Means to purify the Air, and expel all noxious or offensive Steams and Vapours out of their Chambers. CHAP. V. OF ALIMENTS in general. ALIMENT includes all that is taken in as Meats and Drinks, from whence Nourishment is expected, which is what sup- plies Nutrition. And what comes under this Term is threefold: First, all that passes in the first Stage from Mastication, or Chewing, the Chyles's Entry into the Blood is so call'd. And Secondly, the Apposition of new Parts in the Room of those wore off by Action. Thirdly, when the Chyle after various Circu- lations with the Blood, is deprived of all that can be of farther Use to any Part of the Body, it is carried both sensibly and insensibly through the Emunctories of the Body. K3 The 150 A GUIDE to HEALTH Part II. The first State of Digestion. The first is carried on in the following Manner: The Parts of Food being divided by Chewing, and moisten'd with Spittle, that it may be render'd softer in order to undergo a farther Comminution, is thrust down into the Sto- mach; wherein, by the Assistance of the con- tinual Motion arising from the musculous Coats of the Stomach, and of Respiration, by which the * Diaphragma alternately presses the Stomach downwards, the Parts of the Food soften'd by the Saliva or Spittle, and other serous Liquors from the Glands, is shook about, ground and divided into yet smaller Parts, until it acquires such a Fine- ness as is requisite, together with the glandu- lous Fluids and Liquors drank down, for composing that milky Fluid call'd Chyle ‡. But here we are to observe, that the Parts of the Food are not dissolv'd into essential Parts, or Elements, whether chymical or any other, by the Assistance of any Ferment in the Sto- mach; that is to say, by a Separation of some Parts of different Kinds combined together, and an Union of other Parts that were before separated, as it happens in all Fermentation of Wine, wherein tartarous Particles, before united * Diaphragma, or Midriff, is a transverse Muscle which separates the Thorax or Chest from the Abdomen or Belly; in the Middle it is membranous; the Gullet, the great Artery, and the great hollow Vein all pass through it: It conduces to Respiration with other Muscles, and pressing upon the Guts helps forward the Secretion of the Excrements. ‡ Chyle is that milky or Emulsion-like Juice, which the Food is immediately converted into by Digestion. Ch. V. thro' the various Stages of Life. 151 united with others, are separated; and Parti- cles of Phlegm and Oil, before in Separation, are brought nearer together, and form a true Spirit. But by the Concoction that is perform'd in the Stomach, the Food is divided into integral Parts, not differing from what they were be- fore, only in obtaining a lesser Bulk; altoge- ther in the same Manner as Coral is grinded upon a Marble with Water, and reduced to an impalpable Powder, whose Parts are only small Pieces of Coral, and not any Principled into which Coral is resolv'd. For the Proof of which there is no need of any other Argu- ment, than that in the Stomach and the In- testines of the larger Fish, that devour and digest the lesser, the Chyle is nothing else but a Liquor filled with the Fibres of the devour- ed Fish, as may be easily discerned with a Microscope; or the small Parts of Fibres no way differing from the larger, only in Magni- tude, that is, indigested Pieces of Flesh. The Chyle being thus elaborated in the Stomach by its alternate Contractions, and the Force of the neighbouring Muscles, is thrown out into the Intestines, at its Entrance into which it is diluted with the Bile and pancreatic Juice: which Liquors undergo no manner of Effervescence * with the Chyle, or with one another, but are smoothly and K4 quietly * Effervescence signifies an intestine Commotion produced by mixing two Bodies together that lay at rest before; attend- ed sometimes with a hissing Noise, Frothing, and Ebullition For 152 A GUIDE to HEALTH Part II. quietly mixed therewith, and with each other, as appears by many Experiments; and by their Means the Chyle is render'd more fluid. Hence it follows, that the Parts of the Food, in some measure dissolved by the Motion of the Stomach, but not sufficiently separated from each other, thro' want of a due Quan- tity of Fluid, every one yet being in some measure in Contact with one another, pass over the Pylorus * into the Guts; and when these greater or less digested Particles cannot be strain'd in any considerable Quantity into the Lacteals † by reason of their Magni- tude, they are yet thrust farther into the in- testinal Tube ‡, and therein putrify, as they are out of the Limit of Circulation, which begins at the Lacteals: For all Things, such as the Flesh of dead Creatures, Herbs, &c. that are capable of Putrefaction out of the Animal, are capable of Digestion in it. Hence For Example, Acids, such as Juice of Limons, Spirit of Nitre, &c. and Salt of Wormwood, Tartar, or other Alka- line Substances, being mixed together, will produce an Efferve- scence or Ebullition, * Pylorus, or Janitor, the right Orifice of the Ventricle or Stomach, which sends the Food into the Guts. † Lacteals are long and pellucid Vessels or Veins, which arise from all Parts of the small Guts, from whence they re- ceive the Chyle, and run to the Glands of the Mesentery. They are call'd Lacteals of the first Sort, being so very small; and from thence they convey the Chyle to the common Receptacle, and being larger are call'd Lacteals of the second Sort, and thence it is carried into the Thoracick Duct, and from that into the Blood in the left Subclavian Vein. ‡ Intestinal Tube, the hollow Pipe of the Guts from one End to the other, which is divided into six Parts. Ch. V. thro' the various Stages of Life. 153 Hence it is certain, that Digestion is much more effectually and expeditiously perform'd in the Day-time, or when we are awake, than in the Night, or during Sleep; because while we wake we breathe thicker, and the Diaphragma and Muscles of the Belly, and even the whole Body is more exercised, and consequently the Stomach is oftener com- press'd. It also follows, that by gentle walk- ing, or while we exercise ourselves in any mo- derate Motion, Digestion is more effectually and expeditiously performed, than while we fit in Idleness and without Motion; and still much better than when we fit hard at Study, because by this Means the Mind is so diverted, that our Respiration then is rarer, even than in our Sleep, and the Muscles are thereby less contracted: And that we digest better in Winter than in Summer, is a Confirmation hereof; because in the Winter, to drive away the Sense of Cold, we are oftener put upon Exercises and greater Activity of Body than in the Summer Season; as likewise, because the Muscles and solid Parts are more tense, and consequently stronger in their Contractions and Attritions *. But as for a Ferment in the Stomach, ac- cording to the wrong Notions of some, whe- ther it be Spittle or Serum ouzing out from the Glands of the Stomach, it cannot contri- bute any thing to the Digestion of the Food, any farther than by softening it, whereby it is * Rubbing, grinding. 154 A GUIDE to HEALTH Part II. is capable of being farther divided. Neither do any Liquors flow into the Stomach in order to promote Digestion; but Digestion, that is, the Motion of Chewing, Swallowing, and of the Stomach, are the Cause why these Li- quors are press'd out, and that they drain into the Stomach: For that those Liquors contri- bute nothing farther to Digestion than by softening the Food, is manifest from hence, that if Herbs or Meat be mixed with them in any convenient warm Place as warm as the Stomach, but without Motion, they will never be changed into Chyle; so that it is sur- prizing that any should ascribe to the Serum of the Blood, as it is excerned by the Glands, a Faculty of changing solid Meats into the Form of Chyle, when it is evident that Serum is not a fit * Menstruum for the Solution of Bread, Meat, or Herbs. But this whole Af- fair will be much better understood from con- sidering Boyle's Machine for Digestion, where- in, without the Help of any Ferment, but by the Assistance only of Warmth, and the Pres- sure of rarefy'd Air confined, Bones and Flesh, with the Addition of a small Portion of Water, are turned into a Jelly; where no- thing is wanting to its being made real Chyle, but the rough Superficies of a Body to grind and often shake it about. The * All Liquors are so call'd which are used as Dissolvents to extract the Virtues of Ingredients by Distillation, Infusion Decoction, &c. Ch. V. thro' the various Stages of Life. 155 The Chyle being thus made, washes over the Pylorus into the intestinal Tube, where, by its peristaltic Motion *, and by the Pressure of the Diaphragma, and the Muscles of the Abdomen †, the thinner Parts are strained through the narrow Orifices of the Lacteal Veins, while the grosser Parts continue their Progress downwards until they are quite eject- ed by Stool. What passes through the Lacte- als is carried by them into the Glands of the Mesentery ‡, where they receive a fine thin Lymph from the ‖ Lymphaticks, whereby the Chyle is diluted so as to pass easier the rest of its Course: For beyond the first Glands they unite in larger Canals, and those in still larger, until at last it enters the common Receptacle of the Chyle, which is a kind of Bason form'd for it by the Union of the Lacteal and Lym- tick Vessels. From thence it ascends thro' the Thoracick † Duct, and is thence discharg- ed into the Blood in the left Subclavian Vein, and therewith descends into the right Ventri- cle of the Heart, where it is but imperfect- The second stage of Digestion. ly * Alternate Motion of Contraction and Dilatation, com- monly tending downwards. † The Belly, which contains the Stomach, Guts, Liver, Spleen and Bladder. ‡ A membranous Part in the lower Belly, to which the Guts are connected. ‖ Are slender pellucid Tubes arising in all Parts of the Body, which permit a thin transparent Liquor to pass through towards the Heart, which shut like Flood-Gates upon its re- turning. † A Canal through which the Chyle passeth from the Lac- teals the Blood. 156 A GUIDE to HEALTH Part II. ly mixed; and in its Passage it receives the Lympha from all the upper Parts of the Body. But here I must observe, that the most subtil Parts of the Chyle pass immediately into the Blood by the Absorbent * Vessels of the Intestines, which discharge their Contents into the Mesaraick Veins, the Largeness and Number of which demonstrate the same, for they are numerous and vastly larger than their corre- spondent Arteries; and wherever there are † Emissaries, there are likewise Absorbent Vessels: for Example, by the Absorbent Ves- sels of the Skin, Mercury will pass into the Blood. But Mr. Hale's ‡ Experiment proves this beyond despute; and if we consider the Straitness of the Thoracick Duct, and the Slowness of the Passage of the Chyle by the Lacteals thro' it, and at the same time the great Quantity of some Liquors and several other Things, which pass in a very small Time by Urine, and give it a Flavour and Taste; by an easy Calculation we may be able to de- monstrate, that such a Quantity could not pass, into the Blood by the Thoracick Duct in so short a Time. For which Reason, thin and liquid Ali- ments are-most proper, when immediate Re- freshment is requir'd, to cheer up the Spirits after great Abstinence and Fatigue; and the same * Which suck in. † Vessels which throw out a Liquid. ‡ Hœmast. Pag. 123. Exp. 14. Ch. V. thro' the various Stages of Life. 157 same Reason may be likewise given, why Chalybeat Waters are a proper Remedy in Hypochondrical Disorders, and in most Ob- structions in the Mesenterick Glands, Liver, and Spleen; for their subtle Parts are taken immediately into the Mesaraick Vessels, and from thence carried directly into the Liver and Spleen. The Chyle first mixes with the Blood in the lest Subclavian Vein, as I have already men- tioned, and enters with it into the right Ven- tricle of the Heart, where they are very im- perfectly mixed; from thence they are pro- pelled * into the Lungs, which are the chief and first Instrument of Sanguification, or making Blood: For the Wind-pipe is divid- ed into a great Number of Branches, call'd Bronchia, and these end in small Air-Blad- ders dilatable and contractible, which are ca- pable to be inflated by the Admission of Air, and subside at the Expulsion of it. The Pulmonary Artery and Vein pass along the Surfaces of these Air-Bladders in an infinite Number of Ramifications or Branchings, like a Net-work ‡. A great Number of those Air-Bladders form what are call'd Lobuli, which hang upon the Bronchia like Bunches of Grapes upon a Stalk; and these Lobuli constitute the Lobes of the Lungs, which al- ways sink in Water before they have been in- * Driven forwards. ‡ Malphig. de Pulmon. Epist. 1, 2. Tab. I. Fig. 1, 2, 3. 158 A GUIDE to HEALTH Part II. inflated with Air, but after it has once enter- ed them, they will always swim in it; by which Means we may know whether Children are born dead or alive. The crude Mixture of the Blood and Chyle passes from the right Ventricle of the Heart, through all the Ramifications of the Pulmo- nary Artery; and the more Ramifications there are, the Mixture will still be render'd the more perfect; yet this is not all, for as this Mixture of the Blood and Chyle passes through the arterial Branches, it is press'd by two con- trary Forces; first, that of the Heart driving it forward against the Tubes; secondly, the Elastick Force of the Air pressing it on the opposite Side of those Air-Bladders, along the Surface of which this arterial Tube creeps. By these two opposite Forces the Parts of the Liquor are more intimately mix'd and compress'd together, and by the Ingress and Egress of the Air the Vessels are alternately compress'd and dilated, by which Means the Liquor is still farther attenuated, dissolv'd, mixed, and almost assimilated with the Blood, but not so perfectly as to serve the animal Purposes; for it is very well known by Experi- ments of Blood-letting, that sometimes eight Hours after eating, some of the Chyle remain'd unmixed with the Blood, swimming a-top like an oily Substanee. The wonderful Mechanism of Nature in converting our Aliment into animal Sub- stances, Ch. V. thro' the various Stages of Life. 159 stances, consists principally in two Things; first, in mixing constantly with it animal Juices already prepar'd; and secondly, in the Action of the solid Parts, as it were churning them together. This is evident, considering the vast Quantity of Saliva * mix'd with the Aliment in chewing, the Liquor of the Stomach, the Bile †, and Pancreatick Juice ‡, the Quantity of the Lymph § from the Mesenterick Glands, and from the Lym- phatick Vessels of the whole Body; so that the Juices of an animal Body are as it were new distill'd, being excreted out of their respective * Saliva or Spittle, is a thin Liquor secreted immediately from the arterial Blood: it is of a soapy Nature, and conse- quently is attenuating, resolving, penetrating, and cleansing, being composed of Salt, Oil, Water, and Spirit, all which can be extracted from it. Too great a Discharge of it by smoaking or chewing of Tobacco has often prov'd fatal to People of thin Habits of Body, by falling into Decays. † Bile or Gall is of two Sorts; the Cystick, or that con- tain'd in the Gall-Bladder, and the Hepatick, which flows immediately from the Liver. The Cystick Gall is thick, of a yellow Colour, and intensely bitter. The Hepatick Gall is more fluid, and not so bitter; both Sorts are saponaceous, and like Soap, take out Spots from Wool or Silk. Its Use is to sheath or blunt the Acids of the Chyle descending from the Stomach into the Intestines; likewise it is the principal Dis- solvent of the Aliment, and when it is peccant or deficient, there can be no right Digestion. ‡ Is an Humour like the Saliva or Spittle, secreted from a conglomerate Gland called the Pancreas or Sweet-bread, situated at the bottom of the Stomach, and lies across the Belly, reaching from the Liver to the Spleen, separating about a Pound of Liquor in 12 Hours. Its Use is to dilute the Gall, and to temper its Bitterness and Acrimony after it has done its Office, and likewise to dilute the Chyle, with other Liquors in the Guts. § Lymph is the most spirituous and elaborated Part of the Blood, continually flowing from the lymphatick Vessels. 160 A GUIDE to HEALTH Part II. respective Glands and Vessels, and admitted again into the Blood with the fresh Aliment: during which time the solid Parts act upon the Mixture of Aliment and animal Juices, in order to make the Mixture still more in- timate and compleat; so that we may com- pute that our Aliment, before it gets into the Blood, is mix'd probably with four times the Quantity of animal Juices. From whence we may conclude, that an Animal whose Juices are unsound, or solid Parts weak, can never be duly nourish'd; for unsound Juices can never duly repair the Fluids and Solids of an animal Body, and without a due Action of the solid Parts, they can never be well mixed; and as the Stomach, the Intestines, the Muscles of the lower Belly, all act upon the Aliment: Besides, as the Chyle is not suck'd, but squeez'd into the Mouths of the Lacteals, by the Action of the Fibres of the Guts, it is evident, that the Chyle is peccant in Quantity or Quality, when these Actions and Organs are too weak; and whatever strengthens the Solids, must help Digestion. Hence it appears, that Diarrhœas and strong Purgings must spoil the first Digestion, because of the great Quantities of animal Fluids which are thereby expell'd the Body, such as, the Saliva, Mucus *, and all the Liquors * Mucus, is that slimy Liquor or Moisture, which daubs over and guards the Bowels, and all the chief Passages in the Body; and it is separated by the mucilaginous Glands in most Parts of the Body. Ch. V. thro' the various Stages of Life. 161 Liquors that are separated in the Glands of the alimentary Duct †, both Sorts of Gall, the Pancreatic Juice, Lymph, and sometimes Blood. Considering therefore the Quantity of these Secretions, it will plainly appear, that almost the whole Juices may be carried off by purging; and when those Liquors, destin'd by Nature to mix and convert the Aliment into an animal Liquid, are expell'd out of the Body, the Digestion cannot be so Well perform'd. Hence follow Consump- tions, Dropsies, and often an Obstruction of the Mesenterick Glands, which is a great Im- pediment to Nutrition; for the Lymph in those Glands is a necessary Constiuent of the Aliment before it mixes with the Blood. The Mixture of the Blood and Chyle, after its Circulation thro' the Lungs by the pulmonary Arteries, being brought back into the left Ventricle of the Heart, is thence, by the Force of the Heart, drove into the Aorta ‖ quite thro' the whole The last Stage of Digstion. L Body: † The whole Passage from the Mouth to the Fundament. ‖ Aorta, is the great Artery which proceeds from the left Ventricle of the Heart, and carries the Blood thro' the Body, and every Particle of the Body receives some Branch from it, except some of the solid Parts of the Liver, which receive the blood from the Vena Portœ. The Arteries are elastick Channels or Tubes, endued with a contractile Force, by which they drive the Blood still forward, it being hinder'd to go backward by the Valves of the Heart. They are also coni- cal Vessels, that is, tapering and diminishing by Degrees, with their Bases or upper and broader Part towards the Heart; and as they pass on, their Diameters grow still less and less, and consequently the Celerity of the Motion diminishes by the Increase of the Friction of the Fluid against the Sides of the 162 A GUIDE to HEALTH Part II. Body: and thus the Aliment, circulating thro' the animal Body, is at last reduc'd almost to an imperceptible Tenuity or Thinness, before it can serve the animal Purposes, in nourish- ing both the Fluids and Solids; and after various Circulations, and when it is depriv'd of all that can be of farther Use to any Part of the Body, it is carried off, both sensibly and insensibly, by the Emunctories * of the Body. But for farther Satisfaction concern- ing Nutrition, Growth, and Decrease of the Body, turn to Part I. Page 19, to 28. By the foregoing Doctrine it is evident, that Acrimony and Tenacity or Glewiness, are the two Qualities in what we take in- wardly most to be avoided; for Acrimony or Sharpness destroys the capillary Vessels, and when it is so great as to affect the solid Parts, the Sensation of Pain is intolerable. As the Tubes; and without this Motion, both the Blood and Chyle would soon be converted into one solid Mass; but on the contrary, by its Continuance, the Fluid being compressed by the Sides of the Tube, especially in the small Vessels, where the Points of Contact are more, the Blood and Chyle are still more intimately mix'd, and by Friction attenuated; by which means the Mixture acquires a greater Degree of Fluidity and Similitude of Parts. Hence appears the Neces- sity of Exercise to promote a good Digestion. And the Strength of the Aliment ought to be proportion'd to the Strength of the solid Parts of tire Body; for as Animals that use a great deal of Labour and Exercise, have their solid Parts more elastick and strong, they can bear, and ought to have stron- ger Food, too thin Nourishment being quickly dissipated by the vigorous Action of the solid Parts. * Are those Parts of the Body where any thing excremen- titious is seperated, and collected to be in readiness to be ejected. Ch. V. thro' the various Stages of Life. 163 As to the Viscidity or Glewiness of what is taken inwardly, when the peristaltick Motion of the Guts is so weak, as not to be able to propel or drive it forward, the Consequence is dange- rous, and often fatal to the Life of the Indi- vidual; for when the Tenacity of any Sub- stance exceeds the Powers of Digestion, it will neither pass, nor be converted into Ali- ment; whereas hard Substances will pass undissolv'd. Moreover, the Mouths of the La- cteals in People of weak and lax Constitutions may permit Aliment too acrimonious, or not sufficiently attenuated, to enter; but the Sphincters † in such as have strong Fibres will shut against them. Besides, a viscid Mucus may shut up the Mouths of the Lacteals, by which means the Chyle will pass by Stool, and the Person falls into an Atrophy or Decay of Flesh. Wind with Distention of the Bowels are Signs of bad Digestion in the Intestines, and likewise Diarrhœas, which proceed from Acrimony, Laxity of the Bowels, or Obstructions of the Lacteals. Those Parts of the Body where the Circu- lation of the Fluids, and the elastick Force of the Fibres are both smallest, must be most subject to Obstructions; and such are the Glands, which are the Extremities of Arte- L2 ries † Sphincter, is a Name ascrib'd to such Muscles as draw up, strengthen, and keep shut the Parts, such as the Sphinc- ter of the Bladder, Womb, Anus, &c. 164 A GUIDE to HEALTH Part II. ries form'd into cylindrical ‡ Vessels. Hence we may easily perceive, that too solid or vis- cid Aliment must be very hurtful to scrophu- lous and consumptive Persons. Having endeavour'd to give the Reader an Idea of animal Digestion, by shewing how our Aliment is converted into animal Substance, in as succinct a manner as could be in so nar- row a Compass: I shall now proceed in the same manner to give an Account of the Choice of them, that what is either beneficial or hurtful may be easily seen, according to the Nature and Difference of Constitutions. CHAP. VI. Of the Choice of ALIMENTS. AS all Animals are made either immediate- ly or mediately of Vegetables §, that is, by feeding on them, or on Animals that are fed on Vegetables: I shall therefore begin with the Vegetable Kind. Vegetables ‡ Cylindrical, in Anatomy, signifies Vessels that are so shaped, as not to be narrower at one End than another, but that all their Parts are equally distant in all Places from their Center; or which is the same thing, that they are of the same Diameter in all Places, contrary to conical Vessels, which are tapering and growing narrower. § Vegetables are such natural Bodies as grow and increase from Parts organically form'd, as Trees, Plants, and Roots, &c. but have no proper Life or Sensation. Ch. VI. thro' the various Stages of Life. 165 Vegetables are proper Food enough to re- pair Animals, as they consist of the same Parts with animal Substances, such as Salt, Oil, Spirit, Water, and Earth, all which are contain'd in them, and may be extracted from them. Their Salts are capable of re- solving the coagulated Humors of a human Body; and of attenuating, by stimulating the Solids, and dissolving the Fluids: Salts like- wise promote Secretion. Oils also relax the Fibres, and are Lenient, Balsamick, and abate Acrimony in the Blood; and by Virtue of this Oil, Vegetables are nutrimental; for this Oil is extracted by animal Digestion, as an Emulsion from Seeds by a Pestle and Mortar. But Aromatick Plants, tho' they abound with Oil, yet it is not soft and nutritious, and when mix'd with a Spirit, is too heating. Tastes are Indexes or Marks of the different Qualities of all Sorts of Aliment; and diffe- rent Tastes proceed from different Mixtures of Salt, Oil, Water, and Earth, but princi- pally from the Spirit and Oil, mix'd with some Salt of a particular Nature. A Mu- riatick or briny Taste, is produc'd by a Mixture of an acid and alkaline Salt; for Spirit of Salt being an Acid, and Salt of Tar- tar, which is an Alkali * when they are L3 mix'd * The Word Alkali comes from an Herb called by the Egyptians Kali. This Herb they burnt to Ashes, and boiled them in Water, and after having evaporated the Water, there remain'd a white Salt, which they called Alkali. It is cor- rosive, and will produce Putrefaction if apply'd to the Flesh, and 166 A GUIDE to HEALTH Part II. mix'd, produce a Salt like Sea-Salt, bitter and acrid, differing only by the sharp Particles of the first being intangled or involv'd in a greater Quantity of Oil than those of the last. Acid or four, proceeds from a Salt of the same Nature without a Mixture of Oil; and in austere Tastes, the oily Particles have not disentangl'd themselves from the Salts and earthy Parts, for such is the Tastes of unripe Fruits. In sweet Tastes, the acid Particles are so attenuated and dissolv'd in the Oil, as to produce only a small and grateful Sensation and Titillation; but in oily Tastes, the Salts seem to be entirely disentangled. As Vege- tables contain acid or alkaline Salts, so they produce different Effects upon human Bodies, and are to be used according to the different Constitution of the Body at that time, as will appear by what I shall say hereafter. The properest Food of the vegetable King- dom that Mankind make Use of, is taken from the mealy Seeds of some culmiferous or Stalk-bearing Plants, as Barley, Wheat, Oats, Rice, Rye, Mays, Panick, and Millet; or from some of the Pulse or Leguminous Kind, such as Pease and Beans, &c. and as those are Seeds containing the most elaborate Part of and ferments with Acids, as all lixiviate Salts will do, which are Anti-acids, that is, contrary to Acidity. As for acid or four Salts, one has a Notion of from Taste, Sourness being one of those simple Ideas which one cannot more plainly describe; so that whatever being mix'd with an Acid, causes an Effervescence or Ebullition, is called Alkali. Ch. VI. thro' the various Stages of Life. 167 of the Plant, they are oily, and consequent- ly proper to be converted readily into an animal Emulsion or Chyle: Besides, their Oil is not highly exhalted and hot, as that of the aromatical and acrid Plants, but on the contrary, mild, benign, and nourishing to the human Body. Barley is detergent, emollient, and expe- ctorating, and it was first chosen by Hippo- crates as proper Food in inflammatory Dis- eases. Wheat is the properest of any Grain for Bread, which, if not entirely purg'd from the Bran, is laxative and stimulating to the Bowels. Oats are cleansing, resolving and pectoral, which being outwardly apply'd mix'd with Batter, will dry Scabs on the Head. Rice, which two thirds of Mankind per- haps feed on, is most kindly nourishing and benign, good in Hæmorrhages, or Fluxes of Blood, and proper for consumptive Persons; but the Bread made of it is more acid and tess nourishing than that of Wheat. Rye is more acid, laxative, and less nou- rishing than Wheat. Millet is cleansing, diuretic, and therefore good in Distempers of the Kidneys. Panick is opening, and boil'd with Milk temperates Acrimony. Mays affords strong Nourishment, but not being so easily brought to a Fermentation as other Grains, is more viscous or glewy, and L4 conse- 168 A GUIDE to HEALTH Part II. consequently harder to digest. All the fore- mention'd Plants are highly Acescent †, ex- cept Pease and Beans. Pease are mild, and demulcent in a great Degree, being depriv'd of all aromatick Parts. Green Pease are very pleasant to the Taste, and provoke Appetite; but they are injurious to many, being full of aërial Particles, creating Flatulency when dissolv'd by Digestion. They are alkalescent §. Beans cleanse and fatten, and resemble Pease in most of their Qualities, but are more windy, and occasion sometimes Colic Pains, and disturb the Head. The French or Kid- ney-Beans are best, being less windy. People that live a sedentary Life should not feed much upon Pease or Beans, by reason of their Viscosity creating top much Flatulency. The mealy Parts of the above-mention'd Plants dissolv'd in Water for constant Food, is too viscid an Aliment, and for that Reason justly condemn'd by Hippocrates; and upon that Account, Mankind have found the means to make them more easy of Digestion, by fermenting and making some of them in- to Bread, which is the lightest and properest for † See Note following. § Substances which are not perfectly Acid, but naturally turn so, are called Acescent; and Substances that are not per- fectly Alkaline, but naturally turn so, are called Alkalescent. See the Explanation of Alkali in Note *, p. 165. These two Qualities in Bodies are not merely imaginary, but have very different and contrary Effects upon human Bodies. Ch. VI. thro' the various Stages of Life. 169 for human Food; for the Leaven, by its acid Salt, divides the slimy and oily Parts of the Meal. The next Sort of vegetable Substances that Mankind feed upon, are Fruits of Trees and Shrubs: They all contain an essential Salt, combin'd with Earth, Water, and Oil, much elaborated; and their different Qualities are known by their sharp, sweet, four, or styptic Taste. Apples are pectoral, cooling, laxative, and open the Breast; they differ considerably in Kind, and their Qualities are easily known by their Taste. Pears have most of the same Qualities, but they are more cordial, by their high Fla- vour, than Apples. Peaches are likewise cordial and pectoral; the best are those that are odoriferous, well colour'd, and full ripe. Apricocks quench Thirst, excite Appetite, provoke Urine; their Kernels are good against Worms, and excellent for the Heart-burning: unless they are mellow and full ripe, they are rather somewhat styptick. Plumbs purge Choler, extinguish Heat, take away Thirst in Fevers; but they are bad for weak and cold Stomachs, and for phlegma- tic Persons, and such as are subject to Colics. Those of the austere Kind are astringent. Mulberries are pectoral, and correct a bi- lious Alkali. Gooseberries 170 A GUIDE to HEALTH Part II. Gooseberries extreamly ripe are lenient; but unripe, they are both sour and astrin- gent. Currants are good in spitting of Blood, ex- treamly cooling, and somewhat astringent. The Jelly or Rob of Currants mix'd with Water, is an excellent Drink in bilious Fevers. Cherries are cooling and laxative, and their Kernels are good for the Gravel in the Kid- neys. Strawberries, by their fragrant Smell are Cordial. Their Juice mix'd with that of Li- mons in Spring-Water is an admirable Drink in bilious Fevers. Oranges that are sweet are more relaxing than the Seville Oranges; but these last are an excellent Remedy for the hot Scurvy. The sweet Oranges increase Choler. Citrons or Limons excite Appetite, stop Vomiting, cut gross Humours, are good in Fevers, and their Juices are more cooling and astringent than those of Oranges. Grapes taken in moderate Quantities when ripe, help the Appetite and Digestion; but in great Quantities, they dissolve the Gall too much, and produce Fluxes; and dry'd they are pectoral. Figs are great Correctors of Acrimony, they are good in Coughs and Hoarseness; they are likewise extremely emollient, relax- ing the urinary Passages, diuretick, and good in bloody Urine. Quinces Ch. VI. 171 thro' the various Stages of Life. 171 Quinces are often useful to weak Stomachs, and good in stopping Fluxes of Blood. Pomegranates likewise, containing an astrin- gent Juice, are extremely cooling. Barberries and Medlars are useful in Bloody-Fluxes. Tamarinds are cooling and astringent, yet laxative to the lower Belly. Capers are astringent and diuretick; they excite the Appetite, and are good for phleg- matic and melancholy People. Olives are Anti-acids, or contrary to Aci- dity by their Oil; but all oily Substances be- get an Acrimony of another Sort. Almonds are pectoral, especially the Oil. Walnuts are cordial and Anti-hysteric, and promote Perspiration in a small Degree. Hazle-Nuts are in some Degree good against spitting of Blood; but they are very hard to be digested, they cause Wind, Coughs, and Pains in the Head. Chesnuts are good against some Female Weaknesses, and afford very good Nourish- ment. There are other Fruits of the low pomise- rous Kind, which contain a great deal of cooling and viscid Juice, combin'd with a ni- trous Salt, which renders them often offen- sive to the Stomach; and such are Pompions, Cucumbers, Gourds, and Melons; tho' the last, when good, have a rich Juice, and some- what aromatick; they are diuretick, and there are Instances when eaten in great Quan- tities, 172 A GUIDE to HEALTH Part II. tities, to have thrown People into bloody Urine: they are likewise cooling and refreshing, good for hot Stomachs, and the Kidneys; they ought to be taken fasting. The Juice of Cu- cumbers is too cold for weak Stomachs, and ought not to be taken by such as have thin and poor Blood. Among the alimentary Leaves, the Pot- Herbs afford an excellent Nourishment: Of those are all the Cole or Cabbage Kind, which are emollient, laxative, and resolvent, and for that Reason proper against Acidity. There are likewise amongst the Pot-Herbs some * Lactescent Plants, as Lettuce, Endive, Ci- chory, and Dandelion, which contain a milky Juice extremely wholsome, resolvent of the Bile, anodyne, cooling and diuretick, and very useful in the Distempers of the Liver. Artichokes are pleasant to the Taste, pro- voke Urine, and contain a rich, nutritious and stimulating Juice; they are good against Aci- dity. Asparagus is opening and diuretic; by the fœtid Smell it gives the Urine, it is suspected to be hurtful to the Kidneys; it is likewise good against Acidity. Parsley provokes Urine, the Courses, cleanses the Kidneys, and removes Obstru- ction and Wind; but it is bad in Bloody- Fluxes. Celery contains a pungent Salt and Oil; it is diuretick and aperient, and exceeding good for cold Constitutions. Spinage * Vegetables containing a milky Juice. Ch. VI. thro' the various Stages of Life. 173 Spinage is emollient or opening, good in Inflammations. Beet is emollient, nutritive, and relaxing, good in hot and bilious Constitutions. Sallads of all Sorts, mix'd with sweet Oil and Vinegar, are good for hot and strong Constitutions; because they are cooling, diu- retick, and emollient; but they are not pro- per for phlegmatick or weak Constitutions, or those that are subject to Colics or Indige- stion. Of the alimentary Roots, some are pulpy, and very nutritious; as Potatoes, Turnips, and Carrots, &c. Potatoes, of all Roots in general, are the best and most nourishing for healthy People, and there are Instances enough to prove the same both in Ireland, and in other Provinces, where two Thirds of the Husbandmen, and meaner Sort of People, constantly feed upon them, and are the principal Part of their Food; yet they are healthy, active, and vi- gorous, and for the most Part live long. Turnips are very nutritious, good in Con- sumptions, Asthmas, and all Diseases of the Breast; they are emollient and diuretick. Carrots are fattening, they provoke Urine, and the Menses, and likewise help to open Obstructions; but they are windy, and there- fore not proper for colicky or weak Sto- machs. Parnisp is a very nourishing and palatable Root; it fattens, and is a Provocative; it opens, 174 A GUIDE to HEALTH Part II. opens, attenuates, and cleanses; but it is hard to digest, and not good for asthmatick and consumptive People. There are other Roots which abound with an acrid, volatile Salt; as Garlick, Onion, Rockambole, Shalot, Leeks, Radishes, and Horse-radishes: They contain a pungent, vola- tile Salt and Oil; they are extremely diure- tick, and when stimulating Diureticks can be safely used, they are very effectual. Experience teaches, that Garlick is a very excellent Remedy in Dropsies, Jaundices, and in Asthmas proceeding from a cold and viscid Phlegm. Cresses and Mustard contain likewise, in their Degrees, a pungent Salt and Oil, as well as the last mention'sd Roots; and as all of them subdue Acidity, they are very improper in Cases where the Blood is too much dissol- ved, as in spitting of Blood, and bloody Urine, or where the Blood or Juices have a Tendency to a State of alkaline Putrefaction; and in general they are fitter for cold Con- stitutions and old People, than for the young and sanguine. Mustard indeed is a very powerful Remedy in viscid and cold phleg- matick Cases. The Fungous Kind, as Truffles, Morelles and Mushrooms, contain an Alkaline volatile Salt, and an exalted Oil of a grateful Savour; but are heating, and the best Method of cor- recting them is by Vinegar: Some of them being poisonous, render the rest justly suspi- cious; Ch. VI. thro' the various Stages of Life. 175 cious; the poisonous Sort operate in a suffo- cating Manner, in which Case the best Re- medy is Wine, or Vinegar and Salt, and vo- miting as soon as possible. There are Vegetables used by Mankind in Seasonings, which afford an exalted aroma- tick Oil, and of a spicy Nature, as Marjoram, Basil, Savory, Thyme, Rosemary, Sage and Mint: They are heating, and most of them hard to digest: Other Spices of a more power- ful Nature, as Nutmeg, Mace, Cinnamon, Cloves, Ginger and Pepper, abound with a high exalted Oil and volatile Salt, by which Principles they are heating, and act powerfully upon the Fluids and Solids, by stimulating the Solids and resolving glutinous and fat Sub- stances: They are all proper in phlegmatick cold Constitutions. But Sage being a stimu- lating, drying, and astringent Plant, when used in great Quantities will produce Disorders like Drunkenness; therefore the Infusion or Tea made of it is very improper in all inflamma- tory Fevers as a Diluter. Of Tea, Coffee, and Chocolate. As the Infusions and Deco- ctions make so considerable a Part of Aliment at present, especially among the Female Sex, it will not be improper to say something of their Qualities in particular. Of Tea, Coffee, and Chocolate. Tea, by its Manner of affecting the Organs of Taste and Smell, affords very little of a vo- latile Spirit its bitter and astringent Rosin or fix'd Oil cannot be extracted by Water, but requires 176 A GUIDE to HEALTH Part II. requires rectify'd Spirit of Wine for that Pur- pose. The most active Principles of it that can be extracted by Infusion are the most se- parable Parts of its Oil or Gum, and Salt. Its Salt and Gum are astringent, as appears by mixing it with Chalybeat-Waters, which will produce a Tincture of the same Colour as that of Oak-leaves; it is * Acescent, as appears by its affecting Stomachs troubled with Acidity, which Disorder it will rather promote than correct: By its astringent Quality it moderate- ly helps to correct the relaxing Quality of the warm Water; and by its styptick and stimu- lating Quality, it affects the Nerves, very of- ten producing Tremors. By the frequent drinking too great Quantities of it, as is now become a common Practice, it will relax and weaken the Tone of the Stomach; from whence proceed an Inappetency, Nausea, Reachings or Vomitings, Indigestion and Sickness at the Stomach; and generally speak- ing, a pale and wan Complexion, with a Weakness of the Nerves and Flabbiness of the Flesh, the Solids and Fluids being thereby deprived of their proper Nourishment. Hence we may easily perceive, how perni- cious Tea-drinking may prove to the Seden- tary, especially the Female Sex, who for the Generality have weak and tender Nerves; but as Milk abates some of the fore-mention- ed bad Qualities, by rendering it softer and nu- tritious, and Sugar as a Salt, encreases it stimu- lating * See Note §, Page 168. Ch. VI. thro' the various Stages of Life. 177 lating Quality, it may be a proper Breakfast e- nough, as a Diluent, to those who are strong, and live full and free, in order to cleanse the alimen- tary Passages, and wash off the scorbutick and urinous Salts from the Kidneys and Bladder. But Persons of weak and tender Nerves, as I have just now observ'd, ought carefully to avoid and abstain from it, as from Drams and cordial Drops; for such fall into Lowness, Trembling and Vapours, upon using it with any Freedom, by its Irritation on the tender and delicate Fibres of the Stomach *. As to Coffee, it is a meer Calx, or a kind of burnt Horse-Bean, but lighter on the Sto- mach and somewhat of a better Flavour; and what is extracted from it by hot Water, is the most separable Parts of its Oil, which of- ten appears at the Top of the Decoction. This Oil is volatile, and affords very little Nourish- ment, producing all the bad Effects of a vola- tile Oil and aromatic Acrimony, such as Heat, Dryness, Stimulation, Tremors of the Nerves; for which Reason, it has been deem'd to cause Palsies, Watchfulness, Leanness, and destroy masculine Vigour: Hence it is very plain, that it must; be pernicious to hot, dry, and bilious Constitutions, and only beneficial to Phlegmaticks, if moderately us'd; but when drank in too great a Degree of Strength or M Qua- * For further Satisfaction herein, see Dr. Thomas Short's learned and elaborate Dissertation upon Tea, in which the Author has not only given us the Natural History of the Plant, but likewise its Analysis, with great Skill and Industry. 178 A GUIDE to HEALTH Part II. Quantity, it will prove destructive even to phlegmatick Constitutions. Chocolate is undoubtedly much the best of the three; for its Oil appears to be both rich, nutritious and anodyne *, and is as soft as that of Sweet-Almonds: This Oil combin'd with its own Salt and Sugar renders it saponaceous † and detergent; by this Quality it often helps Digestion and excites the Appetite; and is only proper for some of the leaner and stronger Sort of phlegmatick Constitutions, and some ancient healthy People, who are accustom'd to bodily Exercise. There are other Preparations of Vegetables by Fermentation, whereby they are changed into spirituous Liquors, which are, or may be called by the general Name of Wines; Such fermented Liquors have different Qualities from the Plants that produce them; for no Fruit taken crude has the intoxicating Quality of Wine. Of these Liquors I shall take par- ticular Notice, after I have given the Reader a short Account of the Nature of animal Diet, as far as it regards the Nourishment of Human Bodies. Animal Food is more easily converted into animal Substance than Vegetables; and there- fore more nourishing to human Bodies: And the † Easing, or taking away Pain. ‡ Sope is a Mixture of Oil and fix'd alkaline Salt, and in common Use its Virtues are cleansing, penetrating, attenuat- ing, and resolving; so that any Mixture of an oily Substance with Salt maybe call'd a Sope; hence Bodies of this Nature are call'd Saponaceous. Ch. VI. thro' the various Stages of Life. 179 the Nature of Animal Diet must depend up- on the Nature, Age, Food, and other Cir- cumstances of the Animal we feed upon. The Animal as well as Vegetable Juices are in their greatest Perfection, when the Ani- mal is full grown; for young Animals par- take of the Nature of their tender Food, as Sucklings of Milk, &c. All Animal Diet in general is anti-acid, or contrary to Acidity or Sourness; because no found Animal has any acid Salt in it, as has been often prov'd by Experiments. Those Animals that feed upon other Animals have their Flesh and Juices more alkalescent, that is, more anti-acid than those that live upon Vegetables; such are most Fishes, all Birds which feed upon Worms and Infects, several kinds of Water-Fowls, Woodcocks, Snipes, and several kinds of small Birds; which, for that Reason, afford a more exalted Nou- rishment than those that feed upon Grain or other Vegetables. Animal Flesh differs according as the Ani- mal is terrestrial, aquatick, or amphibious; and the same Species of Animals differs accord- ing to the Soil and Air it lives in, and the Food which it takes; as those that live in Mountains and Marshes; the Flesh of Oxen, Sheep, Deer and Hogs in different Pastur- age. Fishes abound more with alkaline Salt and Oil than terrestrial Animals; for which Rea- son they are sooner corrupted: And amphibi- ous Animals partake somewhat of their Na- M2 ture 180 A GUIDE to HEALTH Part II. ture by feeding upon them, and are therefore oily; and notwithstanding the Redundancy of Oil in Fishes, yet they do not increase Fat so much as Flesh-meat, by Reason of their watery Quality; and as Fish and Water- Fowls are highly alkalescent, and abound with a great deal of rancid Oil, they should be always qualified by a due Quantity of Salt and Vinegar. The most healthy Animals afford the best Aliment, and the Castrated are better than those that are not so; and the only Way of having found and healthful animal Food, is to leave them to their own natural Liberty in the free and open Air, and in their own pro- per Element, with Plenty of Food and due Cleanness, and a Shelter from the Inclemency of the Weather when they have a Mind to retire to it. Therefore we should never make Choice of cramm'd Poultry, or stall-fed Butch- er's Meat for our Food, did we consider the foul, gross, and filthy Manner in which they are confin'd, and the stinking, putrid, and unwholsome Food with which they are fed, especially Poultry and Hogs; for we may be well assured, that perpetual Foulness and Cramming, gross Food and Filthiness will rot the Juices, and mortify the muscular Sub- stance of human Creatures, and consequently can do no less in Brute Animals, and thus make even our Food Poison. Besides, stall-fed Cattle and cramm'd Fowls are often diseas'd in their Livers. The same may be likewise said Ch. VI. thro' the various Stages of Life. 181 said of Plants and Vegetables, forc'd and pro- duced by Hot-beds. Animals, Herbs, Fruits and Corn are to be chosen in high Places, such as are refresh'd with wholsome Winds and cherish'd with the warm Beams of the Sun, and where there are no Marshes, Lakes, and standing Waters; for in such Places they are quickly corrupted; and likewise the Flesh of all Animals that live in Fens and standing Pools are to be avoided, such as Ducks, Geese, &c. The Flesh of Animals too old is unwhol- some, being hard, dry, sinewy, and of little Nourishment, and hard to be digested; and on the contrary, such as are too young abound with too much Moisture, and are full of Su- perfluities, and therefore cannot nourish so well as an Animal full grown, in as much as they partake of the Nature of their tender Food, as I have observ'd already. Salt Fish produces gross Humours, and had Juices in the human Body; for it dries much, and breeds many Superfluities, and is of little Nourishment; it occasions Thirst, Hoarseness, Acrimony, or Sharpness in the Blood, and Erosion of the small Fibres, Pains, and all the Symptoms of the Muriatick or briny Scurvy, upon account of the Salt, which is unalterable in all the Circulations of the human Body, and therefore very improper Food for all Constitutions, except some strong labouring People, and even in those it will pro- duce very bad Effects, if they feed upon it M3 for 182 A GUIDE to HEALTH Part II. for a Constancy, as we see in Sea-faring Peo- ple. The same may be said of Salt Flesh. The Flesh of Birds is lighter, drier, and easier digested than that of four-footed Beasts, and for that Reason, more agreeable to those of a studious Profession, who exercise the Mind more than the Body; for as they are more easily digested, so they breed better Blood, that is, clear, clean, and full of Spi- rits, which is fit for the Exercises of the Mind. The Flesh of the wild Kind of Animals, such as frequent Woods, high open Places, and Mountains, is better than that of tame ones, having more Exercise and no Confine- ment, have their Juices more elaborated, and their Flesh will keep longer uncorrupted; be- cause they live in a better Air, and feed upon what they like best without Constraint; for the same Reason their Fibres are harder, es- pecially when old. This Rule in some mea- sure holds true with Fishes; for Sea-fish and River-fish living in an Element more agitated, are better than those in Ponds. For these Reasons Hippocrates commends the Flesh of the wild Sow preferable to the tame; and doubtless the Animal is more or less healthy, according to the Air it lives in; for the Flesh of the same Species differs very much, as the Animal lives in Marshes or Mountains. Flesh boil'd is more wholsome (especially for weak Stomachs) than roasted; for boiling draws more of the rank and strong Juices from Ch. VI. thro' the various Stages of Life. 183 from it, and renders it more diluted, lighter, and easier of Digestion, tho' not so nutritive; but on the other hand, roasting leaves it ful- ler of the strong nutritive Juices, harder to digest, and wanting more Dilution *; there- fore those who eat the Flesh of full-grown Animals, ought to eat it well boil'd, if their Digestion is weak. They who live upon young animal Food, which is best for weak Stomachs, ought to eat it roasted, and lessen the Quantity in respect of the same Food boil'd, but they must dilute it more; for as roast Meat has a stronger Flavour, more Nourishment, and lies more compact in the Stomach; so it will require to be more di- luted with some small Liquors to soften its more rigid and crisp Fibres. Meats bak'd, fry'd, and broil'd, generate nauseous Humours and Crudities in the Sto- mach, and are very difficult to be digested, tho' they are very nourishing. Lamb, Veal, and Kid, afford excellent Nourishment, and are easy to be digested, and therefore proper Food for those of a se- dentary Life and studious Professions. Beef affords great Nourishment to those that labour and exercise much, and generates much Blood; but it is too strong for tender, weak, and sedentary People, especially when Stall-fed, and very large; for Grass Beef and M4 Mutton * Dissolving or making thinner any Substance, with the addition of Fluids or Liquids, which are called Diluents or Diluters. 184 A GUIDE to HEALTH Part II. Mutton are lighter than Stall-fed Oxen and Sheep. Mutton breeds good Blood, nourishes ex- ceeding well, and is easily digested; and by Experiment is found the most perspirable of all animal Food, and Hogs-Flesh and Oysters the least. Rabits are of a good Nourishment, they consume the superfluous Moisture and Phlegm in the Stomach, and the Flesh is not near so dry as that of a Hare, and therefore nou- rishes better, and is much easier to be di- gested. Young Hares are very sweet and pleasant to the Stomach when well dressed, they are good for such as are too fat. It is said, that the Blood of a Hare fry'd and eaten, is good against the Bloody-Flux, inward Im- postumations, and the Gravel in the Kid- neys; and that the Brains of a roasted Hare cures Tremors, and facilitates the breeding of Teeth in Children; but the Moderns justly despise such whimsical and groundless Pra- ctice. Pork and Bacon afford great Nourishment, but as they feed the foulest of any Creature, and their Juices are the rankest, their Sub- stance is the most surfeiting; and as they are the most subject to † cutaneous Diseases and Putrefaction of any Creature, they are highly injurious to valetudinary, sedentary, and stu- dious People; for they cause the Gout and Stone † Diseases of the Skin, such as Pimples, Scabs, Mange, &c. Ch. VI. thro' the various Stages of Life. 185 Stone in Kidneys, Scurvy, and cutaneous Eruptions. The Flesh of sucking Pigs is endued with the same bad Qualities, tho' not in so great a Degree. Brawn made of the Flesh of young Boars is tolerable good eating, having not so much Slime and excrementitious Moisture as Pork, Pig, and Bacon; but the hard and horny Part is very difficultly digested. Deer affords good Nourishment, and is apt to make lean such as are too fat, accord- ing to the Observations of some Authors, but I very much doubt the Veracity of such As- sertions, for it seems even contradictory to say, that whatever affords good Nourish- ment, shou'd render corpulent and fat People, thin or lean. Of all the Parts of Birds and other Beasts, some are better than others; for all the Ex- tremities, as the Head, Neck, Feet, and Tail, in respect of the rest, are of a hard, viscid, and gross Nourishment; but the Parts about the Wings, Back and Breast, are better, and more savoury. Cream, Butter, and Marrow, are all leni- ent and nourishing: Marrow is excellent in the dry Scurvy with crackling of the Bones, where it performs its natural Office in moisten- ing them. Cheese that is new fattens, tastes pleasant- ly, and is not very injurious to the Stomach, especially Cream-Cheese, which is the best and most wholsome when newly made. Cheese 186 A GUIDE to HEALTH Part II. Cheese of no kind is good for Children or weak People, for it lies too heavy in the Stomach, is apt to breed Slime and Worms in Children, and it ought to be eaten only after Meals, to close up the Mouth of the Stomach at such times; but too much of it is bad at any time, especially old Cheese, for it occasions Thirst, inflames the Blood, and is often the Cause of the Gravel and Stone in the Kidneys or Bladder; therefore it is only proper for Mechanics and labouring People, or those that are strong and healthy, and use much Exercise. Milk is a most noble, nourishing, and wholsome Food; it is neither Acid nor Al- kaline; but when there is an Acid and Al- kali mix'd in it, they presently manifest themselves by their Fermentation and Con- flict. Milk, after standing some Time, na- turally separates into an oily Substance called Cream, and a thinner, blue, and more pon- derous Liquor called skimm'd Milk, and nei- ther of these Parts is naturally acid or alka- line, nor in the least acrimonious; for being dropp'd into the Eye, they cause no manner of Pain or Sensation of Sharpness; but by standing too long, they will turn both sharp and four. Milk is a kind of Emulsion, or white animal Liquor, resembling Chyle, after it has been mixed with the Spittle, Bile, and pancreatick Juices, &c. is easily separated from them again in the Breasts. A Ch. VI. thro' the various Stages of Life. 187 A Nurse that would abstain from all acid vegetable Food, from Wine, and Malt Li- quors, and feed only upon Flesh, and drink Water, her Milk, instead of turning sour, would become putrid, and smell like Urine; so that an alkalescent Diet †, (as is often the Case of Nurses in great Families) Subjects the Child to Fevers; but on the other hand, the Milk of poor People that feed upon an § acescent vegetable Diet, subjects the Child to Diseases that proceed from Acidity in the Bowels, such as Colics, Gripes; the Symp- toms of such a Constitution are a four Smell in their Excrements, four Belchings, Disten- sions or Swellings of the Bowels, and Pale- ness of the Flesh. The Cure of both Diseases is effected by a Change of Diet in the Nurse, that is, from Alkalescent to Acescent, or contrary ways, as the Case requires. But the best Diet for Nurses is a Mixture of both, and no Nurse should give Suck after twelve Hours fasting; for then her Milk is apt to turn yellow, which is an early Sign of a Fever in the Nurse. It appears from the fore-mention'd Quali- ties, that Milk is a very proper Diet for hu- man Bodies, especially for thin, hectical, and emaciated † Alkalescent Diet is the Flesh, Broths, and Juices of all Animals, both Terrestrial and Aquatick, which in a found State have no manner of Acid in them, as is very well known by Experiments. § An Acescent vegetable Diet, is taken from Plants, Fruits, and their Juices, and all fermented Liquors, which are either actually acid, or naturally turn so. 188 A GUIDE to HEALTH Part II. emaciated People, and where Acrimony in the Blood and Juices is to be subdued or avoided; but it is not proper for those that are troubled with the Colic or Stone, neither is it proper in Obstructions of the Vessels, it being void of all saline Quality. Whey is good for such as are of a hot Con- stitution, it quenches Thirst, promotes Sleep, and of all Drinks is the most relaxing, and is a powerful Remedy in the hot Scurvy. The different Nature of Birds is known by the Time, Age, Food, Place, and Air they live in; because Domestick as well as Wild Fowl, grow lean, and feed little at the Time of their coupling. And some Birds are best in Spring or in Summer, at which Time they feed upon Corn; others in Autumn, because they eat Grapes, Figs, Apples, Berries, and such like. Others again are best in Winter, such as Thrushes. Blackbirds, wild Geese, Cranes, and all Water Fowl. Some live on Worms, Infects, and Fish, as Woodcocks, Snipes, &c. but most feed on Grain, as Pigeons, Doves, and all Dome- stick Fowls, and the like: Some are nourish'd on Land, others in Rivers, Lakes, and in the Sea, and a great many Birds feed upon Herbs; and it is very remarkable, that the Flesh of wild Fowl has always the Taste of such Things as they feed on, as Fish, Slime, Mud, Worms, and other Infects. Mountain Fowls are always preferable to the rest; besides, castrating or cutting a Fowl, renders Ch. VI. thro' the various Stages of Life. 189 renders it fat and sweet, as appears in the Flesh of Capons; and the Flesh of young Birds is always better than that of old ones. Duck is the hottest of all tame Fowl; the Wings and Liver are the best, but of hard Digestion, and gross Nourishment; it is good in cold Weather for strong Stomachs, and such as labour much. Capon nourishes better than all other tame Fowl, and breeds good Blood and Juices in the human Body. Pigeons afford good Nourishment; they are very hot, and therefore only proper for old and phlegmatic People, or such as labour much, who generally speaking, will digest any Food without any Trouble or much Dan- ger. Pheasants are very agreeable to human Na- ture; they comfort and strengthen the Sto- mach, afford great Nourishment, and fatten very much. Pullets nourish exceeding well, are easily digested, and generate good Blood and found Juices; but old Hens are dry, hard to be di- gested, and afford little Nourishment; and the Flesh of a Cock is drier, hot, and sul- phurous, and therefore very improper Food for any Body, and fit for nothing else than to make Broth of it, with a little Mutton, Veal, or both. Geese, especially the young Geese, afford good Nourishment; but old ones, that feed and live in Fenny Places, are coarse, and hard 190 A GUIDE to HEALTH Part II. hard to be digested, and not fit Food for tender People, or weak Stomachs. Turkey is good Food, and affords good Nourishment, but harder to be digested than Capon or Pullet; yet a Turkey-Pout is deli- cate eating, breeds good Blood, and is easily digested. Partridges afford good and sweet Nourish- ment, and are easily digested; they fatten, and likewise dry up the superfluous Moisture of the Stomach, and contribute much to the Preservation of Health, their Flesh being bet- ter than that of Pullets. Plovers, especially the Grey Sort, are good wholsome Food, and afford good Nourish- ment, only they are somewhat of melan- choly Juice, according to some Writers. Blackbirds nourish sufficiently when they are fat and young; but they are hard of Di- gestion. Larks, if they are fat, nourish well, and are easily digested; they are best in Autumn and Winter. Sparrows, when young, afford good Nou- rishment, and are reckon'd to be Provoca- tives; but they are not easily digested. Peacocks nourish poorly, and are of a hard and slow Digestion, and breed melancholy Blood, therefore not worth any Body's eat- ing. Stares, if young and fat, nourish pretty well, but old ones are good for nothing. Thrushes Ch. VI. thro' the various Stages of Life. 191 Thrushes nourish very well, and are easily digested, and the Mountain Thrushes are the best. Quails are very nourishing, and pleasant to the Taste, they are likewise good for melan- choly People; but some Authors say, that they cause the Cramp, and falling Sickness, with which it is said, this Bird is troubled. This, by the by, I take to be only the ground- less Opinion of some credulous and whimsi- cal Writers. Turtle Doves nourish exceeding well, and are easily digested; they are good for the Stomach, and, according to some Authors, quicken the Understanding. Woodcock, Snipe, and all other long-billed Birds that suck only animal Juices, or that feed upon Worms and other Infects, have their Juices more elaborate and exalted than those of Pullets, Turkeys, Pheasant or Partridge; and for that Reason they are much harder to be digested, tho' they are very nourishing. Fish in respect of Flesh is less nourishing, because it is gross, phlegmatic, cold, and full of watery Superfluities. The old nourish better than the young, and those that live among Stones, Rocks and Gravel, are best. Fish in general are hard of Digestion; for they feed upon one another, and their Juices abound with an alkaline Salt, that corrupts the Blood and causes chronical Diseases; for it is very remarkable, that those who live much 192 A GUIDE to HEALTH Part II. much on Fish are afflicted with the Scurvy, Breakings-out upon the Skin, and other Dis- eases of a foul Blood: Besides, a true Sign of their Indigestion is, that every Body finds him- self more thirsty and heavier than usual after a full Meal of Fish, tho' ever so fresh; and is commonly forc'd to have Recourse to a Dram of some Spirit or other to carry them off. The following Rules concerning Fish may be of use to the Reader. First, That all fresh Fish should be eaten hot, and to eat less of Fish than of Flesh- meat. 2dly, Not to eat them too often, nor after great Labour and Exercise; for then they easily corrupt; neither should they be eaten after other solid Food. 3dly, Fish and Milk are not proper together; nor are Eggs to be used unless with Salt-Fish. 4thly, Great and slimy Fish are better pickled than fresh; and observe, that the clearer and deeper the Water is, the better are the Fish that are nourish'd therein. 5thly, Sea-Fish are whol- somer than fresh water Fish; for they are hotter and not so moist, and their Nourish- ment comes near that of Flesh-meat. 6thly, Of all Sea and River Fish, those are best that live in rocky Places; next to these, in gravel- ly or sandy Places, in sweet, clear, and run- ning Water, where there is no Filth: but those Fish are bad that live in Pools, muddy Lakes, Marshes, and in any still or muddy Water. 7thly, Amongst all the Fish both Sea Ch. VI. thro' the various Stages of Life. 193 Sea and River, those which are not too large are the best, and which have not hard and dry Flesh, that taste and smell well, and are crisp and tender, and have many Scales and Fins. 8thly, Fish are bad for cold and phlegmatic Constitutions, and only proper for hot and choleric People. The best Way of dressing Fish is to broil it; to boil it is the next, and to fry it is the worst. Eels for want of Exercise are fat and slimy; they are of a delicate Taste, and nou- rish very much; but they offend the Sto- mach, and are hard to be digested, and be- ing used too often, are apt to breed the Stone in the Kidneys and Bladder, and occasion the Gout and Spasmodic Disorders; therefore whoever eats much of them, and often, en- dangers his Health. Carp of all Pond-fish is certainly the best, and the most noble, being of a very pleasant and grateful Taste, and nourishes well, in whatsoever manner it is eaten. Lampreys are of great Nourishment; they are of a most delicate Taste, and are al- so Provocatives; but they are hard of Di- gestion, and bad for gouty People, and such as ate troubled with Convulsive Disorders. Pike is a clean, sound Fish, and nourishes very much; but is of hard Digestion. Sturgeon nourishes well, and excites Ve- nery; but is very hard to be digested. Of the Spawn or Row of this Fish pickled, is N made 194 A GUIDE to HEALTH Part II. made what is called Caveer, which excites Appetite, and makes Liquor relish well. Crabs and Lobsters are much of the same Nature; the Broth of them is good for thin and emaciated People, for they nourish very much; but they are, like all other Shell-Fish, hard to be digested. Oysters are very nourishing, and preferable to all Shell-Fish, and ought to be eaten al- ways before Dinner, and never to drink spi- rituous Liquors upon them, which harden them in the Stomach, and prevent their being digested. They are likewise very hard of Di- gestion when stew'd; therefore the Substance of them dressed in that manner is very im- proper for weak Stomachs. They cure the Heart-burn proceeding from Acidity or Sour- ness in the Stomach, and are proper Food in such, and many other Cases. Turbut, Soles, and Plaice, are highly com- mended among Sea-Fish; for they have de- licate Flesh, and afford very good Nourish- ment, are not easily corrupted, nor hard to be digested. Pearch are reckon'd fine Fish; but they have soft, moist, and tender Flesh; they nourish but little, and are full of Excremen- titious Juices, therefore they are not near so good as People imagine them to be. Tench are very nourishing, but hard of Di- gestion. Gudgeons and Smelts, of all small Fish are the best; they are wholsome Aliment, easily digested, Ch. VI. thro' the various Stages of Life. 195 digested, and may be as safely given to sick People as Whitings unless they are fry'd. Flounders are good wholsome Aliment enough, and proper now and then as a Change for sickly People, and weak Stomachs, as they are not hard to be digested. Salmon is grateful to the Palate, and very nourishing, affords good Juices, but is too luscious to make a hearty Meal upon it, or live on it for any considerable Time. Trout is delicate eating, nourishes very well; the biggest, and such as is bred in gra- velly Rivers, and sweet running Waters, is best. Trout is good for hot and young Peo- ple, but bad for those that are decrepid, and for phlegmatick Constitutions. Cod-Fish, when fresh and in Season, is very good Nourishment, and not hard to be di- gested; but if it be dry or Salt, it is gross Food, and of hard Digestion. Haddock is much of the same Nature, but drier, yet it affords very good Nourishment. Skate and Thornback are Fish of good Nourishment, and delicate eating, when rightly manag'd; for if they are newly taken and dressed, they are scarcely digestable even by the strongest Stomachs; but if they are too stale, then they smell Urinous, and are in a State of Putrefaction. Barbel is very pleasant to the Palate, and the little ones are better than the great, and such as live in stony Places, and clear running N2 Waters; 196 A GUIDE to HEALTH Part II. Waters; but their Flesh being hard, are not easily digested. The Roe of this Fish is care- fully to be avoided, it having the Quality of a strong Cathartick. Mackarel are very agreeable to the Taste; but their Flesh being hard, dry, and easily cor- rupted, is of little Nourishment, hard of Di- gestion, and therefore not proper Food for tender, weak, or sickly People. Herrings afford a great deal more Nou- rishment than the former; but their being so very hard of Digestion, renders them im- proper for every Body, except some hard la- bouring People. Sprats newly catch'd, and being either boiled or broil'd, afford good Nourishment, and are very agreeable to the Taste; but they are windy, and for that Reason not pro- per for such as are subject to Flatulency. Here it will be very necessary to give At- tention to the following Particulars in the Choice of our Aliments. 1. That those Vegetables and Animals that come soonest to Maturity, are lightest of Di- gestion: thus the Spring Vegetables, such as Asparagus, some Sorts of Sallading, and Strawberries, are more easily digested than Pears, Apples, Peaches, and Nectarines; because they have less of the Solar or Sun-Fire in them; for their Parts are united by a weaker Heat, that is, with less Velocity, and besides they contain little or no strong or fix'd Salts. 2. Among Ch. VI. thro' the various Stages of Life. 197 2. Among Animals, the common Poultry, Sheep, Kids, Hares, and Rabits, &c. which come to their Maturity, and propagate their Species in the same or a few Years, are much more tender, and readily digested, than Cows, Oxen, Boars, &c. for the Reason already given; and because their Parts cohere less firmly. And it is observable, that Vegetables which are longest in ripening, that is, whose Juices contain most of the Solar Heat in them, their fermented Juices produce the strongest vinous Spirits, such as Grapes, El- der-Berries, and the like: and that Animals, which are longest coming to Maturity, their Juices yield the most rank and most fœtid Urinous Salts. 3. That the larger and bigger the Vege- table, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested. Thus a large Onion, Apple, or pear, and large Beef and Mutton, are har- der to be digested than the lesser ones of the same Kind; not only, as their Vessels being stronger and more elastic, their Parts are brought together with a greater Force; but also, because the Qualities are proportionably more intense in great Bodies of the same Kind. Thus a greater Fire is proportionably more intensely hot than a lesser one; and likewise, the Wine contain'd in a larger Ves- sel becomes stronger than that contain'd in a lesser, and consequently the Juices of larger Vegetables and Animals are more rank N3 than 198 A GUIDE to HEALTH Part II. than those of smaller ones of the same Kind. 4. Sea-Fish or Animal's, are harder to di- gest than Land Animals; because, generally speaking, their Food is other Animals; and the Salt Element in which they live, renders their Flesh more firmly compact, Salts having a stronger Power of Cohesion † than any other Bodies. And for the same Reason, salt- water Fish is harder to digest than fresh-wa- ter Fish. 5. Vegetables and Animals, that abound with oily, fat, and viscid Substance, are har- der to digest than those of a drier, fleshy, and more fibrous Substance; because oily and fat Substances commonly elude the Force and Action of animal Digestion, especially in such as have little Exercise and weak Stomachs; for their Parts attract one another, and unite more strongly than any other Substances, ex- cept Salts; inasmuch as their Softness and Humidity relax and weaken the Tone and Force of the Stomach, the Fat and Oil be- ing shut up in little Bladders, that are with Difficulty broken and separated. Thus Nuts of all Kinds, as they contain a great deal of Oil, pass thro' the Alimentary Duct almost undi- gested; for the same Reason, Olives are more difficult to digest than Pease, and fat Meat than the lean of the same. 6. That all Vegetables and Animals of a strong, pungent, and aromatic hot Taste, are harder ‡ Sticking together. Ch. VI. thro' the various Stages of Life. 199 harder to digest than those of a softer, mild- er, and more insipid Taste; because such Substances abound with a great deal of Salts, or an Oil extremely active and heating; for high Relish comes from abundance of Salts and exalted Oils. A great deal of Salts sup- poses such Vegetables and Animals as are a long time coming to Maturity; and where Salts abound, the Fibres are dryer, harder, and more firmly in Contact with each other; for that Reason they are more difficultly sepa- rated, and harder to be digested. But however, Sea-Salt, or Rock-Salt, being fixed and of the same Nature, of all Season- ings is the best, without which no Food is good, and is used by Mankind in their Ali- ments for the following Reasons. 1. That thereby the Food may descend easier into the Stomach, and render it more savoury. 2. Be- cause it resists Putrefaction; consuming by its Dryness, that Moisture whereby Putrefaction might have been occasion'd. 3. It excites the Appetite, and digestive Faculty, and pre- vents Nauseating. 4. It dissolves, attenuates, and dries up the superfluous Moisture, pro- vokes the Bowels to discharge the Excrements, and is therefore used in Clysters and Supposi- tories. Besides, as all animal Substance contain no fix'd Salt, they want the Assistance of those, in order to promote Digestion, which preserve them both within and without the Body from Putrefaction; and as these fix'd Salts pass unalter'd thro' all the Strainers of a N4 human 200 A GUIDE to HEALTH Part II. human Body, the moderate Use of them is very proper to preserve Bodies through which they pass from Corruption. But on the other Hand, the immoderate Use of Salt produces a Multitude of woeful Disorders; such as Melancholy, Vapours, and bad Nourishment; it dries up the Blood, and causes the Muriatick, or Briny-Scurvy, Scab- biness and Itchy Ring-worms or Tetters, and even the Leprosy, with a great many other foul Humours and Eruptions in the Face and other Parts of the Body; and likewise it occasions Obstructions in the Urinary Passages, which oftentimes produce Ulcerations, Stone, and Gravel in the Kidneys and Bladder. And it will easily appear, that Salt can produce all these bad Effects, if we consider that Salts consist of hard and plain Surfaces, and in all Changes recover their Figure, and unite the most firmly of all Bodies whatever; for their plain Surfaces bring many Points in- to Union and Contact, and their Hardness and constant Figure render them durable and un- alterable; and thereby the active Principle, and Origin of the Qualities of Bodies, if in a Strict Sense there be any such Thing as a Principle; and when they approach within the Sphere or Limits of one another's Activity, they firmly unite in Clusters, all which ren- der the Separation of their original Particles the more difficult, and by that Means they obstruct the cuticular Glands, which are the Emunctories or Strainers of the whole Body, thro' Ch. VI. thro' the various Stages of Life. 201 thro' which not only the peccant Humours pass, but likewise the greatest Part of the Li- quors we drink, after having convey'd the Aliments into the Blood, being part of their Office, and in the next Place to dissolve the saline or terrestrial Particles to be carried off thro' the Glands of the Skin and Kidneys. So that when Salts adhere and unite in Clusters in the excretory Ducts of the Glands of the Skin, or the Kidneys, in the former they stop and pen in between the Scales of the * Scarf-skin the excrementious Humours, which ought to be carried off by insensible Perspiration, and thereby corrode the Skin, and produce Scur- vies, and other cutaneous Eruptions; in the latter, they cause Inflammations, Ulcera- tions, Suppression of Urine, and, as I have ob- served before, Stone and Gravel. Thus we may plainly see, how the immoderate Use of Salt is capable of producing not only all the disorders already mentioned, but likewise a great many more in the animal Oeconomy, Honey is the most accurate or exact Pro- duction of the vegetable Kind, perform'd by the Bee, being a most exquisite vegetable Soap, resolvent of the Bile, balsamick and pectoral: It is likewise detersive and opening, provokes * It is the outermost Covering of the Body, and is that soft Skin which rises in a Blister upon any Burning, or the Application of a Blistering-Plaister. It sticks close to the Surface of the true Skin, to which it is tied by the Vessels which nourish it, tho' they are so small as not to be seen. 202 A GUIDE to HEALTH Part II. provokes Urine, and cleanses its Passages, and is excellent for old and phlegmatick People of a cold Constitution; for it warms the Sto- mach, moves the Body, resists Corruption, and breeds good Blood; but sometimes it causes Wind and Gripes in some Constitutions. Oil of Olives is sweet and pleasant, and very agreeable to Nature; and it is best when two Years old, and ought to be made of ripe Olives. Oil of Sweet Almonds, when fresh drawn, is next to it in Goodness, and much properer for Sick People, it being of a cooler Nature, and more easily digested, tho' not so agreeable to the Palate. Oil fattens, and taken in great Quantities, is excellent to expel Poison by vomiting, and by sheathing the Coats of the Stomach from its corrosive Salts; but eating Oil too often destroys the Appetite, because all Oils are very hard to be digested, as I have already proved. Vinegar: The best is that which is made of the best Wine: It is an Acid of very pe- culiar Quality, different from that of all other Acid; for it is cooling, and yet not coagu- lating; for it gently dilutes the Serum of the Blood, as has been often proved by Experi- ments. It is inciding, digestive, and opening. It is good against the Redundancy of Bile, and to extinguish the Heat of Choler and Thirst. It strengthens the Gums, excites the Appetite, removes Obstructions, helps Diges- tion, and is good for hot Stomachs, and re- sists Ch. VI. thro' the various Stages of Life. 203 sists Putrefaction; therefore it is very useful a- gainst pestilential Diseases, especially in Time of the Plague: But too much Use of it breeds melancholy Humours, injures the Nerves, emaciates some Constitutions too much, offends the Breast, and makes People look old and withered, with pale Lips. CHAP. VII. Of the Power of Aliments upon human Bo- dies, with their good and bad Effects. ALL Bodies which can be changed into the Fluids and Solids of our Bodies by the animal Powers, are called Aliment, as has been observed in the first Paragraph of Chap. VI. And to take it in the largest Sense, by Aliment is understood every Thing which a human Creature takes in common Diet, as Meat, Drink; and Seasoning, as Salt, Spice, Vinegar, &c. Our Food therefore consists, not only of such Particles as are proper for the Nourishment and Support of the Body, but likewise contains in it certain active Principles, such as Salts, Oils, and Spirits, &c. which are endued with such Properties, as both to vellicate and sti- mulate the Solids, to quicken the Circulation, and by attenuating the Fluids, render them more 204 A GUIDE to HEALTH Part II. more fit to undergo the necessary Secretions of the Body. The Art then of preserving Health, and obtaining long Life, chiefly consists in a Mediocrity of such Diet as neither increases the Salts and Oils, so as to produce Distem- pers, nor too few, so as to suffer the Solids to become too much relaxed; and if this desirable Medium be attained, by following the common ordinary Diet of the healthiest People in any Country or Climate; that is then, indisputably, the best Method in general to prefer Health. For it is certainly true, that the infinitely wise Creator has provided Food proper and peculiar to every Country and Climate, which is best for the Support of the Creatures he has placed therein, as may be seen by the Chear- fulness and Health of the middling Sort of People of all Nations, who use only a simple Diet, without lusting after voluptuous or fo- reign Delicacies. Yet the Diseases of human Bodies often require Substances of more active Principles than what are found in common Aliment, in order to produce sudden Altera- tions; but where such Alterations are not necessary, the same Effect may be obtained by the repeated Force of Diet, with more Safety to the Body, where the sudden Changes are less to be apprehended. The smaller Ac- tivity of the Aliment is compensated by its Quantity; for according to the Laws of Mo- tion, if the Bulk and Activity of Aliment and Medicines are in reciprocal Proportion, the Ef- fect will be the same; for they both only bring about Ch. VII. thro' the various Stages of Life. 205 about the Effect, by acting either upon the So- lids or Fluids, or upon both; upon the first, by stimulating, contracting, or relaxing; upon the last, by attenuating, coagulating, or ren- dering them acrimonious or mild, or by in- creasing or diminishing their Motion through the Vessels. That all these Actions can be performed by Diet as well as Medicine, is evident from Reason, Experience, and in some Cases by ocular Demonstration; as in Chirurgery, in Wounds and Sores, where the Influence of Diet upon them is plainly seen; for a Diet too relaxing weakens the Spring of the Ves- sels so much, that they cannot sufficiently re- sist the Influx of the Liquid, and so begets a a Fungus, or proud Flesh; and when too as- tringent, it produces a Cicatrice, or callous Substance. The Effects of warm Water and mealy Substances in relaxing; of Spirits, in stopping Hæmorrhages, or Fluxes, and conso- lidating the Fibres; the Power of Alkaline Absorbents in subduing Acidity, and Oil in stopping Perspiration, is very well known to both Physicians and Chirurgeons. All those Substances which stimulate the solid Parts, produce the greatest Alterations in animal Bodies; for violent Sneezing pro- duces Convulsions in all the Muscles of Re- spiration, and an universal Secretion of all the Humours, as Tears, Spittle, Sweat, Urine, &c. And even all this Alteration can be pro- duced by the tickling of a Straw or Feather; there- 206 A GUIDE to HEALTH Part II. therefore acrid or sharp Substances, that are minute enough to pass into the capillary Tubes, must stimulate the small Fibres, and irritate them into greater Contractions. And many Things which we take as Food, or with our Food, have this Quality in some Degree: Such as the Juices of acid Vegetables, fermented Liquors, especially sharp Wines, and ferment- ed Spirits; aromatical Vegetables, as Savory, Fennel, Thyme, Garlick, Onions, Leeks, Mus- tard, all which abound with a volatile pungent Salt; and, in short, all Spices in general, and all Vegetables, which being corrupted, easily re- solve themselves into a fœtid, oily, alkaline Substance. The solid Parts of an animal Body may be contracted variously: First, by dissolving their Continuity. For as a Fibre is cut through, it contracts itself at both Ends; therefore all Things that are so sharp as to destroy the small Fibres, must contract them. Secondly, Whatever empties the Vessels, gives Room to the Fibres to contract; so that Abstinence produces this Effect in the best Manner: And whatever shortens the Fibres, by insinuating itself into their Parts, as Water in a Rope, contracts them; and fermented Liquors pos- sess this Quality in a great Degree. The more sulphurous or chymical Oil any Spirit contains, the more pernicious it proves to the human Body, because it is harder to be wash'd away by the Blood; therefore Brandy is more easily carried off than Spirit of Ju- niper; Ch. VI. thro' the various Stages of Life. 207 niper; and that than Spirit of Annise-seed or Rum. Compound aromatical Spirits destroy, first, by their fermentative Heat; 2ndly, By their oily * Tenacity: 3dly, By a caustic Quality residing in all Spices apt to destroy the solid Parts. However these Qualities may tender them proper in some Cases, taken in small Quantities. Austere acid Vegetables have this Quality of contracting and strengthening the Fibres, without a great many of the bad Effects of distilled Spirits, such as all Sorts of Sorrel, the Virtues of which consist in an acid, astrin- gent Salt, which is a Sovereign Remedy a- gainst a putrescent, bilious Alkali; and seve- ral kind of Fruits, as Quinces, some Sorts of Pears, with the Marmalades made of them; likewise Medlars, Capers, Barberries, Pome- granates, and Purslain, all such are easily distinguish'd by a rough and styptic Taste. And amongst Drinks, austere Wines, unripe Fruits likewise have the same Quality; but they are apt to cause foul Eruptions on the Skin, to obstruct the Nerves, and occasion Palsies. Relaxing the Fibres, is rendering them flexible, or easy to be lengthen'd without Rup- ture or Breaking, which is perform'd only in the capillary vascular Solids. Of all Liquids endued with this Quality of relaxing, warm Water is the first; and next to it, the watery Decoctions and Infusions of Mealy * Adhering or sticking together. 208 A GUIDE to HEALTH Part II. of Mealy Vegetables, or Grains, as Oats, Bar- ley, &c. likewise all sweet and mild Garden Fruits, and almost all Pot-Herbs, as Spinage, Beets, Cabbage, Coleworts, and all that Class; lactescent Plants, such as yield a milky Juice, as Lettuce, Succory, and Dandelion, if un- fermented, for Fermentation changes their Nature; also fresh oils of mild Plants, or Nuts, Cream, Butter, Marrow, and Whey; all which Things help to weaken and relax the Fibres, and are therefore proper Reme- dies for a too rigid, strong, or elastic State. The Qualities of the Fluids of a human Body can be likewise chang'd by Diet; as by attenuating or diminishing the Cohesion of the Particles of the Fluid: and the Cohesion of the Particles depends upon the Weight and Quantity of Fluids; therefore Abstinence and a slender Diet attenuates or thins them, be- cause emptying the Vessels gives room to the Fluid to expand or dilate itself. Besides, whatever penetrates and dilutes at the same Time, as Water impregnated with some pe- netrating Salt, attenuates very powerfully; and the great Effects of medicated Waters may be justly ascrib'd to this Quality; likewise all saponaceous Substances composed of Oil and Salt, such are Honey, and the Robs and Gellies of most Fruits; Vinegar and Honey mix'd is a powerful Resolvent. All stimula- ting Substances, by increasing the Motion of the Blood, attenuate, unless they increase the Motion Ch. VII. thro' the various Stages of Life. 209 Motion so much, as at last to produce Coagu- lation. The second manner of operating upon the Fluids is by thickening the Blood, which is perform'd by dissipating the most liquid Parts of it by Heat, or by insinuating some Sub- stances which make the Parts of the Fluid cohere more strongly: and the acid, au- stere Vegetables just now mention'd, have this Quality of condensing the Fluids, as well as strengthening the Solids. Another manner of operating upon the Fluids, is by increasing or lessening their Quantity: and the first is effected by a plen- tiful Diet, and the Suppression of Evacuations; the latter, either by a spare Diet, or promo- ting the animal Secretions, that is, expelling the Fluids out of the Body; which may be perform'd by Substances that are laxative, as animal Oils, fresh Butter, Cream, Marrow, or fat Broth; the Oils of mild Vegetables, as that of Olives, Almonds, and the Fruits themselves; likewise all oily and mild Fruits, as Figs, and most Garden Fruits, by the Salts they contain, lubricate the Intestines; and some saponaceous Substances which stimulate gent- ly, as Honey, Hydromel, or boil'd Honey and Water, and even brown Sugar. Besides, Sub- stances that are diuretick, are proper for this Intention, such as Whey, and Salts of all Kinds, Parsley, Celery, Sorrel, Chervil, As- paragus, Eringo, and Nutmegs, &c. O Acrimony 210 A GUIDE to HEALTH Part II. Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies, either by Sickness, as in Cachexies, or ill Habits of Bodies, and Scurvies, &c. or by Diet that is either briny or acid, which con- sists of two Sorts, that is, of Things natural- ly acid, or render'd so by Fermentation; or alkaline aromatick Substances, consisting of Salts, and highly exalted Oils intimately uni- ted, which by increasing the Velocity of the Blood beyond what is natural, occasions an Attrition of the Parts, and thereby disposes the Blood and Juices to an alkaline Acri- mony. But the Juices of found Animals consist of Water impregnated with Salts of a peculiar Nature, which are neither acid, nor perfect- ly volatile; for, in the Evaporation of hu- man Blood by a gentle Fire, the Salt will not rise, but only the Spirit and Water, nor per- fectly fix'd; for human Blood calcin'd, yields no fix'd Salt, nor is it a Sal Ammoniac; for that remains immutable after repeated Distil- lations, and Distillation destroys the ammonia- cal Quality of animal Salts, and turns them alkaline. So that it is a Salt neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline, nor yet quite ammoniacal; but soft and benign, approaching nearest to the Na- ture of a Sal Ammoniac. Hence we may easily perceive, that the elementary Salts of found Animals are not the same as they appear by Distillation; for these Alte- Ch. VII. thro' the various Stages of Life. 211 rations are produc'd by Fire: and those Salts are of a peculiar, benign and mild Nature in healthy Persons, who have * vital Force to subdue all the Substances they feed upon; but in such who have not that vital Force, or commit some Errors in their Diet, these Salts are not sufficiently attenuated, and retain their original Qualities, which they discover in Cachexies, or ill Habits of Bodies, Scurvies of several Kinds, and many other Distempers; the Cure of which chiefly depends upon the Choice of Aliment with Qualities opposite to the Nature of these Salts. Acrimony in the Blood commonly consists of three Sorts, according to the Nature of the Salts in which it resides; that is, either Acid, Alkaline, Muriatic, or briny, as in the Sea- Scurvy; but this last approaches more towards the alkaline State, and admits of the same Cure. Acid Acrimony resides chiefly in the first Passages, that is, the Stomach and Inte- stines, proceeding often from the Weakness of Digestion, and the too long Duration of Vegetables, and Milk, or fermented Liquors the Stomach. All animal Substances are alkalescent; and of Vegetable Substances some are acid, others alkalescent, and each Sort is to be used according to the two different In- tentions hereafter mention'd. O2 The * By vital Force, is understod the Sum of all these Pow- ers in an animal Body, which convert; his Aliment or Food in- to its own Nature. 212 A GUIDE to HEALTH Part II. The proper Diet for the Cure of the acid Acrimony, are Vegetables of all Kinds, as Garlick, Onions, Leeks, and Celery; the an- tiscorbutick Plants, as Cresses, Brooklime, Scurvygrass, &c. Carrots, Turnips, Pota- toes, Eringo Roots, Asparagus, Horse-radish, Mustard, and Cabbage. All animal Substan- ces being likewise Alkalescent, or contrary to Acidity, are also very proper Food in this Disorder, more particularly all Fishes of the Shell-kind. Water, by its diluting Quality, subdues Acidity very powerfully. Oils are Anti-acids, so far as they blunt Acrimony; but as they are sometimes hard of Digestion, they may produce Acrimony of the alkaline Sort. The alkaline Acrimony being opposite to the former, is cur'd by a proper Diet made of the Decoctions of farinaceous or mealy Substances, especially such as are made of Oats are proper, as having an acescent Qua- lity. Therefore this alkaline Acrimony requires a plentiful Use of Vinegar, and acid Fruits, such as Oranges, which contain a Juice most effectual in the Cure of the muriatic or briny Scurvy of Sea-faring People; the Juice of Lemons is likewise proper, and more cool- ing and astringent than that of Oranges: and in this Case all the mild Antiscorbuticks are indicated, as Sorrel, Cichory, Endive, Lettuce, and Apples, &c. and of Liquids Whey. On the contrary, all the acrid Antiscorbuticks, as Horse-radish, Mustard, and Scurvygrass, &c. are very hurtful in this, and all other hot Scurvies. Other Ch.VII. thro' the various Stages of Life. 213 Other Sorts of Antiscorbuticks proper in this alkalescent State of the Fluids, are called Astringents, such as Pomegranates, Capers, and most of the common Pickles prepar'd with Vinegar, And as the Extremity of Al- kali is Putrefaction; so all acid Substances, and Sea-Salt, resist such a putrescent Quality in the Fluids; but as the latter is a sharp solid Body, and unalterable in all the Circulations of the animal Body, and when it is taken constantly in a Diet of Salt Meat in too great Quantities, (as I have taken Notice of in the latter End of the preceding Chapter) it breaks the Vessels, produces Erosions of the solid Parts, and all the Symptoms of the briny Sea-Scurvy, which is to be cur'd by acid Ve- getables, and not by the hot Antiscorbutics, as I have just now observ'd. There are other Sorts of Substances which are proper in the Cure of both Sorts of Acri- mony, which are demulcent or mild, because they sheath these sharp Salts, as farinaceous or mealy Pulse, such as Pease, Beans, Len- tils; native Oils of Animals, as Cream, But- ter, Marrow. Likewise all Plants that are without Smell or pungent Taste are demulcent; and also all the alimentary Parts of found Ani- mals; for none of their Juices will hurt or smart either the Eye or a fresh Wound. As Liquors make a considerable Part of our Aliment, it will not be improper to give a short Account of their principal Qualities in O3 this 214 A GUIDE to HEALTH Part II. this Place, before I treat of different Consti- tutions, with the Diet proper for each in Par- ticular. Drink being an essential Part of our Food, is either Water, Milk, or Whey; or ferment- ed Liquors, such as Malt Liquors of different Sorts, Cyder, Wines, or a Mixture of these: And as the chief Intentions of Drink are, 1st, To moisten and convey our Food into the Stomach, and the Nutriment thereof to the respective Parts of the Body, and to allay Thirst; 2dly, To dilute the Blood, that it may circulate through the minutest Vessels; 3dly, To dissolve and carry off; by Urine and Perspiration, the superfluous Salts we take in our Food, which are unalterable in a human Body, as I have observ'd in one or two Places already: so pure Water answers all these Intenti- ons best, except in some few Cases hereafter mentioned; for no Liquor that we drink will circulate so well, or mix with our Fluids so im- mediately as Water; because all other Liquors we drink are impregnated with Particles that act strongly either upon the Solids or Fluids, or both; but as Water is the only simple drinkable Fluid, and being altogether inac- tive, so it is the fittest and most innocent Li- quor for diluting, moistening, and cooling; which are the chief Ends of Drink pointed out to us by Nature: Besides, nothing will dissolve Salts and carry what is superfluous of them out of Body, so well as pure Water, that Ch. VII. thro' the various Stages of Life. 215 that being the proper Menstruum or Vehicle for dissolving all Kinds of Salts. The benign, mild, and other useful Qua- lities of Water plainly shew, that it was de- sign'd by the most wise Creator for our com- mon Drink; and, without doubt, was the primitive original Drink: And happy had it been for Mankind that other mix'd and arti- ficial Liquors had never been invented; for Water is so necessary to our Subsistence, that we could not live a Moment without it; be- cause this Element furnishes all the fluid Parts of our Humours, without which they could not circulate; and it dissolves all the Salts in the Blood, whereby some are carried to their pro- per Places within the Body, and others to proper Emunctories for their Expulsion from it. It serves to prepare our Food, and then for a Vehicle to convey it out of the Stomach into every little Meander of the Body, both for Health and Nourishment: So that Water alone is sufficient and effectual for all the Purposes of human Wants as to Drink. Therefore it is evident from what has been said, that Water is the best and most whole- some Drink in general; but in some Constitu- tions, where something is necessary to warm and act as a Stimulus, then fermented Li- quors taken in Moderation are proper, such as Beer, Ale, Cyder, Wine, &c. the Quan- tity and Choice of which depends upon the Age, Constitution, and Manner of Living of the Drinker; for in Youth, Milk, Water, or O4 Whey 216 A GUIDE to HEALTH Part II. Whey are the properest, and in a middle Age a little more generous Liquors may be some- times allow'd; but most of all in old Age; for according to the old Saying, Lac senûm est Vinum, Wine is old Men's Milk. As to Malt Liquors, small Beer well boil- ed, and of a due Age, is the best for common Drink; otherwise it must be very hurtful to Persons of weak Nerves and flow Digestion; for by fermenting anew in the Bowels it will fill the whole Cavity of the Belly with Fumes and Vapours, which will at last produce very bad Effects in a weak Constitution. As for strong Beer, it should be made of Water that will bear Soap; be well hopp'd and boil'd, that it may keep till all the gross and viscid Parts fall to the Bottom of the Vessel, without the Help of any pernicious Composition for fining Liquors, too frequent- ly made Use of to the Destruction of thou- sands; for it is very notorious, that all your fine Ales, or Home-brew'd, as they are call'd, have neither due Age or Hops enough to cla- rify of their own Accord, being brew'd one Week and drank the next, or soon after; so that the Seller is obliged to have Recourse to some Art or other to fine them down, which is very often with unslack Lime, or at best a Mixture of Ising-glass *, and other Ingredients * Is a very strong Glew, made of a Kind of Fish catch'd in great Quantities in Rivers in Hungary and other Parts: It is used by Cabinet-makers, and sometimes ordered as a Medicine to stop Fluxes and Seminal Weaknesses; but it is very improper for Ch. VII. thro' the various Stages of Life. 217 very destructive, if not poisonous, to many Constitutions: Besides, these Liquors are of so agglutinating and thickening a Nature, as to produce Stone, Gravel, Gout, Bloatedness, and great Thirst, with the Loss of Appetite: And to prove the agglutinating Qualities of all such Liquors, it is experimentally known, that they make excellent Bird-lime; and when simmer'd for some Time over a slow Fire, make the most sticking and best Plaister for old Strains. We have likewise convincing Reasons to have the same Opinion of the Yorkshire, Not- tingham, and Welch intoxicating Ales; and, in short, all fine Ales brew'd for Sale: For it is certainly true, that all these fine Liquors, far fetch'd and dear bought, have always some- thing in their Composition hurtful to our Con- stitution, more than meer Water, Malt, and Hops; therefore I would advise all those, who have any Regard for their own Health or Lives, to avoid, as much as possible, the use of all such Liquors, and more especially the valetudinary, sedentary, studious, and contem- plative People; and, in fine, all such as have weak Nerves and slow Digestion. As the frequent Use and Excess of Drams, or distill'd Spirituous Liquors, is a Vice of so horrid for such as are otherwise in good Health; for the constant Use of it will produce Gravel, Stone, Blotches, and Eruptions on the Skin, by glewing up as it were the Urinary Passages, and likewise stopping insensible Perspiration; and, in short, it will produce the same bad Effects in human Constitutions, as the common Glew used by Joyners and Carpenters. 218 A GUIDE to HEALTH Part II. horrid a Nature in itself, and now become epidemical, not only among Mechanicks and Tradesmen, but among Persons of the brightest Genius, and finest Taste and Accomplish- ments; and, alas! even among the finest Part of the Creation, I mean the Fair Sex; and those of them too, which is still more a- stonishing, who are in all other Respects blameless, and of the strictest Virtue! I say, as the Case is so, it will not be improper to explain the poisonous Qualities and direful Ef- fects of such pernicious Liquors, which de- stroy Millions, both in Body and Soul. Let us then consider, that distill'd Spirits are but an Accumulation of fine Salts and light Oil, compacted together into the smallest Bulk; the Salts are so hard and solid as naturally to re- tain their Heat and Activity the longest, into which Water cannot enter; the Oil † is so inflammable, that it most readily receives Heat and Fire, and by that Means defends the Salts from the Power of Water over them: So that in the continued Distillation of Spirits, this † They are guilty of a gross Error, who imagine that the more oily any distill'd Spirit is, the more wholsome it will prove to the Constitution; for they do not consider that it is a very subtile, sulphurous, chymical, inflammable Oil, blended with Portions of very fine Salts, raised by the Force of Fire, and that it is quite different in its Nature and Quality from the benign and pectoral Oil of Olives or Sweet Almonds, or any other express'd Oils produced without Fermentation or Fire. Hence it is evident that Rum, or double-distill'd Spirit of Annise-seeds, and Spirits distill'd from aromatick Plants, are much more difficult to be digested and carried off than Brandy, or Spirit of Juniper; and that for no other Reason, than that they contain too great a Quantity of burning Oil. Ch. VII. thro' the various Stages of Life. 219 this Action of the Fire is so strong as to re- duce the Spirits at last into liquid Flames, which will, of their own accord, evaporate in visible Flames and Fumes. Besides, it is observable that every Thing that has pass'd the Fire so long a Time as to divide and penetrate its Parts as far as it pos- sibly can, retains ever afterwards a corrosive and burning Quality. This is manifest from the firey and burning Touch and Taste of new- distill'd Spirits; as also from the burning of a Lime-stone, which retains its heating and drying Quality ever after, tho' extinguish'd by Water. Hence it will manifestly appear, that run- ning into the frequent Use and Habit of Dram- drinking will as certainly kill as Laudanum, or Arsenick, tho' not so soon; for such Li- quors contract, harden, and consolidate many Fibres together, abolishing many Vessels, or Canals in the Body, especially where the Fi- bres are the tenderest, as in the Brain, by which Quality they destroy the Memory and intellectual Faculties, abrade and wear off the villous Coat of the Stomach, and thereby ex- pose its nervous Coat to the Insults of the most firey, corroding, saline, and caustick Particles of the Spirits; by which means the Springi- ness or Elasticity of the Fibres is so weakened, that the whole Stomach becomes at last soft, flabby, and relax'd. Hence a Loss of Appe- tite, and an Inability to digest the small Quan- tity of Food that is taken in; whence arise Cru- 220 A GUIDE to HEALTH Part II. Crudities, Nauseas, Vomitings, Tremors, ner- vous Convulsions, Consumptions, Dropsies; likewise Gout, Stone, Rheumatism, raging Fe- vers and Pleurisies, which for the most part nothing but Death alone can remove at last. What a melancholy Scene do we daily be- hold, in all Parts of this great Capital, of Numbers of miserable Creatures, render'd not only useless to themselves, to their Families, Friends and Relations, but likewise burthen- some to the Publick, and a Scandal to both Chri- stianity and the rest of their Fellow-Subject! And all this great Calamity entirely ow- ing to the Folly of a bewitching Habit of Dram-drinking. And what is still most sur- prising, we see even the Moral, and the Sen- sible, bound in these Chains and Fetters, that nothing less than Almighty Grace, or the un- relenting Grave can release them; for they are deaf to Reason, and to their own Experi- ence, and even to the express Words of the Scripture, which says, That the Drunkard shall not inherit the Kingdom of Heaven. From this Doctrine it will appear, to the Evidence of a Demonstration, that next to Drams, no Liquor deserves to be stigmatized and detested more than Punch; for it is a Composition of such Parts, that not one of them, except the pure Water and Sugar, is wholsome, or friendly to any Constitution, espe- cially to valetudinary, tender, weak, and studious People. The chief Ingredient being either Arrack, Rum, Brandy, or Malt-Spirits, and all Ch. VII. thro' the various Stages of Life. 221 all of them rais'd by Fire, from the fermented Juices of Plants brought from hot Countries, or which have born the Heat of the Sun longest in our own Climate; for it is observable that Vegetables, whose Juices have most Solar Heat in them, their fermented Juices yield the strongest Spirits in Distillation. The other principal Part of the Composition being sour Juice of unripe Oranges or Li- mons. And if we consider, that the Juice of a Crab-Apple, of unripe Goosberries, or Grapes, or even the Juice of Sorrel, would come up at least to their Virtue in extinguish- ing the Heat of the burning Spirits, if not to their Flavour; And yet every body who is not depriv'd of his Senses, must know how destructive an Ingredient such Juices would be to the fine Fibres of the Stomach and Bowels. For it is evidently true, even from Experi- ence, that all fermenting Juices, such as these are in a very great Degree, must be highly injurious to the human Constitution; for meeting with Crudities in the Bowels, they must raise a new Struggle or Fermentation there, and so fill up the whole Cavities of the Body, with acrid Fumes and Vapours, which is ex- tremely prejudicial to the Bowels, especially when the Constitution is tender and weak. And in the West-Indies, where the People are forced to drink much Punch, by reason of the Violence of the Heat, and for Want of other proper Liquors there, tho' the Limons and 222 A GUIDE to HEALTH Part II. and Oranges are in full Perfection, yet the Inhabitants are universally afflicted with ner- vous and mortal Dry-Gripes, Cramps, Pal- sies, and Convulsions, which kill them in a few Days, and all intirely owing to this poisonous Mixture, Punch. Notwithstanding what I have advanced against the deliterious † Qualities of Drams and Punch, at least when taken for any Con- stancy, or in any great Quantity, for some Poisons are only so by their Quantity, yet I would not be understood here to discourage the innocent Means of enlivening Conversa- tion, promoting Friendship, comforting the Sorrowful, and raising the drooping Spirits, at proper Times with a chearful Glass of some good wholsome Liquor or other; for the Sober can receive no Prejudice from a mode- rate Use of Liquors: On the Contrary, it will help to invigorate and re-establish the Constitution, especially after the Fatigues of Labour or Study. Neither am I against the taking a proper cordial Dram sometimes, as in an actual Fit of the Colick or Gout in the Stomach; or upon a full Meal of Fish, Pork, &c. when a Glass of good Wine cannot be had. But the Frenzy of being given to the too frequent Use and Excess of Liquors, is abo- minable; for a Sot is the lowest and the most contemptible Character in human Life; and as for the Profligate, the Sensual, and Vo- luptuous, † Poisonous. Ch. VII. thro' the various Stages of Life. 223 luptuous, they are past reclaiming, and there- fore deserve no Advice, at least they will take none. However, I present them here with a short Sketch of the Effects of Drunkenness, to contemplate upon at their Leisure, if they can spare any Time from the bewitching Folly of sotting and drinking. The Effects then of Drunkenness render the Blood inflamed into a Gout, Stone, and Rheumatism, raging Fevers, Pleurisies, Small- Pox, or Measles. 2. The Passions are enraged into Quarrels, Murder, and Blasphemy; the Juices are dry'd up; and the solids scorched and shri- velled. 3. A Resolution of the Nerves, Cramps, and Palsies. 4. Inflation of the Belly and Dropsies. 5. Redness and Rheums, with an Inflamma- tion in the Eyes. 6. Tremblings in the Hands and Joynts, Head-Aches, Quinsies, and Scurvies of all Kinds. 7. Sicknesses at the Stomach, with four Belchings, Reachings and Vomitings. 8. A furious and unmanageable Disposition to Lust, which hurries them to the base and sordid Company of Harlots, and impure Wo- men, by whose Means they most commonly acquire a foul Disease, under which they often labour for the greatest Part of the Remainder of their Lives, in Shame and Tor- ments; 224 A GUIDE to HEALTH Part II. ments; nay some become incurable, and even rot by Piece-meal, before their Dissolution. 9. A Decay of Memory and Understanding, Loss of Credit and Reputation. 10. An Unfitness for Business, or the Dis- patch of the Affairs of Life; and a Readiness of discovering all Secrets. These, with a great many more, are the bitter Fruits of Drunkenness, even in this Life; and in the next, according to the express Words of holy Writ, will be re- warded with everlasting Miseries, as being thereby excluded the Kingdom of Heaven. A short Account of different Wines in gene- ral. As it would be endless to enter into a long Account of the diffe- rent Qualities of all Sorts of Wines, therefore I shall only say in gene- ral, that all the light Wines, of a moderate Strength, due Age, and full Maturity, are much more wholsome for the Constitution, and preferable for Conversation, Cheerfulness, and Digestion, than the rich, hot, strong and heavy Wines: For the light Wines inflame the Juices of the Body less, and go off the Stomach with less Difficulty; they likewise afford longer Time for Conversation and Cheerfulness, with less Danger. Red Port Wine is strong and astringent; but white Port and Spanish Wines are stimu- lating and attenuating. French Wines are lighter, and not so strong as the Portugal and Spanish Wines; which renders them 2 whol- Ch. VII. thro' the various Stages of Life. 225 wholsomer for thin and dry Constitutions. Fine old Rhenish and Moselle Wines are very wholsome, especially the Former, which is exceedingly good for most Constitutions. Strong made Country Wines are prejudicial to all Constitutions, being very windy, heavy, and heady, taken in any considerable Quan- tity; therefore it is surprising the extreme Fondness People of the better Sort in England have run into, for such Liquors; and for no other Reason that can be thought of, than the only one the Vulgar give for drinking Brandy or Gin, that they sooner intoxicate them. The last Thing I have to say concerning Liquors, is, that Wine, and all other strong Liquors, are as hard to digest, and require as much Labour of the concoctive Powers, as solid and strong Food itself; and this is not only evident with respect to Persons of weak Stomachs and Digestion, but also from strong and healthy People, who only drink either water or Small Beer at their Meals, and shall be able to eat and digest almost double the Quantity of what they could, did they drink strong Liquors. Therefore it appears very Plain, that we should always drink very little strong Liquors at our great Meals, otherwise we must certainly impair the Constitution, and load it with various Diseases at last; for such Liquors, by their Heat and Activity, hurry the Food unconcocted into the Habit of the Body, and by that Means lay a Founda- P tion 226 A GUIDE to HEALTH Part II. tion for Fevers, Colicks, and several chronical Distempers. CHAP. VIII. Of different Constitutions, the Diet proper for each. ALthough I have given an Account of Tem- peraments or Constitutions in general in the Begining of Part I. Chapter I. of this Treatise; yet it will be necessary to treat of them in a more peculiar Manner in this Place, that every one may easily know the Nature of his own in particular. And as I have explained the Na- ture and Qualities of Aliment, in the two preceding Chapters, with their good and bad Effects upon human Bodies, it will be like- wise necessary to lay down Rules of Diet pro- per for each Constitution in particular, in this Chapter, by which Means it will not be diffi- cult for any one to observe a sure and easy Method in regard to what may be either use- ful or prejudicial to his own Constitution in particular, in order to preserve Health and prolong Life; or when impair'd, to restore it again, which are the chief Ends of the noble Art of Physick. A general Method as to Diet, without re- gard to particular Constitutions, is absurd. 3 The Ch. VIII. thro' the various Stages of Life. 227 The most common Difference of human Constitutions proceeds either from the solid † Parts, or from the different State of the Fluids, (as I hinted in the first Part of this Book.) From the former, as to their different Degrees of Strength and Tension; for in some Constitutions they are too lax and weak, in others they are too strong and elastick; from the latter, as they consist of Water, Spi- rit, Oil, Salts, and earthy Parts, they differ according to the Redundance of the Whole, or of any of the said Ingredients in particular; and for which Reason they may be justly called either plethorick, sanguine, phlegmatick, saline, oily on fat, earthy or melancholick Con- stitutions. The Fibres of the Solids in a human Body are too weak and lax, when the Cohesion of their Parts is so small, that they may be re- solved or broken by a Force not much greater than what happens commonly in the Body of a healthy Person; and when the Weakness of the Vessels or Organs, proceeding from a too small Cohesion of their constituent Parts, renders them unable to discharge the com- mon Functions of Life, consider'd in a State of Health. And notwithstanding there is a Debility or Weakness of Fibres in Infants, yet it is no P2 Disease, † The Solids of an animal Body are composed of small Fi- bres or Threads, which may be divided into still less; and this Division proceeds so far, as that at last they become so incre- dibly small, as to exceed the Power of Imagination; but Reason tells us that there must be an End at ast. 228 A GUIDE to HEALTH Part II. Disease, because they lengthen by the Influx of the Liquids, which is the Cause of their Growth; but in grown Persons, when their Fibres cannot any more give way or stretch, they must either break or lose their Spring. The common Causes of Weakness of the Fibres are, either a Defect or great Loss of the nutritious Juices; for if there is not a Sufficiency of Blood, the Chyle cannot be ea- sily assimilated to nourish the Fibres. And People who lose great Quantities of Blood daily, by Blood-letting or otherwise, become dropsical; for when a Fibre, which is natu- rally elastick like a Bow, loses its Spring, it is only passive, and consequently useless to the Individual. Likewise Nourishment too glu- tinous or viscid to be subdued by the concoc- tive Powers of Digestion. Also a sedentary and lazy Life; for Motion or Exercise en- creases the Circulation of the Fluids, and of Course an Application of the solid Parts to- gether. People who live healthy in a dry Air, commonly fall into Diseases that depend upon weak and relax'd Fibres when in a moist one. Lastly, a natural Weakness from the Frame and Constitution of the Body, which is too often the Case. The Sign of weak and lax Fibres are, a weak Pulse, Paleness, flabby and soft Flesh, Palpitations of the Heart, Bloated- ness, Lassitude, and scorbutical Spots; Coldness of the Skin, four Belchings upon taking vegetable Food, or foul Eructations, like that of The Signs of weak Fibres. rotten Ch. VIII. thro' the various Stages of Life. 229 rotten Eggs, after eating animal Food, are also Signs of weak Fibres in the Organs of Diges- tion; likewise Atrophy, or a Decay of the Flesh, which indicates a Destruction or Ob- struction of the Vessels that convey the Nou- rishment; and Dropsies proceed from a Weak- ness and Laxity of the Fibres, as having lost their Elasticity or Springiness to return the Fluid. And, in short, most of all the chro- nical Diseases proceed from Weakness and Laxity of the Fibres. Therefore the chief In- tention of Cure must be to restore the Tone of the solid Parts; for all other Attempts, without this, will prove fruitless. So that they who have weak Fibres ought to forbear all great Evacuations, especially Bleeding, viscid Substances, and all other Food hard of Digestion; they Should likewise avoid a sedentary Life and moist Air as much as possible: They should eat often, but in small Quantites, of such Things as are nourishing, and of easy Digestion, as Milk, Broth, and Jellies made of Flesh Meat, Rice Gruel, Pa- nadas, &c. And their Drink should be some of the light Wines of due Age and Maturity, mix'd with Water, for Water alone is too re- axing; or any good Wine with acidulated and Steel Waters, such as Pyrmont or Spaw, &c. They should likewise use in their Diet austere or acid Vegetables, if their Stomachs can tolerably bear them; such as Pears, Plumbs, Quinces, Pomegranates, Barberries, Medlars, Sorrel, Purslain, Burnet, Tama- P3 rinds. 230 A GUIDE to HEALTH Part II. rinds, Limons, Capers, or any other Pickles they like best. The Fibres are too strong and too elastick, when the Cohesion of their Parts is in such a Degree of Rigidity or Stiff- ness as renders them inflexible to the Causes they ought to yield to, so as to pre- serve the Animal in Health; for too great Elasticity is not only a Quality by which they resist against being lengthen'd, but likewise they restore themselves, by that Means, with too great a Force and Pressure upon the moving Fluids, to the Detriment of the Ani- mal. Too strong Fibres. Rigidity of the Vessels or Organs is such a Degree of Cohesion as prevents their being ex- panded so far as is necessary to carry on the vital Functions *, as usual in a true State of Health. And the Rigidity of the Fibres must necessarily produce a Rigidity of the Vessels and Organs, because the Fibres make up their constituent Parts. The Cause of such a State, besides the na- tural Frame and Constitution of the Body, is old Age, in which the Fibres are conspicu- ously rigid and dry; or too long a Course of such Diet as strengthens the Fibres too much; likewise hard Labour or Exercise. Signs. The Signs of such a Constitution are, a hard, dry, hairy, scraggy, and warm * Vital Functions are the muscular Action of the Heath, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions through their pro- per Organs; and also the Veins, Arteries, and Nerves. Ch. VIII. thro' the various Stages of Life. 231 warm Body., without a Disease, with firm and rigid Muscles, a strong Pulse, Activity and Promptness in the animal Actions *; and such Constitutions are most subject to inflam- matory Diseases. Their Diet should be Things contrary to those already mentioned in the State of too great Laxity of the Fibres; that is, of such Things as are emol- lient and cooling, the Pulps, Jellies, Juices, Mucilages, and Decoctions of Vegetables that are softening and relaxing; such as all Pot- herbs of the emollient Kinds, Lettuce, Ci- chory, Spinage, Beets, Carrots, Barley, Rice, Mays, Millet, Pease, and Beans; animal Oils, such as Cream, Butter, Marrow, and all Things which relax or increase Fat, refrain- ing always from Things season'd with Spice, and with as little Salt as possible, for Salt har- dens the Fibres: Their animal Food should be boil'd Meat and Broths without Seasoning, preferable to any other Form: Their Drink should be Water, Barley-water, Milk and Water, or Whey; avoiding all fermented Spirits and austere Wines, and Pickles of all Kinds, all which are extremely hurtful to such Constitutions. Bathing in warm Water The Regimen. P4 often * Are such, as when perform'd, the Understanding con- ceives Ideas of Things united to that Action; or the Will is either concerned in exciting such Actions, or moved by them when excited; such are the Touch, Taste, Smell, Sight, Hearing, Perception, Imagination, Memory, Judgment, Rea- son, Passions of the Mind, and voluntary Motions. 232 A GUIDE to HEALTH Part II. often is beneficial to such, but immoderate Labour or Exercise very injurious. How the Fluids act upon the Solids of a human Body, so far as to cause Diversities of Constitutions and Diseases, is accounted for in the following Pages, in treating of different Constitutions. The Definition. A plethorick Constitution is such as abounds with too great a Quan- tity of laudable and good animal Juices; the Causes of which are strong Organs of Digestion and Chylification, a good Stomach, plenty of nourishing Diet, little Exercise, much Sleep, Laziness or want of muscular Motion, a moist Air, and a Suppres- sion of some of the usual Evacuations, especially that of Perspiration. Therefore the Cure proper for this Constitution, is to avoid the Causes of it, just now mentioned, and use a more sparing Diet, greater Ex- ercise, and proper artificial Evacuations, in order to restore the natural ones; for The Cause. The Cure. This Constitution is subject to a Stoppage of the Circulation, by too great a Weight of Blood upon the Heart; Rupture of the Ves- sels, Suffocation, and sudden Death. But it is to be observed, that long Abstinence is not proper in the Cure of such a Constitution; for in that Case the most fluid Parts of the Blood fly off, and the grosser remain in the Vessels. Likewise frequent Bleedings, in small Quantities, often increases the Disorder, by augmenting the Force of the Organs of Di- gestion. Ch. VIII. thro' the various Stages of Life. 323 gestion, and by that Means promote Fatness. Persons of such a Constitution should al- ways avoid all oily and too nourishing Sub- stances; therefore Vegetables, being less nou- rishing than animal Food, are more proper; and, by the same Rule, to feed upon Fish pre- ferable to that of Flesh-meat. A sanguine is that Constitution is that which abounds with a great deal of good Blood; and the common outward Sign of such a Constitution, is a florid Colour in the Complexion, a Ful- ness and Blueness of the Veins, and a particular fair and lively Colour of the Skin, without Paleness. Those of a sanguine Con- stitution are subject to frequent Bleedings at the Nose and other Parts, and Inflammations of the Lungs, Impostumations, and often to scrophulous or evily Diseases. Definition. Diagnostick Signs. The Blood is the most universal Fluid in the animal Body, from which all the rest of the Juices are derived; for the red Part of it differs from the Serum, the Serum from the Lymph, the Lymph from the nervous Juice, and that from the several other Humours that are separated in the Glands. The red Globules of the Blood are elastick, and one Globule will break into six small ones, and then turn yellow; those yellow Globules break into others less, and so proceed till they become white and transparent at last; for the Vessels which admit the smaller Globules to pass, cannot admit the larger without a Rupture, 234 A GUIDE to HEALTH Part II. Rupture, or some other Disorder. So that as the Blood circulates thro' the smaller Chan- ness, the Redness will disappear more and more. A strong and free Motion of the Blood will occasion a Floridness upon the Skin of such Constitutions; for such a strong Motion will force the red Part of the Blood into more ca- pillary Vessels, Besides, another Cause com- monly concurring is the greater Transparency of the Vessels, occasioned by the Delicacy and Thinness of their Coats, which is evident from the large Veins of sanguineous Constitu- tions appearing blue and transparent, by the Colour of the Blood circulating in them. And if the Vessels are in a State of too great Rigidity, so as to be inflexible, a strong Motion of the Blood will occasion a Rupture of them, with Hæmorrhages; especially in the Lungs, where the Blood is more abun- dant, and the Vessels more delicate: But if the Vessels yield instead of bursting, the Per- son is subject to the Inconveniences of a faulty Circulation; that is, the Blood forces into the Vessels appointed to carry Serum or Lymph, from whence proceed Inflammations and Obstructions. And as the Delicacy and Thinness of the Vessels run through the whole Body, it must affect the Glands and Lympha- ticks, as well as the Blood-vessels; so that such Constitutions must be subject to glandu- lous and evily Tumours, and Ruptures of the Lymphaticks. The Ch. VIII. thro' the various Stages of Life. 235 The Diet of such Constitutions should be cooling and relaxing, with Moderation in the Quantity of all Things, They ought to avoid every Thing that acce- lerates the Motion of the Blood, as violent Exercise and Watching; likewise they ought to abstain from the Use of all Things that a- bound with an acrimonious Salt, as Onions, Garlick, Leeks, Mustard, and the hot Herbs used in Seasoning, and all Spices in general; but Vinegar is exceeding useful to such as will use it constantly with their Food, for it will very much abate their florid Colour. The Regimen. For more particular Directions, as to the Diet proper in this Constitution, I refer the Reader to the Diet prescribed for the Cure of Rigidity and Elasticity of the Fibres, which answers this Intention in every Particular. A saline Constitution of the Fluids in an animal Body; is either acid, alkaline, or muriatick †. A Saline Constitution It has been proved in the foregoing Chapter, that the Juices of a found Animal are nei- ther acid nor alkaline; for all the Solids and Fluids of such, even fed with acescent or acid Substances, yield no Acid; because the vital Force of such Animals converts the acid Sub- stances they take in Food, into soft nutritious animal Liquids of their own Nature. A Cow fed with Daisies, Trefoil, and Sorrel, will give Milk in which there is not the least Aci- dity; but if the vital Force is weak, it is not sufficient † Briny. 236 A GUIDE to HEALTH Part II. sufficient to subdue the Acidity of the Food taken in. Therefore as there is no Acid naturally in a found Animal Body, but what must be ta- ken in by Food; so that if it be not subdued in the Passages of the Chyle, it will get into the Blood; and if there is not a due Quantity of Blood, and a sufficient Strength of Circu- lation to subdue it, it will infect the Fluids, so as to produce various Distempers. The Effects of a Constitution subject to Acidity, are sour Belching, a crav- ing Appetite, Sourness in the Sto- mach, with Pains; Green-sickness, the Case of a great many Girls craving after earthy Substances, such as Clay, Chalk, Meal, Cynders, &c. Colick Pains about the Navel, Dry Gripes, such as those in the West-Indies, chiefly occasioned by too great Quantities of the Acid of Lime-Juice in their Punch, with a great deal of other Acids in their Sea- sonings. The Colicks in Infants proceed from Acidity, and the Air expanding itself in the fermenting Food in the Stomach; the true Signs of which are a sour Smell of the Excre- ments, acid Sweats, Paleness of the Skin, and oftentimes Convulsions, from Acidity passing into the Blood, and affecting the tender Fi- bres of the Brain. Eruptions of the Skin, such as Scurvy and Itchy, and even Leprosies, are produced by feeding much and often upon acid unripe Fruits, and mealy Substances that are acescent. Effects of an acid Consti- tution. The Ch. VIII. thro' the various Stages of Life. 237 The most subject to this Disorder are Chil- dren, by reason of the Weakness of their Fibres and Digestion, and a Milk Diet; like- wise such as lead a sedentary Life; and others again, who eat and drink much Bread and Wine, and acid Vegetables; and lastly. Ar- tificers, who deal much in the Preparations of Acids. As Acidity is not the natural State of the Fluids in an animal Body, but introduc'd into the Habit by Food; so it is to be cur'd by Aliment of a contrary Quality, for which the Reader is referr'd to the Diet proper for acid Acrimony, in the foregoing Chapter, Page 212. All anti-acid Medicines being ineffectual without a proper and continued Diet of the same Nature, here I must observe, that an Abstinence from strong fermented Liquors is absolutely necessary in the Cure of this Dis- order; and likewise that Acidity in the In- fant may be cur'd by a Flesh-Diet in the Nurse. An alkaline Constitution of the Fluids in a human Body is opposite to the former, and abounds with alkaline Salts, the Nature and Quality of which I have explain'd in Note *, Page 165, which see. And tho' no Animal unputrify'd, when burnt, produces any alka- line Salt, yet being putrify'd, it produces a volatile Alkali; so that in a found Animal no true Alkali is found, as I have observ'd A Constitution subject to an alkaline Acri- mony. in 238 A GUIDE to HEALTH Part II. in the preceding Chapter; but when an Ani- mal degenerates from a true State of Health, by such Diseases or Food as increases the At- trition and Heat of the Fluids, the animal Salts that were before mild and benign, now become almost of an alkaline Nature; for found human Blood when first drawn, is so mild as not to make an Eye, or a fresh Wound smart; but let it stand in a Degree of Heat equal to that of a human Body, and it will grow fœtid in three Days time, and produce a volatile rancid Oil, as likewise a volatile alkaline Salt, which will ferment with Acids; so that the Blood in the Vessels, after it has passed thro' almost infinite Degrees of Circu- lation, may come to that State at last, which is the Case in pestilential and malignant Fe- vers, where neither the Strength of Nature or Art can prevail to save the Life of the In- dividual. All animal Substances being de- priv'd of Life, and exposed to the Air, turn presently alkaline of their own Accord, and consequently will soon putrify. Causes. The Causes of such a Constitution are commonly a plentiful and con- stant Use of animal Diet, such as Fish and Flesh, and all Vegetables which abound with an acrimonious Salt, such as Mustard, Onions, Leeks, Spices, and all hot and pungent Anti- scorbuticks, &c. likewise a plentiful Use of Salts in general, for all animal Salts are alka- line; and tho' Rock and Sea-Salts are of a mix'd Nature, yet they increase the Disorder. All Ch. VIII. thro' the various Stages of Life. 239 All Animals that live upon other Animals have their Juices more alkalescent than those that live upon Vegetables, and for this Reason Fishes are more alkalescent than terrestrial A- nimals, for they putrify sooner in the open Air; and no Person is able to support a Diet of Flesh and Water without Acids, such as Salt, Vinegar and Bread, without falling into a putrid Fever. Another Cause of this Distemper is a vigo- rous Action of the Vessels thro' which the Fluids circulate; for which Reason the strong and healthy, and young People, are more in danger by pestilential Fevers, than the weak and old; for violent animal Motion by Attri- tion produces this alkaline State. The Symptoms of such a Constitu- tion in any great Degree, are Heat, Thirst, foul Belchings, Foulness of the Tongue and Palate, a bitter and hot Taste in the Mouth, Sickness, Loathing, bilious Vomi- tings, Stools with a cadaverous Smell, Pains in the Belly. Besides, such a State dissolves the Blood, and disposes it to Putrefaction, hinders Nutrition, for no Chicken can be hatch'd of a rotten Egg; and likewise the Blood turning Acrimonious, corrodes the Vessels, producing Hœmorrhages. Eruptions on the Skin, dark, livid, Lead-colour'd, and of a gangrenous Nature, and likewise a hot Scurvy, and al- most all Distempers of the Inflammatory Kind. Diagnosticks. The 240 A GUIDE to HEALTH Part II. The Diet of such Persons ought to be a plentiful Use of acid Sub- stances, such as much Bread, and Seasoning of Vinegar, and all other Acids without Spi- ces, and live much upon Food made of Grain or mealy Substances; in short, they should live on such a Diet as is describ'd for an alkaline Acrimony in the foregoing Chap- ter. The Regimen. Plethorick Constitutions are apt to fall into this alkaline State of the Fluids, which is more hurtful than that which proceeds from Aci- dity; for the Bile being redundant, is the strongest Anti-acid, and when it is raised to a high Degree, and acrimonious, is sufficient to produce all the terrible Symptoms of ma- lignant and pestilential Fevers, as is mani- festly evident from the Experiments that were made at Marseilles in Time of the Plague; and nothing subdues the Acrimony of the Bile more than the acid Diet already men- tion'd, so that by a timely Use and Applica- tion of such Remedies, many fatal and dan- gerous Diseases might be prevented. A briny State of the Blood. A muriatick or briny State of the Fluids, which is common among Sailors, is commonly introduc'd into the Habit of the Body by too great Quanti- ties of Sea-Salt; and its usual Symptoms are a Salt Taste in the Spittle, Itching, and red Breakings out of the Skin, a lixivial Urine with a fat Substance swimming on the Sur- face of it. The Ch. VIII. thro' the various Stages of Life. 241 The Cure of this Disorder is per- formed by the constant Use of a Diet of fresh and unsalted Things, watery and cooling Liquors acidulated; mealy and emol- lient Substances, with a plentiful Use of acid Fruits; Sower Milk, Butter-Milk, avoiding all Spices, and the hot Antiscorbuticks of the pungent Kind: In a Word, the Diet ordered in the Alkaline Acrimony in the foregoing Chapter is proper in this Case. The Cure. A phlegmatick Constitution is such a State of the Fluids, wherein Phlegm or a cold, viscous watery Humour predomi- nates; and the Causes of it are, commonly viscid Food, such as mealy Substances unfermented, and taken in great Quantities; for the Flower of all Sorts of Grain, mix'd with Water, make a Paste that sticks like Glue, having an Oil in them which causes a Cohesion of their Parts toge- ther; the frequent Use of unripe Fruits; like- wise great Loss, or Want of Blood, which preserves itself and the Food, by constant Motion, from Coagulation; a Weakness and Indigestion in the alimentary Passages, by which the Food is rendered slimy and vis- cous; a Defect, or Want of Bile, which is the principal Resolvent of the Food; and a Stagnation of the Fluids, from a Weakness of the Instruments of Excretion; for if the Phlegm stagnates, it must grow viscid by the Heat of the Body. Definition. The Causes. Q Like- 242 A GUIDE to HEALTH Part II. Likewise Tumours and Inflations of the Belly, with Paleness, are Signs of a phlegma- tick Constitution; as when a Child grows pale, and his Belly swells, which happens to those that are rickety, there must be cer- tainly tough Phlegm in the Intestines, which shuts up the Mouths of the Lacteals, and prevents the Nourishment from getting into the Blood. But no Cause whatever produces a Viscidity in the human Fluids, more than a sedentary Life, and Laziness, and no Reme- dy more effectual than good Labour and Ex- ercise. The Cure. Cold phlegmatick Constitusions ought to use constantly an alka- lescent Diet; likewise well fermented Bread, and fermented Liquors; for Fermentation re- moves the Viscidity of all mealy Substances; and high seasoned Food is proper for them; likewise Spices, Salt, Garlick, Leeks, Onions, Thyme, Rosemary, Savory, Marjoram, Basil, Mustard, and all the hot and pungent Anti- scorbuticks; for all these being highly alka- lescent, exalt the Bile, which is necessary in this Case, whereby the Viscidity of both the Aliments and Fluids of the Body is dissolved. Their animal Food, both Fish and Flesh, should be nourishing, and easy to be digested; their Drink should be good fermented Li- quors, hot mineral Waters, and generous good Wines, such as will put the Blood into a vigorous Motion. But for farther Satisfa- ction herein, see what is said of alkalescent Sub- Ch. VIII. thro' the various Stages of Life. 243 Substances, both animal and vegetable, in the foregoing Chapter. A fat or oily Constitution is so very well known to every one, as to the Symptoms, that it needs no Description, and falls in with the pletho- rick and phlegmatick Constitution already de- scrib'd; it being but one Species or Sort of Cor- pulency, as there is often Bulk without Fat, from a great Quantity of muscular Flesh, which is the Case of robust People; for an Animal in the Course of hard Labour appears to be very little else than Bones, Vessels and muscular Flesh; but let the same Animal remain long at Rest, with tolerable good Food, it will probably double almost its Weight and Bulk, and this additional Surplus is nothing but Fat or Oil. A fat Con- stitution. The common Causes of this Dis- order, besides a particular Family Disposition of the Body are, first, strong Or- gans of the first Digestion, and a Laxity of the Fibres of the circulating Vessels, especi- ally those about the Membrana Carnosa ‡ ; for by the Action of those Fibres of the Vessels upon the Fluids, if they are duly elastick, the oily Parts of the Chyle are intimately mixed with the Blood; but when this Action is not strong enough, and that the Chyle is The Cause. Q2 ex- * The fleshy Membrane, is a fat Sort of a Membrane, in some Parts thick and musculous, in other Parts thin with many Ducts of Fat in it, and covers all the nervous and fleshy Parts of the Body, and is interwoven with an infinite Number of Blood-Vessels. 244 A GUIDE to HEALTH Part II. extremely redundant, then the thicker Oil is never intirely subdued by Circulation, and so turns Fat. 2dly. Great Quantities of oily Nourishment, Milk, Butter, and oily fer- mented Liquors. 3dly, All Things which pro- duce Coldness in the Skin, so as to stop Per- spiration, by which Means the fat or oily Parts are congealed, which Heat dissolves and attenuates; for the Inhabitants of cold and moist Countries are generally fatter than those of warm and dry Climates. But the most common Cause of all is, too great Quantity of Food, and too little Motion or Exercise; that is to say, Gluttony and Laziness, for which a spare Diet and Labour is the best Re- medy. Fat or Oil in all Animals, in due Propor- tion, is very necessary for both the Motion and Nourishment of the Fibres; but too great Abundance of it is very prejudicial to the hu- man Constitution; for it is an Impediment to the Motion of the Joints, rendering them more heavy, by filling the Spaces occupy'd by the Muscles when they contract and swell; it subjects them to all the Distempers depend- ing upon a defective Motion of the Blood; and as the Want of a due Quantity of Motion of the Fluids increases Fat, so the Disease seems to be the Cause of itself. It endangers them in all inflammatory Dis- eases; for a Fever resolves many Things which do not circulate, and among others the Fat, which mixing with the Blood, becomes vola- tile, Ch. VIII. thro' the various Stages of Life. 245 tile, and causes an Acrimony much more dan- gerous than the saline one; for Salts can be dissolved and diluted with Water, but Oils cannot: And it is manifest that Fat is dissolved by Fevers, if we consider the great Loss of it which People undergo in such Dis- eases. But among the many Inconveniencies and other bad Effects of a fat or oily Consti- tution, there is one Advantage to such as arrive at an advanced Age, that they are not subject to a Stricture and Hardness of Fibres, which is the Effect of old Age. As Gluttony and Laziness are, for the most part, the Causes of a fat Constitution, such People ought to eat sparing- ly, sleep little, and use much Exercise; in which the Cure of such a Disorder chiefly consists. The Regimen. Substances which heat moderately, abound- ing with acrid and pungent Salts, are proper in this Case; such as Horse-Radish, Mustard, Garlick, Leeks, Onions, Spices, and all the aromatick Plants us'd in Seasoning; likewise Saffron, all Seeds that expel Wind, Meats well season'd with Salt, Pepper and Vinegar, are all proper to dissolve Fat, and carry it off by Perspiration; but the only Inconveni- ency they have, is, that they create Thirst, whereby great Quantities of Liquids are drank, which increase the Disorder, by diluting and relaxing the Solids too much. They should avoid all oily Nourishment, and use Honey, ripe Garden Fruits of an acid Q3 Taste. 246 A GUIDE to HEALTH Part II. Taste, and the astringent sub-acid Vegetables mentioned in the Cure of a weak and lax State of the Fibres, in the Beginning of this Chapter; for the Fibres of fat People are com- monly too lax. Their Drink should likewise be the same as is there mentioned, to which I refer the Reader. Tea and Coffee are also useful, as they dilute and stimulate moderately; but the frequent Use of oily spirituous Liquors, as Rum, Anniseeds, &c. is extremely hurtful, because they increase Fat; a moist Air is like- wise prejudicial to fat People, by relaxing the Fibres and stopping Perspiration both sensible and insensible. Definition. An earthy Atrabilarian, or melancholy Constitution, is such a State of the Fluids, wherein the spirituous and most fluid Parts of the Blood are dissi- pated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body. Diagnosticks. The Signs of such a State, or a Tendency thereto, are known by Darkness, or Lividness of the Complexion, Leanness, Dryness of the Skin, and a quick penetrating Genius, with a slow Pulse and Respiration; Obstructions of the Belly, and a Difficulty of being purged. The Causes. The Causes of it are all such as expel or evaporate the most volatile and subtile Parts of the Blood, and fix the rest: As great Applications of the Mind to some Ch. VIII. thro' the various Stages of Life. 247 some Objects or other, such as may produce great Joy or Sadness, both which equally ex- pel and dissipate the Spirits; likewise great Exercise or Labour in hot Weather, with un- quenched Thirst; also Food of hard Dige- stion, such as dry'd and salted Fish or Flesh, unripe Fruits, unfermented mealy Substances, or the immoderate Use of spirituous Liquors. The Effects of such a Constitu- tion of the Fluids are Stagnation, Obstructions, Acrimony, Putrefactions, Visci- dity, and an imperfect Secretion of the Gall, a defective Circulation in the Vessels, especi- ally in the lateral Branches appointed for the Separation of the more fluid Parts; hence arise viscid and insufficient Secretions in the Glands: Likewise the Motion of the Blood through the mesenterick and * celiack Arteries being too slow, produce various Disorders in the lower Belly and † hypochondriack Regions; hence Persons are denominated Hypochondria- cal. And the Signs of most of these Disorders of the lower Bowels, arising from too slow a Mo- tion of the Blood through the said Arteries, are, a Sensation of Weight, Anxiety, Repletion, and a bad Digestion, from whence different Sorts of Food acquire such a State in the alimentary The Effects. Q4 Passages, * Arteries in the lower Belly needless to be described in this Place. † Are the two Regions lying on each Side of the Tip or Extremity of the Breast-Bone or Sternum, and those of the Ribs; which contain in one the Liver, and in the other the Spleen. Hence Disorders of those Viscera, especially of the Spleen, are called hypochondriacal Affections. 248 A GUIDE to HEALTH Part II. Passages, as they affect of their own Nature; that is, acid, if the Diet be of acid Vegetables; and alkaline, if of animal Substances, espe- cially Fat, which remains rancid, so as that the Spittle will flame in the Fire sometimes; and all this Indigestion owing to the Inactivity of the Gall, which likewise occasions a Co- stiveness of the Belly, and a Difficulty of be- ing purged. This State of the Fluids will at last affect the tender Vessels of the Brain, by the Visci- dity of the Matter impacted in them, and thereby endanger the Imagination; and like- wise produce Corruption in the Bowels of the lower Belly at last. Hence it is evident, that such a Disorder is not to be removed by active Remedies *, no more than Pitch or Dirt sticking to a Skain of Thread is to be taken away by Violence; but the Viscidity should be gently attenuated, diluted, and carried off gradually, by a pro- per continued Course of Diet, avoiding al- ways all heating Substances, which still eva- porate and dissipate the volatile and fluid Parts more; therefore Waters impregnated with some of the pungent Salts, as that of Nitre, Tartar, &c. are found to be of great Effect in this Disorder. Their * Are such Medicines as produce sudden Alterations in the Body, by their penetrating and stimulating Qualities, acting upon the Fluids or Solids, or upon both, either inwardly ta- ken, or outwardly applied. Ch. VIII. thro' the various Stages of Life. 249 Their Diet should be light, easy of Di- gestion, moistening, and resolvent of the Bile, such as Honey, the Juices of ripe Fruits, emollient Pot-herbs, light Broths of animal Food, Lettuce, Spi- nage, Cichory, and Dandelion; and their Drink ought to be Water, Barley-water, and Whey. For farther Instructions herein, see the Diet directed for the Rigidity of the Fibres in this Chapter, which is likewise very- proper in this Case. The Regimen. One Thing to be observed is, that the Diet ought to be contrary to the particular Acri- mony residing in the Fluids, which might have occasioned the Disorder; for if it pro- ceeds from Acidity, then an animal Diet is altogether proper; if from an alkaline Acri- mony, the contrary Method must be used; which may be easily distinguish'd, by ob- serving what has been already said of acid and alkaline Constitutions, to which I refer the Reader. As there is a continual Dissipation or Waste in all animal Bodies, insensibly; so the fre- quent Repetition of Meat and Drink is ne- cessary, not only for repairing the Fluids and Solids, but likewise for preserving the Fluids from a putrifying alkaline State, which they would acquire by constant Attrition, without being soon and sufficiently diluted with fresh Chyle. Hence it appears, that long Fastings or Abstinence may be the productive Cause of great Distempers, especially in hot and bilious 250 A GUIDE to HEALTH Part II. bilious Constitutions; and very prejudicial to acid Constitutions, occasioned by the uneasy Sensation and Vellication produced in the Stomach. Therefore the Quantity of Food necessary to preserve our Bodies in a due State of Health and Vigour, ought to be divided into Meals at proper Intervals of the natural Day, that the former Food may be digested before any more be taken in, and at such a Distance from Bed-time that our Digestion may be almost finished before we sleep; by which Method neither the Organs of Digestion, nor the Blood- vessels will be overloaded, nor the Fluids too long deprived of a fresh Supply of nutritive Chyle, Hence the grand Secret of Health conists in keeping an Æquilibrium † between the Fluids and Solids; for when the Fluids move so equally, that they do not press upon the Solids with a greater Force than they can bear; and, on the other hand, when the Solids resist and act upon the Fluids so equally, that there is no uneasy Sensation, the Person is then in good Health; and whatever is in our Food or Actions that destroys this Æquilibrium, ei- ther by relaxing or contracting the Solids too much, or by attenuating or rendering the Fluids too viscid or acrimonious, must pro- duce the Effects already mentioned under each of those particular Heads, which see. From † An exact or due Ballance. Ch. VIII. thro' the various Stages of Life. 251 From what has been hitherto said of the Nature and Effects of Aliment, as also of the Nature and Difference of Constitutions in par- ticular, with the Diet proper for each, it will be as easy to determine Rules of Diet in the different natural healthy States, as in the mor- bid or sickly States of human Bodies; there- fore I thought it both useful and necessary to lay down here some general easy Rules, for the Benefit of those who value Health and long Life; but with this Caution, that Re- gard must be always had to the Nature of the Constitution in particular. I. Infancy requires a thin and copious nou- rishing Food, such as lengthens their Fibres, without breaking or hardening them, by rea- son of their Weakness and State of growing; so Milk answers this Intention best. II. The Solidity, Strength, and Quantity of the Food, ought to be in Proportion to the Strength of the Solids, Labour, and Ex- ercise of the Body; for such as labour and exercise much, have their solid Parts stronger and more elastick; therefore they require stronger Food, and more in Quantity, than those that are in their declining Age, or those that lead a sedentary or studious Life. III. Youth being still in the State of Growth, their Diet ought to be emollient and relaxing, plentiful, and without Acri- mony. IV. In the State of Manhood the Diet should be solid, with a sufficient Degree of Viscidity; 252 A GUIDE to HEALTH Part II. Viscidity; and their chief Drink Water, with a Quantity of fermented Liquors at Times, proportioned to their natural Constitutions. V. Ancient People require a Diet resem- bling that of Children, often repeated, and little at a Time, emollient and diluting, with a little Wine sometimes; because in old Age the Fibres harden, many Canals or Vessels are abolish'd, and the Solids grow together; from whence arises Dryness, Weakness, Im- mobility, Debilty of the vital Force of Di- gestion, Loss of Teeth, and Depravation of chewing, which terminate in Death at last. VI. Excess in Meat and Drink is to be avoided; for a little Food well digested and assimilated, preserves the Body stronger and more vigorous, than Superfluity. VII. We should not eat, because the cu- stomary Time for it is come, unless our Ap- petite be so too; for to load the Stomach with a fresh Supply upon a Semi-digestion of the former Meal causes Crudities, and a foul Sto- mach, which must overload the Blood, and thereby produce Diseases. VIII. It is better to eat twice a Day with Moderation, than to make one over-large Meal, tho' one abstains double the usual Time for Compensation; however, if one transgresses at any Meal, let such abstain from the next, or let it be a very slender one. IX. Variety of Meats, and made Dishes, destroy a Multitude of People; for they pro- long Appetite far beyond what Nature requires, and Ch. VIII. thro' the various Stages of Life. 253 and by that Means over-charge the Stomach. Besides, different Meats have different Quali- ties, and some are sooner digested than others; whence arise Crudities, and a depraved Di- gestion: Therefore we ought to avoid Feasts and Banquettings as much as possible; for it is more difficult to refrain from good and deli- cate Cheer when present, than from the De- sire of it when away. X. A temperate Diet preserves from diseases; for such are seldom ill, but when they are, they bear it better, and are sooner recovered. 2dly, It lengthens Life, and mitigates the Agonies of Death. 3dly, It arms the Body against external Accidents, such as Heat, Cold, Labour; and if afflicted with Wounds, Dislocations, or Bruises, they are much sooner and easier cured. 4thly, It maintains the Senses intire and vigorous, and moderates Peoples Passions and Affections. 5thly, preserves the Memory, sharpens the Wit and Understanding, and allays the Heat of Lust. XI. Galen, recommending a temperate diet, says, that those of a weak Constitution from their Mother's Womb, may attain to an extreme old Age, by Help of a sober and moderate coarse Diet; and that too without diminution of Senses or Sickness of Body; and says farther, that tho' he never had a healthy Constitution of Body from his Birth, yet by using a proper Diet after the 27th Year of his Age, he never fell into any Sickness, 2 unless 254 A GUIDE to HEALTH Part II. unless now and then into an Ephemera, that is, one Day's Fever, occasioned by Fatigue or Weariness. And it is very well known, that Galen lived to an hundred Years of Age. XII. In the Winter and Spring we require a greater Quantity of solid Food, and less Drink, than in the Summer and Autumn; because in the cold Season our Stomachs are hottest, and we sleep a great deal more; for as the Cold increases, so our Heat for the most Part recedes to the central Parts of the Body. And the Reason we require less Drink in Winter is, that then our Bodies are moi- ster, like the Seasons; and likewise, that the Cold hinders the watery Vapours to be per- spir'd, and so turn into Humours in the Body. But in Summer what is wanting in Meat or solid Food, may be taken in Drink, and moist cooling Nourishment; for then the Body is dry, and the inward Heat is distri- buted thro' all the Parts thereof, and Perspi- ration is so considerably increased by the ex- ternal Heat, that the watery Vapours or Effluvia are exhal'd and carry'd off thro' the Pores. XIII. The same Rules for eating serve al- so for drinking, the chief Intention of which is to allay Thirst, to moisten and convey the Food in the Stomach, and the Nutriment thereof into the respective Parts of the Body; to dilute the Blood, and dissolve the super- fluous Salts, and carry them off both by Per- spiration and Urine. But for farther Satis- faction Ch. VIII. thro' the various Stages of Life. 255 faction herein, see the Particulars of the Use and Intentions of Drink, in the latter End of the foregoing Chapter. Here I must observe, that moist Food, such as Broths, Pottage, Soop, and boiled Meats, require little Drink, and the solid only a Sufficiency to moisten and convey it into the Stomach, and prevent Obstructions; there- fore they who drink much at Meals, especial- ty strong Liquors, incur a double Inconveni- ency; for first, by causing the Food to float in the Stomach, which ought to reside in the Bottom, they hinder Digestion, and by moistening the upper Orifice thereof too much, by which means it is kept open, it thereby occasions Vapours and Fumes to a- scend and disorder the Head. Secondly, it causes the Aliment to pass too soon out of the Stomach, crude and indigested; whence arise Fluxes in the Bowels, and putrid Cru- dities of the Blood in the Veins and Arteries. XIV. It is very prejudicial to eat or drink too much, or fast too long, or do any thing else that is preternatural; for whoever eats or drinks too much, must be sick, or vitiate his Juices at last. XV. Growing Persons have a great deal of natural Heat; therefore they require a great deal of Nourishment, otherwise the Body will gradually waste. XVI. Hippocrates fays, that a Person can- not be healthy, and digest his Food well without Labour, and that the Quantity and Quality 256 A GUIDE to HEALTH Part II. Quality of Diet must bear a due Proportion to the Labour. XVII. Young, hot, strong, and labouring People, may feed on Meats that afford a hard and gross Juice, such as Beef, Bacon, powder'd Flesh and Fish, hard Cheese, Rye- Bread, and hard Eggs, &c. which may nourish slowly, and be digested by Degrees; for if they did eat things of light Nourish- ment, either their Meat would be too soon digested, or else converted into Choler. XVIII. When a Person is sick or distemper'd, his Meats should be of contrary Qualities to his Disease; for Health itself is but a kind of Temper gotten and preserv'd by a conve- nient Mixture of Contrarieties. XIX. Fat Meats are only good for dry Stomachs; for in sanguine and choleric Sto- machs they are soon corrupted; and in Phleg- matics they procure Looseness, and hinder Retention. XX. Such as are of hot Constitutions, should abstain from violent Exercises, use Bathing in tepid Water, feed upon Mays, Pot-Herbs, and a cooling moist Diet. XXL. The Quantity of Food that Is suf- ficient, the Stomach can perfectly concoct, and answers to the due Nourishment of the Body; hence it is evident, that we may eat a greater Quantity of some Meats than of others of a more hard Digestion. XXII. The Difficulty lies in finding out an exact Measure; but eat for Necessity, and not for Ch. VIII. thro' the various Stages of Life. 257 for Pleasure, for Lust knows not where Ne- cessity ends. XXIII. If a Person is dull and heavy after Meat, it is a Sign he has exceeded the due Measure; for Meat and Drink ought to re- fresh the Body, and make it cheerful, and not to dull or oppress it. XXIV. If we find those ill Symptoms, we are to consider, whether too much Meat or Drink occasions them, or both, then we ought to abate by little and little, till this Inconve- nience is remov'd. XXV. Pass not immediately from an ir- regular Life to a strict; and precise one, but by Degrees; for ill Customs come by Degrees, and are to be wore off gradually; for all sud- den Alterations in Extremes, either of Re- pletion, Evacuation, Heat or Cold, are dan- gerous. XXVI. Acids taken in too great Quanti- ties, especially such as are austere, as unripe Fruits, produce too great a Constriction of the Fibres, and thicken the Fluids; hence Pains, Rheumatism, and Gout, Paleness, Itch, and other Eruptions of the Skin. XXVII. Spices taken in too great Quantities produce Thirst, Dryness, and Heat, quicken the Pulse, and accelerate the Motion of the Blood, and dissipate the Fluids; hence Lean- ness, Pains in the Stomach, Loathings, and Fevers. XXVIII, Strong Liquors, especially distill'd spirits, taken in great Quantities, intoxicate. R contract, 258 A GUIDE to HEALTH Part II. contract, harden, dry, and stimulate the Fibres, and coagulate the Fluids; they like- wise corrode and destroy the inward Coat of the Stomach and Intestines. XXIX. A Diet of viscid Food, such as un- fermented mealy Substances, Peas, Beans, Lentils, &c. creates Flatulency, and Crudi- ties in the Stomach, Obstructions in the small Vessels of the Guts, and in the Mouths of the Lacteals and Glands: Hence Tumours and Hardness of the Belly, Paleness of the Skin, and Viscidity in the Fluids. XXX. An oily Nourishment relaxes the Solids, and particularly the Stomach and In- testines; it creates foul Belchings, Loathings, oily and bitter Vomitings; obstructs the ca- pillary Vessels, by hindering the Entrance of the watery and fluid Part, with which it will not mix; it produces Thirst and Inflamma- tions. CHAP. IX. Of Sleeping and Waking. SLEEP is a Cessation of the external Senses from Action; for, when waking, we walk, talk, move this or that Limb, &c. but in a natural or undisturb'd Sleep, there is 2 no- Ch. IX. thro' the various Stages of Life. 259 nothing of all these Actions; that is, when awake we perform several Motions by the voluntary Contractions of our Muscles; when asleep, those Muscles are only contracted, Whose Action is involuntary, or does it by a Habit, without the Intervention of the Rea- soning Faculty; such are the muscular Actions of the Heart, Breast, Lungs, and Arteries, &c. so that at this Time there is a kind of Re- laxation of the moving Fibres of the several Members of the Body. And this is one great Design of Sleep, to recover their former Force to the Parts overstretch'd by Labour or Motion; for when we compose ourselves to Rest, we must put our Body into that Pos- ture which favours most the particularly Weary'd Limbs. In the next Place it is very evident, that in Sleep there is not only a Rest and a Suspension from acting in most of our bodily Organs, but likewise of our Thinking Faculty too: That is, a Cessation from such Thoughts as, when awake, we are exercised about, which we re- flect upon, and Will to imploy our Mind with. For tho' Dreams are Thoughts, yet they are imperfect and incoherent ones; and are either so faint and languid Representations, as to be consistent with our Sleep, or else, if they be strong and lively, they are the Inter- ruption and Disturbance of it. From whence it will follow, that the Mo- tion of the arterial Fluid must be more se- R2 date 260 A GUIDE to HEALTH Part II. date, even, and regular, in the Time of sleep- ing than waking; for besides the various Al- terations it receives in this latter State, from the several Passions of the Mind, the very Contractions of the Muscles themselves, in the Exercises of the Body, will forward its Course differently and more unequal; where- as in Sleep the Motion of the Heart, Arte- ries and Veins is stronger, slower, more equal, and full; likewise Respiration is deeper, stron- ger, slower, and more equal, by which Means the Blood circulates and digests more commo- diously, and Secretion, Perspiration, and the Distribution of Nourishment are more success- fully carried on; the Humours circulating quicker through the Blood-vessels and the Parts near the Heart, but slower through the Sides of the Body, and the remote Parts, as well as the Muscles. Hence it also comes to pass, that the In- flux of the nervous Fluid into the Organs of the Body, as also its Reflux towards the Brain, is in Sleep either none, or very in- considerable; for it is muscular Action and Sensation that required this Fluid to be thus determined this Way or that, which are in this State hardly any: And yet, by the Arri- val of Blood at the Brain, this Juice will still be separated there, fit to be deriv'd into its Tubes and Canals; so that by this Means there will be a new Production, or a kind of Accumulation or laying up in Store, of Spi- I rits, Ch. IX. thro' the various Stages of Life. 261 rits, in order to perform our animal Func- tions. Thus we may look upon the Time of waking as the Time of wearing out, or the Destruction of the animal Fabrick; and the Time of Sleep, as that in which it is repaired and recruited; not only upon account of what has been just mentioned concerning the ner- vous Fluid, but also with regard to all other Parts of the Body, as well fluid as solid: For Action must necessarily impair the Springs and Organs; and in Motion something is continually abraded or fil'd off from the con- tractile Fibres, which cannot otherwise be restored, than by their being at Rest from Tension. Besides, the regular and steady Course of the Blood, as has been observ'd, in Sleep, is by far more fit and proper for Nu- trition, or an Apposition of Parts to the Ves- sels; which an uneven Hurry of Nourish- ment is more apt to tear off and wash away. The Use and Benefit of Sleep Sleep is occasioned, promoted, and increased by eating and drinking, in removing the Stimulus or painful Sensation of Hunger and Thirst, when the Stomach is empty, or by drinking plentifully, especially of strong Liquors; but some can- not sleep for a long Time when they drink much, because the Spirits are thereby too much heated and enraged. It is also encouraged by much or long con- tinued Labour, the Spirits being too much The Causes of Sleep. R3 dissapted 262 A GUIDE to HEALTH Part II. dissipated and exhausted. In like manner, after the taking of Opium, or other sleepy Things, we are disposed to sleep; because they seize the Spirits by their volatile Oleosity; also a quiet Disposition of Mind; a Body free from Motion, and unaffected by external Objects; by Excess of Heat, Cold, or Care; and by all such Causes as hinder the Protru- sion or Impulse of the Blood into the glandu- lous Part of the Brain, or its Passage through its Vessels, and the necessary Separation of Spirits, and the Derivation of them into the Nerves, being the Organs of Sensation, and the Muscles serving to voluntary Motion; and the Reflux of them towards the Sensorium Commune †. Sleep is hindered by a continual Mixture of Water, or hot Liquors, with the Blood, or any sharp Thing that vellicates or twinges the Nerves of the Brain; also by violent Pas- sions of the Mind, or the Brain's being di- sturbed by any internal or external Cause. Therefore it appears from what has been said, that Sleep is such a State of the Brain, wherein the Nerves do not receive from it so large or so strong an Influx of Spirits, as is required for the Organs of Sense and volun- tary Motions to perform their Actions with Ease and Quickness. The † The Seat of Common Sense, is-in that Part of the Brain, in which the Nerves, from the Organs of all the Senses, are terminated, which is in the Beginning of the Medulla Oblon- gata, and not in the Glandula Pinealis, as Des Cartes and o- thers would erroneously have it. Ch. IX. thro' the various Stages of Life. 263 The most immediate Cause here- of is perhaps the Defect of a subtile Spirit, which requires a long Time to prepare it, and being now spent and ex- hausted; so that the finest Vessels being emp- tied and flagg'd, for a Time fall together; or there is too great a Flux of thicker Blood im- pell'd to the Cortex of the Brain, so that the Medullary Part is compress'd, and the Motion of the Spirits hindered; therefore the natu- ral Cause of Sleep is every thing that may produce these two Particulars. The natural Cause of Sleep Therefore if we consider the Na- ture, Necessities, and Advantages of Sleep, already mentioned, we may easily perceive how too much Watching will deprive the Solids of that due Supply of Spi- rits so absolutely necessary to enable them to perform their several Functions; and that for want of a good Digestion Perspiration will be very much obstructed, which must render the Body dull and heavier; for, according to Sanctorius, “ interrupted and unquiet Sleep “ lessens the Quantity usually thrown off by “ Perspiration about a third Part:” * And likewise, “ whatsoever hinders Sleep, hinders “ also the Perspiration of that digested Matter, “ which ought to exhale;” § because interrupted Sleep keeps the Fibres in that Degree of Ten- sion, which is not suitable to forward the Juices to the Extremities, and let the Matter of Per- spiration go off by the Pores of the Skin: The Effects of too much Watching R4 For * Aph. 5. Sect. iv. § Aph. 8. Sect. iv. 264 A GUIDE to HEALTH Part II. For whatsoever hinders that easy Relaxation necessary for found Sleep, must likewise hin- der Perspiration; so that full, heavy, and luxurious late Suppers must hinder it; be- cause such a Load in the Stomach will keep the Fibres upon the stretch, and conse- quently our Sleep will be uneasy and inter- rupted, until that be removed. It is therefore very certain, that according as our alimentary Organs are easy, quiet, and not overloaden with Food, our Sleep is found, sweet, and refreshing; for if any Per- son not labouring under a Disease, is restless in his Sleepy it must arise from his Stomach's being overcharg'd with indigested Food, or Crudities not carry'd off by proper Exercise; or his Intestines are filled with Wind, Choler, or superfluous Chyle: and the restless Nights which are generally ascrib'd to Vapours, are entirely owing to the said Causes. There- fore all those that would preserve their Health, and lengthen out their Days, ought to avoid large and late Meat-Suppers; especially the sedentary, studious, and such as have little or no Labour or Exercise, should eat very light or no Supper; if any, it ought to consist of some vegetable Food; neither ought they to go soon to Bed after any Sup- per whatever. And such People in general should give Attention to this Aphorism of the Schola Salernitana, Somnus Ch. IX. thro' the various Stages of Life. 265 Somnus ut sit levis, sit tibi cœna brevis: Viz. That your Sleep may be sweet, let your Supper be light. Immoderate Watching and want of Sleep, produces Diseases of the Head, corrupts the Temperature of the Brain, causes sometimes Madness, inflames the Humours, generates and excites a saline Acrimony in the Blood and Juices; hence arise cutaneous Eruptions of different sorts; likewise the want of mo- derate Sleep occasions bad Digestion, fills the Stomach with Crudities, and dissipates the Spirits, by which means a thorough Waste and Decay of both the Solids and Fluids suc- ceed at last. Sanctorius observes, that * “ They who “ sleep well and do not dream, perspire “ well; and on the contrary, they who “ dream much perspire less.” Because dream- ing is a State between sleeping and waking, therein, altho' the Mind does not exercise such a Power over the Body, as to direct its Motions in the same Degree as when awake, yet by its Attention to those confused Ideas which pass thro' it, the Solids are kept in some Degree of Contraction, greater than is agreeable with found Sleep; and therefore Perspiration, which depends upon a settled Relaxation, cannot be perform'd so well at such times, as when in quiet and profound Sleep * Aph. 27. Sect. IV. 266 A GUIDE to HEALTH Part II. Sleep, neither have they that Refreshment, Lightness and Agility, which spreads all over the Body, and principally the Brain, as those who sleep quietly without dreaming. The Effects of too much Sleep. Long and superfluous Sleep is very pernicious to both the Mind and the Body; for it chills the Body, weakens the natural Heat, breeds phlegmatic Humours, and fills it with Crudi- ties; whence arise much Sloth and Lazi- ness, the Parent of many Diseases; it like- wise fixes the Spirits, and renders them flug- gish and stupid; it dulls the Understanding, hardens the Excrements, and makes the Body costive, which is frequently the Cause of va- rious Distempers. In short, superfluous Sleep is neither good for the Body nor the Mind, nor for Business; for he who sleeps too much is but half a Man, Sleep rendering him in all Points like a dead Man, except his Digestion and the Pulsation of his Arteries; for he nei- ther sees, hears, speaks, or understands, and is absolutely depriv'd of all Reason, which for the Time is a perfect Death. Besides, too much Sleep occasions in both found and firm Bodies a Shortness of Breath, and is a constant Fore- runner and Disposition to an Apoplexy, Le- thargy, Palsey, and Numbness, by hindering the seasonable Evacuations of the Excrements, causing them to remain too long in the Body. Sanctorius is very clear on this Head, and says, * in one of his Aphorisms, “ By too “ much * Aph. 50. Sect. IV. Ch. IX. thro' the various Stages of Life. 267 “ much Sleep both the inward and outward “ Parts grow cold, the Humours are obstru- “ cted and render'd unperspirable, and the “ whole Body heavier.” So that by the very same means by which moderate Sleep is serviceable and necessary, too much of it proves injurious; because too much Relaxa- tion overcharges the Nerves with too thick and too great a Quantity of Juices, which instead of rendering them fitter for Motion, clogs them, and makes them less capable of recovering their Springs afterward; so that when once the Solids fail, the Fluids of course slacken in their Motions, by which means the natural Heat decays, and the Flesh grows cold, and they themselves be- come also more fizy or gluey; for which Reason they suffer less to pass off thro' the Pores by insensible Perspiration, or otherwise, and consequently the Body is render'd heavier. Sleep in the Day time, or after Dinner, is not to be allow'd, unless a Person has ac- custom'd himself to it, or has not rested Well the Night before, or if he perceives a kind of Lassitude or Weariness in his Limbs; in such Cases, I say, one may sleep an Hour, or half an Hour after Dinner, and even it is slow Digestion; for according to Sanctorius *, “ An Hour's Sleep at Noon after a Meal, “ sometimes occasions the Body insensibly to “ perspire a Pound, and sometimes half a “ Pound: * Aph. 37. Sect. IV. 268 A GUIDE to HEALTH Part II. “ Pound: a Pound when any of the per- “ spirable Matter of the former Day has “ been retain'd; when not, but half a Pound.” This is recommended as a most excellent Re- medy in weak People for imperfect Digestion, and there is a great deal of Reason why it should be of Service; because such an addi- tional Help every Day, may compensate for the Deficiencies of the last Night's Perspi- ration; but they must not be too free with this Practice, who are inclin'd to grow fat or phlegmatick. For according to the same Au- thor *, “ Immoderate Sleep after Dinner in- “ jures all the Bowels, and obstructs Perspi- “ ration.” So that altho' a little Sleep at such Times, and in the Cases above-mention'd, upon a full Stomach may be of Service, by perspi- ring what did not sufficiently pass off the Night before; yet if it be continued too long, there will such a Quantity of indigested Mat- ter follow, as will be too gross to pass, and consequently stop up the excretory Ducts of the Body, and thereby occasion very conside- rable Disorders. The ordinary Time allow'd for Sleep is seven Hours; for that Time seems sufficient for perfecting Digestion, and recruiting the Spirits; but some require more Sleep, and some less: So Children, antient People, Cho- lerick and dry Constitutions require more, be- cause it moistens and restores the Spirits; but fat * Aph. 66. Sect. IV. Ch. IX. thro' the various Stages of Life. 269 fat and phlegmatick Constitutions of all People should sleep the least, for Reasons already given. As nothing seems more directly pointed out to us by Nature, than the Day for Exercise and Labour, and the Night for Rest; so the fittest Time for Sleeping † is about four Hours after Supper, for then the Stomach is not loaded with Food, the first Concoction being then perfected, and by this Time the Chyle has got into the Blood; so that such a a quiet and relaxed State as Sleep produces, is most necessary to both Nutrition and Per- spiration: and the fittest Time for that Pur- pose is in the Night; because the Damps, Vapours, and Exhalations, which are rare- fy'd by the Heat of the Sun in the Day-time, are now condensed, and fall down upon the Surface of the Earth again, which must ob- struct the Pores of the Body, and consequent- iy hinder Perspiration, if exposed to such Damps by Night-watchings, or unseasonable Sittings-up; and this is one of the principal Causes of various Diseases, both acute and chronical, which soon break and shatter the Constitution, shorten Life, and beget a de- crepid Age; so that Watching by Night, and sleeping by Day, is of the most pernicious Consequence to Health and long Life, and plainly contrary to the Indications or Dictates of Nature, and the Constitutions of our Body. Therefore † This is conformable to Aph. 28. Sect. IV. of Sanctorius. 270 A GUIDE to HEALTH Part II. Therefore all those who value Health and long Life, ought carefully to avoid Night Damps and Dews, and unseasonable Watch- ing or Sitting-up, but go to Bed by eight, nine, or ten, and rise betimes in the Morn- ing, that is, by five or six; for according to the old Proverb, Surgere diluculo saluberri- mum est; that is, To rise betimes is most con- ducive to Health. The following Rules ought to be carefully observ'd in regard to the Position or Posture of our lying in Bed. In the first Place, we should never lie too close or too warm, which may obstruct the Fumes and Vapours neces- sary to be exhal'd from the Body; and we should always lie with our Heads a little raised, to prevent the Food from rising from the Bottom of the Stomach, to its upper Orifice. Secondly, We should never sleep upon our Back; because thereby we prevent the usual Excrements of the Brain, which are dis- charg'd by the Nose and Mouth, from fall- ing upon the Windpipe and Back-bone; but if we sleep upon our Back, we over-heat the Reins, by being pressed between the Inte- stines and the Bed, and thereby oftentimes produce Stone and Gravel, and send many Fumes and Vapours to the Head. Thirdly, It is necessary to take our first Sleep upon our right Side, to prevent the Liver's pressing the Stomach, then replenish'd with the Food we took in at Supper, which must Ch. IX. thro' the various Stages of Life. 271 must happen if we lie on the left Side. Be- sides, by sleeping first on the right Side, what is concocted of the Food descends gradually and easily out of the lower Orifice of the Stomach into the Intestines, and then the Liver comes underneath it, and is instead of a Chasing-Dish to it, which promotes Di- gestion very much. After this, we should turn to the left, that thereby the Steams and Vapours retain'd on the right Side may ex- hale. And lastly, when we go to Rest, we ought not to stretch our Joints, but rather bend them a little; for as * Galen observes, The Ease of the Muscles consists in a mode- rate Contraction. CHAP. X. Of MOTION and REST. BY Motion, I mean here Exercise and Labour, as Walking, Riding, Running, playing at Ball, &c. They encrease natural Heat and consume the Crudities of the Body; for it is very certain, that all Sorts of Ali- ment tho' never so pure, have yet always something in them unlike our Nature, which can never be assimilated to either our Juices or Substance; so that some Excrement must always * Galenus, lib. 1. de motu Musculari. 272 A GUIDE to HEALTH Part II. always then remain in every Concoction, which being retained in the Body, may pro- duce a Multitude of various Diseases: But the grossest Excrements are discharged by a sensible Evacuation, and the most subtile are insensibly dissipated and resolved by Exercise or Labour. This made the divine Hippocrates very justly say, in his Book of Diet, that “ One “ cannot preserve Health, except he joins “ Exercise with his Diet; for the one repairs “ what is lost, and the other dissipates what “ is superfluous.” Hence moderate and re- gular Exercise prevents Repletion, which is often the Parent of many Diseases; by en- creasing the natural Heat, it keeps all the Ca- nals of the Body open, and free from Ob- structions; it renders the Body supple; pre- pares and disposes all the Superfluities for both Secretion and Excretion, as well in general as in particular; it likewise fortifies the Nerves, and strengthens all the Joints which is con- firm'd by the great Hippocrates, in his Epi- demicks, saying that, “ As Sleep is proper for “ the Bowels, so is Exercise for strengthen- “ ing the Joints.” Celsus also tells us, that “ Idleness makes the Body dull and heavy, “ but Labour strengthens and renders it firm “ and active; Laziness makes us soon grow “ old, but Exercise preserves Youth a long “ Time †.” To † Lib. I. Caput I. Ch. X. thro' the various Stages of Life. 273 To prove the Necessity of Motion or Exer- cise, for the Preservation of Health and long Life, it will be necessary to observe, that a human Body, as it comes under the Conside- ration of a Physician, is merely a Machine. Considering it therefore in this Manner, it is divided into Solids and Fluids; the Solids are vascular, and have continually propell'd thro' them some Liquor or other necessary for the Purposes and Support of the Machine: And these circulating Fluids are of different Kinds, arising from the different Agitations and Ve- locities impress'd upon them by the Vessels which circulate them. But in this View they have a necessary De- pendence upon each other; for as the Disten- sion and Power of Restitution in the Vessels, is owing to their being duly moisten'd by some convenient Fluid, separated and dispensed to them from the Blood, which is the common Promptuary of all the animal Juices; so likewise that due Constitution of the Blood, which fits it for yielding some of its Parts for that Use, depends upon its certain Degrees of fluidity, which are always as the Contraction of its circulating Vessels: But yet even in this the Solids have the principal Share; be- cause, as that Power by which the Blood is Preserv'd in a due Crasis or Constitution is de- rived from itself, that is, of beflowing upon the Solids a Juice necessary for the Preserva- tion of their Springs, yet that Constitution enabling it to afford such a Power, being pri- S marily 274 A GUIDE to HEALTH Part II. marily derived from the Actions of the Solid upon it, the chief Spring or Rise of Motion is in the Solids. To know therefore the most ready Ways of altering the Constitution of the Fluids, is to find out the most convenient and effectual Means of influencing the Contractions of their Vessels; but this cannot be done, without knowing first upon what Texture and Me- chanism of Parts their Powers of Contraction and Distension depend. And in order to come to any Certainty of this Matter, we are to consider, that it is very well known, that any Membrane or Ves- sel may be separated or divided into very small Fibres and Threads, when just taken out of the Body, and that these Threads may be drawn out a considerable Length beyond what is natural to them without breaking, and that when such external Force which so distended them is removed, they will again, by their Elasticity, restore themselves to their former Dimensions. And it is farther like- wise known, that these Properties of Disten- sion and Contraction are preserved in them by a convenient Moisture; because, if one of these Threads be dried, it will immediately lose it, so that upon the Application of any Force to stretch it, it will break; as also its being soak'd too much in Liquor will render it flaccid; as likewise destroy its Elasticity or Power of Restitution when distended. But Ch. X. thro' the various Stages of Life. 275 But what is exactly the constituent Tex- ture, or what are perfectly the Shapes and Arrangement of those Parts which compose an animal Fibre, is scarce possible to be justly determined; because they are too fine to be perceived by the naked Eye, or even by the Help of the best Microscopes when very mi- nutely divided; which Division proceeds so far at last, that the component Fibrillœ be- come so incredibly small, as to exceed the Power of Imagination; but Reason con- vinces us that there must be an End. However, as to the present Enquiry con- cerning the Effects of Motion or Exercise on the Solids and Fluids of a human Body, it will be sufficient, with what has been al- ready said, that it is known to a Demonstra- sion, that all the Fibres in a living Body are in a State of Distension; that is, they are drawn out into a greater Length than they would be in, if separated from any Part, and taken out of the Body; which is easily de- monstrated, by cutting transverse, or dividing of a Nerve or Artery, which are intirely a Composition of the Threads we are now speaking of; for immediately we see the di- vided Parts run up and leave a great Distance between them, as in Wounds, and the Fluids contained in them upon such Contraction, to be so squeez'd out; and this also makes it ap- pear, that their natural Distension is owing to some Fluid being propell'd into the Vessels which they compose, with a greater Force S2 than 276 A GUIDE to HEALTH Part II. than their Endeavours of Restitution, so far as to obtain a close Contact of all their transverse Surfaces, but yet lesser than that which is necessary to distend them, so far as to bring them to Coincidence, for in such a Case the Vessels would break. In the next Place then, this State of Di- stension of the Fibres must necessarily leave some little Vacuities or Interstices between all their transverse Surfaces, which Vacuities will continue as long as the longitudinal Sur- faces of their component Parts continue so close to one another, as to prevent the En- trance of any foreign Matter between, how subtile soever, for the same Reason as when the Embolus of a Syringe is drawn, and the Pipe is stopp'd, there must needs be a conti- nual nisus restituendi, or an Endeavour of Contraction. There is also a farther Necessity of being supported in such a State of Disten- sion; because, if they were closely in Contact with each other in all Parts, they could not be put into, and continue in those undulatory Motions, which they are always in, in a living Body, without being very much al- ter'd both in their Figures and Contextures. But it being manifest that all the animal Fibres are continued by the perpetual succes- sive Impulse of the Fluids, in such undulatory Motions; besides this Necessity of their being distended, they also must be continually moi- sten'd with some convenient Fluid, otherwise their continual Attritions against one another would Ch. X. thro' the various Stages of Life. 277 would soon wear out, and render it difficult to move them. The Fluid likewise suited for this Purpose must be very fine and subtile, because other- wise it cannot be insinuated into all the In- terstices the Fibres, without separating their Parts so far as is inconsistent with the Contexture and Mechanism of a Fibre, al- ready described; and the Parts also of this Fluid must not only be very subtile, but like- wise soft and yielding, whereby the Motions of the Particles against one another may be Maintained the better; and also as by a Ce- ment, that they may be prevented in their receding from each other in their longitudinal Surfaces, so far as to admit of no foreign Matter to insinuate itself between their trans- verse Surfaces, in such Quantities as to hinder their Re-union when Occasion may require it. From what has been said it will appear, that the most natural Consequence of Mo- tion, will be the breaking still smaller and smaller the component Particles of that Fluid, which is dispensed to the Fibres to lubricate and facilitate their Motions; which Commi- nution will be continued till it is rendered so fine, as to fly off at last at the Surface of the Body, being of no farther Use to Nature, whenever it happens to get there, and by that Means must be there continually made a Waste of, and that merely by such an Attrition of the Parts, as necessarily arises from their due S3 Dis- 278 A GUIDE to HEALTH Part II. Discharge of the vital Functions; and that Matter, which thus insensibly flies off, is the true Matter of insensible Perspiration, the Exhalation of which is absolutely necessary for the Preservation of Health and long Life. But this Waste makes it necessary that there be a continual Supply of what is lost; and this is made from what is taken in by the Stomach, which, after divers Digestions and Alterations, at last is mixed with the Blood, and there fitted for some of the finest Parts to pass through the Glands constituted for that Purpose in the Brain, which from thence are dispens'd through the whole ner- vous System, in such a Manner, as constantly to keep up a due Supply of this animal Fluid. Yet there is another Way by which the Fibres receive fresh Supplies, and that a much nearer; for, according to their natural Con- structures, it is very likely that even in the Stomach, and throughout the whole Passage of the Food into the Blood, the most subtile Parts of what is taken in, which are soon se- parated from the rest, and ready fitted for this Use, may, when they chance to strike against any of the Interstices of a Fibre, be laid hold on, and by Degrees convey'd into the Substance of the Thread; for it is certain the most subtile Part of the Chyle passes imme- diately into the Blood by the absorbent Ves- sels Ch. X. thro' the various Stages of Life. 279 sels * of the Intestines, as I have observed in another Place, which discharge themselves into to the Mesaraick Veins †, and from thence are convey'd directly into the Liver and Spleen. Besides, this is farther supported by com- mon Experience, by which it is evident, that the Solids are invigorated with fresh Recruits of Spirits, immediately upon taking into the Stomach such Meats and Drinks as are spiri- tuous, and contain in their Composition plenty of Particles very fine and active, and easily to be divided from the rest: And thus every one, Upon eating a good Meal, or upon drinking of any spirituous Liquor, especially if it be after long fasting, or a large Expence by hard La- bour or Exercise, finds himself immediately, as soon as it is in his Stomach, raised with new Spirit and Vigour; which could by no Means happen, were the Solids to obtain these Re- cruits altogether from the Chyle's passing through the Lacteals to the Thoracick Duct, S4 and * Are Vessels which suck in. † They are Branches of the Vena Portœ, interspersed in great Numbers in and upon the Laminœ of the Mesentery, which is a membranous Part in the lower Belly, to which the Guts are connected, and they carry the Blood back to the Liver: Their Largeness and Number demonstrate what in said above; for they are numerous and vastly larger than their correspondent Arteries; besides, wherever there are Emissaries, which are little Vessels which throw out a Liquid, there are likewise absorbent Vessels; for Example, in the Skin, by the absorbent Vessels of which Mercury will pass into the Blood. Moreover Birds, which have strong and large Breasts, small Bellies, and their Ribs upon their Backs, have no Lacteals nor Thoracick Duct, and their Aliment passes immediately into the Mesaraick Veins, by which Means they receive their Nourishment intirely. 280 A GUIDE to HEALTH Part II. and thence into the Blood; because it is im- possible that what a Person finds himself so soon recruited by, should in so short a Time have gone through the usual Digestions and Cir- culations, which require some Hours for that Purpose, according to Sanctorius, and a great many Authors of undoubted Authority. Upon a View of what has been said, with what ease may be explained, how the Body, by moderate Exercise, is rendered lighter up- on a twofold Account! Because, in the first Place, there is occasion'd by it a Substraction of its absolute Weight, as it assists Digestion, and by breaking the Matter to be perspired finer; secondly, it promotes the Discharge of that Matter through the Pores; and because by the Vibration of the Solids, at the same Time, there is a larger Quantity of fresh Spi- rits taken up by them from the circulating Blood, both by the Secretion made of them in the Brain, and in the Manner they are convey'd by the absorbent Vessels just now explained, whereby the Fibres become more invigorated, and so much the more able to carry on a due Discharge of all the vital Functions, inso- much that the Body will not have the Sense or Perception of so much absolute Weight as before. Moreover, the Muscles and Ligaments are cleared of their Excrements by Exercise; that is, whatever superfluous Particles of the digested perspirable Matter may adhere to them, is by Motion dislodg'd and shook of: And Ch. X. thro' the various Stages of Life. 281 And the Spirits are rendered finer; that is, such Parts of the nervous Fluid as are just re- ceived by the Fibres, are by the Actions of their component Threads broke smaller, and tendered fitter for the Purposes of the whole Body. Upon this View likewise it will be easy to account for some Disorders this Fluid is likely to fall into, or how it is most liable to be di- stemper'd; which is very plain, that it must be either by becoming too gross and sizy, or too fine or exhalable. The first may be occasioned by a want of sufficient Agitation or Motion in the Solids, whereby its Parts attract each other, and form viscid Cohesions, in the same Manner as it happens in the Blood in the same Case, which renders the Motions of the constituent Threads of the Fibres very difficult and troublesome, and sometimes so obstructs or blocks up those little Vacuities or Interstices between their transverse Surfaces, which are necessary for the Support of their Elasticity, as to prevent, in a great Measure at least, their Power of Resti- tution when they are distended; as happens in a Leucophlegmatia, Anasarca, and such like Disorders, where the Springs of the Fibres are so much destroy'd, that by any small Pressure upon a Muscle, the Impression will sometimes remain a long Time before their constituent Threads can recover their natural Dimensions; or, as it is commonly express'd, the Part will pit. The 282 A GUIDE to HEALTH Part II. The other Disorder of this Fluid, oppo- site to the former, is, its being broke too fine; which will render it so exhalable as to fly off in greater Quantities than the concoctive Power in the Stomach is able to recruit or supply; and this is often brought about by too violent Exercise, too large Evacuations, or drinking too great Plenty of spirituous and hot Liquors, whereby the Constitution of the Blood is so far weaken'd, as not to give due Resistance to the Constractions of the Vessels which circulate the Juices, whereupon they vibrate quicker, and break the nervous Juice too fine; which brings on a Hectick, and Death, if not timely remedied. As to the first of these Disorders, it is evi- dent that it is to be remedied by giving brisker Motions to the Solids, and encreasing the Vi- brations of the contractile Vessels, in which how far Exercise may be useful, is evident from what has been said already; for every Thing which acts as a Stimulus comes under this Head; and their Efficacy is chiefly to be determined by their greater or lesser Power of stimulating, shaking, and contracting the Fi- bres, which Exercise rightly pursued produces more efficaciously, and with less Danger, than any other Method whatsoever. For by such Means the component Threads of the Fibres are so put in Motion, as to loosen such Parts of the animal Oil, as are obstructed in their Interstices, and by Degrees break them small enough for Expulsion; and a fresh Ch. X. thro' the various Stages of Life 283 a fresh Stock of such Spirits will be supply'd, as will restore them to their natural Springs. As to the latter Disorder, it is to be re- moved by a Diet that agglutinates, and gives a greater or stronger Consistence to all the Fluids, and by all such Means as check the in- ordinate Motions of the Solids. So that upon the Whole it is evident, that to keep from ei- ther of these Extremes, Care is to be taken to maintain a just Ballance between the elastick Force of the Solids and the Resistances of the circulating Fluids, in which true Health con- sists; because, if the Equilibrium is lost on either Side, the Body cannot but fall into some Distemper; and in this consists the whole Art and Business of a rational Practice, to know when to add to, or substract from, the Resistances of the Fluids, and when to check or spur the Motions of the Solids; as also to be well acquainted with the various Methods by which all these Intentions may be brought about. And here I cannot omit just taking Notice, how wonderfully the Effects of Musick in some extraordinary Cases are hereby account- ed for; and tho' Musick, strictly speaking, may not be deem'd Exercise, unless it be so to those who exercise it themselves; yet it will manifestly appear otherwise, if we consider, that according to the Nature and Contexture of an animal Fibre or Thread, it is very plain that the least Stroke imaginable upon it, must move its component Fibrillœ in all their 284 A GUIDE to HEALTH Part II. their Parts; therefore every Wave or Undula- tion of the Air, which is made by a musical Instrument, gives the Fibres of the whole Body more or less correspondent Concussions, according to their Degrees of Tension, where- by all the component Fibrillœ are successively moved from one to another throughout the whole Thread; and consequently the Spirits are not only raised and made finer, but like- wise the other animal Fluids are also more briskly agitated, and their preternatural Co- hesions and Viscidities destroyed: All which plainly prove, that Musick is not only good Exercise for the Mind, but likewise very use- ful for the Body, by the agreeable Concus- sions and Thrillings we sensibly perceive from it in all the fleshy Fibres of the Body. Hence Musick has this Advantage above any other Exercise, that those Concussions made upon the Fibres thereby are short, quick, and easy, whereupon the nervous Fluid is not only more briskly agitated, but also the natural Contexture of all the animal Threads are better preserved, being never o- verstrained hereby, as they frequently are with other Exercises: Therefore upon this View the extraordinary Effects of Musick in several Diseases, as that of the Bite of a ta- rantula *, &c. ceases to be a Wonder, and it * Among all the wonderful Effects ascrib'd to the Power of Musick, none is more surprising and important than that of curing the venomous Bite of the Italian Spider, called the Tarantula. The Part bitten is soon affected with a very acute Pain, Ch. X. thro' the various Stages of Life. 285 it rather comes to be admired that it is not much more brought into Use here for the Be- nefit of valetudinary and weakly Constitu- tions, as it is in Italy and other Countries, and that even by the Direction of their Phy- sicians. What has been said farther explains that common Effect of Exercise, in its giving al- ways, conformable to Hippocrates's Opinion, a greater Firmness and Strength to the Solids; for the more a Fibre is kept in Action, the clearer it will keep its component Parts from the Lodgement and Adhesion of any foreign and superfluous Matter upon them, by which Means whenever it is distended or stretch'd, there will be the more Room for each Par- ticle to draw up again, and consequently its Return will be with greater Force; but the Exercise which produces this Effect, is such only as does not exceed the Powers of the Con- Pain, and a few Hours after with Numbness; upon which ensues a profound Sadness, and a Difficulty of Respiration; the Pulse grows weak, the Sight is disturbed, and the Person loses Knowledge, Sense, and Motion. The Doctor is in vain con- sulted; the Musician here alone performs the Cure; he tries a Variety of Airs, and when he happens to hit on that Har- mony that accords with the Patient, he begins to move by Degrees, and keeps Time with his Fingers, Arms, Legs, and Body; then he raises himself up and dances, increasing in Strength and Activity. This dancing Fit continues six Hours, or a Day, or sometimes two Days. When the Musick ceases, the Person gives over dancing, and is put to Bed. And this Process is repeated till the Patient is recovered, which is by little and little; and every sick Person has a particular Tune or Air, and always a very brisk or sprightly one. See Der- ham's Physico-Theology, Book IV. Chap. iii. and Malcolm's Musick, Chap. xiv. Sect. 3. &c. 286 A GUIDE to HEALTH Part II. Constitution; for too much Exercise destroys the Solids, by consuming the Fluids too much. But on the contrary, by too much Rest and Inactivity every Part will lose its Strength, and the less it is mov'd, be still render'd less able for Motion. And upon this Account it is that we see daily such a very great Diffe- rence between active and stirring Persons, and such whose Circumstances of Life in- ures them to Labour and Exercise, and those whose Inclinations and Condition indulge them in Ease and Inactivity; for the for- mer are strong, hardy, and healthful, but the latter tender, weakly, and diseas'd. From the Doctrine of this Chapter, it is manifest to a Demonstration, that there is an absolute Necessity for Labour and Exer- cise, to preserve the Body any time in a due State to maintain Health, and prolong Life: For let whatever Diet be pursued, though never so well adjusted both in Quantity and Quality, and let whatever Evacuations be used to lessen the Disorder, or any Succeda- neum or Equivalent be proposed to prevent the ill Effects; yet our Bodies are so made, and the animal Oeconomy so contriv'd, that without due Labour or Exercise the Juices will thicken, the Joints will stiffen, the Nerves will relax, and on these Disorders, chronical Distempers and a shatter'd old Age must soon ensue. And Ch. X. thro' the various Stages of Life. 287 And tho' light Food may in a great mea- sure prevent the thickening of the Fluids, yet it cannot do it sufficiently without Exer- cise; nor can it at all keep the Fibres in due Tension, for to that Purpose Exercise is ab- solutely necessary: Even the joint Power of warm Air and light Food, cannot supply the Place of Exercise in keeping them pliant and moveable, and preserving them from growing hard and stiff. But we should al- ways avoid too much Labour or Exercise, as I have just now observ'd; for Sanctorius tells us, “ That by too much Exercise the Fibres “ become hard, whence old Age proceeds, “ which is an universal Hardness and Stiff- “ ness of the Fibres *.” There are general and particular Exercises; the former, which move and stir the whole Body, are Walking, Dancing, Fencing, Run- ning, Leaping, Bowling, Tennis, Pumping, Riding a Horseback, or in a Coach, &c. of all which Walking is the most natural, and would be also the most useful, if it did not exhaust the Spirits of weakly Constitutions too much; but Riding is certainly the most manly, the most healthy, and the least labo- rious and expensive of the Spirits of any, shaking the whole Body, and thereby pro- moting an universal Perspiration and Secre- tion of all the Fluids; to which may be added the various Changes of the Air thro' which they so quickly pass, the Alterations of * Aph. 35. Sect. V. 288 A GUIDE to HEALTH Part II. of which become as it were a new Bath, and by that means variously stimulating the Fibres to brace and contract them; besides the different Objects or new Scenes, which at the same Time amuse the Mind. The immortal Sydenham laid so great a Stress on Riding, that he thought he could not only cure slight Consumptions, but an almost desperate Tabes, attended with nocturnal Sweats, and a violent Diarrhœa, by Riding alone; nor did he believe Mercury more ef- fectual in the Cure of the Venereal Disease, or the Bark in intermittent Fevers, than Riding was in a Consumption. Those who cannot ride may use a Coach, Chaise, or Chair, which is the only proper Method for lame, old, and decrepid Persons, as well as for those who are so young, that they are not able to manage their own Exer- cise. There are also particular Exercises appro- priated to certain Parts of the Body; as Shooting, for the Breast; Talking, Singing, Hollowing, Blowing the Horn, or Wind-In- struments, for strengthening, opening, and clearing the Lungs; Tennis or Foot-ball, for those who have weak Arms or Hams; Bowl- ing or Skettles, for the Reins and Loins; Riding, for weak Nerves and Digestion, and those troubled with Head-aches. In short, there is no one particular Part of the Body, but might be strengthen'd and kept in due Plight by Labour or Exercise rightly Ch. X. thro' the various Stages of Life. 289 rightly appropriated to the particular Organ; for it is very remarkable, how the several different Limbs of labouring Men are streng- then'd, and render'd fleshy and nervous, as they happen to be most employ'd in their different Occupations: so the Thighs, Legs, and Feet of Chairmen; the Arms and Hands of Watermen; the Backs and Shoulders of Porters, grow thereby thick, strong, and hard in time; for it is very certain, that using any Organ or Member frequently and forcibly, brings Blood and Spirits into it, and by that means is render'd plump and strong. The following Conditions ought to be ob- serv'd with Regard to Exercise, in order to render it the most beneficial that may be. The first, that it be upon an empty Stomach, for then all the Matter which is digested enough for Perspiration, will thereby be easily discharg'd; but Exercise on a full Meal is very pernicious, for it subverts the Stomach, and forces the Aliment from thence crude and indigested, and so hurries it into the Veins and Habit of the Body, whereby Secretions are precipitated, and the found Juices are carried off with the corrupted Hu- mours; hence arise frequently putrid Fevers, Pleurisies, Head-achs, weak Eyes, and a general Cacochymy, or a vitiated Constitu- tion. Secondly, the Morning Exercise is always the best, for then the two Concoctions are finish'd; and Hippocrates is very clear upon this Head, T in 290 A GUIDE to HEALTH Part II. in one of his Aphorisms, wherein he says, Let us exercise before eating. But it should be moderate and equal; I call that Exercise moderate which is not tiresome, and equal when all the Parts of the Body are equally mov'd. Thirdly, They that are lean should exer- cise only ad Ruborem, that is, till the Body and Spirits are gently heated, for that will help to fatten them; but they who are fat may exer- cise ad Sudorem, that is, till they sweat, for that will help to melt down Part of their Fat, and consequently extenuate the Body. Fourthly, We must carefully avoid drink- ing any cold Liquors after violent or great Exercise, or when we are hot and sweating, which Heat and Thirst intice us to do; the dangerous Effects of which, are chilling and almost extinguishing the remainder of the Heat which is left in the inward Parts, and surfeiting the Blood and Juices, by mix- ing cold Drink with the Fat, which is at that Time partly melted and floating in the Body. Fifthly, Another great Error to be avoid- ed is, drinking of strong and spirituous Li- quors after hard Labour or Exercise, in order to avoid the former Inconveniencies, not con- sidering that we thereby incur another, which is over-heating and drying our Bodies, too much heated and dry'd before; but to avoid both, and to refresh the Body at the same time, the best Way is, first to rest a while warm, Ch. X. thro' the various Stages of Life. 291 warm, if we can conveniently, and then to drink a Draught of warm Ale or Beer, with a little Mace and Sugar in it, or some other innocent Supping, analogous in Heat or Warmth to that of our Bodies, by which means the Blood and Spirits will soon settle, and be refresh'd, and so the Limbs after Rest will be enabled with Ease to undergo new Labour. Sixthly, We should carefully avoid catch- ing of Cold after Exercise, by retiring into a warm Room, or some convenient Shelter from the Injuries of the Weather. CHAP. XI. Of RETENTION and EXCRETION. THE Things to be excreted or evacua- ted, and retained, are the Excrements of the Belly, Urine, insensible Perspiration, the Semen, and the Menses; for these must be regulated, and evacuated in due Time, and in due Quantity, all which conduce very much to the Preservation of Health and long Life, otherwise they will injure it, and bring on a Multitude of various Diseases. There- fore in a natural and healthy State, we should go to Stool once in 24 Hours, and the Fœces should be of a due Consistence, that is, some- T2 what 292 A GUIDE to HEALTH Part II. what soft, and stick together, according to the old Saying, Oportet sanorum sedes esse configuratas; that is, The gross Excrements in healthy Persons ought to be of such a Con- sistence, as to take the Impression of the Guts. They who are costive, and otherwise not well, have either over-heated their Bodies with spirituous Liquors, or have fasted too long, or eaten too sparingly, or they have too slow a Digestion, or too great Weakness of the Intestines; and by that means the Food is retain'd too long before the Mouths of the Lacteals, and is thereby over-drain'd of its Moisture, and harden'd. The best Proportion of the gross Eva- cuation to the Quantity of the Food we take in, is about the third Part; for they who much exceed that, have the Mesaraick Veins stopt or obstructed, and so cannot be nou- rish'd; and if it exceeds it, 'tis certain that the Body wastes, unless the Matter of some Disease be thereby evacuated; or else, if they have purging Stools, they have eaten too much of Things too strong for their Powers of Digestion; for it is very certain, that superfluous Nourishment leaves too much Chyle in the gross Excrements, which fermenting in the Guts, stimulates them so as to become purgative. But if the Looseness be not violent, and the Appetite remains good, it is not to be suddenly and rashly stopp'd; for Nature thereby frequently prevents, and often times rids Ch. XI. thro' the various Stages of Life. 293 rids herself of many a Disease, which upon an unadvised Astriction would be riveted in the Body; and therefore the Rule is, first cleanse and then close. But if it be too vio- lent and frequent, and the Stomach thereby decay'd it must be carefully and speedily remedied; and in this Case Advice is very necessary, for it is easy to commit an Error, but the Consequence is dangerous. Here I cannot omit inserting an Abstract of some few Passages out of Cheyne's Essay of Health and Long Life, which are admi- rable upon this Subject, and very worthy of every Body's Perusal. ' I have often ob- ' serv'd, says he, that a full Meal of strong ' Meat, as Fish, Beef, Pork, baked Meat, ' or made Dishes, in tender Persons goes off ' with the Hurry and Irritation of a Purge, ' leaving the Bowels instated, colick'd, grip'd, ' and the Spirits sunk to the last Degree. ' The Food by its various Mixture, Weight, ' and Fermentation, Stimulating all along ' from the Stomach to the Rectum *, and ' being scarce ever drain'd of its Chyle, ' without affording any Nourishment to the ' Body, runs off thus crudely, and becomes ' equal to a total Abstinence from Food for ' a long Time. And hence we have a most ' infallible Rule, † a Posteriori, to judge ' if we govern'd ourselves in our Diet in T3 ' Pro- * The straight or last Gut. † A Posteriori, i. e. after the Trial has been made. 294 A GUIDE to HEALTH Part II. ' Proportion to the Necessities of Nature, ' and the Forces of our concoctive Powers. ' This is the very Reason why the Bark ' over dosed, and given to Persons of weak ' Digestion, so constantly purges them, and ' why Mercury given either inwardly, or ' by Frictions, runs off in violent Purging, ' and cannot be raised into a Salivation; to ' wit, the not adjusting the Doses to the ' Strength of the stomach and nervous Fi- ' bres; for the Bark naturally binds, and ' Mercury naturally rises to the most § per- ' vious Glands. ' And in this Sense I myself have frequent- ' ly observ'd in weak and scrophulous Bowels, ' even Diascordium and Venice Treacle to ' purge: whereas, had the Doses been duly ' proportion'd, or had they begun by un- ' der-dosing, and taken a little longer time, ' they might have been effectually answer'd, ' as I have often experienc'd without ever ' failing. ' 2. There is a very great Error commit- ' ted in Nurses and Parents in rearing up ' young Children; the perpetual Gripes, ' Colicks, Loosenesses, hard Bellies, Choak- ' ings, Wind and Convulsive Fits, which tor- ' ment half the Children in England, are en- ' tirely owing to the too great Quantities of ' too strong Food, and too rank Milk, thrust ' down their Throats by their over-laying ' Mothers § Pervious, i. e. the easiest or readiest Way to be passed through. 295 thro' the various Stages of Life. Ch. XI. ' Mothers and Nurses; for what else do their ' slimy, their gray or chylous, their blackish, ' and cholerick Discharges, the Noise and Mo- ' tion in their Bowels, their Wind and Choak- ' ings imply, but Crudities from superfluous ' Nourishment? This is so certain, that they ' are universally and infallibly cur'd by testa- ' ceous Powders, which only absorb sharp Cru- ' dities; by Rhubarb Purges, which at once ' evacuate and strengthen the Bowels; and by ' Milk Clysters, Issues, and Blisters; and by ' obstinately persisting in these and the like, ' (intended to evacuate and strengthen the ' alimentary Passages) and a thin, spare and ' nutritive Diet; for nothing nourishes but ' Food duly concocted. ' 3. I have often heard valetudinary and ' tender Persons, and those of sedentary Lives, ' and learned Professions, complain of Head- ' achs, Sickneses at the Stomach, Colicks and ' Gripes, Lowness of Spirits, Wind and Va- ' pours; and yet pretended they were very ' moderate and abstemious in their Eating ' and Drinking; but upon Enquiry, I con- ' stantly found these very Persons pursued ' with purging Stools, which was an evident ' Proof to me, that they had taken down ' more than they wanted, or could digest: ' for 'tis universally certain, that those that ' do not exceed, must have either Costive, ' or at least Stools of a middle Consistence. ' There is nothing more ridiculous, than ' to see tender, hysterical and vapourish Peo- T4 ' ple, 296 A GUIDE to HEALTH Part II. ' ple, perpetually complaining, and yet per- ' petually cramming, crying out, they are ' ready to sink into the Ground and faint ' away, and yet gobbling the richest and ' strongest Food, and highest Cordials, to ' oppress and overlay them quite. The pro- ' per Remedy in this Case, is first, to cleanse ' the fœtid Abyss, and then to preserve it ' clean, by cutting off all the Inlets of Pu- ' trefaction. This will require a little Cou- ' rage, Labour and Pain; but the future ' Ease and Sweetness will more than abun- ' dantly recompence them; for there is no- ' thing more certain, than that the Head-achs, ' Colicks, and nervous Pains and Disorders, of ' those born found here in England, univer- ' sally proceed from Idleness and Fulness of ' Bread. 4. ' Those who pretend to cure themselves ' of nervous Disorders, or any other chroni- ' cal Diseases, or preserve themselves from ' them, or lengthen out their Days, must ' under-dose themselves, even tho' they ' should undergo the Pain of Costiveness; ' for it is impossible the Nerves of those who ' have slippery Bowels, should ever be braced ' or wound up; for there the Cure must be- ' gin where the Evil began, and must be ' communicated thence to the rest of the ' System; as a Rope-maker begins the Twist at ' one End of the Rope, and communicates ' it to all the other Parts. ' Our Ch. XI. thro' the various Stages of Life. 297 ' Our Access to the Nerves of the Sto- ' mach and Bowels, is obvious and open; to ' the rest the Way is difficult, and far about. ' And since a Relaxation, Weakness, and ' want of Spring in the Fibres, is the Origin ' of all nervous Distempers, no Medicines ' but such as contract, stiffen, wind up, and ' Shorten them, can remedy this Evil; and ' they must necessarily contract and bind up ' the Fibres of the Stomach and Guts, as the ' Parts they first approach and exert their ' Virtue upon. And he who without firm ' Bowels, thinks to cure a nervous Distemper, ' labours as much in vain, as he who would ' keep a Fiddle-string soaking in Oil and ' Water, to make it vibrate or play off a fine ' Composition of Musick. 5. ' There happens also an Evacuation ' both by Stool and Urine, to some weak ' Persons of relax'd Nerves, that extremely ' alarms them, and is not so readily account- ' ed for in that Part of Physick, which teaches ' the Causes of Diseases. It is when either ' a white transparent, viscid Substance like ' Gelly, is constantly voided by the Bowels, ' more or less; or when a white, milky, gluey ' Substance like Cream or laudable Matter, ' settles in the Urine. Both these Appearances ' are commonly ascrib'd to an Ulcer in the ' Guts, or in the Kidneys; and yet I am ' very certain, there is neither Ulcer or true ' Matter in either Case, as I propose them. ' For where there is violent and acute Pain, ' or 298 A GUIDE to HEALTH Part II. ' Matter of different Colours or Mixtures, ' there very possibly may be, nay certainly ' there is an Ulcer. But in the Case I here ' intend, there is very little or no Pain, no ' hectical Paroxysms, which always attend an ' inward Ulcer; no bloody or sanious Mix- ' tures, which always betray the inward Sore; ' no fœtid Smell to imply Corruption. ' The first Case I take to be either an ' Obstruction of some of the Lacteals, where- ' by the Chyle cannot be carried off in any ' sufficient Quantity, but passing thro' the ' Guts, and its more watery Part being eva- ' porated, it becomes thick and gelatinous, ' and is thrown off at last with the Remains ' of the Food; else it must be an Obstru- ' ction of those Glands of the Guts, by ' which a viscid Matter for lubricating of ' them is commonly secerned, by the Im- ' prisonment and Evaporation of which Mat- ' ter it thickens and turns like a Gelly (as it ' does by Cold or Over-feeding, in the Glands ' of the Mouth, Throat, and Windpipe) and ' at last, by squeezing of the Guts is thrown ' off. And in the same manner, I take that ' milky Substance subsiding in the Water, in ' such a Case as I have mention'd, to arise ' from a Relaxation of the Glands of the ' Kidneys and Bladder, and other urinary ' Passages; and that both are to be cur'd the ' same Way as other nervous Distempers are ' cur'd; viz. by a proper Regimen of Diet, and Ch. XI. thro' the various Stages of Life. 299 ' and a Course of contracting, strengthening, ' and volatile Medicines.” The second Evacuation is by Urine, be- ing a serous Humour strain'd in the Kid- neys, which comes with the Blood (which it diluted) to the Reins by the Arteries of the Kidneys, but is separated from it as ex- crementitious, and that continually, as Part of the Blood is constantly driven to the Kid- neys to nourish them. The Urine contains not only the watery Part of the Blood, but the sharpest Salt, which is most subtile and volatile, and nearly of an alkaline Nature, render'd exceeding volatile. In the watery Part there is also a fœtid Substance contain'd, and a viscid Oil so attenuated, that it readily mixes with Wa- ter, and is scarce separable from it; which may therefore in some Measure be called a Spirit. The natural Salt of Urine is of a lixivi- ate, soapy Disposition, and much like Sal- ammoniac, yet in some Respects different from it: It also contains a fix'd Salt, of the Nature of Sea-salt, being composed of a li- xiviate one, and a nitrous; of which Nature is that which swims in the Blood, the nitrous Parts being imbibed into it thro' the Lungs in Inspiration; so that the Salt in Urine in a found State, is neither acid, alkali, ammoni- cal nor briny, but of a peculiar Disposi- tion. But 300 A GUIDE to HEALTH Part II. But as Urine is a * Lixivium of the Salts contained in a human Body, and the proper Mark of the State and Quantity of such Salts; therefore very certain Indications may be taken from the Condition of Urine, to discover both the State of our Constitution, and the Regulation of our Diet; and tho' the Salts of human Urine be neither acid nor alkaline, as I have just now observ'd, yet by the violent Motion of the Blood, as in burn- ing and putrid Fevers, &c. they may be turn'd alkaline, and even corrosive; and when they begin to turn so, they affect the small and tender Fibres of the Brain more sensi- bly than any other Part of the Body. When the Urine is of a bright Amber Colour, and of a moderate Thickness, with a light Cloud hanging in it, and in Quantity of about three Quarters of the Liquor taken in, it is best, and a certain Sign of a due Con- coction, a just Proportion of Food, and a to- tal Riddance of Repletion and Crudities; for they who live moderately, use due Exercise, and enjoy a perfect State of Health, always evacuate such Urine. But when it is retain'd too long, either by the Fault of the Kidneys or Bladder, or because the Matter of it is not sufficiently separated from the Blood, or that it is kept too long in the Bladder thro' Laziness or Bash- fulness, (as is often the Case) it occasions Stone and Gravel, and sometimes Blotches and Erup- tions * Lixivium, i. e. Lye, such as that of Soap. Ch. XI. thro' the various Stages of Life. 301 tions upon the Skin, Dropsy, fainting, and sleepy. Diseases, with a great many other Disorders, too tedious to enumerate in this Place. If there be too great an Evacuation of Urine from any Cause whatsoever, by taking away the Serum, or watry Parts of the Blood, it will occasion a Stagnation of the Humours, encrease Heat, an unextinguishable Thirst, Crudities, and many Evils of the like Na- ture; and by depriving the Blood, and carry- ing out of the Body the most nutritive Parts, produce an Atrophy, or a total Decay, as in a Diabetes, and Death at last. The Urine differs both in Taste, Smell, Colour and Quantity, according to the Diffe- rence of Ages, Constitutions, Sexes, Seasons of the Year, and Alterations of their Way of living, and Diversity of Medicines; so that they who live freely, and make Quan- tities of pale, or limpid and sweet Urine, it is a manifest Sign that their Perspiration is ob- structed; that neither the first nor the two last Concoctions * have been rightly perform'd; and that the Chyle has not been sufficiently attenuated, nor the minutest Secretions duly made by the lesser Drains of the Body, and that the urinous Salts are still retain'd in the Habit. The * Concoction in an animal Body is three-fold; the find is confin'd to what Alterations are made of the Food in the Stomach and Intestines; the second is applied to the Alterati- ons made of it in the Blood-Vessels; and that made in the Nerves, Fibres, and minutest Vessels, is not improperly called the third and last Concoction. 302 A GUIDE to HEALTH Part II. The Cure, as to Diet, consists in living re- gular, that is, in eating and drinking less, and using more Air and Exercise, drinking freely of small warm White-Wine Whey; likewise a little Gascoign's Powder, or Sir Walter Raleigh's Confection will be proper at the same time, in order to set Perspiration to rights again. High-colour'd, foul, and very turbid Urine in small Quantities, proceeds from either an immoderate Use of strong or spi- rituous Liquors, or from too great abundance of Salts retain'd in the Body; which must be remedied by diminishing the Quantity of their Flesh Meats, and drinking small Li- quors, or Water with their Wine, otherwise they will hurry themselves into some acute Inflammatory, or dangerous Chronical Dis- ease. Dark Brown, or dirty Red-colour'd Urine, without any Sediment, and in small Quan- tity, in acute Distempers is always a sure In- dication of insurmountable Crudity, high Inflammation tending to a Mortification, and a dying Weakness in Nature: But in those who labour not under any visible Disease at the Time, it is a certain Sign of almost a total Weakness of the digestive Powers, an inseparable Cohesion of the component Parts of the Blood, and a Deadness in all the ani- mal Functions; in which Case, a Physician's Advice is highly necessary. A Ch. XI. thro' the various Stages of Life. 306 A bloody, mattery, wheyish Urine, or that with Films, Bits of broken Membranes, or white Gravel, denote or Gravel, or Symptoms of an Ulcer somewhere in the urinary Passages. Fat, which is observ'd upon the Top of the Urine, especially of consumptive People, signifies a wasting of the Body. The third Excretion or Evacuation to be consider'd is insensible Perspiration, which is imperceptibly discharg'd through all the Pores of the Skin, and other Parts of the Body, being the Recrements of the second and third Concoctions, divested of all that can be of any farther Use to the Parts of the Body; the free and full exhaling of which, is as necessary to Health as any of the gros- ser Evacuations, being in Quantity at least equal to all that is evacuated both by Stool and Urine; and an Obstruction thereof is ge- nerally the Parent of all acute Distempers, as it is a Consequence of all chronical Dis- orders. But having fully treated of this Matter in another Place already, for far- ther Satisfaction herein, I refer the Reader to Page 99. Note *, Part II. Nothing hinders and obstructs Perspiration more than catching of Cold, which is nothing but great Quantities of moist Air impreg- nated with nitrous Salts imbib'd through the Passages of Perspiration, by which means not only the Blood and Juices are thicken'd, but likewise insensible Perspiration is obstructed, and 304 A GUIDE to HEALTH Part II. and immediately a small Fever, and a Hurry in the whole animal System succeeds; which oftentimes lays a Foundation for Consumptions, Obstructions of the great Viscera †, and an universal Cachexy, or ill Habit of Body. Therefore, in order to remedy this Disorder, and prevent the ill Consequences of it, we should lie much longer in Bed than usual, drinking small warm White-Wine Whey plentifully, with some few Hartshorn-drops, Posset-drink, Water-gruel, Barley-water, or any other warm small Liquors, taking twenty Grains of Gascoigns Powder Night and Morn- ing, and at the same Time living low upon Spoon-meats, Pudding, Chicken, and drink- ing every Thing during the Height of the Illness warm; but if any Cough or Spitting should encrease, Bleeding should be perform'd, and to take now and then a little Sugar- Candy, Oil of Sweet Almonds, or a Solution of Sperma Ceti, to render Expectoration free and easy; and afterwards to be cautious of going abroad too soon, and without being well cloathed. Gripes, Purging, Colical Pains, much belching of Wind, Low-spiritedness, Yawning and Stretching, are sure and certain Indica- tions that Perspiration is deficient or ob- structed; therefore, in order to remove these Disorders, we must have recourse to a greater Degree of Exercise and Abstinence, and to some gentle Purge or other, such as Sena † Viscera, signify any of the Bowels or Intrails. 305 thro' the various Stages of Life. Ch. XI. Sena and Manna, or Rhubarb, &c. to clear the first Passages of the Load that oppresses them, otherwise the Person will suffer at last; and, as Sanctorius observes, Wind in the Body is nothing but Perspiration † ob- structed. The fourth Evacuation to be considered is the Semen, consisting of a white, hot, spiri- tuous, thick, clammy, and saltish Humour, which is elaborated in the Testicles and Epi- didymes, out of the purest and most spiritu- ous Parts of the Blood. Considering it there- fore in this Light, Moderation in Coition is absolutely necessary, both for the Preserva- tion of Health as well as Pleasure; for in Immoderation we do not consult Delight, but Lust, and lose the Pleasure by being too in- tent upon it: And it is certainly true, that those Parents who are most continent, have more and the most healthful Children; for they meet their Pleasure by Necessity: In these it cheers the Heart and Spirits, and makes them breath free and easy; it appeases Melancholy and Sadness, mitigates Anger, and disposes to Rest. But then that Mode- ration receives its Difference very much from the different Temperature of Constitutions; for less is sufficient for the Melancholy and the Cholerick, the Old and Emaciated; but more for the Sanguine and Plethorick, and those of a middle and flourishing Age: The Feverish if in any kind of Constitution must a- U void † Aph. xiii. Sect. 3. 306 A GUIDE to HEALTH Part II. void it, and likewise they who are subject to the Gout, and Diseases of the Joints. On the other Hand, the immoderate Use of Coition not only hinders Perspiration, by keeping the Fibres too strait, and lessening the Passages, and thereby giving rise to all the Dis- orders which attend an obstructed Perspira- tion, but likewise it disorders and weakens that due Tension and Elasticity of the Solids, upon which depends a right Discharge of all the animal Functions. I say, therefore, what- ever weakens this Disposition of the Solids, cannot but very much prejudice the whole Constitution. And that all violent Actions, such as that of immoderate Coition is, are de- structive to the Textures of the Solids, can- not be doubted; for their constituent Fibres or Threads will not only be much injured in their Contextures, but also that animal Oil or Spirit which nourishes them, and facilitates their Motions, will be so much press'd out and wore away, as to disable them very much afterwards in their natural Motions; and the Body will be, by that means, so weaken'd and dispirited, that the several Parts will not be able to discharge their respective Offices, whereby Digestion, Concoction, and all the natural Evacuations will be disordered. Hence follow a Dissolution of Strength and Spirits, Dulness of Memory and Understand- ing, Dimness of Sight, Diseases of the Nerves and Joints, as Palsies, and all kinds of Gouts, Weakness of the Back, and Consumptions; Seminal Ch. XI. thro' the various Stages of Life. 307 Seminal Weaknesses, and sometimes bloody Urine; a deprav'd Appetite and Head-achs, with a great many other Disorders needless to be mentioned here; and, to conclude, there is nothing that so wonderfully shortens hu- man Life, as the immoderate Use of Venery. In the fifth Place we are to consider the Menses as a necessary Evacuation, which are Excretions of arterial Blood every Month from the Womb: They begin usually when young Maids grow ripe at fourteen, and sometimes at twelve, but very seldom before: They cease naturally in pregnant Women, and those past bearing Children, and likewise those that give suck; yet it happens some- times that pregnant and suckling Women have them. The Quantity of them ought to be in pro- portion to the Quantity and Heat of the Blood; but, generally speaking, a certain Quantity cannot be limited, for some have a great many, and some but a few; nor do they continue upon all alike; some have them two Days, some three, some four, some six or eight Days. They that have them too much are weak- en'd, and their Blood being rendered crude, watery, and pale, are subject to Faintings and Waste: Those in whom they are sup- press'd, become hysterical and breath diffi- cultly, look pale, and lose their Appetite, and fall into Fevers, Inflammations, and a U2 great 308 A GUIDE to HEALTH Part II. great many Diseases, both acute and chroni- cal, if they are not timely remedied. There are other Excretions which could not conveniently come in under the foregoing general Heads; such as Sweat, Spittle, Mucus or Snot, Tears, and the Wax in the Ears. Sweat is a thin serous Fluid, mix'd with some Sulphur, a good deal of briny, but more volatile Salt, and a very little Earth: And the same Properties being found in Urine, we may conclude, 1. That Sweat and Urine may supply each other's Defects: Accordingly we find, that as Sweat is promoted, the Excre- tion of Urine is diminished, and on the con- trary. 2. That they may be provoked by the same Remedies: Thus Diaphoreticks, or such Medicines as promote Sweat, fail- ing to answer their Intention, prove Diu- reticks; that is, purge by Urine. 3. That Sweat carries off many of the sharp Salts, with which the Blood abounds, and by that means may accidentally prevent or cure many Distempers, is not to be doubted. Sweat therefore differs very much from, insensible Perspiration; for if it be encreased, and its Vessels enlarged, Perspiration must unavoidably be diminished, and its Vessels compress'd. Perspiration also is turn'd into Sweat, by violent Motion, and too much Heat, tho' by moderate Motion and gentle Heat it is very much promoted; but nothing can be more serviceable to promote it than gentle Friction of the Skin for some Time Night Ch. XI. thro' the various Stages of Life. 309 Night and Morning, as I shall observe in a another Place. The Saliva or Spittle, (of which I have given a Hint before) is a thin transparent Humour, almost void of Smell and Taste, which will entirely evaporate by Heat, but not curdle; and when shaken affords a ropy Froth. It is separated from the purer Part of the arterial Blood or Serum by the Glands; and when a Person is hungry it flows in great Quantities, and is then more fluid and sharp; after long fasting it is very penetrating and de- tergent; it ferments with Bread, Meal, or Sy- rup, and promotes Digestion. Men, as well as Brutes, swallow it in Health, and likewise wWhen asleep: When too much of it is spit out, it occasions loss of Appetite, slow Dige- stion, and an Atrophy or Consumption. It is composed of Water, Salt, Oil, and Spirit, all which can he extracted from it, which ren- ders it saponaceous, or of the Nature of Soap. This Fluid then being press'd out of the Glands, lays the first Foundation of assimi- tating the Food to the Body, and promotes the Mixture of oily and aqueous Substances, and a Solution of saline ones: It also pro- motes Fermentation, excites an intestine Mo- tion of the Parts of the Food in the Stomach; so that Digestion could not be perform'd without it. Therefore as this Fluid is of such great Use, when mixed with our Food, it ought not to the U3 lavishly 310 A GUIDE to HEALTH Part II. lavishly spit away; for when it is swallow'd, having perform'd its Office in the Mouth, and being return'd into the Blood, it is still far- ther improved by repeated Circulation and Digestion; and when separated in the Glands again, is highly amended. Hence it is manifest, that they who im- mediately upon eating fall a smoaking or chewing of Tobacco, as is generally the Custom here, and that even among People of the better Sort, commit two very great Errors, highly destructive to their own Constitutions : 1st, In diverting the Saliva or Spittle from its natural Offices, by spitting it away in smoaking or chewing, being one of the chief Menstruums, or Medium, for promoting Di- gestion, as I have just now demonstrated. 2dly, In using that stupifying American Hen- bane upon a full Stomach, which, besides the great Injury it does Nature, in depriving her too much of that necessary Fluid the Saliva, has also an intoxicating opiate Quality, by which (as all other Opiates do) it destroys the Appetite and hinders Digestion, the Truth of which is evident to all good Practitioners in Physick, Therefore, I sincerely advise all those who have any Regard for the Preserva- tion of their own Health, to avoid carefully this pernicious Custom, and never to smoak but upon an empty Stomach, or at least till the greatest Part of the Food is out of it, which always requires some Hours after eat- ing; and, even then, no Body except gross and 311 thro' the various Stages of Life. Ch. XI. and phlegmatick People, should smoak at all; because lean, thin, scraggy, dry, and cholerick Constitutions are heated and dry'd too much by it, which throws them oftentimes into Consumptions or other Decays. Mucus, or Snot, is a clammy and viscid Humour, which flows from the Extremities of the olfactory Nerves * through the Os Cri- briforme † into the Nostrils and Palate: It also signifies that slimy Liquor, or Mucilage, which daubs over and guards the Bowels, and lubricates the chief Passages in the Body from being corroded by any saline or sharp Hu- mours; but the Superfluities of it are excreted by the Nostrils and Intestines. Tears are a serous Humour, prepared out of the arterial Blood in the Lachrymal Gland ‡, and are of a saline, watery, clear, and smooth Disposition, discharged always in a small Quantity, but more plentifully when the Eye is rubbed or compressed by the Orbìcular Muscle ‖. This Humour serves to moisten, U4 wash, * Are those Nerves which give the Sense of Smelling. † It is a Bone full of small Holes, like a Sieve: It is also called Os Ethmoides, situated in the Middle of the Basis of the Os Frontis, or Forehead-Bone. ‡ It is a pretty large conglomerate Gland or Kernel, being broad, compress'd, rough, and placed within the Orbit, to- wards the outward Angle of the Eye, near the rough Chink, and inclosed in Fat; is endowed with Arteries, Veins, Nerves, Lymphaticks, and Ducts, which carry a Humour to the Eye prepared from the arterial Blood. ‖ It is the Muscle which serves to join the Eye lids toge- gether, contracting them like a Sphincter, and by a strong Contraction presses the Ball of the Eye, and squeezes out Tears upon the external Superficies of the Eye, which is thereby cleansed of its Filth, and the Eye itself washed. 312 A GUIDE to HEALTH Part II. wash, and render the Eye slippery, and pre- vents it from sticking to the Eye-lids: It like- wise serves to wash off any Filth or external Bodies, which, by adhering to the Eye, might cause Pain, or darken the Sight; but if this Humour be too much, so that it cannot be received by the Lachrymal Points *, it flows from the Eyes, and is called Tears. Cerumen, or Ear-wax, is the Excrement of the Ears, which sweats or ouzes out of the Cartilages and Glands bordering upon the Ears: It consists of Abundance of Salt and Sulphur, which gives it its Bitterness: It serves to hinder Dust, Motes, cr little Ani- mals from getting into the Ears. CHAP. XII. Of the Passions or Affections of the Mind. I Shall briefly treat of the Passions here, not as a Natural Philosopher, but as a Physician; therefore I shall not consider their Essences and Causes, but their Effects and In- fluence * They are Holes in the Bone of the Nose, by which the Matter that makes Tears passes to the Nostrils; but if these Holes grow hard and are stopp'd, from an Ulcer in one of the Glands in the Corners of the Eyes, thence arises a Fistula Lachrymalis. Ch. XII. thro' the various Stages of Life. 313 fluence upon human Bodies, and how their Regulation conduces to the Preservation of Health and long Life. For as to the Manner how the Mind or Thought operates upon the Body, or how such a Constitution of the Humours can affect the Passions of the Mind, and what that Tye or Bond of Union is, be- tween the Mind and the animal Fluids, is a Mystery unreveal'd to Man, being, at least mechanically, not reducible to Reason, it be- ing impossible to represent and delineate, as we do corporal Substances, the several Steps and Ways of Procedure of those Agents, which can by no means be brought under the Notice of our Senses, only in their Effects; and therefore we cannot have any Notion of the Procedure by which they are brought a- bout, as we can have of all those affected by physical Agents. But as it is certain that the Passions of the Mind do influence very much and alter the Constitution, especially when very sudden and intense, so far as necessarily to bring it under the Physician's Care, still the wisest must herein be contented to e- stablish his Rules upon Observation and Expe- rience only. There is nothing more remarkable, than that violent Passions of the Mind waste and consume the Spirits, and plunge the Consti- tution into great Disorders; and this they seem to bring about by universally stimulating, irritating, and twitching the Nerves and Fibres, in such a Manner as disturbs their re- gular Contractions: And altho' we cannot positively 314 A GUIDE to HEALTH Part II. positively tell, either how Thought can pro- duce such an Alteration in the Humours of the Body, or how such a Constitution of the Humours can affect the Passions of the Mind; yet if by constant Observation and Experi- ence it can be found, that such a Passion or Temper of the Mind is always attended with such Consequences in the Constitution; and that such a particular Temperature of the Constitution always affects the Mind with such particular Passions and Dispositions, it will very sufficiently afford a Ground of Certainty to any considerable Person, in his Reasoning upon their Consequences, and in the Mea- sures which ought to be taken in remedying the Disorders of either. For Instance, if Joy or Anger are always found to render the Body lighter, tho' we cannot tell how these particular Passions do first modify any particular Parts of the Body, so as to produce that Effect, yet it being plain how physical Agents do the same, it will be most reasonable to conclude, that these do it also by the same Means; that is, thus far we know, that an Invigoration, or an Increase of the contractile Force of the Solids, will promote Digestion, increase the Evacuations, and render the Body lighter. Therefore we have the greatest Reason to believe, when we see the same to be the Con- sequences also of a Person's being passionate- ly angry or very merry, that these Disposi- tions of the Mind (altho' we know not how) do Ch. XII. thro' the various Stages of Life. 315 do give that particular Modification likewise, and Degree of Tension to the Fibres, as Cold- bathing, a cold clear Air, or moderate Ex- ercise, when we see them attended with the same Consequences. But as we know these physical Causes have this Effect, by contracting and shaking the Fibres of the Solids, and thereby promoting their Power of Elasticity, and breaking the animal Juices finer; so it ought to be con- cluded, that these Passions of the Mind do likewise give the same Modifications to the Fibres, by which the same Effects are pro- duced. In like Manner, if Fear and Sorrow are found to be attended with an Increase of Weight in the Body, it is reasonable to think that they do it by the same Means as by which all those physical Agents produce the same Effect; that is, by slackening the Fibres too much, diminishing Digestion, and conse- quently by lessening the Evacuations. Therefore when any Passion of the Mind is said to have this or that Effect upon the Body, we ought to consider that Passion only as a physical Agents that is, as it contracts or slackens the Fibres, and as it increases or di- minishes the Evacuations; but in this we are guided only by Observation and Experience, which is very sufficient to a Person of any tolerable Judgment. The chief Passions of the Mind, from whence all the rest proceed, are Joy, Grief, Anger, 316 A GUIDE to HEALTH Part II. Anger, Love, Hatred, Shame, Hope, and Despair. Joy or Mirth is a Delight arising from some Good we suppose we have obtained; and this, above all the rest, conduces to Health, at least if it be moderate; for it keeps the Fibres in their natural Tension, assists the Secretion and Derivation of the Spirits to all Parts of the Body, and consequently pro- motes the Circulation and Digestion, and raises thereby a plentiful Perspiration, and renders the Body lighter; but immoderate Joy is very injurious, and proves sometimes mortal, the Spirits being thereby too much raised, and by the Suddenness of the Passion too much rarefied beyond their natural Stan- dard. Grief or Sorrow is a troublesome Languish- ment afflicting the Mind, arising from the Apprehension of some Ill happened or befall- ing us: By it the Spirits in the Brain and Nerves move slowly and very feebly; so that it produces a great Weight in the Breast, Suf- focation, and oftentimes Death, when sud- den and extreme. Anger is the Desire of Revenge, upon the Apprehension of some Injury done or offer'd to us: By it the Spirits are violently agitated in the Brain and Nerves: It encreases the natu- ral Heat, and, if moderate, it may be useful sometimes, in order to stir up a brisk Circula- tion of the languid Fluids in a cold and phlegmatick Constitution, by which means the Ch. XII. thro' the various Stages of Life. 317 the Body is rendered lighter; that is, it will then perspire better: But, on the contrary, Anger is pernicious to hot, dry, and cholerick Constitutions; because, in such it will dissi- pate the Spirits and dry the Constitution too much. Love is a certain Passion of the Mind, ex- cited in the Soul by the Motion of the Spirits, arising from an Object which we judge to be good, convenient, delectful, and amiable; so that the proper Effects of Love consist in this: That we consider ourselves as united to the Object we love, and that it is, as it were, ano- ther Part of us. Love may be properly distinguished into three Kinds: 1. The first is spiritual, as the supreme Love of the blessed Author of our Being, (to which our Love to all other created Beings is subordinate, at least it ought to be so,) which is that Union, Tendency, Biass, and Impulse of the Soul and other Spirits towards their blessed Creator, without any indirect Ends, without Deceit or Dissimulation, for his own Sake; because he is infinitely good, infi- nitely amiable, and infinitely perfect, abstract- ing from all other Considerations, even that of our own Happiness, in the Enjoyment of, or Union with him. Yet it is certain that these two, our Love to God and our own Happiness, cannot be actually separated: And this Love was communicated by him to them in their original Formation, by Virtue of which they constantly tend, press, and urge to unite; and, if 318 A GUIDE to HEALTH Part II. if Obstacles were removed, would unite with one another, and so be all united with their omnipotent Maker. But now, alas! this principle of the intelligent Soul, in this her lapsed State, being drowned in Sense, chain'd and setter'd by Ignorance and Perverseness, drawn and hurried away by the Devil, the World, and the Flesh, is disabled from exert- ing this inherent and innate Principle of Re- union, and wants sufficient Light on the Understanding, and a right Turn of the Will, to be put in a Capacity of exercising it; but in its proper Vacuity, and being freed from these Letts and Impediments, it would unite with its first Author, the Centre and Rock out of which it was hewn, and mount to- wards him like an Eagle towards the Sun. And even in this our lapsed and forlorn State, there remain evident Footsteps of this innate Principle still uneffaced; such are the Checks of Conscience, natural Affection, and the universal Desire of Immortality, and the Dread of Annihilation; and the Worship be- stow'd by all Nations, who are not sunk into mere Brutality, on some superior and invi- sible Powers: I say, these are Remains of this Principle, and its Operations, sufficient to shew its Reality à posteriori, as the Laws of Analogy, and the Nature and Attributes of the first Being, shew it à priori. For the Au- thor of Nature, who created intelligent Beings only in order to make them happy, could not leave them to so many different Attractions, without Ch. XII. thro' the various Stages of Life. 319 without implanting into their Essence and Sub- stance, as an Antidote to so many Distrac- tions, an infinite Tendency, Bent, and Biass to- wards Beings of the same Nature, and towards himself, who was the Cause and Object of their Felicity: And those, who admit of Revela- tion, cannot doubt of it a Moment. Moses * calls it, a Law engraven on the Heart of Man; and St. Paul †, the greatest Perfection of human Nature; whatever Men of Self-love and carnal Minds may think of it otherwise. The Second is Human, towards particular Persons and Things, as Parents, Wife, Children, Friends, or Things. Towards the first, Love ought to be sincere, hearty, constant, begotten, continued for their Sakes, and not for our own; but yet it should be limited and subor- dinate, Submission to the Will and Love of God: That to Things is not to be fixt, but changeable, as Necessity requires for our Support and Use; because the Things themselves are so, which we are to love, as if we loved them not, according to the Apostle. The third Sort of Love, is that which is shewn from one Sex to another, and ends in Matrimony: This is naturally imprest upon us, and it is carefully to be preserved from Dotage and Lust; for when it takes Fire from the last, it is never permanent, but soon cloys itself, and vanishes upon Satiety: Rea- son is here lost, which is the principal Cause of so many unhappy Marriages we so fre- quently * Deut. xxx. 14. † 1 Cor. xiii. 320 A GUIDE to HEALTH Part II. quently see. As to Dotage, it is an impotent and unreasonable placing of the Affection up- on another, which gradually draws all the Faculties, both of the Soul and Body, into a Languor and Consumption, oftentimes pro- ducing Lunacy or Madness. However foreign this metaphysical Specula- tion, concerning spiritual Love, may seem to a physical Treatise about Health, which I pro- posed to avoid in the Beginning of this Chap- ter; yet having seriously and attentively con- sider'd the Matter since, I found it both use- ful and necessary; because, if we steadily be- lieve it, and reduce its natural Consequences to Practice, it will not only become the most effectual Means to prevent Diseases, but also the most powerful of any Thing to promote Health and long Life, which I shall evidently make appear, before I finish this little Chap- ter. Hatred is the Apprehension of an Object which we judge hurtful or inconvenient; It is likewise Sorrow for the Good, and Chearfulness for the Ill of another. It occasions a slow and unequal Pulse; a sharp and stinging Heat, intermix'd with Cold piercing the Breast; the Stomach ceases from its natural Office, so that the Food being thereby crude and indi- gested, produces Nauseas and Vomitings, or is converted into corrupted Humours in the Habit of the Body, which are oftentimes the Parent of many grievous Diseases. Shame Ch. XII. thro' the various Stages of Life. 321 Shame is an Uneasiness of Mind upon Ac- count of having done something that is un- seemly, or that lessens one's Esteem among others: It is likewise a great Apprehension of Scandal: The Humours and Spirits being thereby variously agitated and confounded, frequently plunges the Body into fatal Dis- orders. Hope is a Desire of some future Good, which seems difficult to be obtained, but yet possible. By it a great Flow of Spirits tends to the Heart, which quickens its Pulsation, and accelerates the Motion of the Blood. And this Affection oftentimes prevents the ill Effects of other Passions, such as those of Grief or Sorrow, Hatred and Despair, &c. Despair is a Passion of the Mind arising from the Apprehension of some Good, which we judge impossible to be obtained. In De- spair the Pulse is generally very obscure, un- equal, and sometimes almost lost and creep- ing, the spirituous and most fluid Parts of the Blood being dissipated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body, which at last affect the tender Vessels of the Brain, by the Vis- cidity of the Matter impacted in them, that thereby the Imagination is disordered. Thus dark Melancholy, slow and long Grief hope- less love, and presumptuous Pride (which is a violent Degree of Self-Love) impair the Body, by causing the proper Times of ne- cessary Food and Exercise to be neglected, X and 322 A GUIDE to HEALTH Part II. and thereby depriving the natural Functions of their usual Supplies, overworking and wearing out some Part of the nervous System, and leaving the other, as it were, to rust, and so become too rigid and stubborn for want of Use: Besides, some of the Passions, as Pride, Love, and Grief, when immoderate and in- tense, terminate oftentimes in Lunacy and Madness; nay farther, even the Frequency and daily Increase of wanton and common Self-Murderers, are chiefly produced by these inordinate Passions, and their blasphemous and frantick Apologies grafted on the Prin- ciples of Infidels, and propagated by their Disciples, scarce known or heard of, at least not practised, in any Christian Nation but this, and her Daughters; for it is a manifest Truth, that those who have no Notion or Thought of a future State, with regard to either Happiness Misery, cannot have the true Love of God; and therefore such will always give a full Scope to all the Excesses of their brutish Passions, till at last, through some Disappointment, or Despair in gratifying their Sensualities, they most atrociously lay violent Hands upon themselves, contrary to the very Dictates of both the Law of Nature and their own Reason, revealed Religion being always a mere Phantom in the Thoughts of all such unhappy Wretchess; and thus, alas! they wantonly destroy both Body and Soul at once. The Ch. XII. thro' the various Stages of Life. 323 The Passions may be divided very properly into acute and chronical, in the same Manner, and for the same Reason, as Diseases are. The acute Passions, either pleasurable or painful, produce much the same Effect, and act much after the same Manner, as acute Diseases do; for they cause a brisk and lively Circulation of the Fluids, and brace up and contract the Solids for some Time. Thus sudden Joy, Grief, Pleasure, or Pain, stimulate and contract the nervous Fibres, and the Coats of the animal Tubes, and thereby accelerate the Motion of the included Fluids, for the same Time; but as the Motions of the Heart and Lungs are involuntary, they produce their more immediate Effects upon them; so that both sudden Joy and Grief occasion short and quick Breathing, and a small and fre- quent Pulse. A sudden painful Idea renders a quicker Circulation of the Blood, whereby a greater Quantity of it is thrown upwards, through the larger Branches of the great Artery, from the Heart, and makes it appear in the super- ficial Vessels of the Face, Neck, and Breast, which prodcues what we call a Blush. Thus we see that the Reasons why we sigh upon some Occasions, and blush at other Times, depend upon the different Structure of the Heart and Lungs, being the Organs of Pul- sation and Respiration; for a quick surprizing Pain of the Mind acts immediately upon the Heart, because its Motion is altogether invo- X2 luntary; 324 A GUIDE to HEALTH Part II. luntary; so that any sudden Contraction takes Place there directly, to accelerate the Pulse. On the other Hand, we have some Power o- ver the Breathing; for we can retain it for a little while; because, when we think in- tensely, our Attention is partly the Cause of retaining our Breath, from whence proceeds Sighing rather than Blushing. The Effects of the Suddenness of these Passions being thus accounted for; yet when they become extreme, they drive about the Blood with such Violence, that Nature is o- verwhelm'd, like a Mill by a very great Flood; insomuch that what drove it only brisker round before, intirely stops it now, and renders the Complexion pale and ghastly. Thus sudden and great Fear or Grief so much convulse the whole System of the Nerves, that they alter the very Position of the Parts sometimes, and fix them in another Place; so that in a great Fright the Hair stands upright, and the whole nervous System becomes so stiff and rigid, that they lose their Elasticity; by which Means the animal Functions cease from all Motion, and then Fainting, and oftentimes Death succeeds. Chronical Passions are called all those slow Passion of a long standing, which, like chro- nical Diseases, waste, wear out, and con- sume the nervous System; for those Nerves which are necessary for administering Ideas to the Imagination, being constantly employ'd, are impair'd, broken, and worn out; and the rest, Ch. XII. thro' the various Stages of Life. 325 rest, for want of being used, become stiff and unactive, dull and destitute of a sufficient Quantity of warm Blood and due Nourish- ment, as I have observed already; so that the whole Fabrick languishes, and runs into a total Decay at last. But as the Passions, when slow and long continued, relax, unbend, and dissolve the nervous Fibres too much, so the violent and sudden ones contract, stretch, and bend them in too great a Degree, by which means the Fluids are hurried about with violent Rapi- dity; so that all the Secretions are either stopp'd by the Contractions, Cramps or Con- vulsions produced by those Passions, or are precipitated crude and indigested into the Ha- bit of the Body, and so beget, or at least dispose it to, Inflammations, Fevers, and Mor- tifications: For Example, a sudden and high Degree of Anger, Hatred, and Malice, are but Degrees of Frenzy, and that is one kind of a raging Fever. Hence it is evident, that the violent and sudden Passions, which I call acute, are more dangerous to Health than the slow and continued chronical ones, as a- cute Diseases are more pernicious than chro- nical. From what has been said, it is manifest that the Passions have very great Influence on Health, being of such Force as not only to hurry us into Numbers of Diseases, but like- wise to bring upon us oftentimes sudden and unprovided Death, But if we would prevent X3 the 326 A GUIDE to HEALTH Part II. the ill Effects, and totally extirpate all the Evils arising from our Passions, we must necessari- ly lead a sober and virtuous Life; make use of our Reason, which, assisted with the Di- vine Spirit, is able to keep down the Surges of all our Passions, and is given us, by the in- finitely wise Creator, to be a Check and Bridle to prevent and restrain all their Extravagance: So that notwithstanding the great Force of our Passions, yet are we not left without a sufficient Power of Resistance; but to yield to them for want of exerting that Reason, by which we might restrain them, would be base Cowardice, unworthy a rational Being, and the blackest Ingratitude to the glorious Author of all Happiness. Towards him all our Thoughts should be bent; in him all our Hopes should center: Nor should our Affec- tions cease flowing to him incessantly, not only as he rewards and recompences Virtue, but as it is a Remedy against all those various Diseases that are ingender'd by Excess in the Passions; For as the Love of God is a sove- reign Antidote against all other Miseries, so, in particular, it prevents effectually all the bodily Disorders the Passions produce, by keeping them within due Bounds; and, by that unspeakable Joy and perfect calm Serenity and Tranquillity it gives the Mind, becomes the most powerful of all the Means of Health and long Life. Therefore, if thou wouldst enjoy good Health, love thy Creator, keep thyself virtuous, and regulate thy Passions. I shall Ch. XII. thro' the various Stages of Life. 327 I shall conclude this Chapter with an ex- cellent Passage upon this subject, from Dr. Cheyney's Essay on Health and Long Life, which, in his own Words, is as follows. ' If Men would but observe the Golden ' Mean in all their Passions, Appetites, and ' Desires; if in all their Thoughts, Words, ' and Actions, they would but mind, I will ' not say the End of their Being and Exi- ' stence here, but the End to which their ' Thoughts, Words and Actions tended in ' their last Resort; and lastly, if in the Gra- ' tifications of their Appetites, Passions, and ' Desires, they followed the uncorrupted ' Dictates of Nature, and neither spurred her ' on beyond her Craving, nor too violently ' restrain'd her in her innocent Biass; they ' would enjoy a greater Measure of Health ' than they do, have their Sensations more ' delicate, and their Pleasures more exqui- ' site, live with less Pain, and die with less ' Horror. For had it not been for the Lewd- ' ness, Luxury and intemperate Gratificati- ' ons of the Passions and Appetites, which first ' ruined and spoiled the Constitutions of the ' Fathers, whereby they could communicate ' only a diseased, crazy, † and untuneable ' Carcass to their Sons; so that with the ' World's Decay, vicious Souls and putrified ' Bodies have, in this our Age, arriv'd to ' their highest and most exalted Degrees; I ' say, had it not been for these Evils, there X4 ' never † The Temperature of Humours in an animal Body. 328 A GUIDE to HEALTH Part II. ' never had happen'd so much Sickness, Pain ' and Misery, so many unhappy Lives, and ' such wretched Ends, as we now behold ' among Men. ' But even in this our lapsed Estate and ' Condition, had the Dictates of Nature and ' Reason, not to say Religion, been follow- ' ed, we might have passed our Days in In- ' dolence (at least from chronical Distem- ' pers) if not innocent Pleasures, arrived at ' a good old Age, with our Senses free, and ' our rational Faculties clear, and at last de- ' parted in Peace, as a Lamp goes out for ' want of Oil. And let the Gentlemen of ' Wit and Fire, of Banter and Sneer, hug ' themselves ever so much in their boasted ' Tranquillity and Security, gratify their Pas- ' sions, Appetites, and Humours to the full, ' and despise Futurity and Whining; I dare ' promise when the Farce is ended, and the ' last Minutes are drawing on, they would ' prefer a Life thus led, and an End so calm, ' to all the Pleasures of Lewdness and Sen- ' suality, and the Bounces of a false and ig- ' norant Security.” A (329) A GUIDE to HEALTH &c. Part III. CONTAINING The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of BATHING and FRICTIONS. INTRODUCTION. BEFORE I proceed upon Fevers, as mention has been so often made of acute and chronical Diseases, it will not be improper to give the English Readers a clear Account of their Nature and Difference in this Place. Acute Diseases then are such, as within some short limited Time have their Periods either of a perfect Crisis and subsequent Re- covery, or of putting an End to Life and the 330 The INTRODUCTION. the Disease both together; and they are there- fore called quick, sharp, or acute Diseases, being attended with an increased Velocity of the Blood; the Symptoms of which are more violent, their Duration shorter, and their Periods more quick, terminating either in a sudden Death, or a Victory over the Distem- per, and they are generally limited within forty Days. But those Diseases that run out longer be- come chronical, whose Periods are more slow, their Symptoms less severe, and their Duration longer: and they likewise would, by the Course and Efforts of Nature, and the animal Oeconomy, have their Periods, and terminate at last, if fresh Fuel had not been frequently added to them by Intemperance and Debauchery; for the Viscidity of the Fluids, and the Laxity of the Fibres, would be removed in time, by proper Remedies and a due Regimen, and so People would recover in these as well as in acute Disorders. But as this requires long Time, much Care, and great Caution, Patience, and Perseve- rance; and so long and continual a Course of Self-denial, that few People are willing to undergo it; so that it is become the Reproach of both Physick and Physicians, that acute Cases are cured by themselves, or rather that Nature cures them, and that chronical Dis- orders are never cured, as a great many do falsly The INTRODUCTION. 331 falsly assert: for in acute Cases, Art and Care judiciously and timely applied, will always asswage the Symptoms and Suffering, and like- wise forward Nature to the Relief she points out, and hasten the Crisis, which it will con- stantly bring about if the Disease is not too great for the Constitution; and even then it will allay the Pain, and lay the Patient gently down. And as for the last Case, if due Care be had to follow seasonably the Advice of an honest and experienced Physician, certainly a Period may be brought about in most chro- nical Diseases, provided the great Viscera or Bowels are not spoiled and destroyed. And the Fault is commonly in the Patient him- self, who will not, or cannot deny himself for a sufficient time to bring about the Cure. There are some chronical Diseases indeed, such as either by having been gone too far, or by being hereditary, and interwoven with the Principles of Life, are never to be radi- cally cur'd or got over: and these last must rest contented with that Measure of Health their original Frame will admit of. Yet I am morally certain, that if the Rules and Directions set down in this Treatise, be care- fully and constantly observ'd and steadily pur- sued, very few chronical Distempers but will receive such Relief and Ease by them, as to render the remainder of Life tolerably easy, and free from grievous Sufferings; and that is 332 The INTRODUCTION. is all that is left for Art to do in the above- mention'd Case. But in other chronical Dis- eases, where the Bowels are not quite vici- ated, and taken in due time, by observing and steadily following the same Rules, would in- fallibly bring about a perfect Cure. In acute Diseases, a quick Pulse is a cer- tain and distinguishing Sign; but in chroni- cal Cases it is slow: and the first consumes the Fluids, and wears out the Solids in a short Time; but the last will require a lon- ger Time to produce the same Effects. Some acute Diseases terminate sometimes in chro- nical ones; and some chronical Distempers towards the last fatal Period of Life turn acute. CHAP. (333) CHAP. I. Of FEVERS, both in general and particular. A Fever is an inordinate Motion, and too great an Effervescence of the Blood, attended with Cold first, and afterwards with Heat, Thirst, and other Symptoms, whereby the animal Oeconomy is variously disturb'd; or according to our En- glish Hippocrates, Dr. SYDENHAM, ' A Fever is nothing else but the ' Effort of Nature to free herself of some ' morbifick Matter, which she finds injuri- ' ous, in order to establish a better Health.” A Fever what Sydenham's Definition. The learned Boerhaave says, that a Fever is the most frequent Di- stemper that happens, an inseparable Com- panion of Inflammations of all kinds, and is ever attended with a manifold variety of Symptoms. Boerhaave's Sentiments. In every Fever from an internal Cause, the three chief observable Symptoms are, first, an universal Trembling, then a quick Pulse, and an increased Heat, various as to Time and Degrees. When the Symptoms are very urgent, and very hastily make their Progress, the Fever is called acute; but when more mild and gentle, it is deno- The Symptoms. minated 334 A GUIDE to HEALTH Part III. minated a slow Fever. And a Fever almost always begins with a sort of cold Shivering, soon after the Pulse growing quicker, affords the primary Diagnostick * of a Fever; so that an increased Velocity of the Contraction of the Heart, together with a greater Re- sistance at the capillary Vessels, make up the Idea of an acute Distemper, which may be produced by an infinite number of Causes. The Health of the Patient seems to be the primary Aim of Nature in Fevers; notwith- standing, Fevers often end in Death, and sometimes they degenerate into some other Diseases. The general Cure. The general Cure of Fevers is summarily comprehended in con- sulting the Strength of Nature, in correcting and discharging Acrimony from the Blood, in dissolving gross Humours, and expelling them, and in mitigating the Symptoms: and if we perceive the Symptoms to run high, and Nature to grow exorbitant, we moderate it by enjoining Abstinence, a slender and cool- ing Diet, drinking tepid Water a little aci- dulated, Bleeding, cooling Clysters, &c. But if Nature seems to be too sluggish, she is to be excited by Cordials, Aromaticks, and Vo- latiles, &c. Of the Symptoms. The Cause of the Fever be- ing taken away, the Symptoms will cease, in as much as they primarily de- pend * Is that Judgment of a Disease that is taken from the pre- sent Symptoms, and Condition of the Patient. Ch. I. thro' the various Stages of Life. 335 pend upon it; so that if they can be born without Danger of Life, they scarce require any particular Cure, nor many times are they to be interrupted without great Caution; but if they be unseasonable, and too violent, they are to be mitigated with proper Reme- dies, due Regard being had to the Cause and State of the Distemper. In the beginning of Fevers, if the Stomach has a natural Inclination to cast, it is abso- lutely necessary to give a Vomit; for else in the Progress of the Fever, a Looseness will be apt to break forth, which may be of dan- gerous Consequence: and the proper time to give an Emetick is indeed in the Beginning; however, if it should happen to have been omitted, it may be given at any time of the Distemper, provided there be sufficient Strength to bear the Operation, and after it some Anodyne, or quieting Medicine. After- wards, if Bleeding be not indicated, and there be no Looseness, a Clyster may be ad- minister'd every other Day, until the tenth or twelvth, at which time Nature inclining towards a Crisis, in my Opinion, some warm- ing Medicines may be given to hasten the Concoction. If the feverish Ebullition pro- ceeds regularly, and in due order, there seems to be no need of giving any Medicines at all; for as much as the Depuration of the Blood is wholly and solely the Work of Nature. The Benefit of ex- hibiting a Vomit. Commonly 336 A GUIDE to HEALTH Part III. A Purge may be given towards the End with Advantage. Commonly about the 15th Day, if there be a laudable Se- paration in the Urine, and a Re- mission of the Symptoms, a gentle Purge ought to be given, left the no- xious Humours secreted from the Blood be- ing absorbed again into it, should cause a Re- lapse; notwithstanding it is sometimes requi- site to defer the purging until the 17th Day. From repeated Trials, I affirm, that no- thing does so certainly and powerfully cool the Body as Purging after Bleeding; and any one may find it in Experience true, that it abates and allays a Fever beyond any Re- medies whatever, both as it cleanses the In- testines, and prepares the Way for an Ano- dyne. Sydenham in his Schedula Monitor ria. The Cause of Fevers. The Cause of a Fever, accord- ing to Hippocrates, De Medic. Vet. ' is not Heat alone, but Heat ' and Bitterness together, Heat and Acidity, ' Heat and Saltness, and an innumerable other ' Combinations in the Blood.' It is however known by Experience, that Persons from found and perfect Health, where there has been neither Plethora, nor any ill Habit of Body to cause it, have fallen into a Fever; because some very extraordinary Change in the Air, or an Abuse in some of the rest of the Non-natural have happen'd; therefore found Bodies on such Occasions may, and are seized with a Fever, in order that their Blood Ch. I. thro' the various Stages of Life. 337 Blood may acquire a new State and Condi- tion to accommodate itself thereby to the Al- teration of the Air, and the Way of Living, &c. By how much the more acute a Fever is, by so much the more sparing and slender the Diet ought to be; for in Fevers, tho' they lie many Days without eating any thing, it is so much the better, for no one ever starv'd to Death in a Fever; but rather upon eating and drinking the Fever would be exasperated; because in taking of Food, the Appetite prescribes the Rule, the Quantity, the Quality, and the Time. A Rule of Diet. The most natural and general Division of Fevers is into Essential and Symptomatick. Division of Fevers. An essential Fever is such, whose primary Cause lies in the Blood itself, which derives its Original from no other Distemper of the solid Parts of the Body, or is any way de- pending on them, and this is properly called a Fever. A symptomatick Fever is a secondary Fe- ver, which does not properly subsist of it- self, but owes its Original to the Disorder of some particular solid Part, and most com- monly depends on some remarkable Inflam- mation, from whence the Variety of inflam- matory Fevers so called. An essential Fever is divided into a Diary or Ephemεra, a continual, continent or re- mitting, and an intermittent Fever. Y A 338 A GUIDE to HEALTH Part III. A Diary or Ephemera, so called by the Greeks, is the least compound of Continual Fevers, which doth begin, increase, arrive at its Height, and decline within the Space of 24 Hours: It is occasion'd by the scorching Heat of the Sun, too much Exercise, or by some other Error committed in the Non- naturals. The Cure is easily perform'd by Abstinence, Rest, and Diluting. But if the said Fever lasts several Days, it is called a continual, not putrid Fever: Its Causes, Signs, and Cure, are the same, and chiefly require large Bleeding, and a cooling Diet and Medicines. A continual putrid Fever, call'd by the Greeks, Synochos, is that Sort of Fever which is continual, without any distinct Paroxysms or Remis- sions, but for many Days continues much the same, until it has run its full Length, and then its Period is determin'd; and it is distinguished from the preceding, by its being * putrid: of this Kind are malignant Fevers, pestilential Fevers, and even the Plague it- self. A putrid Fe- ver what. It proceeds from the following Causes, as flight Inflammations, an Obstruction of the Bowels, a Constriction of The Causes. the * A Fever is said to be putrid, where the Humours or Part of them have so little circulatory Motion, that they fail into an intestine one and putrify, as is commonly the Case after great Evacuations, or great and excessive Heat, where there is such a Scarcity of Spirits, that the Solids cannot suf- ficiently vibrate. Ch. I. thro' the various Stages of Life. 339 the Pores of the Skin, a Stoppage of almost all the capillary Vessels, and a very sharp Acri- mony in the Fluids. It is known by an intense Heat even to the Touch of the Finger or Hand, by a Pulse not only feverish. but at the same time unequal and inordinate; a thick, red, turbid Urine, and crude with- out any Sediment; from a hot and sanguine Constitution, Age and Complexion. Diagnostick Signs. This Distemper is more dangerous and mortal, as the Pulse is weaker, quicker, more unequal in Strength, more irregular as to Time, and more inter- mitting in its Stokes; as Breathing is more difficult, frequent, short, with a great Mo- tion of the Nostrils, the more painful about the Vitals, and the more inordinate in its Time; as Weariness and Weakness are greater, the Tossing of the Body more fre- quent; as the Urine is higher colour'd, thick- er, muddier, with the least Sediment; or as the same is thinner, more watry, more spar- ing, and difficultly retained; as the Patient trembles and shakes more, chiefly in his Hands and Lips, shy of being felt, plays with his Fingers and Hands, and as it were catches at Flies, or some Things he fancies to see upon the Bed-clothes, and about him; and as his Eyes appear more sorrowful and moist with involuntary Tears. Moreover, when the Pa- tient labours much in his Sleep, and wakes worse after it; when either livid or purple Prognostick Signs. Y2 Spots 340 A GUIDE to HEALTH Part III. Spots appear upon the Body, the Sides of the Belly stiff and blown up, then Death is at hand. Continual putrid Fevers commonly require Bleeding in the Beginning, according to the Strength and Constitution of the Patient; but Malignant and Intermitting Fevers seldom admit of it: And in the Progress of all Fevers, when they draw near the Height, Bleeding is prejudicial, according to the unanimous Opinion of the Antients: For Cœlius Aure- lianus, Celsus, and the rest, allowed Bleed- ing only in the first three Days of a Fever, and not after; but there is no general Rule without an Exception. As for the Cure of the Symptoms, or ra- ther the Mitigation of them, which are more than ordinary pressing, they shall be account- ed for in another Place, where I shall treat of the Symptoms of Fevers in general: But here I must observe, that, in a putrid Fever the Patient ought to dilute plentifully with subacid Liquors, and take such Medicines as resist Putrefaction, such as the Juice of Le- mons and Salt of Wormwood made up into Draughts, or Mixtures, &c. A continent or remit- ting Fever. A continent or remitting Fever, called by the Greeks, Synechos, is in fact a continual Fever in regard to its Duration, tho' not in Degree: For it continues many Days together without Intermission; but then it has its periodical Returns of Exaspe- ration and Remission, either every Day, or every Ch. I. thro' the various Stages of Life. 341 every other Day, but no thorough Intermis- sion; nor has it any cold Shiverings, after the manner of Agues or Intermittents. About the End of every Paroxysm, when the Violence of the Fever begins to remit, Sweats general- ly ensue, and the Urine, which during the Height of the Fit was intensely high-colour'd, in these Intervals of Remission usually depo- sits a laudable Sediment, which is the true Characteristick of a continent or simple re- mitting Fever. There is likewise a spurious Kind of remitting Fever, which is attended with outrageous Symptoms of the nervous Kind, imitating Rheumatisms, Pleu- nisies, Colicks, and other inflammatory or spas- modick Distempers: It also often affects the glandulous Parts, producing from thence ma- nifold Excretions, causing Vomitings, Cholera Morbus, Diarrhœa, Bloody-flux, &c. which greatly obscure the fundamental Signs of this Fever, rendering the Paroxysms or Fits un- certain as to their Access and Duration: For by how much more the Evacuations and Pains, now mention'd, are augmented, by so much the febrile Heat is diminish'd and the Pulse weaken'd, and vice versa. Of the Spurious A simple remitting Fever, as such, and as long as it remains such, is very seldom, if ever, mortal; for before it be- comes fatal it changes its Type and Kind, and degenerates into a continual malignant Fever. But the spurious Kind, tho' it is not in its Prognostick. Y3 own 342 A GUIDE to HEALTH Part III. own Nature mortal, yet on the Account of the violent Symptoms accompanying it, it pretty frequently proves so. The more regu- lar the Fits are in point of Time, and the longer the Remissions are, the less dangerous they are, and vice versa. The Evacuations which Nature makes in these Fevers seldom procure any Benefit, they being for the most part symptomatical. But the critical and salutary Evacuations are ei- ther by Sweats or Spitting; the first is the quickest, tho' the latter is equally certain, yet slow and troublesome. During the In- crease of the Distemper, it is a bad Sign if the Urine gradually changes thin and pale, and the Pulse becomes quicker, weak, and staggering, &c. On the contrary, a strong and constant Pulse, Urine much tinctured with Redness, and full of Settlement, particularly when there is a laudable Sediment, and the Distemper is come to the State or Height, they are good Signs. The Cure. A simple remitting Fever gives way to the Bark, as certainly as an intermitting one: For the feverish Ferment in both is almost the same. The Efficacy of the same Medicine in curing a spurious remit- ting Fεver, is almost as certain as in a simple one, provided it be rightly administer'd, Re- gard being had to the more violent Symp- toms; but it has not so quick an Effect, be- cause the Distemper is greater and stronger, and therefore requires a greater Quantity of the Ch. I. 343 thro' the various Stages of Life. 343 the Medicine: So that the radical Care of these Fevers consists in the regular giving and Repetition of the Peruvian Bark, with due Regard to a proper Diet in all such Diseases. It will be necessary, in order to establish a rational Method of Cure of con- tinual Fevers; to have Regard to the Division of them into burning and slow Fevers, because the Method of treating each of these is vastly different. A Division in- to burning and slow Fevers. Of a Burning Fever. In a Burning Fever the Person is affected with a most ardent Heat, a Dryness of the whole Skin, of the Nostrils, Ears, Mouth, and Tongue: Respi- ration is thick, difficult, and quick; the Tongue dry, yellow, black, rough, and burnt up; Thirst unquenchable, sometimes going off suddenly without any other good Sign; an Aversion from all Sorts of Aliment; a Nau- seating, Vomiting, Anguish, Uneasiness, a great Weariness, a little Cough, a hollow Voice, a Delirium, Phrensy, obstinate Wake- fulness, Dozing, Convulsions; and on the odd Days a renewing and increase of the Fever. The chief Symptoms. A Burning Fever very often kills on the third or fourth Day; it seldom gets over the seventh, if it be a perfect Causus: It often goes off with an Hœmor- rhage, which if but small and sparing on the third or fourth Day, the Fever commonly proves mortal: This may be foretold from Progno- sticks. Y4 the 344 A GUIDE to HEALTH Part III. the Patient's complaining of a Pain in the Neck, Heaviness of the Temples, Dimness of the Sight, a Working and Labouring of the Heart and Lungs without any Sense of Pain, involuntary Tears, without any other fa- tal Signs, Redness of the Face, and Itching of the Nostrils; but if it happens on a critical Day, it is most advantageous. A Solution of this Fever also on a critical Day, may be expected by Vomiting, Looseness, Sweating, much Urine, spitting thick Phlegm; but growing worse on the second or fourth Day is a very bad Sign, on the sixth not so bad: Black Urine, thin and small in Quantity, is mortal; spitting of Blood and bloody Urine, are mortal; a Difficulty of swallowing is a bad Sign; nothing worse than Coldness of the extreme Parts; the Face red and sweaty, is bad; a Swelling behind the Ears and not ripening, is mortal; the Belly too loose, fatal; a Trembling turning to a Delirium, ends in Death. This Fever often changes to an In- flammation of the Lungs, with a Delirium attending it. The Regimen in such a Fever is, keeping the Air of the Room pure and cool, untainted with Fire, or Smoke, or the Breaths of many People; and they ought to have no more Bed-cloaths than barely defends them from Cold; their Curtains ought to be kept open, so as to renew the Air; and their Posture in lying as erect as they can well bear. Regimen. Their Ch. I. thro' the various Stages of Life. 345 Their Drink should be cool, mild, sub- acid, tepid, given in moderate Quantities, and often, as Water with Juice of Lemon or Tamarinds. Their Aliment out to be light, of mealy Vegetables, as Water-gruel, Prepa- rations of Barley, with some Juice of Lemon; Rice boil'd in Whey and strain'd; roasted Apples in the Progress of the Disease; a little toasted Bread sometimes, with Rhenish Wine and Water; Jelly of Currants; Broaths and Jellies made of Animal Substances, and quali- fied with Juice of Lemon or some other Acid, may be sometimes allowed. Bleeding is requisite in the Be- ginning of the Distemper, if there be the Signs of a Plethora, or of a particular In- flammation, or that the Heat is intolerable, the Sweat too great, a Revulsion be necessary, the Symptoms very urgent, and hardly to be master'd by any other Means; in these Cases Bleeding is of an absolute Necessity. Some- times also gentle and cooling Clysters are to be given, as often as the Heat of the Distemper or Costiveness shall require them. Diluents will likewise be proper, and Nitrous Me- dicines, and such as very gently loosen the Belly. The Cure. Here it will not be improper to take parti- cular Notice of what Walschmidius says, viz. A malignant Fever often in the Beginning ap- pears in the Shape of a Causus or burning Fever; so that a Physician ought to be cautious lest he should fall into a Mistake about it; therefore let 346 A GUIDE to HEALTH Part III. let him be diligent to inform himself, whether the Patient complains of an Anxiety or Uneasi- ness at his Heart, a sudden Loss of Strength, and other grievous Symptoms: Let him also examine the Urine, &c. for the Cure of these Fevers is very different. A Calenture is a Fever peculiar to Mariners, of a high inflammatory Nature. Those that are seiz'd with this Distemper are affected with a peculiar Sort of Delirium; for they frequently say they will walk into the green Fields, which they always seem to have in View, thinking they are just going into them, and, unless they are kept by Force, they jump into the Sea; and that is an inseparable Sign of this Distemper. Young lusty Men, of a sanguine Complexion, are most subject to it. The Cure chiefly consists in plentiful bleed- ing and diluting. Of Slow Fevers. Slow Fevers, tho' they are not so acute as the Burning or Putrid Fevers, yet they are however continual, as they constantly afflict the Patient labouring under them; but they pass through their several Stages more slowly, for which reason they are of a longer Conti- nuance, and the Symptoms not so violent. Catarrhal Fevers. In the Class of Slow Fevers we may justly reckon Catarrhal Fe- vers, which in the Beginning and Increase are attended with a Catarrh, a Run- ing at the Nose, a Cough, Hoarseness, &c. These Ch. I. thro' the various Stages of Life. 347 These Fevers are for the most part gentle and slow in the Day-time, and commonly some- what worse in the Evening: They are also attended with great Weariness of the Limbs, and the Symptoms continue, with an Increase of the Running at the Nose and Cough, till the Distemper rises to its highest Pitch, when the Matter of the Catarrh is ripen'd, and the Mucus becoming thicker, is discharged, and the Fever goes off. The Seat of this Disease is in the Conglobate Glands †, more particu- larly occasioned by some Obstructions in the Pituitous Glands. A Decoction of Sassafras, with Li- quorish-root and Raisins, is very pro- per in Catarrhal Fevers, on account of the Acrimony of the Humours; likewise the Juice of Turnips, with a little Sugar; Vola- tiles and gentle Sudorificks; a Solution of Gum Arabick, and whatever besides is pro- per in Coughs and Hoarsenesses, will be like- wise useful in this Case. The Cure. Besides the fore-mentioned, there are likewise Lymphatick or Pitui- tous Fevers, occasioned by the Fault of the Lymphatick Fever. Pituita † A Conglobate Gland is a little smoofh Body or Kernel, wrapp'd up in a fine Skin, by which it is separated from all the other Parts, only admitting an Artery and Nerve to pass in, and giving Way to a Vein and excretory Canal to come out. Of this Sort are the Glands in the Brain, as the Pi- tuitous Gland, the Pinealis Gland, the Glands of the Mesen- tery, Groin, Testes, and Labia: All the rest of the Glands in the Body are called conglomerated Glands, being composed of many conglobate Glands, tied together and wrapp'd up in one common Membrane. 348 A GUIDE to HEALTH Part III. Pituita of the Conglomerate Glands, which discharge their Juice into some certain Cavity, of which the Parotid Glands and the Pan- creas are remarkable, discharging the Liquors separated into the Mouth and Intestines, and consequently into the Mass of Blood; which Humours, when vitiated, become viscid, salt, and sharp, produce these Fevers, which are likewise sometimes not improperly call'd Scor- butick Fevers. Continual Acute Fevers, and sometimes Intermittents, degenerate into these Slow Fevers, and sometimes into Hecticks; and the Original of these Fevers is most com- monly in the Stomach, proceeding from In- digestion and Crudities. The Cure Therefore a gentle Vomit, as well in the Beginning as in the Increase of these Slow Fevers, ought to pave the Way for the Cure; and afterwards the Viscidity and Acrimony to be corrected; and the Symptoms are to be mitigated, and the Stomach to be strengthen'd, &c. for which Purpose vitro- lated Tartar, Testaceous Powder, Diaphore- ticks, and Volatile Salts, &c. are proper. Of Intermitting Fevers. An Intermitting Fever is a præ- ternatural Heat, kindled in the Blood by an unusual Expansion of the Spirits, returning at certain Periods. In this kind of Fever a Chilness, Shivering, Heat, and Sweats successively follow one another. The Fit is attended with an universal Sickness, Nause- The Definition. ousness, Ch. I. thro' the various Stages of Life. 349 ousness, and Vomiting; Pain of the Head, Loins, &c. The Paroxysm or Fit is very acute, but the Distemper in itself generally more or less chronical. A simple Intermitting Fever is easily known, for it discovers itself of its own Accord; and how great a Variety soever there may be of them, let them be either Quotidians, Tertians, Quartans, &c. the morbifick Ferment of all is the same, which certainly yields to the Force of the Peruvian Bark, if duly and skillfully administer'd. The common Species of Intermitting Fe- vers are simple Quotidians, Tertians, and Quar- tans; double Quotidians, Tertians, and Quar- tans; half Tertians, half Quartans, &c. There are likewise Intermitting Fevers which return every fifth, sixth, or seventh Day. Intermitting Fevers in this Country are sometimes very obstinate, often returning in spite of all Remedies; and by long Continu- ance they degenerate into Hepatical Fevers, and many chronical Distempers, as Jaundice, Dropsy, Schirrus's, and Scurvies; therefore in this Disease a right Method, both of Me- dicines and Diet, is very necessary. We should begin the Cure with a Vomit, or Purge, according to the Strength, Age, and Condition of the Patient, and afterwards administer the Bark often between the Fits, in good large Doses; but if the Patient's Strength and present Case will not allow of a Vomit or Purge, then the Bark should be given, 350 A GUIDE to HEALTH Part III. given, without any previous Preparation at all; and there is a different Regimen to be used during the Continuance and Absence of the Paroxysm, and in the Paroxysm itself, during the Rigor or cold Fit, the Heat and the Sweat. During the Rigor nothing is more proper than a Draught of warm Water, with a little Rhenish Wine, or Juice of Lemon and Su- gar, which dilutes and relaxes at the same Time, and will make the Symptoms wholly abate, and terminate the cold Fit sooner, and throw the Patient into a Sweat, than the warmest Cordial. In this Case likewise strong Frictions of the Extremities relieve very much; Proper Care must be taken to shorten the Pe- riod as much as possible, and by warm Dilu- ents a little acidulated, to bring on the Sweat soon, but not to push it beyond its due Mea- sure; because an Intermitting Fever of itself relaxes and weakens the Body extremely. Between the Fits too great Abstinence is hurtful, as much as too great Repletion. As Intermitting Fevers are often of long Conti- nunace, extreme Abstinence is impracticable, and would reduce the Patient to a Condition not to be able to sustain the Shock of the next Attack. Between the Fits, such Substances as tem- per, correct and subdue the bilious Alkali, as acid Substances, nitrous Salts, small thin Wines, Chicken-Broth with Juice of Lemon, Wine with Bitters infus'd, are proper. Ex- Ch. I. thro' the various Stages of Life. 351 Exercise, to as great a Degree as the Pa- tient can bear, is extremely beneficial between the Fits. Bleeding in Intermitting Fevers seldom does any Good, but oftentimes a great deal of Harm; yet the Patient's Condition is to be considered in this Case. But there are spurious Intermitting Fevers, as was observ'd of Remittents: Their Symp- toms are sometimes very urgent and violent, and their fundamental Signs are disguised un- der the Appearance of some other Distem- per, as Vomiting, Diarrhœa, and some great Pain, &c. The true and genuine Sign of the real primary Distemper being chiefly known by the Exasperation and Remission of those violent Symptoms, and by the Urine of a Brick-dust Colour; but these spurious or illegitimate Intermittents creating a great Variety of direful Symptoms, such as enor- mous Vomitings, Griping, Looseness, Cholera Morbus, Colicks, Pains in the Side like pleu- ritick Pains, Apoplexies, Pains on one Side of the Head, Spasms or Cramps, nephritick Pains, &c. Notwithstanding the great Va- riety there may be of these Disor- ders, in their manifold Shapes and Forms, yet they all depend upon one and the same Ferment, and are certainly cured with that one fovereign Antidote the Peruvian Bark, if prudently administer'd, as well as any other Intermitting Fever. The Cure. No 352 A GUIDE to HEALTH Part III. Prognostick. No one has been known to die of an Intermitting Fever, except it be in the cold Fit, that Excess of Coldness arising from a Viscidity in the Blood, and an absolute Oppression of the Spirits. The proximate Cause of In- termitting Fevers. After an accurate Examination into the whole History of Inter- termitting Fevers, the proximate Cause is assign'd to be the Visco- sity of the arterial Liquid, there happening at the same Time some Cause or other for a quicker and stronger Contraction of the Heart, and a Dissolution of the stagnating Viscidi- ties. Boerhaave. Having thus far treated of Benign Fevers, I shall now proceed to give the Reader a suc- cinct and clear Account Of Malignant Fevers. Diagnostick. The first Sign of a Malignant Fever, is a remarkable Loss of Strength on a sudden, without any mani- fest Cause, with a weak Pulse: The external Heat is not so violent as in some other Fevers; the internal Heat is rather greater. It is attend- ed from the very Beginning with obstinate Watchings, and anxious Uneasiness: The Sick complains and shews the Region of the Stomach, or the Heart; the Urine is not unlike that of a Person in Health; the Coun- tenance looks hideous sometimes, and much changed from the natural State, sometimes of a livid Colour. The Reason why the feverish Heat and Ebulli- Ch. I. thro' the various Stages of Life. 353 Ebullition in these Fevers, is not do great as in other Fevers, is entirely owing to the Ma- lignity which has seiz'd the Blood; and is rather a Sign of some great Disorder of the Spirits, which are greatly affected, and as it were sphacelated or deaden'd, than of any Disturbance in the Humours; or it may be sometimes the said Disorders may be propa- gated into the Humours, especially the Blood, from the malignant Taints; from which arises great Confusion, and an inordinate in- testine Motion, which indeed produce an in- ternal Heat, but is not carried so sensibly to the external Parts. By this means Nature being, as it were, oppress'd, is not able to exert those Symptoms more regularly, which are agreeable to, and might attend the Dis- ease. There is a great Variety of Malignant Fe- vers, on account of the Diversity of their Symptoms: In some there are very remark- able cutaneous Efflorescencies; in some more abundantly, in others less; and in some no such Appearances at all; others, in fine, are attended with other kind of Symptoms. Some assert, from microscopical Observa- tions, that in all malignant Fevers and gan- grenous Ulcers, there is so great a Putrefac- tion of the Blood, that it gives Occasion for the Generation of a Multitude of little Worms, from whence they believe the great Variety of Symptoms so vexatious do arise; but these Worms cannot be bred without a preceding Z Putre- 354 A GUIDE to HEALTH Part III. Putrefaction; and the Blood in Malignant Fe- vers is preternaturally fluid, insomuch that when it is let out of the Body it will not co- agulate as usually; but this is the Product of the Distemper, and not the Cause. The very naming a Malignant Fever strikes a Terror into Mankind; because all Malignant Fevers are very dangerous, and as to the Event very uncertain; which made Galen assert that Malignant Fe- vers will not admit of a Prognostick. Deaf- ness in the Beginning portends the greatest Danger, but in the Height of the Distemper it is a favourable Symptom; but bleeding at the Nose and a Looseness through the whole Course of the Distemper, are very bad Signs: And it is almost always reckon'd a very bad Symptom when they employ their Hands as if they were catching Flies, or picking up Straws or Bits of Threads. If on or about the eleventh Day Buboes arise in the Groin, it betokens well, and terminates the Fever. The Prog- nosticks. The Cure, according to Etmuller and others. Malignant Fevers by no Means admit of Bleeding; for the more malignant they are, the more Mis- chief it would do, and the farther from the Beginning the worse. Vomits in the very Beginning of the Distemper are a- bove all Things exceedingly proper; but then they should be given before any cuta- neous Eruptions appear, otherwise the Op- portunity is lost; and afterwards the Cure is to be endeavoured by Medicines, and Sub- Ch. I. thro' the various Stages of Life. 355 Substances that procure Sweating, Nature herself teaching us so much; for frequently Sweating carries off the Cause and Fewel of the Distemper. The greater the Malignity is, the more Sudorificks, or sweating Medicines, are to be employ'd, regard being always had to the Nature of the Distemper, and its Diversity, as also the Strength of the Patient. Sudori- ficks are to be given at least three or four Times in twenty-four Hours; Analepticks and moderate Acids are to be used in the in- termediate Times, amongst which dulcify'd Spirit of Nitre is very good; also Tincture of Saffron extracted with sweet Spirit of Nitre; likewise the Juice of Citrons and Quinces; &c. Camphire is a noble Alexipharmick, but every Body cannot bear the Use of it, espe- cially some Women, and studious Men, whose animal Spirits are easily moved and dissipated. Blisters are of singular Use in the State or Height of the Distemper. The volatile Salts of Hartshorn, and of Vipers, are Sudorificks, and resist Malignity; and here the Mistura Simplex of Paracelsus takes Place, as well as in all pestilential Fevers, being a very noble Remedy. Its Dose is from one Dram to two, to be given once in six or eight Hours, a proper Vehicle. Notwithstanding Bleeding in this Disease has been, and is accounted dangerous by a great many Practitioners, it only proves so when it is triflingly performed; for if a large Z2 Quantity 356 A GUIDE to HEALTH Part III. Quantity of Blood be taken away in the very Beginning, it secures the Party from Danger. But Bleeding had better been quite omitted, than not to be performed to a large Quantity, even almost to Fainting; and to prevent Fainting the Patient ought to be let Blood in his Bed. It is to be minded, that where there is a Plethora, or the Patient is of a strong Constitution, more Blood may be taken a- way than in a weakly or a phlegmatick Con- stitution. After a sufficient Evacuation by Bleeding, plentiful Sweating must be pro- cured by proper Medicines and Drinks, such as Venice Treacle, Mithridate, Diascordium, London Treacle, Camphire. Lapis Contrayerva, Pulvis ad Guttetam, Sir Walter Raleigh's Confection, Treacle-water. Plague-water, Ca- stor, Saffron, Cochineal, &c. Of these and the like many excellent Sweats may be fram'd into either Bolus's, Draughts, or Mixtures, interlac'd with nitrous Medicines and Acids, according to the Exigency of the Case. When Spots appear, neither Bleeding, Vomiting, nor even Glysters are to be administered, but Su- dorificks and Blisters. If the Blood tends to a Dissolution, sweat- ing Medicines and spirituous Cordials are very improper; but Emulsions, acidulated Drinks, and the like, with Bezoarticks, Nitre, and gentle astringing Remedies, in order to re- duce the Humours to their natural Texture and Firmness. Their common Drink ought to Ch. I. thro' the various Stages of Life. 357 to be acidulated with Juice of Lemon, Spirit of Sulphur, Elixir of Vitriol, &c. Of Spotted Fevers. A Spotted Fever is a very ma- lignant one, in which, besides the Symptoms common to other ma- lignant Fevers, there is a very remarkable Weariness of the whole Body, an universal throbbing and pricking Pain: The Spots ap- pear sometimes the fourth Day, but oftener about the seventh, especially on the Breast and Shoulder-blades, then on the Belly, Legs, Arms, and Neck, seldom in the Face. Not only Spots, but likewise large Marks, black and blue, sometimes appear; and in the De- clension of the Distemper sometimes a Spitting comes on, which carries it off. The Symptoms of a Spotted Fever. The Spots in the milder Sorts of this Fever are florid and very red, like Flea-bites: Afterwards they grow pale, yellow, and so disappear: The more red they are, the better: On the contrary, those that are of a livid or pale red, or appear blackish, are the worst. If they strike in again, it foretells a great deal of Danger. Prognosticks. These Distempers are contagi- ous, and sometimes epidemical or spreading: They are very danger- ous; for of those that are seiz'd with it, more die than recover. They are contagious. Spotted Fevers being a Species of the Malignant, the same Indications of Cure are here required as were mentioned The Cure. Z3 above 358 A GUIDE to HEALTH Part III. above for the Cure of malignant Fevers in general. If the Spots strike in too soon, Vesicatories are to be employ'd; upon which, tho' we are not to expect the Spots to appear again, yet in some Measure the Blistering answers the End of their not appearing, and sometimes very happily prevents the dire- ful Symptoms in the nervous System. No Evacuation of the Bowels must be attempted, such as Vomiting or Purging, or even by Glysters, as long as there is any Appearance of the Spots. CHAP II. Of the Cure of the most urgent Symptoms attending Fevers. Rigor in Fevers. THE Coldness and Shiverings which happen in the Beginning of acute Fevers, are owing to a Diminution of the Contraction of the Heart, the Circu- lation then being less quick, and the Blood actually stagnating in the extreme Parts, and pressing upon the Heart, creates great Anxie- ties, and may produce polypose Concretions about the Heart, and in other Parts of the Body; therefore a Rigor or Coldness encreases an Inflammation. Those who die of Quartan, Fevers, Ch. II. thro' the various Stages of Life. 359 Fevers, die in the cold Fit; and in truth, there is no Mischief but what may proceed from a Rigor of long Duration; for if it re- mains long, sudden Death sometimes ensues; and therefore the greater and longer such Coldness is, the more dangerous is the Fever. In such Rigor or Coldness, all warm Cor- dials and stimulating Substances are improper; for the first acting with Force upon the right Ventricle of the Heart, may drive the Blood with too much Force thro' the Lungs; and stimulating Substances, by contracting the Vessels, often increase Symptoms, which are best reliev'd by drinking warm Water with a little Rhenish-Wine, wherein a little Nitre is dissolved; likewise strong Frictions of the extreme Parts are very useful in this Case. See farther in the Cure of intermitting Fe- vers. The Degree of feverish Heat may be known by the Thermoscope, the Sensation of the Patient, the Intense- ness of the red Colour of the Urine, the Siziness of the Blood, the Dissipation of ths fluid Parts, which renders it thicker; the Hardness, Strength, and Frequency of the Pulse, which makes the Friction or Rubbing the stronger, to which the Heat is proportio- nal, the bad Disposition of the Humours, the Temperament of the Body. Feverish Heat. This Heat is moderated by Bleed- ing, by muscular Rest, by mode- rate Ligatures, which compress the Veins The Cure. Z4 only, 360 A GUIDE to HEALTH Part III. only, and often remov'd from Joint to Joint, by a mechanical Reason retard the Circula- tion; of such Sort is dry Cupping, Bathing the lower Parts, watery Liquors for Drink, not cold but warm; subacid, as Jelly of Cur- rants dissolv'd in tepid watery Liquors, De- coctions of mealy Substances acidulated, Sub- stances that are Anodyne, Substances which dissolve Concretions, such as Sugar, Honey, and the simple Oxymel; plentiful diluting, and restoring as much Water to the Blood, as is dissipated by the Heat; all demulcent and relaxing Substances, cooling the Air in the Room, opening the Curtains, and removing too heavy Bed-cloaths. All stimulating and styptick Substances are to be avoided; because they increase the Force of the solid Parts. Lenient Glysters and Emulsions are also use- ful to mitigate such an excessive Heat. Caution. But great Care is to be taken left by cooling too much, the Spirits shoul'd receive a sudden Damp, and by that means be depriv'd of their Elasticity, whereby the burning Fever might unwarily be changed into a malignant one, which has been many a time the Case. In Thirst, attending Fevers, the Liquors should not be drank quite cold; for cold Liquors by constringing the Glands of the Palate and Throat, do not quench Thirst so well as Liquors moderately warm: In this Case acidulated small Liquors should be plentifully drank. All Salts in- Thirst. crease Ch. II. thro' the various Stages of Life. 361 crease Thirst, except Nitre, and dulcify'd Spirit of Nitre mix'd with Water, or the Patient's common Drink, is useful in this Case; so are Barley-Water and Emulsions, except in great Weakness and Flatulencies of the Stomach; in such Case Water mix'd with a small Quantity of Rhenish-Wine is best of all. In these Anxieties which at- tend Fevers, when the cold Fit is over, in such a Case a warmer Re- gimen may be allow'd; because Anxieties in Fevers often happen by Spasms, or Convul- sions from Wind, therefore Spices are useful. And in those Anxieties, saponaceous Sub- stances which dissolve the Blood are proper, as ripe Fruit, and especially Honey, Sugar, &c. Anxieties in Fevers. Sickness and Vomiting may be owing to an original Surfeit, and is one of the most troublesome Symp- toms attending Fevers; because it renders the Patient incapable of taking any thing. It is often prevented by giving a gentle Vomit, or cur'd by promoting the Vomiting for a while by warm Water, or thin Chicken-Broth; for which Purpose likewise Carduus Tea drank in large Draughts may do very well; but if it does not of itself succeed well, half a Dram of Salt of Vitriol, or a Spoonful of Oxymel of Squills, may be given with the Posset. Sickness and Vomiting. During 362 A GUIDE to HEALTH Part III. During the Symptom, acid Liquors, and even such as are austere and astringent, are to be used; because such strengthen the re- laxed Fibres of the Stomach; for which Pur- pose the following Julap is very effectual. Take of Salt of Wormwood 4 Scruples; of fresh Juice of Lemon, 2 Ounces; mix, and when Ebullition is over, add to it of Barley Cinnamon Water, 3 oz. of Mint-Water and Nephritick Wa- ter, each 1 Ounce; Spirit of Saffron, half an Ounce; Syrup of Quinces, 1 Ounce; mix for a Julap, of which let the Patient take 2 or 3 Spoonfuls every 3 Hours, or oftner. Diluting, and sometimes relaxing the Belly, and carrying the bilious Salts downwards, often cures this Symptom. And Attention is to be given to the Appetites of Patients in this and many other Cases, who sometimes covet odd things which have relieved them, as Salt, Vinegar, &c. Vomiting from a bilious Cause is cured by acidulated small Liquors; and vomiting from some putrid Cause, by Salts of all Sorts; and in such a Case, Water-Gruel with Cream of Tartar, Rhenish Wine with Water, Jelly of Currants, Marmalade of Quinces, Sorrel boil'd in Broths well skimmed from Fat, are exceeding beneficial. But Ch. II. thro' the various Stages of Life. 363 But if the Vomiting proceeds from a phlegmatick Cause, Spices and Bitters will relieve; for the Counterpoison must be adapt- ed to the Cause: As for Example, in Poison from sublimate Corrosive and Arsenick. In the first, alkaline Substances are properest; in the second, oily Substances are fittest, in both Diluents are proper. It will not be dif- ficult to judge of the Cause by what the Pa- tient throws up from the Stomach, Whether a Vomit may be safely or properly given, must be judg'd by the Circumstances; for if there be any Symptoms of an Inflamma- tion of the Stomach or Lungs, a Vomit is extremely dangerous. A Caution in giving Vomits. A Diarrhœa or Looseness some- times happens in Fevers, which proves often a dangerous and fatal Symptom; and this Evacuation is not the genuine Motion of Nature for its Relief, but arises rather from the Impetuosity and Vio- lence of the Distemper, or the stimulating Acrimony of the Humours, which in reality is a symptomatical Diarrhœa, and ought to be stopt; for it weakens, excoriates, and in- flames the Bowels, occasioning bloody Fluxes, thickening the circulating Juices, and ex- hausting the Strength of the Patient very much; however, a critical Diarrhœa is not to be stopt, for fear of incurring the same Dangers. A Looseness in Fevers. 2 Attention 364 A GUIDE to HEALTH Part III. Attention should be given to the Cause: If it proceeds from Acidity, it is to be cured by Anti-acids; but as in Fevers the Cause is more commonly alkaline and bilious, acid or four things relieve best; and it happens some- times, that oily Substances by blunting the Acrimony will do a great deal of good in Diarrhœas; for oily Substances of themselves do not irritate or provoke Loosenesses, they only lubricate or make the Bowels slippery. Vomiting, by evacuating the irritating Cause, often cures Diarrhœas. Anodyne Substances are proper, and gene- rally speaking, solid and dry Food rather than liquid. The white Decoction of burnt Hartshorn is very proper for common Drink, and absor- bent testaceous Powders mix'd with Diapho- reticks, are likewise very useful in the Case; and lastly, we may have Recourse to Venice Treacle, Diascordium, &c. But it is obser- vable in general, that Laxness of the Body in the beginning of Fevers is better than over Costiveness, but in the Progress of the Di- stemper it is worse. Strangury in Fevers. A Dysuria or Strangury in Fe- vers is very troublesome. The com- mon Emulsions are very proper to mitigate the Ebullition in burning Fevers; and commonly they very much asswage this vexatious Symptom; as likewise Oil of sweet Almonds, with Syrup of Marsh-mallows, or a Solution of Sperma Ceti: also a Solution of Ch. II. thro' the various Stages of Life. 365 of 1 Ounce of Gum-Arabick in a Quart of Barley-Water for common Drink, is an ex- cellent Remedy, especially when this Symp- tom is occasion'd by Blistering. Profuse Sweats which happen in Fevers, either in the Beginning of the Disease, or at any other Time before the Crisis, and before the Signs of Concoction appear, are symptomatical, and oftentimes Colliquative: They proceed from a Laxity of the Vessels, and too vehement a Circula- tion of the Blood, and ought therefore to be restrain'd by Art; for they are very trouble- some to the Patient, and they exasperate the Distemper, in depriving the Blood of its most fluid Parts, thicken and often cause Obstru- ctions; so that it is a very bad Practice to push Sweating too much in Fevers, except in such as are pestilential Profuse Sweats. In profuse Sweats, Care should be taken by diluting, to restore the Liquid which the Blood loses, and to use the Methods advised already in too great Heat, by taking away some of the Coverings of the Bed, and ad- mitting of cool Air, and using a Diet mo- derately astringent, and mild Acids, &c. Tinctura Antiphthisica, on Account of the Sugar of Lead in the Composition, is esteem'd an efficacious Remedy for suppres- sing such Sweats; and likewise Sage is very good in the Case of profuse Sweats. A 366 A GUIDE to HEALTH Part III. Pain of the Head. A violent Pain in the Head, Back, or in the Limbs, especially in the beginning of Fevers, requires Bleeding; and if that does not relieve, it will be proper to give a gentle Vomit if the Sto- mach be foul, otherwise a laxative Glyster may suffice. Watchfulness is a Symptom in Fevers, which is sometimes called a Coma Vigil, and often precedes too great Sleepiness, and is perhaps the most ill-boding Symptom of a Fever; therefore the Cause is to be narrow- ly enquir'd into; if it proceeds from too great Heat and Dryness, cooling and moisten- ing things are to be administred; if Pain be the Cause, we must endeavour to asswage it by proper Remedies, avoiding Opiates, with- out an absolute Necessity, especially about the time of the Crisis, when the Physician may perceive great Restlessness and Inquie- tude in the Patient; for it should be always remember'd as a Maxim, that a Space of time before the Crisis happens, is the most troublesome, Nox ante Crisin est molestissima. Other Expedients in this Case are, extreme Care to keep the Patient from Noise, and whatever makes any strong Impression upon his Senses, and some of those Helps used in a Delirium, for this is an Approach towards it; a moist softening Diet, ail Preparations of Barley, Emulsions of Poppy Seeds and Al- monds, Aliment of Lactecescent or milky Plants, especially Lettuces, Decoctions of Scorzonera Ch. II. thro' the various Stages of Life. 367 Scorzonera Roots, Almond Cream, and what is called Winter-Flummery, used as Aliment; Tea made of Cowslip Flowers, relaxing gent- ly the Belly. Coma, or Sleepiness in Fevers, is di- rectly contrary to the fore-mentioned Symp- tom Wakefulness; the Patient has a continual Propensity to doze or sleep, sometimes with a real Sleep, and often without it. A Coma will proceed either from a Pressure upon the Original of the Nerves in the Brain, by too great Repletion; or from a Penury or Waste of Spirits by too great Inanition. Coma. Old People are subject to Comas by the Glewiness of the Fluids circulating in the Brain, which being resolved by the Fever, obstruct the small Canals of the Brain: But in young People it commonly proceeds from Fulness, and is best cur'd by Bleeding and re- laxing the Belly. The Sign of such a Fulness is, a red Countenance and inflamed Eyes; but if it proceeds from a glutinous Oil, it ought to be resolved by Water, nitrous Salts, Soaps, Subacid Liquors, and Blisters, not forgetting the Use of sharp Glysters. In a feverish Delirium there is a small Inflammation of the Brain; therefore any- thing which increases the Circulation in the Lower Parts, and diminishes the Pressure on the Brain, is beneficial; as bathing the Feet in warm Water; nothing relieves the Head more than the Piles, therefore Suppositories of Honey, Aloes, and Rock-salt ought to be Delirium made 368 A GUIDE to HEALTH Part III. made use of; relaxing by emollient and wa- tery Substances, both in Drink and Glysters, especially Barley, Cream, and Barley-gruel, are to be frequently used: Likewise Bleeding in the Foot, and Blisters will be of great Ser- vice in this Case. Of Convulsions in Fevers. Convul- sions. Nothing is of more Importance than rightly to know the Cause and the Seat of this Distemper, which is com- monly very obscure. In Infants Convulsions commonly proceed from Acidity in the Sto- mach and Intestines, which are cured by Ab- sorbents, such as testaceous Powders of all sorts, and gentle Purges and Glysters; but in such indeed Convulsions attending Fevers are not altogether so dangerous. Convulsions arising from Acrimony in the Stomach, or from any thing vellicating a Nerve in its Extremity, and not in its Origi- nal where it rises from the Brain, are not very dangerous; but Convulsions, which pro- ceed from too great Evacuations, as great Hæmorrhages attending Fevers, are very dan- gerous, and frequently mortal. Convulsions proceeding from an Inflamma- tion of the Membranes of the Brain are com- monly fatal: The Symptoms attending such are, a great Heat and Thirst, a hard Pulse, and a Delirium; so that the Remedies, and even those from Diet, are to be used accord- ing to the particular Seat of the Distemper; for Ch. II. thro' the various Stages of Life. 369 for if it be from the Stomach, such Aliments as are contrary to the particular Acrimony, Acid, Alkaline, or Oily, impacted there, as in the Case of Vomiting, already described. But if they arise from something obstructed in the Brain, such Convulsions are generally cur'd by Diluting, Relaxing, Revulsions, and softening both the Fluids and Solids, and using such Substances especially as open the Belly; and in general the Regimen prescribed in a Delirium or Coma: For it would be a Folly to rely here on the Medicines, which, by their pompous Titles of Anti-spasmodick and Anti-hystericks promise a specifick Cure; besides, all Volatiles, spicy and cordial Sub- stances, are here destructive. Of Weakness in Fevers. A feverish Weakness proceeds from too great Fulness in the Beginning, and too great Penury or Inanition in the latter End of the Distemper; for whatever stops or retards the Circulation of the Fluids in the smallest Vessels, especially those in the Brain, produces this Symptom, which either of the Causes now mentioned will certainly do; And those two Causes require a different Method of Cure; for in the first, emptying and diluting is re- quisite; in the latter, a more plentiful Nou- rishrnent, the Use of Wine diluted with Wa- ter, and Spices in small Quantities, Jellies, Broths qualified with some gentle Acid, un- less there be Signs of Acidity; but in that Weakness. Aa Case 370 A GUIDE to HEALTH Part III. Case the Diet should be contrary to that Symptom; in which Case Viper Broth, and all other Broths are both anti-acid and nourishing. In Weakness from too great a Loss of Blood, Wine and Food which is easily digested and assimilated or converted into Blood, is pro- per; for a small Quantity of Blood often- times brings the Patient into a Dropsy. Fric- tions of the Limbs relieve Weaknesses, as they promote a Flux of Juices and Spirits in the Joints and Limbs, by which Means they will bring Nourishment to those Parts. Fat People are most subject to the Symp- tom of Weakness in Fevers; because the Fat, being melted by the Heat of the Fever, Part of it obstructs the small Canals or Vessels, and consequently produces this Symptom; which is evident from the great Loss of Fat such Persons sustain in Fevers, by the Laxity of the Fibres, and the Emptiness of the smaller Vessels; and therefore such should be treated with particular Care, for after due Evacua- tions they ought to dilute plentifully both by Drink and Glysters, avoiding all fat and oily Things, and using Sugar, Honey, and ripe Fruits. Of inflammatory Eruptions in Fevers. In all these of any Kind whatever, as Small- Pox, Meazles, Purples, Scarlet-fever, Ery- sipelas, or St. Anthony's Fire, the Intention of Diet ought to be, to avoid strong Sudorificks, or sweating Things, which push out too great a Quan- Ch. II. thro' the various Stages of Life. 171 a Quantity of the Matter upon the Skin; to use cooling and temperate Diluters, which will keep the Matter moveable, so that it may be secreted from the Blood; to keep warm during the Eruption; and that the Diet be cool; for which Reason the moderate Use of Acids, as Juice of Limons, &c, are necessary; and above all things Bleeding must not be omitted. A due Attention to the few Rules above- mentioned, in the several Symptoms, will prove successful in the Cure of most Fevers. Of the Small-pox. Notwithstanding I have taken notice just now of Eruptive Fevers in general, yet as this is one of the most dangerous and universal that infests Mankind, I shall treat of it in this Place in particular. Therefore, the greatest and most important Steps for the Recovery of the Patient must be made at the Time of the Invasion, or first State of this Distemper; wherefore it is very necessary to know the first Symptoms of it; for many have suffer'd by mistaking it for another Disorder. In general, young People who have not had the Disease, ought to be very care- ful in avoiding Irregularities in their Diet; because the Small-pox which seizes such Per- sons often proves fatal. This Disease is like- wise more dangerous as the Fluids are more heated and dissipated, and the Solids more Aa2 strict 372 A GUIDE to HEALTH Part III. strict and compacted, and consequently it is more so, as People are advanced in Years. First Stage. The first Symptoms are a Chilness and Rigor, succeeded by a Fever and constant Heat, a certain Splendor or Shining- in the Eyes, with a little Moisture, which is very observable in Children; a great Pain in the Head, with Drowsiness, Dullness, and Sleepiness; a Pain in the Back in some, but Pains in the Limbs in all; Anxiety, Inquie- tude notwithstanding their Drowsiness; loath- ing Sickness at the Stomach, Vomiting, and Convulsions in Infants shortly before the E- ruption; and the Blood taken away the first Time, florid; but on the second, third, and fourth Time it appears sizy, like that of pleu- ritick People. Therefore it is manifest that in this State the Distemper ought to be treated as any other inflammatory Disease, by such Methods as if it were possible to hinder any Suppuration at all; and to resolve and digest as much of the feverish Matter as possibly we can; for the longer the Eruption is a coming, and the fewer when it comes, the Disease is less dangerous; therefore all the Methods practised in the Be- ginning of inflammatory Distempers are here necessary and proper, with a particular Care of cleansing the alimentary Passage by Vomit- ing and Glysters, the Impurities of which will otherwise be carried into the Blood. The learned Boerhaave says, that as there is not yet found any particular Antidote to the poisonous Ch. II. thro' the various Stages of Life. 373 poisonous Quality of this Disease; but that if any such could be found, as he is of Opinion it may, it must be in Antimony and Mercury brought to a great Degree of Penetrability, without being too corrosive by a Saline Acri- mony, but well united; for the Effects of Mer- cury on all Ulcerations are notorious. In the first Stage then of the Small-pox, the whole Habit of the Body ought to be relax'd both inwardly and outwardly, and a free Perspiration through the Pores of the Skin, without violent Sweats be promoted; the Viscidity or Glewiness of the Fluids taken off by Diluters: All these Things may be affected by Glysters, Fomentations and Gargles, and a plentiful life of Drinks often repeated, made of thin Water-gruel and other mealy Decoc- tions, and such like cooling Liquors, with nitrous and acid Salts, or some other acid Sub- stances mix'd with them, such as the Juice of Oranges, Limons, Tamarinds, and other sub- acid Fruits, &c. no Flesh to be allow'd, un- less some small Chicken-broth at Times; the Air ought not to spoiled by Heat, or the Bed- Clothes so thick and heavy as to produce great Sweats. For more People are lost in the Small-pox, by being thrown into large and violent Sweats in the Beginning of the Eruption, than by any other Errors committed at all other Times: The Reason is, because great Sweats drain the small Blood-Vessels of the necessary Fluid, by which Circulation is hinder'd and the Blood Aa3 coagu- 374 A GUIDE to HEALTH Part III. coagulates, by which Means the Inflamma- tion is hurried on into a Gangrene, without being able to furnish the necessary Work of Impostumation in the Glands of the Skin, or of being dissipated by other proper Means. Second Stage. When this Disease has run off its first Stage, which is call'd by the learned Boerhaave, that of Contagion, it enters into the second, in the following Manner: The Skin of the Head and Face first, then of the Hands and Arms, and lastly of the Body and lower Parts, are mark'd with little red Points like Flea-bites; thereupon the Symp- toms abate, and the red Pustles increase every Hour in Largeness and Number; they con- tinually rise higher and higher, inflame more, and the Skin is stretch'd; they begin to pain and to burn ; the Circulation is interrupted, and Perspiration hinder'd; hence a great Re- turn of the Humours towards the inward Parts; a Fever arises, with Anxieties, Diffi- culty of Breathing, a Pain in the Jaws, some- times a Quinsy, a Looseness, Bloody-flux, Bloody-urine, Spitting of Blood. The Parts of the Skin free from Pustles are red and in- flamed, painful and hot; all which, or most of which, when they have lasted four, five, or six Days, are now intirely suppurated, and converted into as many small Impostumes. And this is likewise call'd by the above-men- tioned Author, the Stage of the Inflammation until the Suppuration: It lasts (according to the Difference of the epidemical Season, and that Ch. II. thro' the various Stages of Life. 375 that of the Patient, the Greatness and Vio- lence of each particular Case, and the Regi- men hot or cold made use of) most times four or five Days; so that the Suppuration is compleated about the eighth Day, reckoning from the first Beginning; and the Blood, if let out of a Vein, is extremely inflamed. From what has been said, the Diagnosticks and Prognosticks of the second State of the Small-pox may be learned, and the Rationale of it, and all its Symptoms, which will be plainer still by observing the following Rules. 1. The gentler the State of Contagion, that is, the first Stage, the easier likewise is the in- flammatory State, which is the second Stage of the Distemper. 2. The slower the Pustles break out, the longer therefore the State of Contagion, so the easier and milder is the whole Course of the Disease through all its Stages. 3. The fewer, more distant, bigger, more remote from the Face, whiter and afterwards the yellower the Pustles are, and the later they appear, so much the better Event they promise. 4. The more in Quantity, more mix'd and intangled, the less in Bulk those that stand single, the more they appear upon the Face, tawny or black, and the quicker they grow, so much the worse. 5. The more the Matter of the Pimples is like to kind and perfect Pus, the better. Aa4 6. The 376 A GUIDE to HEALTH Part III. 6. The more the Matter in the Pimples resembles a gangrenous Ichor, the worse. 7. The more the Space between the Pim- ples appears red, is hot, stretch'd, and swell'd about the Time of their impostumating, so much the greater Hopes, because it is a Sign of the Circulation's being preserved there. 8. But the more that same Space looks paler, or grows tawny or black, so much the worse; for there follows a mortal Quinsy or Peripneumony, unless a thin Salivation, or a great Swelling of the Hands or Feet doth ensue: The Reason is, because the Circula- tion of the Fluids is cut off in those Parts, and drove back and increased in the internal nobler Parts. 9. If in the Space between the Pimples there appear purple Spots, it is a sign that a mortal Gangrene is at hand or present. The Indication in this second State of the Disease, is different according to the different Time that the Disease has lasted, and is like to last: for in the Beginning of the external Inflammation shewing itself, it appears rea- sonable to endeavour to prevent its proceeding to an Impostumation, as has been observed already; or, if that be neglected, Care ought to be taken that the Suppuration be as lit- tle as possible, and promoted slowly and far from the Head; which may be effected, first, by keeping the Patient to the thinnest Diet, which at the same time resists Putrefaction, Secondly, by giving him diluting, soft and sub- acid Ch. II. thro' the various Stages of Life. 377 acid Drink. Thirdly, Medicines that prevent the making of much Pus or Matter, such as are opening and diluting, in great Quantities and often given; likewise Blisters applied to the Hollows of the Feet and Legs. Fourthly, A cool Regimen, and chiefly by the Admis- sion of pure and fresh Air, (as was observed in the first State) and at the same Time co- vering the Limbs and lower Parts of the Body warm. Fifthly, If the Distemper pro- ceeds too violently on the fifth Night, a gentle Opiate may be safely given to an Ad- vantage, and repeated every Night to the End of the Disease, if the Lungs are not too much oppress'd, and Respiration very diffi- cult. After the running off of the second Stage follows the third State, being that of Impostumation, during which it increases and arrives at its Height: In this the Pustles, already purulent, grow larger every Day; then they ripen, turn white, yellow, and break on the third or fourth Day of this State. Then the whole Skin, and its subjacent Fat, abound with a moveable Pus or Matter; it is dried exter- nally, and inflamed in every Part free from Matter or Pus: Hence, from the Impedi- ment of Perspiration and Circulation, from the Irritation of the membranous and nervous System, from the absorbing of the Pus into the Veins, there comes on a Fever of the worst Kind, with the worst Symptoms; and if this Third Stage. puru- 378 A GUIDE to HEALTH Part III. purulent Matter mix'd with the Blood is moved long, it putrefies: Hence, according to its falling upon different Parts of the Body, it produces cruel and scarce superable Effects, such as Deliriums, Phrensies, Quinsies, Peri- pneumonies, Pleurisies, Vomitings, Bloody- fluxes, Inflammations of the Liver, Impos- tumations of the same; Boils, Tumors, Ab- scesses, and Stiffness of the Joints; a Wasting, Consumption, and a great many more Evils. In this third State great Care ought to be taken to promote the Discharge of the Pus to the external Part, driving it from the In- ternals; which may be effected by relaxing the Skin with lukewarm softening Fomenta- tions, and often; constantly walking and gargling the Mouth and Throat; drinking much of warm, cordial, detergent, and o- pening Decoctions, which are contrary to Pu- trefaction; injecting daily a gentle, diluting, emollient, and laxative Glyster, and to be kept long; or sometimes a gentle Purge with Rhu- barb and Manna; dieting upon thin Broths duely salted and acidulated; allowing now and then a moderate Glass of good generous Wine; giving also a sufficient Dose of Syrup of White Poppies, or some other Opiate, a- gainst any violent or troublesome Symptoms that may arise. If the Small-pox proves to be of the worst Kind, and that there is rather a gangrenous Ichor than laudable Pus, that almost the whole Skin is beset with it; hence it may easily Ch. II. thro' the various Stages of Life. 379 easily appear, why this Disease is often so un- avoidably fatal, notwithstanding all the pos- sible Care taken; and it will be yet much plainer to any one acquainted with Dissections, that as the external Skin is full, so the Eyes, all the Membranes of the Nostrils, all the Covers of the Mouth, the Wind-pipe, the Bronchia, the Stomach, the Gullet, Intes- tines, Liver, Spleen, and Lungs, are full of the like Pustles; and hence he will under- stand what has been said, and see what is re- quisite for the Cure. Thus far the Senti- ments of Boerhaave concerning the Small- pox. The Greatness and Danger of this Disease is estimated by the Quantity of Pimples on the Face and Head; therefore the Matter ought to be solicitated to the lower Parts by all possible Methods, especially the Legs, by Fomentations, Bathing, Blistering, and, thro' the whole Course of the Disease, keeping the Feet and Legs warm; the Breast and Head not any more cover'd than to keep them from the Injury of the cold Air. During the filling and ripening of the Pustles the Diet may be allow'd a little more plentiful, but yet not hot or inflammatory, with the due Use of anodyne Things, or such as allay Pains and Restlessness. In this State every Thing that abates Acrimony is proper; and, where the Circumstances of the Patient require it, a Spoonful or two of good White Wine, twice or thrice a Day, may be likewise useful. The 380 A GUIDE to HEALTH Part III. The Diet in this State should also be adapted to the particular Symptoms of the Disease, as cleansing, attenuating, and expectorating; and to promote spitting by Diureticks. When the Temperament, Age, high Pulse, and especially Watchfulness and Delirium re- quire Bleeding in any other Case, why not in this State? which is known to have been used with great Success; for a great many Vessels in this State are almost unpassable by the Fluids; and those who die of this Distem- per have inward Inflammations, especially in the Lungs, all which seem to justify that Bleeding is necessary in the Case. But the gangrenous Disposition which ap- pears in the malignant Sort, is a Reason against it; for hardly any Thing will avail in ex- treme malignant Cases. In such malignant Kinds, all that is left, is, at least to endeavour to evacuate the peccant Matter by other Ways, as Blistering and Stools, procured by Lenitives not irritating, which would only hurry the Humours and increase the Fever. For farther Particulars concerning this dreadful Distemper, see the celebrated Sy- denham's Account of the Distinct, Confluent, and Anomalous Small-pox, which nothing can excel. The Meazles and Scarlet Fever, (tho' not near so dangerous) require much the same Regimen, and the same Method of Cure, as the Small-pox, the Scarlet Fever not differing from the Meazles, except it be in the Manner of Ch. II. thro' the various Stages of Life. 381 of the Efflorescence only, insomuch that it may not improperly be called the Confluent Meazles, for the Efflorescence in the Meazles makes its Appearance in different Figures and Shapes, from whence the Skin is diversify'd with several Colours; whereas in the Scarlet Fever the Skin is spread all over with one con- tinued Inflammation and Redness. CHAP. III. Of Inflammatory Diseases with a Fever. NOW those inflammatory Distempers are to be considered, which being attended with an acute Fever, do besides induce a sin- gular Inflammation of this or that Organ of the Body, the depraved Function of which gives a Name to each particular Disease of that Kind; such are the Phrensy, Quinsy, Pleurisy, Peripneumony, the Inflammation of the Breast, of the Diaphragm, Stomach, Li- ver, Spleen, Mesentery †, Guts, Kidneys, Bladder; of the Joints, as in Rheumatisms; and of the Surface of the Body, as in the Meazles, Scarlet Fever, and Small-pox. Of † A membranous Part in the lower Belly, to which the Guts are connected. 382 A GUIDE to HEALTH Part III. Of a Phrensy, or Inflammation of the Brain. True or symp- tomatick. A Phrensy is either essential or symptomatick: An essential or true Phrensy is when there is a primary Inflammation of the Brain, or ra- ther of the Meninges ‡, with a Delirium and an acute Fever. The Symptomatick Phrensy, or Phrenitis, is occasioned by a Translation of the febrile Matter or Inflammation, &c. from other Parts upon the Brain. A true Phrensy kills the third, fourth, or seventh Day, or else it produces Madness, a Lethargy, or Coma; and a Phrensy coming upon a Peripneumony, or the Iliack Passion, is mortal; upon the Small-pox, is very dan- gerous. This Disease, of all others, requires the most powerful Remedies without any Delay, which are able to remove the Inflammation of the Arteries of the Brain, and are chiefly to be taken from the general Cure of Inflam- mations in Fevers, describ'd in the foregoing Chapter, observing at the same time the fol- lowing Rules. Copious Bleeding, by opening the tempo- ral Arteries, or more Veins at once, in the Foot, Throat, and Forehead, with large Ori- fices, are the most effectual Remedies. Great Quantities of cooling Decoctions ought to be given ‡ Are Membranes which cover and embrace the Brain, and they are called the Dura Mater, and the Pia Mater, or Meninges. Ch. III. thro' the various Stages of Life. 383 given often and warm, with large Portions of Nitre. Then cooling Purges, and at the Time of their working, to give Draughts of diluting nitrous Liquors. Sometimes Glysters of the like Kind, with lenitive Electuary, or Honey, or any such Openers may be given. Solliciting the Blood to other Parts of the Body; therefore tepid Bathings of the lower Parts, and emptying the Piles with Leaches, relaxing Fomentations apply'd to the Veins, which carry the Blood from the Head, re- lieve in this Disease. We should likewise ap- ply Blisters and Cupping-glasses to the inferior Parts; Blistering the Back, and even the Head sometimes, in phlegmatick Constitutions espe- cially, has been found useful. The Body ought to be kept moderately cool, and set upright if possible, for the warm Air of the Bed exagitates the Blood. But if the Phrensy has been occasioned by a pre-existent inflammatory Distemper in some other Part, it ought to be carefully minded, whether the Nature of that Illness will bear the Applications above-mention'd; which if not, then it ought to be cured ac- cording to the Method peculiar to that ori- ginal Distemper, always adding the Reme- dies that divert from the Head, and that are externally apply'd. The Diet ought to be slender, of mealy Substances, as Water-Gruel acidulated, or subacid ripe Fruits, with their Jellies, the Drink small, diluting and cooling, Barley- Water, 384 A GUIDE to HEALTH Part III. Water, and the Decoction of Tamarinds are all necessary and useful. For farther Satis- faction herein, see the Articles of Delirium and Watchfulness in the preceding Chapter. Of a Quinsy. A Quinsy without a Tumour almost always mortal. There are two Species of it; the first is without any sensi- ble Tumour either externally or internally; but the other Species of a Quinsy is attended with a Tumour. The first Sort is commonly the Conse- quence of some very long continued Disease, chiefly after very large and often re- peated Evacuations. It is accompa- nied with a Paleness, Dryness, and Thinness of the Jaws; because for the most part the Nerves and Muscles of those Parts being relaxed, are most times paralytick, and it is a Sign almost always that Death is just- at hand. It is seldom cur'd, and then only with Remedies which fill the empty Vessels with good vital Nourishment, and things that warm and strengthen the Body in general. The Cause. The Signs. The Cure. A Quinsy with a Tumour of various Sorts. The other Species of the Quinsy, viz. with a Tumour in the Throat, occasioning a Dif- ficulty of Breathing and Swallowing, may be of various Sorts; sometimes it proceeds from a Serosity obstructing the Glands, which may be watery, œdematous, or schirrous, ac- cording Ch. III. thro' the various Stages of Life. 385 cording to the different Degrees of the Vi- scidity of the Humours, sometime inflam- matory, which Inflammation will sometimes terminate in a Suppuration, or Gangrene. The Regimen and Cure in those Quinsys, which proceed merely from watery, œdematous, and thin catarrhous Hu- mours obstructing the Glands, must be first, to use such warm Liquors as relax gently, soften and moisten these Glands; Secondly, such Medicines as carry off the redundant Serum, by Stools, Sweat, and Urine; or by stimulating, and opening the Emunctories of these Glands to secern the stagnated Hu- mours, which may be obtained by the Ap- plication of Cataplasms, Gargles, Injections with Syringes, and by lessening the Quan- tity of the Lympha with Masticatories, Bli- sters, and smart Purges that will promote watery Stools. The Cure. In a mere watery Tumour, the Diet may be more warm than in inflammatory Kinds; and therefore the moderate Use of Wine of- ten relieves the Patient. But a Difficulty of Breathing and Swallow- ing, proceeding from Schirrosities of the Glands, is not to be cured any other Way than by extirpating the Schirrus, which alone will be a safe Remedy: or the Surgeon must with Prudence endeavour to fix a Cau- stick in the middle of the Tumour, to eat the same out; which is feasible enough when the Seat is near the Jaws. Bb In 386 A GUIDE to HEALTH Part III. In the inflammatory Species of a Quinsy we ought, by all means possible, endeavour to procure a Resolution: First, By large and repeated Bleedings. Secondly, The Belly must be loosened stoutly with either Purges, or purging Glysters frequently injected. Thirdly, By a very thin and slender Diet, such as Whey with Tamarinds boiled in it; Decoctions and Emulsions of farinaceous Vegetables moderately acidulated, and such as abound with a cooling nitrous Salt. Fourth- ly, By Medicines of the nitrous and acid Kind. Fifthly, By soft, warm Vapours con- stantly receiv'd upon the Part, bathing and fomenting the Feet, and Derivations by Bli- sters. When Swallowing is totally abolish'd, the Patient may be nourish'd by nourishing Gly- sters, which is known to have been done for a whole Week, after which the Tumour sup- purated. If the Inflammation ends in a Gangrene, the Case proves generally mortal, except it be only in the Tonsils, Uvula, and Palate, and reach no farther, which Parts may be separated, and the Patient recover. Of a Pleurisy. Diagnostick. A Pleurisy is an Inflammation of the Pleura, being a double Mem- brane which covers all the Cavity of the Breast; tho' that is hardly distinguishable from Ch. III. thro' the various Stages of Life. 387 from an Inflammation of any other Part of the Breast, which are all from the same Cause, a stagnant Blood; for there is no Part of the Internal Integuments of the Chest, which is not capable of being seized there- with, whether it be the Pleura or the Me- diastinum; and therefore the pricking Pain may be felt in any Part of the Breast: But most commonly it attacks the Sides, and this having a Fever join'd with it, is a true Pleurisy; but if such a Pain affects the su- perior intercostal Muscles, it is called a spu- rious Pleurisy. In a true Pleurisy, Bleeding large- ly, and often repeated in the Begin- ning ought to be perform'd, and that by a large Orifice; and the Rule is, to repeat Bleed- ing so often until there appears no longer any Siziness on the Top of the Blood: and at the same time, Fomentations and Leniments may be used externally. For internal Use, Di- luters, Resolvents, Coolers and Lenients that will asswage Pain, are proper; and all such Things should be taken warm, and in great Quantities. The Cure. Sometimes the Part inflamed tends to a Suppuration, which is known by the obsti- nate Violence of the Pain and Fever, &c. and continuing longer than the 4th Day. That an Abscess is form'd may be known by a fre- quent shivering, a Remission of Pain, Short- ness of Breath, and being able only to lie on one Side, which is the Side that is affected. Bb2 When 388 A GUIDE to HEALTH Part III. When the Abscess is broken, the purulent Matter falls into the Cavity of the Chest, and increases by the Discharge from the Ul- cer, which produces an Empyema, of which I shall give an Account hereafter. But some- times the Part affected becomes schirrous, with an Adhesion of the Lungs and Pleura; hence an Asthma and dry Cough, an incura- ble Distemper, unless perhaps there may be some Relief had from much Exercise and Riding. Sometimes a Pleurisy turns to a Gangrene, which causes sudden Death; that a Gangrene is begun, may be known from the Delirium, the livid Colour of the Chest, a sort of bi- lious Spitting, and from a Cessation of Pain. The Prog- nosticks. Hippocrates observes, that if in Beginning of a Pleurisy, within the space of three Days, the Spit- ting is Bloody, it shews that the Distemper will be but short; if the Spitting of Blood comes on later, the Distemper will likely run into a greater Length. He adds, that if Pleuritick Persons do not expectorate, an Ab- scess will be form'd in fourteen Days; and such may be freed from that, if they can fully discharge the Matter by spitting in forty Days from the Time of the Rupture of the Abscess, otherwise they fall into a Consump- tion. In this Distemper the Spitting is to be regard- ed more than the Urine; and a Pleurisy that seems slight in the Beginning, and proceeding so Ch. III. thro' the various Stages of Life. 389 so till the fifth Day, but growing worse the sixth, is commonly mortal. When the Sup- puration is made, or Matter form'd in a Pleurisy, the Side must be open'd to let out the Matter. Of a Peripneumony. A true Peripneumony is an Inflammation of the bron- chial and pulmonary Vessels, or of the whole Body of the Lungs, or of one Lobe only. If the whole Lungs are affected the Case is desperate, and deem'd incurable; because the Circulation must be stopt, and no Blood can flow back into the Heart; the others sometimes admit of a Cure. It is to be treated after the same Manner, and with the same Remedies as a Pleurisy, and most commonly it has the same Event. A true Peripneumony or Inflammation of the Lungs. If the Inflammation be not dis- cussed in fourteen Days Time, an Abscess will be formed; the Signs of which are Shiverings, an Abatement of the Pain, and a low Pulse, Difficulty of Breathing, Thirst, and a slight Fever still remaining in the Evenings, &c. Upon this sometimes a sudden Suffocation happens from an Eruption of the purulent Matter into the Wind-pipe; some- times it is evacuated by spitting it up in great Quantities; or, if the Rupture so happens, it falls into the Cavity of the Chest, from whence proceeds an Empyema, a Phthisis, &c. Prognostick. Bb3 Lastly, 390 A GUIDE to HEALTH Part III. Lastly, the purulent Matter is absorbed by the pulmonary Veins, and is mix'd with the Blood; and by means of the Circulation, is deposited in some one of the Viscera, as the Liver, the Spleen, the Brain, &c. Hence it comes to pass that peripneumonick Abscesses happen about the Ears, Legs, or Hypochon- dria, where if they suddenly disappear, and the Peripneumony returns, the Case is mor- tal. The Type of a spurious Peri- pneumony. A spurious Peripneumony com- monly proceeds from a thick pi- tuitous Matter, generated in the Mass of Blood, which gradually settling itself on the Lungs, forms the Distemper. Old People, and such as are of pituitous, cold, catarrhous Constitutions, and such as are troubled with Defluxions of Rheums, are more subject to this Distemper than others. It creeps on unawares upon People with a fallacious Lenity at first; they are slightly in- disposed, complaining of a sort of Weariness and Debility; they seem to be dispirited; they grow short-breath'd, and feel an Op- pression of the Breast; but as the Disorder is hardly considerable enough to raise any great preternatural Heat or Fever, they are not apprehensive of any Danger: After a while however they are seiz'd with Shiverings and a small Fever, from whence the Difficulty of Breathing and great Weakness increase, and Death approaches, which surprizes the By- standers, Ch. III. thro' the various Stages of Life. 391 standers, the Urine and Pulse having not such a sudden Change. This Distemper is cured by the following Method; first, let the Pa- tient be blooded out of a large Vein; second- ly, a Glyster ought be given every Day, till it appears that the Lungs are eased; thirdly, his Diet ought to be of thin Flesh Broths, Jellies with some Juice of Lemon or Oranges; his Drink also small, of Water and Honey; fourthly, to use diluting, cleansing, and gently opening Apozems, often and in large Quan- tities, bathing the Legs and Feet, and ap- plying many Blisters, The Cure. Of an Empyema. An Empyema is a Collection of purulent Matter in the Cavity of the Thorax most commonly occasion'd by the Rupture of an Abscess, produced by a Pleurisy or Peripneumony: It is known, if for twenty Days after the Beginning of the Inflammation there has been no Expectora- tion; from a dry Cough, a Weight on the Diaphragm *, being able to lie only on one Side; from a fluctuating Noise of the Pus or Matter upon moving the Body, a slow Fever, Redness in the Cheeks, Hollowness of the Eyes, Heat in the Tops of the Fingers, Crook- edness of the Nails, and a Tumor of the Belly. Empyema what. Bb4 As * It is a tranverse Membrane, which separates the Thorax or Chest from the Abdomen or lower Belly. 392 A GUIDE to HEALTH Part III. The Cure. As to what relates to the Cure of an Empyema, when it is once known that there is a Rupture of an Abscess of the Lungs, Pleura, Diaphragm, or the Mediasti- tium †, or Pericardium ‡, endeavours must be used to discharge the Matter by Expec- toration, by the urinary Passages, or by Stool, if Nature offers to do it those Ways; for if purulent Mttter appears in the Urine, let diu- retick Medicines be given; if purulent Stools happen, laxative Purges; if Spitting offers, expectorating Medicines: Some make Issues with Causticks betwixt the Ribs. For inter- nal Use, Balsamicks, Vulneraries, Decoctions of the Woods, Jellies of Hartshorn, and Ground-Ivy, are very much commended. But if all Remedies fail, the Cure must be attempted by an Aperture of the Thorax, with a proper Instrument on the Side affected, between the 4th and 5th, or 5th and 6th Ribs, counting from the lowermost, drawing off the Matter gently and gradually: From the Nature of the Pus, when taken out, and other Circumstances of the Patient, one may deduce a Prognostick of what may likely be the Event. If the Empyema be of a long standing, and the Strength of the Patient exhausted, the Hair of the Head falling off, and there be a colliquative Looseness, the Habit of the Body † Is a Membrane which divides the Lungs and other Vi- scera of the Breast into two Parts. ‡ A Membrane which surrounds the whole Substance of the Heart. Ch. III. thro' the various Stages of Life. 393 Body tabid, &c. the Operation of the Para- centesis will serve only to hasten Death. Of a Paraphrenitis, or an Inflammation of the Diaphragm. A Paraphrenitis is a Disease much like a Pleurisy, wherein the Diaphragm, or at least part of it, is really inflamed; and this is what happens more frequently than is commonly- believed, mistaking it for another Distemper, It is known by a continual Fever, an exqui- site Pain very much increased upon Inspira- tion, by which it is distinguish'd from a Pleu- risy, in which the greateft Pain is in Expira- tion; besides, the Breath is fetch'd deep, quick, and suffocating, and seems only to be performed by the Motion of the Breast; It is likewise attended with a Delirium, Fury, and an involuntary Laughter, and Convul- sions; and altho' the Whole of the Distem- per is known, yet it is generally mortal. This Distemper terminates as Pleurifies and Peripneumonies, but a great deal more fatal; If it suppurates the Pus, it is evacuated into the lower Belly, where it produces Putrefac- tion, and a most miserable and painful Death. The Regimen, if any can be successful, ought to be the same as in Pleurisies, and the Cure likewise. Of an Inflammation of the Stomach. As other Parts of the Body, so may likewise the Stomach he seized The Signs. with 394 A GUIDE to HEALTH Part III. with a true Inflammation: The Symptoms and Effects are a burning, fix'd, and pungent Pain in the Stomach, attended with an acute continual Fever, a great Exacerbation of this Pain the Moment after swallowing any thing, succeeded with Vomiting, a painful Hickup and great Anxiety, unquenchable Thirst, want of Sleep, and a continual Tossing of the Body; these are succeeded with Deliriums, and most times Convulsions, ending in Death. The Causes. The Causes of these Symptoms are those common to all Inflamma- tions in general, a natural Weakness, and perhaps Erosion of the Coats of the Stomach, by acrid Substances taken as Aliment and Medicines. Care must be taken rightly to distinguish between an Inflammation of the Stomach, and that of the Liver: In the for- mer the burning Pain and Heat seem to lie deeper; when the Liver is inflamed the In- flammation is more limited, and the Symp- toms are milder. If this Disease is not speedily cured, it soon proves fatal; for People commonly die of it the third or fourth Day; and sometimes indeed, tho' seldom, it tends to a Suppuration, and the Abscess breaks either into the Cavity of the Stomach or lower Belly and even then they hardly ever escape. Of all Diseases this requires most a total Abstinence from any Thing that has Acrimo- ny in it; even the nitrous cooling Salts, which are Ch. III. thro' the various Stages of Life. 395 are beneficial in other Inflammations, irritate too much in this; likewise Vomits, all Cor- dials of volatile and spicy Substances; spiri- tuous Liquors are no better than Poison, and Milk generally curdles. Aliments must be given frequently, and by Spoonfuls at a time, for any Distension of the Stomach increases the Inflammation. A thin Gruel of Barley, Oatmeal, Whey with very little Sugar, or Honey, or Chicken- broth, are proper Aliments; Whey, emol- lient Decoctions of Barley-water, and Emul- sions, are proper Drinks; and it has been found by Experience, that Chalybeat Waters have been agreeable to the Stomach in this inflammatory State. If there happens an Im- postume, Honey, and even Honey of Roses, taken inwardly, is a good Cleanser, and a De- coction of Comfrey Roots is healing; Speedy and effectual Bleeding, Fomentations, and Glysters have the same good Effect in this as in other inflammatory Distempers, Likewise the same Regimen and Remedies ought to be used in a Schirrus or Cancer of the Stomach; tho' nothing will prove quite effectual. The same Method is to be pursued in the Inflam- mation of the Spleen, Pancreas, and Caul. Of the Inflammation of the Liver. As other Bowels and Parts of the Body are capable of Inflammations, so is the Liver likewise; but as the Hepatical or Liver Ar- tery, and the Vena Portæ, carry the Blood into 396 A GUIDE to HEALTH Part III. into the Liver, the first being very small, and the Motion of the Blood being slow in the last, are the Reasons that Inflammations in the Liver are not so frequent as in some other Parts of the Body; but when they happen they are extremely dangerous, unless they take up but a small Part of the Liver; and such happen more frequently than is thought of. Diagnostick Signs. The best Cautions, both in Diet and Cure, may be taken from the Causes and Symptoms of this Di- stemper, which, besides the general Causes of Inflammations, are extreme Fatness; for Fat dissolved by Heat and Inflammation obstructs the Vessels of the Liver very suddenly; and Cattle fatten'd by good Pasturage, after vio- lent Motion or Running, sometimes die sud- denly, in such the Liver is found to be in- flamed and corrupted. An atrabilarian a- dust Temper of the Blood and Gall, an acri- monious or purulent Matter, stagnating in some other Organ of the Body, is more easily deposited upon the Liver than any other Part, especially if it is attended with the Use of hot and spicy Aliments, spirituous Liquors, great Heat and a Fever; Erosions of the Vessels by the Acrimony or Sharpness of the Gall, or Obstructions by Viscidity; likewise any Callosity, Schirrus, or Stone generated in the Liver; Thirst long endured, being sud- denly chill'd by cold Air, cold Water, or drinking cold Liquors after great Heat; Vo- mits Ch. III. thro' the various Stages of Life. 397 mits given injudiciously, when the Liver is already unsound, which, if they do not re- move the Obstruction, exagitate the Liver too much; inveterate hypochondriacal Diseases; are all Causes which may produce Inflamma- tions of the Liver. In such a Case therefore, the Liver being swell'd, compresses the Stomach, Diaphragm, and all the neighbouring Viscera of the lower Belly, stops the Circulation of the Juices, the Generation and Excretion of the Gall, and all Digestion; produces numberless bad Symp- toms, as the Jaundice, with all the Distem- pers depending upon it; for the Liver re- ceives the refluent Blood almost from all the Parts of the Abdomen or lower Belly, and is the chief Instrument of all the Digestions which are there made. A slow Fever, which is more or less acute; an Inflammation and pungent Pain on the Region of the Liver and Diaphragm; a Tension of the Hypochondres especially on the Right Side; Yellowness of the Skin and Eyes, and a saffron-coloured Urine, are Signs of an inflammatory Disposition of the Liver. This Distemper terminates as other Inflammations, being cured either by Resolution, Concoction, and Ex- cretion of the morbid Matter; or it ends in an Abscess, Schirrus, or Gangrene: When it suppurates, the purulent Matter is discharged sometimes by Stool, sometimes by Urine, sometimes by Expectoration, and sometimes Prognostick. it 398 A GUIDE to HEALTH Part III. it is dischargcd by manual Operation. For when a Tumor rises and grows to the Peri- toneum, and forms there an outward Impos- tume of the Liver, easily discernable, then it is opened with a burning Iron, or with Caus- ticks; afterwards the Wound is widen'd with gentle corrosive and suppurating Applica- tions, untill there is a Penetration made into the very Bag or Vomica, which is in the Body of the Liver; then it is treated as an Ulcer, and cleansing internal Medicines are duely administer'd at the same Time. Indication of Cure. But during the first State of the Disease, that is, before there are any Signs or Suspicion of Impostumation, the Regimen should be cooling, resolving Li- quors taken inwardly, as Whey with Sorrel boil'd in it; outward Fomentations and fre- quent Injection of emollient and diuretick Glysters, Bathing, and Frictions, relax and render the Matter fluid and moveable; Honey, with a little Rhenish Wine or Vinegar, in- wardly taken, is likewise proper; also the Juices and Jellies of some ripe Garden-Fruits are useful, and those of some Plants of a milky Juice, as Dandelion, Endive, and Let- tuce, are Resolvents. Bleeding in the Be- ginning, especially in the Foot, will not be improper. Violent Purges hurt, but gently relaxing the Belly relieves. Diluters, with nitrous Salts, are beneficial, and Tamarinds boil'd in Water or Whey: Bloody Stools, not in a great Degree, or when streak'd with Blood, Ch. III. thro' the various Stages of Life. 399 Blood, ought not to be stop'd, because they help to resolve the Disease; and oftentimes Bleeding at the Nose produces the same good Effect. The Fever attending is often carried off by Urine, therefore diuretick Substances, that are not highly pungent and stimulating, are use- ful in this Case; and Sweating by high Cor- dials ought not to be attempted; but encourag- ing and promoting it with warm diluting Li- quors is proper. The Case is deplorable when the Inflam- mation of the Liver terminates in an Abscess, unless it points and appears outwardly, so that it may be open'd; for if the Matter be eva- cuated into the Lower Belly, it produces woeful Symptoms, as Putrefaction, or an in- curable Bloody-flux, &c. When the Pus or Matter of an Ulcer in the Liver grows thin and ichorous, it corrodes the Vessels, (for the Liver, of all the Bowels, is the most friable, and the easiest crumbled or dis- solved) and it is frequently carried into the Mass of Blood, and rejected by vomiting, with a cadaverous Smell, attended with great Thirst; but if it is carried downwards, it produces a purulent colliquative Looseness: In which Case the constant Use of subacid Decoctions, and other Substances of the acid Kind, relieve the best. If this Distemper happens to produce a Cancer, or Schirrus, as sometimes it does; yet the latter is not absolutely incurable, be- cause 400 A GUIDE to HEALTH Part III. cause it is experimentally known that Grass and fresh Pasturage has cured it in Cattle, and some opening Plants have produced the same Effect sometimes in Mankind, as those of the lactescent or milky Plants already men- tioned, with a great many other Vegetables too tedious to insert in this Place. But it is to be observed, that the Diet re- commended here is likewise necessary in the Jaundice, and all Distempers of the Liver; and also an Abstinence from all such Things as induce Putrefaction, especially salt Fish and Flesh, and above all strong Liquors. Of an Inflammation of the Mesentery. Inflammations and Tumors of the Mesen- tary, (being a Membrane in the Lower Belly to which the Guts are connected, and through which all our Nourishment is convey'd to the Blood,) are frequently the Origin and Foun- dation of many obscure and latent chronical Distempers, which greatly afflict People la- bouring under them, and perplex those who undertake their Cure as well. Diagno- stick. Persons affected with these Disorders complain of Pain about their Back and Loins, sometimes in the Belly about the Navel, with Gripings, yet these Pains are commonly periodical and chronical; and every now and then comes on a small wandering Fever, and the Ch. III. thro' the various Stages of Life. 401 the Pains come and go, having their Remis- sions and Exacerbations. When an Abscess in the Mesentery suppurates and breaks, it causes sometimes remarkable Shiverings and Shakings, which are followed by febrile Heats, and then the purulent Matter is most commonly discharged by Stool. Abscess. The Body in this Case gradually wastes, the Breathing grows more than usually difficult; and every now and then they complain of something that is very troublesome to them, which they cannot well explain: They tell you, that it lies deep in their Belly about the Navel, or below it; they are most commonly very much troubled with Wind. These Tumours oftentimes continue many Years, being turn'd schirrous and strumous. Prognostick. When the Disorders of the Mesen- tery are of a long standing, they are cured as other chronical Diseases, such as chachectick and hypochondriack Affections: Yet they are to be treated with Caution, and gently without any Violence. Externally, Em- plastrum de Cicuta cum Ammoniaco, de Ranis cum Mercurio, &c. are convenient. Inter- nally, Medicines that open Obstructions, such as Millepedes and Preparations of Steel, &c. likewise Remedies against strumous Distem- pers are proper, and opening of the hœmor- rhoidal Veins by Leaches; but rough Purges are hurtful, and Glysters are useful. The Cure. Cc Of 402 A GUIDE to HEALTH Part III. Of the Inflammation of the Guts. The Intestines or Guts, chiefly the small ones, are very often seiz'd with the like acute Inflammation in their Membranes, as the Stomach, from Causes common to all Inflammations carried thither; or from the Matter of acrimonious or sharp Drink, Aliments, high Sauces, Medicines or Poisons reaching those Parts, and detain'd in the Foldings of the Valvules and sticking to them; also from a sharp, putrid and fœtid, purulent, ichorous, gangrenous, bilious Mat- ter, convey'd hither from the Gullet, Stomach, Liver, Spleen, Pancreas, and Caul, which sticks also to them and corrodes them; or lastly, from a Convulsion filling them with Wind. The Cause. Symptoms. The Symptoms are a total Stop- page of the Passage, a vehement fix'd burning Pain, irritated by Things taken in- wardly; when any thing touches the Part af- fected, it excites Vomitings, sharp griping Pains, with Wind in other Parts of the Bowels; and the Consequences of such an Inflammation are the Iliac Passion, or what is vulgarly call'd the Twisting of the Guts, but in fact is either a Circumvolution or In- sertion of one Part of the Gut within the other; an Impostume, Gangrene, Schirrus, Cancer; a very acute Fever, with great Weakness from the Fierceness of the Pain, and a very sudden Death. It Ch. III. thro' the various Stages of Life. 403 It is of the utmost Importance to know what the Causes of Colicks are; for as they are various, so the Remedies in one Case are quite opposite and destructive in the other; for spicy, warm, carminative Things, which are given in Colicks proceeding from a phlegmatick or cold Cause, are Poison in an inflammatory one; but they may be distin- guished by the Fever, high Pulse, Thirst, and high-colour'd Urine attending the In- flammation. As to the Heat, tho' it is like- wise great by the Violence of the Pain, yet the Extremities grow cold; and besides, there is a hidden Prostration of Strength, or Weak- ness, attending this inflammatory Colick more than any other. This Disease requires a speedy Remedy, or none; for otherwise it terminates in an Iliac Passion, and Mortification of the Bowels very soon; therefore plentiful Bleeding, and fo- menting and relaxing the Bowels with emol- lient warm Liquors, both taken inwardly by the Mouth, and by Glyster injected hourly, is the most sovereign Method that can be made use of; yet it has been known, that Acids have relieved in very desperate Cases, as Juice of Lemons taken by the Mouth, and Vinegar and warm Water given in Glysters, have saved the Patient; by Reason of the con- tinual Vomiting, Opiates likewise to quiet the Convulsions are oftentimes necessary; also Warm Fomentations, even of warm Animals applied to the Belly, are extremely useful. Cc2 When 404 A GUIDE to HEALTH Part III. When the Inflammation happens to be in the Lower Guts, it is not so dangerous; and even when it suppurates it will admit of a Cure; for then it can be come at by proper Medicines in the Form of Glysters; and in the latter End of such a Case Chalybeat Wa- ters are very beneficial. If the Patient lives three Days, the Acute- ness of the Pain abates; and if a Shivering or Chilliness affects the Body, it is a Sign of a Suppuration, and in some few Days the Mat- ter flows either into the Cavity of the Belly, producing all the Symptoms which happen in an Impostumation of the Liver, or into the Cavity of the Guts, and causing a purulent Bloody-flux, and often a Consumption, Si- nus's and Fistulas; in which Case Whey and Chalybeat Waters are proper Drinks. The Aliment ought to be of such Substan- ces as generate little or no Excrements, as Broths of Flesh-meat, with Scorzonera, Par- sley, or Fennel boil'd in them: Goat's Whey is likewise excellent in the Case; but fat and oily Substances generally do harm. If the Fever continue with clammy Sweats, Paleness, an ichorous Loosness, fœtid, black, or like the Washings of Flesh, a small inter- mitting Pulse, and at last a Cessation of Pain totally, they are Signs of a Gangrene, and Death at hand. But if none of the foremention'd Signs hap- pen, and that the Fever abates, and the Per- son complains of a Weight, dull Pain, Stop- page Ch. III. thro' the various Stages of Life. 405 page of the Excrements, a Schirrus is form- ing, which increases daily, and may terminate in a Cancer; which Purging, and indeed all Medicines irritate: The Patient in such a Case may protract a miserable Life with an exact thin Diet of Whey, Broths, and such Things as produce no Fæces, or by nourish- ing Glysters. Inflammations of the Kidneys. The Kidneys as well as other Parts of the Body are subject to Inflam- mations: Which may be known from a pungent, burning, inflammatory Pain in the Region of the Kidneys, a Numbness, or dull Pain in the Thigh on the Side affected; likewise Colick, Wind, Vomiting, an acute continual Fever, Urine sometimes totally sup- press'd, often made in small Quantities, high colour'd; and which is worse, sometimes very watry and quite pale without any Sedi- ment. As to the outward Sensation of Heat, the Extremity of Pain oftentimes produces a Coldness in the extreme Parts, which is very consistent with inflammatory Distempers. Diagnostick Signs. This is produced by all the Causes of a general Inflammation directed to the Kidneys; and therefore, whatever ob- structs the Blood in the Extremities of the Arteries of the Kidneys, will produce this Distemper; a Wound, Bruise, Abscess, Swel- ling, Lying often long on the Back, too vio- The Cause. Cc3 lent 406 A GUIDE to HEALTH Part III. lent Motion, especially walking, or hard rid- ing in hot Weather; and whatever obstructs the Passage of the Urine into the Pelvis, Ureter, or Bladder, as a viscid Matter, Gravel or Stone; likewise every thing which forces the gross Parts of the Blood into the urinary Passages, as Heat, hard Riding, Straining, too great Fullness of Blood, and especially sharp and forcing Di- ureticks; and lastly, a convulsive and invo- luntary Contraction of the small Vessels of the Kidneys, if long continued. Coffee-colour'd Urine is not a dangerous Sign; for it proceeds from the Mixture of a small Portion of Blood with the Urine, and oftentimes it prognosticates a Resolution of the obstructed Matter, and the Expulsion of Gravel, or a Stone after great Pain; but pale Urine is a Symptom which portends the Di- stemper to be more lasting and dangerous. The Cure is to be perform'd by plentiful and repeated Bleeding, avoiding carefully at the same time all stimulating Diureticks, which in this State would increase the Dis- ease: Afterwards the Expulsion of the ob- structing Matter is to be promoted by emol- lient and soft Liquors plentifully drank, and by Glysters of the same kind frequently inject- ed; by Bathing and outward Fomentations, by opiate and anodyne Substances, which both ease and relax the Fibres; and those soft Liquors should be drank plentifully not- withstanding the frequent Vomitings; for Vomiting is an Effort of Nature in order to pro- Ch. III. thro' the various Stages of Life. 407 promote the Expulsion of the Gravel, Stone, or any other obstructing Cause. Therefore Whey, and in a great feverish Heat, Butter-milk; likewise Emulsions of Barley and Poppy Seeds, Honey in Whey and Water, are all very proper Liquors for this In- tention; also a moist and soft Diet, Rest, and keeping out of a warm Feather-bed, and par- ticularly avoiding lying upon the Back. If the Pains or Convulsions be very urgent, without waiting for the Effects of other Re- medies, Opiates with due Caution ought to be given; but when the Gravel, Stone, or any other obstructing Cause is separated from the Kidneys, soft express'd Oils, and oily Substances relax the Passages; and if the Pain proceeds only from Gravel, or a Stone, then oily Substances may be safely join'd with sti- mulating Substances, as with Juice of Lemon, Juniper-Water, and some diuretick Syrup, as that of Marsh-mallow, &c. In this Case the Jolting in a Coach, and such-like Motion may be used with Advantage. If the Pain is protracted beyond se- ven Days, an Abatement of the Pain, its changing into a Beating or Throb- bing, often-returning Shiverings, a Heaviness or Numbness of the Part, are Signs that Matter is a forming, which when made will appear in the Urine; in which Case, soft and balsamick Substances are the most beneficial; for if the Matter remains long, the Case is in- curable. Progno- sticks. Cc4 Some- 408 A GUIDE to HEALTH Part III. Sometimes it happens to terminate in a Fistula, with which the Person may live many Years in no great Uneasiness. All Bal- samicks are good in Ulcerations of the Kid- neys: Likewise Butter-milk not quite sour has been deem'd a Secret in the Cure of Ulcers of the Kidneys, and Steel-waters have proved very beneficial to some; Spruce-beer is also a good Balsamick in such a Case; and soft Malt Liquors are preferable to Wines. Inflammations of the Kidneys terminate sometimes in a Schirrus, or large Stone. But a sudden Remission of the Pain, with cold Sweats, a weak and intermitting Pulse, Hick- up, no Urine, or in very small Quantity, black and fœtid, are sure Signs of a Mortifica- tion and ensuing Death. Regimen. The Regimen of those who are subject to nephritick Disorders may be in some measure collected from what has been above-mention'd; and such ought to be ex- tremely careful of the Choice of their Li- quors; for sharp Wines which abound with Tartar, are very hurtful; soft Malt Liquors, not stale, are certainly much better to be made use of, and some of the softest diure- tick Substances often mention'd already; and to avoid acrimonious Things in their Food, use moderate Exercise, and not lie too hot, soft; nor much upon the Back. Of Ch. III. thro' the various Stages of Life. 409 Of an Apoplexy. This Distemper is a sudden Sus- pension of all the Senses, both ex- ternal and internal, and a Privation of all voluntary Motion, by the Stoppage of the Flux or Reflux of the animal Spirits through the Nerves destin'd for those Motions, com- monly attended with a strong Pulse, and dif- ficult Breathing, with Snoaring, together with an Appearance of a deep and continual Sleep. Definition. The most common Causes of A- poplexies are a particular Conforma- tion of the Body, as a short Neck; for there are some Persons who have fewer Vertebræ in their Necks than others; polypous Concre- tions of the Blood, an inflammatory Spissi- tude of it, a thick, glutinous, or pituitous Blood, and a dull Inactivity of the whole Mass; a gross, plethorick, fat, or phlegma- tick Constitntion; whatever hinders the Mo- tion of the Blood thro' the Arteries of the Brain, as Tumours arising within the Cra- nium, or Polypus's, especially about the Heart, attended most commonly with an unequal Pulse, a Vertigo, and sometimes a momentary Loss of the Eye-sight; old Age, attended with a glutinous, cold, catarrhous, leucophlegmatick Constitution; for in suck the Forerunners of an Apoplexy are, Dulness, Inactivity, Drowsiness, Sleepiness, Slowness The Causes. of 410 A GUIDE to HEALTH Part III. of Speech, and giving Answers, Vertigoes, Tremblings, Oppressions in Sleeping, Night- Mares, Weakness, Wateryness, and Turgi- dity of the Eyes, a great Fulness of Blood, with its Velocity increased by Heat and vio- lent Motion, a high Diet, and Spirituous Li- quors, a partial and imperfect Circulation of the Blood towards the lower Parts; the Effusion and Pressure of any Serosity, or Blood upon the Ventricles of the Brain, which is the most common and immediate Cause of Apoplexy; violent Passions and Affections of the Mind. The immediate Fore- runners of an Apoplexy are most commonly a Vertigo, Staggering, Loss of Memory, Stu- por, Sleepiness, a Noise in the Ears, and a deep and laborious Breathing. To these may be added, Extravasations of the Blood or Serum from Contusions or Concussions, oc- casion'd by external Violence, and an innu- merable other latent Causes. The Division of Apoplexies into sanguine- ous and pituitous is of Use, but then it is not an exact and perfect Division; because there are other Kinds, viz. serous, atrabilarious, and polypous Apoplexies, &c. Prognosticks. A slight Fit of an Apoplexy is carried off by a plentiful, warm, and equable Sweat, a great Discharge of thick Urine, a Flux of the Piles, or of the Men- ses, by a Looseness, or a great Fever coming upon it. If the Apoplexy be more severe, it usually terminates in a paralytick Disorder of Ch. III. thro' the various Stages of Life. 411 of some Part of the Body, or of all one Side, which is called a Hemiplegia; or sometimes of all the Body below the Head, which is called Paraplegia, and is seldom curable, but al- ways leaves behind it a great Defect of Me- mory, Judgment and Motion. An exquisite Apoplexy soon carries off the Patient; it is seldom known that they live beyond the se- venth Day. The Cure is to be varied ac- cording to the Difference of the Causes; for if occasion'd by a cold phlegmatick Cause, we ought immediately to endeavour that the Pressure of the glutinous Siziness may be diverted from the Head, by Derivation into other and opposite Parts, and universal Evacuations: for this Intention, Blisters, Causticks, Frictions, Ligatures, Anti- phlegmaticks, sneezing Medicines, and all sharp and stimulating ones are to be used, as Emeticks, strong Purges, and sharp purging Glysters. Yet in the Use of all these the Mischief is oftentimes increased, the Matter being there- by more violently moved and afterwards fix'd, and the Strength sinking under the Evacua- tions; therefore in endeavouring a Resolu- tion, we ought to insist upon Evacuations and Revulsions, as much as the Case will bear; whence the Rule of Hippocrates, Bleeding except it relieves, kills; and Celsus says, that it kills or cures. But if the Apoplexy pro- ceeds from a hot Cause, and that the Dis- The Cure va- rious. temper 412 A GUIDE to HEALTH Part III. temper seems inflammatory, then presently take a large Quantity of Blood out of the Jugular Veins, and repeat it as often as there is Occasion; by which, if the Distemper is curable, some Relief will arise. A Loose- ness is by all means to be promoted, and we are to give Diluters, Attenuants and Diure- ticks at the same time, keeping the Patient as much as we can out of Bed, especially from lying down. As the Applications in the Fit are of a medicinal Kind, it being too acute a Disease to admit of any Helps from Diet, yet that may be of great Use for Prevention; there- fore a thin, slender, cool, and regular Diet, opposite to the particular Symptoms above- mention'd, will be useful; so that the Regi- men is to be varied according to the Cause of the Disease, which may be collected from the Constitution of the Patient in these Apo- plexies, which depend upon a sanguineous Cause; the Regimen prescrib'd in a sangui- neous Constitution, in Part II. of this Trea- tise is proper. Fat and phlegmatick People, who are very subject to this Distemper, ought to give Attention to the Rules set down in the same Place, in their Case; and as there are Apoplexies from inveterate Gouts, the Re- gimen of such must be different from both, as I shall explain hereafter in treating of the Gout, the Intention being to translate the Gouty Matter upon the Extremities of the Body: and all those who have a Disposition to Ch. III. thro' the various Stages of Life. 413 to this Distemper, ought never to go to Bed with a full Stomach, nor to lie with their Head low. CHAP IV. Of Chronical Distempers. Of a Palsy. A Palsy is a Resolution or Relaxa- tion of the nervous Parts from their natural Tone, by which means their Motion and Sense, either one, or both, all over the Body, or in some particular Part or Parts, are impair'd, so as to be unable to exert their natural Functions. Definition. The best Rules of Diet in this Disease are taken from the Know- ledge of its Causes; for whatever stops either the Flux of the Spirits, or that of the Blood to any Part, induces a Palsy, for both are necessary for Sensation and Motion; such are all the Causes of an Apoplexy, an Epilepsy, extreme and lasting Pains, the Suppression of usual Evacuations, either natural or mor- bid, Translations of diseased Matter in acute Distempers, whatever distends, distorts, com- presses, or contracts the Nerves; strong and The Causes. strait 414 A GUIDE to HEALTH Part III. strait Ligatures, Luxations, Fractures, any Inflammation in the Integument, or mem- branaceous Sheath of a Nerve, especially in the Plexus, where they are tied together; likewise serous Defluxions, Excess in astrin- gent Aliment, chiefly unripe Fruits, drink- ing too much warm Water, is weakening and relaxing; also Excess in Tea or Coffee; extreme Heat or Cold, poisonous Fumes of Arsenick or Mercury. This Distemper is more or less dangerous according to the Cause, or the Extent and Seat of the Disease; for when the original of it is in the Brain, it is most dangerous; when it seizes the Heart or Organs of Breathing, it is fatal; because Life cannot be continued a Moment without the Use of those Parts. Difficult to cure. A Palsy succeeding an Apoplexy, Convulsions, the Colick, and other Affections of the Brain or nervous System, if it does not grow better in a little time, or give Way to Medicines, it commonly remains incurable. Regimen. The Regimen in this Distemper should be warm, attenuating, con- sisting of spicy and cephalick Vegetables, such as produce a feverish Heat; because such are necessary to resolve the Viscosity of the Fluids. Of such as consist likewise of an acrid, volatile Salt and Oil, as Mustard, Horse-Radish, &c. stimulating by Vomits, sneezing, relaxing the Belly by purging, and diluting strongly at the same time, promoting Sweat 415 thro' the various Stages of Life. Ch. IV. Sweat by such Motions as can be used, or other Means, and strong Frictions are here very useful; but Bleeding is to be used or omitted according to the Symptoms which affect the Brain: It relieves indeed, in any inflammatory Disposition of the Coat of a Nerve, yet it is not convenient in general for all Persons; for some Paralyticks are cold, and others of a hot Constitution; therefore Remedies ought to be of a different Kind, as is usual in the Scurvy itself. The most noted Medicines in this Case, are of Vipers, Amber, Earth-worms, Wood- lice, Emets, Antimonials, Mercurials, Steel Preparations, the Antiscorbutick Juices, with compound Horse-radish Water, and Juice of Oranges, Gum Guaiacum, Tincture of Amber, Spirit of Hartshorn with Amber, Bezoar Mineral, &c. And externally, Fo- mentations, Liniments, Cupping-glasses, Bli- sters, nettling the Members affected; also putting the relax'd Part into Grains, after the Wort is drawn off, or into the Belly of a Beast newly killed; or lastly, an artificial or natural Bath, as that in Somersetshire; like- wise Issues and Setons are proper in this Case. Of an Hemiplegia and a Paraplegia. A Hemiplegia is when only half of the Head, and of the rest of the Body on that Side is affected, after the manner of an Apo- plexy. A 416 A GUIDE to HEALTH Part III. A Paraplegia or Paraplexia, is, when the whole Body, except the Head, is affected by reason of the Spinal Marrow's being ob- structed; and more commonly this and a Hemiplegia are secondary Distempers, tho' sometimes they are primary; Sense and Mo- tion, or both, are either entirely lost, or much impaired. When either of those Distempers imme- diately follow an Apoplexy, Epilepsy, and o- ther Diseases, they are commonly called Pal- sies; but a Palsy is a different Distemper, as plainly appears by what has been said of it already. The Cure. Vomiting and purging are proper in all Paraplegia's, to cleanse the first Passages; and Bleeding is necessary in plethorick Bodies. In the next Place Sudo- risicks are very useful, mix'd with Specificks; a Decoction of Sassafras with Rosemary and Juniper-Berries is very proper; and for the rest of the internal Medicines for the Cure of these two Distempers, use those directed in an Apoplexy and Palsy. A Fomentation made with a Decoction of Emets and their Hillocks in common Water, used every Day to paralytick Limbs, often proves very bene- ficial, and sometimes procures present Re- lief, by restoring the Parts to their natural Strength. Of 417 thro' the various Stages of Life. Ch. IV. Of the Epilepsy or Falling-sickness. An Epilepsy is a Convulsion or convulsive Motion of the whole Body, or of some of its Parts, with the Loss of both internal and external Senses, attended with violent Concussions and reciprocal invo- luntary Motions of all or some of the Muscles, with alternate Rest, and new Insults thereof. It is called the Falling-sickness, because the Persons affected with it fall suddenly upon the Ground. The Definition. The Causes of this Distemper are various; sometimes an hereditary or Family Disposition from Parents; a sudden Fright of the Mother when with Child of the Patient; an ill Affection of the Brain by Wounds, Bruises, Blows, or Con- tusions; Abscesses, acrimonious Serum, bony Excrescencies of the Inside of the Skull, its pressing down upon the Brain; Inflammation, Corruption, or Corrosion of the Meninges or Membranes of the Brain; Repletion or Ful- ness, Heat, Drunkenness, intense Study, Ter- ror; all violent Affections and Irritations of the Nerves in any Part of the Body; especially by acrimonious Things in the Stomach or Bowels, by Worms, by Teething, and Aci- dity in the Stomach in Infants; by some Contagion or purulent Matter after acute Diseases; likewise by Suppression of usual Evacuations, as the Menses, Piles, and Urine, &c. also by hysterical Affections contracted The Causes various. Dd by 418 A GUIDE to HEALTH Part III. by Accidents in Lying-in; and often by too great Inanition or Weakness, occasioned by want of due Nourishment; by Fragments or Splinters of Bones, or sharp Instruments hurting the Meninges or Brain, or Quicksilver carried thither any how; by the Caries of a Bone, black Choler, or venereal Ulcers cor- rupting or corroding the Meninges or any Part of the Brain. Hence it is evident, that different Medi- cines and different Indications are requisite to cure this Disease, according to the known Variety of the Cause, the peccant Matter, and the Place to which the Remedy ought to be applied, and by which the Evil is to be eradicated: Hence likewise is sufficiently ex- posed the Vanity of the celebrated Specificks and Methods, which boasting idle People do brag of in this Disease. And it is also evident, that the proximate Cause of all true Epilepsies is always the too great Action of the Brain upon the Nerves serving for Motion, and the Privation of that in the Nerves dedicated to Sensation; and that the Causes which create the reciprocal Paroxysms are many in Number and Va- riety. The Cure. The Intentions in the Cure of this Disease must be different, ac- cording to the Cause, as I have just now ob- served: Bleeding and plentiful Evacuations, when there is a Plethora or inflammatory Dis- position in the Brain, are necessary; and Ali- ments Ch. IV. thro' the various Stages of Life. 419 ments that are without Acrimony, demulcent, avoiding every thing which stimulates, and taking such Things as are opposite to the par- ticular Acrimony that causes the Distemper; relaxing the Belly without irritating. In acute and periodical Pains to take anodyne Sub- stances; but if the Disease be the Conser quence of an hysterical Disposition, a warmer Regimen is necessary, in which Case anti- hysterick Medicines are proper. If the Cause is in the Stomach, generally Anti-acids re- lieve; if they are not flatulent or windy, se- veral have been cured by a Milk Diet; but in Case of Acidity in the Stomach it will do Harm. When the irritating Cause is in some outward Part of the Body, it is proper to e- radicate it by Suppuration; if it proceeds from Gnawings and Irritations of Worms, Teeth, sharp Humours turning Milk sour and curdled like Cheese, or any other Acid in Infants, Diacodium or Diascordium given them unseasonably, or the Contagion of the Small-pox in the first State: Hence the tes- taceous Powders, Anodynes, Paregoricks, An- tihystericks, all Medicines against Worms, and a seasonable Cutting of the Gums, and car- rying off the acrimonious Matter from the Bowels by gentle Purges; then all these, I say, become, by their Operation, Anti-epilep- tick Medicines. But if the Cause proceeds from a Stoppage of the usual Evacuations, as the Menses, Cleansings in Women, the Piles, or Urine, &c. Dd2 it 420 A GUIDE to HEALTH Part III. it may be remedied by dissolving the viscid Matter, and opening the Obstructions: In this Case Blisters, Issues made with Causticks, Steel Preparations, forcing Medicines, such as provoke the Menses and open the Piles, and Diureticks are all proper. An Epilepsy from Inanition or Weakness may be cured by a nourishing Diet, easy of Digestion, and a proper Use of nervine Me- dines; and the following are reckon'd amongst the anti-epileptick Specificks; Native Cinna- bar, Wild Valerian, Male Piony Roots and Seeds, Flowers of Lilies of the Vallies, Seeds of Rue, Misletoe of the Oak, Castor, Cam- phire, Rosemary, Earth-worms prepared, the Gum and Wood of Guaiacum, the Salt and Oil of Amber, Peacocks Dung, with a great many more too tedious to enumerate in this Place. Epilepticks ought to breath in a pure Air, untainted with any Steams, even such as are very fragrant; and their Diet should be nou- rishing, of easy Digestion, avoiding Hogs Flesh, Water Fowls, and all Vegetables that are pungent, windy, and, generally speaking, all Fruits, especially Nuts; they should use but little Wine, and none if they have not been accustomed to it; they ought not to turn round nor stand on Precipices, to keep regular Hours for Eating and Sleeping, for every unusual Thing is a Stimulus: But of all Things, the most necessary is to avoid the Occa- 421 thro' the various Stages of Life. Ch. IV. Occasions of violent Passions of the Mind, and keeping themselves chearful. Of Melancholy Madness. That Disease is called by Physicians a Me- lancholy, under which the Patient labours long, and is obstinately delirious without a Fever, and always intent upon one and the same Thought. This Disease arises from that Malignity in the Blood and Humours, which the Ancients have called Black Choler; and tho' this Dis- ease begins in the Mind, yet it renders the Choler black in the Body very soon. It will be therefore necessary to give a small Sketch of this wonderful Disease, the Doc- trine of which is supposed to be so obscure, that Antiquity is unjustly blamed for it. If the most fluid Parts of all the Blood be dissipated, and leave the less moveable united in the Body, then will the Blood become thick, black, fat, and earthy; and this Defect is called by the Name of an atrabilarian Humour, or melancholy Juice. The Cause whereof is whatever expels the most fluid Parts of the Blood, and fixes the rest: A violent Exercise of the Mind; the dwelling Night and Day upon one and the same Object; a constant Wakefulness; great Motions of the Mind, whether Joy or Sorrow; great and laborious Motions of the Body, often repeated, chiefly in a very hot and dry Air; to these may be The Causes. Dd3 refer'd 422 A GUIDE to HEALTH Part III. refer'd immoderate Venery; rough, hard, dry, earthy Aliments, long used without Motion or Exercise of the Body to digest them; the like Drink; Parts of Animals dried in Smoak, Air, or Salt, chiefly of old and tough ones; unripe Fruits, and mealy and unfermented Substances; astringent coa- gulating, sticking, and cooling Medicines, and slow Poisons of the same Nature; hot Fevers hanging about long, often returning without a good Crisis, and going off without the Help of diluting Means. When this Evil, already bred in the Blood, and produced by the abovementioned Causes, does yet infect equally all the circulating Mass of Humours, it will produce some Diseases, which will appear immediately, and are most- ly as follow: The Colour of the Patient in- ternally and externally is first paler, yellower, and more tawny; livid, black with like Spots; the Pulse flower; the Circulation through the Blood-vessels free, more sparing through the Side-vessels and less free; hence a slower, less, and thicker Separation of all the secretory and excretory Humours, and a less Wasting of them; a lessen'd Appetite; a Leanness, Sorrowfulness, Love of Solitude, all the Affections of the Mind violent and lasting; an Indifferency to all other Matters; a Laziness as to Motion, and yet a very great and earnest Application to any Sort of Study or Labour. Its Ch. IV. thro' the various Stages of Life. 423 Its Matter therefore is the Earth and thick Oil of the Blood united and closed up toge- ther, which is worse in its Effects, and more difficult to cure, according to its Degrees of Fluidity, Softness, Dryness, Thickness, inti- mate Mixture, and Time of being so. Hence the Diagnosticks and Prognosticks are plain enough, and the Rationality of the Cure does also occur easy enough from these Principles. Thus far I have transcribed the learned Boer- haave's Sentiments of this Distemper. The atrahilarian Constitution, or a black, viscous pitchy Consistence of the Fluids, which most frequently produces this Disease, makes all the Secretions difficult and sparing; the Intention therefore ought to be to render the Humours fluid, moveable, and carry them out of the Body, especially the Bile, which is viscous; but Sudorificks are not here so pro- per, because they thicken. Therefore the Diet prescrib'd, Chap. VIII. Part II. in an atrabilarian Constitution, is very proper in this Case, to which I refer the Reader. The learned Author just now mentioned relates an Instance of a Patient, who, by a long Use of Whey, Water, and ripe Garden- Fruits, evacuated a great Quantity of black Matter, or Choler, and recover'd entirely his Senses. Cold Bathing, and especially a sud- den Immersion into the Sea, has produced very good Effects by acting upon the Nerves and Spirits. Dd4 Madness 424 A Guide to Health Part III. Madness proceeding from a Plethora, or too great Fulness in young, strong, hale Peo- ple of a hot Constitution, is cured by plenti- ful Bleeding, Purging, Vomiting, and other Evacuations, with Diluters; and the Weak- ness which succeeds Madness requires a more refreshing and warm Diet, and especially the Use of Chalybeat or Steel Waters. If this Distemper continues long, it pro- duces Foolishness, Epilepsies, Apoplexies, fu- rious Madness, Convulsions, Blindness, won- derful Fancies; for some will imagine them- selves to be Beasts, or to be earthen Vessels, or they will fancy themselves dead; others will crow like a Cock, believing themselves to be such a Creature; others laugh, sing, cry, sigh, groan and belch; others obstinate- ly refuse to eat any Victuals, as believing they are actually dead; some think themselves Kings, Prophets; others a Grain of Wheat, Grass, or Wax: Sometimes they have great Evacuations of Urine, clear like fair Water; at other times very thick; a Retention, mulation, and often a sudden Excretion of bloody Fæces in the Vessels of the abdominal Viscera or Belly; an obstinate Costiveness, with a thin and frequent Spitting, and they can endure to be without Sleep, Aliment, or Fire, even to a Wonder. This Distemper grows worse upon taking Medicines that weaken and evacuate roughly, or such as put the Fluids into a violent Mo- tion; therefore the curative Indications will be Ch. IV. thro' the various Stages of Life. 425 be to bring the Fluids of the Brain and Nerves into a good Order; by withdrawing, first, the Mind from the usual Object to others contrary to the same, and raising art- fully, if possible, another Passion of the Mind, contrary to the melancholy one; by siding sometimes with them in their false and de- prav'd Fancies, or often opposing the same with great Force. Secondly, By opening, softening, inciding, and stimulating the Obstructions, or the Cause, or the EfFects of a false Imagination, with Mineral Waters, Whey, Water and Honey, Splanchnick, Hepatick, or Anti-hypo- chondriack Medicines and Decoctions; like- wise Waters made with the Addition of lixi~ vious or compound Salts, especially Nitre; also loosening Mercurials, Vomits, Motions, Exercise, and Riding; and Medicines which cleanse and purge the Womb, or the Piles, Bathings, Ointments and Plasters, and easing the Symptoms by Bleeding, plunging into cold Water, and using Carminatives and Opi- ates sometimes. Of Madness from the Bite of a Mad Dog, or any other Creature, called Hydrophobia. The Fury or Madness mostly proceeding from the Bite of Mad-Dogs is call'd Dog- Madness; and from that terrible Symptom of dreading Water, an Hydrophobia. It 426 A GUIDE to HEALTH Part III. It almost ever arises from other Animals, which were first mad, and that by Contagion; tho' also sometimes of its own accord in some acute Fevers, as has been observed, and is well attested. Almost all sorts of Animals may be affected with this Evil, and by their Contagion infect others, and even Men. Dogs, Cats, Wolves, Foxes, Horses, Asses, Mules, Oxen, Sows, Monkies, Turkey-cocks, and Men, all these being first mad themselves, have communicated the same Madness to others; but it is common to none so fre- quently as to Dogs, Wolves and Foxes, and it invades these chiefly from inward Causes, without catching it from any others. A hot Country, open and exposed to vio- lent Heats, or to very cold raw Weather; hot and dry Weather long continued; the living upon rotten, stinking and worm-eaten Meat; Want of Drink; Worms grown in the Kidneys, Guts, Brain, or the Inside of the Nostrils; all these are preceding Causes of Madness in Animals just now mentioned. The Symptoms of a Person infected with this Poison, after different Distances of Time, are much in the following Manner: The Place where he was bit pains him; then fol- low wandering uncertain Pains in other, but chiefly the nearest Parts; a Weariness, Hea- viness, and Slowness succeed in the whole System of the Muscles; his Sleeps are disturb- ed, uneasy, all with Frights, Convulsions and Catchings in the Tendons; he is continually restless, Ch. IV. thro' the various Stages of Life. 427 restless, sighs, looks dejected, and affects to be alone; and it is much after this Manner that this Disease begins and finishes its first Stage. Then all the foregoing Symptoms are in- creased, and there follows besides a prodigious Narrowness and Pressure about the Heart and Chest, Breathing is difficult, and accompanied with Sighs; he frequently shakes all over; his Hair stands an end, and trembles all over at the Sight of Water, or any sort of Liquors, or even at the Sight of transparent Things, or reflecting like Looking-Glasses; he loses his Appetite entirely, yet he can swallow any thing that is very dry and solid: The Touch of any Moisture, chiefly with his Lips or Tongue, creates an incredible Anguish, Tremors, vio- lent Convulsions, and a Raving; he vomits tawny glewish Choler, or green, like Leeks; he grows very hot, feverish, sleepless; is trou- bled with a Priapism; and he thinks disor- derly of Things quite foreign and unusual. Thus it goes on, and here ends its Second Stage. But afterwards every thing grows constant- ly worse; for he soon lolls out his rough and dry Tongue, gapes wide, speaks hoarse, has a great Drought, grows raving and fu- rious at every Attempt to drink, and at the Sight or Touch of all Drinkables and Liquors; he gathers Froth in and about his Mouth, endeavouring the spitting of the same upon the By-standers, and that even against his Will; bites and snaps at every thing within his 428 A GUIDE to HEALTH Part III. his Reach, and that likewise involuntarily, nor yet to be witheld from those; he gnashes his Teeth with Froth, snarling like a Dog; his Pulse and Breathing begin to fail, cold Sweats break out on all Sides; he raves in the highest Degree, notwithstanding which he is all the while sensible, and is afraid that he shall unwillingly hurt the By-standers. Hence you may always reckon upon his dying (within the fourth Day from the first State of his Illness, convulsed with a most terrible Anguish upon drawing his Breath. As Brevity, and the want of Leisure and Room at present, oblige me to proceed to the Method of Cure without any farther Disqui- sition about the Nature of this dreadful Con- tagion, I present the Reader with the follow- ing short, easy, and in all Probability the most infallible Method hitherto discover'd. A French Physician of the University of Bourdeaux, and a Gentleman of Note and great Merit in his Profession, has publish'd a Treatise * some few Years ago, in which there is a Dissertation on the Hydrophobia, wherein he candidly communicates a very rational Method of curing this terrible Con- tagion, after a new and easy manner, of which he has made several Trials, and always with the desir'd Success, as may be seen in his own Treatise at large; therefore as this Remedy * Dr. Desault's Treatise translated from the French, by John Andree, M. D. and printed for John Clarke, under the Royal-Exchange, Cornhill, 1738. Ch. IV. thro' the various Stages of Life. 429 Remedy he proposes (in all human Probabi- lity,) may prove successful and certain, (at least it bids the fairest of any hitherto known in the Art of Physick for that desirable End) I thought proper and necessary to communi- cate the same to my Readers, in order to impart it to all their Friends and Acquaint- ance. The Remedy consists of a Powder called Palmarius's Powder, and an Ointment made in the following manner. The Powder. Take of the Leaves of Rue, Vervain, Sage of Virtue, Plantane, Polypody, common Wormwood, Mint, Baum, Betony, St. John's Wort, lesser Cen- taury and Coraline, of each equal Parts; mix them, and reduce them to a Powder. The Ointment. Take one third Part of Mercury reviv'd from Cinnabar, one third Part of hu- man Fat, and as much of Hog's Lard, mix all very well till all the mercurial Globules disappear. Here I give you the Author's Method in administering the Powder and Ointment in his own Words. 'I 430 A GUIDE to HEALTH Part III. 'I order one Dram of the Powder (says he) 'in White-Wine every Morning; and 'Persons of the fair Sex, who cannot bear 'Wine, take it in a Draught of warm Wa- 'ter. 'In this Method I continue 30 Days with 'those who have been bit in an uncover'd 'Place, or have receiv'd some considerable 'Wound by the Bite; but to those who have 'been bit in a Place that was cover'd, and 'had only a few Holes made with the Teeth, 'I give the Powder only 20 Days. 'From the first Day of using the Powder, 'I make them administer a Friction of one 'or two Drams of the Ointment upon the 'Wound and neighbouring Part, and spread 'the Ointment all over the Part that was 'wounded. 'The Friction is repeated every other Day 'in the beginning, and after the third time, 'every third Day; after the 6th, every 4th, 'till two or three Ounces of the Ointment 'have been used; the Quantity of which 'ought to be proportion'd to the Strength, 'Age, Temperament, Sex, the Bite, &c. 'But when the Patient comes to me seve- 'ral Days after the Bite, for fear of Acci- 'dent, and to prevent the Rabies or Mad- 'ness, I order to make the Frictions every 'Day to four or five times, and increase the 'Dose of the Powder sometimes to half a 'Dram; afterwards I leave a Day or two be- 'tween to avoid a Salivation, which might 'ensue Ch. IV. thro' the various Stages of Life. 431 'ensue from the daily use of the Ointment, 'altho' but a particular Friction. 'In the last Place, I let him keep his 'usual Meals, forbidding him all Excess; for 'Experience proves, that they increase all 'other contagious Distempers. I let him 'drink Wine with moderation: I take Care 'that they be not left alone, and desire their 'Relations and Friends to keep them Com- 'pany, forbidding them to mention Madness 'to them, or mad Creatures. A more circumstantial Account of this Method may be seen in the Author's own Observations, to which I refer the Reader; but here I cannot omit observing, that if 20 or 30 Grains of native Cinnabar were added to every Dose of the Powder, the Cure might be thereby perform'd with much greater Certainty. As for his directing to make the Ointment with human Fat, &c. it is need- less; for the common strong salivating Oint- ment, which is always ready prepar'd in the Shops, is every bit as good, if not better. The Experiments of the ingenious Dr. James seem to confirm the Efficacy of the above Method, at leasst that of Mercury, in curing the Bite of a mad Dog; wherefore I beg leave to transcribe Part of the Conclusion to his New Method of preventing and curing the Madness caused by the Bite of a mad Dog, laid before the Royal-Society, 1741. 'Firft I would (says he) rub into the 'Place wounded as soon as possible, a Dram 'of 432 A GUIDE to HEALTH Part III. 'of the Ointment recommended by Desault. 'I would then give Turpeth Mineral by 'Way of Vomit, in a Dose proportion'd to 'the Age and Constitution of the Patient; 'and this I would repeat more than once, at 'Intervals, which would secure it from rais- 'ing a Salivation, always remembring to rub 'the Wound once in a Day, or oftener, with 'the Mercurial Ointment. 'But when thro' Neglect, any Symptoms 'of approaching Madness should appear, I 'would increase the Quantity of Mercurial 'Ointment, and give Mercury in some Form. 'or other internally, in as large Doses, and 'those as often repeated as could be done, 'without hazarding the Patient by a Saliva- 'tion too precipitate. 'In both Cases I would recommend the 'Cold-Bath, as a Thing of great Conse- 'quence, as soon as ever the Patient can 'make Use of it without Danger; but in 'this Case, as in all others, many accidental 'Circumstances will occur, for which it is 'impossible to lay down universal Rules; it 'must therefore be left to the Prudence of a 'Physician to guard against, and remedy In- 'conveniencies arising from particular Acci- 'dents. Of the Scurvy. It is impossible to define this Distemper by Words, containing any simple or distinct Idea; for it is rather a Name used to signify a Ch. IV. thro' the various Stages of Life. 433 a Multitude of Symptoms, different and sometimes opposite in their Causes and Cures. It is a Disease affecting the Inha- bitants of cold Countries, and a- mong those, such of them as inhabit marshy, fat, low, moist Soils, near stagnating Wa- ters, fresh or Salt; and it invades chiefly in the Winter Season, such as lead a sedentary Life, or live upon salted and smoaked Flesh and Fish, or Quantities of unfermented mealy Vegetables, and drink bad Water; and likewise such as are Hysterical or Hypochon- driacal, and sometimes such as have taken. great Quantities of the Bark, without pro- per Evacuations; so that from these Causes the best Rules for Prevention may be taken. The Cause. The Symptoms of this Distemper are a spontaneous Lassitude or Sensation of Weari- ness, being unrefreshed by Sleep, laborious Breathing upon small Motion, cold Swellings in the Legs, going off and returning; some- times Paleness, or a livid Colour in the Face, Spots on the Skin of various Colours, as red, violet-colour'd, yellow, or livid; oftentimes an ill Smell in the Mouth, and of the Breath, painful and bleeding Corrosions of the Gums, and by these Means the Teeth grow bare and loose; Fluxes of all Sorts, untractable Ul- cers, especially in the Legs, with a gangre- nous Appearance in the Skin; the Itch, dry and crusty Eruptions, and sometimes a small Degree of Leprosy; the Blood when taken away is black, grumous, and the red Part Ee without 434 A GUIDE to HEALTH Part III. without a due Consistence; the Serum very salt, and of a yellowish green; wandering Pains in the Limbs, increasing when warm in Bed, and sometimes a feverish Heat. These Symptoms arise from a bad Tem- perature of the Blood, either too thin, or too thick, being of a saline Constitution, either from an acid, alkaline, or Muriatick Cause, which requires very different and oftentimes contrary Remedies; for which Reason, See Part II. Chap. VIII. where I have treated of acid and alkaline Constitutions. The Scurvy of Seafaring People is generally cur'd by Acids, such as all Sorts of ripe Fruits, Lemons, Oranges, Butter-Milk; but all alkaline Spirits do harm; and acid Spirits, as that of Salt and Nitre are proper for them. If the Symptoms are attended with an ill Smell of any kind, either in the Mouth, Breath, or Urine, with Drought, Heat, Bleeding of the Gums, or of any kind, such a Disease will be cur'd by the Use of Acids, and none better than Whey; and in this Sort of Scurvy Steel Waters are commonly effectual. But if the Scurvy be muriatick or briny, occafion'd by a Diet of sait Flesh or Fish, the Plants commonly called Antiscorbutick, as Water-cresses, Scurvy-grass, and Brooklime, may be taken with Success, but always mix'd with Acids, as the Juice of Lemons and Oranges; and all the Pot-Herbs which are antiacid, as describ'd in Part II. Chap. VI. are a proper Diet in this Case; but if there be 435 thro' the various Stages of Life. Ch. IV. be a high Degree of Heat and Inflammation, all the hot Antiscorbuticks will be very im- proper. When a Patient is pale, cool without Thirst, with pale or natural colour'd Urine, and has made Use of an acescent Diet for any- time, that the Eruptions are not of a high inflammatory or livid Colour, then the warm Antiscorbuticks, animal Food, and Salts are necessary. In the Scurvy great Attention should be always given to the Condition of the Mouth, Gums and Teeth, from which the Nature and Degree of the Distemper may be pretty Well known. All sharp and strong Purges injure scorbu- tick Constitutions; but Lenitives are of great Service, and Bleeding is not proper, unless where the Symptoms are urgent and inflam- matory. Of a Cachexy, or ill Habit of Body. A Cachexy is so called from an ill Habit of the Body. It proceeds most commonly from the Intemperance of the Person, or the ill Cure of some preceding Disease; from a scirrhous Tumor of the Li- ver or Spleen, or from a too long and pro- fuse Flux of the Piles, or other Fluxes; from long continual Fevers, or intermitting Fevers ill cur'd; from a Surfeit, or too plen- tiful use of spirituous Liquors; from the Causes. Ee2 Green- 436 A GUIDE to HEALTH Part III. Green-Sickness, from an Obstruction, or too great a Flux of the Menses; from Aliments of unfermented mealy Substances, as Pease, or such as are coarse, fibrous, fat, sharp, watry, and rough; from Bodies that cannot be digested at all, as Clay, Cinders, Chalk, Sand, Tobacco-pipes, Lime, &c. from a Defect of animal Motion in lazy and idle People, and such as sleep too much. Signs. The Diagnostick Signs are a Paleness of the Face, with a livid, yellow, greenish, or ruddy Colour; and frequently with a tumid or bloated Habit of Body, a Sluggishness; there is also often a slow Fever, scarce perceivable by the Person that has it. Cure. The Cure is to be begun with a Vo- mit; but before a Vomit it will be ad- viseable to make use of saline Dlgestives to dissolve the Viscidities, as Cream of Tartar, vitriolated Tartar, Salt of Wormwood, Tin- cture of Salt of Tartar, Elixir Proprietatis with Tartar, and the absorbent testaceous Powders; but if an Emetick be not judged convenient in the Beginning, a Purge may be given, and repeated as need requires; and then after these Things have been done, we may advantageously proceed to the Use of Chalybeats, and Fuller's Ecphratick Mixture is a powerful Remedy in this Disorder. This Distemper sometimes disposes to Con- sumptions, Bloatedness, and Dropsies, and is attended often with Palpitations of the Heart; therefore 437 thro' the various Stages of Life. Ch. IV. therefore the Rules of Diet must be drawn from the Nature of the Symptoms. Of a Consumption. A Consumption is commonly defined to be a Wasting of the whole Body, arising from an Ulcer of the Lungs, but not justly; be- cause I have open'd the Bodies of several who died of this Distemper, whose Lungs I found without Ulcers, but full of Tubercles, Stones, and fabulous Matter; wherefore a Consump- tion is better defined to be a Wasting of the whole Body from a bad Conformation of the Lungs. Willis Pharmaceut. Rat. Part II. Sect. I. Chap. 6. A Consumption, or Marasmus, is a Wasting of the whole Body, or some of its Parts, aris- ing from a Distemperature of the Fluids, or from their Defection, or an unequal and dis- proportionate Heat. Dr. Christopher Bennet, in his Theatrum Tabidorum, translated by Quincy, Page 135. By these two last Definitions we see, that an Ulcer of the Lungs is neither the Ante- cedent, nor Concomitant Cause of a Con- sumption, but only a Symptom, as will evi- dently appear presently, in a few Passages ab- stracted from a Dissertation of a modern Au- thor *, supported by Reason and Observation, the surest and best Guides: afterwards I give the Reader his Method of curing this Di- Ee3 stemper, * Dr. Desault's Dissertation upon Consumptions. 438 A GUIDE to HEALTH Part III. stemper, which I found in many Instances to answer the Intentions he proposes. Before I declare the Causes of a Consump- tion (says he) I thought proper to give a Description of them in behalf of such as are not of the Profession who may read this Disser- tation. A Consumption attacks Youth sooner than other Ages; that is, from 18 till the 35th Year it makes its principal Havock. Hippocrates, Aph. 9. Sect. 5. Not that the other Ages are exempted from it, since we see consump- tive People under and above the Time set down in the Aphorism; but not so often. 1. Those who have a narrow Chest, a long Neck, high Shoulders, like Birds Wings, are most subject to it; of those Hippocrates speaks in his first Book of Epidemicks. 2. Those who have the Misfortune of be- ing born of consumptive Parents are very subjed to it; for this Distemper has this in common with many others, that it is propa- gated by Inheritance. 3. Such as are obliged to live with con- sumptive People, to wait on them, may con- tract it, if they are any ways inclin'd to it, for it is contagious; thus Women who attend their consumptive Husbands catch it of them, and Husbands of their Wives. The Disorder manifests itself, and makes its Progress in the following manner. The Patient seems to have a Cold, he is seiz'd with a dry Cough, which fatigues him most at 439 thro' the various Stages of Life. Ch. IV. at Night: Afterwards he brings up a well- digested Phlegm of a sweet Taste. Nevertheless as this Cough continues, as it exceeds the Bounds of a common Cold, as it goes daily increasing, as the Patient's Legs are observ'd to waste, and the rest of the Body in Proportion, as his Colour changes, and he grows pale and yellow, as the Phlegm changes Taste, and becomes a little bitterish, as some small Quantity of Blood is mix'd with it, as a slow Fever associates with it, with a Pain in the Breast, and in short, when he is at the Brink of the second Stage, he is frighted, and very much alarm'd. Besides these Symptoms which Authors have taken Notice of, and which establish the first Degree, I have always found a con- siderable Disorder in the Liver, so that an Obstruction in this Bowel plainly appear'd from its Hardness, and sometimes a great Pain. I am surpriz'd to see, that Authors have not taken Notice of this, which how- ever is a Symptom deserving of great At- tention, since it is of great Importance for the Discovery of the Cause of Consumptions, and of the Agreeableness of the Remedy I have to propose. Notwithstanding all the Remedies, Se- crets, and other Specificks, the Patient grows worse, and comes to the second Stage, which makes itself known by the Cough being stronger and more frequent by Night, by Night Sweats, which fatigue and drain the Ee4 Patient, 440 A GUIDE to HEALTH Part III. Patient, by the Quantity of Blood in his Spit- ting, and lastly he comes to spit Matter. The Leanness to which he was reduced by the first Degree, increases considerably in the second; the Fever, stronger and more violent, has even some Returns, with cold Shiverings, which encourages his taking the Bark regu- larly, to stop at least the Returns complicated with the slow Fever, and to continue the Medicines to heal the Ulcer, the Existence of which is no more to be doubted. His Nails grow crooked, and the Distemper, be- comes contagious in this Stage. Let us observe, that it is not always ne- cessary the Patient should spit Blood, to die consumptive; neither is it even necessary for the Patient to spit Pus to determine the Exis- tence of a Consumption, as I shall prove by Observations made at the opening of con- sumptive Bodies. The Cough, the Spitting of certain Phlegm without Blood or Pus, the Wasting, the nocturnal Sweats, and last- ly a Looseness, put an End to Life, it not being essential to this Distemper to spit Blood or Pus. The Patient at last comes to the third Stage; his Leanness is at the last Period; he resembles a Skeleton covered with a human Skin, which is hard, wrinkled, and rough; his Breath smells strong, and what he expec- torates stinks so that he loaths it; he brings up almost pure Matter, and his Life termi- nates with a Looseness. Let Ch. IV. thro' the various Stages of Life. 441 Let us now speak of the Causes of a Con- sumption: We shall divide them into con- comitant and antecedent. The concomitant Cause of a Consumption, I say, consists in Tubercles and Concretions form'd in the Sub- stance of the Lungs, and which are spread thro' its Lobes. These Concretions are like Hail-stones, and of different Dimensions. These Tubercles in the Lungs are real, and fall under the Cognizance of the Senses, and are no Supposition invented by a System- monger, to explain the easier his Hypothesis. That great Observator Hippocrates speaks of them in his Book de Morbis: He makes them of two Sorts; some crude, which do not suppurate; and others which suppurate, and leave an Ulcer. Etmuller, who has compiled the Opinions of the Moderns, has a whole Chapter de Tuberculis Pulmonum, Lib. II. Part. II. Cap. 8. p. 436. Read Morton's Book upon Consumptions, he never open'd a consumptive Body where he did not find them: He mentions them in almost every Passage; he imputes to them all the Disorder, and thinks they are the Source of all the Symptoms of a Consump- tion. Bonetus, in his Practical Anatomy, Lib. 2. Sect. 7. proposes several Observations collect- ed from Dissections of Bodies, where the Tu- bercles have been deemed the true Cause of a Consumption, and the Pus and Ulcers only as 442 A GUIDE to HEALTH Part III. as the Consequence of these same Tubercles suppurated and degenerated into Ulcers. But why should we look for Proofs in An- tiquity, why employ the Evidence of Fo- reigners? I appeal to all the Surgeons who have open'd consumptive Carcasses, and to the Physicians who have assisted thereat: Have they not regularly found in all these Tu- bercles, tho' less in Quantity in those who died of a long Consumption, they having had Time to melt away, and be confirmed by Ulceration? Some however have always remained, Death having prevented their Sup- puration. This being allow'd to be the con- comitant Cause of a Consumption, it will be easy to explain all its Symptoms. The dry Cough in the Beginning comes from the Pressure of the Tubercles upon the Ramifications of the Aspera Arteria, dis- persed through the Substance of the Lungs. Morton, p. 36. The same Irritations which this Compression makes in the Aspera Ar- teria, squeeze at length a Phlegm out of the Glands, spread about the internal Membrane of the Trachea; and the Cough, which in the Beginning was dry and hard, becomes moist, and throws up the Matter press'd out of the Glands by the Strength of the Cough. Mort. p. 34. The Difficulty of Breathing comes from these Tubercles, which fill up part of the Lungs, and lessen in Proportion the Quantity of Air which used to enter there; besides, the Com- Ch. IV. 443 thro' the various Stages of Life. 443 Compression they make upon the Ramifica- tions of the Aspera Arteria renders its Ad- mission more difficult. The Leanness and Wasting are the Effcts of these Tubercles, and not the Ulcer of the Lungs, as has been supposed; and as it is of the greatest Importance for the Indication, which should be pursued in this Distemper, to prove that the Ulcer is not the Cause of the Wastings, we shall insert here the follow- ing Proofs. 1. Hippocrates, in his first Book of Epi- demicks, acknowledges a Consumption with- out an Ulcer of the Lungs. Ægrotabant macilenti citra Pulmonum Ulcus: They were sick and wasted without an Ulcer of the Lungs. 2. Hippocrates has also observed, that Lean- ness has begun before the Rise of the Ulcer, and that it is even far gone when the Ulcer appears. Temporis autem progressu exaspe- ratur Pulmo, & intus ulceratur à Pituita inhœrente & putrescente, & gravitatem exhi- bet Pectori & Dolorem acutum ante & re- tro caloresque acutiores in corpus incidunt. It appears from these Passages of Hippo- crates, and especially the last, that the Wast- ing, Cough, Spitting, and slow Fever, have begun before the Ulcer comes on. Temporis autem progressu exulceratur Pulmo: It is only in the Course of the Distemper; temporis progressu, says he; in progress of Time. 3. Lastly, 444 A GUIDE to HEALTH Part III. 3. Lastly we prove by an invincible Rea- son, that the Ulcer of the Lungs is not the Cause of a Consumption. There have been Persons who died of a Consumption with the whole Train of Symptoms, yet during the whole Course of the Distemper never spit any Pus; and upon the opening of their Bodies no Ulcers were found in their Lungs, but Tubercles in great Numbers. For Proof of this Fact we shall introduce the Observa- tions † upon the Body of Mr. Clever, Mer- chant, of this City, and of a young Gentle- woman; and also Willis's Observations al- ready mentioned. The slow Fever depends as much upon the Obstructions of the Liver, as of the Lungs: When the Blood finds its Passage shut up in any Part, it rebounds in a greater Body into the other Vessels; besides, when the Blood, which has not been sufficiently broke in the Lungs, nor depurated in the Li- ver, does not give way, but resists the Im- pulse of the Heart and Arteries, it revives its Play, and occasions two or three Pulsa- tions, where one would be sufficient, if it did not resist, and was thin and fluid. The nocturnal Sweats are owing to the thick and gross Disposition of the Blood: When the Serum is not exactly mixt with the other Principles of the Blood, it easily escapes through the Pores. It † Observations of the Author in his Dissertation upon Consumptions, which see. Ch. IV. thro' the various Stages of Life. 445 It is easy to comprehend the Spitting of Blood: Who can now be surprised, that a Vein squeezed between two Tubercles should open and furnish some Blood in the Spittle? We are now come to the second Stage: Some Tubercles come to be inflamed; Matter is formed there; the Fever increases, as also the Difficulty of Breathing; the Tubercle bursts, and the Pus comes away like Spittle, which the Patient voids in abundance. But as the Pus which was contained in this Tubercle served its Neighbours as a suppurating Cataplasm, they are not long before they are inflamed, and come to Suppuration in their Turn, and the Lungs are thus destroy'd and ulcerate every Day more and more. And now the Distemper becomes contagious, the Suppuration of the Tubercle breeds Worms, which institute the Characteristick of the Ulcer. These Worms spread themselves a- bout the neighbouring Tubercles, as proper Beds for their Nourishment and Breeding, and by their Means it is that the Distemper be- comes contagious. [The Author has shewn, in his Treatise on Venereal Disorders, that all Infection pro- ceeds from Worms.] The Looseness comes from hence, that the Pores are destroyed by the Dryness of the Skin, which has begun with effacing the Pores of the insensible Perspiration, and now even stops up those which evacuate Sweat: The Serum not being well mixt with the Blood, 446 A GUIDE to HEALTH Part III. Blood, and finding no more its former Out- lets, falls upon the Feet and Legs, and after- wards upon the intestinal Glands, which brings on a Diarrhœa, and makes an End of Life. We come now to examine the antecedent Causes which produce Tubercles in the Lungs, and shall make it apppear, by an exact En- quiry, that they owe their Rise to eager and coagulating Juices, and not to sharp and cor- rosive ones. Authors tell us, and we see it confirmed by daily Experience, that Grief is a power- ful Cause to bring on a Consumption. The Soul being continually employ'd in Affliction about the Object which causes it, studies Night and Day to find out a Remedy: This continual Attention of the Soul employs the Spirits in the Brain, hinders their descending into the Stomach, the Appetite disappears, the Digestion suffers, the Chyle is sent gluti- nous and ill digested into the Blood, disposed to bring on Obstructions either in the Lungs or Liver. But the free Course of the animal Spirits is not only suspended in the Stomach, but also in the Organs of Respiration; for we see Per- sons under Affliction forget as it were to breathe to that Degree, that as the Blood stagnates in the Lungs, they are oblig'd to fetch at Intervals deep Sighs, which are called sorrowful Sighs. Besides, Ch. IV. thro' the various Stages of Life. 447 Besides, Grief suppresses the insensible Transpiration. Sanctorius, Aph. 2. Sect. 7. And Consolation restores it, Animi Consolatio liberam facit Perspirationem. Aph. 6. Sect. 7. For the same Reason Men of Letters, who keep their Spirits continually upon the stretch, by the Excess of Meditation are also subject to Consumptions, as Morton observes. The eager Wines, according to Etmuller, produce abundance of Consumptions in the Province of Moravia, as being very proper to form Coagulations and Concretions. [The Author mentions a Case in his Dis- sertation, which proves how apt this Cause is to bring on a Consumption.] Melancholick Persons, according to Mor- ton's Observation, are very subject to Con- sumptions, their Blood being disposed to form Obstructions and Tubercles: Likewise, pag. 27, he has oserved, that Cold is always the Cause of Consumptions. His Observation a- grees with that of Hippocrates, Frigus genitor est phthiseos pulmonis, scilicet, venulis a fri- gore constrictis ac convulsis. Cold is the Pa- rent of the Phthisis of the Lungs, viz. when the Veins are drawn together by Cold. Van Helmont has observed, that Steams of Spirit of Vitriol, and of Aqua Fortis, have sometimes occasioned Consumptions. This Effect proceeds from the Concretion of the Juices by these acid Vapours, which form the Tubercles. From 448 A GUIDE to HEALTH Part III. From this Enquiry into the Causes which are capable of producing Tubercles in the Lungs, it appears, that they owe their Ori- gin to acid and coagulating Juices; and if afterwards the Fluids grow pungent by stag- nating there, it is an Effect of the Part which alkalises them, in like manner as we see some Fruits change their Taste, according as they come near to be ripe or rotten. The Question then is, to look out for Re- medies which can dissolve and destroy these Tubercles. This is the Indication which you ought not to lose out of Sight: They are the Obstacles which you must either conquer or die. The Roman Hippocrates, Baglivius, in se- veral Places of his practical Writings, exhorts us to give aperitive Medicines in all the Dis- orders of the Breast; and Duretus, in his Coac. p. 423. says, that the urinary Passages are the Emunctories of the Breast, the Flux of Urine being augmented, procures a Di- version of the Phlegm, which otherwise would take its Course to the Lungs. These Authors not only propose that Indi- cation, but also the Remedies which I make use of to discharge it. Read Morton, p. 81. I don't at all doubt, says he, but by a pru- dent Choice and frequent Use of a thin and sharp Air, and by a long Use of balsamick, mercurial, and chalybeat Medicines and Mil- lepedes, but more especially of Mineral Wa- ters, and other anti-scrophulous Remedies, those Ch. IV. thro' the various Stages of Life. 449 those Tumors may as well be destroy'd in these Parts as any other, and the Patient be freed from a phthisical and scrophulous Disorder, as we have often found by Ex- perience. This is very certain, for all the English Consumptions, generally speaking, proceed from a scrophulous Disposition; therefore, in the Accesses of such a Distemper, aperitive and deobstruent Medicines, free from much Acrimony, with the mild Anti-scorbuticks, will always prove the most effectual Reme- dies; but whatever heats too much, disposes to Suppuration; and it is upon these Princi- ples that the Author establishes his Method of Cure in the following Manner. 'As soon as I am call'd to a consumptive 'Person of the first Degree, fatigued with a 'Cough, which at first was dry, and after- 'ward is become moist, which exceeded the 'Bounds of a common Rheum, accompanied 'with a slow Fever, Difficulty of Breathing, 'Leanness, &c. I examine immediately the 'Liver, where I constantly find a conspicu- 'ous Hardness and often a Pain. 'I afterwards examine if any general Me- 'dicines are indicated, in which Case I order 'the Patient to bleed and purge; I even 'repeat Bleeding when the Pain is violent, 'and if the Patient is young, heated with 'drinking of Wine, or spirituous Liquors, to 'prevent the Inflammation of the Tubercles. Ff 'Then 450 A GUIDE to HEALTH Part III. 'Then I apply a great Plaster of the Empl. 'Diabotanum upon the Region of the Liver, 'with which Mercury revived from Cinnabar 'is incorporated, or in default thereof the 'Empl. Vigonis cum Mercurio. Every Night 'I order the Plaster to be taken off, and the 'Quantity of a Dram of the Mercurial Oint- 'ment to be rubb'd in at the Swelling, and then 'the Plaster is put on again, which remains 'there Night and Day. 'Internally I give twice a-day the follow- 'ing Powder. 'Take of prepared Mars, Millepedes, 'Benjamin, red Coral and Crabs Eyes, 'one Scruple of each; mix all well to- 'gether to make into a Powder, to be 'taken in the Morning and to be re- 'eated at Night. 'Or made up into Troches in the following 'Manner: 'Take of Mars, Millepedes, Benjamin, 'Coral and Crabs Eyes, of each half an 'Ounce, Powder of Cinnamon three 'Drams, fine Sugar half a Pound; mix 'all together, and with the Mucilage 'of Gum Tragacanth made with O- 'range-flower Water, make Troches 'of two Drams each, of which let the 'Patient take one Night and Morning. 'After every Dose of the Powder or Tro- 'ches I order them to take a Draught of 'Ptisane Ch. IV. thro' the various Stages of Life. 451 'Ptisane made of Nettle-Roots, or Whey 'well clarified, with which I mix two Oun- 'ces of the Juice of Water-Cresses, and as 'much of the Juice of Chervil; or some Broth 'made of a Piece of Veal, Radishes, Cresses, 'Brooklime and Chervil, or an Infusion of 'Green Tea.' The Powder is in two great a Bulk, as he orders it, therefore it would be much a neater Way, and much easier for the Patient to take, if he had ordered the Steel, Millepedes, and Benjamin in a Bole with Syrup of Balsam, and the testaceous Powders in a Julap, or in an Emulsion of Sperma Ceti, to be taken by two or three Spoonfuls after each Bolus, and at other Intervals. This shews the Injudicious ness of foreign Prescribers in dosing their Me- dicines in a neat and proper Form, though otherwise never so learned. Our Author strenuously recommends Rid- ing twice a-day, in all Stages of a Consump- tion, if the Weather permits, the Usefulness of which he demonstrates from Observation, Reason, and Experience. In the first Stage of a Consumption he allows light Meats of easy Digestion without any Seasoning; but in the second Stage, he orders the Medicines to be taken three times a-day, and makes the Patient live upon Cow's Milk, boil'd and skimm'd, and mix'd with an equal Quantity of Green Tea, and sometimes without it, but a thorough Forbearance from all manner of Ff2 Flesh- 452 A GUIDE to HEALTH Part III. Flesh-meat: He likewise recommends the Use of Asses Milk, Chearfulness and Musick. Other Con- sumptions. As Consumptions are mostly occa- sioned by Tubercles in the Lungs, there are some also that owe their Origin to Obstructions of the Liver, Spleen, Pancreas, Mesentery, Kidneys, Womb, and Bladder, &c. The Knowledge, Prognostick, Effects, Cure, and Palliation are easily drawn from the distinguishing Marks of each parti- cular Bowel, of which no good Physician ought to be ignorant. For a more ample Account of the Nature and Cure of this lingering Disease, I refer the Reader to the Author's Observations in his Dissertation upon Consumptions. Of a Dropsy. When a watery Serum is shed out of its Vessels and received into Cavities, or when stagnating it distends its Vessels too much, it is called a Dropsy. Which may take place consequently wherever there are such serous Vessels, that is, in the whole Habit of the Body, and in each Particular thereof. Therefore this Distemper may happen wherever there are serous Vessels; an Hydro- cephalus or Dropsy of the Head, which is only incurable when the Serum is extravasated into the Ventricles of the Brain; and it is generally fatal in Infants, when the Sutures are closed and the Skull will yield no more. A Dropsy Ch. IV. thro' the various Stages of Life. 453 A Dropsy of the Breast is attended almost with the same Symptoms as an Empyema, and cured by the same Chirurgery. A Dropsy of the Lungs, either by Hydatides or Water-Bladders, or by Lympha extravasated in the Body of the Lungs. A Dropsy in the fore Part of the Windpipe like a Bronchocele. Likewise a Dropsy in the Oviarium, Testes, Scrotum, or Uterus. An Ascites, or Collection of Water in the Abdomen. First, in the Foldings of the Peri- toneum. Secondly, Between the Peritoneum and the Bowels. Thirdly, When the Water is contained in the membranaceous Coat of the Glands. Sometimes the Air is so rarified in the Tu- mor as makes it hard and tight like a Drum, and from thence it is call a Tympany. When the Tendon is from Air, it is easily distin- guished by the specifick Gravity of the Pa- tient, and so is Water. And when the Wa- ter or Lymph stagnates, or is extravasated under the Skin, it is called Anasarca. What- ever hinders the Return of the Lymph into the Veins, or breaks the Lymphatick Vessels, or obstructs the absorbent Vessels, so as the Lymph cannot be absorbed, or exhal- ed, produces a Dropsy; likewise any Stop- page of the Circulation will occasion a Dropsy, as by strong Ligatures or Com- pression. The most of the Causes are hereditary Dis- positions; drinking great Quantities of wa- Ff3 tery 454 A GUIDE to HEALTH Part III. tery Liquors, which are not discharged again; violent acute Distempers; stubborn Obstruc- tions of the Bowels; the Jaundice; obstinate intermitting Fevers; Bloody-fluxes; great Evacuations, especially of Blood; viscid Ali- ment and hard of Digestion; inveterate Scur- vies: But the most common and most perni- cious of all is the habitual and plentiful Use of spirituous Liquors. The Effects are a Swelling of the Legs at Night by Degrees, still rising higher; like- wise a Swelling of the Belly increasing; but in a Tympany, sounding and tense like a Drum; sometimes the Sensation and Noise of fluctu- ating Water; Shortness of Breath; Thirst; Urine in too small a Quantity; no Sweat; the stagnating Serum at last turns acrimonious, exulcerates and putrefies the Bowels, produc- ing most dismal Symptoms. The best Cautions and Rules of Diet may be drawn from the Enumeration of these Causes and Effects; for the Intentions to be pursued are in removing the Causes, as Ob- structions, dissolving the Viscidity or Glewy- ness of the Serum, and discharging it out of the Body. The Viscidity of the Serum is best correct- ed by such Things as contain abundance of alkaline and volatile Salts, Spices, acrimoni- ous pungent Vegetables, soapy Substances; and what has been prescrib'd in a phlegmatick Constitution, Part II. which see. The Ch. IV. thro' the various Stages of Life. 455 The only Contradiction in this is, too great Heat and Thirst, to which Attention is to be given, and indicates the Use of Acids, Juice of Lemons and Oranges, Sorrel, &c. And it may be taken for a general Rule, that when the Urine is high-colour'd Acids are proper, for they are contrary to that alkalescent State of the Humours, and resist the Putrefaction, which is the Product of acrimonious Serum. Their Drink should be sparing; but as the Thirst is sometimes insufferable, the Patient may be indulged the free Use of Spaw-water and Rhenish Wine: And the Aliment should be dry and diuretick; but Diureticks of the acid Kind are the best: Strong Frictions of the Skin are very beneficial, which attenuate and promote the Circulation of the stagnating Serum or Water. Vomiting in strong Constitutions has proved oftentimes very effectual; because the Con- cussion of the solid Parts dissolves and expells the stagnating Humours; and likewise Gly- sters of sharp and purgative Ingredients are very beneficial. Smart Purges are useful to carry off the Waters; but they should not consist of Vola- tiles, because such dissolve the Blood, which is pernicious. Abstinence from Drink is very beneficial, and eating dry Biscuit, which cre- ates no Thirst; likewise strong Frictions four or five Times a Day. When the Waters are carried off, the Diet ought to be such as stengthens the solid Parts, Ff4 allow- 456 A GUIDE to HEALTH Part III. allowing Spices and generous Wine, but espe- cially the Use of Chalybeat Waters, dry Food, and astringent Vegetables, Exercise, especial- ly Riding; and in general, such a Diet as ge- nerates good Blood. When the Serum stagnates long, it turns acrimonious, and commonly renders the Pa- tient feverish and thirsty; then acid or four Things are properest, both to prevent and cure these Symptoms, as they are specifically proper against that alkaline Putrefaction. For a more circumstantial and accurate Account of this Distemper and its Cure in every Par- ticular, consult the learned Boerhaave's Apho- risms upon it. Of the Gout. This Distemper is a very painful Illness, seated principally in and about the Ligaments of the Bones of the Foot and its Joints, seiz- ing Persons mod commonly in the Spring and Autumn; which when undisturbed com- monly runs its own natural Stage, and is usually the Companion of People of the mid- dle Age, of the Male Sex, Men of acute and deep Sense, who exercise the same much, and study late by Nights, such as lead a voluptu- ous and debauched Life, and at Night drink great Quantities of Wine or spirituous Liquors: Such as have been much addicted to Venery in their younger and unripe Years; large ple- thorick Men; such as are much used to Acids Ch. IV. thro' the various Stages of Life. 437 Acids, and cool their sweaty Feet too sud- denly; sweat in wet Stockings or Shoes; hence such as do hunt or ride much in cold Weather; and finally, such as have it by Inheritance from Parents, or lie much with gouty People. This Distemper may affect any membra- nous Part, but commonly those which are the most remote from the Brain and Heart, where the Motion of the Fluids is the slow- ed, the Resistance, Friction, and Stricture of the solid Parts the greatest, and Sensation of Pain by the Obstruction of the small Ves- sels and Dilaceration of the nervous Fibres extreme. The most common Seat of it is in the Foot, its Tendons, Nerves, Membranes, Li- gaments and Periosteum, or Membranes in- vesting the Bones. The Patient immediate- ly is sensible of a stretching, tearing, strait- ning Pain, gradually increasing and decreas- ing again, with a Moistness, Redness, Tu- mor, ending with a breathing Sweat, an Itch- ing, furfuraceous Skinning, or changing into a chalky Substance, which breaks the Vessels. By all which it appears, that the proximate Cause of this Disease is a vitiated Temper of the least, and consequently the nervous Ves- sels in the Body; and also of the Liquid which waters those nervous Parts; and more- over, that this Liquid here is defective by its Acrimony and by its great Viscidity, and the solid Vessels by too great Rigidity and Nar- rowness: 458 A GUIDE to HEALTH Part III. rowness: Whence it shews itself in Parts the most remote from the Brain, as resisting Motion the most, because of their Solidity, Hardness, Exercise, and Weight incumbent upon them. Now the immediate Origin of this Defect is from an Indigestion of the Bowels, which do not sufficiently attenuate or assimilate the Aliment into a Substance fit to supply the Nerves with Juices proper for them, which require a most elaborate Con- coction. The Cure therefore is impossible, unless wrought by such Medicines as are able to mend these Defects entirely. So that the Gout has hitherto been reputed incurable by Antients as well as Moderns, if except a few Quacks and boasting Empiricks in all Ages. From the same may be known, that Bleeding does not reach either the Matter, Seat, or Cause of the Disease: yet that same is sometimes found not only beneficial, but also necessary to cause a Revulsion, and lessen the most urgent inflammatory Symptoms that often attend it. As one of the Causes of the Gout is the Suppression of Sweat and Perspiration, so the procuring a due Degree of these seems to be the best Preventative of it; and if the Feet could be made to sweat in due time, it would prevent the Gout, which invades in such Constitutions of the Air as suppress Perspi- ration. Violent Ch. IV. thro' the various Stages of Life. 459 Violent Purges in the Absence of the Fit, by agitating the Humours too much, often hurt, and may draw the Gout into the Sto- mach if given during the Paroxysm. The best Diet is Abstinence from all man- ner of Acids, high Sauces, and Gluttony; the moderate use of such things as promote Perspi- ration, as aromatick Substances with volatile Salts, which relieve Gouty People, by ren- dering the Body perspirable; diluting Li- quors, taken in such a Degree as not to in- jure the Stomach or Bowels, Moderation in Food of a nourishing light Sort, that is easily digested, as likewise in the use of strong Liquors; Exercise without Fatigue, such as Riding constantly in a pure, open Country Air, and Frictions and Motions of the Parts often repeated; going to Bed early, and ly- ing long in the Morning. It will be likewise necessary to restore the lost Vigour in the Bowels, by carrying off the corrupted Liquid flowing yet in the Ves- sels, or stagnating in the Places already as- sign'd. To the first relates the Us of aro- matick, bitter, antiscorbutick Plants, and chiefly the Juice with a little Honey; the use of lixivious fix'd Salts taken in small Doses, and often repeated for a long time together, observing at the same time the Diet as above directed. To the second (that is, the stag- nating of the Humours) will be useful, 1. Volatile Salts long taken and in small Quan- tities, in the Morning sometime before rising, with 460 A GUIDE to HEALTH Part III. with a large Draught of some softening Apo- zem, and thereby promoting a gentle breath- ing Sweat for about an Hour together. 2. Warm Frictions with dry Cloths. 3. Repeated Doses from time to time of such Medicines as purge serous or watery Humours, taking a gentle opiate Draught the same Night. In the Fit of the Gout, as temperate and as cool and diluent a Diet as the Patient can bear, abstaining from Opiates, except when the morbid Matter is separting, otherwise the constant Use of them is injurious; keeping the affected Part warm without the Applica- tion of Plasters, or Cataplasms; for even such as are emollient, weaken and relax too much. It will be of the greatest Importance to know if any Disease proceeds from a Trans- lation of the gouty Matter; for the Me- thods, especially Evacuations, used in an ori- ginal Distemper, would be very improper in a gouty Case, where the Intention must be to draw the Gout down to the Feet by Blis- ters applied to the Thighs or Legs, and acrid inflammatory Cataplasms and Plasters. If a Person subject to the Gout, (except he has Chalk Stones) can bring himself en- tirely to a Milk Diet, he may by that means so change the whole Mass of the Juices of his Body, as to eradicate the Distemper. The Effects of Riding. The English Hippocrates, Syden- ham, in recommending Riding in the Cure of this Distemper, says, that if a Medicine could be known to any one, Ch. IV. thro' the various Stages of Life. 461 one, and he could conceal it, that would be as effectual for the curing this Distemper as Riding on Horseback is; and not only here, but in most other chronical Diseases, he might get immense Riches by it. And Dr. Lister likewise says, that one single Golden Rule of Ab- stinence pleases me beyond all things, Parva cibatio summœ Curœ sit, viz. Beware not to eat and drink too much, which is a thing every one ought to regard who has his Health at Heart; and this Abstinence is in all People's Power, in whatever State or Condition they are in, to be substituted in- stead of Exercise, when they have even lost the Use of their Feet. The Effects of Abstinence. Of the Rheumatism. This is a Distemper ally'd to the Gout and Scurvy, and is common in all the Northern Parts of Europe. Such are most subject to this Dis- ease as are of a sanguine Con- stitution, infected with some acrimonious De- fect, manly Age, plentiful Living, a sudden Cooling of a heated Body, Spring and Fall, Perspiration interrupted, an inflammatory Disposition, but appearing slower than in a Pleurisy. It begins with a continual Fever, causes a most terrible tearing Pain, increasing cruelly upon the least Motion, long continu'd and fix'd in one Place, seizing the Joints of Diagnosticks. any 462 A GUIDE to HEALTH Part III. any Limbs, but most particularly trouble- some to the Knees, Loins, and Rump-bone, tormenting and invading sometimes the Brain, Lungs and Bowels, with a Tumor and Red- ness of the Place, going off and returning again by Fits. The proximate Cause. The immediate Cause of this Distemper seems to be an Inflam- mation in the serous part of the Blood affecting the lymphatick Arteries, and for that Reason affecting those Parts where the Vessels are the smallest, but not fierce enough to change it into an Impostumation. The Blood, as in other inflammatory Cases, is sizy, the alkalescent Salts in the Serum a- bounding with coreaceous or leathery Concre- tions. The Cure. The Cure consists in repeated Bleedings, cooling, repeated Purges, always allaying the Pain those Nights after purging with gentle Opiates join'd with mild Sudorificks, bathing in warm Water, and Fomentations apply'd to the Parts, and Bli- sters when it is obstinately fix'd in one Place. As for the Diet, it must be cooling, dilu- ting, and chiefly Vegetable. The constant Use of Whey is most effectual in rhis Disease, likewise a Milk Diet for changing the saline Constitution of the Serum of the Blood, is very useful and proper. Cream of Tartar taken either in Whey or Water-Gruel, for several Days together, will abate the Pains and Swellings considerably, by Ch. IV. thro' the various Stages of Life. 463 by its Acidity correcting the alkaline Salts in the Blood. Of the Gravel and Stone. When any insoluble Matter stops in any Part of the Body, it gathers a Crust about it, which may grow into a Stone or stony Matter in any Part of a human Body; as a small Drop of concreted Blood may grow to be a Stone; for by the Evaporation of the most fluid Parts it grows hard, and by At- traction of new Matter it increases in Bulk. When these stony Concretions happen in the Kidneys, and are expell'd, or drop into the Ureters, they produce what is called Gra- vel; when they lodge and stick in the Body of the Kidneys, and grow to such a Bulk as not to drop into the Pelvis, or pass by the Ureters into the Bladder, they make the Stone in the Kidneys. But these Concretions hap- pen generally in the Kidneys and Bladder; and it is very certain, that if the Tartar and other Contents of the Urine were not con- stantly discharg'd, such Concretions would happen to all Mankind; for the Urine of most found Persons being inspected after it has stood a while with a Microscope, will discover a black Speck in it, which is Sand; and wherever this Sand sticks, it grows still bigger by the Apposition of new Matter. The 464 A GUIDE to HEALTH Part III. The chief Signs or Symptoms of a Stone in the Kidneys are a fix'd Pain in the Region of the Loins, continually heavy like a Weight in the Substance of the Kidneys, with a kind of Numbness in the Part; but the Stone passing out of the Pelvis or Bason of the Kidneys into the Ureters, a most tormenting Pain follows, of all the most severe; an In- flexibility of the Back Bone, by the Exten- sion and Compression of the Nerves; a burn- ing Heat in the Loins, a Numbness of the Leg of the same Side, by means of the Nerves being affected; a Retraction of the Testicle for the same Reason; the Urine either bloody, upon any hidden Jolt or vio- lent Motion, or thin and watry, and little in Quantity; but after the Stone is fallen into the Bladder, the Urine presently becomes very thick, turbid, blackish, and in great Quan- tity. Fleshy Filaments, or Matter voided by Urine, are suspicious Symptoms of a Stone in the Kidneys, especially if the Patient has been subject to voiding of Gravel. The Symptoms of a Stone in the Bladder, are, a Titillation about the Neck of the Blad- der, and Parts thereabouts; a Sense of Weight in the lower Belly under the Share-bone, and the Region of the Groin; a perpetual Desire of making Water, with a great Pain, espe- cially upon any hidden Motion, which causes a Concussion of the Bladder, a Dribbling dif- ficultly, and a hidden Suppression of Urine by the Stone's stopping the Orifice of the Bladder, Ch. IV. thro' the various Stages of Life. 465 Bladder, attended with great needing to go to Stool, and a burning Pain in the Urethra; sometimes a white Mucus or Slime in the Urine; this may happen without a Stone in the Bladder: But the most certain Sign of all is, when it can be most certainly felt with the Finger in Ano, or by a Catheter. The Regimen in the Cure of the Stone in the Kidneys, is, by diluting and soft Diure- ticks, both medicinal and dietetical, to try to expel it, if it is small enough to pass; but if it is brittle, it will often crumble and pass in the form of Gravel by those Means: If the Stone is too big to pass, nor will not crumble, the only Method is to come to a sort of Composition or Truce with it, and use a cooling and diluting Diet constant- ly, to hinder, as far as possible, its Increase; to use Diureticks that resolve gently, as Pars- ley, Fennel, Scorzonera, Mallows, Tea, Dan- delion, Cichory, Sassafras, Oats, Barley, Honey, Vinegar and Honey; likewise nitrous Salts, and dulcify'd Spirit of Nitre; but the most soft and cooling Diluent of all is Whey, and the Emollients are Decoctions of Marshmal- lows and Linseed-Tea. Bathing in warm Water, and Glysters, are proper; seasoning the Food with Sea-salt moderately will not be amiss, for the mode- derate use of it is resolving and diuretick; and the Belly, in all Cases of the Stone, should be kept lax and open. In a confirm'd Stone in the Kidneys violent Exercise or Motion is dangerous. Gg While 466 A GUIDE to HEALTH Part III. Stimulating Things not proper in the Beginning. While the Stone is passing, we should avoid the Use of all forcing and stimulating Things at first; but relaxing and lubricating the Passages, and quieting the spasmodick Disorders by O- piates, is by far the safest and best Method; and where Bathing cannot be performed, Ox- bladders, half full of warm Water, constantly apply'd to the Part affected, may be very usefully substituted; and Bleeding takes off the Tension and prevents an Inflammation better than any Thing, and is therefore very necessary, especially when the Symptoms are urging and violent: When the Parts are suffi- ciently relaxed, forcing Diureticks joined with Opiates will be properly given. The best Way to prevent the Generating of a Stone, is to keep the Body open by Whey, Broth, and a liquid Diet, especially for all such as are troubled with Gravel. When the Stone is fallen into the Bladder, all Endeavours must be used to make it pass as soon as possible, otherwise if it should happen to continue there long, it would in Time become a large Stone, which nothing but the Operation could cure. If all the Symptoms abate without finding the Stone, it is not certain that it remains still in the Bladder, because a very small Stone may pass by Urine insensibly; and if the Stone has passed, it is not certain that the Affair is over, for there are often more Stones remaining, and therefore the usual Remedies ought not to be discontinued. When Ch. IV. thro' the various Stages of Life. 467 When the Stone stops in the Urethra, emol- lient Fomentations ought to be apply'd to the Parts, and Oil injected; or in Case of Extre- mity, an Instrument with a Cavity in it, dipt in Oil, may extract the Stone. Irritations in the Membranes of the Bladder, occasioned by a Stone, may be mitigated very much by an Injection of Linseed Oil, or that of Sweet Almonds into the Bladder. CHAP. V. Of the Nature and Use of Bathing and Frictions. BATHING being either hot or cold, it will be necessary to enquire a little into the Nature of it, and what Alterations it produces in human Bodies, in order to know in what Cases and Constitutions the Use of it may be either beneficial or hurtful. There- fore I shall begin with Cold-Bathing, which was in the greatest Esteem with the Egyptians, Jews, Greeks and Romans, as evidently ap- pears by the Account given thereof in the Writings of Hippocrates, Galen, Suetonius, Seneca, Pliny, Oribassius, Celsus, Ægineta, and others, needless to make mention of in this Place; But they who require to be fully satisfied as to that Point, may peruse Floyer and Baynard on Cold-Bathing, wherein they will likewise find a great many Instances of surprising Cures performed by Cold-Bathing Gg2 in 468 A GUIDE to HEALTH Part III. in Rheumatisms, Palsies, Scurvies, Cachexies, Epilepsies, Gout, and Rickets, &c. It is experimentally known, that Cold contracts the Fibres, as I have observed in treating of the Qualities of Air, pag. 104. and the more suddenly it is applied to our Bodies, the more violently it operates: It has been likewise observed, pag. 87. that our Bodies undergo various Changes by the Al- terations of the Pressure of the Air, in its Weight and Elasticity: Now if we consider that Water is 800 Times heavier than Air, what Alterations must we not then expect and be sensible of upon bathing or plunging all over into cold Water? For the Cold and Weight of the Water and Atmosphere acting all together, must consequently first brace up and straiten the Fibres and Vessels conside- rably in the Surface of the Body, and those Parts adjoining to it, and those at the Center the least and latest; so that the Blood will be forced in great Plenty upon the Viscera or Bowels, where there is the least Resistance: for which Reason it is never safe for those to bath who have weak or ulcerated Bowels, without endangering Life. But those Ends which are compassed by a greater Weight or Pressure, are more effec- tually obtained by whatever encreases the Weight of the Water, or contracts the Fibres of the Body: Thus Sea-Water, by reason of the Salt it contains, is heavier and more preferable; upon which Account all the Humours in the Body must be propell'd with Ch. V. thro' the various Stages of Life. 469 with greater Force thro' the Vessels in which they circulate. Besides, the Tension of the Fibres being greater, their Vibration will be both quicker and stronger; so that the Blood and Spirits will not only move more swiftly through the Vessels, but also be much more ground and broken, digested and rendered fitter to pass the Glands and small Vessels: Moreover, as the Immersion into the Cold Bath mightily encreases the Blood in the Brain and Viscera, being forced thither where there is the least Resistance, whereby the Quantity of animal Spirits, of Urine, of Gall, of the pancreatick Juice, and of all other Secretions, will be very much encreas'd, these Humours being thrust forwards with greater Celerity, will probably remove any Obstruction that is not too long fixed and obstinate; for which Reasons, if we would have the Blood dis- solved, or any viscid Matter adhering to the Sides of the Vessels removed, or the Glands deterged, or a greater Quantity of Spirits se- creted, and moved with greater Celerity thro' the Nerves, or would force Urine, or remove Obstructions in the Liver, Spleen, pancreatick and mesenterick Glands, if they are not grown too obstinate (in which Case it is very dange- rous) we should order Cold-bathing. In fine, whatever is to be effected by bracing the Solids, invigorating and quickening their Vi- brations, and accelerating the Blood's Motion, is with Certainty to be had from the Use of Cold-bathing. All Diseases therefore from a viscid Blood, Gg3 and 470 A GUIDE to HEALTH Part III. and a Lentor in the animal Juices (if the Elasticity of the Vessels is not worn out with Age and Debauches) will find Relief from this Practice. Besides, whatever Inconveni- ences proceed from a bad Perspiration, or when Humours are thrown upon the Surface pf the Body, which cannot get through the Skin, this Method will relieve; for upon Immersion the whole nervous System is so shook, that the very Capillaries feel the In- fluence, and the minutest Passages are forced open by an encreased Velocity of the circu- lating Fluids, whereby the Skin will be cleared, and instead of retaining gross and a- crimonious Humours in the cuticular Glands, will promote insensible Perspiration; and this is the Reason why People are so brisk and chearful after Bathing. And it is for the Reasons already given, that Cold-Bathing is proper in most cutane- ous Diseases, Scurvies, Leprosy, Elephantiasis, Rheumatisms, Lameness, Sciatica, Melancholy, Madness; some Palsies, Cachexies, Icteric and Hydropic Cases, before the Distempers be too, far advanced; it likewise stops Hæmorrhages, Gleets, Fluor Albus; and cures also venereal Impotency and nervous Disorders. Necessary Rules to be observed before Cold- Bathing 1. To Bleed and Purge, and use such proper Diet and Medi- cines, both before and after Bath- thing, as your Physician knows to be suitable to your Disease and Constitution. 2. Not to bathe when hot and sweating, but cool; and not to stay in the Bath above two Ch. V. thro' the various Stages of Life. 471 two or three Minutes, as the Patient can bear it; and to go in and out immediately, on the first Bathing, after an Immersion of the whole Body, because staying in too long would relax the Solids too much, instead of contracting and strengthening them. 3. To use the Cold-Bath before Dinner fasting, or in the Afternoon towards Four or Five o'Clock: It is dangerous to go in after great Drinking, or a full Stomach. 4. To use Sweating with Cold-Bathing in Palsies, Rickets, and several Diseases affecting the Nerves with Obstructions. 5. In Windiness or Siziness of the Hu- mours, no Sweating is necessary, nor where Bathing is used for the Preservation of Health, or the invigorating of the animal Spirits. 6. Jumping in precipitantly, or throwing the Head foremost into the Cold-Bath, gives too violent a shock to Nature, and endangers too much the bursting some of the smaller Vessels; therefore the best Way is, holding by the Rope, to walk down the Steps as fast as one can, and when got to the Bottom, bending the Hams to shorten their Length, so as to bring their Heads a good Way under Water, and then popping up again to take Breath; and thus alternately for two or three Times, and out again, rubbing themselves very well with a dry Cloth, before they are dress'd. They who have weak or little Heat, and are much decay'd, ought not to venture on Cold Bathing; nor they who are intemperate, and have Wherein Cold Bath- ing is inju- rious. Gg4 eat 472 A GUIDE to HEALTH Part III. eat extraordinarily; because the Distribution and Consumption of an abundant Chyle being thereby stopp'd, must occasion Fevers or De- fluxions. If the Spirits are depress'd by Looseness, Vomiting, Venery, Watching, or any other Evacuation, we cannot well bear Cold Bath- ing; for the Spirits being weak, will be over- come by its Chilness. In the Fits of the Gout, Epilepsy, and in Inflammations of the Lungs or inward Parts, and in the Beginning of putrid Fevers, Iliac Passions, and the Gripes, Colicks, and dur- ing any Defluxion, Cold Baths are improper; for they hinder Expectoration, repell Pains, promote the present Defluxions, Fluxes, and Pains; but when these acute Diseases, or chronical Pains and Defluxions are ended, it may be safe and it is certain that Gout Pains are prevented by Cold Baths, and using to wash the Feet. Corpulency, unfound Viscera or Bowels, and inveterate Obstructions, forbid the Use of Cold Bathing; for first, in very fat Persons the Fibres are so stuffed round that they have not Room to vibrate or contract with the sud- den Squeeze of the Bath; and in unsound Viscera, or where any Part is much weaker than the rest, such an additional Force will press the Fluids upon that, very much to its Detriment, which may be either the burst- ing of the Vessels, or promoting the Discharge of some ill Humours upon that Part, which might otherwise drain somewhere else. in Ch. V. thro' the various Stages of Life. 473 inveterate Obstructions it is likewise improper, because the more violently the Fluids are pro- pelled, the more the Obstructions will be ri- veted and lock'd in. As the Pressure of Water is ren- dered more effectual by Cold, so its relaxing Power is augmented by a moderate Warmth; for a gentle Heat always relaxes the Fibres of our Body, it being plea- sing and agreeable to the Sense of Feeling. So that when we would have the Benefit of universal Relaxation, we ought to use a tem- perate Bath, which has only a mild Heat, like that of our Bodies, and is therefore less beneficial to cold Diseases, and less injurious to the Healthful, who use it chiefly to wash their Bodies, to temper the Natural Heat, and to take off Weariness. The Use of Warm Baths But temperate Baths have many physical Uses besides Cleanliness and Pleasure, and are observed to be beneficial in the following Cases. Tepid Baths moisten and warm; but if more hot, they heat and moisten less; they likewise open the Pores and promote a free Perspiration, and are proper in most Erup- tions and Foulnesses of the Skin, especially where the Obstructions will not yield to the Cold Bath; for they not only relax the Pores, but likewise dilute the obstructed Matter at the same time, in being absorbed by the cuti- cular Vessels. Warm Baths are proper in most scorbu- tick Habits, Sciatica, Rheumatism, Colicks, Gravel, 474 A GUIDE to HEALTH Part III. Gravel, Costiveness, Gripes, Stiffness of the Joints and Muscles, and in most Cases pro- ceeding from an obstructed Perspiration. Temperate Baths are useful in all hot In- temperies, and are likewise proper in the bi- lious, viscid, or acrimonious State of the Blood: But they are injurious in Fevers, Inflamma- tions, and in all acute Diseases, especially be- fore the Concoction of the Humours. In using the Warm Bath, the Diet in ge- neral should be easy of Digestion, thin and diluting, and in many Cases sweating in Bed after warm Bathing is necessary; but in this and in other Circumstances which may occur, the Patient is to consult his Physician. The naturally hot Mineral Baths, such as that famous one at Bath in Somersetshire, are much more powerful in curing Diseases and removing Obstructions, than the Artificial; the Waters of the former being impregnated with balsamic, volatile, stimulating, and sub- astringent Particles, which the last can never have by any Art or Contrivance whatever. These natural hot Mineral Waters are like a Fomentation, which both supples and strengthens the Parts of the Body all over at once, and by gently shaking and undu- lating the Fibres, helps forward the vital Mo- tions, which are ready to be at a Stand. In old Pains and Aches, which have been the Remains of nervous Distempers, and where some particular Part continues contracted, or has any Humours fix'd upon it, which it can- not dislodge, these Waters pump'd upon it hot from Ch. V. thro' the various Stages of Life. 475 from the Spring, do more towards a Cure than all the most efficacious Compositions of Medicines. Bathing all over in these Springs cannot but wonderfully open that almost infinite Number of secretory Orifices upon the Surface of the Body, and clear the cutaneous Ducts of the Matter which is apt to stick in them; by the opening of which Spiracula the Fluids of the whole Body have more Room to move in, and have proper Vents to reak out a great deal, which is of great Service to the Oeconomy to get rid of. These small Sulphur-Fountains likewise inwardly taken, to Astonishment warm and strengthen a decay'd Stomach, especially if relax'd and worn out almost with Luxury and Debauches: The most grievous Nauseas and Vomitings from these Causes have been re- moved by them: For they both soften again with proper Moisture the Fibres which have been render'd incapable to vibrate, by the Use of hot, burning, spirituous Liquors, and at the same time draw them into greater Tensi- ty; as a Cord which relaxes with over-drying, fills up and straitens upon the Contact and Attraction of a convenient Moisture. The small Share of fine Salt which likewise attends, and is as it were wrapped up in the Particles of Sulphur, cannot but contribute somewhat in restoring the Tone of such de- cay'd Parts. But besides the Benefit these do to the Stomach, they also carry along with them into the most remote Recesses of the Body 476 A GUIDE to HEALTH Part III. Body, a Balsamic of Nature's own Prepara- tion; whereby such Decays in the Stomach, or in any of the Viscera or Bowels, from Ab- scesses, Ulcerations, or any like Causes, are with great Success reliev'd; and particularly if they be of the Kidneys and Urinary Passages, because they wash through them in more plenty, than where they come by the ordinary Course of Circulation. Of Frictions. Friction, or Rubbing with a Flesh-Brush, Cloth, Hand, &c. is, as it were, an alter- nate Compression and Relaxation of the Parts of the Body. A gentle Friction only com- presses the Veins; but by a stronger Degree, the Arteries are also compressed. By com- pressing the Veins by Friction, the Motion of the viscous Blood to the Heart is accelerated; hence the Motion of the Heart is roused: By which Means, the Blood is with greater Velo- city propell'd through all the Vessels. The vital Force may, therefore, be augmented to any Degree, by means of Frictions, without giving any Medicine internally; for by means of Frictions a burning Fever may be excited in the most dropsical Patients. In those Bodies where almost all the Or- gans of Digestion are so languid, as not duly to perform their respective Functions, Fric- tions with rough woolen Cloths over the whole Abdomen, or Belly, when the Patient is fasting, have been found to produce sur- prisingly happy Effects. Hence the Ancients had Ch. V. thro' the various Stages of Life. 477 had Frictions in so great Veneration, not only for the Preservation of Health, but also for the Cure of Diseases, that the Grecians, Ara- bians, Romans, and Egyptians in general con- stantly practised that Method; and Galen wrote a whole Book, intitled de Frictionibus. Celsus likewise recommends the Usefulness of Frictions in his Works: But this Practice has been almost neglected among the Moderns till of late, and is now reviv'd again with no less Success than in former Days, tho' not so general; for it is experimentally known, that it will strengthen weak Limbs, and bring Nourishment to the Parts, and likewise cure the Rickets in Children, especially if Cold Bathing be used. Therefore I would recommend to all Mo- thers and Nurses, to rub the Back, Sides, Shoulders, Hips, and Limbs of their Children by a warm Fire Night and Morning, being very necessary to prevent Obstructions and Rickets, and to promote their Growth and Ac- tivity; and likewise to preserve their Limbs strong and straight. By Frictions a free and full Circulation and Perspiration may be usefully promoted; and this is performed by abiding Nature to throw off by Perspiration the Vapours and Recre- ments of the third Concoction, which are of- ten retained and pent in between the Scales of the Scarf-skin, as likewise in the Interstices of the outward Muscles and Membranes of the Body; so that by the Use of Frictions Nature is not only assisted in discharging by insensible Per- 478 A GUIDE to HEALTH Part III. Perspiration those excrementitious Particles, which frequently hinder a full and free Cir- culation, but likewise Blood and Spirits are thereby attracted to those Parts mod remote from the Seat of Heat and Motion, by which Means also the natural Heat is increased, and the superficial Muscles are render'd plump and strong. Hence it is evident, that ancient People, and such as have weak Nerves and lead a se- dentary Life, especially those who are subject to Numbness, Weakness, or Obstructions in their Joints, or are threaten'd with paralytick Disorders, in order to supply the Want of Ex- ercise of other Kinds, ought to have their whole Bodies, more particularly their Limbs, rubbed for half an Hour every Morning espe- cially, and at Night, with a Flesh-Brush, Flannel, or Napkin, till the Parts begin to grow red and warm. The Friction should be made first on the Arms, Hands, Feet, Legs, and Thighs, from whence we ought to proceed to the Shoulders, Back, and Breast; and the Head should be rubb'd the last of all. Among the Ancients there were Frictions of various Kinds, and subservient to different Purposes. Hence Hippocrates in his Treatise De Med. Offic. tells us, 'That Friction may 'resolve, contract, incarn, diminish: Since 'strong Frictions contract, gentle Friction 'resolves, much Friction diminishes; and 'moderate Friction condenses.' Any Part of the Body is render'd more lax, by being rub- bed with soft oleous Substances. Nothing. Ch. V. thro' the various Stages of Life. 479 Nothing is more beneficial in curing a Weak- ness of the Fibres, than Frictions with rough warm woolen Cloths, especially if previously impregnated with the Smoke of burning Am- ber, or Mastick, that at the same time this aromatick and corroborating Steam may enter the relaxed Parts. But we are to proceed gradually in this Work, and not to use too strong Frictions at first; lest either the stag- nated Fluids in the preternaturally distended Vessels should be too copiously convey'd to the Heart, and by that Means overwhelm and suffocate it; or the tender Vessels should be broken by imprudently increasing the Motion of the Blood. When the Ancients wanted to reduce exte- nuated Parts to their natural Situation, they sti- initiated and irritated these Parts so as to produce a gentle Inflammation and Swelling; for by this Means, the Humours being convey'd with a greater Impetus and a brisker Motion to the Parts, they distended the too rigid Vessels pro- portionably the more. By often repeating this Irritation, the top great Strength of the Ves- sels was so diminished, as to yield to the Hu- mours, which, in order to their good State of Health, must necessarily flow into them. Thus Galen, in the third Chapter of his fifth Book De Sanitate Tuenda, informs us, 'That 'by Frictions with pinguious Substances, he in 'a few Days restored the Flesh of many, who 'had been for a long time emaciated.' Hence Frictions with fat Substances are highly proper in these Cases, but only to such a Degree 480 A GUIDE to HEALTH Part III. Degree as to excite a slight and gentle Redness of the Part; for when the Friction is violent, that which it attracts to the Part is discussed; but, in this Case, a large Distension of the too strong Vessels is required. Galen, in the seventh Chap. of his seventh Book De Method. Medend. gives this Caution in the following Words: 'When, says he, we 'intend to produce Flesh on any Part, we are 'by Friction to heat it, so as to render it tu- 'mid; but, when we intend to discuss and 'evacuate, this Friction and Heat are to be 'continued till the tumid Part subsides.' And in the sixteenth Chapter of his fourth Book De Method. Medendi, he tells us; 'That it was customary with some to strike 'emaciated Parts with slender Rods, slightly 'anointed, till the Parts became moderately 'tumid.' He also informs us, that by such a Percussion repeated daily, or every other Day, together with a moderate Friction or Stimulus, the diminutive and extenuated Buttocks of Children were wonderfully enlarged. Hence the Reason is obvious, why Friction sometimes produces opposite Effects; for a strong Friction with rough dry woolen Cloths, especially when impregnated with the Fumes of kindled Aromaticks, as I have observed be- fore, cures too weak Fibres; whereas a gentle Friction with pinguious Substances, by at- tracting the Humours, and relaxing the Solids, softens too rigid Fibres. FINIS.             A GUIDE to HEALTH THROUGH THE Various Stages of LIFE. Wherein are Explained, I. The different Degrees and Changes of Age, the prin- cipal and inevitable Causes of OLD AGE, and finally of our Dissolution; with a Chronological and Hi- storical brief Account of long LIVES from before the FLOOD to this present Time. II. The Nature, Properties, Qualities, and Influence of AIR. Of Aliments; the Choice of them; their Power upon Human Bo- dies, with their good and bad Effects. Of Sleeping and Waking; of Motion and Rest; of Retention and Ex- cretion; and of the Passions of the Mind. III. Of the Definitions, Di- agnosticks, Prognosticks, and Curative Indications, both Medicinal and Dietetical; of Acute and Chronical Dis- eases incident to Human Bodies; with the Nature and Use of BATHING and FRICTIONS. The whole illustrated with useful ANNOTATIONS, methodically and succinctly digested, and con- firmed by the Authority of the most celebrated Authors, both Ancient and Modern. By BERNARD LYNCH, M. D. Pugnandum tanquam contra Morbum, sic contra Senectutem. Crc. de Senectute Optima quæque dies miseris mortalibus ævi Prima fugit: subeunt Morbi, tristisque Senectus: Et labor. & duræ rapit inclementia mortis. VIRG. Lib. III. Georg. THE SECOND EDITION. LONDON: Printed for M. COOPER in Pater-noster-Row. 1754.  TO Dr. JOHN BEAUFORD. Sir, THE Friendshlp you shew'd gd me in the Infancy of my Practice has been too essen- tially useful to me ever to be forgotten; and it is with great Self-Satisfaction that I take this pub- lick Opportunity of acknowledg- ing the Obligations I lie under to you. My Interest in Town was not A2 only iv DEDICATION. only strengthened and extended by the Share you were seen to take in it, but my Knowledge was enlarged by my Converse with you, and my Prac- tice was formed by my Observation of yours. I carefully examined the Modus of Practice here, of the most Emi- nent of the Profession, when I first came to Town, intending to shape my own with that which should seem to me the most conformable to the Sentiments of the Great Hippo- crates; and finding none more na- tural and uniform than Yours, I took it for my Model, and have continued it ever since with all the Success I could hope for. The Profession of Physick is held in higher Esteem in this, than any other Country in Europe; and no wonder; because none can produce so learned a Body of Physicians. But among that Body, more learned and skillful than any other in the World, your v DEDICATION. Your long Experience, Sir, sets you in the first Class of it. This is a Truth unquestioned, not only by the Publick, but even by those of the Profession. You have a natural Right to the Patronage of the following Work, being founded chiefly on your own Maxims, and originally begun that I might have a publick Opportunity of owning your Favours, and doing Justice to your Merit. How I have succeeded in the Choice and Con- texture of my Subject, I submit to the Publick with the utmost Defe- rence; but however I may have fail'd in the Opinion of other learned Men, I have too often experienced your In- dulgence, not to flatter myself that you will view all Inaccuracy of Stile and Diction, and other as minute Imperfections, with your usual Can- dour and Good-nature. As for more capital Errors, I shall most readily own and reform any such, and most A3 grate- vi DEDICATION. gratefully thank any friendly Hand that shall be at the Pains of pointing them out to me. I am, with the greatest Sincerity, SIR, Your obliged, and most obedient humble Servant, Stanhope-street, June, 1744. BERNARD LYNCH. (VII) PREFACE. WHERE a Title-Page is so expres- sive of the Contents of a Book as the foregoing, a Preface might seem unnecessary; and I should think it so, if Custom did not seem to exact that a Bill of Fare should be serv'd up to the Company before they sat down to Table. To comply then with the Humour of this modern Tyrant, I must in- form the courteous Reader, that the sole End of my Labour was to inform the Uninform'd and to erect such Lights as might help them to form such a Judgment of their own Con- stitutions, as should prevent their fancying themselves in a worse State of Health than they are, and running after every Empirick, who pretends to the Knowledge of Catholi- cons, or universal Remedies. These are the Bane of all Societies; and tho' Quacks are soon detected, yet as the Succession of them is so very constant and rapid, the Commonal- ty for the most part, see not the Injury done to them, nor the Wrong they suffer. This is a Misfortune to be lamented, but diffi- cult to be removed, whilst Man is prejudic'd A4 in viii The PREFACE. in Favour of Novelty, and in Disfavour of the Regular Physician, who can't afford to bellow the Fruits of his hard Labours on the Public promiscuously. There is one Thing in the following Sheets which the Author owns to have labour'd more than any Part of his Subject, which is the Doctrine of Non-naturals, the Knowledge of which, he thinks, no reasonable Man who values his own Health should be ignorant of; and which he presumes to say, has been more obscurely treated heretofore, than it ought to have been, or indeed he believes it was de- sign'd it should be. In treating of acute and chronical Diseases, there are general Remedies, but except in one or two Occasions, such as the Bite of a mad Dog, and some Consumptions, there are no formal Recipes, which, it is found by Expe- rience, are generally productive of more Evil than Good. For the general Ignorance, I may say Infatuation, is such, that the Vulgar too often make material Mistakes in the Pre- paration of the most plain and simple Reci- pes. Besides, that as the Nature of Diseases and Constitutions is so various and different, not to mention the Climate, Air, Season, Age, and a thousand other differing Circumstan- ces, it would be too presuming for the Au- thor to take upon him to prescribe for every particular Distemper. He would not do so great a Wrong to the Illiterate, nor, to use the learned Boerhaave'ss Words, Would do any ix The PREFACE. any thing so prejudicial to the noble and ge- nerous Science of Physick, or expose it to Re- proach, as they must inevitably do, who pre- tend to adapt a particular Remedy to gene- ral Diseases. Having mention'd the ever-famous and-to- be-rever'd Boerhaave, the Author takes this Opportunity of owning his Obligations to him, not only in his Practice, but in this Work particularly. He has all along kept that Great Man in his View, nor has he been un- mindful or neglected any other eminent Wri- ter in Physick, either ancient or modern. He has frequently quoted their Words, and al- ways endeavour'd to conform himself to the Sentiments of the most approv'd Authors. And that his Gratitude to all such great Men as well as Justice may be seen, he has an- nex'd a Catalogue of such Authors as he owns himself indebted to in the Compilation of the following Treatise, thinking this Method more orderly and eligible than a constant Quotation. A A LIST of the Authors. Ægineta, Paulus. Anhornius. Arbuthnot. Boerhaave. Boyle. Borelli. Baglivius. Blondell. Bonetus. Baynard. Boutius. Barlow. Celsus, Aurel. Cornel. Celius Aurelianus. Cheyne. Duretus. Diodorus Siculus. Default. Etmuller. Floyer, Sir John. Galen. Hippocrates. Hugens. Hales. Halley. Hook. Keil. Lommius. Laurentius. Leeuwenhoek. Lister. Livy. Malpighi. Mead, Richard. Morton. Newton, Sir Isaac. Oribassius. Paree, Ambrose. Prosper, Alpinus. Pliny. Quincy. Ruyschius Riverius. Romer. Rowning. Ramazini. Robinson, Tancred. Solomon. Sydenbam. Seneca. Sanctorius. Suetonius. Torricellius. Van Helmont. Verulam. Willis. Wainright. Waldschmidius. A A LIS of the SUBSCRIBERS. A. ARundel, the Rt. Hon. Lord Arundel, the Hon. Tho- mas, Esq; Aston, the Hon. James, Esq; Astley, Mr. Apothecary, 2 Books Aston, George Joseph, Esq; Andree, M. D. Addis, Mr. Apothecary Asbridge, Mr. Adean, Mr. James Allanson, William, Esq; B. Beaufort, His Grace the Duke of Butler, the Hon. John, Esq; Bartholomew, M. D. Bennet, Philip, Esq; Mem- ber for Bath Burnham, Mr. Boult, Mr. Attorney at Law Boudon, Mr. Apothecary Benion, Mr. Apothecary Beauford, John, M. D. Butler, M. D. Bodkin, Mr. Valentine Brown, William, Esq; Barrabee, Mr. Bird, Edward, Esq; Bostock, M. D. Beaumont, Mr. Apothecary Beetenson, Mr. Surgeon Brewerster, Tho. M. D. Brett, Mr. Nathanael Bernardeau, Mr. 3 Books Bradshaw, James, Mr. Button, Mrs. Barwell, Mr. Bolney, Mr. Henry Blake, Andrew, Esq; Blake, D. Esq; Barry, M. D. Buckeridge, the Rev. Mr. Thomas Bateman, the Hon. Capt. Boswell, Mr. Thomas Backas, Mr. Apothecary Betts, Mr. John Bostock, Mr. Henry Bradley, Mr. Boyle, Henry, Esq; Butcher, Mr. Apothecary Bannister, Mr. Charles Bower, Archibald, Esq; Bridgen, Mr. Robert Bridgen, Mr. Thomas C. Cavendish, The Rt. Hon. Lord James Clarke, Mr. xii A LIST of the SUBCRIBERS. Carrol, Mr. Corless, Mr. Alexander Carmault, Mr. Coleman, Mr. Constable, Mr. John Cary, Esquire, Surgeon. Cheeke, Mr. Apothecary Cheeke, Mr. Apothecary Cibber, Colley, Esq; Caldwell, Mr. Robert Chittick, Mr. Surgeon Clempson, Mr. Coughlan, Mr. Cumming, Rev Mr. Wil- liam, A. M. Chettey, Mr. William Connel, Michael, M. D. Cooper, Mr. Apothecary Clarke, Mr. Apothecary, 2 Books. Currer, Mr. Jun. D. Dillon, The Rt. Hon. the Lady Frances Viscountess Dowager Dillon, The Rt. Hon. the Lady Bridget, Viscountess Dowager Dawkins, Esq; Member for Woodstock Davis, Mr. William, Sur- geon Dorrel, Mr. Daffy, the Hon. Capt. Draper, Mr. Apothecary Death, Mr. Apothecary Deschamps, Mr. Doyley, Mr. Edward, At- torney at Law. Delany, the Revd. Mr. Duggin, Mr. John Dumbleton, Mr. Daniel Duggin, Mrs. Davis, Mr. E. Ewer, Mr. Eliott, Mr. Apothecary Eyre, Mr. Edward Ebrall, Mr. Apothecary Emet, Mrs. Egan, Mr. F. Fairfax, The Rt. Hon. the Lady Viscountess Firebrace, Sir Cordell,Bart. Kt. of the Shire for Suf- folk Fisher, Mr. Thomas Fowler, Mr. Apothecary Foot, Mr. Asher, Apothe- cary Firmin, Mr. Farrel, Mr. Francis, Mr. George Frazier, Mr. Apothecary Farrel, Mrs. Farrel, Mr. Apothecary Fort, Mr. Francis Firmer, Mrs. Hellena Farrin, Mr. John Freeman, Samuel, Esq; Fitzgerald, Mrs. G. Graham, the Reverend Mr. 3 Books Gammon, Mr. Robert, Apothecary Goodacre, xiii A LIST of the SUBCRIBERS. Goodacre, Mr. Apothecary Godfrey, Mr. Ambrose, Chemist Gardiner, Mr. Thomas Griffin, Mr. Philip Garvan, Francis, Esq; Gibbon, The Rev. Dr. John H. Hemet, Mr. Operator for the Teeth to his Royal High- ness the Prince of Wales Harrison, Mr. Apothecary Hoddy, Edward, M. D. Hodgson, Mr. Apothecary Hernon, Mr. Apothecary, 4 Books Hudson, Mr. Apothecary Henley, the Rev. Mr. A. M. Harriott, Mr. Surgeon Hawkins, Mr. Barnaby H—M—Mrs. Harrow, Mr. Robert Hibber, Mr. Haward, Mr. Watkinson, Attorney at Law Hayrick, Mr. Apothecary Horseman, M. D. Hall, Mr. I. Jones, Mr. Tho. 2 Books Jayer, Mr. Apothecary, 2 Books Izard, Mr. James, M. D. Jernegan, M. D. Jernegan, Henry, Esq; K. Kilby, Robert, Esq; Kirwood, Mr. William, Surgeon Kingsley, Mr. Keating, Mr. King, Mr. Maynard Kitchen, Mr. L. Litchfield, The Rt. Hon. the Earl of Lainsborough, The Rt. Hon. Lord Viscount Lainsborough, The Rt. Hon. the Lady Viscountess Lynch, Sir Henry, Bart. Lynch, Robert, Esq; Lynch, The Rev. John. S. T. P. Dean of Can- terbury Lynch, George, M. D. Lynch, Robert, A. B. Lynch, Francis, Esq; Lynch, Mr. Nicholas Lynch, Mr. Isiodore Lynch, Mr. William Lynch, Mr. Thomas Lloyd, the Hon. Capt. Lyster, Mr. Apothecary Leake, Mr. Langley, Mr. L'Herondell, the Rev. Mr. Lawley, George, Esq; Littlejohn, Alexander, Esq; Lister, Richard, Esq; Kt. of the Shire for Salop Loukup, George, Esq; Lewis, Mr. Lucas, xiv A LIST of the SUBCRIBERS. Lucas, Mr. Jeremiah Lane, James, Esq; Lawson, Esq; M. Mannington, Mr. Monins, The Rev. Mr. Ri- chard, A. M. Middleton, Capt. Christo- pher, Esq; Maul, Mr. Apothecary Marshal, Mr. Surgeon Macdonough, D. D. Montague, Mrs. Morgan, Mr. Apothecary Mills, John, Esq; Maud, Mr. Apothecary Maud, Mr. William Monkeman, Mr. Attorney at Law. Manby, Mr. Apothecary Mann, Mr. Thomas Macket, Wilmer, Esq; Mills, John, Esq; 20 Books Martin, Thomas, Esq; Metcalf, Mrs. 2 Books Morehead, William, Esq; Maurin, Mr. Metcalf, Mr.Roger, Surgeon Mayfield, Mr. Thomas Mitchel, Mr. Apothecary Mitchell, Mr. Apothecary Mitchel, Mr. Francis, Sur- geen Macartey, Alexander, Esq; Manley, Apothecary N. Nebot, Mr. Balthazar Nevil, Mr. John, Apothecary Noone, Mr. John Nesbit, Mrs. Nelson, Rev, Mr. Rector of Oakley O. Orton, Mr. Oliver, Mr. Nicholas P. Parsons, Mrs. Parker, Mrs. Pack, Mr. Daniel Pile, George, M. D. Pearson, Mr. Poulson, John, Esq; Prude, Mr. Apothecary Palmer, Mr. Benjamin Popham, Edward, Esq; Member for Wilts Pakington, John, Esq; Pakington, the Hon. Capt. R. Rust, Mr. Rawlins, Mr. Apothecary Rossel, The Rev. Mr. Sa- muel Raikes, Mr. Apothecary Richardson, Mr. Radford, Mr. William Reynolds, Mr. Christopher, 2 Books Robinson, Tancred, M. D. Rivett, Thomas, Esq; Raoult, Mr. Surgeon Rankin, Mr. Thomas Redfern, Mr. S. xv A LIST of the SUBCRIBERS. S. Sweet, Mrs. Rebecca Street, Mr. jun. Scott, Mrs. Sadler, Daniel, Esq; Smith, Mr. Sedgwick, James, Apothe- cary Scrooby, Mrs. Elizabeth Savage, Mrs, Anne Savage, Mr. George Savage, Mr. William Smith, Mr. Edward Sherwood, Mr. Noah, Sur- geon Simmons, Mr. Edward SherifFe, Mr. Shepard, Mr. Smithson, William, M. D. Sams, Mr. Henry Smith, Thomas, Efq; Schamberg, Mayer, M. D. Schamberg, Isaac, M. D. Seed, Mr. Shelton, Mr. Richard Stubbs, Mr. William, At- torney at Law. Snowden, Mr. Stuart, James, Esq; Stuart, Simeon, Esq; Shaw, Mr. Smith, Mr. John Shipton, John, Esq; Stainforth, Mr, George, Merchant T. Tash, Mr. Thompson, Thomas, M. D. Turbut, Mr. Benjamin Thompson, Francis, sen. Esq; Turnball, Mr. William Thomas, James, Esq; Thompson, John, Esq; Thompson, Francis, Esq; Turner, Mr. Tonge, Mr. Trant, James, Esq; Trant, John, Esq; V. Venables, Mr. Vaughan, Mr. Attorney at Law Umfreville, Edward, Esq; W. Wharton, Her Grace the Dutchess of Whiteall, Mrs. Wilton, Mr. Wilford, Mr. West, Lewis, Esq; Wilson, Edward, Merchant Williams, Mrs. Walker, Mr. Wilson, Mr. Thomas Wilson, Mr. John Wells, Mrs. Mary Wilson, Mr. John Wilson, Mr. Edward Webb, Thomas, Esq; Westby, Robert, Esq; Wilmot, Mr. Z. Zincke, C. F. Esq; ERRA- ERRATA. Page 35. Line 17, after wholsome Food, add, probably they might. Page 214. Line 21, for immediately read intimately. (xvii) THE CONTENTS. PART I. Of the different Degrees and Changes of Age; the principal and inevitable Causes of Old Age; and, finally, of our Dissolution; with a brief chronological and historical Account of long Lives, from the Creation to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life, with a Description and Definition of Old Age. OUR Bodies subject to Changes page 1 Man's Life divided into se- veral Periods ib. The Egyptians Opinion of Ages 2 The Pythagoreans Doctrine of Numbers ib. Five remarkable Changes in Man's Temperament, viz. Infancy, Adolescency, Youth, and Manhood, and old Age ib Temperament what, Note *, ib. Infancy, Adolescency, Youth, and Manhood described 3 Old Age begins at fifty, and is divided into three Pe- riods ib. The first is called Verdant 3 The second begins at Seven- ty 4 The third is called Decrepid ib. The Pains and Miseries of de- crepid old Age, according to the Royal Prophet ib. An allegorical Description of decrepid old Age, according to the Royal Author, So- lomon 5 The same explained 6 Some Men old at forty 7 A great many young at sixty ib. The different Qualities of Constitutions ib. a The xviii The CONTENTS. The melancholick Constitu- tion grows old sooner than any of the rest—p. 8 Females grow old sooner than the Males—ib. Hippocrates's Opinion con- cerning the same—ib. Sloth and Idleness soon bring on old Age—ib. The Causes of different Tem- pers or Constitutions—ib. The Proportion of the Parts of the Body, and their Con- formation, contribute to the Difference of Constitutions 9 The different Tempers of the Parts of the Body, in re- spect of one another—10 Sexes and Age make a Diffe- rence in Constitutions ib. Women colder than Men—ib. Infants and Children hot and moist—ib. Heat decreases in old Age—ib. Different Climates, and the Manner of living, are Causes of different Consti- tutions—11 The Definition of Old Age—ib. The same explained—ib. The great Secret and sole Method of long Life, is, to preserve the Blood and Juices in a due State of Fluidity and Thinness—12 Nothing will bring a Person to the State of universal Hardness and Stiffness of the Fibres, and a Viscosity and Thickness of the Juices, than indulging in strong high Meats and strong Li- quors—13 The only Method of pro- curing a contrary State of the Solids and Fluids—14 All the Parts constituting a human Body are made up of small Fibres—ib. The Divison of the Fibres becomes so small at last, as to exceed the Power of Imagination—15 CHAP. II The principal and inevitable Causes of Old Age, and of our Dissolution. The Causes of the Alteration of our Bodies, and of our Dissolution, are either ex- ternal or internal—16 The internal Causes are two—ib. The internal Causes what—ib. The Principles of our Com- position what—17 Animal Actions distinguish- ed into vital, natural, and animal—ib. Vital what—ib. Natural actions what—ib. Animal Functions what—ib. The Principles of our Com- position being duly distri- buted through the whole Body, may be called an E- quilibrium between the So- lids and Fluids—18 Their Alliance is of short Duration, and why—ib. The xix The CONTENTS. The inevitable Causes of Old Age, and of our Disso- lotion—p. 19 Farther Particulars necessary to be considered to prove the same, concerning the Nutrition, Growth, and De- crease of the Body—ib. to 28 The internal Causes of our Dissolution are born, grow, and are nouristied with us, and will bring on gradually and inevitably old Age, and destroy the Body at last—28 All the great Promises made with Assurance, as to the Prolongation of Life for many hundred Years, are vain and imaginary, being unsupported both by Rea- son and Experience—ib. External Causes of our Disso- lution, which are likewise inevitable—ib. Other external Causes, which are accidental, as Wounds, Fractures, &c.—29 CHAP. III. An historical Account of Long Lives, from the Creation to the present Time. Men lived many hundred Years before the Flood—30 None of the Fathers attained to the Age of a thousand—ib. This Length of Life was not peculiar to Grace or the holy Line only—ib. There are eleven Generations of the Fathers to the Flood 31 Of the Sons of Adam by Cain, eight Generations only—ib. The Length of Life was re- duced to one half imme- diately after the Flood, in the Post-nati only—ib. Noah and Sem, who were born before the Flood, each of them liv'd 600 Years—ib. Of the Ages of Abraham, Isaac, Jacob, Ismael, and Sarah ib. Of Joseph, Levi, Moses, Aaron, and Phineas, Grand-child of Aaron—32 Of Joshua, Caleb, and Job—33 Of Isaiah the Prophet, and Tobias the Elder and the Younger—34 Of Epimenides the Cretan, and Xenophanes the Colophonian 36 Of Gorgias the Sicilian, and Democritus of Abdera—37 Of Terentia, Cicero's Wife—39 Of Simeon the Son of Cleophas, called the Brother of our Lord, and Bishop of Hie- rusalem; and Aquilla and Priscilla, St. Paul's Fellow- helpers—42 Of St. Paul the Hermit, and St. Anthony the Monk—43 The Popes of Rome, and their Number to this Time—44. Dando of Illyrinm, reported to have liv'd 500 Years—45 Hippocrates of Cos, the Prince of Physicians, Euphrenor the Grammarian Seneca and a2 Joannes xx The CONTENTS. Joannes de Temporibus, a Native of France p. 46 Of Cornaro the Venetian, and William Postell, a crazy Frenchman 47 The surprizing Age of Henry Jenkins, a Yorkshireman ib. Of Thomas Parr, a Shropshire- man 48 Francisco Lupatsoli, Venetian Consul at Smyrna 49 Remarkable Instances of Ab- stemiousness, Continency, and many other Virtues in the Life of Aurenzebe, one of the late Great Moguls ib. to 52 Richard Lloyd, born within two Miles of Montgomery ib. John Bailes of Northampton 53 The Western Islands of Scot- land remarkable for long Lives ib. Mrs. Hudson's abstemious Life described ib. Mr Johnston's Life 54 A remarkable Inscription on the Tomb-stone of Mar- garet Scot, who liv'd 125 Years ib. Of Margaret Paten's great Age 55 —Bright, of Ludlow in Shropshire, likewise ib. Mrs. Agnes Milbourn's long Life, very remarkable for the great Number of Chil- dren she had by one Hus- band ib. Instance manifestly proving Milk to be of salubrious, safe, and sweet Nourish- ment ib. Temperance and a cool Diet are absolutely necessary to the Prolongation of Life 56 Man' Life has stood much a- about the same Standard of Years, from the Time of Moses to our Days ib. The Continuation and Num- bers of Successions of Ge- nerations make nothing as to the Length or Brevity of Man's Life ib. People live longer when the Times are barbarous, and they fare less deliciously, and are more given to Bo- dily Exercises; but shorter in civiliz'd Times, People abandoning themselves to Luxury and Ease ib. The great Abridger of Age was undoubtedly the De- luge 57 There were Men of Gigantick Stature before the Flood; but no such have been pro- duced any where since ib. The immediate Condition of the Parents conduces very much to the Length or Shortness of the Life of their Offspring 58 The best Rule is to use mo- deration in all things 59 Conjugal Love more condu- cive to Health and long Life than an unlawful one ib. The best Time for Genera- tion ib. PART xxi The CONTENTS. PART II. Introduction to the Six Nonnaturals. CHAP. I. Of the Nature of Air. Air defin’d—p. 60 Air the principal Instrument of Nature in all its Opera- tions—62 The Lower Parts of the Air are impregnated of particles ib. Air is differently impregnated in different places of the Surface of the Earth, which must considerably alter its State—ib. Water, Earth, and Salts of all Kinds, are Ingredients of Air—63 Other Contents of Air—ib. Vegetables of all Kinds per- spire Particles, which float in the Air—64 Animal Perspiration and the Effluvia of all their other Excrements, are Ingredi- ents of the Air, which of- ten infect that Part of the Atmosphere, and produce pestilential Disease—ib. Doctor Hale's computation of Animal Perspiration, and how it may infect the Air—ib. The Air in great populous Cities, in Camps, or near Numbers of dead Carcasses, in a hot fultry Season, may be infected so far as to dis- posed the People to putrid and malignant Fevers—6; the Inhabitants of Countries where great Numberss have been slain in Battle, and left unburied, were soon after infested with pestilen- tial Distempers—ib. Several Instances to prove the same—66 It is of the utmost Consequence to every one, to take care what kind of Air they live in—ib. The first Consideration in building Houses and Cities 67 All high Hills and Mountains are damp, and Nests of Minerals, and Covers for Reservoirs of Rain-water—ib. Rain the Origin of Rivers, and Fresh-water Springs—ib. Dew is not mere Water, but a Collection of watry, oily, faline and volatile Sub- stances exhaling from the Earth—68 Dews of different Places are of a different Nature—ib. Why Air soon corrodes the Bricks and Tiles of House, and rots the very Hangings of Rooms in some Coun- tries—69 Air in some Places impregnat- ed with arsenical Steams—ib. The Steams of Sulphurs and Charcoals extremely per- nicious to human Bodies—ib. a3 Sul- xxii The CONTENTS. Sulphureous Vapours infest Vegetables, and render the Grass pernicious to Cattle 70 How the sulphureous Steams and Vapours of Mines affect the Miners—ib. Why Diseases are more fre- quent and more dangerous in Cities than in the Coun- try—ib. Why the close and confin'd Air of Prisons, Bays, and Harbours, often produces mortal Diseases—71 To what the great Mortality that is so often in Camps, and Sieges, is chiefly owing ib. Infects and their Eggs often float in the Air we breathe in—ib. Why Infects floating in the Air are often the Cause of many grievous Diseases—72 There are Showers of Rain sometimes in Africk, affect- ing the Inhabitants with Shivering?, a ltd Infects found in the Drops of these Showers—ib. Air in most Places contains near the same Quantity of Water—73 All the different Ingredients of the Air are digested and attenuated ly the Heat of the Sun, and constantly agi- tated by Winds, which mix the Air of different Regions together—74 The particular Causes of Thunder and Lightning—ib. The wonderful Effects of Lightning—75 The Opinion of Philosophers upon these strange Effects ib. A Thunderbolt what, Note * ib. The Rays of the Sun are the true Cause of infinite varie- ty of Ingredients contained and floating in the Air—77 Light is not above ten Minutes in passing from the Sun to the Earth—ib. The Earth is 10,000 of its own Diameters distant from the Sun—ib. The Velocity of Light to that of a Cannon Ball, will be as 25 Years to 10 Minutes ib. The Effects of the Rays of the Sun collected in the Fo- cus of a burning Glass upon Gold, which is unalterable by any artificial Fire—ib. The Rays of the Sun are ca- pable to abrade and file off from the most solid Bodies, small Particles lighter when separate than the least com- pounding Particle of Air 78 CHAP. II. Of the Properties of Air. The Properties of Air what p. 78 Galileus was the first Lisco- verer of the Gravity of Air 79 The specifick Gravity of Air according to Sir Isaac New- ton and Dr. Halley—ib. Specifick Gravity what—ib. Note * xxiii The CONTENTS. Air may possess a Space 520, 000 times greater at one time than another 80 The Specifick Gravity of the Air cannot be exactly de- termined ib. Air readily enters into the Vessels of Animal Bodies 82 The same Thing happens in Vegetables and Liquids 83 The Globules of the Blood contain Air 85 Elasticity is a Property in Air which it never loses 89 The Solids and Fluids of Ani- mals contain more Air in them in Proportion than any other Substances—90 Fluidity is a Property in Air which cannot be destroy'd 91 Air a Fluid in constant Mo- tion 92 The difference between Flui- dity and Liquidity ib. Air is compressible and dila- table 93 Divisibility a Property of Air 94 CHAP. III. Of the Qualities of Air. The Qualities of Air what 95 Heat is a Quality relative to our Senses 96 The Spirit of Wine in Weather- Glasses is affected with the least Alerations of Heat or Cold 97 Why Languid and Hysterick People suffer in hot Wea- ther ib Excessive hot Air capable of reducing animal Substances to a State of Putrefaction 98 Dr. Boerhaave's Experiment upon a Sparrow and a Dog ib. Perspiration what 99 Air not cool'd by the Motion of Winds 102 Great Mischief arising from keeping the Air of the Rooms of People in Fevers too hot 103 Cold condenses the Air in Pro- portion to the Degrees of it 104 Cold suppresses Perspiration 105 The fatal Extremities of Cold in Greenland ib. The Effects of extreme Cold or extreme Heat 106 The Effects of moist Air ib. Dryness, a Quality in Air producing different Effects to those of moist Air 109 The Doctrine of absorbing Air thro' the Pores of the Skins of living Creatures demonstrated 111 CHAP. IV. Of the Influence of Air upon human Bodies. Hippocrates knew more of the Influence of Air than all his Predecessors and Suc- cessors 113 xxiv The CONTENTS. Hipocrates's Advice concern- ing Air—ib. —Could foretell the Diseases from ths Weather 115 The Affair of Generation is influenc'd by Air—116 The different Shapes, Com- plexion, and Tempers of Mankind influenc'd by Air 117 The different Forms of Go- vernment, and even the Courage of People, is ow- ing to the Influence of Air ib. Air the Cause of most Dis- eases—118 Astronomy useful in Physick 119 The Constitution of the Air according to Hippocrates 120 Dr. Arhuthnot's Explanation of Hippocrates and others, concerning the Influence of Air—124 The whole Constitution of the Spirits, Humours, and the Body, depends upon Air—147 What we are to do when the Air is corrupted—148 What regards ancient People concerning Air—ib. CHAP. V. Of Aliments in general. The first Stage of Digestion, and how it is perform'd 150 The second Stage of Diges- tion—155 The most subtil Parts of the Food pass immediately in- to the Blood by the absor- bent Vessels of the Inte- stines—156 The last Stage of Digestion 161 CHAP. VI. Of the Choice of Aliments. All Animals are made either immediately or mediately of Vegetables—p. 164 Vegetables consist of Salt, Oil, Spirit, and Earth—165 Of different Tastes—ib. Of the properest Food of the vegetable Kingdom.—166 Of the Qualities of Barley, Wheat, Oats, Rice, Rye, Millet, Panick and Maise 167 Of Peas, Beans, Apples, Pears, Peaches, Apricocks, Plumbs, and Mulberries—168, 169 Of Gooseberries, Currants, Cherries, Strawberries, O- ranges. Citrons, Limons, Grapes and Figs—170 Of Quinces, Pomegranates, Tamarinds, Capers, Olives, Almonds, Walnuts, Hazle- Nuts, Chesnuts, Pompions, Cucumbers, Gourds, and Melons—171 Of Pot-Herbs—172 Of Artichokes, Asparagus, Parsley, and Celery—ib. Of Spinage, Beet, Sallads, xxv The CONTENTS. Potatoes, Turnips, Car- rots, Parsnips—173 Of Garlick, Onions, Rock- ambole, Shalot, Leeks, Radishes, Horse-radishes, Cresses, Mustard, Truffles, Morelles, and Mushrooms 174 Of Marjoram, Basil, Savory, Thyme, Rosermary, Sage 175 Of the Qualities of Tea, Coffee, and Chocolate—175, 176, 177, 178 Animal Food more nourish- ing than Vegetable—ib. Animal Diet is anti-acid—179 Animal Flesh differs accord- ing as the Animal is terre- strial, aquatick, or am- phibious, and Fishes abound with more alkaline Salt and Oil than terrestrial animals ib. The only Way of having found and healthful animal Food—180 The Flesh of Animals too old, unwholsome—181 Salt Fish produces gress Hu- mours, and bad Juices—ib. Why the Flesh of wild Ani- mals keeps longer uncor- rupted than that of tame ones—182 Flesh boiled, wholsomer for weak Stomachs than roasted ib. Why Meats bak'd or fry'd, are bad—183 Of Lamb, Veal, Kid, and Beef—ib. Of Mutton, Rabies, young Hares, Pork and Bacon 184 Of Brawn, Deer, Cream, Butter. Marrow and Cheese 185 Milk, a most noble, nourish- ing, and wholsome Food l66 A proper Diet for Women that give suck, or Nurses 187 Whey, good for hot Consti- tutions and Scurvies 188 How to know the different Nature and Qualities of Birds or Fowls in general ib. Of Duck, Capon, Pigeons, Pheasants, Pullets, and Geese—189 Of Turkey, Partridges, Plo- vers, Blackbirds, Larks, Sparrows, Peacocks, and Starts—190 Of Thrushes, Quails, Turtle Doves, Woodcock, Snipe, and all other long-billed Birds—191 Of Fish in respect of Flesh, and why it is in general hard of Digestion ib. General Rules concerning Fish 192 Of Eels, Carp, Lampreys, Pike, and Sturgeon—193 Of Crabs, Lobsters, Oysters, Turbut, Soles, Place, Perch, Tench, Gudgeons, and Smelts—194. Of Flounders, Salmon, Trout, Cod-fish, Haddock, Skate, Thornback, Barbel, Mac- karel, Herrings and Sprats 195, 196 Vegetables and Animals that come soonest to Maturity are lightest of Digestion. ib. The larger and bigger the Vege- xxvi The CONTENTS. Vegetable, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested 197 Sea Fish or Animals harder to be digested than Land Ani- mals 198 Vegetables and Animals a- bounding with oily, fat, and viscid Substance, are harder to digest than those of a drier, fleshy, and more fibrous Substance ib. Of the Nature and Effects of Rock and Sea Salt 199 Of Honey, Oil and Vinegar 201, 202 CHAP. VII. Of the Power of Aliments upon human Bodies, with their good and bad Effects. Aliment what 203 The Art of preserving Health consists in a Mediocrity of Diet 204 Substances which stimulate the folid Parts, produce the greatest Alterations in animal Bodies. 205 The solid Parts of animal Bodies may be contracted variously by Diet 206 The more sulphurous or chy- mical Oil any Spirit con- tains, the more destructive it proves to the Constitu- uon, as Rum and distill'd Spirits of Annifeeds, &c. ib. Austere acid Vegetables have a Quality of contracting, and strengthening the Fi- bres without a great many of the bad Effects of di- stilled Spirits 207 Warm Water the best Liquid for relaxing the Fibres ib. How the Qualities and Quan- tity of the Fluids of a hu- man Body may be chang'd by Diet 208 Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies either by Food or Sickness 210 The Juices of found Animals consist of Salts of a pe- culiar Nature, neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline ib. Acrimony in the Blood con- sists of three Sorts, acid, alkaline, and muriatic or briny 211 The proper Diet for the Cure of the acid Acrimony 212 The Diet proper in the alka- line and briny Acrimony ib. Several Sorts of Antiscorbu- ticks proper in an alkale- scent State of the Fluids 213 Drink, an essential Part of our Food, and the chief In- tentions of it 214. Pure Water answers all the Intentions of Drink, best of any Liquor ib. The Usefulness of Water for the Purposes of human Life 215 Water the best and most wholsome xxvii The CONTENTS. wholsome Drink in gene- ral, some few Cases ex- cepted—ib. Of Malt Liquors—216 Of strong Beer—ib. Of the Nature of fine Ales, or Home-brew'd, and how they are fin'd, which is pernicious, if not poison- ous to Health—ib. Yorkshire, Nottingham, Welch, and all fine Ales brew'd for Sale, destrudlive to Health—217 The frequent Use and Excess of distilled spirituous Li- quors, is become a Vice of so shocking a Nature among the People in general—ib. The poisonous Qualities of di- stilled Spirits consider'd—218 The direful Effects of the fre- quent Use of Dram-drink- ing explain'd—219 The great Calamity of Dram- drinking farther consider'd 220 Next to Drams, no Liquor de- serves to be stigmatized and more detested than Punch ib. The principal Ingredients of Punch separately consider'd 221 When a Cordial may be use- ful 222 A Sot the most contemptible Character in human Life—ib. The melancholy Effects of Drunkenness explain'd—223 A short Account of different Wines in general—224 Strong made Country Wines prejudicial—225 The Conclusion, concerning Wine, and all other strong Liquors—ib. CHAP. VIII. Of different Constitutions, and the Diet proper for each. A general Method as to Diet, without Regard to parti- cular Constitutions absurd 226 Enumeration of the several Sorts of Constitutions 227 Qf the Debility of the Fibres ib. The Causes and Signs of weak and lax Fibres assign'd—228 A Regimen for those of weak fibres—229 The Effects of too rigid a state of the Fibres—230 Rigidity what, and likewise the Signs of such a consti- tution—ib. The Regimen in such a State 231 The Definition, Cause, and proper Diet of plethorick Constitutions—232 Of sanguinecus Constitutions and their Diagnostick Signs 233 The Diet proper for such Con- stitutions—235 A saline Constitution of the Fluids in an animal Body, is either acid, alkaline, muria- tick, or briny—ib. Of acid Constitutions and their Effects—236 Of Constitutions subject to an alkaline Acrimony—237 xxviii The CONTENTS. The Causes and Symptoms of such Constitutions—238, 239 The Regimen for such—240 The Causes and proper Diet for the muriatick or briny Scurvy—ib. Of phlegmatick Constitutions, their Causes, Signs, and proper Diet—241, 242 Of fat or oily Constitutions, their Causes, Symptoms and proper Diet—243, 244, 245 Of atrabilarian or melancholy Constitutions, their Signs, Causes, Effects, and proper Diet—246 to 250 The grand Secret of Health consists in keeping an Equi- librium between the Solids and Fluids—ib. Aphoristical Rules of Diet in the various Stages of Life 251 to 258 CHAP. IX. Of Sleeping and Waking. Sleep, what—258 The Use, Benefit, and Causes of Sleep—261 The natural Cause of Sleep 263 The Effects of two much Watching—ib. Late Meat suppers prejudicial to Health—264 The Effects of too much Sleep—266 Of sleeping in the Day-time, or after Dinner—267 The ordinary Time allowed for Sleep—268 The properest Time for sleep- ing 268 Nothing more pernicious to the Constitution, than watching by Night and sleeping by Day—ib. Rules to be observ'd in regard to the Position or Posture of our lying in Bed—270 CHAP. X. Of Motion and Rest. The use of Motion and Rest 271 The Necessity of Motion or Exercise mechanically proved—273 to 282 Of the Effects of Musick—283 Its wonderful Effects in cur- ing the Bite of the Taran- tula, Note *—ib. The Effects of too much Rest—286 The absolute Necessity of La- bour and Exercise for the Preservation of Health far- ther consider'd—ib. The bad Effects of too much Labour or Exercise—287 Of general Exercises—ib. Riding of all Exercises the best—ib. Of particular Exercises ap- propriated to certain Parts of the Body—28 Conditions to be observ'd what regard to Exercise—29 CHAP. xxix The CONTENTS. CHAP. XI. Of Retention and Excretion. What Things are to be ex- creted or evacuated, and what retain'd—291 The Cause of costive Stools 292 The best Proportion of the gross Evacuations to the Quantity of Food taken in ib. Purging Stools how they dis- cover the Badness of the Regimen we use—293 The Reason why Mercury will purge instead of sali- vating—294 That the same Reason will make appear why Restrin- gents and Opiates prove purgative—ib. A dangerous Mistake in rear- ing up Children—ib. Loose and purgative Stools discover intemperate Eat- ing—295 The Mischief arising to Hy- sterical and Vapourish Peo- ple, by perpetually cram- ming and gobbling the richest and strongest Food, and highest Cordials—ib. The common Cause of Head- Aches, Stomack-Aches, and Colicks—296 The right Method of bracing relax'd Nerves—ib. An uncommon Evacuation both by Stool and Urine, and the Causes of it—297 Urine, and what it con- sists of—299 Unite of a bright Amber Co- lour the best—300 The Effects of Urine too long retained—ib. The Effects of too great an Evacuation of Urine—301 Of the different Tastes, Smell, Colour, and Quantity of Urine—ib. Of high-colour'd, foul, and turbid Urine—302 Of dark-brown, or dirty red- colour'd Urine—ib. Of bloody, mattery, or whey- ish Urine—303 Obstructed Perspiration the Cause of most acute Di- seases, and the Effect of chronical ones—ib. Catching of Cold what, and how dangerous—ib. A present, easy Remedy a- gainst it—304 Certain Indications of Per- spiration's being deficient or obstructed, with Direc- tions how to remedy the same—ib. The Semen what, and the Effects of moderate Coition 305 Immoderate Coition and its bad Effects—306 The Menses a necessary Eva- cuation, and what,—307 Of Sweat and the Nature of it—308 Sweat different from insensible Perspiration—ib. Of the Saliva, or Spittle, and the Use of it—309 Of Tobacco and its Effects 310 Of the Mucus or Snot, and Tears—311 Of Ear Wax and its Use—312 CHAP. xxx The CONTENTS. CHAP. XII. Of the Passions or Affections of the Mind. The Essence and Causes of the Passions not consider'd, but their Effects and Influ- ence upon Human Bodies 312 The Manner how the Mind operates upon the Body 313 How the Passions of the Mind consume the Spirits and disorder the Body—ib. Joy and Anger render Body lighter—314 Fear and Sorrow increase the Weight of the Body—315 The Passions to be consider'd as physical Agents ib. An Enumeration of the chief Passions of the Mind—ib. Of Love (properly distinguish ed into three Kinds) and its Effects—317 Of Hatred and its Effects—320 Of Shame, Hope, Despair, and their Effects—321 The Passions are properly di- vided into acute and chro- nical—323 The Effects of acute Passions ib. The Cause of Blushing—ib. The Cause of Sighing—324 The Effects of the Suddenness of the Passions when ex- treme—ib. Of chronical Passions—ib. The Effects of chronical Pas- sions—325 The Passions have a very great Influence upon Health—ib. The Advantages of Spiritu- al Love with regard to Health—326 It banishes all those Vices winch must ruin Health, and gives continual Joy and Serenity, inseparable from Health—ib. The Conclusion—327 PART III. CONTAINING, The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of Bathing and Frictions. The Introduction—329 CHAP. xxxi The CONTENTS. CHAP. I. Of Fevers, both in general and particular. A Fever, what—333 Sydenham's Definition—ib. Boerhaave's Sentiments—ib. The Symptoms of Fevers in general—ib. The general Cure of Fevers 334 Of the Symptoms—ib. The Benefit of giving a Vo- mit in Fevers—335 When a Purge may be given with Advantage—336 The Cause of Fevers accord- ing to Hippocrates—ib. A Rule of Diet in Fevers—337 A Division of Fevers—ib. Of an Ephemera and putrid Fever, what—338 The Causes of a putrid Fever ib. The Diagnosticks and Prog- nosticks—339 Of a continent or remitting Fever—340 Of a spurious remitting Fever, and its Prognosticks—341 Of a simple remitting Fever—ib. The Method of Cure—342 A Division of continual Fevers into Burning and Slow Fe- vers, with the chief Symp- toms and Prognosticks—343 The Regimen—344 The Method of Cure—345 Of a Calenture, and of Slow Fevers—346 Of Catarrhal Fevers—ib. The Method of Cure—347 Of Intermitting Fevers—348 The Method of Cure—349 Of Spurious intermitting Fe- vers, and the Cure—351 The proximate Cause of In- termitting Fevers—352 Of Burning Fevers—ib. Great Variety of Malignant Fevers—353 Prognosticks and Cure of Ma- lignant Fevers—354 Of Spotted fevers; their Symptoms, Prognosticks, and Cure—357 CHAP. II. Of the Cure of the most urgent Symptoms attending Fevers. Of Rigor or Shivering in Fe- vers—358 Of Feverish Heat, and the Cure—359 Of Thirst, Anxieties, and Vo- miting in Fevers—360, 361 Of a Looseness in Fevers—363 Of a Strangury, and profuse Sweats in Fevers—364, 365 Of a Pain in the Head, Watch- fulness, Coma, and Deliri- ums in Fevers—366, 367 Of Convulsions in Fevers—368 Of Weakness in Fevers—369 Of inflammatory Eruptions in Fevers—370 Of the Small-Pox; its diffe- rent Stages and Cure, from 371 to 380. CHAP. xxxii the CONTENTS. CHAP. III. Of inflammatory Diseases attended with a Fever. Of a Phrensy, or Inflamma- tion of the Brain—382 Of a Quinsy; its different Sorts, and Cure—384 Of a Pleurisy—386 Of a Peripneumony, or In- flammation of the Lungs 389 An Empyema, what—391 Of a Paraphrenitis, or Inflam- mation of the Diaphragm 393 Of an Inflammation of the Stomach—ib. Of an Inflammation of the Liver—395 Of an Inflammation of the Mesentery—400 Of an Inflammation of the Guts, Symptoms and Cure 402 Inflammations of the Kidneys 405 Of an Apoplexy—409 CHAP. IV. Of Chronical Distempers. Of a Palsy—413 Of an Hemiplegia, and a Pa- raplegia—415 The Cure—416 Of an Epilepsy, or Falling- Sickness—417 The Causes Various—ib. Of Melancholy Madness, and the Causes—421 Of Madness from the Bite of a Mad-Dog—425 A new and sure Method of Cure—429 Of the Scurvy—432 The Cause—433 Of a Cachexy, or ill Habit of Body—435 The Signs, and Cure—436 Of a Consumption—439 Of the concomitant Cause of a Consumption—441 The Method of Cure, from 449 to 452 Of a Dropsy—452 Of the Gout—456 The Effects of Abstinence in the Gout—461 Of Rheumatism—ib. The Cause and Cure—462 Of the Stone and Gravel—463 CHAP. V. Of the Nature and Use of Bathing and Frictions. Of Cold Bathing—467 Necessary Rules to be observ'd before Cold Bathing—470 Wherein Cold Bathing is in- jurious—471 The Use of warm Bathing—473 The Use and Effects of hot Mineral Baths, such as that famous one in Somersetshire 474 Of Frictions and their good and bad Effects—476 A (1) A Guide to Health, &c. PART I. Of the different Degrees and Changes of Age; the principal and inevita- ble Causes of Old Age; and, final- ly, of our Dissolution. To which is annex'd A brief, chronological, and historical Account of LONG LIVES, from before the Flood to this present Time. CHAP. I. Of the different Degrees and Stages of Man's Life; with a Description and Definition of Old Age. As our Bodies are subject to Changes and Alterations, from the Minute we come into the World; so the Physicians, regarding the most ap- parent and sensible Changes only, have divided man's whole Life into several Periods, which A they 2 A GUIDE to HEALTH Part I. they call Ages: The Egyptians reckon'd as many as there are ‡ Septenaries in a hundred; for they were of Opinion, that Man's Life could not exceed that Term. The Pythagoreans, who were very super- stitious in the Doctrine of Numbers, have publish'd in their Writings, that we undergo remarkable Changes every seven Years, as well in regard to the Temperature of the Body, as the Qualities of the Soul; all which must be referr'd to the Excellency and Perfection of the Number Seven. But I will not enter into Disquisitions upon Numbers in this Place; it is enough for me to have the Concurrence of all the most cele- brated Authors, that Man, according to the natural Course of Life, undergoes five remark- able Changes in his * Temperament, and passes five Ages or Periods; that is, Infancy, Ado- lescency, Youth, Manhood, and Old Age. Infancy is hot and moist; but the Moisture is predominant, and keeps the Heat in such Subjection, that it can no way shew its Effects. It ‡ Septenarius, or Septennium, containing the Space of seven Years. Some of the Antients reckon'd every Constitution underwent some remarkable Change in every such Revolution, whence the seventh Year was call'd critical, or climacterick Year. * Temperament is that Diversity in the Blood of different Persons, whereby it is apt to fall into some certain Combina- tions more in one Body than another, whether into Sanguine, Choler, Phlegm, or Melancholy; from whence Persons are said to be of a sanguine, cholerick, phlegmatick, or melancholy Tem- perament or Constitution. Of all which I shall speak more at large hereafter. Part I. thro' the various Stages of Life. 3 It continues to the thirteenth or fourteenth Year. Adolescency follows, which is likewise hot and moist, but the Heat begins to be predo- minant; for we see its Sparks shine and lighten every where. In Males the Voice then begins to grow loud and hoarse; they spread and dilate every way, and cast their first Downs. In Females the Breasts grow visibly harder and larger, the Blood is in Motion thro' the whole Body, and pushes on all Sides till it finds Passage. This Period extends to the Age of four or five and twenty, which is the Term limited by Nature for Growth. This is succeeded by Youth, which is full of Heat, Vigour, and Agility: It runs to thirty- five or forty. In this Age the Body comes to its full State, and the Fibres, Membranes, and Bones to their due Solidity. This is what is call'd Manhood, and is the most temperate of the Ages of Man, participating of the four Extremes equally, and extending to the fiftieth Year; where Old Age begins, which com- prises the Remainder of our Lives. Now this last Period of Man's Life may be divided into three Stages; but I pass over that which is call'd Senium ex morbo, that is, Old Age brough on by Sickness. The first is call'd Verdant: It is accompa- nie with Prudence, and is full of Experience, and fit for governing Commonwealths, and managing Affairs of Importance. The se- A2 cond 4 A GUIDE to HEALTH Part I. cond begins at Seventy, and is attended with several little Ailments, and is cold and dry. As to the first, there are such apparent Marks of it, that none ever doubted it; for if we touch old Men of those Years, we shall find them generally very cold in all their Muscles; they have no lively or Vermillion Colour; all their Senses are weaken'd, and they are subject to a great many cold Distempers: But as to the other Quality, Dryness, some have endea- vour'd to dispute it, saying that this Period is moist, but not dry. To this Galen replies, in his first Book de Sanitate Tuenda, that old Men have all those Parts dry which are moist in Children; that is, the solid Parts, upon which the whole Constitution depends. This is even the Opinion of the Moderns, and what we should follow; for Leanness, Wrinkles, Hardness of the Nerves and Skin, the Stiff- ness of the Joints, are sufficient Demonstra- tions of this dry Temperament at that Age. At length comes the last Step of Old Age, and is call'd Decrepit; in which, according to the Royal Prophet, there is nothing but Pains and Grief; for all the Faculties of the Soul and Body are weaken'd, the Sentiments dull and heavy, the Memory lost, the Judg- ment defective. This Last Period of Old Age is describ'd in the twelfth Chapter of Ecclesiastes, under so beautiful an Allegory, that nothing can excel it; and as the Royal Author was the greatest Philosopher and Naturalist that ever wrote, I will Part I. thro' the various Stages of Life. 5 will therefore present the Reader with his Description of this Stage of Life at large, which, besides its Beauty, will likewise serve Us for Instruction and Counsel. Remember, says he, thy Creator in the Days of thy Youth, while the Sun, or the Lights or the moon, or the Stars be not darkened, nor the Clouds return after the Rain. In the Day when the Keepers of the House shall tremble, and the strong Men shall bow themselves, and the Grinders cease, because they are few; and those that look out of Win- dows be darkened, and the Doors shall be shut in the Streets, when the Sound of the Grinding is low, and he shall rise up at the Voice of the Bird, and all the Daughters of Musick shall be brought low. And when they shall be afraid of that which is high, and Fears shall be in the way, and the Almond-tree shall flourish, and the Grashopper shall be a Burden, and Desire shall fail, because man goeth to his long home, and the Mourners go about the Streets. Then shall the Dust return to the Earth as it was: and the Spirit shall return to God that gave it. This is the Description of Stage of man's Life, which is admirable. In decrepit old Age, the Sun and the Stars are darken'd; that is, the Eyes of Man, which are grown dim; nor the Clouds return after the Rain; A3 that 6 A GUIDE to HEALTH Part. I. that is, after they have been weeping a long time, they seem to have thick Clouds before their Eyes. The Keepers of the House shall tremble; that signifies the Hands and Arms, which have been given to Man for the Defence of his whole Body. And the strong Men shall bow themselves; that is, the Legs, which are the Columns that support the whole Building. And the Grinders cease; that is, the Teeth, which grind and chew the Aliments. And those that look out of the Windows be darken'd; that is, the Eyes, which are troubled with Cataracts, and several other Disorders incident to the Sight of decrepit old People. And the Door shall be shut in the Streets, when the Sound of the Grinding is low; those are the Chops, which cannot open to chew, or the Canals thro' which the Aliment us'd to pass, but are now grown straight and narrow. And be shall rise up at the Voice of the Bird; that is, decrepit old People cannot sleep, and are always awaken'd by the Cock's Crowing. And all the Daughters of Musick shall be brought low; that is, their Voice, which fails them. And the Almond-tree shall flourish; that is, the Head, which is all white. And the Grashopper shall be a Burden; that is, the Legs, which are swoln, &c. Having now describ'd the Ages terminated by Years, I would not however be so far con- fin'd to the usual Number into which Man's Life is divided, as if Youth and Old Age must intirely depend upon it; We ought rather to regu- Part I. thro' the various Stages of Life. 7 regulate ourselves by the * Temperament, or Nature of our Constitution: for we may call every Man that is cold and dry, an old man; there are a great many such at forty, and a great number of young Men at sixty. some Complexions fail sooner, and others later. The sanguine are of long Duration, be- cause they have a deal of Heat and Moisture, which Constitution or Temper is most com- modious to Mankind, and qualifies them best for Action, and is therefore most consistent with Health and long Life; whereas the contrary Temper, viz. cold and dry, soon tends to Decay and Death; for the sooner a Body wi- thers and dries away, the sooner it grows old, and draws near its Dissolution. This Heat and Moisture hath also its several Degrees, but these Qualities are best when moderate; those which differ and recede from that Me- diocrity, are called hot and moist, hot and dry, or cold and moist, and cold and dry, tho' all in general are hot and moist in some Degree. These differences of Tempers are com- monly distinguish'd by the Denominations, which I have observ'd already of Sanguine, Choleric, Phlegmatic, and Melancholic Con- stitutions, according tothe Nature and Dis- position of the Juices in the several Bodies, where the excrementitious Discharges answer thereto. They whose Blood is of a mode- rate Templer, between hot and moist, are called sanguine; those who exceed in beat, A4 and * Temperament, See Pag. 2. Note * 8 A GUIDE to HEALTH Part I. and whose Blood is dryer, are called Choleric; those who are cold and moist, Phlegmatic; and lastly, those who are cold and dry, Me- lancholic; and this last Temper or Constitu- tion grows old sooner than any of the rest. As to what regards the Sexes, the Fe- male, generally speaking, grows old sooner than the Male, which Hippocrates justly ob- serves, in his Book concerning those Chil- dren who are born at the End of the seventh Month. The Females, says he, are later in forming and growing in the Womb than the Males; but when they are out of it, they grow faster, have earlier Understanding, and are sooner old, on account of the weakness of their Bodies, and their manner of living. Weakness hastens their Growth, and brings them likewise sooner to old Age; for as the Plants which are short-liv'd grow in a few Minutes, so the Bodies which have no long Duration, soon come to their Perfection. Their manner of living likewise contributes very much to their growing old soon, as they most commonly lead an unactive life; for nothing brings us sooner to old Age than Sloth and Idleness. As to the different Tempers and Constitu- tions of Men, they depend, in a great mea- sure, not only upon the various Dispositions of the Humours contain'd in the Body, but also on the peculiar Conformation and Struc- ture of the noble Parts, and their various Proportions in respect to each other, which disposes Part I. thro' the various Stages of Life. 9 disposes them to breed Humours of diffe- rent Kinds and Dispositions; and endows them with various Qualities, according to the several Alterations they undergo in diffe- rent Bodies, and the Proportion of such ani- mal Fluids differently fermented, exceeding or falling short in Degrees of Digestion; or being variously vitiated by the assimilating Qualities of Humours already contain'd, or of fresh Food taken into the Body, which may pervert the Disposition of the Fluids al- ready contain'd in the Blood Vessels. The Proportion of the Parts of the Body, and their Conformation, may contribute to the difference of Constitution, as they sepa- rate and discharge Humours, not only diffe- rently prepar'd, but in greater or less Quan- tities: Thus, if the Heart be larger in Pro- portion to the Body than the rest of the Parts, the Blood must circulate more briskly, and with greater Force; if the Liver be large, and separate a great Quantity of Bile, the Chyle and Blood must be more bilious; and as the Stomach digests differently, the blood must be supplied with Nourishment in greater or less Quantities, more or less di- gested, and so occasion Sanguine, Choleric, or Phlegmatic Constitutions. Thus the noble parts contribute to the different Temper of the whole, as well as other particular Parts themselves. Hence it is; that different Parts of the Body are, in respect of one another, esteem'd to 10 A GUIDE to HEALTH Part. I. to be of different Tempers; as the Heart, up- on account of its Situation and constant Mo- tion, may be reckon'd one of the hottest Parts of the Body. The others reckon'd of a hot Temper, are the Liver, the musculous Flesh, the Spleen, the Kidneys, Lungs, Veins, Arteries, and Fat. The cold Parts are, the Bones, Cartilages, Ligaments, Tendons, Nerves, Membranes, Spinal Marrow, and the Brain. Those which are accounted moist, are the Fat, Marrow, Brain, Breasts, Testicles, Lungs, Spleen, Kidneys, musculous Flesh, Tongue, Heart, and the softer Nerves. The dry Parts are, Bones, Cartilages, Ligaments, Tendons, Membranes, Arteries, Veins, and hard Nerves. There is moreover another difference in the Tempers or Constitutions of human Bodies, in respect of Age and Sexes; thus Women are naturally colder than Men, too much Heat being supposed apt to consume and vi- tiate the tender Nourishment of Infants, which is to be prepar'd in the Mother. Age likewise alters Constitutions, according to the several Stages and Periods, as I have ob- serv'd before; thus Infants and Children are hot and moist. Youth more temperate, Men and full-grown Persons hot and dry; where- as in old Age the Heat decreases, and Nou- rishment is dry'd up for want of its usual Supplies. Another thing that makes Constitutions differ, is the difference of Climates, the manner Part I. 11 thro' the various Stages of Life. 11 manner of living, the nature of the Food they use, and the Liquors wherewith the more solid Parts of the Food are diluted; but for a more particular Account of different Constitutions, see Part II. Chap. IX. where I treat of the Diet proper for each respe- ctively. Having hitherto given the Reader an Ac- count of the different Degrees and Changes of Age, as likewise a Description of decrepit old Age, supported by the Authority of the wise Solomon; and lastly, of the Causes and Nature of different Constitutions, I shall now finish this Chapter with the Definition of it, which will be of singular Use to such as will observe the Precepts hereafter men- tion'd, in order to preserve Health and long Life. The incomparable Sanctorius, most ele- gantly and concisely defining old Age, says in Aphorism xxxv. Sect. v. Senectus est univer- salis fibrarum durities, &c. that is, old Age is an universal Hardness of the Fibres, &c. which implies; that when there is a greater Waste of the nervous Fluid than can be repair'd, then the component Machinulœ * of all the Fibres of the human Body, for want of a Sufficiency of this animal Oil or Fluidt are harden'd and dry'd, the Pores are thereby straiten'd * Machinulœ signifies in Anatomyy the various Textures, Combinations and Decussations of the Fibres, compounding the Muscles, Nerves, and Membranes of the Body; which is only a Diminutive from the Word Machine. 12 A GUIDE to HEALTH Part I. straiten'd and obstructed, by which means the natural Heat is stifled, and at last Death en- sues; hence it is, that the nearer a Person is brought to this State of an universal Hard- ness of the Fibres, &c. by any means what- ever, the farther such a Person may be said to be advanc'd towards old Age. Wherefore the great Secret and sole Me- thod of long Life, is to preserve the Blood and Juices in a due State of Fluidity and Thinness whereby they may be capable of making all those Circulations and Rounds thro' the animal Fibres, wherein Health and Life consist, with the fewest Rubs, and least Resistance that can be. But notwithstanding all our Efforts, Time and old Age will stiffen and fix our Solids at last; for Age and Time, by weakening the Appetite and Concoctions, impairing the natural Heat, which consists in a brisk and extended Circu- lation of the Fluids to all the Parts of the Body, by the converting those Juices into solid Substances, and thereby fixing and hardening these Solids, and depriving them of their due Elasticity; so the remaining Fluids circulate slower, and with less Force, and seldom reach the Extremities and smallest Ves- sels, but only pass slowly through the larger Vessels..And tho' with all these unavoidable Circumstances, both the nutritious Juices, the serous and globular Part of the Blood be- come viscid, thick, and gluey, so that the Circulation must stop, and come to an end at last; yet it is certainly in a great measure in Part I. thro' the various Stages of Life. 13 in our own Power to put a Stop to the too quick Approaches of such an irremediable Period, by keeping our Juices in a due State of Fluidity and Thinness, and to render them such, if they are not corrupted to an extreme Degree; so that the remainder of Life be not too short to undertake such a Work; for it is very certain, that we may dilute and thin any Fluid, that has an Inlet and Outlet. And the smaller and finer the Parts of any circulating Liquor are, the less Force it will require to set it a going, and to continue its Motion: And it is just even so in animal Bodies; for the more fluid and thinner the Juices are, they will not only circulate with less Force, and with less Resistance or Pain, but they will likewise preserve, by their Cir- culation, the Solids the longer from harden- ing and stiffening. Now, as nothing brings a Person sooner to that State of universal Hardness and Stiff- ness of the Fibres, and a Viscosity and Thick- ness of the Juices, than indulging in strong high Meats, which the concoctive Powers cannot divide small enough to be converted into red Globules of Blood, or circulate thro' the small Vessels, but overload them with corro- sive urinous Salts, which run into Clusters, and first obstruct, and afterwards tear and break these small vessels, and likewise in swilling of strong Liquors, which by their caustick Quality dry up, burn, and destroy the tender and delicate Fibres of the Solids; I therefore 14 A GUIDE to HEALTH Part I. therefore I say, as nothing but such an Indul- gence, and such long-continued Excesses, and obstinately persisted in, can so soon produce such a State of the Fluids and Solids, and consequently bring on many fatal chronical Diseases, according to the particular Habit, Make, and Constitution of the Person: So it is evident, that the only Method and most effectual means that can solidly and thorough- ly accomplish the contrary State of the Blood and Juices, is to render them thin, sweet, and in a continual flowing Condition, by taking the contrary Measures, in keeping to a strict Regimen of a fluid, thin, spare, plain, and lean Diet; for as Dr. Cheyne justly ob- serves, No voluptuous and lazy Person, unless be had an original Constitution of BRASS, ever liv'd to a great Age; and even then, as his Life has been more Misery and Pain, than ever a SOBER GALLY-SLAVE endur'd, his End, and the latter Part of his Days has been RACK and TORTURE, HORROR and DESPAIR. So that Longœvity is scarce ever found but among the abstemious. As all the Parts of the human Body are made up of Fibres, which are small, trans- parent, solid, and elastick, or springy Threads or Filaments, of which mention is made in the foregoing Definition of old Age, and which have been sufficiently demonstrated by Physician and Anatomists already; yet it will not be improper to give some Account of them here, for the sake of as many of the English I Readers Part I. thro' the various Stages of Life. 15 Readers as may be unacquainted with either Physick or Anatomy, and for whose Benefit I have chiefly compiled this Treatise. Therefore these Fibres, or small Threads, that constitute the human Body, are of diffe- rent Sorts; some are soft, flexible, and a lit- tle elastick ‡, and these are hollow like small Pipes, or spongious, and full of little Cells, as the nervous and fleshy Fibres. There are others more solid and flexible, but with a strong Elasticity, as the membranous and car- tilaginous Fibres; and a third Sort hard and inflexible, as the Fibres of the Bones. And of all these some are very sensible, as those of the Nerves, Blood-vessels, Membranes, Ten- dons, and Muscles; and others are destitute of all Sense, as those of the Bones; some so very small as not to be easily perceiv'd; and others, on the contrary, so big as to be plain- ly seen; but most of them, when examin'd with a Microscope, appear to be composed of still smaller Fibres, and may be divided still into less; and indeed this Division proceeds so far, that at last they become so incredibly small as to exceed all the Power of Imagina- tion; but Reason will shew us, there must be an End. Now these simple Fibres do first constitute the Substance of the Bones, Cartilages, Liga- ments, ‡ Elastick or springy, signifies a Force in Bodies, by which they endeavour to restore themselves to the Posture from whence they were displace by any external Force. 16 A GUIDE to HEALTH Part I. ments, Membranes, Nerves, Veins, Arteries, and Muscles. And again, by the various Texture and different Combinations of some, or all these Parts, the more compound Organs are fram'd, such as the Lungs, Stomach, Liver, Legs, and Arms, the Sum of all which makes the human Body. CHAP. II. The principal and inevitable Causes of OLD AGE, and of our DISSOLUTION. I Shall shew in this Chapter, with what has been already said, such things as alter our Bodies, and whatever makes them grow old, and brings us at last to our Dissolution. The Causes, then, of the Alterations of our Bodies, and likewise of our Dissolution, are either external or internal: These last are born with us, and always attend us, even to the Grave: The others come from without us, surround us on all Sides, and, tho' we can guard ourselves against some of them, there is however an infinite Number of them which we cannot escape. The internal Causes which come into the World with us, are two, viz. the Contrariety of the Principles of which our Bodies are composed, and the Animal Actions or Func- tions of the human Body The Ch. II. thro' the various Stages of Life. 17 The Principles of our Composition are, 1. A Water or Phlegm. 2. A volatile Fluid or Spirit. 3. A saline Matter or Salt, both Volatile and fix'd. 4. A fat Substance or Oil, otherwise call'd Sulphur. 5. An Earth, or Caput Mortuum. But the Spirit being only a Mixture of Phlegm and Salt, these five may be properly reduced to four †. The Animal Actions, or Functions, which happen in all the Parts of human Bodies, by the Motion of the Humours in their distinct Vessels, and the Effects they have upon one another, are distinguish'd into vital, natural, and animal, Those call'd vital so much con- duce to preserve Life, that they are of abso- lute Necessity; as the muscular Action of the Heart, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions thro' their proper Organs; and also the Veins, Arteries, and Nerves. The Natural Actions are those that so alter our Aliment, as that it may become Part of our Substance; and such are the Actions of the Bowels, vessels and Humours that receive, re- tain, move, change, mix, separate, apply, discharge, and consume. The Animal Functions are such as, when perform'd, the Understanding conceives Ideas of Things, united to that Action; or the Will is either concern'd in exciting such Actions, or mov'd by them when excited: Such are B the † Boerhaave Institutiones Medic. de Natura & Part. Sang. 18 A GUIDE to HEALTH Part I. the Touch, Taste, Smell, Sight, Hearing, Per- ception, Imagination, Memory, Judgment, Reason, Passions of the Mind, and voluntary Motions. From hence we may know, that Health is such a Disposition of the Body as fits it to exercise all its Actions, and that all the Effects of those Actions respect determinate Motions, and the Change made in our Ali- ment. The Principles of our Composition just now mention'd, being duly distributed thro' the whole Body, may be call'd an Equilibrium between the Solids and Fluids of a Person in Health; or, which is the same thing, an exact Ballance of Contrarieties, making a kind of Agreement or Harmony amongst themselves, in order to mix and unite; wherein each of them quits something of its Sovereignty, and reduces itself to a Mediocrity, which is call'd Temperament. But this Alliance is of short Duration; for the Body, by the Actions inse- parable from Life, suffers such a gradual Change, that the smallest Vessels become stiff, and the minutest grow together into Fibres, unfit for the Humours to pass thro' them; the greater Vessels become hard and narrow, and all are contracted, and, being compress'd, grow together, which occasions Dryness, and Un- aptness to Motion in old People. By this means the Actions of the small Vessels are de- stroy'd, and the Humours stagnate and grow thick in them, and the Fibres adhere toge- ther: Thus the most subtile Parts of the Juices Ch. II. thro' the various Stages of Life. 19 Juices are wanting and dissipated, Digestion is weaken'd, Nourishment is deficient, and the grosser Humours only circulate thro' the large vessels slowly, and support Life alone, with- out the Animal Action till at last these Changes bring on Death from Old Age, the Successor of perfect Health; which happens sooner if the Actions of Life have been violent, but later if moderate; and this is one of the Causes of our Dissolution: It is inevitable, and we bring it with us from the Womb, But, in order to make this more evidently ap- pear, it is necessary to consider the following Particulars concerning Nutrition, Growth, and Decrease of the Body. As there is an Aptness to Motion requisite in the Vessels, Muscles, and Fibres of the hu- man Body, in order to enable it to make due Use of all the Motions of its Humours, Ves- sels, and Muscles, without Detriment there- unto; So, for this Purpose, the Parts which are coherent, should be partly free from Con- tact, and partly remain in it, which cannot be, unless the greater Parts consist of the smallest, thinest, and shortest ones; nor will that happen again, unless a renovating Hu- mour passes continually betwixt them, to hin- der their growing together; therefore, as the whole human Body is flexile, and subject to Changes from Contact, of Necessity it ought to consist of small Vessels. But this very Motion, being continually and violently perform'd, in Vessels of such a B2 tender 20 A GUIDE to HEALTH Part I. tender Fabrick, the least Parts must of neces- sity be thereby worn off from the Solids; and thence, being mix'd with the Liquids, be mov'd round by the perpetual Circulation of the Juices, as well as by the Action of the Muscles, and exhale. In the mean while the Fluids, being ground small by the continual Attrition of their Parts, and drove to the Ves- sels thro' which they exhale or transpire, are quite excluded out of the Body; and thus the Animal Body, from the very Condition of its Frame, is soon destroy'd. Therefore it is requisite, for the due Con- tinuance of Life, that as much Matter, and of the same Kind, should be continually re- stored to the Humours and solid Parts, as was lost by those Motions, which Action is call'd Nutrition. The Humours that are worn away, are again supplied, as to their Matter, by Air, Meat, and Drink. As to the Qualities re- quir'd, those are produced by the concurring Assistance of all the Parts of the Body, and by means thereof applied to the Vessels where they are wanting. Every solid Part of the Body is composed of other less Solids, very like the greater; the Vessels, of smaller Vessels; and the Bones, of smaller Bones. And this manner of Structure proceeds beyond all the Limits of Sense, as- sisted by what Art soever, as Malpighi, Ruysche, Leeuwenhoek, and Hook, have de- monstrated by accurate Experiments: yet this Divi- Ch. II. thro' the various Stages of Life. 21 Division scarce seems to proceed ad Infinitum, as appears by the Nature of the Nourishment and Fluids themselves. Moreover Microscopes, Injections, the least imaginable Wounds, Vesicatories, Comsump- tions, and the withering away of the Body, inform us, that our solid Parts, in respect of the Humours, are but very small; for it is al- most demonstrable, from the Consideration of the Rise and Generation of the Vessels, and the Resolution of the greater Canals into their least constituent Parts, that the whole solid Mass of our Bodies is almost wholly compos'd of mere Nerves, consider'd in their primary Composition and Communication. And truly all that Mass, except an incre- dible small Particle, at first grew together, from those which were before the most sub- tile Liquid of the Colliquamentum or Fluid, almost all which goes to compound the Body, being much like the nervous Fluid, according to Malpighi; for the White of an Egg does not nourish, before it has been long brooded upon, till that thick clammy Humour has pass'd thro' a vast many Degrees of Fluidity, by several Changes, to fit it at last for the Purposes requir'd; but even then, when it comes to supply the Embryo, it is very thick, and must be much more subtiliz'd in its Ves- sels and Bowels. The first tender solid Parts being made out of this most subtile Humour, which are then almost fluid, they pass again thro' a vast many B3 diffe- 22 A GUIDE to HEALTH Part I. different Degrees of Solidity, before they ar- rive at the Perfection of solid Parts; as ap- pears from Malpighi's Experiments upon Eggs, and the incomparable Ruysche's upon Embryos and Fœtuses, and even from the differ rent Parts themselves. Hence it appears, that the solid Parts, in their first Origin, differ only from Liquids, whence they spring, by Rest, Cohesion, and their Figure; therefore such a Particle, while fluid, will become Part of Solid, to be form'd thereof, as soon as the Power that causes it to cohere with the other solid Parts, shall act, by what means soever it be. This Cohesion of the Parts is best pro- duc'd in a Fibre already form'd, if there be a sufficient Place in the Solid, left by that Particle which was lost, and at the same time, another Particle in the Fluid of equal Bulk, Figure and Nature, and endow'd with suffi- cient Force to thrust it in, or fit it to that Place. Therefore there will be a true Nutrition of the Solids in the smallest Vessels, which, by Addition, become greater; that is, in the Nerves or Vessels like them; which, since it cannot be perform'd without a Liquid be brought into those Vessels, seems very plain, that the most immediate matter of Nourish- ment is the most subtle, nervous Fluid, or some other like it; and therefore appears to be perform'd and produc'd from the last and most refin'd Actions of Nature; and that it may Ch. II. thro' the various Stages of Life. 23 may be well perform'd, all the preceding Actions ought to be perfect. The Chyle therefore may fill the greater Vessels, but cannot recruit the solid Parts; but being attenuated, alter'd, rarefied, mix'd, and made fit to pass thro' some Vessels, by the force of Respiration in the Lungs, it is render'd the more proper indeed, but still not fit Matter for this Purpose. However, by the repeated Effects of the Lungs, Bowels, and Vessels, it becomes a white, tenacious, forming Liquor, almost Without Smell, thickens by the Heat of the Fire, or in Spirit of Wine; being then like the White of an Egg, and called Serum; and therefore is such a Fluid, as has all the requi- sites which ought to be in that Humour; whereof Experience teaches us, that all the solid Parts of an animal Body are constantly made or form'd, only by Incubation, or a constant Heat and Digestion. Thus then the Matter is brought a Degree nearer, but yet is not quite fit for Nutrition; much less is red Blood, which never enters the smallest Vessels. But as the Heat of Incubation, so the action of the Viscera and Vessels, occasions divers Changes on this circulating Serum, till Part of it is turn'd into such a subtle Humour as is here requir'd; and being consumed, it is again supplied, and this at length becomes the true and immediate Matter of Nourish- ment; which, how simple it is, how insipid, B4 or 24 A GUIDE to HEALTH Part I. or without Smell, will appear from the Fire, Putrefaction, or the Art of Chymistry, for it leaves behind but a pure and exceedingly light Earth. Nor can this Matter be prepar'd, without undergoing the foremention'd Alterations: But the same Humour may, by too often and repeated turns of Circulation, grow sharper, or lose its Liquidity, and become thick; be- ing drain'd of its oily Parts, and render'd pun- gent by Salts, and then it is unfit for this Use; which may, perhaps, be partly dis- charg'd by Perspiration, and partly by Urine. Therefore there is a necessity of new Chyle, and consequently of Aliment, to supply this Nourishment. As to the Manner how, and the Cause why Nutrition is perform'd, that will appear from what follows. The Humour being forced forwards, thro' a full, conical, cylindrical, elastic, or stiff and rigid Tube, if it flows from a broad Part into an narrower, or with a Resistance against its Motion, it will endeavour to extend the Sides of the Canal, according to its longer Axis; and this happens all over the Body, ex- cept in the Veins, and the Cavity of the Re- ceptacles. And by this Force, tho' small, be- ing constant and repeated, the Vessels will by Degrees, and insensibly be lengthen'd; and by growing longer, will become thinner, and soon be more and more attenuated: By this means, the utmost Extremities of the Vessels, which are smallest, will be less coherent, and next Ch. II. thro' the various Stages of Life. 25 next to a State of Dissolution. And thus the Extremities of the Vessels will be ren- der'd much finer and weaker, and little different from Fluids. Whilst therefore this Motion perpetually proceeds in a continual Propulsion, it must necessarily happen, that the last Particles of these very fine Tubes being worn away, will again put on the form of a Liquid, in what- ever Part of the Body they remain; and then the smallest Parts, which compose the finest Fibres, by their Union will be so mutually separated from one another, as to leave small Intervals in those Places where they before grew together; and this will constantly hap- pen every where, as long as Life continues, especially where it is strong, and the Action of the Body violent. But the same Humour wherein all this happens, contains a great many such Particles as were separated or lost, which it carries, ap- plies, and adapts to these very Intervals, with that very Force with which it endeavours to break the Vessels, and then fixes, fits and fastens those intercepted Particles in these Cavities; so that they grow together as the former: for the Matter, the Preparation and Application thereof, with the Force of Mo- tion, will always continue the same; and therefore what is lost will be easily restor'd, and so the solid Parts remain as they were, that is, they are nourish'd and preserv'd con- tinually, And 26 A GUIDE to HEALTH Part I. And this shews the wonderful Wisdom of our Maker, that the same Cause which in- evitably destroys, shall also at the same time repair the Structure of our Frame; and that too according to this Rule, that the greater the Loss, the larger shall be the Supply; and that those Parts, which by the Actions of the Body are first worn, are always the first sup- plied. It is plain then, that the more tender those Vessels are, the newer, and the nearer to the moving Cause, so much the easier they are stretch'd, distended, destroy'd, and re- new'd; and consequently, the nearer our Bodies are to their Origin, the more they grow and increase. Whilst this Action goes forwards, the greater Vessels are more distended by the Li- quor they contain; but at the same time, the small Vessels, which being interwoven, com- pose the Membranes of the greater, are more compressed, dried, and grow nearer together which adds Strength to the Fibres, at the Expence of vascular Property; so that in time our Vessels turn to hard Ligaments, and the Humours become firm and solid. By a Concurrence of these Causes, the Solids be- come strong, hard, stiff and thick. There- fore the vast number of Vessels that are in an Embryo, gradually decrease as Age comes on; and for the same reason, on the other hand, as Weakness decreases, Strength increases; and so in young Persons, the Quantity and Vigour Ch. II. thro' the various Stages of Life. 27 Vigour of the Humours exceed that of the Solids; but in old People, the Solids in Quantity and Strength exceed the Liquids; from whence plainly appears the manner of the Increase, Decrease, and Death of the Body, merely from old Age, with the Causes and different Appearances thereof. Whoever therefore considers this whole Account, and then compares these Accidents which happen to the Body therewith, will clearly perceive this to be the State of the Case; for the whole Cuticle every where per- petually scales off, perishes, and renews again; the Hair, Nails, Teeth, shav'd, par'd, cut off or wore, grow afresh; and Parts of the Vessels and Bones taken away, in a short time return on every side; and if the Filth in the Extremities of the Vessels throughout the whole Body, that is either worn off, or collected there by Exhalation, be view'd in Water with a Microscope, after being eva- porated or diluted, it appears to consist of Solids and Fluids; and the same when ob- tain'd by Washing, Rubbing, or Abrasion, ex- hibit the like Appearance. From hence appears the Reason why the Fabric of our Solids is not dissolv'd by the liquid Contents; and why our Machine con- tinues so long fit for Motion; why, when the Nerves are by any means corrupted, the Part to which they lead, loses its Nourish- ment; why in an Embryo there are no So- lids, in a Fœtus few, and in very old People a 28 A GUIDE to HEALTH Part I. a vast many; so that even the Nerves, Ten- dons, Arteries, and Receptacles in those, first become cartilaginous, and then bony. It is therefore evident from the foregoing Particulars, that the two internal Causes of our Dissolution already mention'd, viz. The Contrariety of the Principles of our Fabric, and the animal Actions or Functions of the human Body, are born, grow, and are nou- rish'd with us, and that, gradually and in- evitably, they bring on Old Age, and destroy the Body at last: nor can all the Physicians in the World guard us against them; for the great Promises made with Assurance, as to the Prolongation of Life for so many hun- dreds of Years, are vain and imaginary, be- ing unsupported both by Reason and Expe- rience: Of this Tribe are Van Helmont's Primum Ens, Paracelsus's Elixir Proprie- tatis; the Primum Ens of Animals; all those precious Liquors, that potable Gold, those Conserves of Rubies, Emeralds, Elixirs of Life; that fabulous Fountain, that was reported to make People grow young, can- not hinder us from Decay and Old Age. Nor is it likely that Life should be prolong'd even by the best Methods in Nature, so many Years as the Chymists pretend by their Art; but their own Experience is a Proof of their Temerity and Inability herein. There are other Causes of our Dissolution, which are external, and likewise inevitable; for as our Bodies consist of three dissipable Sub- Ch. II. thro' the various Stages of Life. 29 Substances, one of which is subtile and airy, the second liquid, and the third solid; so we must necessarily have something that pro- ceeds from without us, in order to repair them, otherwise our Lives could subsist but a few Minutes. That which repairs our Substance is called Aliment, and is threefold. Air, Meat, and Drink; the first nourishes the spirituous Sub- stance, the second the Liquid, and the third the solid Substance. But this triple Aliment, tho' never so pure, has yet always something unlike our Nature, which can never be assimilated to either our Juices or Solids, which must then become excremen- titious; and where an Excrement is genera- ted, and being detain'd in the Body, con- sequently alters it, and causes an infinite number of Diseases; by which means our Bodies are variously chang'd and affected, and often finally brought to an intire Disso- lution. I pass over all the other external Causes, such as too violent Exercises, an unactive and sedentary Life, long and continual Watch- ings, those Passions of the Mind which are most capable of making us grow old, as Fear and Sadness, &c. I say nothing likewise of all accidental Causes, such as Wounds, Fractures, &c. I have only endeavour'd to demonstrate, that the living Creature must necessarily grow old and decay; that he nourishes the natural Causes of Death in himself, and that there I are 30 A GUIDE to HEALTH Part I. are likewise some external ones, which are inevitable. I thought proper to insert in this Place a Chronological and Historical succinct Account of long Lives, from before the Flood down to the present time; with a true and short Character or Elogy of each, faithfully col- lected from the Records of both sacred and profane History; which perhaps, may prove useful as well as entertaining to the Reader. Herein he will observe, not only the Ne- cessity of Temperance towards attaining long Life, but that the length of Life by the running on of Ages, or Succession of Generations, has not in the least abated, from the Time of Moses to our present Days; for the Term of Man's Life has stood near about fourscore Years of Age ever since, as will appear by the following Account. CHAP. III. An Historical Account of Long Lives from the Creation to the present Lime. BEFORE the Flood, Men liv'd many hundred Years, as the Holy Scriptures relate; yet none of the Fathers attained to the Age of a thousand. Neither was this length of Life peculiar only to Grace, or I the Ch. III. thro' the various Stages of Life. 31 the holy Line; for there are eleven Genera- tions of the Fathers reckon'd to the Flood, but of the Sons of Adam by Cain, only eight Generations; so that the Posterity of Cain seems to have liv'd longer. But this length of Life, immediately after the Flood was reduc'd to one half, in the Post-nati only: for Noah, who was born before the Flood, equalled the Age of his Ancestors; Shem also lived six hundred Years. Afterwards, three Generations from the Flood being ran, the length of Man's Life was brought down to a fourth Part of the Primitive Age, that is, to about two hundred Years. Abraham lived a hundred and seventy-five Years, a Man of great Virtue, and was ab- stemious, and prosperous in all things. Isaac arriv'd at the Age of an hundred and eighty Years; a chaste Man, who enjoy'd more Quietness than his Father. But Jacob, after many Crosses, and a numerous Progeny, liv'd a hundred and forty-seven Years; a patient, gentle, religious, and wise Man. Ishmael, a military Man, liv'd an hundred thirty-seven Years, and always observ'd Temperance to be his only Guide for obtaining Health and long Life. Sarah, whose Years only amongst her Sex are recorded, died in the hundred and twenty- seventh Year of her Age: she was a beautiful and virtuous Woman, a singular good Mo- ther and Wife, and yet no less famous for the Liberty from, than Obsequiousness towards her 32 A GUIDE to HEALTH Part I. her Husband. Joseph also, a prudent and politick Man, passing his Youth in Affliction, afterwards advanc'd to the Height of Ho- nour and Prosperity, liv'd an hundred and ten Years; he was sober, chaste, and reli- gious Man. But his Brother Levi, who was older than him, attain'd to an hundred thirty- seven Years; he was a Man that was revenge- ful, and impatient of Reproach or Affront, yet always temperate and moderate in his eat- ing and drinking. His Son liv'd almost to the same Age, as also his Grand-child, the Fa- ther of Aaron and Moses: they were both strictly moderate in their way of living. Moses liv'd an hundred and twenty Years; a stout and virtuous Man, yet the meekest upon Earth, but of very slow Speech; how- ever he pronounces, that the Life of Man is but seventy Years; but if of a more than or- dinary Strength, eighty; which seems gene- rally to be the Term of Man's Life even at this Day. Aaron, who was three years elder, died the same Year with his Brother Moses: he was a Man of a readier Speech, and of a more easy Disposition, but less constant; he was religious, abstemious, and moderate in his Actions of Life. Phineas, Grand-child of Aaron, out of extraordinary Grace, may be collected to have liv'd three hundred years; if so be that the War of the Israelites against the Tribe of Benjamin, in which Expedi- tion Phineas was consulted, was perform'd in the Ch. III. thro' the various Stages of Life. 33 the same order of Time in which the Hi- story has ranked it; he was a Man of most eminent Zeal and Virtue. Joshua, a martial Man, and an excellent Commander, and always victorious; yet he was religiously sober and moderate, and lived to be an hundred and twenty Years of Age. Caleb, who observ'd Temperance, was his Contemporary, and seems to have lived as long as he did. Ehud the Judge, liv'd to the Age of an hundred Years; for after the Victory over the Moabites, the Holy Land remain'd under his Government eighty Years; he was a bold and an undaunted Man, and one that in a great measure neglected his own Life for the good of his People, and was like- wise a strict Observer of Temperance. Job liv'd after the Restauration of his Happiness, an hundred and forty Years, being before his Afflictions of such an Age, as to have Sons at Man's Estate; he was a politick Man, eloquent and charitable, and the true Emblem of Patience. Eli the Priest liv'd ninety-eight Years; a corpulent Man, and of a calm Disposition, and indulgent to his Children. But Elizeus the Prophet seems to have died when he was above an hundred Years old; for he is found to have liv'd after the Assumption of Elias sixty Years, and at the time of that Assumption he was of those Years, that the Boys mock'd him, by the Name of Bald- head; he was a severe and vehement Man C against 34 A GUIDE to HEALTH Part I. against Vice and Luxury, and a Contemner of Riches. Isaiah the Prophet seems to have liv'd to the Age of an hundred Years; for he is found to have exercised the Function of a Prophet seventy Years together, the Years both of his beginning to prophecy, and of his Death, being uncertain; he was a Man of admirable Eloquence, and an evangelical Prophet, full of the Promises of God, and of the New Testament, as a Bottle with sweet Wine. Tobias the elder, liv'd an hundred fifty- eight Years; the younger, an hundred and twenty-seven; both of them were merciful Men, and great Alms-givers; they were like- wise abstemious and moderate in all their Actions. It seems, that in the Time of the Capti- vity, many of the Jews who return'd out of Babylon, liv'd to great Ages, seeing they could remember both the Temples, there be- ing no less than seventy Years between them, and wept for the Unlikeness of them. Many Ages after that, in the Time of our Saviour, liv'd old Simeon, to the Age of ninety Years; a devout Man, and full both of Hope and Expectation. Also Anna the Prophetess, who could not possibly be less than an hun- dred Years old; for she had been seven Years a Wife, about eighty-four years a Widow, besides the Years of her Virginity, and the Time that she liv'd after her Prophecy of our Ch. III. thro' the various Stages of Life. 35 our Saviour; she was a holy Woman, and passed her Days in Fasting and Prayer. As to the long Lives mention'd in Heathen Authors, they have no Certainty in them, both for the intermixture of Fables, to which these kind of Relations were very liable, and for their false Calculation of Years. And we find nothing of Moment of the Egyptians in those Works that are extant, concerning the length of Lives; for their Kings, who reign'd longest, did not exceed fifty, or live and fifty Years, which is no great Matter, since many at this Day live to those Years. But the Arcadian Kings are fabulously re- ported to have liv'd very long; and, as that Country was Mountainous, full of Flocks of Sheep, and produc'd most wholsome Food; but when Fable is the only Guide, there can be no Certainty. Numa King of the Romans liv'd to the Age of eighty; he was a peaceable and con- templative Man, and much devoted to Reli- gion. Marcus Valerius Corvinus compleated an hundred Years, there being forty-six Years between his first and sixth Consulship; he was a Man full of Courage, affable, popu- lar, and always fortunate and sober, observ- ing constantly a cool and moderate Diet. Solon of Athens, the Law-giver, and one of the seven Wise Men, liv'd above eighty Years; a Man of high Courage, popular, and well affected to his Country; he was also C2 learned, 36 A GUIDE to HEALTH Part. I. learned, given to Pleasures, but always mo- derate in his Diet. Epimenides the Cretan is reported to have lived an hundred and fifty- seven Years: this Matter is mix'd with a prodigious odd Relation; for he is said to have slept fifty-seven of those Years in a Cave. Half an Age after, Xenophanes the Colopho- nian lived an hundred and two Years, or ra- ther more; for at the Age of twenty five Years he left his Country, seventy-seven com- plete Years he travel'd, and after that return'd: A Man no less wandering in Mind than in Body; for his Name was chang'd, for the Madness of his Opinions, from Xenophanes, to Xenomanes; a Man no doubt of a vast Conceit, and that minded nothing but Infinitums. Pindarus, the Theban, lived to eighty Years. He was a Poet of an high Fancy, singular in his Conceits, and a great Adorer of the Gods, but a sober Man. Sophocles, the Athenian, attain'd to the like Age; a lofty tragick Poet, given over wholly to Writing, and neglectful of his own Family. Artaxerxes, King of Persia, lived ninety- four Years; a Man of dull Wit, averse from the Dispatch of Business, desirous of Glory, but rather of Ease. At the same time lived Agesilaus, King of Sparta, to eighty-four Years of Age; a moderate Prince, as being a Philosopher amongst Kings; but notwith- standing ambitious, and a Warrior, and no less stout in War than in Business. Gorgias, Ch. III. thro' the various Stages of Life. 37 Gorgias, the Sicilian, was an hundred and eight Years old. He was a Rhetorician, and a great Boaster of his Faculty, one that taught Youth for Profit. He had seen many Countries; and, a little before his Death, said, that he had done nothing worthy of Blame since he was an old Man. Protagoras of Abdera lived ninety Years: This Man was likewise a Rhetorician; but profess'd not to teach so much the liberal Arts, as the Art of governing Commonwealths and States; not- withstanding he was no less a Wanderer in the World than Gorgias already mention'd. Isocrates, the Athenian, lived ninety-eight Years: He was likewise a Rhetorician, but an exceeding modest Man, one that shun'd the publick Light, and open'd his School only in his own House. Democritus, of Abdera, reach'd to an hundred and nine Years: He was a great Philosopher, and, if ever any Man amongst the Grecians, a true Naturalist; a Surveyor of many Countries, but much more of Nature. He was also a diligent Searcher into Experiments, and, as Aristotle objected against him, one that follow'd Similitudes more than the Laws of Arguments. Diogenes, the Sinopean, lived ninety Years, was a Man that used Liberty towards others, but Tyranny over himself; he lived upon a coarse Diet, and was a Pattern of Patience. Zeno, of Citium, wanted but two Years of an hundred; a Man of high Mind, and a Contemner of other Men's Opinions. He C3 was 38 A GUIDE to HEALTH Part I. was also a Man of great Acuteness, but yet not troublesome, chusing rather to take Men's Minds than to enforce them; the like where- of happen'd afterwards in Seneca. Plato, the Athenian; attain'd to eighty-one Years; a Man of great Courage, but yet a Lover of Ease. He was in his Notions sub- lime and full of Fancy, neat and delicate in his Life, rather calm than merry, and one that carried a kind of Majesty in his Counte- nance, and a strict Observer of Moderation in his Diet. Theophrastus, the Ethesian, lived eighty Years; a Man of sweet Eloquence, and sweet also for the Variety of his Subjects, and who selected the pleasant Things of Philosophy, and let the bitter and harsh go. Carneades of Cyrene, many Years after, attain'd to the like Age; a Man of fluent Eloquence, and one who, by the acceptable and pleasant Variety of his Knowledge, delighted himself and others. But Orbilius, who lived in Cicero's time, no Philosopher nor Rhetorician, but a Grammarian, lived to the Age of an hundred Years. He was first a Soldier, then a School- master; a Man by Nature tart both in his Tongue and Pen, and severe towards his Scholars. Quintus Fabius Maximus was Augur sixty- three Years, which shew'd him to be above eighty Years of Age at his Death; tho' it is true, that in the Augurship Nobility was more respected than Age. He was a wise Man, Ch. III. thro' the various Stages of Life. 39 Man, and a great Deliberator, and in all his Proceedings moderate, not without Affability, severe. Masinissa, King of Numidia, lived ninety Years; and, being more than eighty- five, got a Son. He was a daring Man, and trusting to his Fortune, who in his youthful Days had tasted of her Inconstancy; but in his succeeding Age was constantly happy. But Marcus Porcius Cato lived above ninety Years of Age; a Man of an Iron Body and Mind. He had a bitter Tongue, and loved to cherish Factions. He was given to Hus- bandry, and was, to himself and his Family, a Physician. Terentia, Cicero's Wife, lived an hundred and three Years. She was a Woman afflicted with many Crosses; first with the Banish- ment of her Husband, then with the Diffe- rence betwixt them, and lastly with his last fatal Misfortune. She was also very often troubled with the Gout. Luccica, the Actress, must needs exceed an hundred by many Years; for it is said, that she acted a whole hundred Years upon the Stage; at first perhaps representing the Person some young Girl, and at last of some old decrepit Woman. Galeria Copiola, a Player also and Dancer, was brought upon the Stage very young, but in what Year of her Age is not known; and ninety-nine Years after, at the Dedication of the Theatre by Pompey the Great, she was shewn upon the Stage again; not now for C4 an 40 A GUIDE to HEALTH Part I. an Actress, but for a Wonder; neither was this all, for after that she was shewn a third time upon the Stage in the Solemnities ce- lebrated for the Health and Life of Augustus. She is reckon'd to have liv'd sober and vir- tuous from her Youth. There was another Actress somewhat in- ferior in Age, but much superior in Dignity, who liv'd very near ninety Years, I mean Livia Julia Augusta, Wife of Augustus Cæsar, and Mother to Tiberius (for if Au- gustus's Life was a Play, as he himself would have it, as when upon his Death-bed he charg'd his Friends that they would give him a Plaudite after he was dead) certainly this Lady was an excellent Actress, who could carry it so well with her Husband, by a dis- sembled Obedience, and with her Son, by Power and Authority; she was an affable Woman, and yet of a Motherly Carriage, pragmatical, and upholding her Power. But Junia, the Wife of Caius Cassius, Sister to Marcus Brutus, was also ninety Years old; for she surviv'd the Philippic Battle sixty- four Years. She was a magnanimous Woman, in her great Wealth happy; in the Calamity of her Husband and near Relations, and in a long- Widowhood, unhappy; yet much ho- nour'd by all, for her Sobriety and Virtue. The Year of our Lord seventy-six, hap- pening in the time of Vespasian, is memora- ble, in which we shall find as it were a Ca- lendar of long Lives; for that Year there was Ch. III. thro' the various Stages of Life. 41 was a Taxing; (now Taxing is the most au- thentic and truest Informer as to People's Ages) and in that Part of Italy which lies between the Apennine Mountains and the River Po, there were found an hundred and twenty-four Persons, that each of them ei- ther equalled or exceeded an hundred Years of Age; namely, fifty-four Persons of an hun- dred Years each; fifty-seven Persons of an hundred and ten; two only of an hundred and twenty-five; four Men of an hundred and thirty; four more of an hundred and thirty-five or seven; three Men of an hun- dred and forty. Besides these, Parma in particular pro- duc'd five, whereof three fulfilled an hun- dred and twenty years each, and two an hundred and thirty. Bruxels produc'd one of an hundred and twenty-five years old, Placentia one aged an hundred and thirty- two. Faventia one Woman, aged an hun- dred and thirty-two. A certain Town situ- ated in the Hills about Placentia, then called Velleiacium, afforded ten, whereof fix ful- filled an hundred and ten Years each, and four an hundred and twenty Years of Age each. Lastly, Rimino one of an hundred and fifty years, whose Name was Marcus Aponius. And it will not be amiss to ac- quaint the Reader here, that all upon this foregoing List observ'd Temperance and So- briety during most part of their Lives. As 42 A GUIDE to HEALTH Part I. As there are but few found among all the Grecian, Roman, Gallick and German Em- perors to our Days, that have lived to the Age of fourscore Years, and none that ex- ceeded ninety; I will not therefore trouble the Reader with any farther Account of them, but proceed to the Princes of the Church. St. John, an Apostle of our Saviour, and the beloved Disciple, liv'd ninety-three Years; he was rightly denoted under the Emblem of the Eagle, for his piercing Sight into the Divinity, and was as a Seraphim among the Apostles, in respect of his burning Love. St. Luke the Evangelist compleated eighty- four Years; an eloquent Man, and a Tra- veller; St. Paul's inseparable Companion, and a Physician. Simeon the Son of Cleo- phas, called the Brother of our Lord, and Bishop of Hierusalem, liv'd an hundred and twenty Years, tho' he was cut off at last by Martyrdom; he was a stout Man, constant, and full of good Works. Dionysius Areopagita, Contemporary to St. Paul the Apostle, liv'd ninety Years; he was called the Bird of Heaven for his sub- lime Divinity, and was famous as well for his holy Life, as for his Meditations. Aquila and Priscilla, first St. Paul's Hosts, and afterwards his Fellow-helpers, lived together in happy Wedlock at least to an hundred Years of Age apiece; for they were both alive under Pope Xystus the first; a noble Pair, Ch. III. thro' the various Stages of Life. 43 Pair, and prone to all kinds of Charity, who among their other Comforts, which doubt- less were great to the first Founders of the Church, had this added, to enjoy each other so long in a happy married State. St. Paul the Hermit lived an hundred and thirteen Years; his Diet was so slender and strict, that it was thought almost im- possible to support human Nature therewith; he passed his Days in a Cave, only in Medi- tations and Soliloquies, yet he was not illi- terate, or an Idiot, but learned. St. Hie- rome, by the Consent of most Writers, ex- ceeded ninety Years of Age; a Man power- ful in his Pen, and of a manly Eloquence, variously learn'd, both in the Languages and Sciences, also a Traveller, and lived strictly to- wards his old Age in a private State, and not dignified; he had high Spirits, and shined far out of Obscurity. St. Anthony the Monk lived to the Age of an hundred and five Years; his Life was au- stere and mortifying, notwithstanding he lived in a kind of glorious Solitude, and ex- ercised a Command, having his Monks under him, and besides many Christians and Phi- losophers came to visit him as a living Image worthy of their Veneration, on account of his holy Life and pious Works. St. Athanasius exceeded the Term of eighty Years; he was a Man of invincible Constancy, commanding Fame, and not yielding to the Frowns of Fortune; he was free towards the Great, 44 A GUIDE to HEALTH Part I. Great, gracious and acceptable to the People, wise and couragious in delivering himself from Oppositions, and always leading an abstemi- ous and religious Life. The Popes of Rome are in number to this Day 246; but of so great a number, few only have attain'd to the Age of 80, or up- wards, as I could find recorded in History: yet the full Age of twenty-eight of the first Popes was intercepted by the Prerogative and Crown of Martyrdom. John, the twenty-third Pope of Rome, ful- filled the ninetieth Year of his Age; he was abstemious and frugal, an Enemy to Luxury, and acquir'd a good deal of Riches and Trea- sure for the Support of the Church; he al- ter'd many Things much for the better. Gregory the twelfth, created in Schism, and not fully acknowledg'd Pope, died ninety Years old; of him, in respect of his short Papacy, there is nothing found in History to make a Judgment upon, but that he liv'd strictly virtuous and abstemious. Paul the third lived eighty-one Years; he was a temperate Man, and of profound Wis- dom and Learning, greatly skill'd in Astro- nomy, and always careful of his own Health. Paul the fourth liv'd eighty-three Years; he was a Man naturally tart, and somewhat severe, and a little prone to Anger; his Speech was eloquent and ready, his Diet was always lean, thin, and cool, by which means he kept Ch. III. thro' the various Stages of Life. 45 kept his Passions under Subjection, and ar- riv'd at that good old Age with all his Senses. Gregory the thirteenth liv'd to the same Age, and was absolutely a good and great Man, found in Mind and Body, politick, tem- perate, religious, full of good Works, and a great Alms-giver. The following Instances are more promis- cuous in their Order, and more doubtful as to the Certainty of their Ages. King Argan- thonius, who reigned at Cadiz in Spain, live an hundred and forty Years, according to some Historians, of which he reigned eighty Years. Cyniras King of Cyprus, living in the Island then called the happy and pleasant Island, is affirmed to have lived an hundred and sixty Years. Two Latin Kings in Italy, the Father and Son, are reported to have lived, the one eight hundred Years, and the other six hundred: But this Account is de- liver'd unto us by certain Philologists, who tho' otherwise credulous enough, yet they themselves have suspected the Veracity of this matter. Others record some Arcadian Kings to have lived three hundred Years; the Coun- try no doubt is a Place apt for long Life, but the Relation is justly suspected to be fabu- lous. One Dando, in Illyrium, is reported to have lived without the Inconveniency of Old-Age, to five hundred Years; but the ju- dicious Reader will make the necessary Al- lowance. Hippocrates 46 A GUIDE to HEALTH Part I. Hippocrates of Côs, the Prince of Physici- ans, lived an hundred and four Years, or ac- cording to some, an hundred and nine: He was skill'd in the several Particulars requisite for the Knowledge of Physick, and provided with numerous Observations of his own, composed out of the whole a System of Physick, and was the first that truly deserved the Title of Physician; He joined Learning and Wisdom together, was most conver- sant in Experience and Observation, and did not hunt after Words, but severed the very Nerves of Science, and so taught them. Enphrtœnor the Grammarian grew old in his School, and taught when he was an hun- dred Years old. Seneca, according to some accounts, lived to an hundred and fourteen Years of Age. But Joannes de Temporibus, among all the Men of our latter Ages, according to common Fame and vulgar Opi- nion, lived the longest, even to a Miracle; his Age being reputed to be above three hundred Years: He was a Native of France, and followed the Wars under Charles the Great. Among the Venetians there have been found a great many long Livers, and those of the more eminent fort of the People; but the most memorable is that of Cornaro, who being in his Youth a sickly Person, be- gan first to eat and drink by measure, to a certain Weight, to recover his Health there- by; this Cure, by Use, turn'd into a Diet, that Ch. III. thro' the various Stages of Life. 47 that Diet into an extraordinary long Life, even of an hundred Years and better, with- out any Decay in his Senses, and a constant Enjoyment of his Health. In latter times, William Postell, a French Man, lived to an hundred and twenty Years; he was a Man somewhat crazy, and of a Fancy not altogether sound, a great Travel- ler and Mathematician. Henry Jenkins, a Yorkshire Man, attain'd the Age of one hundred sixty-nine Years; he was twelve Years old when the Battle of Flowden-field was fought, which happen'd upon the 9th of September, in the Year of our Lord 1513, and departed this Life the 8th of December 1670, at Ellerton upon Swale, This Henry Jenkins was a poor Man, could neither Read nor Write; there were also four or five in the same Parish where he then liv'd, that were reputed all of them to be an hundred Years old, or within two or three Years of it, and they all affirm'd he was an elderly Man ever since they knew him, for he was born in another Parish, and before any Registers were in Churches, as it is thought. In the last Century of his Life be was a Fisherman, and used to wade in the Streams. His Diet was coarse and sower, but towards the latter End of his Days, he begg'd up and down. He hath sworn in Chancery and other Courts to above 140 Years Memory, and was often at the Affixes at York, whither he generally went on foot. It 48 A GUIDE to HEALTH Part I. It was likewise affirm'd by some of the Country Gentlemen, that he frequently swam in the Rivers after he was past the Age of an hundred years. * Thomas Parr was a poor Countryman of Shropshire, whence he was brought up to London by Thomas Earl of Arundel and Surry, and died at the Age of 152 Years, 9 Months, after surviving nine Princes. Nov. 6, 1635, being open'd after his Death by Dr. Harvey, his Body was found still very fleshy, his Breast hairy, his Genitals unimpaired, and they served to confirm the Report of his having undergone public Censures for his In- continency. At the Age of one hundred and twenty he married a Widow, who owned he acted the Part of a Man, and that for twelve Years after. He had a large Breast, Lungs not fungous, but sticking to his Ribs, and distended with much Blood; his Face livid, having had a Difficulty of breathing a little before his Death, and a lasting Warmth in his Arm-pits and Breast after it. His Heart was great, thick, fibrous and fat; the Blood in the Heart blackish and diluted, the Carti- lages of the Sternum not more boney than in others, but flexible and soft; his Viscera were sound and strong, especially his Stomach; and it was observ'd of him, that he used to eat often both by Day and by Night, taking up with old Cheese, Milk, coarse Bread, * An Abstract of Dr. Tancred Robinson's Letter, giving an Account of Jenkins's Age. Small- Ch. III. thro' the various Stages of Life. 49 Small-beer, and Whey; and which is more remarkable, he eat at Midnight a little be- fore he died. All his inward Parts appear'd so sound, that if he had not chang'd his Diet and Air, he might in all Probability have liv'd a great while longer. His Brain was en- tire and firm; and tho' he had not the Use of his Sight, or of his Memory, several Years before he died, yet he had his Hearing and Apprehension very well, and was able, to the 130th Year of his Age, to do any Husband- man's Work, even Threshing of Corn. * Francisco Lupatsoli, a Venetian Consul at Smyrna, lived 113 Years, and had by his Wives and other Women, fifty Children; he drank nothing but Water and Milk, some- times a small Sherbet; his usual Diet was small Soups of Flesh, sometimes of Bread, Water and Figs. He saw at that Age with- out Spectacles, and could bear well; he drank neither Tea, Coffee, Chocolate, nor any fermented Liquor, as Mr. Ray, then En- glish Consul there, relates; and farther adds, that he saw a Tooth cut in his upper Gum that great Age. In the Life of the great Aurengzebe, one of the late Moguls, we have such a nota- ble and shining Example of Abstemiousness, Continency, and many other Virtues, as may well recommend this Royal Infidel to the Admiration and Imitation of all Christian Princes upon Earth; wherefore I make no D Doubt * Phil. Trans. No. 44. p. 886. 50 A GUIDE to HEALTH Part I. Doubt but the following Account of that Emperor will no less instruct, than entertain the Reader. There was no Part then of this great Prince's Time, which he did not assign to some useful Purpose; for early in the Morn- ing, before break of Day, he bathed, and spent some Hours at his Devotions; then having eaten a little Rice or Sweat-meats, he shut himself up with his Secretaries, and before Noon he gave publick Audience to his Sub- jects; after which he pray'd again, and then went to Dinner, his Table being furnish'd only with Rice, Herbs, Fruits, or Sweet- meats, for neither Flesh or Fish, or any strong Liquors were ever brought before him. In the Afternoon he gave Audience again, which being over, he prayed a third and a fourth time; and the remainder of the Day, till two Hours after it was dark, he spent in the private Concerns of his own Family; then he supp'd, and slept afterwards only three Hours, after which, it is said, he read the Al- coran, and pray'd all the remaining Part of the Night. And here we have a remarkable Instance of what vast Advantage an abste- mious regular Course of Life is towards pro- curing Health and long Life, and rendering a Prince always fit for the most important and intricate Affairs; for this Emperor, not- withstanding he was an indefatigable Hearer of Causes, and constantly directed the Af- fairs of so vast an Empire, and conquer'd se- veral Ch. III. thro' the various Stages of Life. 51 veral large Kingdoms, lived without con- tracting any Distemper; neither his Judg- ment, Memory, or other Senses, were at all impair'd when he was ninety Years of Age. Aurengzebe, it is true, had several hundreds of fine blooming Girls in his Haram, or Seraglio, as all Eastern Princes have; but these seem to have been kept only for State, or in Conformity with the Custom of the Country; for it is related of him, that even in his Youth, having singled out a young Lady in the Haram to lie with him one Night, and she had dressed and prepar'd herself to receive her Royal Lover, the King coming into the Apartment at the appointed Hour, instead of going to Bed, fell to read- ing, and between his Books and his Devoti- ons he passed the whole Night, without ever taking Notice of the expecting Lady. When the Eunuch came the next Morn- ing to acquaint the Emperor that his Bath was ready, which is ever used by the Maho- metans when they have been with their Wo- men, the Lady answer'd, There was no need of a Bath, for the Sultan, had not broke Wind, intimating that he had been at his Prayers; for if a Mahometan has the Mis- fortune to break Wind at his Prayers, then he immediately bathes, looking upon himself to be too much polluted to go on with his Devotions, till he has washed off the Impu- rity contracted by such an Accident. D2 From 52 A GUIDE to HEALTH Part I. From this short Account of the Life of a Mahometan Prince, we may learn an exceeding useful Lesson, worthy of being imitated by all Christian Princes and others, who value Health and long Life; for notwithstanding he was depriv'd of the Light of Gospel Truth, yet so strong were his Notions of a Supreme Being, that he most constantly and, fervently adored that Being, by which means he led a Life religiously abstemious, conquer'd and regulated the Surges of the rest of his Pas- sions, amidst so many Allurements and Temp- tations of numbers of fine blooming Ladies, vast Riches, Power and Grandeur, which he always had at his Will without Controul, and like a true Christian Hero, preferr'd the Ado- ration of his Creator, and the Preservation of his Health, to all the Pleasures which his vast Dominions and great Power could afford him. Richard Lloyd, born within two Miles of Montgomery, was aged 133 Years within two Months; he was a strong, strait, and upright Man, wanted no Teeth, had no grey Hairs, could hear well, and read without Glasses; he was fleshy, and full cheek'd, and the Calves of his Legs not wasted or shrunk, could talk well, and was of a tall Stature: his Food was Bread, Cheese, and Butter, for the most Part, and his Drink Whey, But- ter-milk, or Water, and nothing else; but being persuaded by a neighbouring Gentle- woman to eat Flesh Meat, and drink Malt Liquors, Ch. III. thro' the various Stages of Life. 53 Liquors, soon fell off and died. He was a poor labouring Man in Husbandry, and the Truth of his great Age has been confirm'd to Dr. Baynard and others, by a produc'd Copy of the Register. John Bailes of Northampton, was 128 Years and a half old when Dr. Baynard ex- amin'd him: he was a short broad-breasted Man; his Food was for the most part brown Bread and Cheese; he cared not much for Flesh Meats; he was never drunk in his Life, and his Drink was Water, Small-beer, and Milk. He told the Dr. that he had buried the whole Town of Northampton, except three or four, twenty times over; strong Drink, says the old Man, kills them all. He was a sensible old Fellow, and had no Dis- ease but Blindness, which Misfortune he did not experience above four or five Years be- fore his Death. Mr. Martin, in his Description of the Western Islands of Scotland, says, that Do- nald Roy, who lived in the Island of Sand, where they have neither Physic nor Physi- cian, died lately in the hundredth Year of his Age, and was able to travel and manage his Affairs till about two Years before his Death. He makes mention of one that died some Years before, aged one hundred and forty; and of another, who, they said, died at one hundred and eighty Years of Age. Mrs. Hudson, Mother to Mr. George Hud- son, a Sollicitor in Chancery, lived an hundred D3 and 54 A GUIDE to HEALTH Part I. and five Years, and then died of an acute Disease, by catching Cold: her Eyes were so very good, that she could see to thread a Needle at that great Age; her Food was little or nothing else all her Life-time, but Bread and Milk. Mr. Johnston, the Father of Dr. Johnston of Warwick, who was always a strong and lusty Man, died at an hundred and eleven Years: his usual Drink was Milk and Ale, or Milk and Small-beer mix'd together. An Inscription on the Tomb-stone of Margaret Scot, who died at Dalkeith, twelve Miles from Newcastle, Feb. 9, 1738. Stop, Passenger, until my Life you've read, The Living may get Knowledge by the Dead. Five times five Years I liv'd a Virgin Life, Ten times five Years I was a virtuous Wife; Ten times five Years I liv'd a Widow chaste, Now, tir'd of this mortal Life, I rest. I, from my Cradle to my Grave, have seen Eight mighty Kings of Scotland, and a Queen. Four times five Years the Common-wealth I saw. Ten times the Subjects rose against the Law. Twice did I see old Prelacy pull'd down, And twice the Cloak was humbl'd by the Gown. An End of Stuart's Race I saw: no more, I saw my Country fold for English Ore. Such Desolations in my Time have been, I have an End of all Perfection seen. 2 Margaret Ch. III. thro' the various Stages of Life. 55 Margaret Paten, born at Locknugh near Paisly in Scotland, died in St. Margaret's Workhouse Westminster, June 26, 1739, at the Age of one hundred thirty-eight Years, and enjoy'd the Use of all her Senses to her very last Hours. She lived the most Part of her Life upon Oat-bread, Butter, Milk, and Roots, especially in her own Country; but here in England she indulg'd herself with the moderate Use of Flesh, and fermented Liquors. January 1743, died at Ludlow in Shrop- shire, one Bright, aged one hundred and five, who had his Memory and Eye-sight to the last, insomuch that he could discern to pick a Pin off the Ground. He was called the se- cond old Parr, and was born and always liv'd in the same County; his Food was, for the most part, coarse Bread, Cheese, Milk, Butter, Small-Beer, of Water. February 1743, died in St. Luke's Work- house, London, Mrs. Agnes Milbourn, one hundred and six Years of Age; she had 29 Sons and a Daughter by one Husband, 20 of whom she has had following her to Church at a time for several Years, but out-lived all her Children and Grand-children, save only one Grand-son. She religiously observ'd Temperance, and always avoided the Use of Spirituous Liquors as Poison; her usual Drink was Milk, Ale, or Small-Beer. From these Instances it is manifest, that Milk is of a salubrious, safe and sweet Nou- D4 rishment, 56 A GUIDE to HEALTH Part I. rishment, as also by the many Nations be- fore and since the Flood, that eat much of it, and lived to great Ages, of which num- berless Examples may be found both in sa- cred and profane History, to confirm the Doctrine of Temperance and a cool Diet, as absolutely necessary to the Prolongation of Life; but, as Dr. Baynard rightly observes, if an Angel from Heaven should come down and preach it, one Bottle of Burgundy, or a full flowing Bowl of Bunchy would be of more Force with this Claret-stew'd d Gene- ration, than ten Ton of Arguments to the contrary, tho' never so demonstrable and divine. By what has been said thro' the Course of this Chapter, we see, that from the Time of Moses to our Days, the Term of Man's Life has stood much about the same Standard of Years, (a few Lives here and there being ex- cepted:) so it evidently appears, that the Con- tinuation and Number of Successions of Ge- nerations, make nothing to the Length or Shortness of Life, tho' a great many People imagine the contrary. It is certain however, that there are Times in all Countries, where- in People are longer or shorter liv'd: longer, for the most part, when the Times are barba- rous, and Men fare less deliciously, and are more given to bodily Exercises: shorter, when the Times are more civiliz'd, and People abandon themselves to Luxury and Ease. Therefore from what has been hither- to Ch. III. thro' the various Stages of Life. 57 to advanc'd, it is likewise evident to a De- monstration, that Temperance, moderate Ex- ercise, and a cool Diet, are absolutely requi- site for the Preservation of Health and long Life, as I shall shew more at large in the Sequel. The same, no doubt, happens in other li- ving Creatures; for neither Horses, Oxen, nor Sheep, are abridg'd of their usual Ages, even at this Day; and therefore the great Abridger of Age was certainly the Deluge; and perhaps some notable Accidents, such as Inundations, universal Droughts, Earthquakes, or the like, may produce the same Effect again. And the like Reason may be given, in re- gard of the Dimension and Stature of hu- man Bodies; for they are not lessen'd by the Succession of Generations, notwithstanding what Virgil (led by the vulgar Opinion) di- vin'd, that After-ages would bring forth less Bodies than those in his time; whereupon he says, Grandiaque effossis mirabitur ossa Se- pulchris; that is, After-ages shall admire the great Bones dug out of ancient Sepulchers. But tho' it is not denied that there were, some time before the Flood, Men of Gigantic Stature, (the Bones of such as, for certain, have been found in ancient Sepulchers and Caves in Sicily, and else where:) yet for these last three thousand Years, a Time whereof we have authentic Records, no such have been produc'd in those Places, nor indeed any where else; for which Reason it is evident, that they are very 58 A GUIDE to HEALTH Part I. very much mistaken, who are wholly carried away with an Opinion, that (by Succession of Ages) there is a continual Decay, as well in the Term of Man's Life, as in the Stature and Strength of his Body; and that all things decline, and change to the worse. Therefore, as the Succession of Generations contributes little or nothing, either to the Length or Brevity of Life, as appears from what has been said already, yet the imme- diate Condition of the Parents, without doubt, conduces very much to it; for some are be- gotten of old Men, some of young Men, some of middle-aged Men; again, some are begotten of healthful Fathers, and well dis- posed, others of diseased and languishing ones; again, some of Fathers after Repletion, or when they are drunk; others after Sleeping, or in the Morning; others again, after along Intermission of Venus, some upon the Act repeated; again, some in the Fervency of the Father's Love; others after the cooling of it, as happens in long-married People. The same things ought to be consider'd on the Part of the Mother; to which we must add her Condition during her Pregnancy, as concerning her Health, her Diet, and man- ner of living; the time of her bearing in the Womb, as to the seventh, eighth, ninth, or tenth Month. But to reduce all these things to a Rule, how far they concern long Life, is difficult; for those things which we often conceive to be the best fall out to the con- trary; Ch. III. thro' the various Stages of Life. 59 trary; as for Instance, that Alacrity in a Generation that begets lusty and lively Chil- dren, will be less profitable to long Life, be- cause of the Acrimony and inflaming of the Spirits, which soon dissipate, and leave the Body dry and wither'd: so that the best Rule is to use Moderation in all things, conjugal Love rather than an unlawful one; the best time for Generation being in the Morning, or after a due Concoction of our Aliments, and after Sleep, but never when the Body is in a languishing or sickly or too much fatigued. A GUIDE (60) A GUIDE to HEALTH, &c. Part II. INTRODUCTION. AS the principal and inevitable Causes of Old Age, and finally of our Dissolu- tion, are three, viz.* the Contrariety of the Principles of our Composition, the Actions in- separable from Life, called Animal Actions, and the Excrements, which are unavoidably engender'd by Aliment in our Bodies; there- fore we must (if we would preserve the Body in a good State, and guard ourselves against the too quick Approaches of old Age) dispose these three things in such a manner, that the Harmony and Union of our Princi- ples, which are called Temperament, be well Supported, that the Spirits which are dissi- pated every Moment be repair'd, and the Excrements retain'd in the Body be expell'd. All this may be easily obtain' by the means of a good Regimen, without the Assi- stance of any Medicine: and this Regimen com- prehends many things, which are all reduc'd * See the Explication of these three things at large, in Chap. II. Part. I. INTRODUCTION. 61 to fix general Heads. They are called, by the Physicians, Nonnaturals; because, if we manage them with Dexterity, and make proper use of them, they preserve Health, and may be called Naturals; but if they are abused, or fall short, or exceed a just Proportion in the least, they cause Distem- pers, and, in that Sense, may be said to be against Nature. These Nonnaturals are, Air, Meat and Drink, Sleeping and Watch- ing, Motion and Rest, Retention and Excre- tion, and the Passions of the Mind; of which I shall now discourse in order. CHAP. I. Of the Nature of AIR. IN order to account for the different Ef- fects, and Influence of Air upon Hu- man Bodies, in the following Discourse, it is necessary to premise in this Place, that Air, (according to its Nature, and the Idea we can form of it) is, that thin and invisible Fluid, in constant Motion, wherein we breathe and move, encompassing the Earth and Seas on every side, and containing the Vapours, Clouds, and other Meteors; the whole Body of which is called the * Atmo- sphere; * From the Greek Words, 'AΓμòs a Vapour, and εφûeα., a sphere; so that Atmosphere in English, is a round Body of Vapours; and such is the Air surrounding the Earth, as being constantly repleat with Vapours exhaled by the Rays Of the Sun. 62 A GUIDE to HEALTH Part II. sphere; and that it is the principal Instrument of Nature in all its Operations: for no Ve- getable, Animal, Terrestrial, or Aquatic can be produced, live, or grow without it: So that Air is the chief Instrument in the Genera- tion, Resolution, Accretion and Corruption of all terrestrial Bodies; for it is certainly true, that it enters into every Composition, more or less, of all Fluids and Solids, all which produce great Quantities of Air. The lower Parts of the Air, in which all Animals live and breathe, are impregnated with an infinite Variety of the Effluvia, Steams, and Particles of terrestrial, aqueous, metal- line, vegetable and animal Substances, which, by Attrition, become so small and light as to float in it. Hence it is evident, that the Air must be differently impregnated in different Places of the Surface of the Earth, which produce considerable Alterations in its State, whereby human Bodies are differently affect- ed, as will plainly appear heareafter. Water being an Ingredient of the Air, is continually exhaled, and as continually de- scends; for when the Air is overcharged with it, it returns again, and falls upon the Surface of the Earth, in Rain, Hail, Snow or Dew; but the Dew falls chiefly when the Sun is down. Earth, when calcined, flies off into the Air; and the Ashes of Vulcanos or burning Mountains: Likewise Salts of all kinds are ingredients of Air; for even fixed fossil Salts may Ch. I. thro' the various Stages of Life. 63 may be digested, and thereby rendered volatile, and evaporate into the Air. There are besides Particles of all Minerals whatever in the Air; even Gold, the most compact and heaviest of them, can be evaporated and exhaled into Air, as will be made appear in the latter End of this Chapter. The Smoke and Fumes which are raised by natural or artificial Fires, all vanish into the Air. The Steams of fermenting Liquors, and the poisonous Fumes of Mines, impreg- nated with sulphureous Exhalations, and combin'd with different Salts, or Metalline Particles, which are stinking, oily, and in- flammable, evaporate into the Air, and make up part of its Contents; which must neces- sarily so alter its Constitution, as to render it not only insalubrious, but even pernicious to every Animal that breathes in it. The watery Exhalations, with the fragrant and volatile Spirit of all Vegetables, being Ingredients of the Air, contribute very much towards its Salubrity, or Insalubrity, as well when growing, as when cut down and in a decaying State; for the most volatile parts of Vegetables will evaporate into the Air, by a Degree of Heat much less than that of Sum- mer; as is evident both by Chymistry* and the sense of our own Smelling; for spicy Odours are smelt at a great Distance from the Countries where the Spices grow; so that the Quantity of vegetable Perspiration must be very considerable in Summer-time; and by * Boerhaave Chem. vol. 2. Process. I. 64 A GUIDE to HEALTH Part II. by the Reverend Dr. Hale's * Experiments we are farther convinced, that Vegetables of all kinds perspire Particles which float in the Air, and are either wholsome or destruc- tive to human Bodies, according to their dif- ferent Qualities. Hence we may infer, that upon the account of the Perspiration of Vegetables, the Summer Air must be very different from that of the Winter. Animal Perspiration is another Ingredi- ent of the Air, as well as the Effluvia of all their other Excrements, which oftentimes in- fect that Part of the Atmosphere, as to pro- duce pestilential Diseases. The Perspiration of a human Body, according to Mr. Hale's, ‡ Computation, is about I-50 Part of a Inch in 24 Hours all over the Surface of the Body; and the Quantity of the Moisture, by Respi- ration from the Lungs, he computes at 9792 Grains, or I. 39, in 24 Hours; § the Surface of the Body he computes at 2160 square Inches, or 15 square Feet consequently the Surface of the Skins of 2904 such Bodies, would cover an Acre of Ground, and would make an Atmosphere of the Steams of their own Bodies about 71 Foot high in 34 Days, which would be- come Pestiferous in a Moment, if not dis- persed by Winds. The great Quantity of Animal Substances imbibed into the Air, farther appears from this, I that * Hale's Veg. Stat. p. 49, 50. ‡ Veg. Stat. p. II. Exp I. § Hæmast. p. 326. p. 328. Ch. I. thro' the various Stages of Life. 65 that all the Excrements of all the Carcasses of Animals, such as those that are burnt, those that are exposed later, and those that Are buried, in length of Time all vanish in- to Air at last, except a small Quantity of Bones, which turn into Earth. From hence we may infer, that living in great and populous Cities, or in Camps, or near Numbers of dead Carcasses in a hot or sultry Season, may infect that Air so far, as to dispose the People to putrid and malignant Fevers, of which we have several instances in History, too tedious to insert in this Place. And though Nature makes use of all pos- sible Means to preserve the Mass of this he- terogeneous Fluid, wherein we breathe, in a wholsome State; yet it must necessarily hap- pen, that the Air of particular Regions, Sea- sons and Places may differ very much in the Proportions of the Mixture of Ingredients already mentioned; so that such Air must affect human Bodies variously, by such Ex- cesses or Defects; For Air, when too moist, affects us with one Class of Diseases; and when too dry, with another. Air impreg- nated with the Effluvia of Animals, espe- cially of such as are rotting, has often pro- duced pestilential Diseases in that Place, as we find by Experience: for the Inhabitants of such Countries, where great Numbers of Men have been slain in Battle, and left unburied, were soon after infested with pestilential Distempers; as that which hap- E pened 66 A GUIDE to HEALTH Part I. pened * at Massanissa, where 80,000 Persons were destroyed, and at Utica, wherein 30,000 Persons died of the Plague. That menti- oned by ‡ Livy, which invaded the greatest Part of Italy, owed its rise to the dead Bodies of the Romans and Fidenates left unburied in the Field of Battle. The Plague mentioned by Ambrose Paree, 1562 §, was occasioned by Carcasses thrown into a Ditch. Great Quantities of dead Locusts driven into the Sea, by Winds, and from thence cast up in Heaps on the Shore by the Waves, produced the same Effects, as Diodorus Siculus relates: And likewise the Steams of great Quantities of corrupted Vegetables have produced the like Effects in their Neighbourhood. The Steams and Effluvia of human living Crea- tures are extremely corruptible, as has been observed already; and likewise the Water in which human Bodies wash and bathe, by keeping, smells cadaverous, a great part of which evaporates into the Air. From hence we may conclude, that it will be of the utmost Consequence to every one, to take care what kind of Air it is they sleep and wake, breathe and live in, and are per- petually receiving into the most intimate Union with the Principles of Life; for as the Air being attracted, received into our Bodies, and mixed with our Fluids every Instant * Sane. August, lib. 3. de Civit. Dei Cap. 31. ‡ Histor. Roman. § Lib. 21. de Peste. Ch. I. thro' the various Stages of Life. 67 Instant of our Lives, any ill Quality abounding in it, so continually introduced, must in Time cause fatal Effects in the Animal Oeconomy. The first Consideration then, in Building of Houses and Cities, should be* to make them open and airy, and well perflated; therefore we should never build upon high Hills, very near any great Confluence of Water, or in the Neighbourhood of any great Mines, near Beds of Minerals, or on marshy or mossy Foundations; but either in a champaign Country, or on the side of some small Eminence, sheltered from the North and East Winds, or upon a light gravelly Soil. The best Method of finding out the Nature of the Soil, will be known from the Plants and Herbs that it produces, and from the Nature of the Waters that spring out of it, which ought to be sweet, clear, light, soft and tasteless. All high Hills or Mountains are damp, for it is common to see it rain or snow on Mountains, when the Valleys below are clear, dry, and serene. All great Hills are Nests of Minerals, and Covers for Reservoirs of Rain- Water, and the Clouds are only great Fleeces of ratified Water floating in the Air, and these high Hills intercepting them, are com- pressed into Rain or Dew, and are con- stantly straining down the Chinks of the Mountains into the Sea and other Reser- voirs of Water; and Rain is allowed to be the Origin of Rivers and Fresh-Water E2 springs. 68 A GUIDE to HEALTH Part II. Springs. Moreover, these Mountainous Places are always exposed to great and almost con- tinual Winds; and where any great Con- course of Water is, the Air must needs be always damp there, because the Sun is per- petually exhaling Dews and Vapours from these Waters. Dew is another Ingredient of the Air, which is not mere Water, but a Collection of the watry, oily, saline, and volatile Sub- stances, exhaling and transpiring from the Earth, and are not to be seen, as long as they are agitated by the Sun, but in its Ab- sence, and as soon as the Air cools, they become visible; and as the Air is a thin or rare Body, it cools much sooner than the Earth, which continues to transpire this Substance after Sun-set; and a great deal of it falls down again in the Form of Wa- ter, by the Cold of the Night; for it is ob- servable, that when there is no Wind, there is a Coat of this Vapour generally to be seen Surface of the Earth. Dew then, being a Composition of all the Substances that are exhaled from that Tract of Earth, must of consequence be ve- ry different in different Tracts of Ground, for which Reason, according to the learned Boerhaave ‡, the Chymists can never agree about the component Parts of it; be- cause they make their Experiments upon Dows of different Places, and consequently of a different Nature of Ingredients; for in ‡ Chym. vol. I. pag. 471. Ch. I. thro' the various Stages of Life. 69 in some Places it produces such volatile and explosive Salts, as to break Glasses in Distil- lation; in others it stains the Glass like the Colours of the Rain-bow, which nothing can efface. In some Countries, as in Bermuda *, the Air being impregnated with corrosive Salts of different kinds, will corrode the Bricks and Tiles of Houses, and even rot the very Hangings in Rooms, as has been observed by many. The Perspiration of metalline acid Salts from certain Places of the Earth, which, upon the account of their Gravity, rise only to a certain Degree of Height, are exceedingly offensive when taken in by the Breath; for they either contract the Vesicles, or immediately coagulate the Blood in the smaller Vessels, which creep along the Surfaces of the little Aërial Bladders of the Lungs, that Are in immediate Contact with the outward Air; and such are those arsenical Steams in the Grotto Del Cane near Naples, and in some Mines in Carniola, Campania, and at the Cape of Good Hope. Of all the Collection of Ingredients in the Air, none are more pernicious to human Bo- dies, than Sulphurs; and also Charcoal Steams confined in close Places, such as Cellars and Caverns under-ground, will suffocate Ani- mals in a Moment; but when sulphureous Vapours abound too much, then kind Nature fets them on Fire by Lightning. Sulphureous E3 Vapours * Boerhaave Chym. vol. I. p. 494. 70 A GUIDE to HEALTH Part II. Vapours likewise infect Vegetables, and ren- der the Grass and Herbs very pernicious to the Cattle that feed upon it, as Mr. Jones * and others relate. The † Observations of the Learned made on several Mines, give an Account, how the sulphureous Steams and Vapours differently affect and frequently destroy the Miners who work in them; some fall into Convulsions, Faintings, Palsies, and apoplexies; others are instantly suffocated; and others again are kill'd by Explosion, resembling in its Nature that of Thunder or Gunpowder, as soon as the sulphureous Matter takes Fire: yet it must be allow'd, that Sulphur in itself, is neither un- wholsome nor unfriendly to the Lungs; for the Exhalations from Tracts of Earth abounds ing with Sulphur, are esteem'd wholsome in the open Air, such as those about the City of Naples; but it must be observ'd, that these Exhalations are in the free and open Air, and not in too great Abundance, and in all Probability unmix'd with any other perni- cious Salts, which those in Mines must be im- pregnated with. From what has been said already, in Page 65 and 66, it must follow, that the Air in great and populous Cities differs very much from that in the Country, and that it is from offensive Smells and Fumes, among other things, that Diseases are more fre- quent * Philos. Trans. vol. 2. p. 101. and likewise Philos. Trans. abridg. vol. 2. p. 180. ‡ Philos. Trans. vol. 2. p. 575. Ch. I. thro' the various, Stages of Life. 71 quent and more dangerous in the former than they are in the latter. Great Calms have often preceded the pestilential Constitutions of the Seasons; hence the close and confined Air of Prisons often produces mortal Diseases; and in Bays and Harbours,the Crews of Ships turn sickly, that would be healthy in the open Seas; and the great Mortality that is so often in Camps is chiefly owing to offensive Smells and Steams; for nothing contributes more to the Production of Distempers than the infected Air that they breathe in, occasion'd by the Filth which is the necessary Attendant of such Places; especially at Sieges, where the cor- rupted Particles of dead Bodies, both of Men and Beasts, fill the Air with an intolerable Stench. Besides, the Effluvia and Steams of Perspiration exhal'd into the Air, from the Bodies of Men and other Animals, must so charge that Air, as to encrease its Weight very much; and at the same time the Heat of the Camp will weaken its Spring so considerably, as to render it very unfit for Respiration; for thereby the Blood will remain unbroken in the Lungs, and so dispose the People to those Distempers, occasion'd by a Viscidity in the Blood; such as malignant Fevers, Dysenteries and Agues. According to the learned Boerhaave and others, the Eggs of Infects, and even Infects themselves very often are floating in the Air, and are so small as to be generally invisible by the Assistance of the best Microscopes, E4 which 72 A GUIDE to HEALTH Part II. which render the Air very unwholsome, and are often times the Cause of many grievous Diseases, being suck'd in with our Breath, and swallow' down with our Food; and the low and marshy Grounds are most commonly subject to be infected with them; for there we always find great Quantities of Flies and other Infects. Caterpillars and o- ther Infects, which eat up and destroy the Leaves of Trees and Plants, are proba- bly produced by the Eggs of those Infects floating in the Air; otherwise we cannot easily conceive how they can be generated in the Plants themselves. Historians relate, that there are Showers of Rain sometimes in Africk which affect the Inhabitants with Shiverings, and that there are Infects found in the Drops of these Showers; hence it appears that there are Infects in the Air, though not visible to the naked Eye: for it has been ob- serv'd, by the Help of Glasses, that in part of a Room illuminated with the Beams of the Sun, Flies are seen sometimes darting like Hawks upon a Prey. Tho' the Air on or near the Surface of the Earth is impregnated with an infinite Num- ber of heterogeneous Particles, as appears evi- dently by what has been said already; yet the wise Author of the Universe has so temper'd this Mixture, as to render it wholsome to all the Animals that live and breathe in it, except in some few accidental Cases; for doubtless pure Air without any such Ingredients would be Ch. I. thro' the various Stages of Life. 73 be very unfit for Animals and Vegetables to subsist in; therefore, in order to render salubri- ous this Element wherein we breathe, infinite Wisdom has so ordained, that the whole Mass is never overcharged with these Contents; for as human Creatures are unable to bear Ex- cesses of any kind, such as too much Heat, too much Dryness or Moisture, there is a con- tinual Circulation of Water and other Ingre- dients in the Air, and in mostPlaces the Air contains near the same Quantity of Wa- ter: for as the Sum of all the Force of the Sun upon the same Surface of Land and Water, and the Heat of the Surface of Earth within the Year is very near uniform, consequently the Quantity of Exhalation is the same: And as the Air has a Power of imbibing and su- staining only certain Quantities of Water with other Ingredients, and the Sum of all the Quantity that falls from the Air over the Surface of the Earth in Rain, Hail, Snow, and Dew, is the same; yet, by accidental Causes, such as Winds, the Stoppage of the Clouds by Tracts of Mountains, more of these Exhalations or Vapours may be carried and fall in one Place than another. This Water is again carried, by its natural Gra- vity, in Streams into the Sea, and other Reser- voirs of Water, and from thence again exhal'd, of which there is only left a sufficient Quantity for the Nourishment of Plants and Animals, the Perspiration of whose Bodies is again exhaled; and this Circulation is constantly main- 74 A GUIDE to HEALTH Part II. maintained and directed by the wise Order of Divine Providence. And all these different Ingredients of the Air are digested and atte- nuated by the Heat of the Sun, and they are constantly stirr'd and agitated by Winds, which mix the Air of different Regions together. There are likewise Fermentations in the Air, which are succeeded by violent Motions and Explosions in Thunder and Lightning; by which Means the redundant sulphureous Steams, and other pernicious Particles are destroyed and consumed in those Storms. The particular Causes of Thunder and Lightning seem to be nothing else than the Sun exhaling moist Particles into the Air, these condense and gather into Clouds, and when these inclose a Quantity of sulphureous, nitrous and bituminous Exhalations, and like- wise Salts of various Sorts, Acids and Alka- lies, extracted both from the Earth and Ocean, which being violently agitated by the Oppo- sition of Heat and Cold, and the Motion of the Air, operating upon those sulphureous and nitrous Particles, together with a watery Mat- ter, till at last they ferment and are kindled; then the Fire bursts open the Cloud with Ex- plosion in Thunder and Lightning, where the Passage is most easy, and the Cloud not able to make any farther Resistance: Sometimes the Opening is very wide, and stands a smali time, with a firey Edge about it; the Cloud is then dash'd with great Violence, the Air assisting with its Motion, and the sulphureous Matter Ch. I. thro' the various Stages of Life. 75 Matter breaks out again in various Sounds: the first Discharge being over, presently suc- ceeds a second, and this is back'd with a thirds fourth, fifth, &c. as long as the Store of combustible Matter holds out to maintain the Fire, till at last the Equilibrium of the Air is perfectly restored. The Effects of Lightning are wonderful; it being a most subtile and refin'd Matter, will sometimes burn a Person's Cloaths, while his Body remains unhurt; and on the con- trary, it will sometimes break a Man's Bones, while his Cloaths and Flesh receive no Harm. In like manner it will sometimes melt or break the Blade of a Sword in the Scabbard, and the Scabbard remain un- touch'd. It has drank up Vessels of Water, the Cover being left untouch'd and no other Token remain'd. Gold, Silver, and Brass, have been melted, and the Bags wherein they were contain'd not burnt, nor even the Seal off Wax defac'd. Marcia, Queen of the Romans, was Thunder-struck when she was big with Child, which was killed in her Womb, and she receiv'd no Harm. The Reason of these strange and contrary Effects, Philosophers can but conjecture at, imputing it to the different Figure and Qua- lity of the Particles of the * Lightning, as 2 to * There is a fort of Stone or Mineral, which is vulgarly called a Thunder-bolt, and it is thought, that it falls from the Clouds in a Clap of Thunder, and thereby great Mischief is done many times. But this is a vulgar Error; for the Stone seems to resemble more an artificial than a natural Producti- on, 76 A GUIDE to HEALTH Part II. to the Rarity and Thickness of the Fire; for the more subtile penetrates more easily, and the thicker with more Difficulty; whence the latter does more Harm than the former; and tho' it produces various and wonderful Effects, yet it is of such singular Use to the Inhabitants of the Earth, that they could scarce subsist without it; for it clears the Air, destroys and consumes all the redundant and noxious Steams and Particles that float in it, breaks the Clouds, and sends down Rain up- on the Earth. * It is certain, from undoubted Experiments, that the Air near the Surface of the Earth is more or less impregnated with all those Heterogeneous Particles already mention'd, and a great many more not possible to enu- merate. And in truth it cannot be otherwise, by the known Laws of Nature; for by what means soever a Body becomes divided, till some of the Particles become less than the component Particles of Airy and by that means become lighter, they will be elevated into the Air, until by their * Coalescence, their Gravity be so much encreased, as to fink on, by the Make and Figure of it; and being most common- ly found where Sepulchers have been, makes the Learned in- cline to think, that they are some Remains of Antiquity, and were formerly of Use in War and Arms, which was cu- stomary with the Ancients to bury with their Ashes. See Rowning's Comp. System, p 146. Part II. and Philos. Trans. No. 313, 316, 319, 331. * Coalescence, is the gathering together and uniting into a sensible Mass, those minute Particles floating in a Fluid, which were not before visible in it. Ch. I. thro' the various Stages of Life. 77 sink them again to the Earth. And for the Production of such wonderful Effects, even in the hardest and most solid Bodies, we need have Recourse to no other Cause than the Rays of the Sun; for as it has been demon- strated by † Astronomical Observations, that Light is not above ten Minutes in passing from the Sun to the Earth, and as the Earth is at least 10,000 of its own Diameters distant from the Sun; therefore it must run 1000 of these Diameters in a Minute, which is above 100,000 Miles in a Second. So that if a Bullet, moving with the same Velocity with which it leaves the Muzzle of a Cannon, re- quires 25 Years to pass from the Earth to the Sun, as Huygens ‡ has computed it, then the Velocity of Light, to that of a Cannon- Ball, will be as 25 Years to 10 Minutes; therefore we may expect proportionable Ef- fects from such Particles, notwithstanding their exceeding Smallness. And we may guess at the Effects of the Rays of Light separate- ly, by what we can observe when collected in the Focus of a burning Glass; for no Body, tho' ever so hard and compact, is able to resist their Force: even Gold, which is un- alterable by any artificial Fire, may be * * vi- trified by the concenter'd Rays of the Sun, one † Mr. Romer's Observations on the Eclipses of the Satellites Of Jupiter. ‡ Huygens in his Treatise upon Light and Gravity. He was a celebrated Mathematician. ** Vitrified, made or chang'd into Glass by the Force of Fire 78 A GUIDE to HEALTH Part II. one Part of it exhaling into the Air, as the other is turned into Glass; and that in a few Seconds of Time, according to Mr. Blundel and others. Hence it appears, that the Rays of the Sun are not only capable to abrade and file off from the most solid Bodies, such small Par- ticles as will be render'd lighter when sepa- rate, than the least compounding Particle of Air, but also by the Celerity with which they will be reflected, will thereby be capa- ble to carry into the Air such little Collec- tions of Matter, as are in Fact heavier than the Air they mount up in, which, when the Force impressed becomes less than will im- pel them higher, they must necessarily fall down to the Earth again, which will vari- ously affect human Bodies, both in their As- cent and Descent, according to their different Nature and Properties. CHAP. II. Of the Properties of AIR. THE Properties of Air are, Gravity, Elasticity, Fluidity, and Divisbility. They are so called, because they constantly remain in the whole Mass and in every part of it. The Ch. II. thro' the various Stages of Life. 79 The Gravity of the Air was first dis- cover'd by Galileus, by trying to what Height Water might be raised by pumping; and when he found it could not be raised higher than 33 feet, justly concluded, that it was from the Counter-ballance of the Weight of the Air that it was raised so high. The * specifick Gravity then of Air, when the Barometer † stands at 30 Inches, according to Sir Isaac Newton's Observations, and Dr. Halley s, is to that of Water, about 1 to 800, and to that of Mercury as 1 to 10,800; So that the Air we breathe in, *Specifick Gravity, is the appropriate and peculiar Gravity or Weight which any Species of natural Bodies have, and by which they are plainly distinguishable from all other Bodies of diffe- rent Kinds, when compared with them: And it is not im- properly called relative Gravity, to distinguish it from absolute Gravity, which encreases according to the Proportion of the Bulk or Bigness of the Body weighed. Thus, if a Body weighs a Pound, one as big again will weigh two Pounds; and let the Bodies be of what Nature or Degree of Specifick Gra- vity soever, a Pound of one will be as much as a Pound of the other absolutely considered. Thus a Pound of Feathers is as heavy as a Pound of Lead; but if we consider Lead and Feathers relatively, the specifick Gravity of the former will be much greater than the later; or Lead, Bulk for Bulk, will be much heavier than Feathers, and Gold heavier than Lead. † Barometer is a Glass Tube or Instrument to measure the height of the Atmosphere by; it is about three Feet in Length, and 1/16 or 2/10 of an Inch bore, seal'd up at one End, and at the other End it is fill'd quite full of Quicksilver, and thus immersed in a small Vessel of Quicksilver, that will fink down in the Tube, or run out into the Vessel, till it remains in the Tube between 28 and 31 Inches perpendicular height; and this Column of Mercury in the Tube, is equal in Weight to a Column of Air of the same Basis, and of the Height of the Atmosphere, and consequently is suspended by it; which therefore by its rising higher or falling lower, shews the proportionally greater or lesser Weight or Pressure of the Atmosphere 80 A GUIDE to HEALTH Part II. in, takes up 10,800 times the Space that the like Quantity of Mercury would. And the Honourable Mr. Boyle proves by Experi- ments †, that the Air without any adven- titious Heat, may, by the Force of its own Spring, possess 13,000 times the Space it does when pressed by the incumbent Atmo- sphere; and therefore may possess a Space one hundred forty-five Millions, and six hun- dred thousand times greater than the same Weight of Mercury; and that by the Ad- dition of Heat, it may be forced to fill a Space much larger. And if we consider that the Air we breathe in, may be compressed into 40 times less Space than that which it now fills; therefore Air may possess a Space 520,000 times greater at one time than ano- ther. The Gravity of Air counterpoises a Co- lumn of Mercury from 27 1/2 Inches to 30 1/2, the Gravity of the Atmosphere varying some- times 1/10, which are its utmost Limits, so that the specifick Gravity of the Air cannot be exactly determined. And the Account that Dr. Halley gives of the Causes of the Variation of the Gravity of the Air, seems very clear and conclusive; for they must either proceed from the Air's being more or less charged with Quantities of ponderous Ingredients in one Time and Place, which, as has been said in the former Chapter, arc plentifully exhaled into ‡ Boyle's Tracts about the wonderful Rarefication of the Air. Ch. II. thro' the various Stages of Life. 81 into it, or by its being accumulated more in one Place than in another by Currents of Winds; thus contrary Currents of Air com- ing to the same Place, must accumulate the Air in that Place, and consequently raise the Mercury in the Barometer; but two Currents of Air from the same Place, must link the Air in that Place, and consequently the Mer- cury in the Barometer. This is very possible in Liquids, and hap- pens even in the Motion of the Tides; for if there was a perfect Calm always, the Equi- librium could only be charged by the greater or smaller Quantity of ponderous Ingredi- ents in the Air; in Confirmation of which it is discovered, that where the Winds are not variable, as near the Line, the Al- terations of the Barometer are very small; And these Variations of the Air's Weight cannot proceed from letting its ponderous In- gredients fall, as in great and heavy Showers: Tho' it is certain, that a heavy Body falling through a Fluid, during its Descent, does not press upon it, but by the Resistance which the fluid gives to its Motion in Descent; but the Decrease of the Atmosphere's Weight during the fall of Rain, Snow, or Hail, is not pro- portionable to this Cause, therefore cannot be accounted for from it. As the incumbent Atmosphere is fluid and heavy, it presses equally upon the Surface of a human Body, with a Weight equal to a Column of Mercury, whose Basis is F equal 82 A GUIDE to HEALTH Part II. equal to the Surface of a Human Body; and Altitude, that of the Barometer, as in a mid- dle-siz'd Man, with a Weight of 32,000 Pounds; for as it is possible for the Air to vary 1/10 in its Weight, so that such a human Body must sustain a Weight of 3,200 Pounds Weight more at one Time than at another; and if the Mercury varies only one Inch in Height, there will be a Difference of about 1000 Pounds Weight: Such Alterations would affect both the Solids and Fluids of hu- man Bodies very much, were it not that the Ballance between the Air within and that without the Body is quickly restor'd, by the free Communication that is between them; so that these Changes are suffered without any sensible Inconvenience to healthful Peo- ple. This proves the ready Admission of the Air into the Vessels of human Bodies, and the Egress of aërial Particles from within the Body, in each Case of the Variation of the Weight of the external Air, from less to more, or from more to less; for if this Bal- lance between the external Air, and that within the Body was not kept, the Fibres and Fluids being elastick, in case of an In- crease of the Weight of the external Air, both the Fluids and Solids would be too much compress'd; and in case of a Decrease of this Weight, they would be dilated with a painful Sensation, and endanger the Life of the Individual; for the Fall of the Mercury in Ch. II. thro' the various Stages of Life. 83 in the Barometer is the same with the Ex- suction of so much Air in the Air-pump; and the Rise of the Mercury the contrary. This Alteration happens in Vegetables and in fermenting Liquors, as well as in Animals; and how these considerable Changes are made by Heat, Cold, or great Winds in fermenting Liquors, is an Observation of every one con- versant with them; for all these Changes are brought about by altering either the Weight or Spring of the circumambient Air: It is for this Reason like wise, that se- veral People, by their Akings and Pains, can foretell any considerable Change of the Wea- ther; for their Blood being more rarefied at the approach of wet Weather, or high Winds, will more forcibly press upon the sensible Membranes of the Body, so as to cause Pains that they were free from before: And this the rather happens, because the Blood hereby becomes not in the least the more fluid; for Froth, which is only Water blown into Bubbles by Air, is less fluid than Water itself; and the Globules of the Blood be- ing blown larger by the contained Air, when the Pressure of the external Air is removed, the Blood then is rendered less fluid, and will pass through the Capillaries with great Difficulty. A Fluid must have its Parts small, smooth, spherical, or approaching thereunto, and of equal Density, if the Fluid be homogeneal *, F2 accord- * homogeneal is such Particles as are pure, entire, un- mixed, and altogether like one another. 84 A GUIDE to HEALTH Part II. according to Borelli ‡: and it is not neces- sary that the Parts of a Fluid should be in Motion, because it is neither apparent that the Parts of all Fluids are so, nor that the Parts of some solid Bodies are not so; there- fore, the Blood in this rarefied State is rather less, than more fluid, in which Condition it will remain, whenever the Gravity of the Air is lessen'd, or its Spring weakened, by any Cause whatever. There is no Liquor that can be blown up into Bubbles, but what is somewhat viscid, and the more tenacious the Parts of any Liquids are, the fitter it is for this Use; for the Bubbles will be both larger and more lasting; for Example, a Mixture of Soap and Water may be blown into Spheres or Bubbles above six Inches in Diameter; and human Blood con- sists of Parts like what is in such a Mix- ture; for there are watry, oily, and saline Particles in the Blood, as is evident to our Senses: And that the Blood is blown into such little Spherulœ beyond dispute, is what may be observed with a Microscope in the Tail of a Fish; for the Globules of Blood being too large to pass through the smallest Arteries, they change their spherical* Fi- gure to a spheroidal † one; and when they come into a wider Channel, they recover their former Figure again. Now as it is the Property ‡ Borelli de motibus à gravitate factis, Præpos. p. 142. * Spherical, round like a Ball. † Spheroidal, an oblong Sphere or Ball. Ch. II. thro' the various Stages of Life. 85 Property of an Elastick Body alone, that when its Figure is changed, to recover it again; and nothing being Elastick but Air, or at least, what contains Air in it; it is a plain Reason that the Globules of the Blood must contain Air in them. From what has been said, it appears, that whenever the Blood is too viscid, so that the Force of Cohesion be not greater than that by which the Air contained in the Blood endea- vours to expand itself, in such a Case the Person will be more sensibly affected by the Alteration of Weather; from hence better Indications may be taken both for the Cure and Prevention of those Diseases that pro- ceed from a Viscidity in the Blood, than from any other Source whatever. Human Species can live in Air of very dif- ferent Gravity; for the Air in the same Place may differ 1/10 in Weight, the Variation of the Mercury in the Barometer being so much; but what is still more extraordinary, human Creatures can live in Airs, where the difference of the Weight is double; for Exam- ple, in the Bottom of deep Mines, where the Mercury stands in the Barometer at 32 Inches, and at the Top of the highest Mountains, supposing 'em to be 3 Miles high, the Mercury then mud stand at a little above sixteen inches. Notwithstanding human Creatures can sus- tain such a Difference of Weight or Pressure of Air, as (in the common Variation of Gra- F3 vity 86 A GUIDE to HEALTH Part II. vity in the same Place) makes the Difference of Pressure upon a Person of a middle Size 3600 Pounds Weight, and in the Difference of Height in the Bottoms of Mines, and at the Tops of the highest Mountains the Dif- ference of 18000 Weight; which Difference of Pressure or Weight must produce great Alterations in the bending or stretching of the Fibres, and in dilating the Fluids of a Human Body: For in the case of a greater Weight, the Fibres will be more strongly braced, and the Fluids will be rendered more compact; and, as has been observed already, were there not a free Communication between the outward Air, and that within the Animal Fluids, these Alterations would be insupportable; for the Animal would be, in such a Case, as in an Air-pump with the Exsuction of half the Air; in which Case the Blood would boil up and expand itself to a very great Degree, by having so much of the Pressure of the outward Air taken off. And it seems very reasonable, that in di- minishing the Force of the Pressure of the outward Air upon human Bodies, the Fibres thereby will be rendered more un- braced, and consequently must create a Weakness in Muscular Motion; which is the Reason, in a great Measure, that People breathe shorter and with more Difficulty than usual, in going up to the Tops of high Hills and Mountains; for the Air in ascend- ing is a great deal lighter than at the Bot- 2 tom, Ch. II. thro' the various Stages of Life. 87 tom, and by the Diminution of the Pressure of the Air upon the Muscles, less Exercise puts People out of Breath; and likewise the Over-ballance of the Air contained in the Cavity of the Breast, may help to produce this Effect But then perhaps it will be said, that the Inhabitants of Mountains are not weaker nor less active than those of lower Situations: In answer to which it must be observed, that the Excess of Coldness of the Air on the Tops of Mountains above that of the low Countries, counter-ballance the less Weight of the Air, and braces the Fibres more strongly: Another Reason is, that such as live in a rarer or lighter Air, as on high Mountains, are accustomed to the Exercise of a greater muscular Strength; as in the Case of Birds performing their Motions in a thinner Fluid, must always use a greater muscular Strength, which, though Nature has accustomed them to the Use of this Ele- ment, must strengthen their Fibres; for which Reason tame Birds cannot fly so well as wild ones. The Alterations of the Pressure of the Air in its Gravity and Elasticity, must pro- duce proportional vibrating Motions, both in the Solids and Fluids of human Bodies; and when these Variations are frequent and ex- treme, such violent Motions of the Fluids and Solids must cause great Changes in hu- man Bodies; for which there was no Ne- cessity of having recourse to any occult or F4 hidden 88 A GUIDE to HEALTH Part II. hidden Qualities in the Air, as a great ma- ny have imagined; and though the Air does not much hurt the Animal Fibres, by the Softness of its Contact; yet the alternate bracing and unbracing of the Fibres strongly, may produce these Changes; and such Al- terations are not only producible by the Va- riations of the Air's Gravity and Elasticity, but likewise by its Qualities, such as Heat, Cold, Moisture and Dryness, which will be the Subject of the next Chapter. * Elasticity is another Property of the Air, which is a Force equal to its Gravity; for, as the Honourable Boyle and others have proved by Experiments, the smallest Bubble of Air by its Elasticity or Spring can bal- ance, resist, and equiponderate the whole Atmosphere of equal Density, as far as it is exposed thereunto; for otherwise it would be more compressed than in Fact it is; and by these two Qualities of Gravity and E- lasticity, and the Alterations of them, the Air produces great Effects in living Creatures; for by these, Respiration is performed, and the Equilibrium or Ballance is kept between the outward Air and that contain'd in the Vessels of the Body. True * Elasticity or Springiness, which most Bodies have more or less, is a Power in a Body to return to its first Place and Condition, as a Stick which is forcibly bent; and the Air has it in a very remarkable manner, which being compressed, it endeavours with a very great Force to restore itself to its former State. Ch. II. thro' the various Stages of Life. 89 True Air never loses its Elasticity, as Steel, Wood and other Bodies do; yet it exerts it only when it is collected into a Mass; which is confirmed by the Air-Gun; for Mons. De Roberval of the Royal Academy of Sciences, having let his Air-Gun remain charged for the Space of 16 Years, found on discharging it, that the Air's Elastick Force was not at all abated, but produced the same Effect as at first *. By this Elastick Force the Air insinuates itself into the Spaces of Liquors not sufficiently filled with it already; there it remains divided in its minutest Par- ticles, and as it were in a fixed State, till it is expanded by Heat, or the incumbent Pres- sure is taken off, and then it is collected in- to greater Masses, and exerts its Elasticity in Proportion to the Diminution of the in- cumbent Pressure. The Elasticity of the Air has been suffi- ciently demonstrated by various Experiments of the Air-pump, and otherwise: One very plain is this; an empty Bladder, the Neck of which being tied round fast, that no Air could either get in or out, and being put into the Receiver of an Air-pump, and the ex- ternal Air therein exhausted, the small mat- ter of inclosed Air in the Bladder, will, by its own proper Spring or Elasticity, gradual- ly expand itself, and at last will so extend the Bladder as to burst it: Thus also the Air compressed in a Wind-Gun, will, by its Elas- tick * Hist. de l'Academ. Roy. 1695. p. 368. 90 A GUIDE to HEALTH Part II. tick Force (being discharged) drive a Ball through a Board at several Yards Distance, in the same manner as with Gun-powder. The Solids and Fluids of Animals contain more Air in them in Proportion, than any other Substances; and Animal Solids contain more Air than Fluids; and they contain a greater Proportion of Air than any other watery Fluid: For example, Blood contains 1/27 Part of its Weight in Air, and 33 times its Bulk; whereas 54 Inches of Well-water yield only 1 Inch of Air; but Spaw and Pyrmont Wa- ters yield double the Quantity of Air, to that of common Water; and therefore the Activity of Steel and Mineral Waters is owing to some aërial Particles in them; for when these are evaporated, the Waters become insipid, and without any Virtue, by the Quantity of Air lost, which the Blood and other Fluids of Animals contain, as has been often demonstrated by Experiments of the Air-pump; for they will expand them- selves in an exhausted Receiver to a great Degree, in the same Manner as in the Ex- periment of the Bladder just now mention'd. Hence the Alteration of the Weight and Spring, or elastick Force of the Air, which dilates and expands proportionably the Liquors, with which the external Air communicates, must produce sensible Effects in animal Fluids; for as Air is a principal Instrument in the Animal Oeconomy, and consequently a prin- cipal Ingredient in the Composition of all animal Ch. II. thro' the various Stages of Life. 91 animal Substances, it must in a particular man- ner affect animal Bodies, and by its Changes differently influence all their Operations. Fluidity is a Property of Air, which can- not be destroy'd or congealed like Water or other Fluids, by any Power of Art or Na- ture hitherto known: and this Property of Fluids arises from the exceeding Tenuity or Smallness of the constituent Particles of such Bodies, and their Disposition to Motion, from the Sphericity or Roundness, and Lubri- city or smooth Slipperiness of their Figures, whereby they can easily slide over one ano- ther's Surfaces all manner of Ways, and can touch but in few Points; so that Particles thus modified, must always produce a fluid Body or Substance, as Water, Fire, &c. No Coagulation, Fermentation, or Condensation of any Mixtures where Air resides, have ever destroy'd its Fluidity; for it preserves it in Cold 44 Degrees greater than any natural Cold, which Property is absolutely necessary to an Element, in which both Animals and Vegetables live and grow. As Water is a Fluid much denser or thicker than Air, it supports and keeps together the Bodies of larger Animals than Air can do. The Air is pellucid or transparent to such a Degree as not to be discernible even by the best Microscopes, by reason of the great Po- rosity thereof; for the Pores and Interstices of the Air being so very great and large, it not only admits the Light in right Lines, but in such 92 A GUIDE to HEALTH Part II. such great plentiful Rays, that the Brightness and universal Lustre thereof, not only renders the Air diaphanous or transparent, but en- tirely hinders the Opacity or Darkness of the very small Particles of Air from being at all seen; and the whole Body of the Air must consequently be invisible. But notwithstand- ing the Minuteness of the Particles of Air, many thicker Fluids will pass where it can- not; for Oil, Water, and Liquids will enter thro' Leather, which will exclude Air. That Air is a Fluid in constant Motion, may be easily perceiv'd in that Part of a Room illuminated by the Rays of the Sun, entering at a small Hole or Crevice, where- in the visible and floating Corpuscles or Atoms are in continual Motion; likewise a constant undulatory Motion in the Air may be seen by the help of a Telescope; and these Undu- lations or Wavings of the Air to and fro, affect small and tender Bodies, but not so much as to alter their Figure. The Difference between Fluidity and Li- quidity is, that the former is a general Name for all Bodies whose Parts yield to the small- est Force or Impression; and thus a Quan- tity of Sand as well as Water, is called a Fluid: But what is properly called a Liquid or Liquor, is only that Kind or Species of Fluids which cleaves to the Touch, or sticks to the Finger, &c. or, as may be said, wets it, as Water, or any kind of Juices do: And the Reason of this Difference is owing to Ch. II. thro' the various Stages of Life. 93 to the exceeding Smallness of the Particles of Liquids above those of fluid Bodies; and also to their Ponderosity or Weight: for by these means, the Particles of Liquids enter the Pores of the Body which touches them, and by their Gravity or Weight, cohere or stick to, and abide therein, and cause Wetness. Air is compressible as well as dilatable; for it can be compressed into a less Compass, and smaller Volume, like a Fleece or Lock of Wool, either by its own Weight, or by any other Force; which Weight or Force being remov'd, it immediately recovers its former Bulk and Dimensions again by its Spring. Heat will encrease the Force of the Elasti- city of the Air to a prodigious Degree, accord- ing to the Experiments of Mr. Boyle, as has been observ'd in the Beginning of this Chap- ter. To prove which by an easy Experiment, take a Bladder entirely empty as you think, and tie the Neck of it very well with a Pack- thread, and lay it before the Fire, the Heat will presently so dilate and rarefy the little Air inclosed, as to make it extend the Blad- der to its utmost Stretch, and if continued, will break through it with a Report like that of a Pistol. That Air also may be com- pressed by Art, so as to take up but 1/60 Part of the Space it possessed before, has been prov'd by Numbers of Experiments made by Boyle and others; for farther Proof and Sa- tisfaction thereof, see Sir Isaac Newton's Op- tics, p. 342. Divisi- 94 A GUIDE to HEALTH Part II. Divisibility is a Property of Air, by which living Creatures move in it without much Resistance; for it is always divisible by the smallest Force imaginable. Fishes and Birds move thro' their respective Element after the same manner; and Fishes may be called the Birds of the Water; they pass thro' an Ele- ment which is 800 times thicker than Air, as has been observ'd in p. 71; for which Reason Fishes must employ a Force propor- tional to the greater Resistance of the Fluid. On the other Hand, a great deal of the Force of Birds is employ'd to support themselves in a much thinner Fluid; but the Bodies of Fishes are poised or equilibrated with the Water in which they swim. However Air has some Degree of Tenacity or Adhesion, by which its Parts attract one another, as is ma- nifest by the round Figure of Water-Bubbles, which attract and run into one another; and at the same Time the Particles of Air, by their Elasticity, have a Power in other Cir- cumstances, of flying off from one another, which two Properties are consistent, as may be seen in Light. The Resistance of Air is very considera- ble in Bodies swiftly moving thro' it, or by its swift Motion against Bodies. In the first Case, the Resistance increases in the dupli- cate Proportion of the Swiftness of the mov- ing Body; that is, the Resistance is a hun- dred times greater when the Velocity is but ten times; so that for this Reason, if light Bodies are moved with great Swiftness, the Air's Ch. II. thro' the various Stages of Life. 95 Air's Resistance will throw them back in another Direction. Air moving with Rapidity, as in violent Storms or Winds, produces very sensible Ef- fects in human Bodies, to which if we add the Motion of the Person moving opposite, then the Pressure will be very considerable; hence Walking or Riding against great Winds is a great and laborious Exercise, the Effects of which are a Redness and Inflamma- tion of all the Parts exposed to the Air, be- ing like the Effects produc'd by a soft Press or Stripes, Heat and Drowziness. CHAP. III. Of the Qualities of Air. THE Qualities of Air are Heat, Cold, Dryness, and Moisture; they are called Qualities of the Air, because they are change- able, and do not constantly reside in the whole Mass, nor in the Parts thereof. By these variable Qualities of Heat, Cold, Dryness, and Moisture, the Air must of Ne- cessity produce various Alterations in human Bodies. For if we consider, that human Blood is a Fluid continually warm, and in- closed in a Composition of thin and flexible Tubes, to which the outward Air has Admit- tance 96 A GUIDE to HEALTH Part II. tance or Entrance by the innumerable Pas- sages of the Pores of the Body: Again, if we consider this Machine, with its inclosed Fluids steaming and reaking hot thro' num- berless Pores, and often changing Situation, sometimes within, sometimes without Doors, and exposed to the hot, cold, dry, or moist Air, and all the various Alterations that oc- cur in that Element; the Changes which must happen to a human Body in such Cir- cumstances, must be very considerable, and far greater than we generally suppose or ima- gine; for besides the real Influence of the circumambient Air, human Bodies are affect- ed by these Changes with a painful or plea- sant Sensation, which they have not always in their Power either to escape or possess. Heat is a Quality relative to our Senses excited in the Mind, by a great and swift Agitation of Particles of the hot Body ex- erting its Action or Influence on us; so that Heat in us is only the Idea thereof; and in the hot Body, Activity and Motion, and no- thing else: for no Heat is sensible, unless the Particles of the Body which act upon us, be greater than the Motion of the Organ or Part of the Body acted upon. But when the Motion of the Particles of the Body acting, is less than that of our Organs of feeling, then it causes in us the Sensation or Idea of Cold, which is only a Privation or less Degree of Heat or Motion. The Ch. III. thro' the various Stages of Life. 97 The Spirit of Wine in Thermometers * or Weather-Glasses, is affected with the least Alterations of Heat and Cold; and therefore is the best Guide to know the Variations of the Weather, tho' the Degrees marked in the Tubes of them do not exactly measure their Quantity. The natural Heat of a grown Person is 92, and of Children 94 Degrees; but no Animal can live long in Air of 90 Degrees, or near the natural Heat of the Body. The Rarity or Thinness of the Air ren- ders it more sensible of the Alterations of Heat and Cold, than any other Fluid what- ever; for the least Increase of Heat dilates it, but a Diminution thereof contracts it im- mediately. The Degrees of Expansion of the Air cannot be determin'd; for the great- est Heat will not totally expel it, but by this continual Expansion and Contraction, by different Degrees of Heat, it is kept in con- stant Motion. Heat, but not so great as to destroy ani- mal Solids, relaxes the Fibres, and rarifies the Humours; whence proceeds the Sensation of Faintness and Weakness, and whence lan- quid and hysteric People suffer in a hot Day; for the Fluids are dilated, as is manifest to both the Sight and Touch, and the external G Parts * Thermometer or Weather-Glass, is a Glass Tube filled with Spirit of Wine of a red Tincture: It is an Instrument of great Use in the Hands of skilful Persons, in discovering the Degrees of Heat and Cold in Air, animal and vegetable Bo- dies, Liquids, Hot-Beds, &c. 98 A GUIDE to HEALTH Part II. Parts swell, and are plumper in hot than in cold Weather. Excessive hot Air is capable to reduce ani- mal Substances to a State of Putrefaction, and therefore very hurtful to the Lungs in parti- cular; for the Blood, by its Circulation thro' the Lungs, is heated to a degree so as to render it spumous; and the Surface of the Vehicles of the Lungs being exposed to the external Air, which has a free Communication to it; so that Refrigeration by cool Air is one, tho' not the principal Use of Air in Respiration: but when the outward Air is many Degrees hotter than the Substance of the Lungs, it must necessarily destroy and putrify the Solids and Fluids: Which is confirm'd by an Ex- periment of the learned Dr. Boerhaave, who relates, that he put a Sparrow into a Sugar- Baker's drying Stove, where the Air was heated 54 Degrees more than the natural Heat of Human Blood, which died in two Mi- nutes; a Dog being put in began to pant very much for Breath in seven Minutes, and in a Quarter of an Hour express'd very great Un- easiness; soon after he grew very faint, and ex- pired in 28 Minutes; he drivell'd a great Quan- tity of red Foam most part of the Time, which stunk so intolerably that a labouring Man that went near it was almost struck down in- stantly with the Stench. Dr. Boerhaave ob- serves in this Experiment the direful Effects of this Degree of Heat, how soon it occasion'd a most acute Disease, with violent and mortal Symptoms; Ch. III. thro' the various Stages of Life. 99 Symptoms; and how suddenly the Humours were changed and thoroughly putrified in 28 Minutes: He moreover observes, that these were not the mere Effects of the Heat of the Stove; for if the Flesh of a dead Animal had been hung up there, it would have dried, and not turn to a pestilential Corruption; which must arise from the Friction caused by the Circulation of the Blood through the Lungs, and being not in the least refrigerated, as in this Case. By the Degrees of the Heat of the Air act- ing upon Human Bodies, the Quantity of * Perspiration both sensible and insensible is regulated; for, by the Journals of the industri- cus * Perspiration is twofold, sensible and insensible; by the first is meant what we discharge by Spittle, Sweat, Urine and Stool; by the latter is understood what is imperceptibly exhaled or expell'd through the whole external Skin of the Body, as also from that of the Mouth, Nose, Jaws, Larynx, Lungs, Gullet, Stomach, Intestines, Bladder and Womb; so that the Quantity of it exceeds that of all other Excretions join'd together; for when the Body is strong and healthy, and after moderate living, especially in a warm Climate, such as Italy, that which is discharged insensibly by the Pores of the external Skin, Mouth, Nostrils, &c. is five Eighths of what is taken into the Body in Meat and Drink. It will not appear incredible, that animated Bodies should thus perspire, when we find by Mr. Boyle's Experiments, that he has observ'd the like even in the most solid and inanimate Substances. Besides, we see the Air, when return'd in Respiration from the Lungs, brings along with it a Vapour, which in cold Weather con- denses into considerable Drops. We likewise find that a Fin- ger, or any other Part of the Body, or our Breath, applied to a Glass, or polish'd Metal, will presently moisten and tarnish it. This perspirable Matter, according to the learned Boer- haave, is a Mixture of Phlegm, volatile Salt, and Oil, in cer- tain Proportions; and after a long Course of Circulations in G2 all 100 A GUIDE to HEALTH Part II. ous and learned Dr. James Keil of Northamp- ton, it appears, that the Perspiration in Eng- land scarcely equals all the other Excretions, and that in Summer it is near double to that in Winter; whereas we find, by the incom- parable Sactorius's Aphorisms, that the Per- spiration in Italy the Year round is to all the other Evacuations as five to three, and pro- bably the Proportion may be still greater in hotter Climates; and yet the same Author tells us in Aphorism vii. Sect. I. that the Quantity of insensible Perspiration varies ac- cording all the Forms of the Animal Fluids, is deprived of all that can be of farther Use to any Part of the Human Body; and is secreted by the capillary Arteries, and passes off insensibly and almost invisibly through the Pores of the Skin, and other Parts of the Body. But whenever this Evacuation is either dimi- nish'd or obstructed, it is almost an infallible Indication of Dis- eases, and probably the Cause of them, likewise. And Nature has so provided, that if by any external Cause this Evacuation is hinder'd in any one Part, it is always increased in another, or otherwise a Distemper will ensue; for which Reason when the Coldness of the Air, which more immediately affects the outward Skin, or any thing else lessens the Discharge of insen- sible Perspiration that Way, either the sensible Evacuations are increased, as commonly the Urine, or greater Quantities are carried off by Respiration from the Lungs and Parts about the Mouth, as we see in frosty Weather, like Smoak out of the Mouth; or else it is perspir'd into the Cavities of the Stomach and Guts, which afterwards is discharged by breaking of Wind either upwards or downwards: For as long as the Im- pulse within remains the same, wherever there is the least Re- sistance, there will be always the greatest Derivation of the perspirable Matter. And from hence it is, that we so fre- quently find, when the Body is more than usually exposed to the external Cold, Gripings, Loosnesses, Colics, and great Uneasinesses in the Bowels, which is nothing else but some Part of the perspirable Matter, that ought to have passed the outward Skin, check'd by the Cold, and by an opener Pas- sage Ch. III. thro' the various Stages of Life. 101 cording to the Differences of Constitution, Ages, and Countries, Seasons, Distempers, Diet, and the rest of the Non-naturals: Which must occasion a great Diversity of Constitutions and Distempers, according to the different Climates; for the serous Part of the Blood is carried off by Sweats or sensible Perspiration, in far greater Quantities in hot Countries, than in cold or temperate Cli- mates, which must consequently render the Crassamentum or fibrous red Cake of the Blood larger; hence we may know the Reason why the Blood of People residing in those hot G3 Coun- sage within thrown off that Way. Leeuwenhoek by the Help of Glasses, has discover'd the Texture of the Scarf-Skin to be scaly; and that those Scales cover one another in several Lays, more or less, according to the different Thickness of the Scarf- Skin in the several Parts of the Body; and that in the Com- pass of one cuticular Scale he reckons there may be 500 Excretory Channels, and that one Grain of Sand will cover 125000 Orifices; and that from these a most subtile Humour continually transpires in all the Parts of the Body; which was first observ'd by the incomparable Sanctorius, to whom alone the Glory and Perfection of this Discovery is entirely owing. Insensible Perspiration therefore, both as to the Matter and Quantity of it, is so absolutely necessary to the Health of a human Body, that a Distemper can neither be removed, nor Health preserv'd, unless it be rightly digested and discharg'd; For which Reason it ought to be of the utmost Concern to a Physician not only thoroughly to acquaint himself with the Nature of this Evacuation, but likewise thoroughly to know by what Means it is to be promoted or lessen'd, according to the several Exigencies of his Patients, either for the Preservation or Recovery of their Health: For according to the last men- tion'd Author, in Aphorism ii. Sect. I. ' If a Physician who ' has the Care of another's Health is acquainted only with ' the sensible Supplies and Evacuations, and knows nothing of ' the Waste that is daily made by insensible Perspiration, he ' will only deceive his Patient, and never cure him unless by ' Accident.' 102 A GUIDE to HEALTH Part II. Countries is commonly thick and black when drawn from any Part of a human Body, as Experience teaches. Air is not cooled by the Motion of Winds, but by the Air of cooler Regions that they bring along with them; for the Thermometer will not change by Winds or by the strongest Blasts of Bellows, unless it is blown through Ice or some other Body colder than Air, ac- cording to Mr. Boyle's Experiments, but then such a Blast will sink it considerably. Winds cool animal Bodies by driving away the hot Steams that surround them; for if we sup- pose that the Heat of a human Body is 90 Degrees, and the Heat of the Air 48, by blowing off the hot Steam, then the animal Body will be surrounded with an Atmosphere of 48 Degrees, and consequently near the one half of its natural Heat taken off in a Second of Time. Therefore, if immediately after Ex- ercise we rest in a cold Air, we run a great Hazard of falling into great Diseases, of which there has been frequently woeful Instances, especially such Distempers as affect the Lungs, as Inflammations, Asthmas, Pleurisies and Ca- tarrhs; for this Change of their Atmosphere happening every Second of Time, is, much the same thing as putting on a cold Suit of Cloaths every such Time. Therefore, as human Bodies may be cool'd by Air cooler than their own Temperament, so there may be great Use made of tempera- ting feverish Heat by the outward Air, pro- 2 vided Ch. III. thro' the various Stages of Life. 103 vided it be done with Caution; which is very well known by Experience, as in inflamma- tory Diseases, such as the Small-Pox, Measles, &c. scarcely can any Liquor taken inwardly cool human Blood sooner than cool Air; for, by its Admission into the Pores of the Skin, and its being in immediate Contact with the Vesicles upon the Surface of the Lungs, it cools the Blood in a very little Time: So that great Mischief frequently happens by keeping the Air of the Rooms of People in Fevers too hot, by depriving them, in the first Place, of the Benefit of being refresh'd by it, and in the next, by the bad Effects of animal Steams pent up in the Room, which spoil the Air and destroy its Elasticity or Spring. Therefore it is the Opinion of the most celebrated Phy- sicians, that renewing and cooling the Air in a Patient's Room, by giving it a free Admis- sion, in opening the Door sometimes, the Bed- Curtains, and in some Cases the Windows, or letting it in by Tubes or Pipes, in order to change the hot Atmosphere about the Patient, (provided the Intention of keeping up a due Quantity of Perspiration is not disappointed) and in general the right Use and Manage- ment of the Air, is one of the principal Parts of a Regimen in all inflammatory Diseases; but, through the Ignorance and scrupulous Care of Nurses, in so material a Point as this, the Distemper is frequently increas'd, lengths en'd, and at last proves fatal; and this Mi- stake proves far more dangerous to strong, G4 vigorous. 104 A GUIDE to HEALTH Part II. vigorous, compact, and heavy Constitutions, than to lax ones; according to this Axiom, Heat is detain'd in proportion to the Density of Bodies. Cold is a Privation or Diminution of so many Degrees of Heat, as I have observ'd al- ready in Page 96, and it produces a propor- tionable Abatement of the Effects of Heat; so that, from what has been said already con- cerning hot Air, the Effects of cold Air may be inferr'd. Cold Air, according to Philoso- phers and Naturalists, is the immediate Cause of freezing; it first begins in the Air, by congealing the watery Particles in it; but the Effects of this Cold sometimes do not reach so far as to freeze the Water on the Sur- face of the Earth; as in Summer Hail and Icy Showers. Cold condenses the Air in proportion to the Degrees of it; and likewise contracts animal Fibres and Fluids, which are denser; for as Cold braces the Fibres, not only by its con- densing Quality, but likewise by congealing the Moisture of the Air which relaxes; so for this Reason Animals in cold Weather. are of less Dimensions than in hot Weather. Extreme Cold produces at first a pricking Sensation in human Bodies, and afterwards a glowing Heat, or a small Degree of Inflam- mation in all the Parts of the Body exposed to it; and by bracing the Fibres more strongly, thickening the Fluids, and stimulating, it pro- duces Strength and Activity in human Bodies, of Ch. III. thro' the various Stages of Life. 105 of which healthy People are very sensible in clear and frosty weather. Now, if the Effects of cold Air be so con- siderable upon the Surface of the Body, why may not they be much more so upon the Lungs, wherein the Blood is much hotter, and the Membranes or Coats very thin, and in immediate Contact with the external Air? But were it not that the warm Air is not alto- gether expell'd out of the Lungs in Expira- tion, the Contact of the cold Air would be insupportable to human Creatures; and the Effects of cold Air in producing Inflammations of the Lungs in all Nations is common, espe- cially upon the blowing of cold north-easterly Winds in Europe, or north-westerly Winds in America. Cold suppresses some of the grosser Parts of the perspirable Matter, by which Means a great many Salts, that would b exhaled in warm Weather, are detain'd, by contracting the Pores of the Skin, and cooling the Blood too much in the Vessels that are exposed to the Air; as also by Stimulus the cold Air vel- licates and inflames these Vessels, as has been obser'd already, and at the same time pro- ducing Scurvies with dismal Symptoms, being a Distemper of cold Climates; the fatal Ex- remities of which we may see in Captain James's Journals, in Gerat de Veer'd a Hol- lander, and in Captain Middleton's, and in those of many others, who have win- ter'd in Greenland, and other cold Coun- tries; for the Cold that froze their spirituous I Liquors 106 A GUIDE to HEALTH Part II. Liquors produc'd almost the same Effect in their Blood, by reducing the animal Substan- ces of some to a gangrenous State, with Mor- tifications of their Limbs and Gums, being oblig'd to cut off the putrid or rotten Flesh; a total Incapacity of chewing, not capable to move themselves, and intolerable Pains in many Parts of the Body, with black and blue Spots and Blisters on their Skins; and by sup- pressing Perspiration, and retarding the Cir- culation of the Blood, others were seiz'd with Giddiness, Sleepiness, Pains in the Bowels, Looseness, Bloody-Fluxes, Iliack Passions, and a Mortification in the Guts; but seldom any Loss of Appetite, which is very surprizing: All such dismal Symptoms could not be attri- buted to the Effects of Salt Provisions, in as much as they frequently had fresh both ani- mal and vegetable. Extreme Cold or extreme Heat will de- stroy animal Substances, or reduce them to a gangrenous State, but with this Difference, that a Degree of Cold that will produce a Mortification in living Bodies, will preserve those that are dead from Putrefaction; and in order to produce such a Change, there must be a Concurrence of Heat and Motion in the animal Fluids with the Stimulus of the Cold to produce the Change; for which Reason, Blisters cannot be raised on dead Bodies by the strongest blistering Plaisters imaginable. Moisture is a Quality of Air which affects animal Bodies in relaxing and lengthening their Ch. III. thro' the various Stages of Life. 107 their Fibres; for it has been often demon- strated by Experiments, that the single Fibres both of Animals and Vegetables are lengthen'd by moist Air, and that it relaxes is likewise evident from daily Experience upon Leather, Vellum, Paper, and a Drum. By cold Bath- ing there is a momentary Contraction of the Fibres of the Body effected by the Cold- ness of the Water only, and the Sensation of which works as a Stimulus in human Bodies; but the Water in its own Nature would re- lax, and continually does so, if we remain too long in it; which is the Reason that Peo- ple using the Cold Bath are order'd not to stay in above half a Minute, or a Minute: and warm Water relaxes a great deal sooner than cold, and Swimming fatigues and dispi- rits more by relaxing the Fibres than Exer- cise. Air, by the Assistance of Moisture, will sooner insinuate itself into the Pores of Bo- dies than otherwise; for a dry Bladder will sooner burst than let Air pass thro' it, but when it is moisten'd it easily passes. Yet Moi- sture diminishes the Elasticity of Air, for in rainy Weather it is less Elastic; so that Moisture relaxes human Fibres, by weaken- the Spring of the Air; but dry Air will lessen those Effects, or produce their Con- traries, such as bracing and contracting the animal Fibres, which were before both re- lax'd and lengthen'd by too much Moisture. And a great many Symptoms which People are 108 A GUIDE to HEALTH Part II. are sensible of in moist or rainy Weather, are chiefly owing to the Relaxation of the Fibres by moist Air, by which means they lose some Degree of their elastic Force for cir- culating the Fluids; hence arise those Aches and Pains which are felt in the Parts of the Body, where the Circulation of the Fluids is not perfect, as in Cicatrices, or Scars of Wounds, old Sprains, Dislocations, or bruised Parts. Likewise a moist and foggy Air, espe- cially where the Country is low and marshy, will so weaken the Tone of the Vessels, as to hinder a proper Discharge of what ought to be carried off by insensible Perspiration, ac- cording to Sanctorius *; and particularly weaken those of the Lungs, by which means the Viscidity of the Blood will be increased; hence arise Coughs, Catarrhs, Consumptions, Asthmas, Pleurisies, Head-aches, Dulness, and Stupidity, Epilepsies, Hoarseness, cuta- neous Eruptions, pale and languid Complexions: and such People are also subject to scorbutic Habits, weak Appetites, Fevers of different kinds, Diarrhœas, Dysenteries, and Drop- sies.† When the Air is overcharg'd with Va- pours near the Surface of the Earth, and when * Med. Stat. Sect. 2. Aphor. 8. † Hippoc. Aph. 16. lib. 3. & lib. de Aëre, Aqua & Lo- cis; in which last Book Hippocrates tells us, that the Phasians, who inhabited a low and marshy Country, were frequently subject to the above-mention'd Distempers, and which is commonly, and almost always the Fate of all such Situations, as both History and Experience teach. Ch. III. thro' the various Stages of Life. 109 when those Vapours are more in a falling than in an ascending State, it is then properly called moist Air; tho' the Body of the Air may contain more Water in it at other times; but then the Water and Air are more intimately mix'd, and the Vapours are higher, and a less Quantity of them in contact with our Bodies; so that Air in such a State may be justly called dry; and sometimes the Air may be said to be in a State of exhaling and imbibing, and at other times in a State of precipitating its Waters and other Contents. Dryness is another Quality of Air, by which it produces Effects contrary to those of moist Air: and as dry Air exhales and imbibes volatile Spirits, and Oils of animal Bodies, so it does consequently influence Perspiration. But great Dryness is capable of changing the very Texture, as well as the Si- tuation of the Pores of the Skin of human Bodies; and either extreme Dryness, or ex- treme Moisture have very often proved dan- gerous, if not fatal to human Bodies; and tho' our Bodies are not capable of bearing Excesses of any kind, yet of the two, ex- treme Dryness has been found most destru- ctive to animal Bodies. By the Properties and Qualities hitherto enumerated and explain'd, Air must pro- duce very great Alterations in human Bodies; for it does not only operate by outward Contact, but we likewise imbibe it at all the Pores of the Body, as is evident by what has been 110 A GUIDE to HEALTH Part II. been said already; otherwise the Air could not have a free and constant Admittance in- to the Body, and consequently the Ballance between the outward Air, and that within the Vessels, could not be so quickly restor'd; and it is upon the due Ballance of the Air within and without the Body, that the Life of ail Animals depends. The Skins of Animals dry'd exclude Air; but those of living Creatures being moist and oily, it will easily pass thro' them; for where- ever there are Emissaries, there are also ab- sorbing Vessels: And to prove this Assertion farther, many Bodies a great deal thicker and heavier than Air, such as Mercury, Spanish Flies, and Garlick, &c. readily enter the Pores of the Skins of animal Bodies. So that while we perspire, at the same time we ab- sorb part of the outward Air; and the Quan- tity of perspir'd Matter, discover'd by the Method of weighing, is only the Difference between that and the Air absorb'd; therefore after great Labour and Abstinence, which produces an Emptiness in the Vessels, and consequently a great Diminution of Perspi- ration, it is very probable, that in such a Case, the Quantity of the Air absorb'd may exceed that of the perspir'd Matter: which must be true, if Sanctorius's and Dr. Keil's Journals of Perspiration be faithful and ex- act; for there is an Instance in the Doctor's Journals, of a Person's growing 18 Ounces heavier by absorbing Air. The Doctrine of absorbing Ch. III. thro' the various Stages of Life. 111 absorbing Air thro' the Pores of the Skins of living Creatures, was taken for granted both by Hippocrates, Galen, and their Followers, which has been since confirm'd and demon- strated by that accurate and most ingenious Observer of Nature, Mr. Hales, in many Bodies, particularly in Vegetables, by plain and easy Experiments; by which it appears, that Air freely enters thro' the Bark, Stem, Leaves, and all the Surface of Vegetables. By absorbing external Air, with all its Qua- lities and Contents, many great Effects must necessarily follow, and many sudden Altera- tions happen in human Bodies; and nothing can account more clearly for epidemical Distempers seizing People inhabiting the same District of Land, and who have nothing else in common that affects them, except Air, which is confirm'd by * Hippocrates, † Sy- denham, and many others. * Hippocrates, Epid. lib. 3. Sect. 3. & lib. de Aëre, Aq. & Locis. † De Febribus Intermit. Thucydid. lib. 2. p. 130. 147. Diod. Sicul. p. 101, 102. Hallerius libel. de Peste, p. 577. Hippoc. lib. de Flatibus, p. 297. & lib. 6. de Morb. po- pular. Sect. 8. p. 1199. CHAP. 112 A GUIDE to HEALTH Part II. CHAP. IV. Of the Influence of AIR upon Human Bodies. THE Influence or Power of the Air up- on human Bodies is as different as the Diversity of the Weather, Seasons, Climates and Countries; but the true Knowledge of it is very obscure and imperfect, especially in that Part which will be always difficult to find out, that is, the different Qualities of the Air, and the manner of their acting upon human Bodies; yet if Journals of Diseases, compar'd with the Weather, had been kept for some Centuries in many Places and Kingdoms, we should at last have come to more than a conjectural Knowledge of this important Matter. The divine Hippocrates, after a Series of many Years indefatigable Practice and just Observations, has left us in his Books of Epidemics, and third Section of Aphorisms, an inestimable Treasure of Golden Rules to go by for this Purpose; and tho' he had nei- ther * Barometer, † Thermometer, nor ‡ Hy- groscope * Barometer, See Page 79. Note ‡. † Thermometer, vid. p. 97. Note *. ‡ Hygroscope is a useful Instrument to be made several Ways, for-measuring the Moisture and Dryness of the Air. Ch. IV. thro' the various Stages of Life. 113 groscope, to measure either the Weight, Heat, Cold or Moisture of the Air by, yet knew more of the Influence of Air on human Bodies, than all his Predecessors and Succes- sors put together; for none of them ever made such just and curious Observations up- on Airy and its Effects, as he did, which plainly appears in his Works: he judg'd only according to Reason and his Senses, which are surer Guides than the Thermometer, in re- spect to the Effects of Heat and Cold upon our Bodies; for by the Thermometer, stagnant Water is of the same Degree of Heat as the ambient Air, but if apply'd to our Bodies, we shall feel it much colder; therefore, Air abounding with more or less watery Particles, is colder or hotter to our Senses, tho' the Thermometer still remains at the same Height.* This sagacious Great Man tells us, that ‖ Whoever would understand Physic, it is first necessary to understand the Seasons of the Year, and then their Effects on our Bodies; and that † we ought to know the Constitutions of the Air, what they are, and in what Times and Regions they mostly appear. He says likewise, ‡ That Distempers seldom arise from any other H Cause * According to Lord Verulam's Observations, Water seems colder than Air; and the Froth of any Liquor seems warmer than the Liquor itself; and the Powder of any solid Body, warmer than that solid Body, tho' the Thermometer still proves the same Degree of Heat in each to be alike. Hist. Nat & Experiment. de Ventis, cap. de forma Callidi, p. 143. ‖ Hippoc. lib. de Aëre, Locis & Aquis, p. 280. † Hip. lib. 4. p. 1138. de morb. Epidem. ‡ Hip. lib. de Flatibus, p. 297 114 A GUIDE to HEALTH Part II. Cause than the Air; for either it is too much or too little, or abounds with infectious Filth. He tells us in another Place ‖, That the Air is to he consider'd as to its Heat or Cold, Thickness or Thinness, Dryness or Moisture, and their several Changes. According to his Instructions, we are like- wise § to consider the Situation, Air, and Water of a City, in order to come at the Knowledge of their popular Diseases, and their Seasons: for Instance, that Cities ex- posed to the ‡ hot Winds, such as blow be- tween the rising and setting of the Sun in Winter, to which Situation such Winds are peculiar, and at the same time are defended from the Northerly Winds, abound with Water of a saltish Taste, which as it comes from above, must needs be warm in Sum- mer, and cold in Winter; but Cities that are well situated as to the Sun and Winds, and at the same time supply'd with wholsome Water, are free from many Distempers, which those in different Circumstances are subject to, as has been already mention'd: that if the Summer proves dry, the Diseases are of a shorter Duration than in a wet one in which they prove obstinate, and apt to de- generate into Suppurations, Heat and Moi- sture in the Air producing Putrefaction: that Defluxions, ‖ Idem de morb. popular, lib. 6. p. 1199. § Hip. lib. de Aëre, Locis & Aquis. ‡ Hippocrates means in this Place a Southerly Situation, and the Winds that blow from thence. Ch. IV. thro' the various Stages of Life. 115 Defluxions, much Phlegm, and Hoarseness are occasion'd by cold Weather: that Deflu- xions from the Head, and Disorders of the Belly, from Phlegm distilling downwards, producing Fluxes, were the Effects of the Winter, which made Women subject to Miscarriages, and Children to Convulsions; likewise such as were exposed to Cold, sub- ject to Inflammations of the Eyes and Lungs. This great Man could foretell the Diseases from the Weather, and says, that Heat coming upon a wet Season will produce se- rous Defluxions upon the Head and Belly, and acute Fevers. That cool Weather, about, the Dog-Days, if not succeeded by a tem- perate Autumn, is dangerous for Women and Children, producing Quartan Fevers, and from these they fall into Dropsies: if the Winter is mild and rainy, and succeeded by Northerly Winds in the Spring, it will be dangerous for Women that happen to be with Child, producing Abortions, likewise Deflu- xions upon the Lungs, Dysenteries and Co- licks in the Phlegmatick, and Inflammations in those that are Bilious, because of the Heat and Dryness of their Flesh; and that Ob- structions after Relaxations produce Palsies, and sometimes sudden Death in old People. A rainy Summer and Autumn must; needs make a sickly Winter; burning Fevers will happen in People above 40 and Phlegmatic; in the Bilious, Pleurisies, and Inflammations of the Lungs: but if the Summer be dry with H2 Northerly 116 A GUIDE to HEALTH Part II. Northerly Winds, succeeded by a wet Au- tumn with Southerly Winds, Head-aches and paralytick Diseases are likely to happen in the Winter; likewise Hoarseness, Stuffings in the Head, Coughs and Consumption: but a dry Autumn with Northerly Winds is pro- fitable to phlegmatic Constitutions, and ex- tremely hurtful to the Bilious, the watery Parts which dilute the Gaul being exhaled. He says farther, that whoever considers these Things, may know before-hand the greatest Part of what will happen from the Changes of the Seasons, and advises to con- sider the Constitution of the Air in Opera- tions of Surgery; excepts against cutting for the Stone in the Solstices *, especially in the Summer Solstice. The divine old Man goes still farther, and says, that the Affair of Generation is influ- enc'd by the Difference of the Constitutions of the Air, and that such a Variety should thus happen in the Formation or Mixture of the Semen, which is not always the same in the same Person, in Summer and Winter, in wet Weather and dry, that it is oftener cor- rupted in the Formation or Mixture of it, where the Seasons change frequently, than where * Solstice is the Time when the Sun being come to either of the Tropical Points, is got farthest from the Equator, and seems to be at a stand for some Days before it returns back, which happens twice a Year in the Summer and Winter. The Summer Solstice is when the Sun entering the Tropick of Cancer on June 11, makes the longest Day, and the shortest Night. Ch. IV. thro' the various Stages of Life. 117 where they remain pretty near alike. He likewise attributes the different Shapes, Com- plexions, Tempers of Mankind, and even their different Forms of Government, to the Influence of the Air: that the fertile Coun- tries of Asia, upon the account of moderate Heat and Moisture, produce large and hand- some Animals; and that the Softness of their Climate disposes them to Mildness and Effeminacy, not enduring Labour or Hard- ships of any Kind, like the Greeks, frequent Changes in the Body, produced by Labour and the Alterations of the Weather exercis- ing both Body and Mind; for which Reason the Asiaticks are less bold and couragious, they are slavish and subject to Masters, and tho' they are forc'd, yer they are not willing to quit their Ease and Families, or to endan- der their Lives for the Power and Wealth of others, in Expeditions from which they are to reap no Advantage to themselves: that on the contrary, the Greeks and Northern Asi- aticks were bold, hardy, and full of Courage; and that, being at their own Disposals, wil- lingly underwent Dangers and the greatest difficulties, because the Reward of the Vic- tory was to be their own. He says besides, that as the Equality of the Temperature of the Seasons render'd the Asiaticks indolent and lazy; so the great va- riety of Heat and Cold, by differently affect- ing Body and Mind, render'd the Europeans couragious and active; Activity, Labour, and H3 Exercise 118 A GUIDE to HEALTH Part II. Exercise begetting Bravery, and Bravery begetting Laws to secure Property; and being govern'd by such, they were enabl'd to reap the Benefit of the Fruits of their In- dustry, which those that live under Abso- lute Monarchy are not capable to enjoy: Here this great and wise Man expresses his Dislike to Despotick Government. The Phasians *, says he, are tall, soft, bloated and pale, on account of the excessive Moisture of the Air they breathe; for their Country is marshy, hot, watery, woody, and subject to violent Showers at all Seasons, and such Effects proceed from lax Fibres occasi- oned by excessive Moisture; but such as in- habit Mountainous Places, where they are of a large Make, have a variety of Weather, and are bold, fierce and active; and the Inha- bitants of fertile Plains, with stagnating Waters, are the reverse; for a fat Soil produces dull and heavy Understandings. The Inhabitants of barren and dry Soils, with cold Winters, are passionate, warm in their Tempers, posi- tive, proud, and of a quick Understanding. In one of his Books ‡, he attributes the Causes of all Diseases, especially of the Pesti- lential, to proceed from the Influence of the Air: And in another Place †, he far- ther * The Phasians were Inhabitants of the City Phasis, in the ancient Kingdom of Colchis, upon the eastermost Side of the Black Sea, between Georgia and Circassia, not far from the ancient Sauromatœ. ‡ Hippoc. lib. de Flatibus. † Hippoc. lib. de Morbo Sacro. Ch. IV. thro' the various Stages of Life. 119 ther affirms, that Air gives Sensation, Life and Motion to all the Members of Animal Bodies; for which Reason he strenuously re- commends Astronomy as an essential Part of the true Knowledge of the Art of Healing; and says, that if any one should think it to be only Meteorological Speculations, he may soon learn, if he can part with his Opinion, that Astronomy is so far from being of little Use in Physick, as to be of the greatest; for as the Seasons change, so do the Constitutions of Men likewise §: And to prove the Useful- ness of Hippocrates's Doctrine and Opinion in this Particular, we need only consult a Treatise of a Cotemporary learned Author, who is not only an Honour to his Country, but likewise an Ornament to his Profession, wherein we shall find not only the Usefulness of Astronomy in the Art of Physick, but likewise the Influence of Air upon human Bodies geometrically de- monstrated †. Hippocrates goes on still farther in the same Book, and says, that where the Variety of the Weather is oftenest, and the Diffe- rence between the Seasons greatest, there the Nature, Customs, and Habits of the People will be found most different, which are the principal Causes of all the Changes in Nature; and next to these, the Country wherein we are brought up, and the Waters we are obliged to drink; for we H4 shall § Hippoc. in his Book of Water, Air, and Situation. † Richardus Mead de Imperio Solis & Lunæ in Corp. Hum. 120 A GUIDE to HEALTH Part II. shall generally find that the Complexions and Manners of the People correspond with the Nature of their Country. He has left us a curious History of Diseases, and the Weather, in his valuable Books of Epidemics, from whence he drew many useful and nice Observations; and where we may see a vast Conformity between the Constitution of the Air, and that of Dis- tempers, throughout the whole Work. The Constitution mentioned in his 1st Sec- tion, was a wet Autumn, the Winter dry, with southerly Winds and very little norther- ly, the Spring cold, with southerly Winds, a little wet, a cloudy and dry Summer, with little or no northerly Winds to cool the Air; in this Constitution he observ'd some few burning Fevers of a good sort, some with Hæmorrhages; a great many had Swellings behind both or one Ear, but generally with- out a Fever, and disappear'd without much Inconvenience or Suppuration. The Constitution of the next Year, related in Section the Second, was a wet Autumn, with northerly and southerly Winds; the Win- ter was moist and affected with cold norther- ly Winds, attended with great and heavy Showers of Rain and Snow, and a cold and northerly Spring, both watery and cloudy; the Summer not very Scorching, and was continually affected with northerly Winds, and a great deal of Rain fell again sudden- ly; so that the whole Year being cold and moist, Ch. IV. thro' the various Stages of Life. 121 moist, and attended with northerly Winds for the most part, produced Inflammations of the Eyes in the Spring, and in the Summer, Co- licks, Fluxes of the Belly, with Bilious Purg- ings, and sometimes Bilious Vomitings with Phlegm and indigested Food, some with Cat- tarrhous Fevers, others again without Fe- ver or Confinement; but they all in gene- neral sweated, Moisture being then so redun- dant every where. In the Autumn and Winter continual Fe- vers appear'd; there were likewise diurnal, nocturnal, tertians, semitertians, some quar- tans and erratick Fevers; besides some were afflicted with Catarrhs and Defluxions upon their Joints; Convulsions were also frequent among Children; all such Diseases being the natural Product of a Cold and Moist Year, affected by too much Moisture in the Air, which human Bodies continually breathe and imbibe. He tells us in his third Section, that the Constitution of that Year was a cold dry Winter attended with northerly Winds, as was likewise the Spring and Summer till to- wards the beginning of the Dog-Days, then scorching Heats and Droughts continu'd till Autumn, which prov'd to be moist and rainy: This Year was remarkable for Paraplegias or Palsies, which were epidemical in the Winter; likewise Hæmorrhages of all Kinds and Dy- senteries reign'd in the Spring and Summer, be- ing the Effects of a Constriction of the Fibres, oc- 122 A GUIDE to HEALTH Part II. occasion'd by too much Cold and Drought; burning Fevers with Delirium and Thirst, be- ginning with Shiverings, Watchings, Nauseas, and Anxiety continued, which were most dan- gerous and fatal to young and vigorous Peo- ple, especially in the Autumn, but most of all in the Winter, when the Hæmorrhages ceas'd. In his Second Book he attributes the great Frequency of Carbuncles and other large Pustules of the putrid kind in Summer to the great suffocating Heats attended with Calms and Moisture; and that Sweats suc- ceeded Showers, because Moisture relaxes the Fibres of the Body; that inflammatory Dis- cases, such as burning Fevers, Pleurisies, &c. are most violent in a dry and hot Summer; that in constant and settled Weather and Seasons, the Distempers will be more equal and of a good Sort and easily determined; but that if the Weather is variable they will likewise be irregular and resolv'd with difficulty; that the Diseases of the Spring are least destruc- tive of any of the other Seasons: He like- wise remarks that a mild Winter, attended with southerly Winds, a dry Spring, and a moist Summer with small Rains, produced Fevers, and Tumours or Swellings behind the Ears. In his third Book he observes a kind of a Pestilential Season, which proceeded from a hard Winter, a rainy warm Spring, succeed- ed by an excessive hot Summer with little or no Winds; it was notable for all inflam- matory Ch. IV. thro' the various Stages of Life. 123 matory Pimples and Eruptions upon the Skin, and likewise for all Distempers of the putrid Kind, such as Erysipelas, Aphtas and Ulcers in the Mouth and Throat, burning Fevers with Deliriums, Tubercles upon the Private Parts, Inf animations of the Eyes, Carbuncles, Swellings in the Groins, Abscesses and Defluxions upon the Joints, some with Suppurations of Pus well digested, and others again with a copious Running of putrified Matter of different sorts. He remarks in his sixth Book, that the frequent Alterations of the Winds from South to North, are very often the Cause of Inflammations of the Lungs and other Parts of the Body; and that, generally speaking, the Nature of the Diseases is determined by the Seasonableness of the Weather, as it happens sooner or later, either dry, cold, hot, moist, and attended with Winds or otherwise. From these few Instances, we may easily discover the great Genius, Sagacity, and In- dustry of this Divine old Man, as likewise with what Assiduity and Integrity he apply'd himself to study the Nature and Influence of the Air upon human Bodies; wherein he suc- ceeded better than any one of his Profession: And if his Successors had laid aside all their ri- diculous, and, as I may fay, absurd Hypotheses, together with their useless metaphysical Specu- lations, and followed the same Method with the same Perspicuity and Honesty as he did, to this present Time, we then should have had more than 124 A GUIDE to HEALTH Part II. than a conjectural Knowledge, both of the Nature and true Causes of Diseases, especial- ly of Epidemics, which at this Time puzzle even the greatest Physicians. Therefore Rea- son join'd with Observation is the only cer- tain Method we should pursue in order to come at the true Knowledge of Diseases and their Cure; for it evidently appears in the Annals of Physick, that the small Num- ber of Physician who have happily attended to it, made so considerable a Figure in their Profession, that they will always shine, even to the latest Posterity. The ingenious Dr. Arbuthnot having ex- plain'd Hippocrates and others upon the Sub- ject of the Influence of Air on human Bo- dies and Diseases, so accurately well, accord- ing to Mechanical Principles, that nothing can excell it; therefore, I thought it not only proper, but likewise very useful and necessary to give the Reader an Abstract of what he says upon that Head in this Place. He observes, that as this Subject has not been treated of by modern Physicians with that Accuracy it deserves, Observations of that kind are but few, and there is no Series of them in any Country: What would give most Light in this Matter, is a Collection of Observations in Countries where both the Qualities of the Air have great Excursions towards Extremes, where the Seasons and these Excursions, and the Diseases depending upon Ch. IV. thro' the various Stages of Life. 125 upon them are regular. Egypt is a Coun- try which answers all these Intentions in some Degree: It is situated between Ethi- opia, the Mediterranean Sea, Arabia and Barbary, which lie, in the Order mention'd. South, North, East, and West of it. Grand Cairo, where Prosper Alpinus, a very emi- nent Physician, practis'd and made his Ob- servations, lies in 30 Degrees Northern La- titude, as Ptolomy says, 6 Degrees beyond the Tropick of Cancer. This great City is situated at the Foot of the Mountains of the Stony Arabia, which lie towards the East. It is quite expos'd to the north- erly Winds which blow over the Mediter- ranean: Southerly of it there is a hot sandy Soil; so that the Alterations of Heat and Cold, as the Winds blow North and South, over the Mediterranean, or over this hot Sand are excessive, and the Alterations of Heat and Cold from the other Winds but small, lying near the Tropick; and as it is a sandy Soil, fructify'd only by the Slime of the River Nile, without Rain, there is hardly any humid Perspiration from the Ground itself, the Air receiving Mois- ture only from the watery Surface of the Nile during the Inundation, or from the Vapours brought from the Mediterranean by the northerly Winds. From these Causes the Air is extremely hot, and the tropical Heats would be insuffe- rable, were it not for the Northerly Winds. And 126 A GUIDE to HEALTH Part II. And in fact, the Heats are sometimes so ve- hement, that the Inhabitants defend them- selves from them by many Contrivances, such as Fountains in the middle of their Houses, Pipes to convey fresh Air by Grottos, and high Edifices, by which their Streets are shelter'd from the Sun, and a temperate Diet. During the tropical Heats *, the Air is sometimes so much moisten'd and cool'd by the Notherly Winds, and the watery Surface of the Nile, that the acute and pestilential Distempers are check'd by this Constitution of the Air: the Inhabitants often suffer from Catarrhous Distempers, more than in North- ern Countries, their Bodies being more de- licate, and their Pores more open by the pre- ceding Heat. As to their Seasons, their Spring lasts from the Beginning of January to March; their Summer is double, the first, from the Begin- ning of March to the Solstice †, and the se- cond, from the Solstice to the Beginning of September; and this second Summer is more constant, healthy, and less scorching than the first, by reason of the difference of the Winds, and other Causes hereafter mention'd. Their Autumn lasts September and October; and their Winter, November and December. The extreme Heat of the first Summer proceeds from the hot Winds which blow from * Tropical Heat, see p. 116. Note *. † Solstice is likewise explain'd in the same Note. Ch. IV. thro' the various Stages of Life. 127 from the South and South-East, called by the Inhabitants Campsin from their Conti- nuance of fifty Days; tho' they have no determin'd Time, but last sometimes more than three Months, and reign March, April, and May; they blow over the Sands, which they raise in Clouds, sometimes so as to darken the Sun: during this Time, many epidemi- cal Diseases rage, especially Inflammations of the Eyes, a Fever, which the Inhabitants call Demelmuia, attended with a Delirium, and proves often mortal in a few Hours, and even the Plague itself. And this extreme Heat has sudden Interruptions of Cold, which renders the Inhabitants still more unhealthy, and they live under Ground during the Campsin. The Heat during the Months of June and July, which by the Course of the Sun should be the greatest, is so moderated by the Northerly and moist Winds blowing over the Mediterranean, and by the overflowing of the Nile, that the Inhabitants grow heal- thy, and sow their Seed in the Months of September and October, Their Winter has seldom any Snow, Frost, or Rain, or any thing besides Dew, unless in some Places bordering upon the Mediterranean, and re- ceiving Clouds from thence. So that the reigning Winds in Egypt are the Southerly, blowing as it were from an Oven; and the Northerly, moist and cold over the Mediter- ranean, and this last perhaps two Thirds of 2 the 128 A GUIDE to HEALTH Part II. the Year, and during the greatest Solar Heats. Another Cause by which both the Heat and Drought of the Air is temper'd, is the overflowing of the Nile, which rising in the Mountains of Ethiopia, bends its Course Northerly thro' a Tract of Land near 30 Degrees. By the Rains falling in those Mountains, the Nile has ever since the Me- mory of Man begun to swell the 17th of June New Stile; and it rises every Day about 8 or 10 Inches, and begins to fail in August, and decreases till May, when it is in a man- ner stagnating. The Limits of its Height are, from 26 the highest of all, to 18 the lowest, in Cubits; the middle 24; 18 is a Height barely sufficient to make an Inunda- tion. Its Water not only refreshes the Air with a kindly Moisture, but is the most de- licious Drink in the World, when purify'd by the Deposition of its Sediment, being of itself a Cure for most Distempers, where Dilution, a Diuresis or Sweating is necessary, as Prosper Alpinus found by Experience. There are several remarkable Things in the Constitution of the Egyptian Air; for the Perspiration of the Soil, which is sandy and barren, cannot affect the Air very much, the Exhalations being mostly either from the Surface of the Inundation, or the Mud and Slime after it is over. The natural Heat and Dryness of the Air, and the Change from that to cooler Moisture; the Abate- ment Ch. IV. thro' the various Stages of Life. 129 ment of the Tropical Heats by Northerly Winds; the Extremity of Heat and Drought, by the Southerly Winds blowing over Sands, and the Moisture again induc'd by the Clouds from the Mediterranean, and the Inundation; the Exhalations from stagnating and putrid Water, when the Inundation is quite over; and lastly, the Temperance and regular Diet of most of the Inhabitants, must give a fair Experiment of the Effects of Air upon hu- man Constitutions. And accordingly, those who labour and live hard, and cannot defend themselves from the Injuries of the Wind, mostly hot and dry, are extreamly lean and squalid. The Rich, by a plentiful and nourish- ing Diet, and preserving themselves from the Heat and Drought, by Bathing, Relaxation of their Fibres by drinking the Water of the Nile, are often fat. The Air of Egypt having no noxious Qualities from the Perspiration of the Ground, Were it not from the accidental ones above- mention'd, would be extremely wholsome; and the People who know how to defend themselves from those Accidents, live to great Ages. The frequent Changes of Heat and Cold, Moisture and Drought, produce all the Distempers of the Catarrhous Kind, and Arthritick Diseases; and by the strong Per- spiration, Leprosies, even Elephantiasis, The Effects of a hot dry Air by a Southerly Wind, blowing over a sandy Country, are felt strongly; inflammatory Distempers, es- I pecially 130 A GUIDE to HEALTH Part II. pecially a raging Fever with a Phrenzy, called Demelmuia, mortal in a few Hours: they feel likewise all the good Effects of the A- batement of this Heat and Drought by Nor- therly Winds, and the overflowing of the Nile. They are likewise subject to all the Diseases from putrid and stagnating Water, and Exhalations from Heat after the Inunda- tion is over, and these are often pestilential. Pestilential Distempers are frequent in Egypt, and what I think demonstrates the Plague to be Endemial * to that Country, is its regular Invasion and going off at cer- tain Seasons, beginning about September, the time of the Subsidence of the Nile, and end- ing in June the time of the Inundations. In the first Case, are all the Causes productive of Putrefaction, Heat, and putrid Exhala- tions, and no Winter Frost to check them. But what is wonderful, the Plague, and the Fevers from the Heat of the Campsin, go off by the Northerly Winds, and the over- flowing of the Nile: and the wholsome Qua- lity of Northerly Winds for checking pesti- lential Distempers, has been observ'd by all ancient Physicians, And to shew that the Plague depends upon the Temperature of the Air, Prosper Alpinus takes Notice, that up- on the swelling of the Nile, the Infection, and * Endemial or Endemick, is a Disease that infects a great many in the same Country, proceeding from some Cause pe- culiar to the Country, or the Place where it reigns, such as the Scurvy to the Northern Climes, the Plague to Turkey and Egypt. Ch. IV. thro' the various Stages of Life. 131 and even the Danger from infected Cloath and Furniture goes off; besides the cooling of the Air, the Northerly Winds may dissipate the stagnating Vapours, and the running of the Nile the stagnating Waters. Hippocrates and Galen have both observ'd, that the Etesiæ, or Northerly Winds blowing in Sum- mer, made a wholsome Season; but this Ob- servation is more sensible in hot Countries than in ours. Boutius, a very learned and sagacious Phy- sician, has left us a Description of the Air and Diseases of the Inhabitants of Java: it is situated under the Line, and is very hot; it is likewise moist, from the great Quantities of Rain and stagnant Waters; and from Heat and Moisture, and Salts produc'd from those Qualities, the putrifying Quality of the Air is very manifest in rotting of Cloaths, and rusting of Metals. From these Qualities the Air feels to human Bodies piercing and active; and as all the Inhabitants of hot Countries have that Sensation of the penetrating Qualities of Air, Cold after great Heats, which proceeds chiefly from the Pores of their Skin being relaxed before by Heat, such Bodies must imbibe Air faster. In Java, as in Egypt, the Northerly Winds render the Air wholsome, by abating The extreme Heat; some Land Winds carry- ing along with them the stagnant Vapours, are often otherwise. The Soil being here fruitful and rich, emits Steams, consisting of I2 volatile 132 A GUIDE to HEALTH Part II. volatile and active Parts, which fructify the Soil, but are hurtful to human Bodies. The Seasons here cannot be distinguish'd by their Heat, by reason of the Smallness of their Latitude: there are only two, what may be called Winter is the rainy Season; this Season is attended with Diseases which de- pend upon Putrefaction. The Inhabitants measure their Seasons of Heat and Cold by the times of the Day; the Mornings and Evenings are cooler by the Absence of the Sun, and by the Sea Breezes; the scorching Heat of the middle of the Day makes that Time unfit for Business. The popular Diseases here are, a kind of Palsy, called by the Inhabitants Beriberium, the Cause of which is evidently cold Air, imbib'd by the Pores of the Skin, extreamly relaxed by Heat before, and therefore in- vades such as incautiously expose themselves to the Morning Air, or throw their Bed- clothes off in the Night. Another Disease, called * Catalepsis, is likewise popular in this Country, proceeding from the penetrating Qualities of the Air imbib'd by relax'd Bodies, which renders the Patient rigid like a Statue, and dies in a few Hours. Diarrhœas and Dysenteries are common from the same Cause, by sudden Suppression of Perspiration. It is a Matter of Observation, that great Heats exalt the Bile, by exhaling the watery Particles which dilute it, by a strong sensible Per- * Catalepsis, is a convulsive Disease like an Apoplexy. Ch. IV. thro' the various Stages of Life. 133 Perspiration; and therefore the Cholera Mor- bus †, and other Diseases of the Liver, are common and fatal in the East-Indies; and from diseased Livers, Dropsies and Atrophies are frequent in Java: and in this Country Fevers are seldom intermitting, but conti- nual, with Phrensies, and other dreadful Symptoms, as during the Campsin in Egypt, proving mortal in a short time. It seems agreeable to Reason and Expe- rience, that the Air operates sensibly in forming the Constitutions of Mankind, the Specialities of Features, Complexion, Tem- per, and consequently the Manners of Man- kind, which are found to vary much in dif- ferent Countries and Climates. As to Fea- tures, what an infinite Variety arises from the Combination of the Parts of a human Face! so that since the Creation of the World, per- haps there were never two, upon a narrow Inspection, that perfectly resembled one ano- ther; for there are Faces not only individual, but Gentilitious and National; European, Asiatick, Chinese, African, Grecian Faces, are characteris'd: and this Diversity of Na- tional Features and Shapes is not altogether the Effect of Propagation from the same ori- ginal Stock; for it is known by Experience, that Transplantation, changes the Stature and outward Shape both of Plants and Animals. I3 Hippo- † Cholera Morbus, is a convulsive Motion of the Stomach and Guts, whereby the bilious Excrements are discharg'd in great Plenty, both upwards and downwards. 134 A GUIDE to HEALTH Part II. Hippocrates makes great Account of the Influence of the Air upon the Fœtus, both before and after Birth. He is of Opinion, that the great variety of European Faces, is owing to that of the Air and Seasons, as has been observ'd in another Place, there being such great Excursions in the Extremities of Heat and Cold, that their Offspring is as it were begot and brought forth in different Climates. That the Shape of Animals should be modi- fy'd by the Air, is in no Ways unaccountable; for an Animal growing, expands its Fibres in the Air as a Fluid, which by a gentle Pres- sure resists the Motion of the Heart in the Expansion and Elongation * of the Fibres; and tho' the Fibres of several Animals shoot as it were in this Fluid, according to their original Shapes, yet such a Fluid resisting by its Pressure, is, in respect to the Animal, like a soft Mold, in which the Body is form'd; and therefore, according to the Quantity of its Pressure, depending upon its most perma- nent State of dense, rare, hot, cold, dry, moist, must have some Influence in forming the outward Figure of such a Body in a State of Acretion or Growing : besides this out- ward Pressure, the Air being mix'd with the Animal Fluids, determines their Condition as to Rarity, Density, Viscosity, Tenuity, and several other Qualities. That * Lengthening. Ch. IV. thro' the various Stages of Life. 135 That the Complexion depends much upon the Air, is plain from Experience; the Com- plexion of the Inhabitants of several Coun- tries being fair, swarthy, black or adust, ac- cording to the Degrees of Heat, Drought, Moisture, or Coolness of the Air they live in; for the Inhabitants of Countries in great Latitudes are generally fairer than those that live nearer the Sun. That the Temper and Passions are influ- enc'd by the Air, is no less certain: People of delicate Nerves and moveable Spirits, are often joyful, sullen, sprightly, dejected, hope- ful, despairing, according to the Weather; and these Changes happen in stronger Con- stitutions, but pass unobserv'd. There are Days in which the intellectual Faculties of Memory, Imagination, Judg- ment, are more vigorous; therefore it seems probable, that the Genius of Nations de- pends upon that of their Air; for Arts and Sciences have hardly ever appear'd in very great or very small Latitudes. The Inhabitants of some Countries succeed best in those Arts which require Industry and great Application of Mind; others in such as require Imagi- nation: from hence some Countries produce better Mathematicians, Philosophers, and Mechanics; others better Poets, which be- sides the Rules of Art, require Imagination; and it seems, that Labour is more tolerable to the Inhabitants of colder Climates, and Liveliness of Imagination to those of hot. I4 There 136 A GUIDE to HEALTH Part II. There are two Things common to all Mankind, Air and Aliment, and both differ very much in their Qualities, in different Countries and Climates but those of the Air perhaps are more different than those of the Aliment or Food. In perusing the Accounts of the Temper and Genius of the Inhabitants of different Countries, we dis- cover in them a great Uniformity, even tho' the Race has been chang'd; for the Temper of the Gauls, describ'd by Cæsar and other Writers, is much the same with that of the present French, of which there is a remark- able Instance in the Misopogon of the Em- peror Julian; he tells us, that he had passed a Winter at Paris, where there were more Comedians, Dancers, and Fiddlers, than there were Citizens besides. And I believe if a Race of Laplanders were transported thither, in a few Years they would be found in the Con- dition describ'd by the Emperor Julian. If we consider the Causes assign'd by Hip- pocrates, of the different Temper of the Inhabitants of different Climates, we shall find them sufficiently proportion'd to their Effects. In Northern Countries, where the Alterations of the Height of the Mercury in the Barometer, and consequently of the Weight of the Air, are frequent and great, the Fibres of human Bodies are in a continual oscillatory * Motion from a Pressure of 1200, 1800, * Oscillatory Motion is properly the Swing or Motion of a Pendulum of a Clock, and thence comes to be used for all tremulous or undulating Motions having Resemblance thereto. Ch. IV. thro' the various Stages of Life. 137 1800, nay, 3600 more at one time than another; and tho' this, by the Softness and Rarity of the Fluid, is insensible, and not painful, it is a sort of Exercise, which the Inhabitants of Countries where the Variation of the Height of the Mercury is small or no- thing, do not feel. By the Difference of the Tension of the Fibres, the whole nervous System and the animal Spirits are in some manner affected; And let us consider again the Extremes of Heat and Cold in great Latitudes, operating after the same manner, relaxing and con- stringing the Fibres by turns, and the ex- treme Cold acting likewise as a Stimulus, in consequence of which we find an Activity and Tolerance of Motion and Labour in dry frosty Weather, more than in hot; whereas the People within the Tropicks are constantly in the State of our hottest Weather. Therefore, whoever considers Mankind in such different Circumstances, will find, that the Temper both of their Body and Mind must be different, and that a greater Varie- ty in the Oscillatory Motion of the Fibres of Northern People, must produce the same in their Spirits; and therefore a proportional Inequality in their Passions, and consequent- ly greater Activity and Courage. That the Inhabitants of Climates, where the Difference of the Weight, Heat and Cold of the Air is but small, feel only the Changes 138 A GUIDE to HEALTH Part II. Changes of the Tension of their Fibres pro- ceeding from Drought and Moisture, being free from the Agitations and uneasy Sensa- tions of northern People, proceeding from the Causes above-mention'd; and the Mo- tions of their Fibres and Spirits being more uniform, they may be for that Reason, and from excessive Heats, lazy and indolent. That the Constitutions of Mankind differ according to the Qualities of the Air in which they live, is an uncontested Matter of Fact, and depends upon obvious Causes: For as Hippocrates observed, that the In- habitants of moist Countries were bloated, leucophlegmatic, and dull, from the Rela- xation of their Fibres, and the Moisture im- bib'd with the Air; and contrary Causes must; produce contrary Effects: Heat indeed relaxes the Fibres, but by absorbing the Moisture may likewise harden, and render them more solid: For the Bones of Ani- mals in hot Countries are more solid, and specifically heavier than those in cold Cli- mates, as may be seen in comparing the Bones of the Limbs of African Horses with those of northern Countries. The Blood likewise in hot Countries is thicker and blacker, by the Dissipation of the serous Part by sensible Perspiration, which is Matter of Fact well attested by Physicians who have practised in those hot Countries: And from this black adust State of their Blood, they are Atrabilarious; for great Ch. IV. thro' the various Stages of Life. 139 great Heats exalt the Bile, by dissipating the Moisture which dilates it; but Bile, of itself, is the most unperspirable of Animal Fluids, for it stops at the Surface of the Skin, and discolours it. There is some Anology * between Plants and Animals, and both are longer in coming to Maturity in cold and moist Air; for the prolifick Age of Mankind is much earlier in hot than cold Countries, the Females be- ing in that State at ten Years of Age. And the Inhabitants of warm Countries are not subject to be fat, for a strong Perspiration keeps an Animal from being so; yet a copi- ous Diet and Inactivity will always occa- sion Exceptions from the general Rule. Cold and moist Air must necessarily pro- duce phlegmatic and lax Constitutions, and by stopping Perspiration, with a copious Diet, accumulate the Animal Oil: But dry and cold Air in a Degree tolerable to human Bodies, which is a state of our Winter Frosts, creates a strict or tight Constitution of the Fibres, and all the Effects thereon depending, as Vigour and Activity, &c. As the Force of human Bodies is limited, they are not capable of bearing Extremities of any kind, of too great Rarety, Density, Heat, Cold, Moisture, or Drought in the Air. From the same cause human Bodies do * Analogy is the Relation which one Thing bears to ano- ther. 140 A GUIDE to HEALTH Part II. do not easily sustain violent and sudden Changes, which agitate the Fluids and Solids too much; for as the State of our Fluids and Solids change with the Air, violent Alte- rations in the latter produce the same in the former. For Example: Suppose such a State of the Air as makes a great Stric- ture of all the external parts of the Body, and consequently an Abatement of the Cir- culation in the Vessels exposed to the Air, and in those which immediately communi- cate with them: Suppose again, the Air is suddenly changed from this State to one which violently relaxes the Fibres; by their Relaxation it is possible that the Vessels which were destin'd before to carry the Serum or Lymph, may admit the Blood, which is an inflammatory State: Accordingly we find, that inflammatory Distempers of several kinds are rise in moist and warm Weather, preceded by hard and lasting Frosts: Frosts stop the Perspiration of the Earth, which being restored by Thaw, fills the Air with an unusual Quantity of Vapours, which affect human Bodies, not only by Relaxation, but as they imbibe them with the Air. Cold both congeals the Fluids and con- stringes the Solids; for it acts like a small Li- gature upon the Vessels affected with it, by which the Circulation through the Vessels is retarded; the natural Effect of which is a greater Secretion of Serosity through the Glands Ch. IV. thro' the various Stages of Life. 141 Glands contiguous; for the Extremities of the Vessels near the Glands being press'd, they cannot so plentifully carry off the re- fluent Fluid, by which there must be a greater Flux of Liquor towards the Glands, and consequently a greater from its Emuncto- ries; therefore Catarrhs, or serous Defluxions upon all the Parts of the Body, but especially from the Glands of the Head and Throat, are a natural Effect of Cold. Obstructions by Cold in the outward Parts of the Body, drive the Blood pressing with greater Force upon the inward Parts, and in- crease Heat, and likewise may occasion a Siziness in the Blood: And Cold, by sup- pressing the Perspiration of Salts in the Blood, by congealing the Blood, and likewise by a painful Stimulus corroding the Skin, is apt to produce Scurvies, and other cutaneous Erup- tions, and in extremity is capable of freezing the Fluids, and reducing Animal Substances to a gangrenous State. Cold Air is also capable of rendering in- flammatory Distempers with cutaneous E- tuptions more dangerous, by hindering the Relaxation of the Skin; as the Small-pox is found to be most fatal during hard Frosts, and cold north-easterly Winds. Cold Air likewise, by its immediate Contact with the Surface of the Lungs, is capable of abating or stopping the Circulation of the Blood, and bringing them into an inflammatory State, and by producing Catarrhs and Coughs, is 142 A GUIDE to HEALTH Part II. is productive of all the Effects of such De- fluxions upon the Lungs, as Ulcerations, and all Sorts of Pulmonick Consumptions. Hot and moist Air producing Relaxations, and consequently an Abatement of the Force of the Solids in propelling the Fluids, must produce Stagnation, Tumours, and Putrefac- tion in the Liquids, and all the other Diseases depending upon a lax State of the Fibres: Hippocrates observed such Diseases always consequent upon a moist Constitution of Air with southerly Winds, which are warm; and the same has been often observed here in England. As Perspiration is the last Action of per- fect Animal Digestion, that Constitution of Air which suppresses Perspiration, must hinder Digestion; therefore cold and moist Air must be hurtful to the Stomach: And as Catarrhs and Coughs are the Effects of cold and moist Air, and those habitually affecting the Lungs, they often produce pul- monick Consumptions; yet it seems probable, that where those Consumptions are a po- pular Disease, they proceed from some par- ticular Acrimony in the Air of that Country, affecting that tender Organ by immediate Contact, and perhaps most of the Glands of the Body; for our Consumptions are for the most part scrophulous, and scrophulous Distempers are common in this Country. And where the Air is charg'd with any saline acrid Particles, they will naturally co- agulate Ch. IV. thro' the various Stages of Life. 143 agulate the Fluid where they touch; and from the abundance of Mineral Waters of all Sorts in England, it may be inferr'd, that there are abundance of Mineral Steams, which are capable of producing such Distempers. From what has been said on the Subject of the Influence of Air upon human Bo- dies, it is plain that no vitious State, either of the Solids or Fluids, but is producible by the common Properties and Qualities of Air, and their Changes and Combinations. By the Qualities of the Air, the solid Parts may be stimulated: For example, the Sti- mulus of extreme cold Air is very sensible. Heat, or any Quality of Air, so excessive as to produce a painful Sensation, acts as a Stimulus: And what obstructs the Passages of the Vessels which communicate with the Air, is stimulating, by increasing the Force of the Heart and Fibres to overcome the Obstruction; this either Cold or Moisture may do, which often produce, first a Chil- ness, and then a succeeding Heat, which are feverish Symptoms. Many volatile Particles floating in the Air, as the Odoriferous Ve- getables, act as a Stimulus, and produce Heach-Achs, as we often find. That the Fibres are constring'd and re- lax'd by the Alterations of the Properties and Qualities of the Air, has been already de- monstrated; and that the Fluids may be Vitiated in the same manner, is no less plain: That the Blood may be condensed by 144 A GUIDE to HEALTH Part II. by Heat, by absorbing the most fluid Part; That a certain Degree of Heat will attenuate, and a greater coagulate the Serum; and that Heat in general is capable of producing great Acrimony and putrid Fevers of all Sorts, is true from Experience: And any Degree of Heat greater than that of a human Body will do so; for our natural Heat is near the Degree of Coagulation. Cold likewises condenses the Fluids in immediate Contact with it; and is capable of producing Siziness and Viscosity of the Blood: And by the same Causes Acrimony of all Sorts, to the De- gree of Putrefaction, is producible by Air. Evacuations of all Sorts, from all the glandulous Parts of the Body, are producible by the Stoppage of Perspiration by Cold; for there is no diuretick Medicine that works so strong in a Flux of Urine, as a Suppression of the perspirable Matter in hysterical Cases. Cold likewise promotes all Catarrhs and Coughs; and moist Air, Diarrhœas, and copious Secretions from the Glands of the Guts, without which Evacuations, Stoppage of Perspiration produces a Plethora or Ac- cumulation of the Humours in the Vessels. From these Considerations it appears, that die Diseases, especially the Acute of any Sea- son, chiefly depend upon the Constitution of the Air, by which they are modified as to their Rifeness, Duration, Degrees of Danger, their particular Symptoms, Circula- sons and Periods; In which we must not only Ch. IV. thro' the various Stages of Life. 145 only consider the present, but likewise the preceding State of the Air; because, as they are more similar, or contrary, so the Alterations produced in human Bodies are more or less violent; particularly it will be found, that sudden Changes from the Ex- tremes of Cold and Dry, to Heat and Mois- ture, are Causes which operate strongly in modifying the Diseases of that Season. That long and excessive Heats, by inducing Weakness, are apt to stamp the Succeeding Fevers with nervous Symptoms: That such a dry Constitution of Air, as is apt to con- tract the Skin, and obstruct its Pores, makes the Crisis by sweating more difficult; and perhaps the different Periods of Fevers, Quo- tidian, Tertian and Quartan, may depend upon a preceding greater Viscosity, or Ob- struction in the Vessels, produced by the Constitution of the Air: That the more dangerous State of the Small pox, and other inflammatory cutaneous Eruptions, depends upon the Air; and it seems very plain, as it induces a greater Laxity or Stricture of the Fibres, or creates Obstruction in the Vessels of the Skin. That Diseases of the Lungs, as far as they are not the product of bad Diet, depend chiefly upon the Qualities of the Air, seems evident; for the Lungs are expos'd to the outward Air, which has an immediate Ad- mission into the Air-bladders, and perhaps into the Blood-vessels; and whatever Effect K the 146 A GUIDE to HEALTH Part II. the Air has upon the Skin, this must be ex- pected upon the Lungs in a particular Man- ner. Thus far I thought necessary to give the Reader an Abstract of the ingenious Dr. Arhurthnot's Explanations of Hippocrates, and others, on the Subject of the Influence of Air upon human Bodies. But to conclude, I shall only add; that of all the Causes that are capable of altering our Bodies, no one is so necessary and so sudden as the Air; the Necessity of which is evident from the use of Air in Respiration; for if it happens, that any of the chief Or- gans appropriated either for the Entrance or Reception of Air receive any great Injury, the Animal dies suddenly by Suffocation; whereby it manifestly appears, that Air and Life in perfect living Creatures are insepe- rable. According to Hippocrates, natural Heat is preserv'd by moderate cool Air; for if you take away the Air from Fire, it will not burn, but will immediately be extinguish'd: and our Spirits, which are the principal In- struments of the Soul, are generated and nourish'd by Air, and supported by its going in and out; and it is principally for this Rea- son that our Bodies are every where perfora- ted or porous, that our Arteries are continu- ally beating, and that Nature has made such admirable fine Mouths to the two Vessels called the Lungs; so that the Air is as ne- cessary Ch. IV. thro' the various Stages of Life. 147 cessary to a living Creature as the Soul it- self. As to the Suddenness of the Air, we feel it every Moment; for it instantly ascends to the Brains by the Nose, and traversing almost an infinite number of minute Passages, which are to be seen in the admirable Net-work of animal Bodies; proceeds to the inmost Re- cesses of the Body, and descends with incre- dible Velocity into the Lungs by the Mouth, and thence to the Heart: it likewise pene- trates the Pores of the Skin insensibly, and enters the Arteries by Transpiration, as far as the deepest Cavities of our Bodies; it sur- rounds us always, and never abandons us one Minute; so that we must constantly imbibe or suck it in whether we will or not. The Divine Hippocrates, being thoroughly acquainted with the Power of Air upon hu- man Bodies, tells us in his Epidemicks, and in the second Book of Diet, that the whole Constitution of the Spirits, Humours, and the Body, depends entirely upon the Air. Therefore the Choice of good Air, and a pleasant Habitation, must always claim the first Rank in the Regimen of Health; so that such as would preserve their Health, and obtain a long Life, ought to know the Good- ness of the Air, as well in regard to its Sub- stance as to its Qualities. As to its Substance, when it is pure and has no Seeds of Corruption, and that it is K2 not 148 A GUIDE to HEALTH Part II. not impregnated with malignant Vapours pro- ceeding from dead Bodies, or from the Sinks or common Shores of great Cities, or stand- ing Waters; or from the sulphureous Exha- lations of Mines, combin'd with different Salts, or metalline Particles, which are stink- ing, oily, and inflammable, of which I treated at large already in Part II. Chap. I. But if the Air happens to be corrupted or infected, and that we cannot remove as soon as we would, it must be purified with artifi- cial Fires made of Rosemary, Juniper, Lau- rel, Cyprus, and Perfumes made of Aloes- wood, Juniper-berries, and other Aromatics; likewise the Steams of Vinegar correct the Malignity of the Air in a surprizing man- ner. As to the Qualities of the Air, all Ex- cesses of Heat, Cold, Moisture and Dryness, are pernicious; for which Reason we should chuse moderate Air if possible; therefore serene Air moderately hot and dry, blowing from clear inland Places, or from Rivers with a gentle Breeze, free from sudden and great Changes, open and rural, purg'd of salt and oily Exhalations, is generally the best to preserve Health. As to what regards ancient People, a warm Air is certainly the best for them, and their Chambers should never be without Fire, es- pecially in the cold Seasons of the Year; for it is experimentally true, that their State of Health is much better in Summer than in Winter; Ch. IV. thro' the various Stages of Life. 149 Winter; because they always carry the Win- ter along with them. Their Bed-Chambers should be in the upper Apartments, and their Houses open to the East, that the Morning Sun might enter their Rooms: there should likewise be an opening on the North Side, in order to let in Air from that Side, and by that Means to purify the Air, and expel all noxious or offensive Steams and Vapours out of their Chambers. CHAP. V. OF ALIMENTS in general. ALIMENT includes all that is taken in as Meats and Drinks, from whence Nourishment is expected, which is what sup- plies Nutrition. And what comes under this Term is threefold: First, all that passes in the first Stage from Mastication, or Chewing, the Chyles's Entry into the Blood is so call'd. And Secondly, the Apposition of new Parts in the Room of those wore off by Action. Thirdly, when the Chyle after various Circu- lations with the Blood, is deprived of all that can be of farther Use to any Part of the Body, it is carried both sensibly and insensibly through the Emunctories of the Body. K3 The 150 A GUIDE to HEALTH Part II. The first State of Digestion. The first is carried on in the following Manner: The Parts of Food being divided by Chewing, and moisten'd with Spittle, that it may be render'd softer in order to undergo a farther Comminution, is thrust down into the Sto- mach; wherein, by the Assistance of the con- tinual Motion arising from the musculous Coats of the Stomach, and of Respiration, by which the * Diaphragma alternately presses the Stomach downwards, the Parts of the Food soften'd by the Saliva or Spittle, and other serous Liquors from the Glands, is shook about, ground and divided into yet smaller Parts, until it acquires such a Fine- ness as is requisite, together with the glandu- lous Fluids and Liquors drank down, for composing that milky Fluid call'd Chyle ‡. But here we are to observe, that the Parts of the Food are not dissolv'd into essential Parts, or Elements, whether chymical or any other, by the Assistance of any Ferment in the Sto- mach; that is to say, by a Separation of some Parts of different Kinds combined together, and an Union of other Parts that were before separated, as it happens in all Fermentation of Wine, wherein tartarous Particles, before united * Diaphragma, or Midriff, is a transverse Muscle which separates the Thorax or Chest from the Abdomen or Belly; in the Middle it is membranous; the Gullet, the great Artery, and the great hollow Vein all pass through it: It conduces to Respiration with other Muscles, and pressing upon the Guts helps forward the Secretion of the Excrements. ‡ Chyle is that milky or Emulsion-like Juice, which the Food is immediately converted into by Digestion. Ch. V. thro' the various Stages of Life. 151 united with others, are separated; and Parti- cles of Phlegm and Oil, before in Separation, are brought nearer together, and form a true Spirit. But by the Concoction that is perform'd in the Stomach, the Food is divided into integral Parts, not differing from what they were be- fore, only in obtaining a lesser Bulk; altoge- ther in the same Manner as Coral is grinded upon a Marble with Water, and reduced to an impalpable Powder, whose Parts are only small Pieces of Coral, and not any Principled into which Coral is resolv'd. For the Proof of which there is no need of any other Argu- ment, than that in the Stomach and the In- testines of the larger Fish, that devour and digest the lesser, the Chyle is nothing else but a Liquor filled with the Fibres of the devour- ed Fish, as may be easily discerned with a Microscope; or the small Parts of Fibres no way differing from the larger, only in Magni- tude, that is, indigested Pieces of Flesh. The Chyle being thus elaborated in the Stomach by its alternate Contractions, and the Force of the neighbouring Muscles, is thrown out into the Intestines, at its Entrance into which it is diluted with the Bile and pancreatic Juice: which Liquors undergo no manner of Effervescence * with the Chyle, or with one another, but are smoothly and K4 quietly * Effervescence signifies an intestine Commotion produced by mixing two Bodies together that lay at rest before; attend- ed sometimes with a hissing Noise, Frothing, and Ebullition For 152 A GUIDE to HEALTH Part II. quietly mixed therewith, and with each other, as appears by many Experiments; and by their Means the Chyle is render'd more fluid. Hence it follows, that the Parts of the Food, in some measure dissolved by the Motion of the Stomach, but not sufficiently separated from each other, thro' want of a due Quan- tity of Fluid, every one yet being in some measure in Contact with one another, pass over the Pylorus * into the Guts; and when these greater or less digested Particles cannot be strain'd in any considerable Quantity into the Lacteals † by reason of their Magni- tude, they are yet thrust farther into the in- testinal Tube ‡, and therein putrify, as they are out of the Limit of Circulation, which begins at the Lacteals: For all Things, such as the Flesh of dead Creatures, Herbs, &c. that are capable of Putrefaction out of the Animal, are capable of Digestion in it. Hence For Example, Acids, such as Juice of Limons, Spirit of Nitre, &c. and Salt of Wormwood, Tartar, or other Alka- line Substances, being mixed together, will produce an Efferve- scence or Ebullition, * Pylorus, or Janitor, the right Orifice of the Ventricle or Stomach, which sends the Food into the Guts. † Lacteals are long and pellucid Vessels or Veins, which arise from all Parts of the small Guts, from whence they re- ceive the Chyle, and run to the Glands of the Mesentery. They are call'd Lacteals of the first Sort, being so very small; and from thence they convey the Chyle to the common Receptacle, and being larger are call'd Lacteals of the second Sort, and thence it is carried into the Thoracick Duct, and from that into the Blood in the left Subclavian Vein. ‡ Intestinal Tube, the hollow Pipe of the Guts from one End to the other, which is divided into six Parts. Ch. V. thro' the various Stages of Life. 153 Hence it is certain, that Digestion is much more effectually and expeditiously perform'd in the Day-time, or when we are awake, than in the Night, or during Sleep; because while we wake we breathe thicker, and the Diaphragma and Muscles of the Belly, and even the whole Body is more exercised, and consequently the Stomach is oftener com- press'd. It also follows, that by gentle walk- ing, or while we exercise ourselves in any mo- derate Motion, Digestion is more effectually and expeditiously performed, than while we fit in Idleness and without Motion; and still much better than when we fit hard at Study, because by this Means the Mind is so diverted, that our Respiration then is rarer, even than in our Sleep, and the Muscles are thereby less contracted: And that we digest better in Winter than in Summer, is a Confirmation hereof; because in the Winter, to drive away the Sense of Cold, we are oftener put upon Exercises and greater Activity of Body than in the Summer Season; as likewise, because the Muscles and solid Parts are more tense, and consequently stronger in their Contractions and Attritions *. But as for a Ferment in the Stomach, ac- cording to the wrong Notions of some, whe- ther it be Spittle or Serum ouzing out from the Glands of the Stomach, it cannot contri- bute any thing to the Digestion of the Food, any farther than by softening it, whereby it is * Rubbing, grinding. 154 A GUIDE to HEALTH Part II. is capable of being farther divided. Neither do any Liquors flow into the Stomach in order to promote Digestion; but Digestion, that is, the Motion of Chewing, Swallowing, and of the Stomach, are the Cause why these Li- quors are press'd out, and that they drain into the Stomach: For that those Liquors contri- bute nothing farther to Digestion than by softening the Food, is manifest from hence, that if Herbs or Meat be mixed with them in any convenient warm Place as warm as the Stomach, but without Motion, they will never be changed into Chyle; so that it is sur- prizing that any should ascribe to the Serum of the Blood, as it is excerned by the Glands, a Faculty of changing solid Meats into the Form of Chyle, when it is evident that Serum is not a fit * Menstruum for the Solution of Bread, Meat, or Herbs. But this whole Af- fair will be much better understood from con- sidering Boyle's Machine for Digestion, where- in, without the Help of any Ferment, but by the Assistance only of Warmth, and the Pres- sure of rarefy'd Air confined, Bones and Flesh, with the Addition of a small Portion of Water, are turned into a Jelly; where no- thing is wanting to its being made real Chyle, but the rough Superficies of a Body to grind and often shake it about. The * All Liquors are so call'd which are used as Dissolvents to extract the Virtues of Ingredients by Distillation, Infusion Decoction, &c. Ch. V. thro' the various Stages of Life. 155 The Chyle being thus made, washes over the Pylorus into the intestinal Tube, where, by its peristaltic Motion *, and by the Pressure of the Diaphragma, and the Muscles of the Abdomen †, the thinner Parts are strained through the narrow Orifices of the Lacteal Veins, while the grosser Parts continue their Progress downwards until they are quite eject- ed by Stool. What passes through the Lacte- als is carried by them into the Glands of the Mesentery ‡, where they receive a fine thin Lymph from the ‖ Lymphaticks, whereby the Chyle is diluted so as to pass easier the rest of its Course: For beyond the first Glands they unite in larger Canals, and those in still larger, until at last it enters the common Receptacle of the Chyle, which is a kind of Bason form'd for it by the Union of the Lacteal and Lym- tick Vessels. From thence it ascends thro' the Thoracick † Duct, and is thence discharg- ed into the Blood in the left Subclavian Vein, and therewith descends into the right Ventri- cle of the Heart, where it is but imperfect- The second stage of Digestion. ly * Alternate Motion of Contraction and Dilatation, com- monly tending downwards. † The Belly, which contains the Stomach, Guts, Liver, Spleen and Bladder. ‡ A membranous Part in the lower Belly, to which the Guts are connected. ‖ Are slender pellucid Tubes arising in all Parts of the Body, which permit a thin transparent Liquor to pass through towards the Heart, which shut like Flood-Gates upon its re- turning. † A Canal through which the Chyle passeth from the Lac- teals the Blood. 156 A GUIDE to HEALTH Part II. ly mixed; and in its Passage it receives the Lympha from all the upper Parts of the Body. But here I must observe, that the most subtil Parts of the Chyle pass immediately into the Blood by the Absorbent * Vessels of the Intestines, which discharge their Contents into the Mesaraick Veins, the Largeness and Number of which demonstrate the same, for they are numerous and vastly larger than their corre- spondent Arteries; and wherever there are † Emissaries, there are likewise Absorbent Vessels: for Example, by the Absorbent Ves- sels of the Skin, Mercury will pass into the Blood. But Mr. Hale's ‡ Experiment proves this beyond despute; and if we consider the Straitness of the Thoracick Duct, and the Slowness of the Passage of the Chyle by the Lacteals thro' it, and at the same time the great Quantity of some Liquors and several other Things, which pass in a very small Time by Urine, and give it a Flavour and Taste; by an easy Calculation we may be able to de- monstrate, that such a Quantity could not pass, into the Blood by the Thoracick Duct in so short a Time. For which Reason, thin and liquid Ali- ments are-most proper, when immediate Re- freshment is requir'd, to cheer up the Spirits after great Abstinence and Fatigue; and the same * Which suck in. † Vessels which throw out a Liquid. ‡ Hœmast. Pag. 123. Exp. 14. Ch. V. thro' the various Stages of Life. 157 same Reason may be likewise given, why Chalybeat Waters are a proper Remedy in Hypochondrical Disorders, and in most Ob- structions in the Mesenterick Glands, Liver, and Spleen; for their subtle Parts are taken immediately into the Mesaraick Vessels, and from thence carried directly into the Liver and Spleen. The Chyle first mixes with the Blood in the lest Subclavian Vein, as I have already men- tioned, and enters with it into the right Ven- tricle of the Heart, where they are very im- perfectly mixed; from thence they are pro- pelled * into the Lungs, which are the chief and first Instrument of Sanguification, or making Blood: For the Wind-pipe is divid- ed into a great Number of Branches, call'd Bronchia, and these end in small Air-Blad- ders dilatable and contractible, which are ca- pable to be inflated by the Admission of Air, and subside at the Expulsion of it. The Pulmonary Artery and Vein pass along the Surfaces of these Air-Bladders in an infinite Number of Ramifications or Branchings, like a Net-work ‡. A great Number of those Air-Bladders form what are call'd Lobuli, which hang upon the Bronchia like Bunches of Grapes upon a Stalk; and these Lobuli constitute the Lobes of the Lungs, which al- ways sink in Water before they have been in- * Driven forwards. ‡ Malphig. de Pulmon. Epist. 1, 2. Tab. I. Fig. 1, 2, 3. 158 A GUIDE to HEALTH Part II. inflated with Air, but after it has once enter- ed them, they will always swim in it; by which Means we may know whether Children are born dead or alive. The crude Mixture of the Blood and Chyle passes from the right Ventricle of the Heart, through all the Ramifications of the Pulmo- nary Artery; and the more Ramifications there are, the Mixture will still be render'd the more perfect; yet this is not all, for as this Mixture of the Blood and Chyle passes through the arterial Branches, it is press'd by two con- trary Forces; first, that of the Heart driving it forward against the Tubes; secondly, the Elastick Force of the Air pressing it on the opposite Side of those Air-Bladders, along the Surface of which this arterial Tube creeps. By these two opposite Forces the Parts of the Liquor are more intimately mix'd and compress'd together, and by the Ingress and Egress of the Air the Vessels are alternately compress'd and dilated, by which Means the Liquor is still farther attenuated, dissolv'd, mixed, and almost assimilated with the Blood, but not so perfectly as to serve the animal Purposes; for it is very well known by Experi- ments of Blood-letting, that sometimes eight Hours after eating, some of the Chyle remain'd unmixed with the Blood, swimming a-top like an oily Substanee. The wonderful Mechanism of Nature in converting our Aliment into animal Sub- stances, Ch. V. thro' the various Stages of Life. 159 stances, consists principally in two Things; first, in mixing constantly with it animal Juices already prepar'd; and secondly, in the Action of the solid Parts, as it were churning them together. This is evident, considering the vast Quantity of Saliva * mix'd with the Aliment in chewing, the Liquor of the Stomach, the Bile †, and Pancreatick Juice ‡, the Quantity of the Lymph § from the Mesenterick Glands, and from the Lym- phatick Vessels of the whole Body; so that the Juices of an animal Body are as it were new distill'd, being excreted out of their respective * Saliva or Spittle, is a thin Liquor secreted immediately from the arterial Blood: it is of a soapy Nature, and conse- quently is attenuating, resolving, penetrating, and cleansing, being composed of Salt, Oil, Water, and Spirit, all which can be extracted from it. Too great a Discharge of it by smoaking or chewing of Tobacco has often prov'd fatal to People of thin Habits of Body, by falling into Decays. † Bile or Gall is of two Sorts; the Cystick, or that con- tain'd in the Gall-Bladder, and the Hepatick, which flows immediately from the Liver. The Cystick Gall is thick, of a yellow Colour, and intensely bitter. The Hepatick Gall is more fluid, and not so bitter; both Sorts are saponaceous, and like Soap, take out Spots from Wool or Silk. Its Use is to sheath or blunt the Acids of the Chyle descending from the Stomach into the Intestines; likewise it is the principal Dis- solvent of the Aliment, and when it is peccant or deficient, there can be no right Digestion. ‡ Is an Humour like the Saliva or Spittle, secreted from a conglomerate Gland called the Pancreas or Sweet-bread, situated at the bottom of the Stomach, and lies across the Belly, reaching from the Liver to the Spleen, separating about a Pound of Liquor in 12 Hours. Its Use is to dilute the Gall, and to temper its Bitterness and Acrimony after it has done its Office, and likewise to dilute the Chyle, with other Liquors in the Guts. § Lymph is the most spirituous and elaborated Part of the Blood, continually flowing from the lymphatick Vessels. 160 A GUIDE to HEALTH Part II. respective Glands and Vessels, and admitted again into the Blood with the fresh Aliment: during which time the solid Parts act upon the Mixture of Aliment and animal Juices, in order to make the Mixture still more in- timate and compleat; so that we may com- pute that our Aliment, before it gets into the Blood, is mix'd probably with four times the Quantity of animal Juices. From whence we may conclude, that an Animal whose Juices are unsound, or solid Parts weak, can never be duly nourish'd; for unsound Juices can never duly repair the Fluids and Solids of an animal Body, and without a due Action of the solid Parts, they can never be well mixed; and as the Stomach, the Intestines, the Muscles of the lower Belly, all act upon the Aliment: Besides, as the Chyle is not suck'd, but squeez'd into the Mouths of the Lacteals, by the Action of the Fibres of the Guts, it is evident, that the Chyle is peccant in Quantity or Quality, when these Actions and Organs are too weak; and whatever strengthens the Solids, must help Digestion. Hence it appears, that Diarrhœas and strong Purgings must spoil the first Digestion, because of the great Quantities of animal Fluids which are thereby expell'd the Body, such as, the Saliva, Mucus *, and all the Liquors * Mucus, is that slimy Liquor or Moisture, which daubs over and guards the Bowels, and all the chief Passages in the Body; and it is separated by the mucilaginous Glands in most Parts of the Body. Ch. V. thro' the various Stages of Life. 161 Liquors that are separated in the Glands of the alimentary Duct †, both Sorts of Gall, the Pancreatic Juice, Lymph, and sometimes Blood. Considering therefore the Quantity of these Secretions, it will plainly appear, that almost the whole Juices may be carried off by purging; and when those Liquors, destin'd by Nature to mix and convert the Aliment into an animal Liquid, are expell'd out of the Body, the Digestion cannot be so Well perform'd. Hence follow Consump- tions, Dropsies, and often an Obstruction of the Mesenterick Glands, which is a great Im- pediment to Nutrition; for the Lymph in those Glands is a necessary Constiuent of the Aliment before it mixes with the Blood. The Mixture of the Blood and Chyle, after its Circulation thro' the Lungs by the pulmonary Arteries, being brought back into the left Ventricle of the Heart, is thence, by the Force of the Heart, drove into the Aorta ‖ quite thro' the whole The last Stage of Digstion. L Body: † The whole Passage from the Mouth to the Fundament. ‖ Aorta, is the great Artery which proceeds from the left Ventricle of the Heart, and carries the Blood thro' the Body, and every Particle of the Body receives some Branch from it, except some of the solid Parts of the Liver, which receive the blood from the Vena Portœ. The Arteries are elastick Channels or Tubes, endued with a contractile Force, by which they drive the Blood still forward, it being hinder'd to go backward by the Valves of the Heart. They are also coni- cal Vessels, that is, tapering and diminishing by Degrees, with their Bases or upper and broader Part towards the Heart; and as they pass on, their Diameters grow still less and less, and consequently the Celerity of the Motion diminishes by the Increase of the Friction of the Fluid against the Sides of the 162 A GUIDE to HEALTH Part II. Body: and thus the Aliment, circulating thro' the animal Body, is at last reduc'd almost to an imperceptible Tenuity or Thinness, before it can serve the animal Purposes, in nourish- ing both the Fluids and Solids; and after various Circulations, and when it is depriv'd of all that can be of farther Use to any Part of the Body, it is carried off, both sensibly and insensibly, by the Emunctories * of the Body. But for farther Satisfaction concern- ing Nutrition, Growth, and Decrease of the Body, turn to Part I. Page 19, to 28. By the foregoing Doctrine it is evident, that Acrimony and Tenacity or Glewiness, are the two Qualities in what we take in- wardly most to be avoided; for Acrimony or Sharpness destroys the capillary Vessels, and when it is so great as to affect the solid Parts, the Sensation of Pain is intolerable. As the Tubes; and without this Motion, both the Blood and Chyle would soon be converted into one solid Mass; but on the contrary, by its Continuance, the Fluid being compressed by the Sides of the Tube, especially in the small Vessels, where the Points of Contact are more, the Blood and Chyle are still more intimately mix'd, and by Friction attenuated; by which means the Mixture acquires a greater Degree of Fluidity and Similitude of Parts. Hence appears the Neces- sity of Exercise to promote a good Digestion. And the Strength of the Aliment ought to be proportion'd to the Strength of the solid Parts of tire Body; for as Animals that use a great deal of Labour and Exercise, have their solid Parts more elastick and strong, they can bear, and ought to have stron- ger Food, too thin Nourishment being quickly dissipated by the vigorous Action of the solid Parts. * Are those Parts of the Body where any thing excremen- titious is seperated, and collected to be in readiness to be ejected. Ch. V. thro' the various Stages of Life. 163 As to the Viscidity or Glewiness of what is taken inwardly, when the peristaltick Motion of the Guts is so weak, as not to be able to propel or drive it forward, the Consequence is dange- rous, and often fatal to the Life of the Indi- vidual; for when the Tenacity of any Sub- stance exceeds the Powers of Digestion, it will neither pass, nor be converted into Ali- ment; whereas hard Substances will pass undissolv'd. Moreover, the Mouths of the La- cteals in People of weak and lax Constitutions may permit Aliment too acrimonious, or not sufficiently attenuated, to enter; but the Sphincters † in such as have strong Fibres will shut against them. Besides, a viscid Mucus may shut up the Mouths of the Lacteals, by which means the Chyle will pass by Stool, and the Person falls into an Atrophy or Decay of Flesh. Wind with Distention of the Bowels are Signs of bad Digestion in the Intestines, and likewise Diarrhœas, which proceed from Acrimony, Laxity of the Bowels, or Obstructions of the Lacteals. Those Parts of the Body where the Circu- lation of the Fluids, and the elastick Force of the Fibres are both smallest, must be most subject to Obstructions; and such are the Glands, which are the Extremities of Arte- L2 ries † Sphincter, is a Name ascrib'd to such Muscles as draw up, strengthen, and keep shut the Parts, such as the Sphinc- ter of the Bladder, Womb, Anus, &c. 164 A GUIDE to HEALTH Part II. ries form'd into cylindrical ‡ Vessels. Hence we may easily perceive, that too solid or vis- cid Aliment must be very hurtful to scrophu- lous and consumptive Persons. Having endeavour'd to give the Reader an Idea of animal Digestion, by shewing how our Aliment is converted into animal Substance, in as succinct a manner as could be in so nar- row a Compass: I shall now proceed in the same manner to give an Account of the Choice of them, that what is either beneficial or hurtful may be easily seen, according to the Nature and Difference of Constitutions. CHAP. VI. Of the Choice of ALIMENTS. AS all Animals are made either immediate- ly or mediately of Vegetables §, that is, by feeding on them, or on Animals that are fed on Vegetables: I shall therefore begin with the Vegetable Kind. Vegetables ‡ Cylindrical, in Anatomy, signifies Vessels that are so shaped, as not to be narrower at one End than another, but that all their Parts are equally distant in all Places from their Center; or which is the same thing, that they are of the same Diameter in all Places, contrary to conical Vessels, which are tapering and growing narrower. § Vegetables are such natural Bodies as grow and increase from Parts organically form'd, as Trees, Plants, and Roots, &c. but have no proper Life or Sensation. Ch. VI. thro' the various Stages of Life. 165 Vegetables are proper Food enough to re- pair Animals, as they consist of the same Parts with animal Substances, such as Salt, Oil, Spirit, Water, and Earth, all which are contain'd in them, and may be extracted from them. Their Salts are capable of re- solving the coagulated Humors of a human Body; and of attenuating, by stimulating the Solids, and dissolving the Fluids: Salts like- wise promote Secretion. Oils also relax the Fibres, and are Lenient, Balsamick, and abate Acrimony in the Blood; and by Virtue of this Oil, Vegetables are nutrimental; for this Oil is extracted by animal Digestion, as an Emulsion from Seeds by a Pestle and Mortar. But Aromatick Plants, tho' they abound with Oil, yet it is not soft and nutritious, and when mix'd with a Spirit, is too heating. Tastes are Indexes or Marks of the different Qualities of all Sorts of Aliment; and diffe- rent Tastes proceed from different Mixtures of Salt, Oil, Water, and Earth, but princi- pally from the Spirit and Oil, mix'd with some Salt of a particular Nature. A Mu- riatick or briny Taste, is produc'd by a Mixture of an acid and alkaline Salt; for Spirit of Salt being an Acid, and Salt of Tar- tar, which is an Alkali * when they are L3 mix'd * The Word Alkali comes from an Herb called by the Egyptians Kali. This Herb they burnt to Ashes, and boiled them in Water, and after having evaporated the Water, there remain'd a white Salt, which they called Alkali. It is cor- rosive, and will produce Putrefaction if apply'd to the Flesh, and 166 A GUIDE to HEALTH Part II. mix'd, produce a Salt like Sea-Salt, bitter and acrid, differing only by the sharp Particles of the first being intangled or involv'd in a greater Quantity of Oil than those of the last. Acid or four, proceeds from a Salt of the same Nature without a Mixture of Oil; and in austere Tastes, the oily Particles have not disentangl'd themselves from the Salts and earthy Parts, for such is the Tastes of unripe Fruits. In sweet Tastes, the acid Particles are so attenuated and dissolv'd in the Oil, as to produce only a small and grateful Sensation and Titillation; but in oily Tastes, the Salts seem to be entirely disentangled. As Vege- tables contain acid or alkaline Salts, so they produce different Effects upon human Bodies, and are to be used according to the different Constitution of the Body at that time, as will appear by what I shall say hereafter. The properest Food of the vegetable King- dom that Mankind make Use of, is taken from the mealy Seeds of some culmiferous or Stalk-bearing Plants, as Barley, Wheat, Oats, Rice, Rye, Mays, Panick, and Millet; or from some of the Pulse or Leguminous Kind, such as Pease and Beans, &c. and as those are Seeds containing the most elaborate Part of and ferments with Acids, as all lixiviate Salts will do, which are Anti-acids, that is, contrary to Acidity. As for acid or four Salts, one has a Notion of from Taste, Sourness being one of those simple Ideas which one cannot more plainly describe; so that whatever being mix'd with an Acid, causes an Effervescence or Ebullition, is called Alkali. Ch. VI. thro' the various Stages of Life. 167 of the Plant, they are oily, and consequent- ly proper to be converted readily into an animal Emulsion or Chyle: Besides, their Oil is not highly exhalted and hot, as that of the aromatical and acrid Plants, but on the contrary, mild, benign, and nourishing to the human Body. Barley is detergent, emollient, and expe- ctorating, and it was first chosen by Hippo- crates as proper Food in inflammatory Dis- eases. Wheat is the properest of any Grain for Bread, which, if not entirely purg'd from the Bran, is laxative and stimulating to the Bowels. Oats are cleansing, resolving and pectoral, which being outwardly apply'd mix'd with Batter, will dry Scabs on the Head. Rice, which two thirds of Mankind per- haps feed on, is most kindly nourishing and benign, good in Hæmorrhages, or Fluxes of Blood, and proper for consumptive Persons; but the Bread made of it is more acid and tess nourishing than that of Wheat. Rye is more acid, laxative, and less nou- rishing than Wheat. Millet is cleansing, diuretic, and therefore good in Distempers of the Kidneys. Panick is opening, and boil'd with Milk temperates Acrimony. Mays affords strong Nourishment, but not being so easily brought to a Fermentation as other Grains, is more viscous or glewy, and L4 conse- 168 A GUIDE to HEALTH Part II. consequently harder to digest. All the fore- mention'd Plants are highly Acescent †, ex- cept Pease and Beans. Pease are mild, and demulcent in a great Degree, being depriv'd of all aromatick Parts. Green Pease are very pleasant to the Taste, and provoke Appetite; but they are injurious to many, being full of aërial Particles, creating Flatulency when dissolv'd by Digestion. They are alkalescent §. Beans cleanse and fatten, and resemble Pease in most of their Qualities, but are more windy, and occasion sometimes Colic Pains, and disturb the Head. The French or Kid- ney-Beans are best, being less windy. People that live a sedentary Life should not feed much upon Pease or Beans, by reason of their Viscosity creating top much Flatulency. The mealy Parts of the above-mention'd Plants dissolv'd in Water for constant Food, is too viscid an Aliment, and for that Reason justly condemn'd by Hippocrates; and upon that Account, Mankind have found the means to make them more easy of Digestion, by fermenting and making some of them in- to Bread, which is the lightest and properest for † See Note following. § Substances which are not perfectly Acid, but naturally turn so, are called Acescent; and Substances that are not per- fectly Alkaline, but naturally turn so, are called Alkalescent. See the Explanation of Alkali in Note *, p. 165. These two Qualities in Bodies are not merely imaginary, but have very different and contrary Effects upon human Bodies. Ch. VI. thro' the various Stages of Life. 169 for human Food; for the Leaven, by its acid Salt, divides the slimy and oily Parts of the Meal. The next Sort of vegetable Substances that Mankind feed upon, are Fruits of Trees and Shrubs: They all contain an essential Salt, combin'd with Earth, Water, and Oil, much elaborated; and their different Qualities are known by their sharp, sweet, four, or styptic Taste. Apples are pectoral, cooling, laxative, and open the Breast; they differ considerably in Kind, and their Qualities are easily known by their Taste. Pears have most of the same Qualities, but they are more cordial, by their high Fla- vour, than Apples. Peaches are likewise cordial and pectoral; the best are those that are odoriferous, well colour'd, and full ripe. Apricocks quench Thirst, excite Appetite, provoke Urine; their Kernels are good against Worms, and excellent for the Heart-burning: unless they are mellow and full ripe, they are rather somewhat styptick. Plumbs purge Choler, extinguish Heat, take away Thirst in Fevers; but they are bad for weak and cold Stomachs, and for phlegma- tic Persons, and such as are subject to Colics. Those of the austere Kind are astringent. Mulberries are pectoral, and correct a bi- lious Alkali. Gooseberries 170 A GUIDE to HEALTH Part II. Gooseberries extreamly ripe are lenient; but unripe, they are both sour and astrin- gent. Currants are good in spitting of Blood, ex- treamly cooling, and somewhat astringent. The Jelly or Rob of Currants mix'd with Water, is an excellent Drink in bilious Fevers. Cherries are cooling and laxative, and their Kernels are good for the Gravel in the Kid- neys. Strawberries, by their fragrant Smell are Cordial. Their Juice mix'd with that of Li- mons in Spring-Water is an admirable Drink in bilious Fevers. Oranges that are sweet are more relaxing than the Seville Oranges; but these last are an excellent Remedy for the hot Scurvy. The sweet Oranges increase Choler. Citrons or Limons excite Appetite, stop Vomiting, cut gross Humours, are good in Fevers, and their Juices are more cooling and astringent than those of Oranges. Grapes taken in moderate Quantities when ripe, help the Appetite and Digestion; but in great Quantities, they dissolve the Gall too much, and produce Fluxes; and dry'd they are pectoral. Figs are great Correctors of Acrimony, they are good in Coughs and Hoarseness; they are likewise extremely emollient, relax- ing the urinary Passages, diuretick, and good in bloody Urine. Quinces Ch. VI. 171 thro' the various Stages of Life. 171 Quinces are often useful to weak Stomachs, and good in stopping Fluxes of Blood. Pomegranates likewise, containing an astrin- gent Juice, are extremely cooling. Barberries and Medlars are useful in Bloody-Fluxes. Tamarinds are cooling and astringent, yet laxative to the lower Belly. Capers are astringent and diuretick; they excite the Appetite, and are good for phleg- matic and melancholy People. Olives are Anti-acids, or contrary to Aci- dity by their Oil; but all oily Substances be- get an Acrimony of another Sort. Almonds are pectoral, especially the Oil. Walnuts are cordial and Anti-hysteric, and promote Perspiration in a small Degree. Hazle-Nuts are in some Degree good against spitting of Blood; but they are very hard to be digested, they cause Wind, Coughs, and Pains in the Head. Chesnuts are good against some Female Weaknesses, and afford very good Nourish- ment. There are other Fruits of the low pomise- rous Kind, which contain a great deal of cooling and viscid Juice, combin'd with a ni- trous Salt, which renders them often offen- sive to the Stomach; and such are Pompions, Cucumbers, Gourds, and Melons; tho' the last, when good, have a rich Juice, and some- what aromatick; they are diuretick, and there are Instances when eaten in great Quan- tities, 172 A GUIDE to HEALTH Part II. tities, to have thrown People into bloody Urine: they are likewise cooling and refreshing, good for hot Stomachs, and the Kidneys; they ought to be taken fasting. The Juice of Cu- cumbers is too cold for weak Stomachs, and ought not to be taken by such as have thin and poor Blood. Among the alimentary Leaves, the Pot- Herbs afford an excellent Nourishment: Of those are all the Cole or Cabbage Kind, which are emollient, laxative, and resolvent, and for that Reason proper against Acidity. There are likewise amongst the Pot-Herbs some * Lactescent Plants, as Lettuce, Endive, Ci- chory, and Dandelion, which contain a milky Juice extremely wholsome, resolvent of the Bile, anodyne, cooling and diuretick, and very useful in the Distempers of the Liver. Artichokes are pleasant to the Taste, pro- voke Urine, and contain a rich, nutritious and stimulating Juice; they are good against Aci- dity. Asparagus is opening and diuretic; by the fœtid Smell it gives the Urine, it is suspected to be hurtful to the Kidneys; it is likewise good against Acidity. Parsley provokes Urine, the Courses, cleanses the Kidneys, and removes Obstru- ction and Wind; but it is bad in Bloody- Fluxes. Celery contains a pungent Salt and Oil; it is diuretick and aperient, and exceeding good for cold Constitutions. Spinage * Vegetables containing a milky Juice. Ch. VI. thro' the various Stages of Life. 173 Spinage is emollient or opening, good in Inflammations. Beet is emollient, nutritive, and relaxing, good in hot and bilious Constitutions. Sallads of all Sorts, mix'd with sweet Oil and Vinegar, are good for hot and strong Constitutions; because they are cooling, diu- retick, and emollient; but they are not pro- per for phlegmatick or weak Constitutions, or those that are subject to Colics or Indige- stion. Of the alimentary Roots, some are pulpy, and very nutritious; as Potatoes, Turnips, and Carrots, &c. Potatoes, of all Roots in general, are the best and most nourishing for healthy People, and there are Instances enough to prove the same both in Ireland, and in other Provinces, where two Thirds of the Husbandmen, and meaner Sort of People, constantly feed upon them, and are the principal Part of their Food; yet they are healthy, active, and vi- gorous, and for the most Part live long. Turnips are very nutritious, good in Con- sumptions, Asthmas, and all Diseases of the Breast; they are emollient and diuretick. Carrots are fattening, they provoke Urine, and the Menses, and likewise help to open Obstructions; but they are windy, and there- fore not proper for colicky or weak Sto- machs. Parnisp is a very nourishing and palatable Root; it fattens, and is a Provocative; it opens, 174 A GUIDE to HEALTH Part II. opens, attenuates, and cleanses; but it is hard to digest, and not good for asthmatick and consumptive People. There are other Roots which abound with an acrid, volatile Salt; as Garlick, Onion, Rockambole, Shalot, Leeks, Radishes, and Horse-radishes: They contain a pungent, vola- tile Salt and Oil; they are extremely diure- tick, and when stimulating Diureticks can be safely used, they are very effectual. Experience teaches, that Garlick is a very excellent Remedy in Dropsies, Jaundices, and in Asthmas proceeding from a cold and viscid Phlegm. Cresses and Mustard contain likewise, in their Degrees, a pungent Salt and Oil, as well as the last mention'sd Roots; and as all of them subdue Acidity, they are very improper in Cases where the Blood is too much dissol- ved, as in spitting of Blood, and bloody Urine, or where the Blood or Juices have a Tendency to a State of alkaline Putrefaction; and in general they are fitter for cold Con- stitutions and old People, than for the young and sanguine. Mustard indeed is a very powerful Remedy in viscid and cold phleg- matick Cases. The Fungous Kind, as Truffles, Morelles and Mushrooms, contain an Alkaline volatile Salt, and an exalted Oil of a grateful Savour; but are heating, and the best Method of cor- recting them is by Vinegar: Some of them being poisonous, render the rest justly suspi- cious; Ch. VI. thro' the various Stages of Life. 175 cious; the poisonous Sort operate in a suffo- cating Manner, in which Case the best Re- medy is Wine, or Vinegar and Salt, and vo- miting as soon as possible. There are Vegetables used by Mankind in Seasonings, which afford an exalted aroma- tick Oil, and of a spicy Nature, as Marjoram, Basil, Savory, Thyme, Rosemary, Sage and Mint: They are heating, and most of them hard to digest: Other Spices of a more power- ful Nature, as Nutmeg, Mace, Cinnamon, Cloves, Ginger and Pepper, abound with a high exalted Oil and volatile Salt, by which Principles they are heating, and act powerfully upon the Fluids and Solids, by stimulating the Solids and resolving glutinous and fat Sub- stances: They are all proper in phlegmatick cold Constitutions. But Sage being a stimu- lating, drying, and astringent Plant, when used in great Quantities will produce Disorders like Drunkenness; therefore the Infusion or Tea made of it is very improper in all inflamma- tory Fevers as a Diluter. Of Tea, Coffee, and Chocolate. As the Infusions and Deco- ctions make so considerable a Part of Aliment at present, especially among the Female Sex, it will not be improper to say something of their Qualities in particular. Of Tea, Coffee, and Chocolate. Tea, by its Manner of affecting the Organs of Taste and Smell, affords very little of a vo- latile Spirit its bitter and astringent Rosin or fix'd Oil cannot be extracted by Water, but requires 176 A GUIDE to HEALTH Part II. requires rectify'd Spirit of Wine for that Pur- pose. The most active Principles of it that can be extracted by Infusion are the most se- parable Parts of its Oil or Gum, and Salt. Its Salt and Gum are astringent, as appears by mixing it with Chalybeat-Waters, which will produce a Tincture of the same Colour as that of Oak-leaves; it is * Acescent, as appears by its affecting Stomachs troubled with Acidity, which Disorder it will rather promote than correct: By its astringent Quality it moderate- ly helps to correct the relaxing Quality of the warm Water; and by its styptick and stimu- lating Quality, it affects the Nerves, very of- ten producing Tremors. By the frequent drinking too great Quantities of it, as is now become a common Practice, it will relax and weaken the Tone of the Stomach; from whence proceed an Inappetency, Nausea, Reachings or Vomitings, Indigestion and Sickness at the Stomach; and generally speak- ing, a pale and wan Complexion, with a Weakness of the Nerves and Flabbiness of the Flesh, the Solids and Fluids being thereby deprived of their proper Nourishment. Hence we may easily perceive, how perni- cious Tea-drinking may prove to the Seden- tary, especially the Female Sex, who for the Generality have weak and tender Nerves; but as Milk abates some of the fore-mention- ed bad Qualities, by rendering it softer and nu- tritious, and Sugar as a Salt, encreases it stimu- lating * See Note §, Page 168. Ch. VI. thro' the various Stages of Life. 177 lating Quality, it may be a proper Breakfast e- nough, as a Diluent, to those who are strong, and live full and free, in order to cleanse the alimen- tary Passages, and wash off the scorbutick and urinous Salts from the Kidneys and Bladder. But Persons of weak and tender Nerves, as I have just now observ'd, ought carefully to avoid and abstain from it, as from Drams and cordial Drops; for such fall into Lowness, Trembling and Vapours, upon using it with any Freedom, by its Irritation on the tender and delicate Fibres of the Stomach *. As to Coffee, it is a meer Calx, or a kind of burnt Horse-Bean, but lighter on the Sto- mach and somewhat of a better Flavour; and what is extracted from it by hot Water, is the most separable Parts of its Oil, which of- ten appears at the Top of the Decoction. This Oil is volatile, and affords very little Nourish- ment, producing all the bad Effects of a vola- tile Oil and aromatic Acrimony, such as Heat, Dryness, Stimulation, Tremors of the Nerves; for which Reason, it has been deem'd to cause Palsies, Watchfulness, Leanness, and destroy masculine Vigour: Hence it is very plain, that it must; be pernicious to hot, dry, and bilious Constitutions, and only beneficial to Phlegmaticks, if moderately us'd; but when drank in too great a Degree of Strength or M Qua- * For further Satisfaction herein, see Dr. Thomas Short's learned and elaborate Dissertation upon Tea, in which the Author has not only given us the Natural History of the Plant, but likewise its Analysis, with great Skill and Industry. 178 A GUIDE to HEALTH Part II. Quantity, it will prove destructive even to phlegmatick Constitutions. Chocolate is undoubtedly much the best of the three; for its Oil appears to be both rich, nutritious and anodyne *, and is as soft as that of Sweet-Almonds: This Oil combin'd with its own Salt and Sugar renders it saponaceous † and detergent; by this Quality it often helps Digestion and excites the Appetite; and is only proper for some of the leaner and stronger Sort of phlegmatick Constitutions, and some ancient healthy People, who are accustom'd to bodily Exercise. There are other Preparations of Vegetables by Fermentation, whereby they are changed into spirituous Liquors, which are, or may be called by the general Name of Wines; Such fermented Liquors have different Qualities from the Plants that produce them; for no Fruit taken crude has the intoxicating Quality of Wine. Of these Liquors I shall take par- ticular Notice, after I have given the Reader a short Account of the Nature of animal Diet, as far as it regards the Nourishment of Human Bodies. Animal Food is more easily converted into animal Substance than Vegetables; and there- fore more nourishing to human Bodies: And the † Easing, or taking away Pain. ‡ Sope is a Mixture of Oil and fix'd alkaline Salt, and in common Use its Virtues are cleansing, penetrating, attenuat- ing, and resolving; so that any Mixture of an oily Substance with Salt maybe call'd a Sope; hence Bodies of this Nature are call'd Saponaceous. Ch. VI. thro' the various Stages of Life. 179 the Nature of Animal Diet must depend up- on the Nature, Age, Food, and other Cir- cumstances of the Animal we feed upon. The Animal as well as Vegetable Juices are in their greatest Perfection, when the Ani- mal is full grown; for young Animals par- take of the Nature of their tender Food, as Sucklings of Milk, &c. All Animal Diet in general is anti-acid, or contrary to Acidity or Sourness; because no found Animal has any acid Salt in it, as has been often prov'd by Experiments. Those Animals that feed upon other Animals have their Flesh and Juices more alkalescent, that is, more anti-acid than those that live upon Vegetables; such are most Fishes, all Birds which feed upon Worms and Infects, several kinds of Water-Fowls, Woodcocks, Snipes, and several kinds of small Birds; which, for that Reason, afford a more exalted Nou- rishment than those that feed upon Grain or other Vegetables. Animal Flesh differs according as the Ani- mal is terrestrial, aquatick, or amphibious; and the same Species of Animals differs accord- ing to the Soil and Air it lives in, and the Food which it takes; as those that live in Mountains and Marshes; the Flesh of Oxen, Sheep, Deer and Hogs in different Pastur- age. Fishes abound more with alkaline Salt and Oil than terrestrial Animals; for which Rea- son they are sooner corrupted: And amphibi- ous Animals partake somewhat of their Na- M2 ture 180 A GUIDE to HEALTH Part II. ture by feeding upon them, and are therefore oily; and notwithstanding the Redundancy of Oil in Fishes, yet they do not increase Fat so much as Flesh-meat, by Reason of their watery Quality; and as Fish and Water- Fowls are highly alkalescent, and abound with a great deal of rancid Oil, they should be always qualified by a due Quantity of Salt and Vinegar. The most healthy Animals afford the best Aliment, and the Castrated are better than those that are not so; and the only Way of having found and healthful animal Food, is to leave them to their own natural Liberty in the free and open Air, and in their own pro- per Element, with Plenty of Food and due Cleanness, and a Shelter from the Inclemency of the Weather when they have a Mind to retire to it. Therefore we should never make Choice of cramm'd Poultry, or stall-fed Butch- er's Meat for our Food, did we consider the foul, gross, and filthy Manner in which they are confin'd, and the stinking, putrid, and unwholsome Food with which they are fed, especially Poultry and Hogs; for we may be well assured, that perpetual Foulness and Cramming, gross Food and Filthiness will rot the Juices, and mortify the muscular Sub- stance of human Creatures, and consequently can do no less in Brute Animals, and thus make even our Food Poison. Besides, stall-fed Cattle and cramm'd Fowls are often diseas'd in their Livers. The same may be likewise said Ch. VI. thro' the various Stages of Life. 181 said of Plants and Vegetables, forc'd and pro- duced by Hot-beds. Animals, Herbs, Fruits and Corn are to be chosen in high Places, such as are refresh'd with wholsome Winds and cherish'd with the warm Beams of the Sun, and where there are no Marshes, Lakes, and standing Waters; for in such Places they are quickly corrupted; and likewise the Flesh of all Animals that live in Fens and standing Pools are to be avoided, such as Ducks, Geese, &c. The Flesh of Animals too old is unwhol- some, being hard, dry, sinewy, and of little Nourishment, and hard to be digested; and on the contrary, such as are too young abound with too much Moisture, and are full of Su- perfluities, and therefore cannot nourish so well as an Animal full grown, in as much as they partake of the Nature of their tender Food, as I have observ'd already. Salt Fish produces gross Humours, and had Juices in the human Body; for it dries much, and breeds many Superfluities, and is of little Nourishment; it occasions Thirst, Hoarseness, Acrimony, or Sharpness in the Blood, and Erosion of the small Fibres, Pains, and all the Symptoms of the Muriatick or briny Scurvy, upon account of the Salt, which is unalterable in all the Circulations of the human Body, and therefore very improper Food for all Constitutions, except some strong labouring People, and even in those it will pro- duce very bad Effects, if they feed upon it M3 for 182 A GUIDE to HEALTH Part II. for a Constancy, as we see in Sea-faring Peo- ple. The same may be said of Salt Flesh. The Flesh of Birds is lighter, drier, and easier digested than that of four-footed Beasts, and for that Reason, more agreeable to those of a studious Profession, who exercise the Mind more than the Body; for as they are more easily digested, so they breed better Blood, that is, clear, clean, and full of Spi- rits, which is fit for the Exercises of the Mind. The Flesh of the wild Kind of Animals, such as frequent Woods, high open Places, and Mountains, is better than that of tame ones, having more Exercise and no Confine- ment, have their Juices more elaborated, and their Flesh will keep longer uncorrupted; be- cause they live in a better Air, and feed upon what they like best without Constraint; for the same Reason their Fibres are harder, es- pecially when old. This Rule in some mea- sure holds true with Fishes; for Sea-fish and River-fish living in an Element more agitated, are better than those in Ponds. For these Reasons Hippocrates commends the Flesh of the wild Sow preferable to the tame; and doubtless the Animal is more or less healthy, according to the Air it lives in; for the Flesh of the same Species differs very much, as the Animal lives in Marshes or Mountains. Flesh boil'd is more wholsome (especially for weak Stomachs) than roasted; for boiling draws more of the rank and strong Juices from Ch. VI. thro' the various Stages of Life. 183 from it, and renders it more diluted, lighter, and easier of Digestion, tho' not so nutritive; but on the other hand, roasting leaves it ful- ler of the strong nutritive Juices, harder to digest, and wanting more Dilution *; there- fore those who eat the Flesh of full-grown Animals, ought to eat it well boil'd, if their Digestion is weak. They who live upon young animal Food, which is best for weak Stomachs, ought to eat it roasted, and lessen the Quantity in respect of the same Food boil'd, but they must dilute it more; for as roast Meat has a stronger Flavour, more Nourishment, and lies more compact in the Stomach; so it will require to be more di- luted with some small Liquors to soften its more rigid and crisp Fibres. Meats bak'd, fry'd, and broil'd, generate nauseous Humours and Crudities in the Sto- mach, and are very difficult to be digested, tho' they are very nourishing. Lamb, Veal, and Kid, afford excellent Nourishment, and are easy to be digested, and therefore proper Food for those of a se- dentary Life and studious Professions. Beef affords great Nourishment to those that labour and exercise much, and generates much Blood; but it is too strong for tender, weak, and sedentary People, especially when Stall-fed, and very large; for Grass Beef and M4 Mutton * Dissolving or making thinner any Substance, with the addition of Fluids or Liquids, which are called Diluents or Diluters. 184 A GUIDE to HEALTH Part II. Mutton are lighter than Stall-fed Oxen and Sheep. Mutton breeds good Blood, nourishes ex- ceeding well, and is easily digested; and by Experiment is found the most perspirable of all animal Food, and Hogs-Flesh and Oysters the least. Rabits are of a good Nourishment, they consume the superfluous Moisture and Phlegm in the Stomach, and the Flesh is not near so dry as that of a Hare, and therefore nou- rishes better, and is much easier to be di- gested. Young Hares are very sweet and pleasant to the Stomach when well dressed, they are good for such as are too fat. It is said, that the Blood of a Hare fry'd and eaten, is good against the Bloody-Flux, inward Im- postumations, and the Gravel in the Kid- neys; and that the Brains of a roasted Hare cures Tremors, and facilitates the breeding of Teeth in Children; but the Moderns justly despise such whimsical and groundless Pra- ctice. Pork and Bacon afford great Nourishment, but as they feed the foulest of any Creature, and their Juices are the rankest, their Sub- stance is the most surfeiting; and as they are the most subject to † cutaneous Diseases and Putrefaction of any Creature, they are highly injurious to valetudinary, sedentary, and stu- dious People; for they cause the Gout and Stone † Diseases of the Skin, such as Pimples, Scabs, Mange, &c. Ch. VI. thro' the various Stages of Life. 185 Stone in Kidneys, Scurvy, and cutaneous Eruptions. The Flesh of sucking Pigs is endued with the same bad Qualities, tho' not in so great a Degree. Brawn made of the Flesh of young Boars is tolerable good eating, having not so much Slime and excrementitious Moisture as Pork, Pig, and Bacon; but the hard and horny Part is very difficultly digested. Deer affords good Nourishment, and is apt to make lean such as are too fat, accord- ing to the Observations of some Authors, but I very much doubt the Veracity of such As- sertions, for it seems even contradictory to say, that whatever affords good Nourish- ment, shou'd render corpulent and fat People, thin or lean. Of all the Parts of Birds and other Beasts, some are better than others; for all the Ex- tremities, as the Head, Neck, Feet, and Tail, in respect of the rest, are of a hard, viscid, and gross Nourishment; but the Parts about the Wings, Back and Breast, are better, and more savoury. Cream, Butter, and Marrow, are all leni- ent and nourishing: Marrow is excellent in the dry Scurvy with crackling of the Bones, where it performs its natural Office in moisten- ing them. Cheese that is new fattens, tastes pleasant- ly, and is not very injurious to the Stomach, especially Cream-Cheese, which is the best and most wholsome when newly made. Cheese 186 A GUIDE to HEALTH Part II. Cheese of no kind is good for Children or weak People, for it lies too heavy in the Stomach, is apt to breed Slime and Worms in Children, and it ought to be eaten only after Meals, to close up the Mouth of the Stomach at such times; but too much of it is bad at any time, especially old Cheese, for it occasions Thirst, inflames the Blood, and is often the Cause of the Gravel and Stone in the Kidneys or Bladder; therefore it is only proper for Mechanics and labouring People, or those that are strong and healthy, and use much Exercise. Milk is a most noble, nourishing, and wholsome Food; it is neither Acid nor Al- kaline; but when there is an Acid and Al- kali mix'd in it, they presently manifest themselves by their Fermentation and Con- flict. Milk, after standing some Time, na- turally separates into an oily Substance called Cream, and a thinner, blue, and more pon- derous Liquor called skimm'd Milk, and nei- ther of these Parts is naturally acid or alka- line, nor in the least acrimonious; for being dropp'd into the Eye, they cause no manner of Pain or Sensation of Sharpness; but by standing too long, they will turn both sharp and four. Milk is a kind of Emulsion, or white animal Liquor, resembling Chyle, after it has been mixed with the Spittle, Bile, and pancreatick Juices, &c. is easily separated from them again in the Breasts. A Ch. VI. thro' the various Stages of Life. 187 A Nurse that would abstain from all acid vegetable Food, from Wine, and Malt Li- quors, and feed only upon Flesh, and drink Water, her Milk, instead of turning sour, would become putrid, and smell like Urine; so that an alkalescent Diet †, (as is often the Case of Nurses in great Families) Subjects the Child to Fevers; but on the other hand, the Milk of poor People that feed upon an § acescent vegetable Diet, subjects the Child to Diseases that proceed from Acidity in the Bowels, such as Colics, Gripes; the Symp- toms of such a Constitution are a four Smell in their Excrements, four Belchings, Disten- sions or Swellings of the Bowels, and Pale- ness of the Flesh. The Cure of both Diseases is effected by a Change of Diet in the Nurse, that is, from Alkalescent to Acescent, or contrary ways, as the Case requires. But the best Diet for Nurses is a Mixture of both, and no Nurse should give Suck after twelve Hours fasting; for then her Milk is apt to turn yellow, which is an early Sign of a Fever in the Nurse. It appears from the fore-mention'd Quali- ties, that Milk is a very proper Diet for hu- man Bodies, especially for thin, hectical, and emaciated † Alkalescent Diet is the Flesh, Broths, and Juices of all Animals, both Terrestrial and Aquatick, which in a found State have no manner of Acid in them, as is very well known by Experiments. § An Acescent vegetable Diet, is taken from Plants, Fruits, and their Juices, and all fermented Liquors, which are either actually acid, or naturally turn so. 188 A GUIDE to HEALTH Part II. emaciated People, and where Acrimony in the Blood and Juices is to be subdued or avoided; but it is not proper for those that are troubled with the Colic or Stone, neither is it proper in Obstructions of the Vessels, it being void of all saline Quality. Whey is good for such as are of a hot Con- stitution, it quenches Thirst, promotes Sleep, and of all Drinks is the most relaxing, and is a powerful Remedy in the hot Scurvy. The different Nature of Birds is known by the Time, Age, Food, Place, and Air they live in; because Domestick as well as Wild Fowl, grow lean, and feed little at the Time of their coupling. And some Birds are best in Spring or in Summer, at which Time they feed upon Corn; others in Autumn, because they eat Grapes, Figs, Apples, Berries, and such like. Others again are best in Winter, such as Thrushes. Blackbirds, wild Geese, Cranes, and all Water Fowl. Some live on Worms, Infects, and Fish, as Woodcocks, Snipes, &c. but most feed on Grain, as Pigeons, Doves, and all Dome- stick Fowls, and the like: Some are nourish'd on Land, others in Rivers, Lakes, and in the Sea, and a great many Birds feed upon Herbs; and it is very remarkable, that the Flesh of wild Fowl has always the Taste of such Things as they feed on, as Fish, Slime, Mud, Worms, and other Infects. Mountain Fowls are always preferable to the rest; besides, castrating or cutting a Fowl, renders Ch. VI. thro' the various Stages of Life. 189 renders it fat and sweet, as appears in the Flesh of Capons; and the Flesh of young Birds is always better than that of old ones. Duck is the hottest of all tame Fowl; the Wings and Liver are the best, but of hard Digestion, and gross Nourishment; it is good in cold Weather for strong Stomachs, and such as labour much. Capon nourishes better than all other tame Fowl, and breeds good Blood and Juices in the human Body. Pigeons afford good Nourishment; they are very hot, and therefore only proper for old and phlegmatic People, or such as labour much, who generally speaking, will digest any Food without any Trouble or much Dan- ger. Pheasants are very agreeable to human Na- ture; they comfort and strengthen the Sto- mach, afford great Nourishment, and fatten very much. Pullets nourish exceeding well, are easily digested, and generate good Blood and found Juices; but old Hens are dry, hard to be di- gested, and afford little Nourishment; and the Flesh of a Cock is drier, hot, and sul- phurous, and therefore very improper Food for any Body, and fit for nothing else than to make Broth of it, with a little Mutton, Veal, or both. Geese, especially the young Geese, afford good Nourishment; but old ones, that feed and live in Fenny Places, are coarse, and hard 190 A GUIDE to HEALTH Part II. hard to be digested, and not fit Food for tender People, or weak Stomachs. Turkey is good Food, and affords good Nourishment, but harder to be digested than Capon or Pullet; yet a Turkey-Pout is deli- cate eating, breeds good Blood, and is easily digested. Partridges afford good and sweet Nourish- ment, and are easily digested; they fatten, and likewise dry up the superfluous Moisture of the Stomach, and contribute much to the Preservation of Health, their Flesh being bet- ter than that of Pullets. Plovers, especially the Grey Sort, are good wholsome Food, and afford good Nourish- ment, only they are somewhat of melan- choly Juice, according to some Writers. Blackbirds nourish sufficiently when they are fat and young; but they are hard of Di- gestion. Larks, if they are fat, nourish well, and are easily digested; they are best in Autumn and Winter. Sparrows, when young, afford good Nou- rishment, and are reckon'd to be Provoca- tives; but they are not easily digested. Peacocks nourish poorly, and are of a hard and slow Digestion, and breed melancholy Blood, therefore not worth any Body's eat- ing. Stares, if young and fat, nourish pretty well, but old ones are good for nothing. Thrushes Ch. VI. thro' the various Stages of Life. 191 Thrushes nourish very well, and are easily digested, and the Mountain Thrushes are the best. Quails are very nourishing, and pleasant to the Taste, they are likewise good for melan- choly People; but some Authors say, that they cause the Cramp, and falling Sickness, with which it is said, this Bird is troubled. This, by the by, I take to be only the ground- less Opinion of some credulous and whimsi- cal Writers. Turtle Doves nourish exceeding well, and are easily digested; they are good for the Stomach, and, according to some Authors, quicken the Understanding. Woodcock, Snipe, and all other long-billed Birds that suck only animal Juices, or that feed upon Worms and other Infects, have their Juices more elaborate and exalted than those of Pullets, Turkeys, Pheasant or Partridge; and for that Reason they are much harder to be digested, tho' they are very nourishing. Fish in respect of Flesh is less nourishing, because it is gross, phlegmatic, cold, and full of watery Superfluities. The old nourish better than the young, and those that live among Stones, Rocks and Gravel, are best. Fish in general are hard of Digestion; for they feed upon one another, and their Juices abound with an alkaline Salt, that corrupts the Blood and causes chronical Diseases; for it is very remarkable, that those who live much 192 A GUIDE to HEALTH Part II. much on Fish are afflicted with the Scurvy, Breakings-out upon the Skin, and other Dis- eases of a foul Blood: Besides, a true Sign of their Indigestion is, that every Body finds him- self more thirsty and heavier than usual after a full Meal of Fish, tho' ever so fresh; and is commonly forc'd to have Recourse to a Dram of some Spirit or other to carry them off. The following Rules concerning Fish may be of use to the Reader. First, That all fresh Fish should be eaten hot, and to eat less of Fish than of Flesh- meat. 2dly, Not to eat them too often, nor after great Labour and Exercise; for then they easily corrupt; neither should they be eaten after other solid Food. 3dly, Fish and Milk are not proper together; nor are Eggs to be used unless with Salt-Fish. 4thly, Great and slimy Fish are better pickled than fresh; and observe, that the clearer and deeper the Water is, the better are the Fish that are nourish'd therein. 5thly, Sea-Fish are whol- somer than fresh water Fish; for they are hotter and not so moist, and their Nourish- ment comes near that of Flesh-meat. 6thly, Of all Sea and River Fish, those are best that live in rocky Places; next to these, in gravel- ly or sandy Places, in sweet, clear, and run- ning Water, where there is no Filth: but those Fish are bad that live in Pools, muddy Lakes, Marshes, and in any still or muddy Water. 7thly, Amongst all the Fish both Sea Ch. VI. thro' the various Stages of Life. 193 Sea and River, those which are not too large are the best, and which have not hard and dry Flesh, that taste and smell well, and are crisp and tender, and have many Scales and Fins. 8thly, Fish are bad for cold and phlegmatic Constitutions, and only proper for hot and choleric People. The best Way of dressing Fish is to broil it; to boil it is the next, and to fry it is the worst. Eels for want of Exercise are fat and slimy; they are of a delicate Taste, and nou- rish very much; but they offend the Sto- mach, and are hard to be digested, and be- ing used too often, are apt to breed the Stone in the Kidneys and Bladder, and occasion the Gout and Spasmodic Disorders; therefore whoever eats much of them, and often, en- dangers his Health. Carp of all Pond-fish is certainly the best, and the most noble, being of a very pleasant and grateful Taste, and nourishes well, in whatsoever manner it is eaten. Lampreys are of great Nourishment; they are of a most delicate Taste, and are al- so Provocatives; but they are hard of Di- gestion, and bad for gouty People, and such as ate troubled with Convulsive Disorders. Pike is a clean, sound Fish, and nourishes very much; but is of hard Digestion. Sturgeon nourishes well, and excites Ve- nery; but is very hard to be digested. Of the Spawn or Row of this Fish pickled, is N made 194 A GUIDE to HEALTH Part II. made what is called Caveer, which excites Appetite, and makes Liquor relish well. Crabs and Lobsters are much of the same Nature; the Broth of them is good for thin and emaciated People, for they nourish very much; but they are, like all other Shell-Fish, hard to be digested. Oysters are very nourishing, and preferable to all Shell-Fish, and ought to be eaten al- ways before Dinner, and never to drink spi- rituous Liquors upon them, which harden them in the Stomach, and prevent their being digested. They are likewise very hard of Di- gestion when stew'd; therefore the Substance of them dressed in that manner is very im- proper for weak Stomachs. They cure the Heart-burn proceeding from Acidity or Sour- ness in the Stomach, and are proper Food in such, and many other Cases. Turbut, Soles, and Plaice, are highly com- mended among Sea-Fish; for they have de- licate Flesh, and afford very good Nourish- ment, are not easily corrupted, nor hard to be digested. Pearch are reckon'd fine Fish; but they have soft, moist, and tender Flesh; they nourish but little, and are full of Excremen- titious Juices, therefore they are not near so good as People imagine them to be. Tench are very nourishing, but hard of Di- gestion. Gudgeons and Smelts, of all small Fish are the best; they are wholsome Aliment, easily digested, Ch. VI. thro' the various Stages of Life. 195 digested, and may be as safely given to sick People as Whitings unless they are fry'd. Flounders are good wholsome Aliment enough, and proper now and then as a Change for sickly People, and weak Stomachs, as they are not hard to be digested. Salmon is grateful to the Palate, and very nourishing, affords good Juices, but is too luscious to make a hearty Meal upon it, or live on it for any considerable Time. Trout is delicate eating, nourishes very well; the biggest, and such as is bred in gra- velly Rivers, and sweet running Waters, is best. Trout is good for hot and young Peo- ple, but bad for those that are decrepid, and for phlegmatick Constitutions. Cod-Fish, when fresh and in Season, is very good Nourishment, and not hard to be di- gested; but if it be dry or Salt, it is gross Food, and of hard Digestion. Haddock is much of the same Nature, but drier, yet it affords very good Nourishment. Skate and Thornback are Fish of good Nourishment, and delicate eating, when rightly manag'd; for if they are newly taken and dressed, they are scarcely digestable even by the strongest Stomachs; but if they are too stale, then they smell Urinous, and are in a State of Putrefaction. Barbel is very pleasant to the Palate, and the little ones are better than the great, and such as live in stony Places, and clear running N2 Waters; 196 A GUIDE to HEALTH Part II. Waters; but their Flesh being hard, are not easily digested. The Roe of this Fish is care- fully to be avoided, it having the Quality of a strong Cathartick. Mackarel are very agreeable to the Taste; but their Flesh being hard, dry, and easily cor- rupted, is of little Nourishment, hard of Di- gestion, and therefore not proper Food for tender, weak, or sickly People. Herrings afford a great deal more Nou- rishment than the former; but their being so very hard of Digestion, renders them im- proper for every Body, except some hard la- bouring People. Sprats newly catch'd, and being either boiled or broil'd, afford good Nourishment, and are very agreeable to the Taste; but they are windy, and for that Reason not pro- per for such as are subject to Flatulency. Here it will be very necessary to give At- tention to the following Particulars in the Choice of our Aliments. 1. That those Vegetables and Animals that come soonest to Maturity, are lightest of Di- gestion: thus the Spring Vegetables, such as Asparagus, some Sorts of Sallading, and Strawberries, are more easily digested than Pears, Apples, Peaches, and Nectarines; because they have less of the Solar or Sun-Fire in them; for their Parts are united by a weaker Heat, that is, with less Velocity, and besides they contain little or no strong or fix'd Salts. 2. Among Ch. VI. thro' the various Stages of Life. 197 2. Among Animals, the common Poultry, Sheep, Kids, Hares, and Rabits, &c. which come to their Maturity, and propagate their Species in the same or a few Years, are much more tender, and readily digested, than Cows, Oxen, Boars, &c. for the Reason already given; and because their Parts cohere less firmly. And it is observable, that Vegetables which are longest in ripening, that is, whose Juices contain most of the Solar Heat in them, their fermented Juices produce the strongest vinous Spirits, such as Grapes, El- der-Berries, and the like: and that Animals, which are longest coming to Maturity, their Juices yield the most rank and most fœtid Urinous Salts. 3. That the larger and bigger the Vege- table, or Animal is in its Kind, the Food made thereof is the stronger, and harder to be digested. Thus a large Onion, Apple, or pear, and large Beef and Mutton, are har- der to be digested than the lesser ones of the same Kind; not only, as their Vessels being stronger and more elastic, their Parts are brought together with a greater Force; but also, because the Qualities are proportionably more intense in great Bodies of the same Kind. Thus a greater Fire is proportionably more intensely hot than a lesser one; and likewise, the Wine contain'd in a larger Ves- sel becomes stronger than that contain'd in a lesser, and consequently the Juices of larger Vegetables and Animals are more rank N3 than 198 A GUIDE to HEALTH Part II. than those of smaller ones of the same Kind. 4. Sea-Fish or Animal's, are harder to di- gest than Land Animals; because, generally speaking, their Food is other Animals; and the Salt Element in which they live, renders their Flesh more firmly compact, Salts having a stronger Power of Cohesion † than any other Bodies. And for the same Reason, salt- water Fish is harder to digest than fresh-wa- ter Fish. 5. Vegetables and Animals, that abound with oily, fat, and viscid Substance, are har- der to digest than those of a drier, fleshy, and more fibrous Substance; because oily and fat Substances commonly elude the Force and Action of animal Digestion, especially in such as have little Exercise and weak Stomachs; for their Parts attract one another, and unite more strongly than any other Substances, ex- cept Salts; inasmuch as their Softness and Humidity relax and weaken the Tone and Force of the Stomach, the Fat and Oil be- ing shut up in little Bladders, that are with Difficulty broken and separated. Thus Nuts of all Kinds, as they contain a great deal of Oil, pass thro' the Alimentary Duct almost undi- gested; for the same Reason, Olives are more difficult to digest than Pease, and fat Meat than the lean of the same. 6. That all Vegetables and Animals of a strong, pungent, and aromatic hot Taste, are harder ‡ Sticking together. Ch. VI. thro' the various Stages of Life. 199 harder to digest than those of a softer, mild- er, and more insipid Taste; because such Substances abound with a great deal of Salts, or an Oil extremely active and heating; for high Relish comes from abundance of Salts and exalted Oils. A great deal of Salts sup- poses such Vegetables and Animals as are a long time coming to Maturity; and where Salts abound, the Fibres are dryer, harder, and more firmly in Contact with each other; for that Reason they are more difficultly sepa- rated, and harder to be digested. But however, Sea-Salt, or Rock-Salt, being fixed and of the same Nature, of all Season- ings is the best, without which no Food is good, and is used by Mankind in their Ali- ments for the following Reasons. 1. That thereby the Food may descend easier into the Stomach, and render it more savoury. 2. Be- cause it resists Putrefaction; consuming by its Dryness, that Moisture whereby Putrefaction might have been occasion'd. 3. It excites the Appetite, and digestive Faculty, and pre- vents Nauseating. 4. It dissolves, attenuates, and dries up the superfluous Moisture, pro- vokes the Bowels to discharge the Excrements, and is therefore used in Clysters and Supposi- tories. Besides, as all animal Substance contain no fix'd Salt, they want the Assistance of those, in order to promote Digestion, which preserve them both within and without the Body from Putrefaction; and as these fix'd Salts pass unalter'd thro' all the Strainers of a N4 human 200 A GUIDE to HEALTH Part II. human Body, the moderate Use of them is very proper to preserve Bodies through which they pass from Corruption. But on the other Hand, the immoderate Use of Salt produces a Multitude of woeful Disorders; such as Melancholy, Vapours, and bad Nourishment; it dries up the Blood, and causes the Muriatick, or Briny-Scurvy, Scab- biness and Itchy Ring-worms or Tetters, and even the Leprosy, with a great many other foul Humours and Eruptions in the Face and other Parts of the Body; and likewise it occasions Obstructions in the Urinary Passages, which oftentimes produce Ulcerations, Stone, and Gravel in the Kidneys and Bladder. And it will easily appear, that Salt can produce all these bad Effects, if we consider that Salts consist of hard and plain Surfaces, and in all Changes recover their Figure, and unite the most firmly of all Bodies whatever; for their plain Surfaces bring many Points in- to Union and Contact, and their Hardness and constant Figure render them durable and un- alterable; and thereby the active Principle, and Origin of the Qualities of Bodies, if in a Strict Sense there be any such Thing as a Principle; and when they approach within the Sphere or Limits of one another's Activity, they firmly unite in Clusters, all which ren- der the Separation of their original Particles the more difficult, and by that Means they obstruct the cuticular Glands, which are the Emunctories or Strainers of the whole Body, thro' Ch. VI. thro' the various Stages of Life. 201 thro' which not only the peccant Humours pass, but likewise the greatest Part of the Li- quors we drink, after having convey'd the Aliments into the Blood, being part of their Office, and in the next Place to dissolve the saline or terrestrial Particles to be carried off thro' the Glands of the Skin and Kidneys. So that when Salts adhere and unite in Clusters in the excretory Ducts of the Glands of the Skin, or the Kidneys, in the former they stop and pen in between the Scales of the * Scarf-skin the excrementious Humours, which ought to be carried off by insensible Perspiration, and thereby corrode the Skin, and produce Scur- vies, and other cutaneous Eruptions; in the latter, they cause Inflammations, Ulcera- tions, Suppression of Urine, and, as I have ob- served before, Stone and Gravel. Thus we may plainly see, how the immoderate Use of Salt is capable of producing not only all the disorders already mentioned, but likewise a great many more in the animal Oeconomy, Honey is the most accurate or exact Pro- duction of the vegetable Kind, perform'd by the Bee, being a most exquisite vegetable Soap, resolvent of the Bile, balsamick and pectoral: It is likewise detersive and opening, provokes * It is the outermost Covering of the Body, and is that soft Skin which rises in a Blister upon any Burning, or the Application of a Blistering-Plaister. It sticks close to the Surface of the true Skin, to which it is tied by the Vessels which nourish it, tho' they are so small as not to be seen. 202 A GUIDE to HEALTH Part II. provokes Urine, and cleanses its Passages, and is excellent for old and phlegmatick People of a cold Constitution; for it warms the Sto- mach, moves the Body, resists Corruption, and breeds good Blood; but sometimes it causes Wind and Gripes in some Constitutions. Oil of Olives is sweet and pleasant, and very agreeable to Nature; and it is best when two Years old, and ought to be made of ripe Olives. Oil of Sweet Almonds, when fresh drawn, is next to it in Goodness, and much properer for Sick People, it being of a cooler Nature, and more easily digested, tho' not so agreeable to the Palate. Oil fattens, and taken in great Quantities, is excellent to expel Poison by vomiting, and by sheathing the Coats of the Stomach from its corrosive Salts; but eating Oil too often destroys the Appetite, because all Oils are very hard to be digested, as I have already proved. Vinegar: The best is that which is made of the best Wine: It is an Acid of very pe- culiar Quality, different from that of all other Acid; for it is cooling, and yet not coagu- lating; for it gently dilutes the Serum of the Blood, as has been often proved by Experi- ments. It is inciding, digestive, and opening. It is good against the Redundancy of Bile, and to extinguish the Heat of Choler and Thirst. It strengthens the Gums, excites the Appetite, removes Obstructions, helps Diges- tion, and is good for hot Stomachs, and re- sists Ch. VI. thro' the various Stages of Life. 203 sists Putrefaction; therefore it is very useful a- gainst pestilential Diseases, especially in Time of the Plague: But too much Use of it breeds melancholy Humours, injures the Nerves, emaciates some Constitutions too much, offends the Breast, and makes People look old and withered, with pale Lips. CHAP. VII. Of the Power of Aliments upon human Bo- dies, with their good and bad Effects. ALL Bodies which can be changed into the Fluids and Solids of our Bodies by the animal Powers, are called Aliment, as has been observed in the first Paragraph of Chap. VI. And to take it in the largest Sense, by Aliment is understood every Thing which a human Creature takes in common Diet, as Meat, Drink; and Seasoning, as Salt, Spice, Vinegar, &c. Our Food therefore consists, not only of such Particles as are proper for the Nourishment and Support of the Body, but likewise contains in it certain active Principles, such as Salts, Oils, and Spirits, &c. which are endued with such Properties, as both to vellicate and sti- mulate the Solids, to quicken the Circulation, and by attenuating the Fluids, render them more 204 A GUIDE to HEALTH Part II. more fit to undergo the necessary Secretions of the Body. The Art then of preserving Health, and obtaining long Life, chiefly consists in a Mediocrity of such Diet as neither increases the Salts and Oils, so as to produce Distem- pers, nor too few, so as to suffer the Solids to become too much relaxed; and if this desirable Medium be attained, by following the common ordinary Diet of the healthiest People in any Country or Climate; that is then, indisputably, the best Method in general to prefer Health. For it is certainly true, that the infinitely wise Creator has provided Food proper and peculiar to every Country and Climate, which is best for the Support of the Creatures he has placed therein, as may be seen by the Chear- fulness and Health of the middling Sort of People of all Nations, who use only a simple Diet, without lusting after voluptuous or fo- reign Delicacies. Yet the Diseases of human Bodies often require Substances of more active Principles than what are found in common Aliment, in order to produce sudden Altera- tions; but where such Alterations are not necessary, the same Effect may be obtained by the repeated Force of Diet, with more Safety to the Body, where the sudden Changes are less to be apprehended. The smaller Ac- tivity of the Aliment is compensated by its Quantity; for according to the Laws of Mo- tion, if the Bulk and Activity of Aliment and Medicines are in reciprocal Proportion, the Ef- fect will be the same; for they both only bring about Ch. VII. thro' the various Stages of Life. 205 about the Effect, by acting either upon the So- lids or Fluids, or upon both; upon the first, by stimulating, contracting, or relaxing; upon the last, by attenuating, coagulating, or ren- dering them acrimonious or mild, or by in- creasing or diminishing their Motion through the Vessels. That all these Actions can be performed by Diet as well as Medicine, is evident from Reason, Experience, and in some Cases by ocular Demonstration; as in Chirurgery, in Wounds and Sores, where the Influence of Diet upon them is plainly seen; for a Diet too relaxing weakens the Spring of the Ves- sels so much, that they cannot sufficiently re- sist the Influx of the Liquid, and so begets a a Fungus, or proud Flesh; and when too as- tringent, it produces a Cicatrice, or callous Substance. The Effects of warm Water and mealy Substances in relaxing; of Spirits, in stopping Hæmorrhages, or Fluxes, and conso- lidating the Fibres; the Power of Alkaline Absorbents in subduing Acidity, and Oil in stopping Perspiration, is very well known to both Physicians and Chirurgeons. All those Substances which stimulate the solid Parts, produce the greatest Alterations in animal Bodies; for violent Sneezing pro- duces Convulsions in all the Muscles of Re- spiration, and an universal Secretion of all the Humours, as Tears, Spittle, Sweat, Urine, &c. And even all this Alteration can be pro- duced by the tickling of a Straw or Feather; there- 206 A GUIDE to HEALTH Part II. therefore acrid or sharp Substances, that are minute enough to pass into the capillary Tubes, must stimulate the small Fibres, and irritate them into greater Contractions. And many Things which we take as Food, or with our Food, have this Quality in some Degree: Such as the Juices of acid Vegetables, fermented Liquors, especially sharp Wines, and ferment- ed Spirits; aromatical Vegetables, as Savory, Fennel, Thyme, Garlick, Onions, Leeks, Mus- tard, all which abound with a volatile pungent Salt; and, in short, all Spices in general, and all Vegetables, which being corrupted, easily re- solve themselves into a fœtid, oily, alkaline Substance. The solid Parts of an animal Body may be contracted variously: First, by dissolving their Continuity. For as a Fibre is cut through, it contracts itself at both Ends; therefore all Things that are so sharp as to destroy the small Fibres, must contract them. Secondly, Whatever empties the Vessels, gives Room to the Fibres to contract; so that Abstinence produces this Effect in the best Manner: And whatever shortens the Fibres, by insinuating itself into their Parts, as Water in a Rope, contracts them; and fermented Liquors pos- sess this Quality in a great Degree. The more sulphurous or chymical Oil any Spirit contains, the more pernicious it proves to the human Body, because it is harder to be wash'd away by the Blood; therefore Brandy is more easily carried off than Spirit of Ju- niper; Ch. VI. thro' the various Stages of Life. 207 niper; and that than Spirit of Annise-seed or Rum. Compound aromatical Spirits destroy, first, by their fermentative Heat; 2ndly, By their oily * Tenacity: 3dly, By a caustic Quality residing in all Spices apt to destroy the solid Parts. However these Qualities may tender them proper in some Cases, taken in small Quantities. Austere acid Vegetables have this Quality of contracting and strengthening the Fibres, without a great many of the bad Effects of distilled Spirits, such as all Sorts of Sorrel, the Virtues of which consist in an acid, astrin- gent Salt, which is a Sovereign Remedy a- gainst a putrescent, bilious Alkali; and seve- ral kind of Fruits, as Quinces, some Sorts of Pears, with the Marmalades made of them; likewise Medlars, Capers, Barberries, Pome- granates, and Purslain, all such are easily distinguish'd by a rough and styptic Taste. And amongst Drinks, austere Wines, unripe Fruits likewise have the same Quality; but they are apt to cause foul Eruptions on the Skin, to obstruct the Nerves, and occasion Palsies. Relaxing the Fibres, is rendering them flexible, or easy to be lengthen'd without Rup- ture or Breaking, which is perform'd only in the capillary vascular Solids. Of all Liquids endued with this Quality of relaxing, warm Water is the first; and next to it, the watery Decoctions and Infusions of Mealy * Adhering or sticking together. 208 A GUIDE to HEALTH Part II. of Mealy Vegetables, or Grains, as Oats, Bar- ley, &c. likewise all sweet and mild Garden Fruits, and almost all Pot-Herbs, as Spinage, Beets, Cabbage, Coleworts, and all that Class; lactescent Plants, such as yield a milky Juice, as Lettuce, Succory, and Dandelion, if un- fermented, for Fermentation changes their Nature; also fresh oils of mild Plants, or Nuts, Cream, Butter, Marrow, and Whey; all which Things help to weaken and relax the Fibres, and are therefore proper Reme- dies for a too rigid, strong, or elastic State. The Qualities of the Fluids of a human Body can be likewise chang'd by Diet; as by attenuating or diminishing the Cohesion of the Particles of the Fluid: and the Cohesion of the Particles depends upon the Weight and Quantity of Fluids; therefore Abstinence and a slender Diet attenuates or thins them, be- cause emptying the Vessels gives room to the Fluid to expand or dilate itself. Besides, whatever penetrates and dilutes at the same Time, as Water impregnated with some pe- netrating Salt, attenuates very powerfully; and the great Effects of medicated Waters may be justly ascrib'd to this Quality; likewise all saponaceous Substances composed of Oil and Salt, such are Honey, and the Robs and Gellies of most Fruits; Vinegar and Honey mix'd is a powerful Resolvent. All stimula- ting Substances, by increasing the Motion of the Blood, attenuate, unless they increase the Motion Ch. VII. thro' the various Stages of Life. 209 Motion so much, as at last to produce Coagu- lation. The second manner of operating upon the Fluids is by thickening the Blood, which is perform'd by dissipating the most liquid Parts of it by Heat, or by insinuating some Sub- stances which make the Parts of the Fluid cohere more strongly: and the acid, au- stere Vegetables just now mention'd, have this Quality of condensing the Fluids, as well as strengthening the Solids. Another manner of operating upon the Fluids, is by increasing or lessening their Quantity: and the first is effected by a plen- tiful Diet, and the Suppression of Evacuations; the latter, either by a spare Diet, or promo- ting the animal Secretions, that is, expelling the Fluids out of the Body; which may be perform'd by Substances that are laxative, as animal Oils, fresh Butter, Cream, Marrow, or fat Broth; the Oils of mild Vegetables, as that of Olives, Almonds, and the Fruits themselves; likewise all oily and mild Fruits, as Figs, and most Garden Fruits, by the Salts they contain, lubricate the Intestines; and some saponaceous Substances which stimulate gent- ly, as Honey, Hydromel, or boil'd Honey and Water, and even brown Sugar. Besides, Sub- stances that are diuretick, are proper for this Intention, such as Whey, and Salts of all Kinds, Parsley, Celery, Sorrel, Chervil, As- paragus, Eringo, and Nutmegs, &c. O Acrimony 210 A GUIDE to HEALTH Part II. Acrimony or Sharpness is not natural, but introduc'd into the Fluids of animal Bodies, either by Sickness, as in Cachexies, or ill Habits of Bodies, and Scurvies, &c. or by Diet that is either briny or acid, which con- sists of two Sorts, that is, of Things natural- ly acid, or render'd so by Fermentation; or alkaline aromatick Substances, consisting of Salts, and highly exalted Oils intimately uni- ted, which by increasing the Velocity of the Blood beyond what is natural, occasions an Attrition of the Parts, and thereby disposes the Blood and Juices to an alkaline Acri- mony. But the Juices of found Animals consist of Water impregnated with Salts of a peculiar Nature, which are neither acid, nor perfect- ly volatile; for, in the Evaporation of hu- man Blood by a gentle Fire, the Salt will not rise, but only the Spirit and Water, nor per- fectly fix'd; for human Blood calcin'd, yields no fix'd Salt, nor is it a Sal Ammoniac; for that remains immutable after repeated Distil- lations, and Distillation destroys the ammonia- cal Quality of animal Salts, and turns them alkaline. So that it is a Salt neither quite fix'd, nor quite volatile, nor quite acid, nor quite alkaline, nor yet quite ammoniacal; but soft and benign, approaching nearest to the Na- ture of a Sal Ammoniac. Hence we may easily perceive, that the elementary Salts of found Animals are not the same as they appear by Distillation; for these Alte- Ch. VII. thro' the various Stages of Life. 211 rations are produc'd by Fire: and those Salts are of a peculiar, benign and mild Nature in healthy Persons, who have * vital Force to subdue all the Substances they feed upon; but in such who have not that vital Force, or commit some Errors in their Diet, these Salts are not sufficiently attenuated, and retain their original Qualities, which they discover in Cachexies, or ill Habits of Bodies, Scurvies of several Kinds, and many other Distempers; the Cure of which chiefly depends upon the Choice of Aliment with Qualities opposite to the Nature of these Salts. Acrimony in the Blood commonly consists of three Sorts, according to the Nature of the Salts in which it resides; that is, either Acid, Alkaline, Muriatic, or briny, as in the Sea- Scurvy; but this last approaches more towards the alkaline State, and admits of the same Cure. Acid Acrimony resides chiefly in the first Passages, that is, the Stomach and Inte- stines, proceeding often from the Weakness of Digestion, and the too long Duration of Vegetables, and Milk, or fermented Liquors the Stomach. All animal Substances are alkalescent; and of Vegetable Substances some are acid, others alkalescent, and each Sort is to be used according to the two different In- tentions hereafter mention'd. O2 The * By vital Force, is understod the Sum of all these Pow- ers in an animal Body, which convert; his Aliment or Food in- to its own Nature. 212 A GUIDE to HEALTH Part II. The proper Diet for the Cure of the acid Acrimony, are Vegetables of all Kinds, as Garlick, Onions, Leeks, and Celery; the an- tiscorbutick Plants, as Cresses, Brooklime, Scurvygrass, &c. Carrots, Turnips, Pota- toes, Eringo Roots, Asparagus, Horse-radish, Mustard, and Cabbage. All animal Substan- ces being likewise Alkalescent, or contrary to Acidity, are also very proper Food in this Disorder, more particularly all Fishes of the Shell-kind. Water, by its diluting Quality, subdues Acidity very powerfully. Oils are Anti-acids, so far as they blunt Acrimony; but as they are sometimes hard of Digestion, they may produce Acrimony of the alkaline Sort. The alkaline Acrimony being opposite to the former, is cur'd by a proper Diet made of the Decoctions of farinaceous or mealy Substances, especially such as are made of Oats are proper, as having an acescent Qua- lity. Therefore this alkaline Acrimony requires a plentiful Use of Vinegar, and acid Fruits, such as Oranges, which contain a Juice most effectual in the Cure of the muriatic or briny Scurvy of Sea-faring People; the Juice of Lemons is likewise proper, and more cool- ing and astringent than that of Oranges: and in this Case all the mild Antiscorbuticks are indicated, as Sorrel, Cichory, Endive, Lettuce, and Apples, &c. and of Liquids Whey. On the contrary, all the acrid Antiscorbuticks, as Horse-radish, Mustard, and Scurvygrass, &c. are very hurtful in this, and all other hot Scurvies. Other Ch.VII. thro' the various Stages of Life. 213 Other Sorts of Antiscorbuticks proper in this alkalescent State of the Fluids, are called Astringents, such as Pomegranates, Capers, and most of the common Pickles prepar'd with Vinegar, And as the Extremity of Al- kali is Putrefaction; so all acid Substances, and Sea-Salt, resist such a putrescent Quality in the Fluids; but as the latter is a sharp solid Body, and unalterable in all the Circulations of the animal Body, and when it is taken constantly in a Diet of Salt Meat in too great Quantities, (as I have taken Notice of in the latter End of the preceding Chapter) it breaks the Vessels, produces Erosions of the solid Parts, and all the Symptoms of the briny Sea-Scurvy, which is to be cur'd by acid Ve- getables, and not by the hot Antiscorbutics, as I have just now observ'd. There are other Sorts of Substances which are proper in the Cure of both Sorts of Acri- mony, which are demulcent or mild, because they sheath these sharp Salts, as farinaceous or mealy Pulse, such as Pease, Beans, Len- tils; native Oils of Animals, as Cream, But- ter, Marrow. Likewise all Plants that are without Smell or pungent Taste are demulcent; and also all the alimentary Parts of found Ani- mals; for none of their Juices will hurt or smart either the Eye or a fresh Wound. As Liquors make a considerable Part of our Aliment, it will not be improper to give a short Account of their principal Qualities in O3 this 214 A GUIDE to HEALTH Part II. this Place, before I treat of different Consti- tutions, with the Diet proper for each in Par- ticular. Drink being an essential Part of our Food, is either Water, Milk, or Whey; or ferment- ed Liquors, such as Malt Liquors of different Sorts, Cyder, Wines, or a Mixture of these: And as the chief Intentions of Drink are, 1st, To moisten and convey our Food into the Stomach, and the Nutriment thereof to the respective Parts of the Body, and to allay Thirst; 2dly, To dilute the Blood, that it may circulate through the minutest Vessels; 3dly, To dissolve and carry off; by Urine and Perspiration, the superfluous Salts we take in our Food, which are unalterable in a human Body, as I have observ'd in one or two Places already: so pure Water answers all these Intenti- ons best, except in some few Cases hereafter mentioned; for no Liquor that we drink will circulate so well, or mix with our Fluids so im- mediately as Water; because all other Liquors we drink are impregnated with Particles that act strongly either upon the Solids or Fluids, or both; but as Water is the only simple drinkable Fluid, and being altogether inac- tive, so it is the fittest and most innocent Li- quor for diluting, moistening, and cooling; which are the chief Ends of Drink pointed out to us by Nature: Besides, nothing will dissolve Salts and carry what is superfluous of them out of Body, so well as pure Water, that Ch. VII. thro' the various Stages of Life. 215 that being the proper Menstruum or Vehicle for dissolving all Kinds of Salts. The benign, mild, and other useful Qua- lities of Water plainly shew, that it was de- sign'd by the most wise Creator for our com- mon Drink; and, without doubt, was the primitive original Drink: And happy had it been for Mankind that other mix'd and arti- ficial Liquors had never been invented; for Water is so necessary to our Subsistence, that we could not live a Moment without it; be- cause this Element furnishes all the fluid Parts of our Humours, without which they could not circulate; and it dissolves all the Salts in the Blood, whereby some are carried to their pro- per Places within the Body, and others to proper Emunctories for their Expulsion from it. It serves to prepare our Food, and then for a Vehicle to convey it out of the Stomach into every little Meander of the Body, both for Health and Nourishment: So that Water alone is sufficient and effectual for all the Purposes of human Wants as to Drink. Therefore it is evident from what has been said, that Water is the best and most whole- some Drink in general; but in some Constitu- tions, where something is necessary to warm and act as a Stimulus, then fermented Li- quors taken in Moderation are proper, such as Beer, Ale, Cyder, Wine, &c. the Quan- tity and Choice of which depends upon the Age, Constitution, and Manner of Living of the Drinker; for in Youth, Milk, Water, or O4 Whey 216 A GUIDE to HEALTH Part II. Whey are the properest, and in a middle Age a little more generous Liquors may be some- times allow'd; but most of all in old Age; for according to the old Saying, Lac senûm est Vinum, Wine is old Men's Milk. As to Malt Liquors, small Beer well boil- ed, and of a due Age, is the best for common Drink; otherwise it must be very hurtful to Persons of weak Nerves and flow Digestion; for by fermenting anew in the Bowels it will fill the whole Cavity of the Belly with Fumes and Vapours, which will at last produce very bad Effects in a weak Constitution. As for strong Beer, it should be made of Water that will bear Soap; be well hopp'd and boil'd, that it may keep till all the gross and viscid Parts fall to the Bottom of the Vessel, without the Help of any pernicious Composition for fining Liquors, too frequent- ly made Use of to the Destruction of thou- sands; for it is very notorious, that all your fine Ales, or Home-brew'd, as they are call'd, have neither due Age or Hops enough to cla- rify of their own Accord, being brew'd one Week and drank the next, or soon after; so that the Seller is obliged to have Recourse to some Art or other to fine them down, which is very often with unslack Lime, or at best a Mixture of Ising-glass *, and other Ingredients * Is a very strong Glew, made of a Kind of Fish catch'd in great Quantities in Rivers in Hungary and other Parts: It is used by Cabinet-makers, and sometimes ordered as a Medicine to stop Fluxes and Seminal Weaknesses; but it is very improper for Ch. VII. thro' the various Stages of Life. 217 very destructive, if not poisonous, to many Constitutions: Besides, these Liquors are of so agglutinating and thickening a Nature, as to produce Stone, Gravel, Gout, Bloatedness, and great Thirst, with the Loss of Appetite: And to prove the agglutinating Qualities of all such Liquors, it is experimentally known, that they make excellent Bird-lime; and when simmer'd for some Time over a slow Fire, make the most sticking and best Plaister for old Strains. We have likewise convincing Reasons to have the same Opinion of the Yorkshire, Not- tingham, and Welch intoxicating Ales; and, in short, all fine Ales brew'd for Sale: For it is certainly true, that all these fine Liquors, far fetch'd and dear bought, have always some- thing in their Composition hurtful to our Con- stitution, more than meer Water, Malt, and Hops; therefore I would advise all those, who have any Regard for their own Health or Lives, to avoid, as much as possible, the use of all such Liquors, and more especially the valetudinary, sedentary, studious, and contem- plative People; and, in fine, all such as have weak Nerves and slow Digestion. As the frequent Use and Excess of Drams, or distill'd Spirituous Liquors, is a Vice of so horrid for such as are otherwise in good Health; for the constant Use of it will produce Gravel, Stone, Blotches, and Eruptions on the Skin, by glewing up as it were the Urinary Passages, and likewise stopping insensible Perspiration; and, in short, it will produce the same bad Effects in human Constitutions, as the common Glew used by Joyners and Carpenters. 218 A GUIDE to HEALTH Part II. horrid a Nature in itself, and now become epidemical, not only among Mechanicks and Tradesmen, but among Persons of the brightest Genius, and finest Taste and Accomplish- ments; and, alas! even among the finest Part of the Creation, I mean the Fair Sex; and those of them too, which is still more a- stonishing, who are in all other Respects blameless, and of the strictest Virtue! I say, as the Case is so, it will not be improper to explain the poisonous Qualities and direful Ef- fects of such pernicious Liquors, which de- stroy Millions, both in Body and Soul. Let us then consider, that distill'd Spirits are but an Accumulation of fine Salts and light Oil, compacted together into the smallest Bulk; the Salts are so hard and solid as naturally to re- tain their Heat and Activity the longest, into which Water cannot enter; the Oil † is so inflammable, that it most readily receives Heat and Fire, and by that Means defends the Salts from the Power of Water over them: So that in the continued Distillation of Spirits, this † They are guilty of a gross Error, who imagine that the more oily any distill'd Spirit is, the more wholsome it will prove to the Constitution; for they do not consider that it is a very subtile, sulphurous, chymical, inflammable Oil, blended with Portions of very fine Salts, raised by the Force of Fire, and that it is quite different in its Nature and Quality from the benign and pectoral Oil of Olives or Sweet Almonds, or any other express'd Oils produced without Fermentation or Fire. Hence it is evident that Rum, or double-distill'd Spirit of Annise-seeds, and Spirits distill'd from aromatick Plants, are much more difficult to be digested and carried off than Brandy, or Spirit of Juniper; and that for no other Reason, than that they contain too great a Quantity of burning Oil. Ch. VII. thro' the various Stages of Life. 219 this Action of the Fire is so strong as to re- duce the Spirits at last into liquid Flames, which will, of their own accord, evaporate in visible Flames and Fumes. Besides, it is observable that every Thing that has pass'd the Fire so long a Time as to divide and penetrate its Parts as far as it pos- sibly can, retains ever afterwards a corrosive and burning Quality. This is manifest from the firey and burning Touch and Taste of new- distill'd Spirits; as also from the burning of a Lime-stone, which retains its heating and drying Quality ever after, tho' extinguish'd by Water. Hence it will manifestly appear, that run- ning into the frequent Use and Habit of Dram- drinking will as certainly kill as Laudanum, or Arsenick, tho' not so soon; for such Li- quors contract, harden, and consolidate many Fibres together, abolishing many Vessels, or Canals in the Body, especially where the Fi- bres are the tenderest, as in the Brain, by which Quality they destroy the Memory and intellectual Faculties, abrade and wear off the villous Coat of the Stomach, and thereby ex- pose its nervous Coat to the Insults of the most firey, corroding, saline, and caustick Particles of the Spirits; by which means the Springi- ness or Elasticity of the Fibres is so weakened, that the whole Stomach becomes at last soft, flabby, and relax'd. Hence a Loss of Appe- tite, and an Inability to digest the small Quan- tity of Food that is taken in; whence arise Cru- 220 A GUIDE to HEALTH Part II. Crudities, Nauseas, Vomitings, Tremors, ner- vous Convulsions, Consumptions, Dropsies; likewise Gout, Stone, Rheumatism, raging Fe- vers and Pleurisies, which for the most part nothing but Death alone can remove at last. What a melancholy Scene do we daily be- hold, in all Parts of this great Capital, of Numbers of miserable Creatures, render'd not only useless to themselves, to their Families, Friends and Relations, but likewise burthen- some to the Publick, and a Scandal to both Chri- stianity and the rest of their Fellow-Subject! And all this great Calamity entirely ow- ing to the Folly of a bewitching Habit of Dram-drinking. And what is still most sur- prising, we see even the Moral, and the Sen- sible, bound in these Chains and Fetters, that nothing less than Almighty Grace, or the un- relenting Grave can release them; for they are deaf to Reason, and to their own Experi- ence, and even to the express Words of the Scripture, which says, That the Drunkard shall not inherit the Kingdom of Heaven. From this Doctrine it will appear, to the Evidence of a Demonstration, that next to Drams, no Liquor deserves to be stigmatized and detested more than Punch; for it is a Composition of such Parts, that not one of them, except the pure Water and Sugar, is wholsome, or friendly to any Constitution, espe- cially to valetudinary, tender, weak, and studious People. The chief Ingredient being either Arrack, Rum, Brandy, or Malt-Spirits, and all Ch. VII. thro' the various Stages of Life. 221 all of them rais'd by Fire, from the fermented Juices of Plants brought from hot Countries, or which have born the Heat of the Sun longest in our own Climate; for it is observable that Vegetables, whose Juices have most Solar Heat in them, their fermented Juices yield the strongest Spirits in Distillation. The other principal Part of the Composition being sour Juice of unripe Oranges or Li- mons. And if we consider, that the Juice of a Crab-Apple, of unripe Goosberries, or Grapes, or even the Juice of Sorrel, would come up at least to their Virtue in extinguish- ing the Heat of the burning Spirits, if not to their Flavour; And yet every body who is not depriv'd of his Senses, must know how destructive an Ingredient such Juices would be to the fine Fibres of the Stomach and Bowels. For it is evidently true, even from Experi- ence, that all fermenting Juices, such as these are in a very great Degree, must be highly injurious to the human Constitution; for meeting with Crudities in the Bowels, they must raise a new Struggle or Fermentation there, and so fill up the whole Cavities of the Body, with acrid Fumes and Vapours, which is ex- tremely prejudicial to the Bowels, especially when the Constitution is tender and weak. And in the West-Indies, where the People are forced to drink much Punch, by reason of the Violence of the Heat, and for Want of other proper Liquors there, tho' the Limons and 222 A GUIDE to HEALTH Part II. and Oranges are in full Perfection, yet the Inhabitants are universally afflicted with ner- vous and mortal Dry-Gripes, Cramps, Pal- sies, and Convulsions, which kill them in a few Days, and all intirely owing to this poisonous Mixture, Punch. Notwithstanding what I have advanced against the deliterious † Qualities of Drams and Punch, at least when taken for any Con- stancy, or in any great Quantity, for some Poisons are only so by their Quantity, yet I would not be understood here to discourage the innocent Means of enlivening Conversa- tion, promoting Friendship, comforting the Sorrowful, and raising the drooping Spirits, at proper Times with a chearful Glass of some good wholsome Liquor or other; for the Sober can receive no Prejudice from a mode- rate Use of Liquors: On the Contrary, it will help to invigorate and re-establish the Constitution, especially after the Fatigues of Labour or Study. Neither am I against the taking a proper cordial Dram sometimes, as in an actual Fit of the Colick or Gout in the Stomach; or upon a full Meal of Fish, Pork, &c. when a Glass of good Wine cannot be had. But the Frenzy of being given to the too frequent Use and Excess of Liquors, is abo- minable; for a Sot is the lowest and the most contemptible Character in human Life; and as for the Profligate, the Sensual, and Vo- luptuous, † Poisonous. Ch. VII. thro' the various Stages of Life. 223 luptuous, they are past reclaiming, and there- fore deserve no Advice, at least they will take none. However, I present them here with a short Sketch of the Effects of Drunkenness, to contemplate upon at their Leisure, if they can spare any Time from the bewitching Folly of sotting and drinking. The Effects then of Drunkenness render the Blood inflamed into a Gout, Stone, and Rheumatism, raging Fevers, Pleurisies, Small- Pox, or Measles. 2. The Passions are enraged into Quarrels, Murder, and Blasphemy; the Juices are dry'd up; and the solids scorched and shri- velled. 3. A Resolution of the Nerves, Cramps, and Palsies. 4. Inflation of the Belly and Dropsies. 5. Redness and Rheums, with an Inflamma- tion in the Eyes. 6. Tremblings in the Hands and Joynts, Head-Aches, Quinsies, and Scurvies of all Kinds. 7. Sicknesses at the Stomach, with four Belchings, Reachings and Vomitings. 8. A furious and unmanageable Disposition to Lust, which hurries them to the base and sordid Company of Harlots, and impure Wo- men, by whose Means they most commonly acquire a foul Disease, under which they often labour for the greatest Part of the Remainder of their Lives, in Shame and Tor- ments; 224 A GUIDE to HEALTH Part II. ments; nay some become incurable, and even rot by Piece-meal, before their Dissolution. 9. A Decay of Memory and Understanding, Loss of Credit and Reputation. 10. An Unfitness for Business, or the Dis- patch of the Affairs of Life; and a Readiness of discovering all Secrets. These, with a great many more, are the bitter Fruits of Drunkenness, even in this Life; and in the next, according to the express Words of holy Writ, will be re- warded with everlasting Miseries, as being thereby excluded the Kingdom of Heaven. A short Account of different Wines in gene- ral. As it would be endless to enter into a long Account of the diffe- rent Qualities of all Sorts of Wines, therefore I shall only say in gene- ral, that all the light Wines, of a moderate Strength, due Age, and full Maturity, are much more wholsome for the Constitution, and preferable for Conversation, Cheerfulness, and Digestion, than the rich, hot, strong and heavy Wines: For the light Wines inflame the Juices of the Body less, and go off the Stomach with less Difficulty; they likewise afford longer Time for Conversation and Cheerfulness, with less Danger. Red Port Wine is strong and astringent; but white Port and Spanish Wines are stimu- lating and attenuating. French Wines are lighter, and not so strong as the Portugal and Spanish Wines; which renders them 2 whol- Ch. VII. thro' the various Stages of Life. 225 wholsomer for thin and dry Constitutions. Fine old Rhenish and Moselle Wines are very wholsome, especially the Former, which is exceedingly good for most Constitutions. Strong made Country Wines are prejudicial to all Constitutions, being very windy, heavy, and heady, taken in any considerable Quan- tity; therefore it is surprising the extreme Fondness People of the better Sort in England have run into, for such Liquors; and for no other Reason that can be thought of, than the only one the Vulgar give for drinking Brandy or Gin, that they sooner intoxicate them. The last Thing I have to say concerning Liquors, is, that Wine, and all other strong Liquors, are as hard to digest, and require as much Labour of the concoctive Powers, as solid and strong Food itself; and this is not only evident with respect to Persons of weak Stomachs and Digestion, but also from strong and healthy People, who only drink either water or Small Beer at their Meals, and shall be able to eat and digest almost double the Quantity of what they could, did they drink strong Liquors. Therefore it appears very Plain, that we should always drink very little strong Liquors at our great Meals, otherwise we must certainly impair the Constitution, and load it with various Diseases at last; for such Liquors, by their Heat and Activity, hurry the Food unconcocted into the Habit of the Body, and by that Means lay a Founda- P tion 226 A GUIDE to HEALTH Part II. tion for Fevers, Colicks, and several chronical Distempers. CHAP. VIII. Of different Constitutions, the Diet proper for each. ALthough I have given an Account of Tem- peraments or Constitutions in general in the Begining of Part I. Chapter I. of this Treatise; yet it will be necessary to treat of them in a more peculiar Manner in this Place, that every one may easily know the Nature of his own in particular. And as I have explained the Na- ture and Qualities of Aliment, in the two preceding Chapters, with their good and bad Effects upon human Bodies, it will be like- wise necessary to lay down Rules of Diet pro- per for each Constitution in particular, in this Chapter, by which Means it will not be diffi- cult for any one to observe a sure and easy Method in regard to what may be either use- ful or prejudicial to his own Constitution in particular, in order to preserve Health and prolong Life; or when impair'd, to restore it again, which are the chief Ends of the noble Art of Physick. A general Method as to Diet, without re- gard to particular Constitutions, is absurd. 3 The Ch. VIII. thro' the various Stages of Life. 227 The most common Difference of human Constitutions proceeds either from the solid † Parts, or from the different State of the Fluids, (as I hinted in the first Part of this Book.) From the former, as to their different Degrees of Strength and Tension; for in some Constitutions they are too lax and weak, in others they are too strong and elastick; from the latter, as they consist of Water, Spi- rit, Oil, Salts, and earthy Parts, they differ according to the Redundance of the Whole, or of any of the said Ingredients in particular; and for which Reason they may be justly called either plethorick, sanguine, phlegmatick, saline, oily on fat, earthy or melancholick Con- stitutions. The Fibres of the Solids in a human Body are too weak and lax, when the Cohesion of their Parts is so small, that they may be re- solved or broken by a Force not much greater than what happens commonly in the Body of a healthy Person; and when the Weakness of the Vessels or Organs, proceeding from a too small Cohesion of their constituent Parts, renders them unable to discharge the com- mon Functions of Life, consider'd in a State of Health. And notwithstanding there is a Debility or Weakness of Fibres in Infants, yet it is no P2 Disease, † The Solids of an animal Body are composed of small Fi- bres or Threads, which may be divided into still less; and this Division proceeds so far, as that at last they become so incre- dibly small, as to exceed the Power of Imagination; but Reason tells us that there must be an End at ast. 228 A GUIDE to HEALTH Part II. Disease, because they lengthen by the Influx of the Liquids, which is the Cause of their Growth; but in grown Persons, when their Fibres cannot any more give way or stretch, they must either break or lose their Spring. The common Causes of Weakness of the Fibres are, either a Defect or great Loss of the nutritious Juices; for if there is not a Sufficiency of Blood, the Chyle cannot be ea- sily assimilated to nourish the Fibres. And People who lose great Quantities of Blood daily, by Blood-letting or otherwise, become dropsical; for when a Fibre, which is natu- rally elastick like a Bow, loses its Spring, it is only passive, and consequently useless to the Individual. Likewise Nourishment too glu- tinous or viscid to be subdued by the concoc- tive Powers of Digestion. Also a sedentary and lazy Life; for Motion or Exercise en- creases the Circulation of the Fluids, and of Course an Application of the solid Parts to- gether. People who live healthy in a dry Air, commonly fall into Diseases that depend upon weak and relax'd Fibres when in a moist one. Lastly, a natural Weakness from the Frame and Constitution of the Body, which is too often the Case. The Sign of weak and lax Fibres are, a weak Pulse, Paleness, flabby and soft Flesh, Palpitations of the Heart, Bloated- ness, Lassitude, and scorbutical Spots; Coldness of the Skin, four Belchings upon taking vegetable Food, or foul Eructations, like that of The Signs of weak Fibres. rotten Ch. VIII. thro' the various Stages of Life. 229 rotten Eggs, after eating animal Food, are also Signs of weak Fibres in the Organs of Diges- tion; likewise Atrophy, or a Decay of the Flesh, which indicates a Destruction or Ob- struction of the Vessels that convey the Nou- rishment; and Dropsies proceed from a Weak- ness and Laxity of the Fibres, as having lost their Elasticity or Springiness to return the Fluid. And, in short, most of all the chro- nical Diseases proceed from Weakness and Laxity of the Fibres. Therefore the chief In- tention of Cure must be to restore the Tone of the solid Parts; for all other Attempts, without this, will prove fruitless. So that they who have weak Fibres ought to forbear all great Evacuations, especially Bleeding, viscid Substances, and all other Food hard of Digestion; they Should likewise avoid a sedentary Life and moist Air as much as possible: They should eat often, but in small Quantites, of such Things as are nourishing, and of easy Digestion, as Milk, Broth, and Jellies made of Flesh Meat, Rice Gruel, Pa- nadas, &c. And their Drink should be some of the light Wines of due Age and Maturity, mix'd with Water, for Water alone is too re- axing; or any good Wine with acidulated and Steel Waters, such as Pyrmont or Spaw, &c. They should likewise use in their Diet austere or acid Vegetables, if their Stomachs can tolerably bear them; such as Pears, Plumbs, Quinces, Pomegranates, Barberries, Medlars, Sorrel, Purslain, Burnet, Tama- P3 rinds. 230 A GUIDE to HEALTH Part II. rinds, Limons, Capers, or any other Pickles they like best. The Fibres are too strong and too elastick, when the Cohesion of their Parts is in such a Degree of Rigidity or Stiff- ness as renders them inflexible to the Causes they ought to yield to, so as to pre- serve the Animal in Health; for too great Elasticity is not only a Quality by which they resist against being lengthen'd, but likewise they restore themselves, by that Means, with too great a Force and Pressure upon the moving Fluids, to the Detriment of the Ani- mal. Too strong Fibres. Rigidity of the Vessels or Organs is such a Degree of Cohesion as prevents their being ex- panded so far as is necessary to carry on the vital Functions *, as usual in a true State of Health. And the Rigidity of the Fibres must necessarily produce a Rigidity of the Vessels and Organs, because the Fibres make up their constituent Parts. The Cause of such a State, besides the na- tural Frame and Constitution of the Body, is old Age, in which the Fibres are conspicu- ously rigid and dry; or too long a Course of such Diet as strengthens the Fibres too much; likewise hard Labour or Exercise. Signs. The Signs of such a Constitution are, a hard, dry, hairy, scraggy, and warm * Vital Functions are the muscular Action of the Heath, the secretory Action of the Brain, that of the Lungs, and of the Blood and Spirits, with their Motions through their pro- per Organs; and also the Veins, Arteries, and Nerves. Ch. VIII. thro' the various Stages of Life. 231 warm Body., without a Disease, with firm and rigid Muscles, a strong Pulse, Activity and Promptness in the animal Actions *; and such Constitutions are most subject to inflam- matory Diseases. Their Diet should be Things contrary to those already mentioned in the State of too great Laxity of the Fibres; that is, of such Things as are emol- lient and cooling, the Pulps, Jellies, Juices, Mucilages, and Decoctions of Vegetables that are softening and relaxing; such as all Pot- herbs of the emollient Kinds, Lettuce, Ci- chory, Spinage, Beets, Carrots, Barley, Rice, Mays, Millet, Pease, and Beans; animal Oils, such as Cream, Butter, Marrow, and all Things which relax or increase Fat, refrain- ing always from Things season'd with Spice, and with as little Salt as possible, for Salt har- dens the Fibres: Their animal Food should be boil'd Meat and Broths without Seasoning, preferable to any other Form: Their Drink should be Water, Barley-water, Milk and Water, or Whey; avoiding all fermented Spirits and austere Wines, and Pickles of all Kinds, all which are extremely hurtful to such Constitutions. Bathing in warm Water The Regimen. P4 often * Are such, as when perform'd, the Understanding con- ceives Ideas of Things united to that Action; or the Will is either concerned in exciting such Actions, or moved by them when excited; such are the Touch, Taste, Smell, Sight, Hearing, Perception, Imagination, Memory, Judgment, Rea- son, Passions of the Mind, and voluntary Motions. 232 A GUIDE to HEALTH Part II. often is beneficial to such, but immoderate Labour or Exercise very injurious. How the Fluids act upon the Solids of a human Body, so far as to cause Diversities of Constitutions and Diseases, is accounted for in the following Pages, in treating of different Constitutions. The Definition. A plethorick Constitution is such as abounds with too great a Quan- tity of laudable and good animal Juices; the Causes of which are strong Organs of Digestion and Chylification, a good Stomach, plenty of nourishing Diet, little Exercise, much Sleep, Laziness or want of muscular Motion, a moist Air, and a Suppres- sion of some of the usual Evacuations, especially that of Perspiration. Therefore the Cure proper for this Constitution, is to avoid the Causes of it, just now mentioned, and use a more sparing Diet, greater Ex- ercise, and proper artificial Evacuations, in order to restore the natural ones; for The Cause. The Cure. This Constitution is subject to a Stoppage of the Circulation, by too great a Weight of Blood upon the Heart; Rupture of the Ves- sels, Suffocation, and sudden Death. But it is to be observed, that long Abstinence is not proper in the Cure of such a Constitution; for in that Case the most fluid Parts of the Blood fly off, and the grosser remain in the Vessels. Likewise frequent Bleedings, in small Quantities, often increases the Disorder, by augmenting the Force of the Organs of Di- gestion. Ch. VIII. thro' the various Stages of Life. 323 gestion, and by that Means promote Fatness. Persons of such a Constitution should al- ways avoid all oily and too nourishing Sub- stances; therefore Vegetables, being less nou- rishing than animal Food, are more proper; and, by the same Rule, to feed upon Fish pre- ferable to that of Flesh-meat. A sanguine is that Constitution is that which abounds with a great deal of good Blood; and the common outward Sign of such a Constitution, is a florid Colour in the Complexion, a Ful- ness and Blueness of the Veins, and a particular fair and lively Colour of the Skin, without Paleness. Those of a sanguine Con- stitution are subject to frequent Bleedings at the Nose and other Parts, and Inflammations of the Lungs, Impostumations, and often to scrophulous or evily Diseases. Definition. Diagnostick Signs. The Blood is the most universal Fluid in the animal Body, from which all the rest of the Juices are derived; for the red Part of it differs from the Serum, the Serum from the Lymph, the Lymph from the nervous Juice, and that from the several other Humours that are separated in the Glands. The red Globules of the Blood are elastick, and one Globule will break into six small ones, and then turn yellow; those yellow Globules break into others less, and so proceed till they become white and transparent at last; for the Vessels which admit the smaller Globules to pass, cannot admit the larger without a Rupture, 234 A GUIDE to HEALTH Part II. Rupture, or some other Disorder. So that as the Blood circulates thro' the smaller Chan- ness, the Redness will disappear more and more. A strong and free Motion of the Blood will occasion a Floridness upon the Skin of such Constitutions; for such a strong Motion will force the red Part of the Blood into more ca- pillary Vessels, Besides, another Cause com- monly concurring is the greater Transparency of the Vessels, occasioned by the Delicacy and Thinness of their Coats, which is evident from the large Veins of sanguineous Constitu- tions appearing blue and transparent, by the Colour of the Blood circulating in them. And if the Vessels are in a State of too great Rigidity, so as to be inflexible, a strong Motion of the Blood will occasion a Rupture of them, with Hæmorrhages; especially in the Lungs, where the Blood is more abun- dant, and the Vessels more delicate: But if the Vessels yield instead of bursting, the Per- son is subject to the Inconveniences of a faulty Circulation; that is, the Blood forces into the Vessels appointed to carry Serum or Lymph, from whence proceed Inflammations and Obstructions. And as the Delicacy and Thinness of the Vessels run through the whole Body, it must affect the Glands and Lympha- ticks, as well as the Blood-vessels; so that such Constitutions must be subject to glandu- lous and evily Tumours, and Ruptures of the Lymphaticks. The Ch. VIII. thro' the various Stages of Life. 235 The Diet of such Constitutions should be cooling and relaxing, with Moderation in the Quantity of all Things, They ought to avoid every Thing that acce- lerates the Motion of the Blood, as violent Exercise and Watching; likewise they ought to abstain from the Use of all Things that a- bound with an acrimonious Salt, as Onions, Garlick, Leeks, Mustard, and the hot Herbs used in Seasoning, and all Spices in general; but Vinegar is exceeding useful to such as will use it constantly with their Food, for it will very much abate their florid Colour. The Regimen. For more particular Directions, as to the Diet proper in this Constitution, I refer the Reader to the Diet prescribed for the Cure of Rigidity and Elasticity of the Fibres, which answers this Intention in every Particular. A saline Constitution of the Fluids in an animal Body; is either acid, alkaline, or muriatick †. A Saline Constitution It has been proved in the foregoing Chapter, that the Juices of a found Animal are nei- ther acid nor alkaline; for all the Solids and Fluids of such, even fed with acescent or acid Substances, yield no Acid; because the vital Force of such Animals converts the acid Sub- stances they take in Food, into soft nutritious animal Liquids of their own Nature. A Cow fed with Daisies, Trefoil, and Sorrel, will give Milk in which there is not the least Aci- dity; but if the vital Force is weak, it is not sufficient † Briny. 236 A GUIDE to HEALTH Part II. sufficient to subdue the Acidity of the Food taken in. Therefore as there is no Acid naturally in a found Animal Body, but what must be ta- ken in by Food; so that if it be not subdued in the Passages of the Chyle, it will get into the Blood; and if there is not a due Quantity of Blood, and a sufficient Strength of Circu- lation to subdue it, it will infect the Fluids, so as to produce various Distempers. The Effects of a Constitution subject to Acidity, are sour Belching, a crav- ing Appetite, Sourness in the Sto- mach, with Pains; Green-sickness, the Case of a great many Girls craving after earthy Substances, such as Clay, Chalk, Meal, Cynders, &c. Colick Pains about the Navel, Dry Gripes, such as those in the West-Indies, chiefly occasioned by too great Quantities of the Acid of Lime-Juice in their Punch, with a great deal of other Acids in their Sea- sonings. The Colicks in Infants proceed from Acidity, and the Air expanding itself in the fermenting Food in the Stomach; the true Signs of which are a sour Smell of the Excre- ments, acid Sweats, Paleness of the Skin, and oftentimes Convulsions, from Acidity passing into the Blood, and affecting the tender Fi- bres of the Brain. Eruptions of the Skin, such as Scurvy and Itchy, and even Leprosies, are produced by feeding much and often upon acid unripe Fruits, and mealy Substances that are acescent. Effects of an acid Consti- tution. The Ch. VIII. thro' the various Stages of Life. 237 The most subject to this Disorder are Chil- dren, by reason of the Weakness of their Fibres and Digestion, and a Milk Diet; like- wise such as lead a sedentary Life; and others again, who eat and drink much Bread and Wine, and acid Vegetables; and lastly. Ar- tificers, who deal much in the Preparations of Acids. As Acidity is not the natural State of the Fluids in an animal Body, but introduc'd into the Habit by Food; so it is to be cur'd by Aliment of a contrary Quality, for which the Reader is referr'd to the Diet proper for acid Acrimony, in the foregoing Chapter, Page 212. All anti-acid Medicines being ineffectual without a proper and continued Diet of the same Nature, here I must observe, that an Abstinence from strong fermented Liquors is absolutely necessary in the Cure of this Dis- order; and likewise that Acidity in the In- fant may be cur'd by a Flesh-Diet in the Nurse. An alkaline Constitution of the Fluids in a human Body is opposite to the former, and abounds with alkaline Salts, the Nature and Quality of which I have explain'd in Note *, Page 165, which see. And tho' no Animal unputrify'd, when burnt, produces any alka- line Salt, yet being putrify'd, it produces a volatile Alkali; so that in a found Animal no true Alkali is found, as I have observ'd A Constitution subject to an alkaline Acri- mony. in 238 A GUIDE to HEALTH Part II. in the preceding Chapter; but when an Ani- mal degenerates from a true State of Health, by such Diseases or Food as increases the At- trition and Heat of the Fluids, the animal Salts that were before mild and benign, now become almost of an alkaline Nature; for found human Blood when first drawn, is so mild as not to make an Eye, or a fresh Wound smart; but let it stand in a Degree of Heat equal to that of a human Body, and it will grow fœtid in three Days time, and produce a volatile rancid Oil, as likewise a volatile alkaline Salt, which will ferment with Acids; so that the Blood in the Vessels, after it has passed thro' almost infinite Degrees of Circu- lation, may come to that State at last, which is the Case in pestilential and malignant Fe- vers, where neither the Strength of Nature or Art can prevail to save the Life of the In- dividual. All animal Substances being de- priv'd of Life, and exposed to the Air, turn presently alkaline of their own Accord, and consequently will soon putrify. Causes. The Causes of such a Constitution are commonly a plentiful and con- stant Use of animal Diet, such as Fish and Flesh, and all Vegetables which abound with an acrimonious Salt, such as Mustard, Onions, Leeks, Spices, and all hot and pungent Anti- scorbuticks, &c. likewise a plentiful Use of Salts in general, for all animal Salts are alka- line; and tho' Rock and Sea-Salts are of a mix'd Nature, yet they increase the Disorder. All Ch. VIII. thro' the various Stages of Life. 239 All Animals that live upon other Animals have their Juices more alkalescent than those that live upon Vegetables, and for this Reason Fishes are more alkalescent than terrestrial A- nimals, for they putrify sooner in the open Air; and no Person is able to support a Diet of Flesh and Water without Acids, such as Salt, Vinegar and Bread, without falling into a putrid Fever. Another Cause of this Distemper is a vigo- rous Action of the Vessels thro' which the Fluids circulate; for which Reason the strong and healthy, and young People, are more in danger by pestilential Fevers, than the weak and old; for violent animal Motion by Attri- tion produces this alkaline State. The Symptoms of such a Constitu- tion in any great Degree, are Heat, Thirst, foul Belchings, Foulness of the Tongue and Palate, a bitter and hot Taste in the Mouth, Sickness, Loathing, bilious Vomi- tings, Stools with a cadaverous Smell, Pains in the Belly. Besides, such a State dissolves the Blood, and disposes it to Putrefaction, hinders Nutrition, for no Chicken can be hatch'd of a rotten Egg; and likewise the Blood turning Acrimonious, corrodes the Vessels, producing Hœmorrhages. Eruptions on the Skin, dark, livid, Lead-colour'd, and of a gangrenous Nature, and likewise a hot Scurvy, and al- most all Distempers of the Inflammatory Kind. Diagnosticks. The 240 A GUIDE to HEALTH Part II. The Diet of such Persons ought to be a plentiful Use of acid Sub- stances, such as much Bread, and Seasoning of Vinegar, and all other Acids without Spi- ces, and live much upon Food made of Grain or mealy Substances; in short, they should live on such a Diet as is describ'd for an alkaline Acrimony in the foregoing Chap- ter. The Regimen. Plethorick Constitutions are apt to fall into this alkaline State of the Fluids, which is more hurtful than that which proceeds from Aci- dity; for the Bile being redundant, is the strongest Anti-acid, and when it is raised to a high Degree, and acrimonious, is sufficient to produce all the terrible Symptoms of ma- lignant and pestilential Fevers, as is mani- festly evident from the Experiments that were made at Marseilles in Time of the Plague; and nothing subdues the Acrimony of the Bile more than the acid Diet already men- tion'd, so that by a timely Use and Applica- tion of such Remedies, many fatal and dan- gerous Diseases might be prevented. A briny State of the Blood. A muriatick or briny State of the Fluids, which is common among Sailors, is commonly introduc'd into the Habit of the Body by too great Quanti- ties of Sea-Salt; and its usual Symptoms are a Salt Taste in the Spittle, Itching, and red Breakings out of the Skin, a lixivial Urine with a fat Substance swimming on the Sur- face of it. The Ch. VIII. thro' the various Stages of Life. 241 The Cure of this Disorder is per- formed by the constant Use of a Diet of fresh and unsalted Things, watery and cooling Liquors acidulated; mealy and emol- lient Substances, with a plentiful Use of acid Fruits; Sower Milk, Butter-Milk, avoiding all Spices, and the hot Antiscorbuticks of the pungent Kind: In a Word, the Diet ordered in the Alkaline Acrimony in the foregoing Chapter is proper in this Case. The Cure. A phlegmatick Constitution is such a State of the Fluids, wherein Phlegm or a cold, viscous watery Humour predomi- nates; and the Causes of it are, commonly viscid Food, such as mealy Substances unfermented, and taken in great Quantities; for the Flower of all Sorts of Grain, mix'd with Water, make a Paste that sticks like Glue, having an Oil in them which causes a Cohesion of their Parts toge- ther; the frequent Use of unripe Fruits; like- wise great Loss, or Want of Blood, which preserves itself and the Food, by constant Motion, from Coagulation; a Weakness and Indigestion in the alimentary Passages, by which the Food is rendered slimy and vis- cous; a Defect, or Want of Bile, which is the principal Resolvent of the Food; and a Stagnation of the Fluids, from a Weakness of the Instruments of Excretion; for if the Phlegm stagnates, it must grow viscid by the Heat of the Body. Definition. The Causes. Q Like- 242 A GUIDE to HEALTH Part II. Likewise Tumours and Inflations of the Belly, with Paleness, are Signs of a phlegma- tick Constitution; as when a Child grows pale, and his Belly swells, which happens to those that are rickety, there must be cer- tainly tough Phlegm in the Intestines, which shuts up the Mouths of the Lacteals, and prevents the Nourishment from getting into the Blood. But no Cause whatever produces a Viscidity in the human Fluids, more than a sedentary Life, and Laziness, and no Reme- dy more effectual than good Labour and Ex- ercise. The Cure. Cold phlegmatick Constitusions ought to use constantly an alka- lescent Diet; likewise well fermented Bread, and fermented Liquors; for Fermentation re- moves the Viscidity of all mealy Substances; and high seasoned Food is proper for them; likewise Spices, Salt, Garlick, Leeks, Onions, Thyme, Rosemary, Savory, Marjoram, Basil, Mustard, and all the hot and pungent Anti- scorbuticks; for all these being highly alka- lescent, exalt the Bile, which is necessary in this Case, whereby the Viscidity of both the Aliments and Fluids of the Body is dissolved. Their animal Food, both Fish and Flesh, should be nourishing, and easy to be digested; their Drink should be good fermented Li- quors, hot mineral Waters, and generous good Wines, such as will put the Blood into a vigorous Motion. But for farther Satisfa- ction herein, see what is said of alkalescent Sub- Ch. VIII. thro' the various Stages of Life. 243 Substances, both animal and vegetable, in the foregoing Chapter. A fat or oily Constitution is so very well known to every one, as to the Symptoms, that it needs no Description, and falls in with the pletho- rick and phlegmatick Constitution already de- scrib'd; it being but one Species or Sort of Cor- pulency, as there is often Bulk without Fat, from a great Quantity of muscular Flesh, which is the Case of robust People; for an Animal in the Course of hard Labour appears to be very little else than Bones, Vessels and muscular Flesh; but let the same Animal remain long at Rest, with tolerable good Food, it will probably double almost its Weight and Bulk, and this additional Surplus is nothing but Fat or Oil. A fat Con- stitution. The common Causes of this Dis- order, besides a particular Family Disposition of the Body are, first, strong Or- gans of the first Digestion, and a Laxity of the Fibres of the circulating Vessels, especi- ally those about the Membrana Carnosa ‡ ; for by the Action of those Fibres of the Vessels upon the Fluids, if they are duly elastick, the oily Parts of the Chyle are intimately mixed with the Blood; but when this Action is not strong enough, and that the Chyle is The Cause. Q2 ex- * The fleshy Membrane, is a fat Sort of a Membrane, in some Parts thick and musculous, in other Parts thin with many Ducts of Fat in it, and covers all the nervous and fleshy Parts of the Body, and is interwoven with an infinite Number of Blood-Vessels. 244 A GUIDE to HEALTH Part II. extremely redundant, then the thicker Oil is never intirely subdued by Circulation, and so turns Fat. 2dly. Great Quantities of oily Nourishment, Milk, Butter, and oily fer- mented Liquors. 3dly, All Things which pro- duce Coldness in the Skin, so as to stop Per- spiration, by which Means the fat or oily Parts are congealed, which Heat dissolves and attenuates; for the Inhabitants of cold and moist Countries are generally fatter than those of warm and dry Climates. But the most common Cause of all is, too great Quantity of Food, and too little Motion or Exercise; that is to say, Gluttony and Laziness, for which a spare Diet and Labour is the best Re- medy. Fat or Oil in all Animals, in due Propor- tion, is very necessary for both the Motion and Nourishment of the Fibres; but too great Abundance of it is very prejudicial to the hu- man Constitution; for it is an Impediment to the Motion of the Joints, rendering them more heavy, by filling the Spaces occupy'd by the Muscles when they contract and swell; it subjects them to all the Distempers depend- ing upon a defective Motion of the Blood; and as the Want of a due Quantity of Motion of the Fluids increases Fat, so the Disease seems to be the Cause of itself. It endangers them in all inflammatory Dis- eases; for a Fever resolves many Things which do not circulate, and among others the Fat, which mixing with the Blood, becomes vola- tile, Ch. VIII. thro' the various Stages of Life. 245 tile, and causes an Acrimony much more dan- gerous than the saline one; for Salts can be dissolved and diluted with Water, but Oils cannot: And it is manifest that Fat is dissolved by Fevers, if we consider the great Loss of it which People undergo in such Dis- eases. But among the many Inconveniencies and other bad Effects of a fat or oily Consti- tution, there is one Advantage to such as arrive at an advanced Age, that they are not subject to a Stricture and Hardness of Fibres, which is the Effect of old Age. As Gluttony and Laziness are, for the most part, the Causes of a fat Constitution, such People ought to eat sparing- ly, sleep little, and use much Exercise; in which the Cure of such a Disorder chiefly consists. The Regimen. Substances which heat moderately, abound- ing with acrid and pungent Salts, are proper in this Case; such as Horse-Radish, Mustard, Garlick, Leeks, Onions, Spices, and all the aromatick Plants us'd in Seasoning; likewise Saffron, all Seeds that expel Wind, Meats well season'd with Salt, Pepper and Vinegar, are all proper to dissolve Fat, and carry it off by Perspiration; but the only Inconveni- ency they have, is, that they create Thirst, whereby great Quantities of Liquids are drank, which increase the Disorder, by diluting and relaxing the Solids too much. They should avoid all oily Nourishment, and use Honey, ripe Garden Fruits of an acid Q3 Taste. 246 A GUIDE to HEALTH Part II. Taste, and the astringent sub-acid Vegetables mentioned in the Cure of a weak and lax State of the Fibres, in the Beginning of this Chapter; for the Fibres of fat People are com- monly too lax. Their Drink should likewise be the same as is there mentioned, to which I refer the Reader. Tea and Coffee are also useful, as they dilute and stimulate moderately; but the frequent Use of oily spirituous Liquors, as Rum, Anniseeds, &c. is extremely hurtful, because they increase Fat; a moist Air is like- wise prejudicial to fat People, by relaxing the Fibres and stopping Perspiration both sensible and insensible. Definition. An earthy Atrabilarian, or melancholy Constitution, is such a State of the Fluids, wherein the spirituous and most fluid Parts of the Blood are dissi- pated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body. Diagnosticks. The Signs of such a State, or a Tendency thereto, are known by Darkness, or Lividness of the Complexion, Leanness, Dryness of the Skin, and a quick penetrating Genius, with a slow Pulse and Respiration; Obstructions of the Belly, and a Difficulty of being purged. The Causes. The Causes of it are all such as expel or evaporate the most volatile and subtile Parts of the Blood, and fix the rest: As great Applications of the Mind to some Ch. VIII. thro' the various Stages of Life. 247 some Objects or other, such as may produce great Joy or Sadness, both which equally ex- pel and dissipate the Spirits; likewise great Exercise or Labour in hot Weather, with un- quenched Thirst; also Food of hard Dige- stion, such as dry'd and salted Fish or Flesh, unripe Fruits, unfermented mealy Substances, or the immoderate Use of spirituous Liquors. The Effects of such a Constitu- tion of the Fluids are Stagnation, Obstructions, Acrimony, Putrefactions, Visci- dity, and an imperfect Secretion of the Gall, a defective Circulation in the Vessels, especi- ally in the lateral Branches appointed for the Separation of the more fluid Parts; hence arise viscid and insufficient Secretions in the Glands: Likewise the Motion of the Blood through the mesenterick and * celiack Arteries being too slow, produce various Disorders in the lower Belly and † hypochondriack Regions; hence Persons are denominated Hypochondria- cal. And the Signs of most of these Disorders of the lower Bowels, arising from too slow a Mo- tion of the Blood through the said Arteries, are, a Sensation of Weight, Anxiety, Repletion, and a bad Digestion, from whence different Sorts of Food acquire such a State in the alimentary The Effects. Q4 Passages, * Arteries in the lower Belly needless to be described in this Place. † Are the two Regions lying on each Side of the Tip or Extremity of the Breast-Bone or Sternum, and those of the Ribs; which contain in one the Liver, and in the other the Spleen. Hence Disorders of those Viscera, especially of the Spleen, are called hypochondriacal Affections. 248 A GUIDE to HEALTH Part II. Passages, as they affect of their own Nature; that is, acid, if the Diet be of acid Vegetables; and alkaline, if of animal Substances, espe- cially Fat, which remains rancid, so as that the Spittle will flame in the Fire sometimes; and all this Indigestion owing to the Inactivity of the Gall, which likewise occasions a Co- stiveness of the Belly, and a Difficulty of be- ing purged. This State of the Fluids will at last affect the tender Vessels of the Brain, by the Visci- dity of the Matter impacted in them, and thereby endanger the Imagination; and like- wise produce Corruption in the Bowels of the lower Belly at last. Hence it is evident, that such a Disorder is not to be removed by active Remedies *, no more than Pitch or Dirt sticking to a Skain of Thread is to be taken away by Violence; but the Viscidity should be gently attenuated, diluted, and carried off gradually, by a pro- per continued Course of Diet, avoiding al- ways all heating Substances, which still eva- porate and dissipate the volatile and fluid Parts more; therefore Waters impregnated with some of the pungent Salts, as that of Nitre, Tartar, &c. are found to be of great Effect in this Disorder. Their * Are such Medicines as produce sudden Alterations in the Body, by their penetrating and stimulating Qualities, acting upon the Fluids or Solids, or upon both, either inwardly ta- ken, or outwardly applied. Ch. VIII. thro' the various Stages of Life. 249 Their Diet should be light, easy of Di- gestion, moistening, and resolvent of the Bile, such as Honey, the Juices of ripe Fruits, emollient Pot-herbs, light Broths of animal Food, Lettuce, Spi- nage, Cichory, and Dandelion; and their Drink ought to be Water, Barley-water, and Whey. For farther Instructions herein, see the Diet directed for the Rigidity of the Fibres in this Chapter, which is likewise very- proper in this Case. The Regimen. One Thing to be observed is, that the Diet ought to be contrary to the particular Acri- mony residing in the Fluids, which might have occasioned the Disorder; for if it pro- ceeds from Acidity, then an animal Diet is altogether proper; if from an alkaline Acri- mony, the contrary Method must be used; which may be easily distinguish'd, by ob- serving what has been already said of acid and alkaline Constitutions, to which I refer the Reader. As there is a continual Dissipation or Waste in all animal Bodies, insensibly; so the fre- quent Repetition of Meat and Drink is ne- cessary, not only for repairing the Fluids and Solids, but likewise for preserving the Fluids from a putrifying alkaline State, which they would acquire by constant Attrition, without being soon and sufficiently diluted with fresh Chyle. Hence it appears, that long Fastings or Abstinence may be the productive Cause of great Distempers, especially in hot and bilious 250 A GUIDE to HEALTH Part II. bilious Constitutions; and very prejudicial to acid Constitutions, occasioned by the uneasy Sensation and Vellication produced in the Stomach. Therefore the Quantity of Food necessary to preserve our Bodies in a due State of Health and Vigour, ought to be divided into Meals at proper Intervals of the natural Day, that the former Food may be digested before any more be taken in, and at such a Distance from Bed-time that our Digestion may be almost finished before we sleep; by which Method neither the Organs of Digestion, nor the Blood- vessels will be overloaded, nor the Fluids too long deprived of a fresh Supply of nutritive Chyle, Hence the grand Secret of Health conists in keeping an Æquilibrium † between the Fluids and Solids; for when the Fluids move so equally, that they do not press upon the Solids with a greater Force than they can bear; and, on the other hand, when the Solids resist and act upon the Fluids so equally, that there is no uneasy Sensation, the Person is then in good Health; and whatever is in our Food or Actions that destroys this Æquilibrium, ei- ther by relaxing or contracting the Solids too much, or by attenuating or rendering the Fluids too viscid or acrimonious, must pro- duce the Effects already mentioned under each of those particular Heads, which see. From † An exact or due Ballance. Ch. VIII. thro' the various Stages of Life. 251 From what has been hitherto said of the Nature and Effects of Aliment, as also of the Nature and Difference of Constitutions in par- ticular, with the Diet proper for each, it will be as easy to determine Rules of Diet in the different natural healthy States, as in the mor- bid or sickly States of human Bodies; there- fore I thought it both useful and necessary to lay down here some general easy Rules, for the Benefit of those who value Health and long Life; but with this Caution, that Re- gard must be always had to the Nature of the Constitution in particular. I. Infancy requires a thin and copious nou- rishing Food, such as lengthens their Fibres, without breaking or hardening them, by rea- son of their Weakness and State of growing; so Milk answers this Intention best. II. The Solidity, Strength, and Quantity of the Food, ought to be in Proportion to the Strength of the Solids, Labour, and Ex- ercise of the Body; for such as labour and exercise much, have their solid Parts stronger and more elastick; therefore they require stronger Food, and more in Quantity, than those that are in their declining Age, or those that lead a sedentary or studious Life. III. Youth being still in the State of Growth, their Diet ought to be emollient and relaxing, plentiful, and without Acri- mony. IV. In the State of Manhood the Diet should be solid, with a sufficient Degree of Viscidity; 252 A GUIDE to HEALTH Part II. Viscidity; and their chief Drink Water, with a Quantity of fermented Liquors at Times, proportioned to their natural Constitutions. V. Ancient People require a Diet resem- bling that of Children, often repeated, and little at a Time, emollient and diluting, with a little Wine sometimes; because in old Age the Fibres harden, many Canals or Vessels are abolish'd, and the Solids grow together; from whence arises Dryness, Weakness, Im- mobility, Debilty of the vital Force of Di- gestion, Loss of Teeth, and Depravation of chewing, which terminate in Death at last. VI. Excess in Meat and Drink is to be avoided; for a little Food well digested and assimilated, preserves the Body stronger and more vigorous, than Superfluity. VII. We should not eat, because the cu- stomary Time for it is come, unless our Ap- petite be so too; for to load the Stomach with a fresh Supply upon a Semi-digestion of the former Meal causes Crudities, and a foul Sto- mach, which must overload the Blood, and thereby produce Diseases. VIII. It is better to eat twice a Day with Moderation, than to make one over-large Meal, tho' one abstains double the usual Time for Compensation; however, if one transgresses at any Meal, let such abstain from the next, or let it be a very slender one. IX. Variety of Meats, and made Dishes, destroy a Multitude of People; for they pro- long Appetite far beyond what Nature requires, and Ch. VIII. thro' the various Stages of Life. 253 and by that Means over-charge the Stomach. Besides, different Meats have different Quali- ties, and some are sooner digested than others; whence arise Crudities, and a depraved Di- gestion: Therefore we ought to avoid Feasts and Banquettings as much as possible; for it is more difficult to refrain from good and deli- cate Cheer when present, than from the De- sire of it when away. X. A temperate Diet preserves from diseases; for such are seldom ill, but when they are, they bear it better, and are sooner recovered. 2dly, It lengthens Life, and mitigates the Agonies of Death. 3dly, It arms the Body against external Accidents, such as Heat, Cold, Labour; and if afflicted with Wounds, Dislocations, or Bruises, they are much sooner and easier cured. 4thly, It maintains the Senses intire and vigorous, and moderates Peoples Passions and Affections. 5thly, preserves the Memory, sharpens the Wit and Understanding, and allays the Heat of Lust. XI. Galen, recommending a temperate diet, says, that those of a weak Constitution from their Mother's Womb, may attain to an extreme old Age, by Help of a sober and moderate coarse Diet; and that too without diminution of Senses or Sickness of Body; and says farther, that tho' he never had a healthy Constitution of Body from his Birth, yet by using a proper Diet after the 27th Year of his Age, he never fell into any Sickness, 2 unless 254 A GUIDE to HEALTH Part II. unless now and then into an Ephemera, that is, one Day's Fever, occasioned by Fatigue or Weariness. And it is very well known, that Galen lived to an hundred Years of Age. XII. In the Winter and Spring we require a greater Quantity of solid Food, and less Drink, than in the Summer and Autumn; because in the cold Season our Stomachs are hottest, and we sleep a great deal more; for as the Cold increases, so our Heat for the most Part recedes to the central Parts of the Body. And the Reason we require less Drink in Winter is, that then our Bodies are moi- ster, like the Seasons; and likewise, that the Cold hinders the watery Vapours to be per- spir'd, and so turn into Humours in the Body. But in Summer what is wanting in Meat or solid Food, may be taken in Drink, and moist cooling Nourishment; for then the Body is dry, and the inward Heat is distri- buted thro' all the Parts thereof, and Perspi- ration is so considerably increased by the ex- ternal Heat, that the watery Vapours or Effluvia are exhal'd and carry'd off thro' the Pores. XIII. The same Rules for eating serve al- so for drinking, the chief Intention of which is to allay Thirst, to moisten and convey the Food in the Stomach, and the Nutriment thereof into the respective Parts of the Body; to dilute the Blood, and dissolve the super- fluous Salts, and carry them off both by Per- spiration and Urine. But for farther Satis- faction Ch. VIII. thro' the various Stages of Life. 255 faction herein, see the Particulars of the Use and Intentions of Drink, in the latter End of the foregoing Chapter. Here I must observe, that moist Food, such as Broths, Pottage, Soop, and boiled Meats, require little Drink, and the solid only a Sufficiency to moisten and convey it into the Stomach, and prevent Obstructions; there- fore they who drink much at Meals, especial- ty strong Liquors, incur a double Inconveni- ency; for first, by causing the Food to float in the Stomach, which ought to reside in the Bottom, they hinder Digestion, and by moistening the upper Orifice thereof too much, by which means it is kept open, it thereby occasions Vapours and Fumes to a- scend and disorder the Head. Secondly, it causes the Aliment to pass too soon out of the Stomach, crude and indigested; whence arise Fluxes in the Bowels, and putrid Cru- dities of the Blood in the Veins and Arteries. XIV. It is very prejudicial to eat or drink too much, or fast too long, or do any thing else that is preternatural; for whoever eats or drinks too much, must be sick, or vitiate his Juices at last. XV. Growing Persons have a great deal of natural Heat; therefore they require a great deal of Nourishment, otherwise the Body will gradually waste. XVI. Hippocrates fays, that a Person can- not be healthy, and digest his Food well without Labour, and that the Quantity and Quality 256 A GUIDE to HEALTH Part II. Quality of Diet must bear a due Proportion to the Labour. XVII. Young, hot, strong, and labouring People, may feed on Meats that afford a hard and gross Juice, such as Beef, Bacon, powder'd Flesh and Fish, hard Cheese, Rye- Bread, and hard Eggs, &c. which may nourish slowly, and be digested by Degrees; for if they did eat things of light Nourish- ment, either their Meat would be too soon digested, or else converted into Choler. XVIII. When a Person is sick or distemper'd, his Meats should be of contrary Qualities to his Disease; for Health itself is but a kind of Temper gotten and preserv'd by a conve- nient Mixture of Contrarieties. XIX. Fat Meats are only good for dry Stomachs; for in sanguine and choleric Sto- machs they are soon corrupted; and in Phleg- matics they procure Looseness, and hinder Retention. XX. Such as are of hot Constitutions, should abstain from violent Exercises, use Bathing in tepid Water, feed upon Mays, Pot-Herbs, and a cooling moist Diet. XXL. The Quantity of Food that Is suf- ficient, the Stomach can perfectly concoct, and answers to the due Nourishment of the Body; hence it is evident, that we may eat a greater Quantity of some Meats than of others of a more hard Digestion. XXII. The Difficulty lies in finding out an exact Measure; but eat for Necessity, and not for Ch. VIII. thro' the various Stages of Life. 257 for Pleasure, for Lust knows not where Ne- cessity ends. XXIII. If a Person is dull and heavy after Meat, it is a Sign he has exceeded the due Measure; for Meat and Drink ought to re- fresh the Body, and make it cheerful, and not to dull or oppress it. XXIV. If we find those ill Symptoms, we are to consider, whether too much Meat or Drink occasions them, or both, then we ought to abate by little and little, till this Inconve- nience is remov'd. XXV. Pass not immediately from an ir- regular Life to a strict; and precise one, but by Degrees; for ill Customs come by Degrees, and are to be wore off gradually; for all sud- den Alterations in Extremes, either of Re- pletion, Evacuation, Heat or Cold, are dan- gerous. XXVI. Acids taken in too great Quanti- ties, especially such as are austere, as unripe Fruits, produce too great a Constriction of the Fibres, and thicken the Fluids; hence Pains, Rheumatism, and Gout, Paleness, Itch, and other Eruptions of the Skin. XXVII. Spices taken in too great Quantities produce Thirst, Dryness, and Heat, quicken the Pulse, and accelerate the Motion of the Blood, and dissipate the Fluids; hence Lean- ness, Pains in the Stomach, Loathings, and Fevers. XXVIII, Strong Liquors, especially distill'd spirits, taken in great Quantities, intoxicate. R contract, 258 A GUIDE to HEALTH Part II. contract, harden, dry, and stimulate the Fibres, and coagulate the Fluids; they like- wise corrode and destroy the inward Coat of the Stomach and Intestines. XXIX. A Diet of viscid Food, such as un- fermented mealy Substances, Peas, Beans, Lentils, &c. creates Flatulency, and Crudi- ties in the Stomach, Obstructions in the small Vessels of the Guts, and in the Mouths of the Lacteals and Glands: Hence Tumours and Hardness of the Belly, Paleness of the Skin, and Viscidity in the Fluids. XXX. An oily Nourishment relaxes the Solids, and particularly the Stomach and In- testines; it creates foul Belchings, Loathings, oily and bitter Vomitings; obstructs the ca- pillary Vessels, by hindering the Entrance of the watery and fluid Part, with which it will not mix; it produces Thirst and Inflamma- tions. CHAP. IX. Of Sleeping and Waking. SLEEP is a Cessation of the external Senses from Action; for, when waking, we walk, talk, move this or that Limb, &c. but in a natural or undisturb'd Sleep, there is 2 no- Ch. IX. thro' the various Stages of Life. 259 nothing of all these Actions; that is, when awake we perform several Motions by the voluntary Contractions of our Muscles; when asleep, those Muscles are only contracted, Whose Action is involuntary, or does it by a Habit, without the Intervention of the Rea- soning Faculty; such are the muscular Actions of the Heart, Breast, Lungs, and Arteries, &c. so that at this Time there is a kind of Re- laxation of the moving Fibres of the several Members of the Body. And this is one great Design of Sleep, to recover their former Force to the Parts overstretch'd by Labour or Motion; for when we compose ourselves to Rest, we must put our Body into that Pos- ture which favours most the particularly Weary'd Limbs. In the next Place it is very evident, that in Sleep there is not only a Rest and a Suspension from acting in most of our bodily Organs, but likewise of our Thinking Faculty too: That is, a Cessation from such Thoughts as, when awake, we are exercised about, which we re- flect upon, and Will to imploy our Mind with. For tho' Dreams are Thoughts, yet they are imperfect and incoherent ones; and are either so faint and languid Representations, as to be consistent with our Sleep, or else, if they be strong and lively, they are the Inter- ruption and Disturbance of it. From whence it will follow, that the Mo- tion of the arterial Fluid must be more se- R2 date 260 A GUIDE to HEALTH Part II. date, even, and regular, in the Time of sleep- ing than waking; for besides the various Al- terations it receives in this latter State, from the several Passions of the Mind, the very Contractions of the Muscles themselves, in the Exercises of the Body, will forward its Course differently and more unequal; where- as in Sleep the Motion of the Heart, Arte- ries and Veins is stronger, slower, more equal, and full; likewise Respiration is deeper, stron- ger, slower, and more equal, by which Means the Blood circulates and digests more commo- diously, and Secretion, Perspiration, and the Distribution of Nourishment are more success- fully carried on; the Humours circulating quicker through the Blood-vessels and the Parts near the Heart, but slower through the Sides of the Body, and the remote Parts, as well as the Muscles. Hence it also comes to pass, that the In- flux of the nervous Fluid into the Organs of the Body, as also its Reflux towards the Brain, is in Sleep either none, or very in- considerable; for it is muscular Action and Sensation that required this Fluid to be thus determined this Way or that, which are in this State hardly any: And yet, by the Arri- val of Blood at the Brain, this Juice will still be separated there, fit to be deriv'd into its Tubes and Canals; so that by this Means there will be a new Production, or a kind of Accumulation or laying up in Store, of Spi- I rits, Ch. IX. thro' the various Stages of Life. 261 rits, in order to perform our animal Func- tions. Thus we may look upon the Time of waking as the Time of wearing out, or the Destruction of the animal Fabrick; and the Time of Sleep, as that in which it is repaired and recruited; not only upon account of what has been just mentioned concerning the ner- vous Fluid, but also with regard to all other Parts of the Body, as well fluid as solid: For Action must necessarily impair the Springs and Organs; and in Motion something is continually abraded or fil'd off from the con- tractile Fibres, which cannot otherwise be restored, than by their being at Rest from Tension. Besides, the regular and steady Course of the Blood, as has been observ'd, in Sleep, is by far more fit and proper for Nu- trition, or an Apposition of Parts to the Ves- sels; which an uneven Hurry of Nourish- ment is more apt to tear off and wash away. The Use and Benefit of Sleep Sleep is occasioned, promoted, and increased by eating and drinking, in removing the Stimulus or painful Sensation of Hunger and Thirst, when the Stomach is empty, or by drinking plentifully, especially of strong Liquors; but some can- not sleep for a long Time when they drink much, because the Spirits are thereby too much heated and enraged. It is also encouraged by much or long con- tinued Labour, the Spirits being too much The Causes of Sleep. R3 dissapted 262 A GUIDE to HEALTH Part II. dissipated and exhausted. In like manner, after the taking of Opium, or other sleepy Things, we are disposed to sleep; because they seize the Spirits by their volatile Oleosity; also a quiet Disposition of Mind; a Body free from Motion, and unaffected by external Objects; by Excess of Heat, Cold, or Care; and by all such Causes as hinder the Protru- sion or Impulse of the Blood into the glandu- lous Part of the Brain, or its Passage through its Vessels, and the necessary Separation of Spirits, and the Derivation of them into the Nerves, being the Organs of Sensation, and the Muscles serving to voluntary Motion; and the Reflux of them towards the Sensorium Commune †. Sleep is hindered by a continual Mixture of Water, or hot Liquors, with the Blood, or any sharp Thing that vellicates or twinges the Nerves of the Brain; also by violent Pas- sions of the Mind, or the Brain's being di- sturbed by any internal or external Cause. Therefore it appears from what has been said, that Sleep is such a State of the Brain, wherein the Nerves do not receive from it so large or so strong an Influx of Spirits, as is required for the Organs of Sense and volun- tary Motions to perform their Actions with Ease and Quickness. The † The Seat of Common Sense, is-in that Part of the Brain, in which the Nerves, from the Organs of all the Senses, are terminated, which is in the Beginning of the Medulla Oblon- gata, and not in the Glandula Pinealis, as Des Cartes and o- thers would erroneously have it. Ch. IX. thro' the various Stages of Life. 263 The most immediate Cause here- of is perhaps the Defect of a subtile Spirit, which requires a long Time to prepare it, and being now spent and ex- hausted; so that the finest Vessels being emp- tied and flagg'd, for a Time fall together; or there is too great a Flux of thicker Blood im- pell'd to the Cortex of the Brain, so that the Medullary Part is compress'd, and the Motion of the Spirits hindered; therefore the natu- ral Cause of Sleep is every thing that may produce these two Particulars. The natural Cause of Sleep Therefore if we consider the Na- ture, Necessities, and Advantages of Sleep, already mentioned, we may easily perceive how too much Watching will deprive the Solids of that due Supply of Spi- rits so absolutely necessary to enable them to perform their several Functions; and that for want of a good Digestion Perspiration will be very much obstructed, which must render the Body dull and heavier; for, according to Sanctorius, “ interrupted and unquiet Sleep “ lessens the Quantity usually thrown off by “ Perspiration about a third Part:” * And likewise, “ whatsoever hinders Sleep, hinders “ also the Perspiration of that digested Matter, “ which ought to exhale;” § because interrupted Sleep keeps the Fibres in that Degree of Ten- sion, which is not suitable to forward the Juices to the Extremities, and let the Matter of Per- spiration go off by the Pores of the Skin: The Effects of too much Watching R4 For * Aph. 5. Sect. iv. § Aph. 8. Sect. iv. 264 A GUIDE to HEALTH Part II. For whatsoever hinders that easy Relaxation necessary for found Sleep, must likewise hin- der Perspiration; so that full, heavy, and luxurious late Suppers must hinder it; be- cause such a Load in the Stomach will keep the Fibres upon the stretch, and conse- quently our Sleep will be uneasy and inter- rupted, until that be removed. It is therefore very certain, that according as our alimentary Organs are easy, quiet, and not overloaden with Food, our Sleep is found, sweet, and refreshing; for if any Per- son not labouring under a Disease, is restless in his Sleepy it must arise from his Stomach's being overcharg'd with indigested Food, or Crudities not carry'd off by proper Exercise; or his Intestines are filled with Wind, Choler, or superfluous Chyle: and the restless Nights which are generally ascrib'd to Vapours, are entirely owing to the said Causes. There- fore all those that would preserve their Health, and lengthen out their Days, ought to avoid large and late Meat-Suppers; especially the sedentary, studious, and such as have little or no Labour or Exercise, should eat very light or no Supper; if any, it ought to consist of some vegetable Food; neither ought they to go soon to Bed after any Sup- per whatever. And such People in general should give Attention to this Aphorism of the Schola Salernitana, Somnus Ch. IX. thro' the various Stages of Life. 265 Somnus ut sit levis, sit tibi cœna brevis: Viz. That your Sleep may be sweet, let your Supper be light. Immoderate Watching and want of Sleep, produces Diseases of the Head, corrupts the Temperature of the Brain, causes sometimes Madness, inflames the Humours, generates and excites a saline Acrimony in the Blood and Juices; hence arise cutaneous Eruptions of different sorts; likewise the want of mo- derate Sleep occasions bad Digestion, fills the Stomach with Crudities, and dissipates the Spirits, by which means a thorough Waste and Decay of both the Solids and Fluids suc- ceed at last. Sanctorius observes, that * “ They who “ sleep well and do not dream, perspire “ well; and on the contrary, they who “ dream much perspire less.” Because dream- ing is a State between sleeping and waking, therein, altho' the Mind does not exercise such a Power over the Body, as to direct its Motions in the same Degree as when awake, yet by its Attention to those confused Ideas which pass thro' it, the Solids are kept in some Degree of Contraction, greater than is agreeable with found Sleep; and therefore Perspiration, which depends upon a settled Relaxation, cannot be perform'd so well at such times, as when in quiet and profound Sleep * Aph. 27. Sect. IV. 266 A GUIDE to HEALTH Part II. Sleep, neither have they that Refreshment, Lightness and Agility, which spreads all over the Body, and principally the Brain, as those who sleep quietly without dreaming. The Effects of too much Sleep. Long and superfluous Sleep is very pernicious to both the Mind and the Body; for it chills the Body, weakens the natural Heat, breeds phlegmatic Humours, and fills it with Crudi- ties; whence arise much Sloth and Lazi- ness, the Parent of many Diseases; it like- wise fixes the Spirits, and renders them flug- gish and stupid; it dulls the Understanding, hardens the Excrements, and makes the Body costive, which is frequently the Cause of va- rious Distempers. In short, superfluous Sleep is neither good for the Body nor the Mind, nor for Business; for he who sleeps too much is but half a Man, Sleep rendering him in all Points like a dead Man, except his Digestion and the Pulsation of his Arteries; for he nei- ther sees, hears, speaks, or understands, and is absolutely depriv'd of all Reason, which for the Time is a perfect Death. Besides, too much Sleep occasions in both found and firm Bodies a Shortness of Breath, and is a constant Fore- runner and Disposition to an Apoplexy, Le- thargy, Palsey, and Numbness, by hindering the seasonable Evacuations of the Excrements, causing them to remain too long in the Body. Sanctorius is very clear on this Head, and says, * in one of his Aphorisms, “ By too “ much * Aph. 50. Sect. IV. Ch. IX. thro' the various Stages of Life. 267 “ much Sleep both the inward and outward “ Parts grow cold, the Humours are obstru- “ cted and render'd unperspirable, and the “ whole Body heavier.” So that by the very same means by which moderate Sleep is serviceable and necessary, too much of it proves injurious; because too much Relaxa- tion overcharges the Nerves with too thick and too great a Quantity of Juices, which instead of rendering them fitter for Motion, clogs them, and makes them less capable of recovering their Springs afterward; so that when once the Solids fail, the Fluids of course slacken in their Motions, by which means the natural Heat decays, and the Flesh grows cold, and they themselves be- come also more fizy or gluey; for which Reason they suffer less to pass off thro' the Pores by insensible Perspiration, or otherwise, and consequently the Body is render'd heavier. Sleep in the Day time, or after Dinner, is not to be allow'd, unless a Person has ac- custom'd himself to it, or has not rested Well the Night before, or if he perceives a kind of Lassitude or Weariness in his Limbs; in such Cases, I say, one may sleep an Hour, or half an Hour after Dinner, and even it is slow Digestion; for according to Sanctorius *, “ An Hour's Sleep at Noon after a Meal, “ sometimes occasions the Body insensibly to “ perspire a Pound, and sometimes half a “ Pound: * Aph. 37. Sect. IV. 268 A GUIDE to HEALTH Part II. “ Pound: a Pound when any of the per- “ spirable Matter of the former Day has “ been retain'd; when not, but half a Pound.” This is recommended as a most excellent Re- medy in weak People for imperfect Digestion, and there is a great deal of Reason why it should be of Service; because such an addi- tional Help every Day, may compensate for the Deficiencies of the last Night's Perspi- ration; but they must not be too free with this Practice, who are inclin'd to grow fat or phlegmatick. For according to the same Au- thor *, “ Immoderate Sleep after Dinner in- “ jures all the Bowels, and obstructs Perspi- “ ration.” So that altho' a little Sleep at such Times, and in the Cases above-mention'd, upon a full Stomach may be of Service, by perspi- ring what did not sufficiently pass off the Night before; yet if it be continued too long, there will such a Quantity of indigested Mat- ter follow, as will be too gross to pass, and consequently stop up the excretory Ducts of the Body, and thereby occasion very conside- rable Disorders. The ordinary Time allow'd for Sleep is seven Hours; for that Time seems sufficient for perfecting Digestion, and recruiting the Spirits; but some require more Sleep, and some less: So Children, antient People, Cho- lerick and dry Constitutions require more, be- cause it moistens and restores the Spirits; but fat * Aph. 66. Sect. IV. Ch. IX. thro' the various Stages of Life. 269 fat and phlegmatick Constitutions of all People should sleep the least, for Reasons already given. As nothing seems more directly pointed out to us by Nature, than the Day for Exercise and Labour, and the Night for Rest; so the fittest Time for Sleeping † is about four Hours after Supper, for then the Stomach is not loaded with Food, the first Concoction being then perfected, and by this Time the Chyle has got into the Blood; so that such a a quiet and relaxed State as Sleep produces, is most necessary to both Nutrition and Per- spiration: and the fittest Time for that Pur- pose is in the Night; because the Damps, Vapours, and Exhalations, which are rare- fy'd by the Heat of the Sun in the Day-time, are now condensed, and fall down upon the Surface of the Earth again, which must ob- struct the Pores of the Body, and consequent- iy hinder Perspiration, if exposed to such Damps by Night-watchings, or unseasonable Sittings-up; and this is one of the principal Causes of various Diseases, both acute and chronical, which soon break and shatter the Constitution, shorten Life, and beget a de- crepid Age; so that Watching by Night, and sleeping by Day, is of the most pernicious Consequence to Health and long Life, and plainly contrary to the Indications or Dictates of Nature, and the Constitutions of our Body. Therefore † This is conformable to Aph. 28. Sect. IV. of Sanctorius. 270 A GUIDE to HEALTH Part II. Therefore all those who value Health and long Life, ought carefully to avoid Night Damps and Dews, and unseasonable Watch- ing or Sitting-up, but go to Bed by eight, nine, or ten, and rise betimes in the Morn- ing, that is, by five or six; for according to the old Proverb, Surgere diluculo saluberri- mum est; that is, To rise betimes is most con- ducive to Health. The following Rules ought to be carefully observ'd in regard to the Position or Posture of our lying in Bed. In the first Place, we should never lie too close or too warm, which may obstruct the Fumes and Vapours neces- sary to be exhal'd from the Body; and we should always lie with our Heads a little raised, to prevent the Food from rising from the Bottom of the Stomach, to its upper Orifice. Secondly, We should never sleep upon our Back; because thereby we prevent the usual Excrements of the Brain, which are dis- charg'd by the Nose and Mouth, from fall- ing upon the Windpipe and Back-bone; but if we sleep upon our Back, we over-heat the Reins, by being pressed between the Inte- stines and the Bed, and thereby oftentimes produce Stone and Gravel, and send many Fumes and Vapours to the Head. Thirdly, It is necessary to take our first Sleep upon our right Side, to prevent the Liver's pressing the Stomach, then replenish'd with the Food we took in at Supper, which must Ch. IX. thro' the various Stages of Life. 271 must happen if we lie on the left Side. Be- sides, by sleeping first on the right Side, what is concocted of the Food descends gradually and easily out of the lower Orifice of the Stomach into the Intestines, and then the Liver comes underneath it, and is instead of a Chasing-Dish to it, which promotes Di- gestion very much. After this, we should turn to the left, that thereby the Steams and Vapours retain'd on the right Side may ex- hale. And lastly, when we go to Rest, we ought not to stretch our Joints, but rather bend them a little; for as * Galen observes, The Ease of the Muscles consists in a mode- rate Contraction. CHAP. X. Of MOTION and REST. BY Motion, I mean here Exercise and Labour, as Walking, Riding, Running, playing at Ball, &c. They encrease natural Heat and consume the Crudities of the Body; for it is very certain, that all Sorts of Ali- ment tho' never so pure, have yet always something in them unlike our Nature, which can never be assimilated to either our Juices or Substance; so that some Excrement must always * Galenus, lib. 1. de motu Musculari. 272 A GUIDE to HEALTH Part II. always then remain in every Concoction, which being retained in the Body, may pro- duce a Multitude of various Diseases: But the grossest Excrements are discharged by a sensible Evacuation, and the most subtile are insensibly dissipated and resolved by Exercise or Labour. This made the divine Hippocrates very justly say, in his Book of Diet, that “ One “ cannot preserve Health, except he joins “ Exercise with his Diet; for the one repairs “ what is lost, and the other dissipates what “ is superfluous.” Hence moderate and re- gular Exercise prevents Repletion, which is often the Parent of many Diseases; by en- creasing the natural Heat, it keeps all the Ca- nals of the Body open, and free from Ob- structions; it renders the Body supple; pre- pares and disposes all the Superfluities for both Secretion and Excretion, as well in general as in particular; it likewise fortifies the Nerves, and strengthens all the Joints which is con- firm'd by the great Hippocrates, in his Epi- demicks, saying that, “ As Sleep is proper for “ the Bowels, so is Exercise for strengthen- “ ing the Joints.” Celsus also tells us, that “ Idleness makes the Body dull and heavy, “ but Labour strengthens and renders it firm “ and active; Laziness makes us soon grow “ old, but Exercise preserves Youth a long “ Time †.” To † Lib. I. Caput I. Ch. X. thro' the various Stages of Life. 273 To prove the Necessity of Motion or Exer- cise, for the Preservation of Health and long Life, it will be necessary to observe, that a human Body, as it comes under the Conside- ration of a Physician, is merely a Machine. Considering it therefore in this Manner, it is divided into Solids and Fluids; the Solids are vascular, and have continually propell'd thro' them some Liquor or other necessary for the Purposes and Support of the Machine: And these circulating Fluids are of different Kinds, arising from the different Agitations and Ve- locities impress'd upon them by the Vessels which circulate them. But in this View they have a necessary De- pendence upon each other; for as the Disten- sion and Power of Restitution in the Vessels, is owing to their being duly moisten'd by some convenient Fluid, separated and dispensed to them from the Blood, which is the common Promptuary of all the animal Juices; so likewise that due Constitution of the Blood, which fits it for yielding some of its Parts for that Use, depends upon its certain Degrees of fluidity, which are always as the Contraction of its circulating Vessels: But yet even in this the Solids have the principal Share; be- cause, as that Power by which the Blood is Preserv'd in a due Crasis or Constitution is de- rived from itself, that is, of beflowing upon the Solids a Juice necessary for the Preserva- tion of their Springs, yet that Constitution enabling it to afford such a Power, being pri- S marily 274 A GUIDE to HEALTH Part II. marily derived from the Actions of the Solid upon it, the chief Spring or Rise of Motion is in the Solids. To know therefore the most ready Ways of altering the Constitution of the Fluids, is to find out the most convenient and effectual Means of influencing the Contractions of their Vessels; but this cannot be done, without knowing first upon what Texture and Me- chanism of Parts their Powers of Contraction and Distension depend. And in order to come to any Certainty of this Matter, we are to consider, that it is very well known, that any Membrane or Ves- sel may be separated or divided into very small Fibres and Threads, when just taken out of the Body, and that these Threads may be drawn out a considerable Length beyond what is natural to them without breaking, and that when such external Force which so distended them is removed, they will again, by their Elasticity, restore themselves to their former Dimensions. And it is farther like- wise known, that these Properties of Disten- sion and Contraction are preserved in them by a convenient Moisture; because, if one of these Threads be dried, it will immediately lose it, so that upon the Application of any Force to stretch it, it will break; as also its being soak'd too much in Liquor will render it flaccid; as likewise destroy its Elasticity or Power of Restitution when distended. But Ch. X. thro' the various Stages of Life. 275 But what is exactly the constituent Tex- ture, or what are perfectly the Shapes and Arrangement of those Parts which compose an animal Fibre, is scarce possible to be justly determined; because they are too fine to be perceived by the naked Eye, or even by the Help of the best Microscopes when very mi- nutely divided; which Division proceeds so far at last, that the component Fibrillœ be- come so incredibly small, as to exceed the Power of Imagination; but Reason con- vinces us that there must be an End. However, as to the present Enquiry con- cerning the Effects of Motion or Exercise on the Solids and Fluids of a human Body, it will be sufficient, with what has been al- ready said, that it is known to a Demonstra- sion, that all the Fibres in a living Body are in a State of Distension; that is, they are drawn out into a greater Length than they would be in, if separated from any Part, and taken out of the Body; which is easily de- monstrated, by cutting transverse, or dividing of a Nerve or Artery, which are intirely a Composition of the Threads we are now speaking of; for immediately we see the di- vided Parts run up and leave a great Distance between them, as in Wounds, and the Fluids contained in them upon such Contraction, to be so squeez'd out; and this also makes it ap- pear, that their natural Distension is owing to some Fluid being propell'd into the Vessels which they compose, with a greater Force S2 than 276 A GUIDE to HEALTH Part II. than their Endeavours of Restitution, so far as to obtain a close Contact of all their transverse Surfaces, but yet lesser than that which is necessary to distend them, so far as to bring them to Coincidence, for in such a Case the Vessels would break. In the next Place then, this State of Di- stension of the Fibres must necessarily leave some little Vacuities or Interstices between all their transverse Surfaces, which Vacuities will continue as long as the longitudinal Sur- faces of their component Parts continue so close to one another, as to prevent the En- trance of any foreign Matter between, how subtile soever, for the same Reason as when the Embolus of a Syringe is drawn, and the Pipe is stopp'd, there must needs be a conti- nual nisus restituendi, or an Endeavour of Contraction. There is also a farther Necessity of being supported in such a State of Disten- sion; because, if they were closely in Contact with each other in all Parts, they could not be put into, and continue in those undulatory Motions, which they are always in, in a living Body, without being very much al- ter'd both in their Figures and Contextures. But it being manifest that all the animal Fibres are continued by the perpetual succes- sive Impulse of the Fluids, in such undulatory Motions; besides this Necessity of their being distended, they also must be continually moi- sten'd with some convenient Fluid, otherwise their continual Attritions against one another would Ch. X. thro' the various Stages of Life. 277 would soon wear out, and render it difficult to move them. The Fluid likewise suited for this Purpose must be very fine and subtile, because other- wise it cannot be insinuated into all the In- terstices the Fibres, without separating their Parts so far as is inconsistent with the Contexture and Mechanism of a Fibre, al- ready described; and the Parts also of this Fluid must not only be very subtile, but like- wise soft and yielding, whereby the Motions of the Particles against one another may be Maintained the better; and also as by a Ce- ment, that they may be prevented in their receding from each other in their longitudinal Surfaces, so far as to admit of no foreign Matter to insinuate itself between their trans- verse Surfaces, in such Quantities as to hinder their Re-union when Occasion may require it. From what has been said it will appear, that the most natural Consequence of Mo- tion, will be the breaking still smaller and smaller the component Particles of that Fluid, which is dispensed to the Fibres to lubricate and facilitate their Motions; which Commi- nution will be continued till it is rendered so fine, as to fly off at last at the Surface of the Body, being of no farther Use to Nature, whenever it happens to get there, and by that Means must be there continually made a Waste of, and that merely by such an Attrition of the Parts, as necessarily arises from their due S3 Dis- 278 A GUIDE to HEALTH Part II. Discharge of the vital Functions; and that Matter, which thus insensibly flies off, is the true Matter of insensible Perspiration, the Exhalation of which is absolutely necessary for the Preservation of Health and long Life. But this Waste makes it necessary that there be a continual Supply of what is lost; and this is made from what is taken in by the Stomach, which, after divers Digestions and Alterations, at last is mixed with the Blood, and there fitted for some of the finest Parts to pass through the Glands constituted for that Purpose in the Brain, which from thence are dispens'd through the whole ner- vous System, in such a Manner, as constantly to keep up a due Supply of this animal Fluid. Yet there is another Way by which the Fibres receive fresh Supplies, and that a much nearer; for, according to their natural Con- structures, it is very likely that even in the Stomach, and throughout the whole Passage of the Food into the Blood, the most subtile Parts of what is taken in, which are soon se- parated from the rest, and ready fitted for this Use, may, when they chance to strike against any of the Interstices of a Fibre, be laid hold on, and by Degrees convey'd into the Substance of the Thread; for it is certain the most subtile Part of the Chyle passes imme- diately into the Blood by the absorbent Ves- sels Ch. X. thro' the various Stages of Life. 279 sels * of the Intestines, as I have observed in another Place, which discharge themselves into to the Mesaraick Veins †, and from thence are convey'd directly into the Liver and Spleen. Besides, this is farther supported by com- mon Experience, by which it is evident, that the Solids are invigorated with fresh Recruits of Spirits, immediately upon taking into the Stomach such Meats and Drinks as are spiri- tuous, and contain in their Composition plenty of Particles very fine and active, and easily to be divided from the rest: And thus every one, Upon eating a good Meal, or upon drinking of any spirituous Liquor, especially if it be after long fasting, or a large Expence by hard La- bour or Exercise, finds himself immediately, as soon as it is in his Stomach, raised with new Spirit and Vigour; which could by no Means happen, were the Solids to obtain these Re- cruits altogether from the Chyle's passing through the Lacteals to the Thoracick Duct, S4 and * Are Vessels which suck in. † They are Branches of the Vena Portœ, interspersed in great Numbers in and upon the Laminœ of the Mesentery, which is a membranous Part in the lower Belly, to which the Guts are connected, and they carry the Blood back to the Liver: Their Largeness and Number demonstrate what in said above; for they are numerous and vastly larger than their correspondent Arteries; besides, wherever there are Emissaries, which are little Vessels which throw out a Liquid, there are likewise absorbent Vessels; for Example, in the Skin, by the absorbent Vessels of which Mercury will pass into the Blood. Moreover Birds, which have strong and large Breasts, small Bellies, and their Ribs upon their Backs, have no Lacteals nor Thoracick Duct, and their Aliment passes immediately into the Mesaraick Veins, by which Means they receive their Nourishment intirely. 280 A GUIDE to HEALTH Part II. and thence into the Blood; because it is im- possible that what a Person finds himself so soon recruited by, should in so short a Time have gone through the usual Digestions and Cir- culations, which require some Hours for that Purpose, according to Sanctorius, and a great many Authors of undoubted Authority. Upon a View of what has been said, with what ease may be explained, how the Body, by moderate Exercise, is rendered lighter up- on a twofold Account! Because, in the first Place, there is occasion'd by it a Substraction of its absolute Weight, as it assists Digestion, and by breaking the Matter to be perspired finer; secondly, it promotes the Discharge of that Matter through the Pores; and because by the Vibration of the Solids, at the same Time, there is a larger Quantity of fresh Spi- rits taken up by them from the circulating Blood, both by the Secretion made of them in the Brain, and in the Manner they are convey'd by the absorbent Vessels just now explained, whereby the Fibres become more invigorated, and so much the more able to carry on a due Discharge of all the vital Functions, inso- much that the Body will not have the Sense or Perception of so much absolute Weight as before. Moreover, the Muscles and Ligaments are cleared of their Excrements by Exercise; that is, whatever superfluous Particles of the digested perspirable Matter may adhere to them, is by Motion dislodg'd and shook of: And Ch. X. thro' the various Stages of Life. 281 And the Spirits are rendered finer; that is, such Parts of the nervous Fluid as are just re- ceived by the Fibres, are by the Actions of their component Threads broke smaller, and tendered fitter for the Purposes of the whole Body. Upon this View likewise it will be easy to account for some Disorders this Fluid is likely to fall into, or how it is most liable to be di- stemper'd; which is very plain, that it must be either by becoming too gross and sizy, or too fine or exhalable. The first may be occasioned by a want of sufficient Agitation or Motion in the Solids, whereby its Parts attract each other, and form viscid Cohesions, in the same Manner as it happens in the Blood in the same Case, which renders the Motions of the constituent Threads of the Fibres very difficult and troublesome, and sometimes so obstructs or blocks up those little Vacuities or Interstices between their transverse Surfaces, which are necessary for the Support of their Elasticity, as to prevent, in a great Measure at least, their Power of Resti- tution when they are distended; as happens in a Leucophlegmatia, Anasarca, and such like Disorders, where the Springs of the Fibres are so much destroy'd, that by any small Pressure upon a Muscle, the Impression will sometimes remain a long Time before their constituent Threads can recover their natural Dimensions; or, as it is commonly express'd, the Part will pit. The 282 A GUIDE to HEALTH Part II. The other Disorder of this Fluid, oppo- site to the former, is, its being broke too fine; which will render it so exhalable as to fly off in greater Quantities than the concoctive Power in the Stomach is able to recruit or supply; and this is often brought about by too violent Exercise, too large Evacuations, or drinking too great Plenty of spirituous and hot Liquors, whereby the Constitution of the Blood is so far weaken'd, as not to give due Resistance to the Constractions of the Vessels which circulate the Juices, whereupon they vibrate quicker, and break the nervous Juice too fine; which brings on a Hectick, and Death, if not timely remedied. As to the first of these Disorders, it is evi- dent that it is to be remedied by giving brisker Motions to the Solids, and encreasing the Vi- brations of the contractile Vessels, in which how far Exercise may be useful, is evident from what has been said already; for every Thing which acts as a Stimulus comes under this Head; and their Efficacy is chiefly to be determined by their greater or lesser Power of stimulating, shaking, and contracting the Fi- bres, which Exercise rightly pursued produces more efficaciously, and with less Danger, than any other Method whatsoever. For by such Means the component Threads of the Fibres are so put in Motion, as to loosen such Parts of the animal Oil, as are obstructed in their Interstices, and by Degrees break them small enough for Expulsion; and a fresh Ch. X. thro' the various Stages of Life 283 a fresh Stock of such Spirits will be supply'd, as will restore them to their natural Springs. As to the latter Disorder, it is to be re- moved by a Diet that agglutinates, and gives a greater or stronger Consistence to all the Fluids, and by all such Means as check the in- ordinate Motions of the Solids. So that upon the Whole it is evident, that to keep from ei- ther of these Extremes, Care is to be taken to maintain a just Ballance between the elastick Force of the Solids and the Resistances of the circulating Fluids, in which true Health con- sists; because, if the Equilibrium is lost on either Side, the Body cannot but fall into some Distemper; and in this consists the whole Art and Business of a rational Practice, to know when to add to, or substract from, the Resistances of the Fluids, and when to check or spur the Motions of the Solids; as also to be well acquainted with the various Methods by which all these Intentions may be brought about. And here I cannot omit just taking Notice, how wonderfully the Effects of Musick in some extraordinary Cases are hereby account- ed for; and tho' Musick, strictly speaking, may not be deem'd Exercise, unless it be so to those who exercise it themselves; yet it will manifestly appear otherwise, if we consider, that according to the Nature and Contexture of an animal Fibre or Thread, it is very plain that the least Stroke imaginable upon it, must move its component Fibrillœ in all their 284 A GUIDE to HEALTH Part II. their Parts; therefore every Wave or Undula- tion of the Air, which is made by a musical Instrument, gives the Fibres of the whole Body more or less correspondent Concussions, according to their Degrees of Tension, where- by all the component Fibrillœ are successively moved from one to another throughout the whole Thread; and consequently the Spirits are not only raised and made finer, but like- wise the other animal Fluids are also more briskly agitated, and their preternatural Co- hesions and Viscidities destroyed: All which plainly prove, that Musick is not only good Exercise for the Mind, but likewise very use- ful for the Body, by the agreeable Concus- sions and Thrillings we sensibly perceive from it in all the fleshy Fibres of the Body. Hence Musick has this Advantage above any other Exercise, that those Concussions made upon the Fibres thereby are short, quick, and easy, whereupon the nervous Fluid is not only more briskly agitated, but also the natural Contexture of all the animal Threads are better preserved, being never o- verstrained hereby, as they frequently are with other Exercises: Therefore upon this View the extraordinary Effects of Musick in several Diseases, as that of the Bite of a ta- rantula *, &c. ceases to be a Wonder, and it * Among all the wonderful Effects ascrib'd to the Power of Musick, none is more surprising and important than that of curing the venomous Bite of the Italian Spider, called the Tarantula. The Part bitten is soon affected with a very acute Pain, Ch. X. thro' the various Stages of Life. 285 it rather comes to be admired that it is not much more brought into Use here for the Be- nefit of valetudinary and weakly Constitu- tions, as it is in Italy and other Countries, and that even by the Direction of their Phy- sicians. What has been said farther explains that common Effect of Exercise, in its giving al- ways, conformable to Hippocrates's Opinion, a greater Firmness and Strength to the Solids; for the more a Fibre is kept in Action, the clearer it will keep its component Parts from the Lodgement and Adhesion of any foreign and superfluous Matter upon them, by which Means whenever it is distended or stretch'd, there will be the more Room for each Par- ticle to draw up again, and consequently its Return will be with greater Force; but the Exercise which produces this Effect, is such only as does not exceed the Powers of the Con- Pain, and a few Hours after with Numbness; upon which ensues a profound Sadness, and a Difficulty of Respiration; the Pulse grows weak, the Sight is disturbed, and the Person loses Knowledge, Sense, and Motion. The Doctor is in vain con- sulted; the Musician here alone performs the Cure; he tries a Variety of Airs, and when he happens to hit on that Har- mony that accords with the Patient, he begins to move by Degrees, and keeps Time with his Fingers, Arms, Legs, and Body; then he raises himself up and dances, increasing in Strength and Activity. This dancing Fit continues six Hours, or a Day, or sometimes two Days. When the Musick ceases, the Person gives over dancing, and is put to Bed. And this Process is repeated till the Patient is recovered, which is by little and little; and every sick Person has a particular Tune or Air, and always a very brisk or sprightly one. See Der- ham's Physico-Theology, Book IV. Chap. iii. and Malcolm's Musick, Chap. xiv. Sect. 3. &c. 286 A GUIDE to HEALTH Part II. Constitution; for too much Exercise destroys the Solids, by consuming the Fluids too much. But on the contrary, by too much Rest and Inactivity every Part will lose its Strength, and the less it is mov'd, be still render'd less able for Motion. And upon this Account it is that we see daily such a very great Diffe- rence between active and stirring Persons, and such whose Circumstances of Life in- ures them to Labour and Exercise, and those whose Inclinations and Condition indulge them in Ease and Inactivity; for the for- mer are strong, hardy, and healthful, but the latter tender, weakly, and diseas'd. From the Doctrine of this Chapter, it is manifest to a Demonstration, that there is an absolute Necessity for Labour and Exer- cise, to preserve the Body any time in a due State to maintain Health, and prolong Life: For let whatever Diet be pursued, though never so well adjusted both in Quantity and Quality, and let whatever Evacuations be used to lessen the Disorder, or any Succeda- neum or Equivalent be proposed to prevent the ill Effects; yet our Bodies are so made, and the animal Oeconomy so contriv'd, that without due Labour or Exercise the Juices will thicken, the Joints will stiffen, the Nerves will relax, and on these Disorders, chronical Distempers and a shatter'd old Age must soon ensue. And Ch. X. thro' the various Stages of Life. 287 And tho' light Food may in a great mea- sure prevent the thickening of the Fluids, yet it cannot do it sufficiently without Exer- cise; nor can it at all keep the Fibres in due Tension, for to that Purpose Exercise is ab- solutely necessary: Even the joint Power of warm Air and light Food, cannot supply the Place of Exercise in keeping them pliant and moveable, and preserving them from growing hard and stiff. But we should al- ways avoid too much Labour or Exercise, as I have just now observ'd; for Sanctorius tells us, “ That by too much Exercise the Fibres “ become hard, whence old Age proceeds, “ which is an universal Hardness and Stiff- “ ness of the Fibres *.” There are general and particular Exercises; the former, which move and stir the whole Body, are Walking, Dancing, Fencing, Run- ning, Leaping, Bowling, Tennis, Pumping, Riding a Horseback, or in a Coach, &c. of all which Walking is the most natural, and would be also the most useful, if it did not exhaust the Spirits of weakly Constitutions too much; but Riding is certainly the most manly, the most healthy, and the least labo- rious and expensive of the Spirits of any, shaking the whole Body, and thereby pro- moting an universal Perspiration and Secre- tion of all the Fluids; to which may be added the various Changes of the Air thro' which they so quickly pass, the Alterations of * Aph. 35. Sect. V. 288 A GUIDE to HEALTH Part II. of which become as it were a new Bath, and by that means variously stimulating the Fibres to brace and contract them; besides the different Objects or new Scenes, which at the same Time amuse the Mind. The immortal Sydenham laid so great a Stress on Riding, that he thought he could not only cure slight Consumptions, but an almost desperate Tabes, attended with nocturnal Sweats, and a violent Diarrhœa, by Riding alone; nor did he believe Mercury more ef- fectual in the Cure of the Venereal Disease, or the Bark in intermittent Fevers, than Riding was in a Consumption. Those who cannot ride may use a Coach, Chaise, or Chair, which is the only proper Method for lame, old, and decrepid Persons, as well as for those who are so young, that they are not able to manage their own Exer- cise. There are also particular Exercises appro- priated to certain Parts of the Body; as Shooting, for the Breast; Talking, Singing, Hollowing, Blowing the Horn, or Wind-In- struments, for strengthening, opening, and clearing the Lungs; Tennis or Foot-ball, for those who have weak Arms or Hams; Bowl- ing or Skettles, for the Reins and Loins; Riding, for weak Nerves and Digestion, and those troubled with Head-aches. In short, there is no one particular Part of the Body, but might be strengthen'd and kept in due Plight by Labour or Exercise rightly Ch. X. thro' the various Stages of Life. 289 rightly appropriated to the particular Organ; for it is very remarkable, how the several different Limbs of labouring Men are streng- then'd, and render'd fleshy and nervous, as they happen to be most employ'd in their different Occupations: so the Thighs, Legs, and Feet of Chairmen; the Arms and Hands of Watermen; the Backs and Shoulders of Porters, grow thereby thick, strong, and hard in time; for it is very certain, that using any Organ or Member frequently and forcibly, brings Blood and Spirits into it, and by that means is render'd plump and strong. The following Conditions ought to be ob- serv'd with Regard to Exercise, in order to render it the most beneficial that may be. The first, that it be upon an empty Stomach, for then all the Matter which is digested enough for Perspiration, will thereby be easily discharg'd; but Exercise on a full Meal is very pernicious, for it subverts the Stomach, and forces the Aliment from thence crude and indigested, and so hurries it into the Veins and Habit of the Body, whereby Secretions are precipitated, and the found Juices are carried off with the corrupted Hu- mours; hence arise frequently putrid Fevers, Pleurisies, Head-achs, weak Eyes, and a general Cacochymy, or a vitiated Constitu- tion. Secondly, the Morning Exercise is always the best, for then the two Concoctions are finish'd; and Hippocrates is very clear upon this Head, T in 290 A GUIDE to HEALTH Part II. in one of his Aphorisms, wherein he says, Let us exercise before eating. But it should be moderate and equal; I call that Exercise moderate which is not tiresome, and equal when all the Parts of the Body are equally mov'd. Thirdly, They that are lean should exer- cise only ad Ruborem, that is, till the Body and Spirits are gently heated, for that will help to fatten them; but they who are fat may exer- cise ad Sudorem, that is, till they sweat, for that will help to melt down Part of their Fat, and consequently extenuate the Body. Fourthly, We must carefully avoid drink- ing any cold Liquors after violent or great Exercise, or when we are hot and sweating, which Heat and Thirst intice us to do; the dangerous Effects of which, are chilling and almost extinguishing the remainder of the Heat which is left in the inward Parts, and surfeiting the Blood and Juices, by mix- ing cold Drink with the Fat, which is at that Time partly melted and floating in the Body. Fifthly, Another great Error to be avoid- ed is, drinking of strong and spirituous Li- quors after hard Labour or Exercise, in order to avoid the former Inconveniencies, not con- sidering that we thereby incur another, which is over-heating and drying our Bodies, too much heated and dry'd before; but to avoid both, and to refresh the Body at the same time, the best Way is, first to rest a while warm, Ch. X. thro' the various Stages of Life. 291 warm, if we can conveniently, and then to drink a Draught of warm Ale or Beer, with a little Mace and Sugar in it, or some other innocent Supping, analogous in Heat or Warmth to that of our Bodies, by which means the Blood and Spirits will soon settle, and be refresh'd, and so the Limbs after Rest will be enabled with Ease to undergo new Labour. Sixthly, We should carefully avoid catch- ing of Cold after Exercise, by retiring into a warm Room, or some convenient Shelter from the Injuries of the Weather. CHAP. XI. Of RETENTION and EXCRETION. THE Things to be excreted or evacua- ted, and retained, are the Excrements of the Belly, Urine, insensible Perspiration, the Semen, and the Menses; for these must be regulated, and evacuated in due Time, and in due Quantity, all which conduce very much to the Preservation of Health and long Life, otherwise they will injure it, and bring on a Multitude of various Diseases. There- fore in a natural and healthy State, we should go to Stool once in 24 Hours, and the Fœces should be of a due Consistence, that is, some- T2 what 292 A GUIDE to HEALTH Part II. what soft, and stick together, according to the old Saying, Oportet sanorum sedes esse configuratas; that is, The gross Excrements in healthy Persons ought to be of such a Con- sistence, as to take the Impression of the Guts. They who are costive, and otherwise not well, have either over-heated their Bodies with spirituous Liquors, or have fasted too long, or eaten too sparingly, or they have too slow a Digestion, or too great Weakness of the Intestines; and by that means the Food is retain'd too long before the Mouths of the Lacteals, and is thereby over-drain'd of its Moisture, and harden'd. The best Proportion of the gross Eva- cuation to the Quantity of the Food we take in, is about the third Part; for they who much exceed that, have the Mesaraick Veins stopt or obstructed, and so cannot be nou- rish'd; and if it exceeds it, 'tis certain that the Body wastes, unless the Matter of some Disease be thereby evacuated; or else, if they have purging Stools, they have eaten too much of Things too strong for their Powers of Digestion; for it is very certain, that superfluous Nourishment leaves too much Chyle in the gross Excrements, which fermenting in the Guts, stimulates them so as to become purgative. But if the Looseness be not violent, and the Appetite remains good, it is not to be suddenly and rashly stopp'd; for Nature thereby frequently prevents, and often times rids Ch. XI. thro' the various Stages of Life. 293 rids herself of many a Disease, which upon an unadvised Astriction would be riveted in the Body; and therefore the Rule is, first cleanse and then close. But if it be too vio- lent and frequent, and the Stomach thereby decay'd it must be carefully and speedily remedied; and in this Case Advice is very necessary, for it is easy to commit an Error, but the Consequence is dangerous. Here I cannot omit inserting an Abstract of some few Passages out of Cheyne's Essay of Health and Long Life, which are admi- rable upon this Subject, and very worthy of every Body's Perusal. ' I have often ob- ' serv'd, says he, that a full Meal of strong ' Meat, as Fish, Beef, Pork, baked Meat, ' or made Dishes, in tender Persons goes off ' with the Hurry and Irritation of a Purge, ' leaving the Bowels instated, colick'd, grip'd, ' and the Spirits sunk to the last Degree. ' The Food by its various Mixture, Weight, ' and Fermentation, Stimulating all along ' from the Stomach to the Rectum *, and ' being scarce ever drain'd of its Chyle, ' without affording any Nourishment to the ' Body, runs off thus crudely, and becomes ' equal to a total Abstinence from Food for ' a long Time. And hence we have a most ' infallible Rule, † a Posteriori, to judge ' if we govern'd ourselves in our Diet in T3 ' Pro- * The straight or last Gut. † A Posteriori, i. e. after the Trial has been made. 294 A GUIDE to HEALTH Part II. ' Proportion to the Necessities of Nature, ' and the Forces of our concoctive Powers. ' This is the very Reason why the Bark ' over dosed, and given to Persons of weak ' Digestion, so constantly purges them, and ' why Mercury given either inwardly, or ' by Frictions, runs off in violent Purging, ' and cannot be raised into a Salivation; to ' wit, the not adjusting the Doses to the ' Strength of the stomach and nervous Fi- ' bres; for the Bark naturally binds, and ' Mercury naturally rises to the most § per- ' vious Glands. ' And in this Sense I myself have frequent- ' ly observ'd in weak and scrophulous Bowels, ' even Diascordium and Venice Treacle to ' purge: whereas, had the Doses been duly ' proportion'd, or had they begun by un- ' der-dosing, and taken a little longer time, ' they might have been effectually answer'd, ' as I have often experienc'd without ever ' failing. ' 2. There is a very great Error commit- ' ted in Nurses and Parents in rearing up ' young Children; the perpetual Gripes, ' Colicks, Loosenesses, hard Bellies, Choak- ' ings, Wind and Convulsive Fits, which tor- ' ment half the Children in England, are en- ' tirely owing to the too great Quantities of ' too strong Food, and too rank Milk, thrust ' down their Throats by their over-laying ' Mothers § Pervious, i. e. the easiest or readiest Way to be passed through. 295 thro' the various Stages of Life. Ch. XI. ' Mothers and Nurses; for what else do their ' slimy, their gray or chylous, their blackish, ' and cholerick Discharges, the Noise and Mo- ' tion in their Bowels, their Wind and Choak- ' ings imply, but Crudities from superfluous ' Nourishment? This is so certain, that they ' are universally and infallibly cur'd by testa- ' ceous Powders, which only absorb sharp Cru- ' dities; by Rhubarb Purges, which at once ' evacuate and strengthen the Bowels; and by ' Milk Clysters, Issues, and Blisters; and by ' obstinately persisting in these and the like, ' (intended to evacuate and strengthen the ' alimentary Passages) and a thin, spare and ' nutritive Diet; for nothing nourishes but ' Food duly concocted. ' 3. I have often heard valetudinary and ' tender Persons, and those of sedentary Lives, ' and learned Professions, complain of Head- ' achs, Sickneses at the Stomach, Colicks and ' Gripes, Lowness of Spirits, Wind and Va- ' pours; and yet pretended they were very ' moderate and abstemious in their Eating ' and Drinking; but upon Enquiry, I con- ' stantly found these very Persons pursued ' with purging Stools, which was an evident ' Proof to me, that they had taken down ' more than they wanted, or could digest: ' for 'tis universally certain, that those that ' do not exceed, must have either Costive, ' or at least Stools of a middle Consistence. ' There is nothing more ridiculous, than ' to see tender, hysterical and vapourish Peo- T4 ' ple, 296 A GUIDE to HEALTH Part II. ' ple, perpetually complaining, and yet per- ' petually cramming, crying out, they are ' ready to sink into the Ground and faint ' away, and yet gobbling the richest and ' strongest Food, and highest Cordials, to ' oppress and overlay them quite. The pro- ' per Remedy in this Case, is first, to cleanse ' the fœtid Abyss, and then to preserve it ' clean, by cutting off all the Inlets of Pu- ' trefaction. This will require a little Cou- ' rage, Labour and Pain; but the future ' Ease and Sweetness will more than abun- ' dantly recompence them; for there is no- ' thing more certain, than that the Head-achs, ' Colicks, and nervous Pains and Disorders, of ' those born found here in England, univer- ' sally proceed from Idleness and Fulness of ' Bread. 4. ' Those who pretend to cure themselves ' of nervous Disorders, or any other chroni- ' cal Diseases, or preserve themselves from ' them, or lengthen out their Days, must ' under-dose themselves, even tho' they ' should undergo the Pain of Costiveness; ' for it is impossible the Nerves of those who ' have slippery Bowels, should ever be braced ' or wound up; for there the Cure must be- ' gin where the Evil began, and must be ' communicated thence to the rest of the ' System; as a Rope-maker begins the Twist at ' one End of the Rope, and communicates ' it to all the other Parts. ' Our Ch. XI. thro' the various Stages of Life. 297 ' Our Access to the Nerves of the Sto- ' mach and Bowels, is obvious and open; to ' the rest the Way is difficult, and far about. ' And since a Relaxation, Weakness, and ' want of Spring in the Fibres, is the Origin ' of all nervous Distempers, no Medicines ' but such as contract, stiffen, wind up, and ' Shorten them, can remedy this Evil; and ' they must necessarily contract and bind up ' the Fibres of the Stomach and Guts, as the ' Parts they first approach and exert their ' Virtue upon. And he who without firm ' Bowels, thinks to cure a nervous Distemper, ' labours as much in vain, as he who would ' keep a Fiddle-string soaking in Oil and ' Water, to make it vibrate or play off a fine ' Composition of Musick. 5. ' There happens also an Evacuation ' both by Stool and Urine, to some weak ' Persons of relax'd Nerves, that extremely ' alarms them, and is not so readily account- ' ed for in that Part of Physick, which teaches ' the Causes of Diseases. It is when either ' a white transparent, viscid Substance like ' Gelly, is constantly voided by the Bowels, ' more or less; or when a white, milky, gluey ' Substance like Cream or laudable Matter, ' settles in the Urine. Both these Appearances ' are commonly ascrib'd to an Ulcer in the ' Guts, or in the Kidneys; and yet I am ' very certain, there is neither Ulcer or true ' Matter in either Case, as I propose them. ' For where there is violent and acute Pain, ' or 298 A GUIDE to HEALTH Part II. ' Matter of different Colours or Mixtures, ' there very possibly may be, nay certainly ' there is an Ulcer. But in the Case I here ' intend, there is very little or no Pain, no ' hectical Paroxysms, which always attend an ' inward Ulcer; no bloody or sanious Mix- ' tures, which always betray the inward Sore; ' no fœtid Smell to imply Corruption. ' The first Case I take to be either an ' Obstruction of some of the Lacteals, where- ' by the Chyle cannot be carried off in any ' sufficient Quantity, but passing thro' the ' Guts, and its more watery Part being eva- ' porated, it becomes thick and gelatinous, ' and is thrown off at last with the Remains ' of the Food; else it must be an Obstru- ' ction of those Glands of the Guts, by ' which a viscid Matter for lubricating of ' them is commonly secerned, by the Im- ' prisonment and Evaporation of which Mat- ' ter it thickens and turns like a Gelly (as it ' does by Cold or Over-feeding, in the Glands ' of the Mouth, Throat, and Windpipe) and ' at last, by squeezing of the Guts is thrown ' off. And in the same manner, I take that ' milky Substance subsiding in the Water, in ' such a Case as I have mention'd, to arise ' from a Relaxation of the Glands of the ' Kidneys and Bladder, and other urinary ' Passages; and that both are to be cur'd the ' same Way as other nervous Distempers are ' cur'd; viz. by a proper Regimen of Diet, and Ch. XI. thro' the various Stages of Life. 299 ' and a Course of contracting, strengthening, ' and volatile Medicines.” The second Evacuation is by Urine, be- ing a serous Humour strain'd in the Kid- neys, which comes with the Blood (which it diluted) to the Reins by the Arteries of the Kidneys, but is separated from it as ex- crementitious, and that continually, as Part of the Blood is constantly driven to the Kid- neys to nourish them. The Urine contains not only the watery Part of the Blood, but the sharpest Salt, which is most subtile and volatile, and nearly of an alkaline Nature, render'd exceeding volatile. In the watery Part there is also a fœtid Substance contain'd, and a viscid Oil so attenuated, that it readily mixes with Wa- ter, and is scarce separable from it; which may therefore in some Measure be called a Spirit. The natural Salt of Urine is of a lixivi- ate, soapy Disposition, and much like Sal- ammoniac, yet in some Respects different from it: It also contains a fix'd Salt, of the Nature of Sea-salt, being composed of a li- xiviate one, and a nitrous; of which Nature is that which swims in the Blood, the nitrous Parts being imbibed into it thro' the Lungs in Inspiration; so that the Salt in Urine in a found State, is neither acid, alkali, ammoni- cal nor briny, but of a peculiar Disposi- tion. But 300 A GUIDE to HEALTH Part II. But as Urine is a * Lixivium of the Salts contained in a human Body, and the proper Mark of the State and Quantity of such Salts; therefore very certain Indications may be taken from the Condition of Urine, to discover both the State of our Constitution, and the Regulation of our Diet; and tho' the Salts of human Urine be neither acid nor alkaline, as I have just now observ'd, yet by the violent Motion of the Blood, as in burn- ing and putrid Fevers, &c. they may be turn'd alkaline, and even corrosive; and when they begin to turn so, they affect the small and tender Fibres of the Brain more sensi- bly than any other Part of the Body. When the Urine is of a bright Amber Colour, and of a moderate Thickness, with a light Cloud hanging in it, and in Quantity of about three Quarters of the Liquor taken in, it is best, and a certain Sign of a due Con- coction, a just Proportion of Food, and a to- tal Riddance of Repletion and Crudities; for they who live moderately, use due Exercise, and enjoy a perfect State of Health, always evacuate such Urine. But when it is retain'd too long, either by the Fault of the Kidneys or Bladder, or because the Matter of it is not sufficiently separated from the Blood, or that it is kept too long in the Bladder thro' Laziness or Bash- fulness, (as is often the Case) it occasions Stone and Gravel, and sometimes Blotches and Erup- tions * Lixivium, i. e. Lye, such as that of Soap. Ch. XI. thro' the various Stages of Life. 301 tions upon the Skin, Dropsy, fainting, and sleepy. Diseases, with a great many other Disorders, too tedious to enumerate in this Place. If there be too great an Evacuation of Urine from any Cause whatsoever, by taking away the Serum, or watry Parts of the Blood, it will occasion a Stagnation of the Humours, encrease Heat, an unextinguishable Thirst, Crudities, and many Evils of the like Na- ture; and by depriving the Blood, and carry- ing out of the Body the most nutritive Parts, produce an Atrophy, or a total Decay, as in a Diabetes, and Death at last. The Urine differs both in Taste, Smell, Colour and Quantity, according to the Diffe- rence of Ages, Constitutions, Sexes, Seasons of the Year, and Alterations of their Way of living, and Diversity of Medicines; so that they who live freely, and make Quan- tities of pale, or limpid and sweet Urine, it is a manifest Sign that their Perspiration is ob- structed; that neither the first nor the two last Concoctions * have been rightly perform'd; and that the Chyle has not been sufficiently attenuated, nor the minutest Secretions duly made by the lesser Drains of the Body, and that the urinous Salts are still retain'd in the Habit. The * Concoction in an animal Body is three-fold; the find is confin'd to what Alterations are made of the Food in the Stomach and Intestines; the second is applied to the Alterati- ons made of it in the Blood-Vessels; and that made in the Nerves, Fibres, and minutest Vessels, is not improperly called the third and last Concoction. 302 A GUIDE to HEALTH Part II. The Cure, as to Diet, consists in living re- gular, that is, in eating and drinking less, and using more Air and Exercise, drinking freely of small warm White-Wine Whey; likewise a little Gascoign's Powder, or Sir Walter Raleigh's Confection will be proper at the same time, in order to set Perspiration to rights again. High-colour'd, foul, and very turbid Urine in small Quantities, proceeds from either an immoderate Use of strong or spi- rituous Liquors, or from too great abundance of Salts retain'd in the Body; which must be remedied by diminishing the Quantity of their Flesh Meats, and drinking small Li- quors, or Water with their Wine, otherwise they will hurry themselves into some acute Inflammatory, or dangerous Chronical Dis- ease. Dark Brown, or dirty Red-colour'd Urine, without any Sediment, and in small Quan- tity, in acute Distempers is always a sure In- dication of insurmountable Crudity, high Inflammation tending to a Mortification, and a dying Weakness in Nature: But in those who labour not under any visible Disease at the Time, it is a certain Sign of almost a total Weakness of the digestive Powers, an inseparable Cohesion of the component Parts of the Blood, and a Deadness in all the ani- mal Functions; in which Case, a Physician's Advice is highly necessary. A Ch. XI. thro' the various Stages of Life. 306 A bloody, mattery, wheyish Urine, or that with Films, Bits of broken Membranes, or white Gravel, denote or Gravel, or Symptoms of an Ulcer somewhere in the urinary Passages. Fat, which is observ'd upon the Top of the Urine, especially of consumptive People, signifies a wasting of the Body. The third Excretion or Evacuation to be consider'd is insensible Perspiration, which is imperceptibly discharg'd through all the Pores of the Skin, and other Parts of the Body, being the Recrements of the second and third Concoctions, divested of all that can be of any farther Use to the Parts of the Body; the free and full exhaling of which, is as necessary to Health as any of the gros- ser Evacuations, being in Quantity at least equal to all that is evacuated both by Stool and Urine; and an Obstruction thereof is ge- nerally the Parent of all acute Distempers, as it is a Consequence of all chronical Dis- orders. But having fully treated of this Matter in another Place already, for far- ther Satisfaction herein, I refer the Reader to Page 99. Note *, Part II. Nothing hinders and obstructs Perspiration more than catching of Cold, which is nothing but great Quantities of moist Air impreg- nated with nitrous Salts imbib'd through the Passages of Perspiration, by which means not only the Blood and Juices are thicken'd, but likewise insensible Perspiration is obstructed, and 304 A GUIDE to HEALTH Part II. and immediately a small Fever, and a Hurry in the whole animal System succeeds; which oftentimes lays a Foundation for Consumptions, Obstructions of the great Viscera †, and an universal Cachexy, or ill Habit of Body. Therefore, in order to remedy this Disorder, and prevent the ill Consequences of it, we should lie much longer in Bed than usual, drinking small warm White-Wine Whey plentifully, with some few Hartshorn-drops, Posset-drink, Water-gruel, Barley-water, or any other warm small Liquors, taking twenty Grains of Gascoigns Powder Night and Morn- ing, and at the same Time living low upon Spoon-meats, Pudding, Chicken, and drink- ing every Thing during the Height of the Illness warm; but if any Cough or Spitting should encrease, Bleeding should be perform'd, and to take now and then a little Sugar- Candy, Oil of Sweet Almonds, or a Solution of Sperma Ceti, to render Expectoration free and easy; and afterwards to be cautious of going abroad too soon, and without being well cloathed. Gripes, Purging, Colical Pains, much belching of Wind, Low-spiritedness, Yawning and Stretching, are sure and certain Indica- tions that Perspiration is deficient or ob- structed; therefore, in order to remove these Disorders, we must have recourse to a greater Degree of Exercise and Abstinence, and to some gentle Purge or other, such as Sena † Viscera, signify any of the Bowels or Intrails. 305 thro' the various Stages of Life. Ch. XI. Sena and Manna, or Rhubarb, &c. to clear the first Passages of the Load that oppresses them, otherwise the Person will suffer at last; and, as Sanctorius observes, Wind in the Body is nothing but Perspiration † ob- structed. The fourth Evacuation to be considered is the Semen, consisting of a white, hot, spiri- tuous, thick, clammy, and saltish Humour, which is elaborated in the Testicles and Epi- didymes, out of the purest and most spiritu- ous Parts of the Blood. Considering it there- fore in this Light, Moderation in Coition is absolutely necessary, both for the Preserva- tion of Health as well as Pleasure; for in Immoderation we do not consult Delight, but Lust, and lose the Pleasure by being too in- tent upon it: And it is certainly true, that those Parents who are most continent, have more and the most healthful Children; for they meet their Pleasure by Necessity: In these it cheers the Heart and Spirits, and makes them breath free and easy; it appeases Melancholy and Sadness, mitigates Anger, and disposes to Rest. But then that Mode- ration receives its Difference very much from the different Temperature of Constitutions; for less is sufficient for the Melancholy and the Cholerick, the Old and Emaciated; but more for the Sanguine and Plethorick, and those of a middle and flourishing Age: The Feverish if in any kind of Constitution must a- U void † Aph. xiii. Sect. 3. 306 A GUIDE to HEALTH Part II. void it, and likewise they who are subject to the Gout, and Diseases of the Joints. On the other Hand, the immoderate Use of Coition not only hinders Perspiration, by keeping the Fibres too strait, and lessening the Passages, and thereby giving rise to all the Dis- orders which attend an obstructed Perspira- tion, but likewise it disorders and weakens that due Tension and Elasticity of the Solids, upon which depends a right Discharge of all the animal Functions. I say, therefore, what- ever weakens this Disposition of the Solids, cannot but very much prejudice the whole Constitution. And that all violent Actions, such as that of immoderate Coition is, are de- structive to the Textures of the Solids, can- not be doubted; for their constituent Fibres or Threads will not only be much injured in their Contextures, but also that animal Oil or Spirit which nourishes them, and facilitates their Motions, will be so much press'd out and wore away, as to disable them very much afterwards in their natural Motions; and the Body will be, by that means, so weaken'd and dispirited, that the several Parts will not be able to discharge their respective Offices, whereby Digestion, Concoction, and all the natural Evacuations will be disordered. Hence follow a Dissolution of Strength and Spirits, Dulness of Memory and Understand- ing, Dimness of Sight, Diseases of the Nerves and Joints, as Palsies, and all kinds of Gouts, Weakness of the Back, and Consumptions; Seminal Ch. XI. thro' the various Stages of Life. 307 Seminal Weaknesses, and sometimes bloody Urine; a deprav'd Appetite and Head-achs, with a great many other Disorders needless to be mentioned here; and, to conclude, there is nothing that so wonderfully shortens hu- man Life, as the immoderate Use of Venery. In the fifth Place we are to consider the Menses as a necessary Evacuation, which are Excretions of arterial Blood every Month from the Womb: They begin usually when young Maids grow ripe at fourteen, and sometimes at twelve, but very seldom before: They cease naturally in pregnant Women, and those past bearing Children, and likewise those that give suck; yet it happens some- times that pregnant and suckling Women have them. The Quantity of them ought to be in pro- portion to the Quantity and Heat of the Blood; but, generally speaking, a certain Quantity cannot be limited, for some have a great many, and some but a few; nor do they continue upon all alike; some have them two Days, some three, some four, some six or eight Days. They that have them too much are weak- en'd, and their Blood being rendered crude, watery, and pale, are subject to Faintings and Waste: Those in whom they are sup- press'd, become hysterical and breath diffi- cultly, look pale, and lose their Appetite, and fall into Fevers, Inflammations, and a U2 great 308 A GUIDE to HEALTH Part II. great many Diseases, both acute and chroni- cal, if they are not timely remedied. There are other Excretions which could not conveniently come in under the foregoing general Heads; such as Sweat, Spittle, Mucus or Snot, Tears, and the Wax in the Ears. Sweat is a thin serous Fluid, mix'd with some Sulphur, a good deal of briny, but more volatile Salt, and a very little Earth: And the same Properties being found in Urine, we may conclude, 1. That Sweat and Urine may supply each other's Defects: Accordingly we find, that as Sweat is promoted, the Excre- tion of Urine is diminished, and on the con- trary. 2. That they may be provoked by the same Remedies: Thus Diaphoreticks, or such Medicines as promote Sweat, fail- ing to answer their Intention, prove Diu- reticks; that is, purge by Urine. 3. That Sweat carries off many of the sharp Salts, with which the Blood abounds, and by that means may accidentally prevent or cure many Distempers, is not to be doubted. Sweat therefore differs very much from, insensible Perspiration; for if it be encreased, and its Vessels enlarged, Perspiration must unavoidably be diminished, and its Vessels compress'd. Perspiration also is turn'd into Sweat, by violent Motion, and too much Heat, tho' by moderate Motion and gentle Heat it is very much promoted; but nothing can be more serviceable to promote it than gentle Friction of the Skin for some Time Night Ch. XI. thro' the various Stages of Life. 309 Night and Morning, as I shall observe in a another Place. The Saliva or Spittle, (of which I have given a Hint before) is a thin transparent Humour, almost void of Smell and Taste, which will entirely evaporate by Heat, but not curdle; and when shaken affords a ropy Froth. It is separated from the purer Part of the arterial Blood or Serum by the Glands; and when a Person is hungry it flows in great Quantities, and is then more fluid and sharp; after long fasting it is very penetrating and de- tergent; it ferments with Bread, Meal, or Sy- rup, and promotes Digestion. Men, as well as Brutes, swallow it in Health, and likewise wWhen asleep: When too much of it is spit out, it occasions loss of Appetite, slow Dige- stion, and an Atrophy or Consumption. It is composed of Water, Salt, Oil, and Spirit, all which can he extracted from it, which ren- ders it saponaceous, or of the Nature of Soap. This Fluid then being press'd out of the Glands, lays the first Foundation of assimi- tating the Food to the Body, and promotes the Mixture of oily and aqueous Substances, and a Solution of saline ones: It also pro- motes Fermentation, excites an intestine Mo- tion of the Parts of the Food in the Stomach; so that Digestion could not be perform'd without it. Therefore as this Fluid is of such great Use, when mixed with our Food, it ought not to the U3 lavishly 310 A GUIDE to HEALTH Part II. lavishly spit away; for when it is swallow'd, having perform'd its Office in the Mouth, and being return'd into the Blood, it is still far- ther improved by repeated Circulation and Digestion; and when separated in the Glands again, is highly amended. Hence it is manifest, that they who im- mediately upon eating fall a smoaking or chewing of Tobacco, as is generally the Custom here, and that even among People of the better Sort, commit two very great Errors, highly destructive to their own Constitutions : 1st, In diverting the Saliva or Spittle from its natural Offices, by spitting it away in smoaking or chewing, being one of the chief Menstruums, or Medium, for promoting Di- gestion, as I have just now demonstrated. 2dly, In using that stupifying American Hen- bane upon a full Stomach, which, besides the great Injury it does Nature, in depriving her too much of that necessary Fluid the Saliva, has also an intoxicating opiate Quality, by which (as all other Opiates do) it destroys the Appetite and hinders Digestion, the Truth of which is evident to all good Practitioners in Physick, Therefore, I sincerely advise all those who have any Regard for the Preserva- tion of their own Health, to avoid carefully this pernicious Custom, and never to smoak but upon an empty Stomach, or at least till the greatest Part of the Food is out of it, which always requires some Hours after eat- ing; and, even then, no Body except gross and 311 thro' the various Stages of Life. Ch. XI. and phlegmatick People, should smoak at all; because lean, thin, scraggy, dry, and cholerick Constitutions are heated and dry'd too much by it, which throws them oftentimes into Consumptions or other Decays. Mucus, or Snot, is a clammy and viscid Humour, which flows from the Extremities of the olfactory Nerves * through the Os Cri- briforme † into the Nostrils and Palate: It also signifies that slimy Liquor, or Mucilage, which daubs over and guards the Bowels, and lubricates the chief Passages in the Body from being corroded by any saline or sharp Hu- mours; but the Superfluities of it are excreted by the Nostrils and Intestines. Tears are a serous Humour, prepared out of the arterial Blood in the Lachrymal Gland ‡, and are of a saline, watery, clear, and smooth Disposition, discharged always in a small Quantity, but more plentifully when the Eye is rubbed or compressed by the Orbìcular Muscle ‖. This Humour serves to moisten, U4 wash, * Are those Nerves which give the Sense of Smelling. † It is a Bone full of small Holes, like a Sieve: It is also called Os Ethmoides, situated in the Middle of the Basis of the Os Frontis, or Forehead-Bone. ‡ It is a pretty large conglomerate Gland or Kernel, being broad, compress'd, rough, and placed within the Orbit, to- wards the outward Angle of the Eye, near the rough Chink, and inclosed in Fat; is endowed with Arteries, Veins, Nerves, Lymphaticks, and Ducts, which carry a Humour to the Eye prepared from the arterial Blood. ‖ It is the Muscle which serves to join the Eye lids toge- gether, contracting them like a Sphincter, and by a strong Contraction presses the Ball of the Eye, and squeezes out Tears upon the external Superficies of the Eye, which is thereby cleansed of its Filth, and the Eye itself washed. 312 A GUIDE to HEALTH Part II. wash, and render the Eye slippery, and pre- vents it from sticking to the Eye-lids: It like- wise serves to wash off any Filth or external Bodies, which, by adhering to the Eye, might cause Pain, or darken the Sight; but if this Humour be too much, so that it cannot be received by the Lachrymal Points *, it flows from the Eyes, and is called Tears. Cerumen, or Ear-wax, is the Excrement of the Ears, which sweats or ouzes out of the Cartilages and Glands bordering upon the Ears: It consists of Abundance of Salt and Sulphur, which gives it its Bitterness: It serves to hinder Dust, Motes, cr little Ani- mals from getting into the Ears. CHAP. XII. Of the Passions or Affections of the Mind. I Shall briefly treat of the Passions here, not as a Natural Philosopher, but as a Physician; therefore I shall not consider their Essences and Causes, but their Effects and In- fluence * They are Holes in the Bone of the Nose, by which the Matter that makes Tears passes to the Nostrils; but if these Holes grow hard and are stopp'd, from an Ulcer in one of the Glands in the Corners of the Eyes, thence arises a Fistula Lachrymalis. Ch. XII. thro' the various Stages of Life. 313 fluence upon human Bodies, and how their Regulation conduces to the Preservation of Health and long Life. For as to the Manner how the Mind or Thought operates upon the Body, or how such a Constitution of the Humours can affect the Passions of the Mind, and what that Tye or Bond of Union is, be- tween the Mind and the animal Fluids, is a Mystery unreveal'd to Man, being, at least mechanically, not reducible to Reason, it be- ing impossible to represent and delineate, as we do corporal Substances, the several Steps and Ways of Procedure of those Agents, which can by no means be brought under the Notice of our Senses, only in their Effects; and therefore we cannot have any Notion of the Procedure by which they are brought a- bout, as we can have of all those affected by physical Agents. But as it is certain that the Passions of the Mind do influence very much and alter the Constitution, especially when very sudden and intense, so far as necessarily to bring it under the Physician's Care, still the wisest must herein be contented to e- stablish his Rules upon Observation and Expe- rience only. There is nothing more remarkable, than that violent Passions of the Mind waste and consume the Spirits, and plunge the Consti- tution into great Disorders; and this they seem to bring about by universally stimulating, irritating, and twitching the Nerves and Fibres, in such a Manner as disturbs their re- gular Contractions: And altho' we cannot positively 314 A GUIDE to HEALTH Part II. positively tell, either how Thought can pro- duce such an Alteration in the Humours of the Body, or how such a Constitution of the Humours can affect the Passions of the Mind; yet if by constant Observation and Experi- ence it can be found, that such a Passion or Temper of the Mind is always attended with such Consequences in the Constitution; and that such a particular Temperature of the Constitution always affects the Mind with such particular Passions and Dispositions, it will very sufficiently afford a Ground of Certainty to any considerable Person, in his Reasoning upon their Consequences, and in the Mea- sures which ought to be taken in remedying the Disorders of either. For Instance, if Joy or Anger are always found to render the Body lighter, tho' we cannot tell how these particular Passions do first modify any particular Parts of the Body, so as to produce that Effect, yet it being plain how physical Agents do the same, it will be most reasonable to conclude, that these do it also by the same Means; that is, thus far we know, that an Invigoration, or an Increase of the contractile Force of the Solids, will promote Digestion, increase the Evacuations, and render the Body lighter. Therefore we have the greatest Reason to believe, when we see the same to be the Con- sequences also of a Person's being passionate- ly angry or very merry, that these Disposi- tions of the Mind (altho' we know not how) do Ch. XII. thro' the various Stages of Life. 315 do give that particular Modification likewise, and Degree of Tension to the Fibres, as Cold- bathing, a cold clear Air, or moderate Ex- ercise, when we see them attended with the same Consequences. But as we know these physical Causes have this Effect, by contracting and shaking the Fibres of the Solids, and thereby promoting their Power of Elasticity, and breaking the animal Juices finer; so it ought to be con- cluded, that these Passions of the Mind do likewise give the same Modifications to the Fibres, by which the same Effects are pro- duced. In like Manner, if Fear and Sorrow are found to be attended with an Increase of Weight in the Body, it is reasonable to think that they do it by the same Means as by which all those physical Agents produce the same Effect; that is, by slackening the Fibres too much, diminishing Digestion, and conse- quently by lessening the Evacuations. Therefore when any Passion of the Mind is said to have this or that Effect upon the Body, we ought to consider that Passion only as a physical Agents that is, as it contracts or slackens the Fibres, and as it increases or di- minishes the Evacuations; but in this we are guided only by Observation and Experience, which is very sufficient to a Person of any tolerable Judgment. The chief Passions of the Mind, from whence all the rest proceed, are Joy, Grief, Anger, 316 A GUIDE to HEALTH Part II. Anger, Love, Hatred, Shame, Hope, and Despair. Joy or Mirth is a Delight arising from some Good we suppose we have obtained; and this, above all the rest, conduces to Health, at least if it be moderate; for it keeps the Fibres in their natural Tension, assists the Secretion and Derivation of the Spirits to all Parts of the Body, and consequently pro- motes the Circulation and Digestion, and raises thereby a plentiful Perspiration, and renders the Body lighter; but immoderate Joy is very injurious, and proves sometimes mortal, the Spirits being thereby too much raised, and by the Suddenness of the Passion too much rarefied beyond their natural Stan- dard. Grief or Sorrow is a troublesome Languish- ment afflicting the Mind, arising from the Apprehension of some Ill happened or befall- ing us: By it the Spirits in the Brain and Nerves move slowly and very feebly; so that it produces a great Weight in the Breast, Suf- focation, and oftentimes Death, when sud- den and extreme. Anger is the Desire of Revenge, upon the Apprehension of some Injury done or offer'd to us: By it the Spirits are violently agitated in the Brain and Nerves: It encreases the natu- ral Heat, and, if moderate, it may be useful sometimes, in order to stir up a brisk Circula- tion of the languid Fluids in a cold and phlegmatick Constitution, by which means the Ch. XII. thro' the various Stages of Life. 317 the Body is rendered lighter; that is, it will then perspire better: But, on the contrary, Anger is pernicious to hot, dry, and cholerick Constitutions; because, in such it will dissi- pate the Spirits and dry the Constitution too much. Love is a certain Passion of the Mind, ex- cited in the Soul by the Motion of the Spirits, arising from an Object which we judge to be good, convenient, delectful, and amiable; so that the proper Effects of Love consist in this: That we consider ourselves as united to the Object we love, and that it is, as it were, ano- ther Part of us. Love may be properly distinguished into three Kinds: 1. The first is spiritual, as the supreme Love of the blessed Author of our Being, (to which our Love to all other created Beings is subordinate, at least it ought to be so,) which is that Union, Tendency, Biass, and Impulse of the Soul and other Spirits towards their blessed Creator, without any indirect Ends, without Deceit or Dissimulation, for his own Sake; because he is infinitely good, infi- nitely amiable, and infinitely perfect, abstract- ing from all other Considerations, even that of our own Happiness, in the Enjoyment of, or Union with him. Yet it is certain that these two, our Love to God and our own Happiness, cannot be actually separated: And this Love was communicated by him to them in their original Formation, by Virtue of which they constantly tend, press, and urge to unite; and, if 318 A GUIDE to HEALTH Part II. if Obstacles were removed, would unite with one another, and so be all united with their omnipotent Maker. But now, alas! this principle of the intelligent Soul, in this her lapsed State, being drowned in Sense, chain'd and setter'd by Ignorance and Perverseness, drawn and hurried away by the Devil, the World, and the Flesh, is disabled from exert- ing this inherent and innate Principle of Re- union, and wants sufficient Light on the Understanding, and a right Turn of the Will, to be put in a Capacity of exercising it; but in its proper Vacuity, and being freed from these Letts and Impediments, it would unite with its first Author, the Centre and Rock out of which it was hewn, and mount to- wards him like an Eagle towards the Sun. And even in this our lapsed and forlorn State, there remain evident Footsteps of this innate Principle still uneffaced; such are the Checks of Conscience, natural Affection, and the universal Desire of Immortality, and the Dread of Annihilation; and the Worship be- stow'd by all Nations, who are not sunk into mere Brutality, on some superior and invi- sible Powers: I say, these are Remains of this Principle, and its Operations, sufficient to shew its Reality à posteriori, as the Laws of Analogy, and the Nature and Attributes of the first Being, shew it à priori. For the Au- thor of Nature, who created intelligent Beings only in order to make them happy, could not leave them to so many different Attractions, without Ch. XII. thro' the various Stages of Life. 319 without implanting into their Essence and Sub- stance, as an Antidote to so many Distrac- tions, an infinite Tendency, Bent, and Biass to- wards Beings of the same Nature, and towards himself, who was the Cause and Object of their Felicity: And those, who admit of Revela- tion, cannot doubt of it a Moment. Moses * calls it, a Law engraven on the Heart of Man; and St. Paul †, the greatest Perfection of human Nature; whatever Men of Self-love and carnal Minds may think of it otherwise. The Second is Human, towards particular Persons and Things, as Parents, Wife, Children, Friends, or Things. Towards the first, Love ought to be sincere, hearty, constant, begotten, continued for their Sakes, and not for our own; but yet it should be limited and subor- dinate, Submission to the Will and Love of God: That to Things is not to be fixt, but changeable, as Necessity requires for our Support and Use; because the Things themselves are so, which we are to love, as if we loved them not, according to the Apostle. The third Sort of Love, is that which is shewn from one Sex to another, and ends in Matrimony: This is naturally imprest upon us, and it is carefully to be preserved from Dotage and Lust; for when it takes Fire from the last, it is never permanent, but soon cloys itself, and vanishes upon Satiety: Rea- son is here lost, which is the principal Cause of so many unhappy Marriages we so fre- quently * Deut. xxx. 14. † 1 Cor. xiii. 320 A GUIDE to HEALTH Part II. quently see. As to Dotage, it is an impotent and unreasonable placing of the Affection up- on another, which gradually draws all the Faculties, both of the Soul and Body, into a Languor and Consumption, oftentimes pro- ducing Lunacy or Madness. However foreign this metaphysical Specula- tion, concerning spiritual Love, may seem to a physical Treatise about Health, which I pro- posed to avoid in the Beginning of this Chap- ter; yet having seriously and attentively con- sider'd the Matter since, I found it both use- ful and necessary; because, if we steadily be- lieve it, and reduce its natural Consequences to Practice, it will not only become the most effectual Means to prevent Diseases, but also the most powerful of any Thing to promote Health and long Life, which I shall evidently make appear, before I finish this little Chap- ter. Hatred is the Apprehension of an Object which we judge hurtful or inconvenient; It is likewise Sorrow for the Good, and Chearfulness for the Ill of another. It occasions a slow and unequal Pulse; a sharp and stinging Heat, intermix'd with Cold piercing the Breast; the Stomach ceases from its natural Office, so that the Food being thereby crude and indi- gested, produces Nauseas and Vomitings, or is converted into corrupted Humours in the Habit of the Body, which are oftentimes the Parent of many grievous Diseases. Shame Ch. XII. thro' the various Stages of Life. 321 Shame is an Uneasiness of Mind upon Ac- count of having done something that is un- seemly, or that lessens one's Esteem among others: It is likewise a great Apprehension of Scandal: The Humours and Spirits being thereby variously agitated and confounded, frequently plunges the Body into fatal Dis- orders. Hope is a Desire of some future Good, which seems difficult to be obtained, but yet possible. By it a great Flow of Spirits tends to the Heart, which quickens its Pulsation, and accelerates the Motion of the Blood. And this Affection oftentimes prevents the ill Effects of other Passions, such as those of Grief or Sorrow, Hatred and Despair, &c. Despair is a Passion of the Mind arising from the Apprehension of some Good, which we judge impossible to be obtained. In De- spair the Pulse is generally very obscure, un- equal, and sometimes almost lost and creep- ing, the spirituous and most fluid Parts of the Blood being dissipated, so as to leave the Salts, Earth, and grosser Oil in too great a Proportion in the Body, which at last affect the tender Vessels of the Brain, by the Vis- cidity of the Matter impacted in them, that thereby the Imagination is disordered. Thus dark Melancholy, slow and long Grief hope- less love, and presumptuous Pride (which is a violent Degree of Self-Love) impair the Body, by causing the proper Times of ne- cessary Food and Exercise to be neglected, X and 322 A GUIDE to HEALTH Part II. and thereby depriving the natural Functions of their usual Supplies, overworking and wearing out some Part of the nervous System, and leaving the other, as it were, to rust, and so become too rigid and stubborn for want of Use: Besides, some of the Passions, as Pride, Love, and Grief, when immoderate and in- tense, terminate oftentimes in Lunacy and Madness; nay farther, even the Frequency and daily Increase of wanton and common Self-Murderers, are chiefly produced by these inordinate Passions, and their blasphemous and frantick Apologies grafted on the Prin- ciples of Infidels, and propagated by their Disciples, scarce known or heard of, at least not practised, in any Christian Nation but this, and her Daughters; for it is a manifest Truth, that those who have no Notion or Thought of a future State, with regard to either Happiness Misery, cannot have the true Love of God; and therefore such will always give a full Scope to all the Excesses of their brutish Passions, till at last, through some Disappointment, or Despair in gratifying their Sensualities, they most atrociously lay violent Hands upon themselves, contrary to the very Dictates of both the Law of Nature and their own Reason, revealed Religion being always a mere Phantom in the Thoughts of all such unhappy Wretchess; and thus, alas! they wantonly destroy both Body and Soul at once. The Ch. XII. thro' the various Stages of Life. 323 The Passions may be divided very properly into acute and chronical, in the same Manner, and for the same Reason, as Diseases are. The acute Passions, either pleasurable or painful, produce much the same Effect, and act much after the same Manner, as acute Diseases do; for they cause a brisk and lively Circulation of the Fluids, and brace up and contract the Solids for some Time. Thus sudden Joy, Grief, Pleasure, or Pain, stimulate and contract the nervous Fibres, and the Coats of the animal Tubes, and thereby accelerate the Motion of the included Fluids, for the same Time; but as the Motions of the Heart and Lungs are involuntary, they produce their more immediate Effects upon them; so that both sudden Joy and Grief occasion short and quick Breathing, and a small and fre- quent Pulse. A sudden painful Idea renders a quicker Circulation of the Blood, whereby a greater Quantity of it is thrown upwards, through the larger Branches of the great Artery, from the Heart, and makes it appear in the super- ficial Vessels of the Face, Neck, and Breast, which prodcues what we call a Blush. Thus we see that the Reasons why we sigh upon some Occasions, and blush at other Times, depend upon the different Structure of the Heart and Lungs, being the Organs of Pul- sation and Respiration; for a quick surprizing Pain of the Mind acts immediately upon the Heart, because its Motion is altogether invo- X2 luntary; 324 A GUIDE to HEALTH Part II. luntary; so that any sudden Contraction takes Place there directly, to accelerate the Pulse. On the other Hand, we have some Power o- ver the Breathing; for we can retain it for a little while; because, when we think in- tensely, our Attention is partly the Cause of retaining our Breath, from whence proceeds Sighing rather than Blushing. The Effects of the Suddenness of these Passions being thus accounted for; yet when they become extreme, they drive about the Blood with such Violence, that Nature is o- verwhelm'd, like a Mill by a very great Flood; insomuch that what drove it only brisker round before, intirely stops it now, and renders the Complexion pale and ghastly. Thus sudden and great Fear or Grief so much convulse the whole System of the Nerves, that they alter the very Position of the Parts sometimes, and fix them in another Place; so that in a great Fright the Hair stands upright, and the whole nervous System becomes so stiff and rigid, that they lose their Elasticity; by which Means the animal Functions cease from all Motion, and then Fainting, and oftentimes Death succeeds. Chronical Passions are called all those slow Passion of a long standing, which, like chro- nical Diseases, waste, wear out, and con- sume the nervous System; for those Nerves which are necessary for administering Ideas to the Imagination, being constantly employ'd, are impair'd, broken, and worn out; and the rest, Ch. XII. thro' the various Stages of Life. 325 rest, for want of being used, become stiff and unactive, dull and destitute of a sufficient Quantity of warm Blood and due Nourish- ment, as I have observed already; so that the whole Fabrick languishes, and runs into a total Decay at last. But as the Passions, when slow and long continued, relax, unbend, and dissolve the nervous Fibres too much, so the violent and sudden ones contract, stretch, and bend them in too great a Degree, by which means the Fluids are hurried about with violent Rapi- dity; so that all the Secretions are either stopp'd by the Contractions, Cramps or Con- vulsions produced by those Passions, or are precipitated crude and indigested into the Ha- bit of the Body, and so beget, or at least dispose it to, Inflammations, Fevers, and Mor- tifications: For Example, a sudden and high Degree of Anger, Hatred, and Malice, are but Degrees of Frenzy, and that is one kind of a raging Fever. Hence it is evident, that the violent and sudden Passions, which I call acute, are more dangerous to Health than the slow and continued chronical ones, as a- cute Diseases are more pernicious than chro- nical. From what has been said, it is manifest that the Passions have very great Influence on Health, being of such Force as not only to hurry us into Numbers of Diseases, but like- wise to bring upon us oftentimes sudden and unprovided Death, But if we would prevent X3 the 326 A GUIDE to HEALTH Part II. the ill Effects, and totally extirpate all the Evils arising from our Passions, we must necessari- ly lead a sober and virtuous Life; make use of our Reason, which, assisted with the Di- vine Spirit, is able to keep down the Surges of all our Passions, and is given us, by the in- finitely wise Creator, to be a Check and Bridle to prevent and restrain all their Extravagance: So that notwithstanding the great Force of our Passions, yet are we not left without a sufficient Power of Resistance; but to yield to them for want of exerting that Reason, by which we might restrain them, would be base Cowardice, unworthy a rational Being, and the blackest Ingratitude to the glorious Author of all Happiness. Towards him all our Thoughts should be bent; in him all our Hopes should center: Nor should our Affec- tions cease flowing to him incessantly, not only as he rewards and recompences Virtue, but as it is a Remedy against all those various Diseases that are ingender'd by Excess in the Passions; For as the Love of God is a sove- reign Antidote against all other Miseries, so, in particular, it prevents effectually all the bodily Disorders the Passions produce, by keeping them within due Bounds; and, by that unspeakable Joy and perfect calm Serenity and Tranquillity it gives the Mind, becomes the most powerful of all the Means of Health and long Life. Therefore, if thou wouldst enjoy good Health, love thy Creator, keep thyself virtuous, and regulate thy Passions. I shall Ch. XII. thro' the various Stages of Life. 327 I shall conclude this Chapter with an ex- cellent Passage upon this subject, from Dr. Cheyney's Essay on Health and Long Life, which, in his own Words, is as follows. ' If Men would but observe the Golden ' Mean in all their Passions, Appetites, and ' Desires; if in all their Thoughts, Words, ' and Actions, they would but mind, I will ' not say the End of their Being and Exi- ' stence here, but the End to which their ' Thoughts, Words and Actions tended in ' their last Resort; and lastly, if in the Gra- ' tifications of their Appetites, Passions, and ' Desires, they followed the uncorrupted ' Dictates of Nature, and neither spurred her ' on beyond her Craving, nor too violently ' restrain'd her in her innocent Biass; they ' would enjoy a greater Measure of Health ' than they do, have their Sensations more ' delicate, and their Pleasures more exqui- ' site, live with less Pain, and die with less ' Horror. For had it not been for the Lewd- ' ness, Luxury and intemperate Gratificati- ' ons of the Passions and Appetites, which first ' ruined and spoiled the Constitutions of the ' Fathers, whereby they could communicate ' only a diseased, crazy, † and untuneable ' Carcass to their Sons; so that with the ' World's Decay, vicious Souls and putrified ' Bodies have, in this our Age, arriv'd to ' their highest and most exalted Degrees; I ' say, had it not been for these Evils, there X4 ' never † The Temperature of Humours in an animal Body. 328 A GUIDE to HEALTH Part II. ' never had happen'd so much Sickness, Pain ' and Misery, so many unhappy Lives, and ' such wretched Ends, as we now behold ' among Men. ' But even in this our lapsed Estate and ' Condition, had the Dictates of Nature and ' Reason, not to say Religion, been follow- ' ed, we might have passed our Days in In- ' dolence (at least from chronical Distem- ' pers) if not innocent Pleasures, arrived at ' a good old Age, with our Senses free, and ' our rational Faculties clear, and at last de- ' parted in Peace, as a Lamp goes out for ' want of Oil. And let the Gentlemen of ' Wit and Fire, of Banter and Sneer, hug ' themselves ever so much in their boasted ' Tranquillity and Security, gratify their Pas- ' sions, Appetites, and Humours to the full, ' and despise Futurity and Whining; I dare ' promise when the Farce is ended, and the ' last Minutes are drawing on, they would ' prefer a Life thus led, and an End so calm, ' to all the Pleasures of Lewdness and Sen- ' suality, and the Bounces of a false and ig- ' norant Security.” A (329) A GUIDE to HEALTH &c. Part III. CONTAINING The Definitions, Diagnosticks, Prognosticks, and curative Indications both Medicinal and Dietetical of acute and chronical Diseases; with the Nature and Use of BATHING and FRICTIONS. INTRODUCTION. BEFORE I proceed upon Fevers, as mention has been so often made of acute and chronical Diseases, it will not be improper to give the English Readers a clear Account of their Nature and Difference in this Place. Acute Diseases then are such, as within some short limited Time have their Periods either of a perfect Crisis and subsequent Re- covery, or of putting an End to Life and the 330 The INTRODUCTION. the Disease both together; and they are there- fore called quick, sharp, or acute Diseases, being attended with an increased Velocity of the Blood; the Symptoms of which are more violent, their Duration shorter, and their Periods more quick, terminating either in a sudden Death, or a Victory over the Distem- per, and they are generally limited within forty Days. But those Diseases that run out longer be- come chronical, whose Periods are more slow, their Symptoms less severe, and their Duration longer: and they likewise would, by the Course and Efforts of Nature, and the animal Oeconomy, have their Periods, and terminate at last, if fresh Fuel had not been frequently added to them by Intemperance and Debauchery; for the Viscidity of the Fluids, and the Laxity of the Fibres, would be removed in time, by proper Remedies and a due Regimen, and so People would recover in these as well as in acute Disorders. But as this requires long Time, much Care, and great Caution, Patience, and Perseve- rance; and so long and continual a Course of Self-denial, that few People are willing to undergo it; so that it is become the Reproach of both Physick and Physicians, that acute Cases are cured by themselves, or rather that Nature cures them, and that chronical Dis- orders are never cured, as a great many do falsly The INTRODUCTION. 331 falsly assert: for in acute Cases, Art and Care judiciously and timely applied, will always asswage the Symptoms and Suffering, and like- wise forward Nature to the Relief she points out, and hasten the Crisis, which it will con- stantly bring about if the Disease is not too great for the Constitution; and even then it will allay the Pain, and lay the Patient gently down. And as for the last Case, if due Care be had to follow seasonably the Advice of an honest and experienced Physician, certainly a Period may be brought about in most chro- nical Diseases, provided the great Viscera or Bowels are not spoiled and destroyed. And the Fault is commonly in the Patient him- self, who will not, or cannot deny himself for a sufficient time to bring about the Cure. There are some chronical Diseases indeed, such as either by having been gone too far, or by being hereditary, and interwoven with the Principles of Life, are never to be radi- cally cur'd or got over: and these last must rest contented with that Measure of Health their original Frame will admit of. Yet I am morally certain, that if the Rules and Directions set down in this Treatise, be care- fully and constantly observ'd and steadily pur- sued, very few chronical Distempers but will receive such Relief and Ease by them, as to render the remainder of Life tolerably easy, and free from grievous Sufferings; and that is 332 The INTRODUCTION. is all that is left for Art to do in the above- mention'd Case. But in other chronical Dis- eases, where the Bowels are not quite vici- ated, and taken in due time, by observing and steadily following the same Rules, would in- fallibly bring about a perfect Cure. In acute Diseases, a quick Pulse is a cer- tain and distinguishing Sign; but in chroni- cal Cases it is slow: and the first consumes the Fluids, and wears out the Solids in a short Time; but the last will require a lon- ger Time to produce the same Effects. Some acute Diseases terminate sometimes in chro- nical ones; and some chronical Distempers towards the last fatal Period of Life turn acute. CHAP. (333) CHAP. I. Of FEVERS, both in general and particular. A Fever is an inordinate Motion, and too great an Effervescence of the Blood, attended with Cold first, and afterwards with Heat, Thirst, and other Symptoms, whereby the animal Oeconomy is variously disturb'd; or according to our En- glish Hippocrates, Dr. SYDENHAM, ' A Fever is nothing else but the ' Effort of Nature to free herself of some ' morbifick Matter, which she finds injuri- ' ous, in order to establish a better Health.” A Fever what Sydenham's Definition. The learned Boerhaave says, that a Fever is the most frequent Di- stemper that happens, an inseparable Com- panion of Inflammations of all kinds, and is ever attended with a manifold variety of Symptoms. Boerhaave's Sentiments. In every Fever from an internal Cause, the three chief observable Symptoms are, first, an universal Trembling, then a quick Pulse, and an increased Heat, various as to Time and Degrees. When the Symptoms are very urgent, and very hastily make their Progress, the Fever is called acute; but when more mild and gentle, it is deno- The Symptoms. minated 334 A GUIDE to HEALTH Part III. minated a slow Fever. And a Fever almost always begins with a sort of cold Shivering, soon after the Pulse growing quicker, affords the primary Diagnostick * of a Fever; so that an increased Velocity of the Contraction of the Heart, together with a greater Re- sistance at the capillary Vessels, make up the Idea of an acute Distemper, which may be produced by an infinite number of Causes. The Health of the Patient seems to be the primary Aim of Nature in Fevers; notwith- standing, Fevers often end in Death, and sometimes they degenerate into some other Diseases. The general Cure. The general Cure of Fevers is summarily comprehended in con- sulting the Strength of Nature, in correcting and discharging Acrimony from the Blood, in dissolving gross Humours, and expelling them, and in mitigating the Symptoms: and if we perceive the Symptoms to run high, and Nature to grow exorbitant, we moderate it by enjoining Abstinence, a slender and cool- ing Diet, drinking tepid Water a little aci- dulated, Bleeding, cooling Clysters, &c. But if Nature seems to be too sluggish, she is to be excited by Cordials, Aromaticks, and Vo- latiles, &c. Of the Symptoms. The Cause of the Fever be- ing taken away, the Symptoms will cease, in as much as they primarily de- pend * Is that Judgment of a Disease that is taken from the pre- sent Symptoms, and Condition of the Patient. Ch. I. thro' the various Stages of Life. 335 pend upon it; so that if they can be born without Danger of Life, they scarce require any particular Cure, nor many times are they to be interrupted without great Caution; but if they be unseasonable, and too violent, they are to be mitigated with proper Reme- dies, due Regard being had to the Cause and State of the Distemper. In the beginning of Fevers, if the Stomach has a natural Inclination to cast, it is abso- lutely necessary to give a Vomit; for else in the Progress of the Fever, a Looseness will be apt to break forth, which may be of dan- gerous Consequence: and the proper time to give an Emetick is indeed in the Beginning; however, if it should happen to have been omitted, it may be given at any time of the Distemper, provided there be sufficient Strength to bear the Operation, and after it some Anodyne, or quieting Medicine. After- wards, if Bleeding be not indicated, and there be no Looseness, a Clyster may be ad- minister'd every other Day, until the tenth or twelvth, at which time Nature inclining towards a Crisis, in my Opinion, some warm- ing Medicines may be given to hasten the Concoction. If the feverish Ebullition pro- ceeds regularly, and in due order, there seems to be no need of giving any Medicines at all; for as much as the Depuration of the Blood is wholly and solely the Work of Nature. The Benefit of ex- hibiting a Vomit. Commonly 336 A GUIDE to HEALTH Part III. A Purge may be given towards the End with Advantage. Commonly about the 15th Day, if there be a laudable Se- paration in the Urine, and a Re- mission of the Symptoms, a gentle Purge ought to be given, left the no- xious Humours secreted from the Blood be- ing absorbed again into it, should cause a Re- lapse; notwithstanding it is sometimes requi- site to defer the purging until the 17th Day. From repeated Trials, I affirm, that no- thing does so certainly and powerfully cool the Body as Purging after Bleeding; and any one may find it in Experience true, that it abates and allays a Fever beyond any Re- medies whatever, both as it cleanses the In- testines, and prepares the Way for an Ano- dyne. Sydenham in his Schedula Monitor ria. The Cause of Fevers. The Cause of a Fever, accord- ing to Hippocrates, De Medic. Vet. ' is not Heat alone, but Heat ' and Bitterness together, Heat and Acidity, ' Heat and Saltness, and an innumerable other ' Combinations in the Blood.' It is however known by Experience, that Persons from found and perfect Health, where there has been neither Plethora, nor any ill Habit of Body to cause it, have fallen into a Fever; because some very extraordinary Change in the Air, or an Abuse in some of the rest of the Non-natural have happen'd; therefore found Bodies on such Occasions may, and are seized with a Fever, in order that their Blood Ch. I. thro' the various Stages of Life. 337 Blood may acquire a new State and Condi- tion to accommodate itself thereby to the Al- teration of the Air, and the Way of Living, &c. By how much the more acute a Fever is, by so much the more sparing and slender the Diet ought to be; for in Fevers, tho' they lie many Days without eating any thing, it is so much the better, for no one ever starv'd to Death in a Fever; but rather upon eating and drinking the Fever would be exasperated; because in taking of Food, the Appetite prescribes the Rule, the Quantity, the Quality, and the Time. A Rule of Diet. The most natural and general Division of Fevers is into Essential and Symptomatick. Division of Fevers. An essential Fever is such, whose primary Cause lies in the Blood itself, which derives its Original from no other Distemper of the solid Parts of the Body, or is any way de- pending on them, and this is properly called a Fever. A symptomatick Fever is a secondary Fe- ver, which does not properly subsist of it- self, but owes its Original to the Disorder of some particular solid Part, and most com- monly depends on some remarkable Inflam- mation, from whence the Variety of inflam- matory Fevers so called. An essential Fever is divided into a Diary or Ephemεra, a continual, continent or re- mitting, and an intermittent Fever. Y A 338 A GUIDE to HEALTH Part III. A Diary or Ephemera, so called by the Greeks, is the least compound of Continual Fevers, which doth begin, increase, arrive at its Height, and decline within the Space of 24 Hours: It is occasion'd by the scorching Heat of the Sun, too much Exercise, or by some other Error committed in the Non- naturals. The Cure is easily perform'd by Abstinence, Rest, and Diluting. But if the said Fever lasts several Days, it is called a continual, not putrid Fever: Its Causes, Signs, and Cure, are the same, and chiefly require large Bleeding, and a cooling Diet and Medicines. A continual putrid Fever, call'd by the Greeks, Synochos, is that Sort of Fever which is continual, without any distinct Paroxysms or Remis- sions, but for many Days continues much the same, until it has run its full Length, and then its Period is determin'd; and it is distinguished from the preceding, by its being * putrid: of this Kind are malignant Fevers, pestilential Fevers, and even the Plague it- self. A putrid Fe- ver what. It proceeds from the following Causes, as flight Inflammations, an Obstruction of the Bowels, a Constriction of The Causes. the * A Fever is said to be putrid, where the Humours or Part of them have so little circulatory Motion, that they fail into an intestine one and putrify, as is commonly the Case after great Evacuations, or great and excessive Heat, where there is such a Scarcity of Spirits, that the Solids cannot suf- ficiently vibrate. Ch. I. thro' the various Stages of Life. 339 the Pores of the Skin, a Stoppage of almost all the capillary Vessels, and a very sharp Acri- mony in the Fluids. It is known by an intense Heat even to the Touch of the Finger or Hand, by a Pulse not only feverish. but at the same time unequal and inordinate; a thick, red, turbid Urine, and crude with- out any Sediment; from a hot and sanguine Constitution, Age and Complexion. Diagnostick Signs. This Distemper is more dangerous and mortal, as the Pulse is weaker, quicker, more unequal in Strength, more irregular as to Time, and more inter- mitting in its Stokes; as Breathing is more difficult, frequent, short, with a great Mo- tion of the Nostrils, the more painful about the Vitals, and the more inordinate in its Time; as Weariness and Weakness are greater, the Tossing of the Body more fre- quent; as the Urine is higher colour'd, thick- er, muddier, with the least Sediment; or as the same is thinner, more watry, more spar- ing, and difficultly retained; as the Patient trembles and shakes more, chiefly in his Hands and Lips, shy of being felt, plays with his Fingers and Hands, and as it were catches at Flies, or some Things he fancies to see upon the Bed-clothes, and about him; and as his Eyes appear more sorrowful and moist with involuntary Tears. Moreover, when the Pa- tient labours much in his Sleep, and wakes worse after it; when either livid or purple Prognostick Signs. Y2 Spots 340 A GUIDE to HEALTH Part III. Spots appear upon the Body, the Sides of the Belly stiff and blown up, then Death is at hand. Continual putrid Fevers commonly require Bleeding in the Beginning, according to the Strength and Constitution of the Patient; but Malignant and Intermitting Fevers seldom admit of it: And in the Progress of all Fevers, when they draw near the Height, Bleeding is prejudicial, according to the unanimous Opinion of the Antients: For Cœlius Aure- lianus, Celsus, and the rest, allowed Bleed- ing only in the first three Days of a Fever, and not after; but there is no general Rule without an Exception. As for the Cure of the Symptoms, or ra- ther the Mitigation of them, which are more than ordinary pressing, they shall be account- ed for in another Place, where I shall treat of the Symptoms of Fevers in general: But here I must observe, that, in a putrid Fever the Patient ought to dilute plentifully with subacid Liquors, and take such Medicines as resist Putrefaction, such as the Juice of Le- mons and Salt of Wormwood made up into Draughts, or Mixtures, &c. A continent or remit- ting Fever. A continent or remitting Fever, called by the Greeks, Synechos, is in fact a continual Fever in regard to its Duration, tho' not in Degree: For it continues many Days together without Intermission; but then it has its periodical Returns of Exaspe- ration and Remission, either every Day, or every Ch. I. thro' the various Stages of Life. 341 every other Day, but no thorough Intermis- sion; nor has it any cold Shiverings, after the manner of Agues or Intermittents. About the End of every Paroxysm, when the Violence of the Fever begins to remit, Sweats general- ly ensue, and the Urine, which during the Height of the Fit was intensely high-colour'd, in these Intervals of Remission usually depo- sits a laudable Sediment, which is the true Characteristick of a continent or simple re- mitting Fever. There is likewise a spurious Kind of remitting Fever, which is attended with outrageous Symptoms of the nervous Kind, imitating Rheumatisms, Pleu- nisies, Colicks, and other inflammatory or spas- modick Distempers: It also often affects the glandulous Parts, producing from thence ma- nifold Excretions, causing Vomitings, Cholera Morbus, Diarrhœa, Bloody-flux, &c. which greatly obscure the fundamental Signs of this Fever, rendering the Paroxysms or Fits un- certain as to their Access and Duration: For by how much more the Evacuations and Pains, now mention'd, are augmented, by so much the febrile Heat is diminish'd and the Pulse weaken'd, and vice versa. Of the Spurious A simple remitting Fever, as such, and as long as it remains such, is very seldom, if ever, mortal; for before it be- comes fatal it changes its Type and Kind, and degenerates into a continual malignant Fever. But the spurious Kind, tho' it is not in its Prognostick. Y3 own 342 A GUIDE to HEALTH Part III. own Nature mortal, yet on the Account of the violent Symptoms accompanying it, it pretty frequently proves so. The more regu- lar the Fits are in point of Time, and the longer the Remissions are, the less dangerous they are, and vice versa. The Evacuations which Nature makes in these Fevers seldom procure any Benefit, they being for the most part symptomatical. But the critical and salutary Evacuations are ei- ther by Sweats or Spitting; the first is the quickest, tho' the latter is equally certain, yet slow and troublesome. During the In- crease of the Distemper, it is a bad Sign if the Urine gradually changes thin and pale, and the Pulse becomes quicker, weak, and staggering, &c. On the contrary, a strong and constant Pulse, Urine much tinctured with Redness, and full of Settlement, particularly when there is a laudable Sediment, and the Distemper is come to the State or Height, they are good Signs. The Cure. A simple remitting Fever gives way to the Bark, as certainly as an intermitting one: For the feverish Ferment in both is almost the same. The Efficacy of the same Medicine in curing a spurious remit- ting Fεver, is almost as certain as in a simple one, provided it be rightly administer'd, Re- gard being had to the more violent Symp- toms; but it has not so quick an Effect, be- cause the Distemper is greater and stronger, and therefore requires a greater Quantity of the Ch. I. 343 thro' the various Stages of Life. 343 the Medicine: So that the radical Care of these Fevers consists in the regular giving and Repetition of the Peruvian Bark, with due Regard to a proper Diet in all such Diseases. It will be necessary, in order to establish a rational Method of Cure of con- tinual Fevers; to have Regard to the Division of them into burning and slow Fevers, because the Method of treating each of these is vastly different. A Division in- to burning and slow Fevers. Of a Burning Fever. In a Burning Fever the Person is affected with a most ardent Heat, a Dryness of the whole Skin, of the Nostrils, Ears, Mouth, and Tongue: Respi- ration is thick, difficult, and quick; the Tongue dry, yellow, black, rough, and burnt up; Thirst unquenchable, sometimes going off suddenly without any other good Sign; an Aversion from all Sorts of Aliment; a Nau- seating, Vomiting, Anguish, Uneasiness, a great Weariness, a little Cough, a hollow Voice, a Delirium, Phrensy, obstinate Wake- fulness, Dozing, Convulsions; and on the odd Days a renewing and increase of the Fever. The chief Symptoms. A Burning Fever very often kills on the third or fourth Day; it seldom gets over the seventh, if it be a perfect Causus: It often goes off with an Hœmor- rhage, which if but small and sparing on the third or fourth Day, the Fever commonly proves mortal: This may be foretold from Progno- sticks. Y4 the 344 A GUIDE to HEALTH Part III. the Patient's complaining of a Pain in the Neck, Heaviness of the Temples, Dimness of the Sight, a Working and Labouring of the Heart and Lungs without any Sense of Pain, involuntary Tears, without any other fa- tal Signs, Redness of the Face, and Itching of the Nostrils; but if it happens on a critical Day, it is most advantageous. A Solution of this Fever also on a critical Day, may be expected by Vomiting, Looseness, Sweating, much Urine, spitting thick Phlegm; but growing worse on the second or fourth Day is a very bad Sign, on the sixth not so bad: Black Urine, thin and small in Quantity, is mortal; spitting of Blood and bloody Urine, are mortal; a Difficulty of swallowing is a bad Sign; nothing worse than Coldness of the extreme Parts; the Face red and sweaty, is bad; a Swelling behind the Ears and not ripening, is mortal; the Belly too loose, fatal; a Trembling turning to a Delirium, ends in Death. This Fever often changes to an In- flammation of the Lungs, with a Delirium attending it. The Regimen in such a Fever is, keeping the Air of the Room pure and cool, untainted with Fire, or Smoke, or the Breaths of many People; and they ought to have no more Bed-cloaths than barely defends them from Cold; their Curtains ought to be kept open, so as to renew the Air; and their Posture in lying as erect as they can well bear. Regimen. Their Ch. I. thro' the various Stages of Life. 345 Their Drink should be cool, mild, sub- acid, tepid, given in moderate Quantities, and often, as Water with Juice of Lemon or Tamarinds. Their Aliment out to be light, of mealy Vegetables, as Water-gruel, Prepa- rations of Barley, with some Juice of Lemon; Rice boil'd in Whey and strain'd; roasted Apples in the Progress of the Disease; a little toasted Bread sometimes, with Rhenish Wine and Water; Jelly of Currants; Broaths and Jellies made of Animal Substances, and quali- fied with Juice of Lemon or some other Acid, may be sometimes allowed. Bleeding is requisite in the Be- ginning of the Distemper, if there be the Signs of a Plethora, or of a particular In- flammation, or that the Heat is intolerable, the Sweat too great, a Revulsion be necessary, the Symptoms very urgent, and hardly to be master'd by any other Means; in these Cases Bleeding is of an absolute Necessity. Some- times also gentle and cooling Clysters are to be given, as often as the Heat of the Distemper or Costiveness shall require them. Diluents will likewise be proper, and Nitrous Me- dicines, and such as very gently loosen the Belly. The Cure. Here it will not be improper to take parti- cular Notice of what Walschmidius says, viz. A malignant Fever often in the Beginning ap- pears in the Shape of a Causus or burning Fever; so that a Physician ought to be cautious lest he should fall into a Mistake about it; therefore let 346 A GUIDE to HEALTH Part III. let him be diligent to inform himself, whether the Patient complains of an Anxiety or Uneasi- ness at his Heart, a sudden Loss of Strength, and other grievous Symptoms: Let him also examine the Urine, &c. for the Cure of these Fevers is very different. A Calenture is a Fever peculiar to Mariners, of a high inflammatory Nature. Those that are seiz'd with this Distemper are affected with a peculiar Sort of Delirium; for they frequently say they will walk into the green Fields, which they always seem to have in View, thinking they are just going into them, and, unless they are kept by Force, they jump into the Sea; and that is an inseparable Sign of this Distemper. Young lusty Men, of a sanguine Complexion, are most subject to it. The Cure chiefly consists in plentiful bleed- ing and diluting. Of Slow Fevers. Slow Fevers, tho' they are not so acute as the Burning or Putrid Fevers, yet they are however continual, as they constantly afflict the Patient labouring under them; but they pass through their several Stages more slowly, for which reason they are of a longer Conti- nuance, and the Symptoms not so violent. Catarrhal Fevers. In the Class of Slow Fevers we may justly reckon Catarrhal Fe- vers, which in the Beginning and Increase are attended with a Catarrh, a Run- ing at the Nose, a Cough, Hoarseness, &c. These Ch. I. thro' the various Stages of Life. 347 These Fevers are for the most part gentle and slow in the Day-time, and commonly some- what worse in the Evening: They are also attended with great Weariness of the Limbs, and the Symptoms continue, with an Increase of the Running at the Nose and Cough, till the Distemper rises to its highest Pitch, when the Matter of the Catarrh is ripen'd, and the Mucus becoming thicker, is discharged, and the Fever goes off. The Seat of this Disease is in the Conglobate Glands †, more particu- larly occasioned by some Obstructions in the Pituitous Glands. A Decoction of Sassafras, with Li- quorish-root and Raisins, is very pro- per in Catarrhal Fevers, on account of the Acrimony of the Humours; likewise the Juice of Turnips, with a little Sugar; Vola- tiles and gentle Sudorificks; a Solution of Gum Arabick, and whatever besides is pro- per in Coughs and Hoarsenesses, will be like- wise useful in this Case. The Cure. Besides the fore-mentioned, there are likewise Lymphatick or Pitui- tous Fevers, occasioned by the Fault of the Lymphatick Fever. Pituita † A Conglobate Gland is a little smoofh Body or Kernel, wrapp'd up in a fine Skin, by which it is separated from all the other Parts, only admitting an Artery and Nerve to pass in, and giving Way to a Vein and excretory Canal to come out. Of this Sort are the Glands in the Brain, as the Pi- tuitous Gland, the Pinealis Gland, the Glands of the Mesen- tery, Groin, Testes, and Labia: All the rest of the Glands in the Body are called conglomerated Glands, being composed of many conglobate Glands, tied together and wrapp'd up in one common Membrane. 348 A GUIDE to HEALTH Part III. Pituita of the Conglomerate Glands, which discharge their Juice into some certain Cavity, of which the Parotid Glands and the Pan- creas are remarkable, discharging the Liquors separated into the Mouth and Intestines, and consequently into the Mass of Blood; which Humours, when vitiated, become viscid, salt, and sharp, produce these Fevers, which are likewise sometimes not improperly call'd Scor- butick Fevers. Continual Acute Fevers, and sometimes Intermittents, degenerate into these Slow Fevers, and sometimes into Hecticks; and the Original of these Fevers is most com- monly in the Stomach, proceeding from In- digestion and Crudities. The Cure Therefore a gentle Vomit, as well in the Beginning as in the Increase of these Slow Fevers, ought to pave the Way for the Cure; and afterwards the Viscidity and Acrimony to be corrected; and the Symptoms are to be mitigated, and the Stomach to be strengthen'd, &c. for which Purpose vitro- lated Tartar, Testaceous Powder, Diaphore- ticks, and Volatile Salts, &c. are proper. Of Intermitting Fevers. An Intermitting Fever is a præ- ternatural Heat, kindled in the Blood by an unusual Expansion of the Spirits, returning at certain Periods. In this kind of Fever a Chilness, Shivering, Heat, and Sweats successively follow one another. The Fit is attended with an universal Sickness, Nause- The Definition. ousness, Ch. I. thro' the various Stages of Life. 349 ousness, and Vomiting; Pain of the Head, Loins, &c. The Paroxysm or Fit is very acute, but the Distemper in itself generally more or less chronical. A simple Intermitting Fever is easily known, for it discovers itself of its own Accord; and how great a Variety soever there may be of them, let them be either Quotidians, Tertians, Quartans, &c. the morbifick Ferment of all is the same, which certainly yields to the Force of the Peruvian Bark, if duly and skillfully administer'd. The common Species of Intermitting Fe- vers are simple Quotidians, Tertians, and Quar- tans; double Quotidians, Tertians, and Quar- tans; half Tertians, half Quartans, &c. There are likewise Intermitting Fevers which return every fifth, sixth, or seventh Day. Intermitting Fevers in this Country are sometimes very obstinate, often returning in spite of all Remedies; and by long Continu- ance they degenerate into Hepatical Fevers, and many chronical Distempers, as Jaundice, Dropsy, Schirrus's, and Scurvies; therefore in this Disease a right Method, both of Me- dicines and Diet, is very necessary. We should begin the Cure with a Vomit, or Purge, according to the Strength, Age, and Condition of the Patient, and afterwards administer the Bark often between the Fits, in good large Doses; but if the Patient's Strength and present Case will not allow of a Vomit or Purge, then the Bark should be given, 350 A GUIDE to HEALTH Part III. given, without any previous Preparation at all; and there is a different Regimen to be used during the Continuance and Absence of the Paroxysm, and in the Paroxysm itself, during the Rigor or cold Fit, the Heat and the Sweat. During the Rigor nothing is more proper than a Draught of warm Water, with a little Rhenish Wine, or Juice of Lemon and Su- gar, which dilutes and relaxes at the same Time, and will make the Symptoms wholly abate, and terminate the cold Fit sooner, and throw the Patient into a Sweat, than the warmest Cordial. In this Case likewise strong Frictions of the Extremities relieve very much; Proper Care must be taken to shorten the Pe- riod as much as possible, and by warm Dilu- ents a little acidulated, to bring on the Sweat soon, but not to push it beyond its due Mea- sure; because an Intermitting Fever of itself relaxes and weakens the Body extremely. Between the Fits too great Abstinence is hurtful, as much as too great Repletion. As Intermitting Fevers are often of long Conti- nunace, extreme Abstinence is impracticable, and would reduce the Patient to a Condition not to be able to sustain the Shock of the next Attack. Between the Fits, such Substances as tem- per, correct and subdue the bilious Alkali, as acid Substances, nitrous Salts, small thin Wines, Chicken-Broth with Juice of Lemon, Wine with Bitters infus'd, are proper. Ex- Ch. I. thro' the various Stages of Life. 351 Exercise, to as great a Degree as the Pa- tient can bear, is extremely beneficial between the Fits. Bleeding in Intermitting Fevers seldom does any Good, but oftentimes a great deal of Harm; yet the Patient's Condition is to be considered in this Case. But there are spurious Intermitting Fevers, as was observ'd of Remittents: Their Symp- toms are sometimes very urgent and violent, and their fundamental Signs are disguised un- der the Appearance of some other Distem- per, as Vomiting, Diarrhœa, and some great Pain, &c. The true and genuine Sign of the real primary Distemper being chiefly known by the Exasperation and Remission of those violent Symptoms, and by the Urine of a Brick-dust Colour; but these spurious or illegitimate Intermittents creating a great Variety of direful Symptoms, such as enor- mous Vomitings, Griping, Looseness, Cholera Morbus, Colicks, Pains in the Side like pleu- ritick Pains, Apoplexies, Pains on one Side of the Head, Spasms or Cramps, nephritick Pains, &c. Notwithstanding the great Va- riety there may be of these Disor- ders, in their manifold Shapes and Forms, yet they all depend upon one and the same Ferment, and are certainly cured with that one fovereign Antidote the Peruvian Bark, if prudently administer'd, as well as any other Intermitting Fever. The Cure. No 352 A GUIDE to HEALTH Part III. Prognostick. No one has been known to die of an Intermitting Fever, except it be in the cold Fit, that Excess of Coldness arising from a Viscidity in the Blood, and an absolute Oppression of the Spirits. The proximate Cause of In- termitting Fevers. After an accurate Examination into the whole History of Inter- termitting Fevers, the proximate Cause is assign'd to be the Visco- sity of the arterial Liquid, there happening at the same Time some Cause or other for a quicker and stronger Contraction of the Heart, and a Dissolution of the stagnating Viscidi- ties. Boerhaave. Having thus far treated of Benign Fevers, I shall now proceed to give the Reader a suc- cinct and clear Account Of Malignant Fevers. Diagnostick. The first Sign of a Malignant Fever, is a remarkable Loss of Strength on a sudden, without any mani- fest Cause, with a weak Pulse: The external Heat is not so violent as in some other Fevers; the internal Heat is rather greater. It is attend- ed from the very Beginning with obstinate Watchings, and anxious Uneasiness: The Sick complains and shews the Region of the Stomach, or the Heart; the Urine is not unlike that of a Person in Health; the Coun- tenance looks hideous sometimes, and much changed from the natural State, sometimes of a livid Colour. The Reason why the feverish Heat and Ebulli- Ch. I. thro' the various Stages of Life. 353 Ebullition in these Fevers, is not do great as in other Fevers, is entirely owing to the Ma- lignity which has seiz'd the Blood; and is rather a Sign of some great Disorder of the Spirits, which are greatly affected, and as it were sphacelated or deaden'd, than of any Disturbance in the Humours; or it may be sometimes the said Disorders may be propa- gated into the Humours, especially the Blood, from the malignant Taints; from which arises great Confusion, and an inordinate in- testine Motion, which indeed produce an in- ternal Heat, but is not carried so sensibly to the external Parts. By this means Nature being, as it were, oppress'd, is not able to exert those Symptoms more regularly, which are agreeable to, and might attend the Dis- ease. There is a great Variety of Malignant Fe- vers, on account of the Diversity of their Symptoms: In some there are very remark- able cutaneous Efflorescencies; in some more abundantly, in others less; and in some no such Appearances at all; others, in fine, are attended with other kind of Symptoms. Some assert, from microscopical Observa- tions, that in all malignant Fevers and gan- grenous Ulcers, there is so great a Putrefac- tion of the Blood, that it gives Occasion for the Generation of a Multitude of little Worms, from whence they believe the great Variety of Symptoms so vexatious do arise; but these Worms cannot be bred without a preceding Z Putre- 354 A GUIDE to HEALTH Part III. Putrefaction; and the Blood in Malignant Fe- vers is preternaturally fluid, insomuch that when it is let out of the Body it will not co- agulate as usually; but this is the Product of the Distemper, and not the Cause. The very naming a Malignant Fever strikes a Terror into Mankind; because all Malignant Fevers are very dangerous, and as to the Event very uncertain; which made Galen assert that Malignant Fe- vers will not admit of a Prognostick. Deaf- ness in the Beginning portends the greatest Danger, but in the Height of the Distemper it is a favourable Symptom; but bleeding at the Nose and a Looseness through the whole Course of the Distemper, are very bad Signs: And it is almost always reckon'd a very bad Symptom when they employ their Hands as if they were catching Flies, or picking up Straws or Bits of Threads. If on or about the eleventh Day Buboes arise in the Groin, it betokens well, and terminates the Fever. The Prog- nosticks. The Cure, according to Etmuller and others. Malignant Fevers by no Means admit of Bleeding; for the more malignant they are, the more Mis- chief it would do, and the farther from the Beginning the worse. Vomits in the very Beginning of the Distemper are a- bove all Things exceedingly proper; but then they should be given before any cuta- neous Eruptions appear, otherwise the Op- portunity is lost; and afterwards the Cure is to be endeavoured by Medicines, and Sub- Ch. I. thro' the various Stages of Life. 355 Substances that procure Sweating, Nature herself teaching us so much; for frequently Sweating carries off the Cause and Fewel of the Distemper. The greater the Malignity is, the more Sudorificks, or sweating Medicines, are to be employ'd, regard being always had to the Nature of the Distemper, and its Diversity, as also the Strength of the Patient. Sudori- ficks are to be given at least three or four Times in twenty-four Hours; Analepticks and moderate Acids are to be used in the in- termediate Times, amongst which dulcify'd Spirit of Nitre is very good; also Tincture of Saffron extracted with sweet Spirit of Nitre; likewise the Juice of Citrons and Quinces; &c. Camphire is a noble Alexipharmick, but every Body cannot bear the Use of it, espe- cially some Women, and studious Men, whose animal Spirits are easily moved and dissipated. Blisters are of singular Use in the State or Height of the Distemper. The volatile Salts of Hartshorn, and of Vipers, are Sudorificks, and resist Malignity; and here the Mistura Simplex of Paracelsus takes Place, as well as in all pestilential Fevers, being a very noble Remedy. Its Dose is from one Dram to two, to be given once in six or eight Hours, a proper Vehicle. Notwithstanding Bleeding in this Disease has been, and is accounted dangerous by a great many Practitioners, it only proves so when it is triflingly performed; for if a large Z2 Quantity 356 A GUIDE to HEALTH Part III. Quantity of Blood be taken away in the very Beginning, it secures the Party from Danger. But Bleeding had better been quite omitted, than not to be performed to a large Quantity, even almost to Fainting; and to prevent Fainting the Patient ought to be let Blood in his Bed. It is to be minded, that where there is a Plethora, or the Patient is of a strong Constitution, more Blood may be taken a- way than in a weakly or a phlegmatick Con- stitution. After a sufficient Evacuation by Bleeding, plentiful Sweating must be pro- cured by proper Medicines and Drinks, such as Venice Treacle, Mithridate, Diascordium, London Treacle, Camphire. Lapis Contrayerva, Pulvis ad Guttetam, Sir Walter Raleigh's Confection, Treacle-water. Plague-water, Ca- stor, Saffron, Cochineal, &c. Of these and the like many excellent Sweats may be fram'd into either Bolus's, Draughts, or Mixtures, interlac'd with nitrous Medicines and Acids, according to the Exigency of the Case. When Spots appear, neither Bleeding, Vomiting, nor even Glysters are to be administered, but Su- dorificks and Blisters. If the Blood tends to a Dissolution, sweat- ing Medicines and spirituous Cordials are very improper; but Emulsions, acidulated Drinks, and the like, with Bezoarticks, Nitre, and gentle astringing Remedies, in order to re- duce the Humours to their natural Texture and Firmness. Their common Drink ought to Ch. I. thro' the various Stages of Life. 357 to be acidulated with Juice of Lemon, Spirit of Sulphur, Elixir of Vitriol, &c. Of Spotted Fevers. A Spotted Fever is a very ma- lignant one, in which, besides the Symptoms common to other ma- lignant Fevers, there is a very remarkable Weariness of the whole Body, an universal throbbing and pricking Pain: The Spots ap- pear sometimes the fourth Day, but oftener about the seventh, especially on the Breast and Shoulder-blades, then on the Belly, Legs, Arms, and Neck, seldom in the Face. Not only Spots, but likewise large Marks, black and blue, sometimes appear; and in the De- clension of the Distemper sometimes a Spitting comes on, which carries it off. The Symptoms of a Spotted Fever. The Spots in the milder Sorts of this Fever are florid and very red, like Flea-bites: Afterwards they grow pale, yellow, and so disappear: The more red they are, the better: On the contrary, those that are of a livid or pale red, or appear blackish, are the worst. If they strike in again, it foretells a great deal of Danger. Prognosticks. These Distempers are contagi- ous, and sometimes epidemical or spreading: They are very danger- ous; for of those that are seiz'd with it, more die than recover. They are contagious. Spotted Fevers being a Species of the Malignant, the same Indications of Cure are here required as were mentioned The Cure. Z3 above 358 A GUIDE to HEALTH Part III. above for the Cure of malignant Fevers in general. If the Spots strike in too soon, Vesicatories are to be employ'd; upon which, tho' we are not to expect the Spots to appear again, yet in some Measure the Blistering answers the End of their not appearing, and sometimes very happily prevents the dire- ful Symptoms in the nervous System. No Evacuation of the Bowels must be attempted, such as Vomiting or Purging, or even by Glysters, as long as there is any Appearance of the Spots. CHAP II. Of the Cure of the most urgent Symptoms attending Fevers. Rigor in Fevers. THE Coldness and Shiverings which happen in the Beginning of acute Fevers, are owing to a Diminution of the Contraction of the Heart, the Circu- lation then being less quick, and the Blood actually stagnating in the extreme Parts, and pressing upon the Heart, creates great Anxie- ties, and may produce polypose Concretions about the Heart, and in other Parts of the Body; therefore a Rigor or Coldness encreases an Inflammation. Those who die of Quartan, Fevers, Ch. II. thro' the various Stages of Life. 359 Fevers, die in the cold Fit; and in truth, there is no Mischief but what may proceed from a Rigor of long Duration; for if it re- mains long, sudden Death sometimes ensues; and therefore the greater and longer such Coldness is, the more dangerous is the Fever. In such Rigor or Coldness, all warm Cor- dials and stimulating Substances are improper; for the first acting with Force upon the right Ventricle of the Heart, may drive the Blood with too much Force thro' the Lungs; and stimulating Substances, by contracting the Vessels, often increase Symptoms, which are best reliev'd by drinking warm Water with a little Rhenish-Wine, wherein a little Nitre is dissolved; likewise strong Frictions of the extreme Parts are very useful in this Case. See farther in the Cure of intermitting Fe- vers. The Degree of feverish Heat may be known by the Thermoscope, the Sensation of the Patient, the Intense- ness of the red Colour of the Urine, the Siziness of the Blood, the Dissipation of ths fluid Parts, which renders it thicker; the Hardness, Strength, and Frequency of the Pulse, which makes the Friction or Rubbing the stronger, to which the Heat is proportio- nal, the bad Disposition of the Humours, the Temperament of the Body. Feverish Heat. This Heat is moderated by Bleed- ing, by muscular Rest, by mode- rate Ligatures, which compress the Veins The Cure. Z4 only, 360 A GUIDE to HEALTH Part III. only, and often remov'd from Joint to Joint, by a mechanical Reason retard the Circula- tion; of such Sort is dry Cupping, Bathing the lower Parts, watery Liquors for Drink, not cold but warm; subacid, as Jelly of Cur- rants dissolv'd in tepid watery Liquors, De- coctions of mealy Substances acidulated, Sub- stances that are Anodyne, Substances which dissolve Concretions, such as Sugar, Honey, and the simple Oxymel; plentiful diluting, and restoring as much Water to the Blood, as is dissipated by the Heat; all demulcent and relaxing Substances, cooling the Air in the Room, opening the Curtains, and removing too heavy Bed-cloaths. All stimulating and styptick Substances are to be avoided; because they increase the Force of the solid Parts. Lenient Glysters and Emulsions are also use- ful to mitigate such an excessive Heat. Caution. But great Care is to be taken left by cooling too much, the Spirits shoul'd receive a sudden Damp, and by that means be depriv'd of their Elasticity, whereby the burning Fever might unwarily be changed into a malignant one, which has been many a time the Case. In Thirst, attending Fevers, the Liquors should not be drank quite cold; for cold Liquors by constringing the Glands of the Palate and Throat, do not quench Thirst so well as Liquors moderately warm: In this Case acidulated small Liquors should be plentifully drank. All Salts in- Thirst. crease Ch. II. thro' the various Stages of Life. 361 crease Thirst, except Nitre, and dulcify'd Spirit of Nitre mix'd with Water, or the Patient's common Drink, is useful in this Case; so are Barley-Water and Emulsions, except in great Weakness and Flatulencies of the Stomach; in such Case Water mix'd with a small Quantity of Rhenish-Wine is best of all. In these Anxieties which at- tend Fevers, when the cold Fit is over, in such a Case a warmer Re- gimen may be allow'd; because Anxieties in Fevers often happen by Spasms, or Convul- sions from Wind, therefore Spices are useful. And in those Anxieties, saponaceous Sub- stances which dissolve the Blood are proper, as ripe Fruit, and especially Honey, Sugar, &c. Anxieties in Fevers. Sickness and Vomiting may be owing to an original Surfeit, and is one of the most troublesome Symp- toms attending Fevers; because it renders the Patient incapable of taking any thing. It is often prevented by giving a gentle Vomit, or cur'd by promoting the Vomiting for a while by warm Water, or thin Chicken-Broth; for which Purpose likewise Carduus Tea drank in large Draughts may do very well; but if it does not of itself succeed well, half a Dram of Salt of Vitriol, or a Spoonful of Oxymel of Squills, may be given with the Posset. Sickness and Vomiting. During 362 A GUIDE to HEALTH Part III. During the Symptom, acid Liquors, and even such as are austere and astringent, are to be used; because such strengthen the re- laxed Fibres of the Stomach; for which Pur- pose the following Julap is very effectual. Take of Salt of Wormwood 4 Scruples; of fresh Juice of Lemon, 2 Ounces; mix, and when Ebullition is over, add to it of Barley Cinnamon Water, 3 oz. of Mint-Water and Nephritick Wa- ter, each 1 Ounce; Spirit of Saffron, half an Ounce; Syrup of Quinces, 1 Ounce; mix for a Julap, of which let the Patient take 2 or 3 Spoonfuls every 3 Hours, or oftner. Diluting, and sometimes relaxing the Belly, and carrying the bilious Salts downwards, often cures this Symptom. And Attention is to be given to the Appetites of Patients in this and many other Cases, who sometimes covet odd things which have relieved them, as Salt, Vinegar, &c. Vomiting from a bilious Cause is cured by acidulated small Liquors; and vomiting from some putrid Cause, by Salts of all Sorts; and in such a Case, Water-Gruel with Cream of Tartar, Rhenish Wine with Water, Jelly of Currants, Marmalade of Quinces, Sorrel boil'd in Broths well skimmed from Fat, are exceeding beneficial. But Ch. II. thro' the various Stages of Life. 363 But if the Vomiting proceeds from a phlegmatick Cause, Spices and Bitters will relieve; for the Counterpoison must be adapt- ed to the Cause: As for Example, in Poison from sublimate Corrosive and Arsenick. In the first, alkaline Substances are properest; in the second, oily Substances are fittest, in both Diluents are proper. It will not be dif- ficult to judge of the Cause by what the Pa- tient throws up from the Stomach, Whether a Vomit may be safely or properly given, must be judg'd by the Circumstances; for if there be any Symptoms of an Inflamma- tion of the Stomach or Lungs, a Vomit is extremely dangerous. A Caution in giving Vomits. A Diarrhœa or Looseness some- times happens in Fevers, which proves often a dangerous and fatal Symptom; and this Evacuation is not the genuine Motion of Nature for its Relief, but arises rather from the Impetuosity and Vio- lence of the Distemper, or the stimulating Acrimony of the Humours, which in reality is a symptomatical Diarrhœa, and ought to be stopt; for it weakens, excoriates, and in- flames the Bowels, occasioning bloody Fluxes, thickening the circulating Juices, and ex- hausting the Strength of the Patient very much; however, a critical Diarrhœa is not to be stopt, for fear of incurring the same Dangers. A Looseness in Fevers. 2 Attention 364 A GUIDE to HEALTH Part III. Attention should be given to the Cause: If it proceeds from Acidity, it is to be cured by Anti-acids; but as in Fevers the Cause is more commonly alkaline and bilious, acid or four things relieve best; and it happens some- times, that oily Substances by blunting the Acrimony will do a great deal of good in Diarrhœas; for oily Substances of themselves do not irritate or provoke Loosenesses, they only lubricate or make the Bowels slippery. Vomiting, by evacuating the irritating Cause, often cures Diarrhœas. Anodyne Substances are proper, and gene- rally speaking, solid and dry Food rather than liquid. The white Decoction of burnt Hartshorn is very proper for common Drink, and absor- bent testaceous Powders mix'd with Diapho- reticks, are likewise very useful in the Case; and lastly, we may have Recourse to Venice Treacle, Diascordium, &c. But it is obser- vable in general, that Laxness of the Body in the beginning of Fevers is better than over Costiveness, but in the Progress of the Di- stemper it is worse. Strangury in Fevers. A Dysuria or Strangury in Fe- vers is very troublesome. The com- mon Emulsions are very proper to mitigate the Ebullition in burning Fevers; and commonly they very much asswage this vexatious Symptom; as likewise Oil of sweet Almonds, with Syrup of Marsh-mallows, or a Solution of Sperma Ceti: also a Solution of Ch. II. thro' the various Stages of Life. 365 of 1 Ounce of Gum-Arabick in a Quart of Barley-Water for common Drink, is an ex- cellent Remedy, especially when this Symp- tom is occasion'd by Blistering. Profuse Sweats which happen in Fevers, either in the Beginning of the Disease, or at any other Time before the Crisis, and before the Signs of Concoction appear, are symptomatical, and oftentimes Colliquative: They proceed from a Laxity of the Vessels, and too vehement a Circula- tion of the Blood, and ought therefore to be restrain'd by Art; for they are very trouble- some to the Patient, and they exasperate the Distemper, in depriving the Blood of its most fluid Parts, thicken and often cause Obstru- ctions; so that it is a very bad Practice to push Sweating too much in Fevers, except in such as are pestilential Profuse Sweats. In profuse Sweats, Care should be taken by diluting, to restore the Liquid which the Blood loses, and to use the Methods advised already in too great Heat, by taking away some of the Coverings of the Bed, and ad- mitting of cool Air, and using a Diet mo- derately astringent, and mild Acids, &c. Tinctura Antiphthisica, on Account of the Sugar of Lead in the Composition, is esteem'd an efficacious Remedy for suppres- sing such Sweats; and likewise Sage is very good in the Case of profuse Sweats. A 366 A GUIDE to HEALTH Part III. Pain of the Head. A violent Pain in the Head, Back, or in the Limbs, especially in the beginning of Fevers, requires Bleeding; and if that does not relieve, it will be proper to give a gentle Vomit if the Sto- mach be foul, otherwise a laxative Glyster may suffice. Watchfulness is a Symptom in Fevers, which is sometimes called a Coma Vigil, and often precedes too great Sleepiness, and is perhaps the most ill-boding Symptom of a Fever; therefore the Cause is to be narrow- ly enquir'd into; if it proceeds from too great Heat and Dryness, cooling and moisten- ing things are to be administred; if Pain be the Cause, we must endeavour to asswage it by proper Remedies, avoiding Opiates, with- out an absolute Necessity, especially about the time of the Crisis, when the Physician may perceive great Restlessness and Inquie- tude in the Patient; for it should be always remember'd as a Maxim, that a Space of time before the Crisis happens, is the most troublesome, Nox ante Crisin est molestissima. Other Expedients in this Case are, extreme Care to keep the Patient from Noise, and whatever makes any strong Impression upon his Senses, and some of those Helps used in a Delirium, for this is an Approach towards it; a moist softening Diet, ail Preparations of Barley, Emulsions of Poppy Seeds and Al- monds, Aliment of Lactecescent or milky Plants, especially Lettuces, Decoctions of Scorzonera Ch. II. thro' the various Stages of Life. 367 Scorzonera Roots, Almond Cream, and what is called Winter-Flummery, used as Aliment; Tea made of Cowslip Flowers, relaxing gent- ly the Belly. Coma, or Sleepiness in Fevers, is di- rectly contrary to the fore-mentioned Symp- tom Wakefulness; the Patient has a continual Propensity to doze or sleep, sometimes with a real Sleep, and often without it. A Coma will proceed either from a Pressure upon the Original of the Nerves in the Brain, by too great Repletion; or from a Penury or Waste of Spirits by too great Inanition. Coma. Old People are subject to Comas by the Glewiness of the Fluids circulating in the Brain, which being resolved by the Fever, obstruct the small Canals of the Brain: But in young People it commonly proceeds from Fulness, and is best cur'd by Bleeding and re- laxing the Belly. The Sign of such a Fulness is, a red Countenance and inflamed Eyes; but if it proceeds from a glutinous Oil, it ought to be resolved by Water, nitrous Salts, Soaps, Subacid Liquors, and Blisters, not forgetting the Use of sharp Glysters. In a feverish Delirium there is a small Inflammation of the Brain; therefore any- thing which increases the Circulation in the Lower Parts, and diminishes the Pressure on the Brain, is beneficial; as bathing the Feet in warm Water; nothing relieves the Head more than the Piles, therefore Suppositories of Honey, Aloes, and Rock-salt ought to be Delirium made 368 A GUIDE to HEALTH Part III. made use of; relaxing by emollient and wa- tery Substances, both in Drink and Glysters, especially Barley, Cream, and Barley-gruel, are to be frequently used: Likewise Bleeding in the Foot, and Blisters will be of great Ser- vice in this Case. Of Convulsions in Fevers. Convul- sions. Nothing is of more Importance than rightly to know the Cause and the Seat of this Distemper, which is com- monly very obscure. In Infants Convulsions commonly proceed from Acidity in the Sto- mach and Intestines, which are cured by Ab- sorbents, such as testaceous Powders of all sorts, and gentle Purges and Glysters; but in such indeed Convulsions attending Fevers are not altogether so dangerous. Convulsions arising from Acrimony in the Stomach, or from any thing vellicating a Nerve in its Extremity, and not in its Origi- nal where it rises from the Brain, are not very dangerous; but Convulsions, which pro- ceed from too great Evacuations, as great Hæmorrhages attending Fevers, are very dan- gerous, and frequently mortal. Convulsions proceeding from an Inflamma- tion of the Membranes of the Brain are com- monly fatal: The Symptoms attending such are, a great Heat and Thirst, a hard Pulse, and a Delirium; so that the Remedies, and even those from Diet, are to be used accord- ing to the particular Seat of the Distemper; for Ch. II. thro' the various Stages of Life. 369 for if it be from the Stomach, such Aliments as are contrary to the particular Acrimony, Acid, Alkaline, or Oily, impacted there, as in the Case of Vomiting, already described. But if they arise from something obstructed in the Brain, such Convulsions are generally cur'd by Diluting, Relaxing, Revulsions, and softening both the Fluids and Solids, and using such Substances especially as open the Belly; and in general the Regimen prescribed in a Delirium or Coma: For it would be a Folly to rely here on the Medicines, which, by their pompous Titles of Anti-spasmodick and Anti-hystericks promise a specifick Cure; besides, all Volatiles, spicy and cordial Sub- stances, are here destructive. Of Weakness in Fevers. A feverish Weakness proceeds from too great Fulness in the Beginning, and too great Penury or Inanition in the latter End of the Distemper; for whatever stops or retards the Circulation of the Fluids in the smallest Vessels, especially those in the Brain, produces this Symptom, which either of the Causes now mentioned will certainly do; And those two Causes require a different Method of Cure; for in the first, emptying and diluting is re- quisite; in the latter, a more plentiful Nou- rishrnent, the Use of Wine diluted with Wa- ter, and Spices in small Quantities, Jellies, Broths qualified with some gentle Acid, un- less there be Signs of Acidity; but in that Weakness. Aa Case 370 A GUIDE to HEALTH Part III. Case the Diet should be contrary to that Symptom; in which Case Viper Broth, and all other Broths are both anti-acid and nourishing. In Weakness from too great a Loss of Blood, Wine and Food which is easily digested and assimilated or converted into Blood, is pro- per; for a small Quantity of Blood often- times brings the Patient into a Dropsy. Fric- tions of the Limbs relieve Weaknesses, as they promote a Flux of Juices and Spirits in the Joints and Limbs, by which Means they will bring Nourishment to those Parts. Fat People are most subject to the Symp- tom of Weakness in Fevers; because the Fat, being melted by the Heat of the Fever, Part of it obstructs the small Canals or Vessels, and consequently produces this Symptom; which is evident from the great Loss of Fat such Persons sustain in Fevers, by the Laxity of the Fibres, and the Emptiness of the smaller Vessels; and therefore such should be treated with particular Care, for after due Evacua- tions they ought to dilute plentifully both by Drink and Glysters, avoiding all fat and oily Things, and using Sugar, Honey, and ripe Fruits. Of inflammatory Eruptions in Fevers. In all these of any Kind whatever, as Small- Pox, Meazles, Purples, Scarlet-fever, Ery- sipelas, or St. Anthony's Fire, the Intention of Diet ought to be, to avoid strong Sudorificks, or sweating Things, which push out too great a Quan- Ch. II. thro' the various Stages of Life. 171 a Quantity of the Matter upon the Skin; to use cooling and temperate Diluters, which will keep the Matter moveable, so that it may be secreted from the Blood; to keep warm during the Eruption; and that the Diet be cool; for which Reason the moderate Use of Acids, as Juice of Limons, &c, are necessary; and above all things Bleeding must not be omitted. A due Attention to the few Rules above- mentioned, in the several Symptoms, will prove successful in the Cure of most Fevers. Of the Small-pox. Notwithstanding I have taken notice just now of Eruptive Fevers in general, yet as this is one of the most dangerous and universal that infests Mankind, I shall treat of it in this Place in particular. Therefore, the greatest and most important Steps for the Recovery of the Patient must be made at the Time of the Invasion, or first State of this Distemper; wherefore it is very necessary to know the first Symptoms of it; for many have suffer'd by mistaking it for another Disorder. In general, young People who have not had the Disease, ought to be very care- ful in avoiding Irregularities in their Diet; because the Small-pox which seizes such Per- sons often proves fatal. This Disease is like- wise more dangerous as the Fluids are more heated and dissipated, and the Solids more Aa2 strict 372 A GUIDE to HEALTH Part III. strict and compacted, and consequently it is more so, as People are advanced in Years. First Stage. The first Symptoms are a Chilness and Rigor, succeeded by a Fever and constant Heat, a certain Splendor or Shining- in the Eyes, with a little Moisture, which is very observable in Children; a great Pain in the Head, with Drowsiness, Dullness, and Sleepiness; a Pain in the Back in some, but Pains in the Limbs in all; Anxiety, Inquie- tude notwithstanding their Drowsiness; loath- ing Sickness at the Stomach, Vomiting, and Convulsions in Infants shortly before the E- ruption; and the Blood taken away the first Time, florid; but on the second, third, and fourth Time it appears sizy, like that of pleu- ritick People. Therefore it is manifest that in this State the Distemper ought to be treated as any other inflammatory Disease, by such Methods as if it were possible to hinder any Suppuration at all; and to resolve and digest as much of the feverish Matter as possibly we can; for the longer the Eruption is a coming, and the fewer when it comes, the Disease is less dangerous; therefore all the Methods practised in the Be- ginning of inflammatory Distempers are here necessary and proper, with a particular Care of cleansing the alimentary Passage by Vomit- ing and Glysters, the Impurities of which will otherwise be carried into the Blood. The learned Boerhaave says, that as there is not yet found any particular Antidote to the poisonous Ch. II. thro' the various Stages of Life. 373 poisonous Quality of this Disease; but that if any such could be found, as he is of Opinion it may, it must be in Antimony and Mercury brought to a great Degree of Penetrability, without being too corrosive by a Saline Acri- mony, but well united; for the Effects of Mer- cury on all Ulcerations are notorious. In the first Stage then of the Small-pox, the whole Habit of the Body ought to be relax'd both inwardly and outwardly, and a free Perspiration through the Pores of the Skin, without violent Sweats be promoted; the Viscidity or Glewiness of the Fluids taken off by Diluters: All these Things may be affected by Glysters, Fomentations and Gargles, and a plentiful life of Drinks often repeated, made of thin Water-gruel and other mealy Decoc- tions, and such like cooling Liquors, with nitrous and acid Salts, or some other acid Sub- stances mix'd with them, such as the Juice of Oranges, Limons, Tamarinds, and other sub- acid Fruits, &c. no Flesh to be allow'd, un- less some small Chicken-broth at Times; the Air ought not to spoiled by Heat, or the Bed- Clothes so thick and heavy as to produce great Sweats. For more People are lost in the Small-pox, by being thrown into large and violent Sweats in the Beginning of the Eruption, than by any other Errors committed at all other Times: The Reason is, because great Sweats drain the small Blood-Vessels of the necessary Fluid, by which Circulation is hinder'd and the Blood Aa3 coagu- 374 A GUIDE to HEALTH Part III. coagulates, by which Means the Inflamma- tion is hurried on into a Gangrene, without being able to furnish the necessary Work of Impostumation in the Glands of the Skin, or of being dissipated by other proper Means. Second Stage. When this Disease has run off its first Stage, which is call'd by the learned Boerhaave, that of Contagion, it enters into the second, in the following Manner: The Skin of the Head and Face first, then of the Hands and Arms, and lastly of the Body and lower Parts, are mark'd with little red Points like Flea-bites; thereupon the Symp- toms abate, and the red Pustles increase every Hour in Largeness and Number; they con- tinually rise higher and higher, inflame more, and the Skin is stretch'd; they begin to pain and to burn ; the Circulation is interrupted, and Perspiration hinder'd; hence a great Re- turn of the Humours towards the inward Parts; a Fever arises, with Anxieties, Diffi- culty of Breathing, a Pain in the Jaws, some- times a Quinsy, a Looseness, Bloody-flux, Bloody-urine, Spitting of Blood. The Parts of the Skin free from Pustles are red and in- flamed, painful and hot; all which, or most of which, when they have lasted four, five, or six Days, are now intirely suppurated, and converted into as many small Impostumes. And this is likewise call'd by the above-men- tioned Author, the Stage of the Inflammation until the Suppuration: It lasts (according to the Difference of the epidemical Season, and that Ch. II. thro' the various Stages of Life. 375 that of the Patient, the Greatness and Vio- lence of each particular Case, and the Regi- men hot or cold made use of) most times four or five Days; so that the Suppuration is compleated about the eighth Day, reckoning from the first Beginning; and the Blood, if let out of a Vein, is extremely inflamed. From what has been said, the Diagnosticks and Prognosticks of the second State of the Small-pox may be learned, and the Rationale of it, and all its Symptoms, which will be plainer still by observing the following Rules. 1. The gentler the State of Contagion, that is, the first Stage, the easier likewise is the in- flammatory State, which is the second Stage of the Distemper. 2. The slower the Pustles break out, the longer therefore the State of Contagion, so the easier and milder is the whole Course of the Disease through all its Stages. 3. The fewer, more distant, bigger, more remote from the Face, whiter and afterwards the yellower the Pustles are, and the later they appear, so much the better Event they promise. 4. The more in Quantity, more mix'd and intangled, the less in Bulk those that stand single, the more they appear upon the Face, tawny or black, and the quicker they grow, so much the worse. 5. The more the Matter of the Pimples is like to kind and perfect Pus, the better. Aa4 6. The 376 A GUIDE to HEALTH Part III. 6. The more the Matter in the Pimples resembles a gangrenous Ichor, the worse. 7. The more the Space between the Pim- ples appears red, is hot, stretch'd, and swell'd about the Time of their impostumating, so much the greater Hopes, because it is a Sign of the Circulation's being preserved there. 8. But the more that same Space looks paler, or grows tawny or black, so much the worse; for there follows a mortal Quinsy or Peripneumony, unless a thin Salivation, or a great Swelling of the Hands or Feet doth ensue: The Reason is, because the Circula- tion of the Fluids is cut off in those Parts, and drove back and increased in the internal nobler Parts. 9. If in the Space between the Pimples there appear purple Spots, it is a sign that a mortal Gangrene is at hand or present. The Indication in this second State of the Disease, is different according to the different Time that the Disease has lasted, and is like to last: for in the Beginning of the external Inflammation shewing itself, it appears rea- sonable to endeavour to prevent its proceeding to an Impostumation, as has been observed already; or, if that be neglected, Care ought to be taken that the Suppuration be as lit- tle as possible, and promoted slowly and far from the Head; which may be effected, first, by keeping the Patient to the thinnest Diet, which at the same time resists Putrefaction, Secondly, by giving him diluting, soft and sub- acid Ch. II. thro' the various Stages of Life. 377 acid Drink. Thirdly, Medicines that prevent the making of much Pus or Matter, such as are opening and diluting, in great Quantities and often given; likewise Blisters applied to the Hollows of the Feet and Legs. Fourthly, A cool Regimen, and chiefly by the Admis- sion of pure and fresh Air, (as was observed in the first State) and at the same Time co- vering the Limbs and lower Parts of the Body warm. Fifthly, If the Distemper pro- ceeds too violently on the fifth Night, a gentle Opiate may be safely given to an Ad- vantage, and repeated every Night to the End of the Disease, if the Lungs are not too much oppress'd, and Respiration very diffi- cult. After the running off of the second Stage follows the third State, being that of Impostumation, during which it increases and arrives at its Height: In this the Pustles, already purulent, grow larger every Day; then they ripen, turn white, yellow, and break on the third or fourth Day of this State. Then the whole Skin, and its subjacent Fat, abound with a moveable Pus or Matter; it is dried exter- nally, and inflamed in every Part free from Matter or Pus: Hence, from the Impedi- ment of Perspiration and Circulation, from the Irritation of the membranous and nervous System, from the absorbing of the Pus into the Veins, there comes on a Fever of the worst Kind, with the worst Symptoms; and if this Third Stage. puru- 378 A GUIDE to HEALTH Part III. purulent Matter mix'd with the Blood is moved long, it putrefies: Hence, according to its falling upon different Parts of the Body, it produces cruel and scarce superable Effects, such as Deliriums, Phrensies, Quinsies, Peri- pneumonies, Pleurisies, Vomitings, Bloody- fluxes, Inflammations of the Liver, Impos- tumations of the same; Boils, Tumors, Ab- scesses, and Stiffness of the Joints; a Wasting, Consumption, and a great many more Evils. In this third State great Care ought to be taken to promote the Discharge of the Pus to the external Part, driving it from the In- ternals; which may be effected by relaxing the Skin with lukewarm softening Fomenta- tions, and often; constantly walking and gargling the Mouth and Throat; drinking much of warm, cordial, detergent, and o- pening Decoctions, which are contrary to Pu- trefaction; injecting daily a gentle, diluting, emollient, and laxative Glyster, and to be kept long; or sometimes a gentle Purge with Rhu- barb and Manna; dieting upon thin Broths duely salted and acidulated; allowing now and then a moderate Glass of good generous Wine; giving also a sufficient Dose of Syrup of White Poppies, or some other Opiate, a- gainst any violent or troublesome Symptoms that may arise. If the Small-pox proves to be of the worst Kind, and that there is rather a gangrenous Ichor than laudable Pus, that almost the whole Skin is beset with it; hence it may easily Ch. II. thro' the various Stages of Life. 379 easily appear, why this Disease is often so un- avoidably fatal, notwithstanding all the pos- sible Care taken; and it will be yet much plainer to any one acquainted with Dissections, that as the external Skin is full, so the Eyes, all the Membranes of the Nostrils, all the Covers of the Mouth, the Wind-pipe, the Bronchia, the Stomach, the Gullet, Intes- tines, Liver, Spleen, and Lungs, are full of the like Pustles; and hence he will under- stand what has been said, and see what is re- quisite for the Cure. Thus far the Senti- ments of Boerhaave concerning the Small- pox. The Greatness and Danger of this Disease is estimated by the Quantity of Pimples on the Face and Head; therefore the Matter ought to be solicitated to the lower Parts by all possible Methods, especially the Legs, by Fomentations, Bathing, Blistering, and, thro' the whole Course of the Disease, keeping the Feet and Legs warm; the Breast and Head not any more cover'd than to keep them from the Injury of the cold Air. During the filling and ripening of the Pustles the Diet may be allow'd a little more plentiful, but yet not hot or inflammatory, with the due Use of anodyne Things, or such as allay Pains and Restlessness. In this State every Thing that abates Acrimony is proper; and, where the Circumstances of the Patient require it, a Spoonful or two of good White Wine, twice or thrice a Day, may be likewise useful. The 380 A GUIDE to HEALTH Part III. The Diet in this State should also be adapted to the particular Symptoms of the Disease, as cleansing, attenuating, and expectorating; and to promote spitting by Diureticks. When the Temperament, Age, high Pulse, and especially Watchfulness and Delirium re- quire Bleeding in any other Case, why not in this State? which is known to have been used with great Success; for a great many Vessels in this State are almost unpassable by the Fluids; and those who die of this Distem- per have inward Inflammations, especially in the Lungs, all which seem to justify that Bleeding is necessary in the Case. But the gangrenous Disposition which ap- pears in the malignant Sort, is a Reason against it; for hardly any Thing will avail in ex- treme malignant Cases. In such malignant Kinds, all that is left, is, at least to endeavour to evacuate the peccant Matter by other Ways, as Blistering and Stools, procured by Lenitives not irritating, which would only hurry the Humours and increase the Fever. For farther Particulars concerning this dreadful Distemper, see the celebrated Sy- denham's Account of the Distinct, Confluent, and Anomalous Small-pox, which nothing can excel. The Meazles and Scarlet Fever, (tho' not near so dangerous) require much the same Regimen, and the same Method of Cure, as the Small-pox, the Scarlet Fever not differing from the Meazles, except it be in the Manner of Ch. II. thro' the various Stages of Life. 381 of the Efflorescence only, insomuch that it may not improperly be called the Confluent Meazles, for the Efflorescence in the Meazles makes its Appearance in different Figures and Shapes, from whence the Skin is diversify'd with several Colours; whereas in the Scarlet Fever the Skin is spread all over with one con- tinued Inflammation and Redness. CHAP. III. Of Inflammatory Diseases with a Fever. NOW those inflammatory Distempers are to be considered, which being attended with an acute Fever, do besides induce a sin- gular Inflammation of this or that Organ of the Body, the depraved Function of which gives a Name to each particular Disease of that Kind; such are the Phrensy, Quinsy, Pleurisy, Peripneumony, the Inflammation of the Breast, of the Diaphragm, Stomach, Li- ver, Spleen, Mesentery †, Guts, Kidneys, Bladder; of the Joints, as in Rheumatisms; and of the Surface of the Body, as in the Meazles, Scarlet Fever, and Small-pox. Of † A membranous Part in the lower Belly, to which the Guts are connected. 382 A GUIDE to HEALTH Part III. Of a Phrensy, or Inflammation of the Brain. True or symp- tomatick. A Phrensy is either essential or symptomatick: An essential or true Phrensy is when there is a primary Inflammation of the Brain, or ra- ther of the Meninges ‡, with a Delirium and an acute Fever. The Symptomatick Phrensy, or Phrenitis, is occasioned by a Translation of the febrile Matter or Inflammation, &c. from other Parts upon the Brain. A true Phrensy kills the third, fourth, or seventh Day, or else it produces Madness, a Lethargy, or Coma; and a Phrensy coming upon a Peripneumony, or the Iliack Passion, is mortal; upon the Small-pox, is very dan- gerous. This Disease, of all others, requires the most powerful Remedies without any Delay, which are able to remove the Inflammation of the Arteries of the Brain, and are chiefly to be taken from the general Cure of Inflam- mations in Fevers, describ'd in the foregoing Chapter, observing at the same time the fol- lowing Rules. Copious Bleeding, by opening the tempo- ral Arteries, or more Veins at once, in the Foot, Throat, and Forehead, with large Ori- fices, are the most effectual Remedies. Great Quantities of cooling Decoctions ought to be given ‡ Are Membranes which cover and embrace the Brain, and they are called the Dura Mater, and the Pia Mater, or Meninges. Ch. III. thro' the various Stages of Life. 383 given often and warm, with large Portions of Nitre. Then cooling Purges, and at the Time of their working, to give Draughts of diluting nitrous Liquors. Sometimes Glysters of the like Kind, with lenitive Electuary, or Honey, or any such Openers may be given. Solliciting the Blood to other Parts of the Body; therefore tepid Bathings of the lower Parts, and emptying the Piles with Leaches, relaxing Fomentations apply'd to the Veins, which carry the Blood from the Head, re- lieve in this Disease. We should likewise ap- ply Blisters and Cupping-glasses to the inferior Parts; Blistering the Back, and even the Head sometimes, in phlegmatick Constitutions espe- cially, has been found useful. The Body ought to be kept moderately cool, and set upright if possible, for the warm Air of the Bed exagitates the Blood. But if the Phrensy has been occasioned by a pre-existent inflammatory Distemper in some other Part, it ought to be carefully minded, whether the Nature of that Illness will bear the Applications above-mention'd; which if not, then it ought to be cured ac- cording to the Method peculiar to that ori- ginal Distemper, always adding the Reme- dies that divert from the Head, and that are externally apply'd. The Diet ought to be slender, of mealy Substances, as Water-Gruel acidulated, or subacid ripe Fruits, with their Jellies, the Drink small, diluting and cooling, Barley- Water, 384 A GUIDE to HEALTH Part III. Water, and the Decoction of Tamarinds are all necessary and useful. For farther Satis- faction herein, see the Articles of Delirium and Watchfulness in the preceding Chapter. Of a Quinsy. A Quinsy without a Tumour almost always mortal. There are two Species of it; the first is without any sensi- ble Tumour either externally or internally; but the other Species of a Quinsy is attended with a Tumour. The first Sort is commonly the Conse- quence of some very long continued Disease, chiefly after very large and often re- peated Evacuations. It is accompa- nied with a Paleness, Dryness, and Thinness of the Jaws; because for the most part the Nerves and Muscles of those Parts being relaxed, are most times paralytick, and it is a Sign almost always that Death is just- at hand. It is seldom cur'd, and then only with Remedies which fill the empty Vessels with good vital Nourishment, and things that warm and strengthen the Body in general. The Cause. The Signs. The Cure. A Quinsy with a Tumour of various Sorts. The other Species of the Quinsy, viz. with a Tumour in the Throat, occasioning a Dif- ficulty of Breathing and Swallowing, may be of various Sorts; sometimes it proceeds from a Serosity obstructing the Glands, which may be watery, œdematous, or schirrous, ac- cording Ch. III. thro' the various Stages of Life. 385 cording to the different Degrees of the Vi- scidity of the Humours, sometime inflam- matory, which Inflammation will sometimes terminate in a Suppuration, or Gangrene. The Regimen and Cure in those Quinsys, which proceed merely from watery, œdematous, and thin catarrhous Hu- mours obstructing the Glands, must be first, to use such warm Liquors as relax gently, soften and moisten these Glands; Secondly, such Medicines as carry off the redundant Serum, by Stools, Sweat, and Urine; or by stimulating, and opening the Emunctories of these Glands to secern the stagnated Hu- mours, which may be obtained by the Ap- plication of Cataplasms, Gargles, Injections with Syringes, and by lessening the Quan- tity of the Lympha with Masticatories, Bli- sters, and smart Purges that will promote watery Stools. The Cure. In a mere watery Tumour, the Diet may be more warm than in inflammatory Kinds; and therefore the moderate Use of Wine of- ten relieves the Patient. But a Difficulty of Breathing and Swallow- ing, proceeding from Schirrosities of the Glands, is not to be cured any other Way than by extirpating the Schirrus, which alone will be a safe Remedy: or the Surgeon must with Prudence endeavour to fix a Cau- stick in the middle of the Tumour, to eat the same out; which is feasible enough when the Seat is near the Jaws. Bb In 386 A GUIDE to HEALTH Part III. In the inflammatory Species of a Quinsy we ought, by all means possible, endeavour to procure a Resolution: First, By large and repeated Bleedings. Secondly, The Belly must be loosened stoutly with either Purges, or purging Glysters frequently injected. Thirdly, By a very thin and slender Diet, such as Whey with Tamarinds boiled in it; Decoctions and Emulsions of farinaceous Vegetables moderately acidulated, and such as abound with a cooling nitrous Salt. Fourth- ly, By Medicines of the nitrous and acid Kind. Fifthly, By soft, warm Vapours con- stantly receiv'd upon the Part, bathing and fomenting the Feet, and Derivations by Bli- sters. When Swallowing is totally abolish'd, the Patient may be nourish'd by nourishing Gly- sters, which is known to have been done for a whole Week, after which the Tumour sup- purated. If the Inflammation ends in a Gangrene, the Case proves generally mortal, except it be only in the Tonsils, Uvula, and Palate, and reach no farther, which Parts may be separated, and the Patient recover. Of a Pleurisy. Diagnostick. A Pleurisy is an Inflammation of the Pleura, being a double Mem- brane which covers all the Cavity of the Breast; tho' that is hardly distinguishable from Ch. III. thro' the various Stages of Life. 387 from an Inflammation of any other Part of the Breast, which are all from the same Cause, a stagnant Blood; for there is no Part of the Internal Integuments of the Chest, which is not capable of being seized there- with, whether it be the Pleura or the Me- diastinum; and therefore the pricking Pain may be felt in any Part of the Breast: But most commonly it attacks the Sides, and this having a Fever join'd with it, is a true Pleurisy; but if such a Pain affects the su- perior intercostal Muscles, it is called a spu- rious Pleurisy. In a true Pleurisy, Bleeding large- ly, and often repeated in the Begin- ning ought to be perform'd, and that by a large Orifice; and the Rule is, to repeat Bleed- ing so often until there appears no longer any Siziness on the Top of the Blood: and at the same time, Fomentations and Leniments may be used externally. For internal Use, Di- luters, Resolvents, Coolers and Lenients that will asswage Pain, are proper; and all such Things should be taken warm, and in great Quantities. The Cure. Sometimes the Part inflamed tends to a Suppuration, which is known by the obsti- nate Violence of the Pain and Fever, &c. and continuing longer than the 4th Day. That an Abscess is form'd may be known by a fre- quent shivering, a Remission of Pain, Short- ness of Breath, and being able only to lie on one Side, which is the Side that is affected. Bb2 When 388 A GUIDE to HEALTH Part III. When the Abscess is broken, the purulent Matter falls into the Cavity of the Chest, and increases by the Discharge from the Ul- cer, which produces an Empyema, of which I shall give an Account hereafter. But some- times the Part affected becomes schirrous, with an Adhesion of the Lungs and Pleura; hence an Asthma and dry Cough, an incura- ble Distemper, unless perhaps there may be some Relief had from much Exercise and Riding. Sometimes a Pleurisy turns to a Gangrene, which causes sudden Death; that a Gangrene is begun, may be known from the Delirium, the livid Colour of the Chest, a sort of bi- lious Spitting, and from a Cessation of Pain. The Prog- nosticks. Hippocrates observes, that if in Beginning of a Pleurisy, within the space of three Days, the Spit- ting is Bloody, it shews that the Distemper will be but short; if the Spitting of Blood comes on later, the Distemper will likely run into a greater Length. He adds, that if Pleuritick Persons do not expectorate, an Ab- scess will be form'd in fourteen Days; and such may be freed from that, if they can fully discharge the Matter by spitting in forty Days from the Time of the Rupture of the Abscess, otherwise they fall into a Consump- tion. In this Distemper the Spitting is to be regard- ed more than the Urine; and a Pleurisy that seems slight in the Beginning, and proceeding so Ch. III. thro' the various Stages of Life. 389 so till the fifth Day, but growing worse the sixth, is commonly mortal. When the Sup- puration is made, or Matter form'd in a Pleurisy, the Side must be open'd to let out the Matter. Of a Peripneumony. A true Peripneumony is an Inflammation of the bron- chial and pulmonary Vessels, or of the whole Body of the Lungs, or of one Lobe only. If the whole Lungs are affected the Case is desperate, and deem'd incurable; because the Circulation must be stopt, and no Blood can flow back into the Heart; the others sometimes admit of a Cure. It is to be treated after the same Manner, and with the same Remedies as a Pleurisy, and most commonly it has the same Event. A true Peripneumony or Inflammation of the Lungs. If the Inflammation be not dis- cussed in fourteen Days Time, an Abscess will be formed; the Signs of which are Shiverings, an Abatement of the Pain, and a low Pulse, Difficulty of Breathing, Thirst, and a slight Fever still remaining in the Evenings, &c. Upon this sometimes a sudden Suffocation happens from an Eruption of the purulent Matter into the Wind-pipe; some- times it is evacuated by spitting it up in great Quantities; or, if the Rupture so happens, it falls into the Cavity of the Chest, from whence proceeds an Empyema, a Phthisis, &c. Prognostick. Bb3 Lastly, 390 A GUIDE to HEALTH Part III. Lastly, the purulent Matter is absorbed by the pulmonary Veins, and is mix'd with the Blood; and by means of the Circulation, is deposited in some one of the Viscera, as the Liver, the Spleen, the Brain, &c. Hence it comes to pass that peripneumonick Abscesses happen about the Ears, Legs, or Hypochon- dria, where if they suddenly disappear, and the Peripneumony returns, the Case is mor- tal. The Type of a spurious Peri- pneumony. A spurious Peripneumony com- monly proceeds from a thick pi- tuitous Matter, generated in the Mass of Blood, which gradually settling itself on the Lungs, forms the Distemper. Old People, and such as are of pituitous, cold, catarrhous Constitutions, and such as are troubled with Defluxions of Rheums, are more subject to this Distemper than others. It creeps on unawares upon People with a fallacious Lenity at first; they are slightly in- disposed, complaining of a sort of Weariness and Debility; they seem to be dispirited; they grow short-breath'd, and feel an Op- pression of the Breast; but as the Disorder is hardly considerable enough to raise any great preternatural Heat or Fever, they are not apprehensive of any Danger: After a while however they are seiz'd with Shiverings and a small Fever, from whence the Difficulty of Breathing and great Weakness increase, and Death approaches, which surprizes the By- standers, Ch. III. thro' the various Stages of Life. 391 standers, the Urine and Pulse having not such a sudden Change. This Distemper is cured by the following Method; first, let the Pa- tient be blooded out of a large Vein; second- ly, a Glyster ought be given every Day, till it appears that the Lungs are eased; thirdly, his Diet ought to be of thin Flesh Broths, Jellies with some Juice of Lemon or Oranges; his Drink also small, of Water and Honey; fourthly, to use diluting, cleansing, and gently opening Apozems, often and in large Quan- tities, bathing the Legs and Feet, and ap- plying many Blisters, The Cure. Of an Empyema. An Empyema is a Collection of purulent Matter in the Cavity of the Thorax most commonly occasion'd by the Rupture of an Abscess, produced by a Pleurisy or Peripneumony: It is known, if for twenty Days after the Beginning of the Inflammation there has been no Expectora- tion; from a dry Cough, a Weight on the Diaphragm *, being able to lie only on one Side; from a fluctuating Noise of the Pus or Matter upon moving the Body, a slow Fever, Redness in the Cheeks, Hollowness of the Eyes, Heat in the Tops of the Fingers, Crook- edness of the Nails, and a Tumor of the Belly. Empyema what. Bb4 As * It is a tranverse Membrane, which separates the Thorax or Chest from the Abdomen or lower Belly. 392 A GUIDE to HEALTH Part III. The Cure. As to what relates to the Cure of an Empyema, when it is once known that there is a Rupture of an Abscess of the Lungs, Pleura, Diaphragm, or the Mediasti- tium †, or Pericardium ‡, endeavours must be used to discharge the Matter by Expec- toration, by the urinary Passages, or by Stool, if Nature offers to do it those Ways; for if purulent Mttter appears in the Urine, let diu- retick Medicines be given; if purulent Stools happen, laxative Purges; if Spitting offers, expectorating Medicines: Some make Issues with Causticks betwixt the Ribs. For inter- nal Use, Balsamicks, Vulneraries, Decoctions of the Woods, Jellies of Hartshorn, and Ground-Ivy, are very much commended. But if all Remedies fail, the Cure must be attempted by an Aperture of the Thorax, with a proper Instrument on the Side affected, between the 4th and 5th, or 5th and 6th Ribs, counting from the lowermost, drawing off the Matter gently and gradually: From the Nature of the Pus, when taken out, and other Circumstances of the Patient, one may deduce a Prognostick of what may likely be the Event. If the Empyema be of a long standing, and the Strength of the Patient exhausted, the Hair of the Head falling off, and there be a colliquative Looseness, the Habit of the Body † Is a Membrane which divides the Lungs and other Vi- scera of the Breast into two Parts. ‡ A Membrane which surrounds the whole Substance of the Heart. Ch. III. thro' the various Stages of Life. 393 Body tabid, &c. the Operation of the Para- centesis will serve only to hasten Death. Of a Paraphrenitis, or an Inflammation of the Diaphragm. A Paraphrenitis is a Disease much like a Pleurisy, wherein the Diaphragm, or at least part of it, is really inflamed; and this is what happens more frequently than is commonly- believed, mistaking it for another Distemper, It is known by a continual Fever, an exqui- site Pain very much increased upon Inspira- tion, by which it is distinguish'd from a Pleu- risy, in which the greateft Pain is in Expira- tion; besides, the Breath is fetch'd deep, quick, and suffocating, and seems only to be performed by the Motion of the Breast; It is likewise attended with a Delirium, Fury, and an involuntary Laughter, and Convul- sions; and altho' the Whole of the Distem- per is known, yet it is generally mortal. This Distemper terminates as Pleurifies and Peripneumonies, but a great deal more fatal; If it suppurates the Pus, it is evacuated into the lower Belly, where it produces Putrefac- tion, and a most miserable and painful Death. The Regimen, if any can be successful, ought to be the same as in Pleurisies, and the Cure likewise. Of an Inflammation of the Stomach. As other Parts of the Body, so may likewise the Stomach he seized The Signs. with 394 A GUIDE to HEALTH Part III. with a true Inflammation: The Symptoms and Effects are a burning, fix'd, and pungent Pain in the Stomach, attended with an acute continual Fever, a great Exacerbation of this Pain the Moment after swallowing any thing, succeeded with Vomiting, a painful Hickup and great Anxiety, unquenchable Thirst, want of Sleep, and a continual Tossing of the Body; these are succeeded with Deliriums, and most times Convulsions, ending in Death. The Causes. The Causes of these Symptoms are those common to all Inflamma- tions in general, a natural Weakness, and perhaps Erosion of the Coats of the Stomach, by acrid Substances taken as Aliment and Medicines. Care must be taken rightly to distinguish between an Inflammation of the Stomach, and that of the Liver: In the for- mer the burning Pain and Heat seem to lie deeper; when the Liver is inflamed the In- flammation is more limited, and the Symp- toms are milder. If this Disease is not speedily cured, it soon proves fatal; for People commonly die of it the third or fourth Day; and sometimes indeed, tho' seldom, it tends to a Suppuration, and the Abscess breaks either into the Cavity of the Stomach or lower Belly and even then they hardly ever escape. Of all Diseases this requires most a total Abstinence from any Thing that has Acrimo- ny in it; even the nitrous cooling Salts, which are Ch. III. thro' the various Stages of Life. 395 are beneficial in other Inflammations, irritate too much in this; likewise Vomits, all Cor- dials of volatile and spicy Substances; spiri- tuous Liquors are no better than Poison, and Milk generally curdles. Aliments must be given frequently, and by Spoonfuls at a time, for any Distension of the Stomach increases the Inflammation. A thin Gruel of Barley, Oatmeal, Whey with very little Sugar, or Honey, or Chicken- broth, are proper Aliments; Whey, emol- lient Decoctions of Barley-water, and Emul- sions, are proper Drinks; and it has been found by Experience, that Chalybeat Waters have been agreeable to the Stomach in this inflammatory State. If there happens an Im- postume, Honey, and even Honey of Roses, taken inwardly, is a good Cleanser, and a De- coction of Comfrey Roots is healing; Speedy and effectual Bleeding, Fomentations, and Glysters have the same good Effect in this as in other inflammatory Distempers, Likewise the same Regimen and Remedies ought to be used in a Schirrus or Cancer of the Stomach; tho' nothing will prove quite effectual. The same Method is to be pursued in the Inflam- mation of the Spleen, Pancreas, and Caul. Of the Inflammation of the Liver. As other Bowels and Parts of the Body are capable of Inflammations, so is the Liver likewise; but as the Hepatical or Liver Ar- tery, and the Vena Portæ, carry the Blood into 396 A GUIDE to HEALTH Part III. into the Liver, the first being very small, and the Motion of the Blood being slow in the last, are the Reasons that Inflammations in the Liver are not so frequent as in some other Parts of the Body; but when they happen they are extremely dangerous, unless they take up but a small Part of the Liver; and such happen more frequently than is thought of. Diagnostick Signs. The best Cautions, both in Diet and Cure, may be taken from the Causes and Symptoms of this Di- stemper, which, besides the general Causes of Inflammations, are extreme Fatness; for Fat dissolved by Heat and Inflammation obstructs the Vessels of the Liver very suddenly; and Cattle fatten'd by good Pasturage, after vio- lent Motion or Running, sometimes die sud- denly, in such the Liver is found to be in- flamed and corrupted. An atrabilarian a- dust Temper of the Blood and Gall, an acri- monious or purulent Matter, stagnating in some other Organ of the Body, is more easily deposited upon the Liver than any other Part, especially if it is attended with the Use of hot and spicy Aliments, spirituous Liquors, great Heat and a Fever; Erosions of the Vessels by the Acrimony or Sharpness of the Gall, or Obstructions by Viscidity; likewise any Callosity, Schirrus, or Stone generated in the Liver; Thirst long endured, being sud- denly chill'd by cold Air, cold Water, or drinking cold Liquors after great Heat; Vo- mits Ch. III. thro' the various Stages of Life. 397 mits given injudiciously, when the Liver is already unsound, which, if they do not re- move the Obstruction, exagitate the Liver too much; inveterate hypochondriacal Diseases; are all Causes which may produce Inflamma- tions of the Liver. In such a Case therefore, the Liver being swell'd, compresses the Stomach, Diaphragm, and all the neighbouring Viscera of the lower Belly, stops the Circulation of the Juices, the Generation and Excretion of the Gall, and all Digestion; produces numberless bad Symp- toms, as the Jaundice, with all the Distem- pers depending upon it; for the Liver re- ceives the refluent Blood almost from all the Parts of the Abdomen or lower Belly, and is the chief Instrument of all the Digestions which are there made. A slow Fever, which is more or less acute; an Inflammation and pungent Pain on the Region of the Liver and Diaphragm; a Tension of the Hypochondres especially on the Right Side; Yellowness of the Skin and Eyes, and a saffron-coloured Urine, are Signs of an inflammatory Disposition of the Liver. This Distemper terminates as other Inflammations, being cured either by Resolution, Concoction, and Ex- cretion of the morbid Matter; or it ends in an Abscess, Schirrus, or Gangrene: When it suppurates, the purulent Matter is discharged sometimes by Stool, sometimes by Urine, sometimes by Expectoration, and sometimes Prognostick. it 398 A GUIDE to HEALTH Part III. it is dischargcd by manual Operation. For when a Tumor rises and grows to the Peri- toneum, and forms there an outward Impos- tume of the Liver, easily discernable, then it is opened with a burning Iron, or with Caus- ticks; afterwards the Wound is widen'd with gentle corrosive and suppurating Applica- tions, untill there is a Penetration made into the very Bag or Vomica, which is in the Body of the Liver; then it is treated as an Ulcer, and cleansing internal Medicines are duely administer'd at the same Time. Indication of Cure. But during the first State of the Disease, that is, before there are any Signs or Suspicion of Impostumation, the Regimen should be cooling, resolving Li- quors taken inwardly, as Whey with Sorrel boil'd in it; outward Fomentations and fre- quent Injection of emollient and diuretick Glysters, Bathing, and Frictions, relax and render the Matter fluid and moveable; Honey, with a little Rhenish Wine or Vinegar, in- wardly taken, is likewise proper; also the Juices and Jellies of some ripe Garden-Fruits are useful, and those of some Plants of a milky Juice, as Dandelion, Endive, and Let- tuce, are Resolvents. Bleeding in the Be- ginning, especially in the Foot, will not be improper. Violent Purges hurt, but gently relaxing the Belly relieves. Diluters, with nitrous Salts, are beneficial, and Tamarinds boil'd in Water or Whey: Bloody Stools, not in a great Degree, or when streak'd with Blood, Ch. III. thro' the various Stages of Life. 399 Blood, ought not to be stop'd, because they help to resolve the Disease; and oftentimes Bleeding at the Nose produces the same good Effect. The Fever attending is often carried off by Urine, therefore diuretick Substances, that are not highly pungent and stimulating, are use- ful in this Case; and Sweating by high Cor- dials ought not to be attempted; but encourag- ing and promoting it with warm diluting Li- quors is proper. The Case is deplorable when the Inflam- mation of the Liver terminates in an Abscess, unless it points and appears outwardly, so that it may be open'd; for if the Matter be eva- cuated into the Lower Belly, it produces woeful Symptoms, as Putrefaction, or an in- curable Bloody-flux, &c. When the Pus or Matter of an Ulcer in the Liver grows thin and ichorous, it corrodes the Vessels, (for the Liver, of all the Bowels, is the most friable, and the easiest crumbled or dis- solved) and it is frequently carried into the Mass of Blood, and rejected by vomiting, with a cadaverous Smell, attended with great Thirst; but if it is carried downwards, it produces a purulent colliquative Looseness: In which Case the constant Use of subacid Decoctions, and other Substances of the acid Kind, relieve the best. If this Distemper happens to produce a Cancer, or Schirrus, as sometimes it does; yet the latter is not absolutely incurable, be- cause 400 A GUIDE to HEALTH Part III. cause it is experimentally known that Grass and fresh Pasturage has cured it in Cattle, and some opening Plants have produced the same Effect sometimes in Mankind, as those of the lactescent or milky Plants already men- tioned, with a great many other Vegetables too tedious to insert in this Place. But it is to be observed, that the Diet re- commended here is likewise necessary in the Jaundice, and all Distempers of the Liver; and also an Abstinence from all such Things as induce Putrefaction, especially salt Fish and Flesh, and above all strong Liquors. Of an Inflammation of the Mesentery. Inflammations and Tumors of the Mesen- tary, (being a Membrane in the Lower Belly to which the Guts are connected, and through which all our Nourishment is convey'd to the Blood,) are frequently the Origin and Foun- dation of many obscure and latent chronical Distempers, which greatly afflict People la- bouring under them, and perplex those who undertake their Cure as well. Diagno- stick. Persons affected with these Disorders complain of Pain about their Back and Loins, sometimes in the Belly about the Navel, with Gripings, yet these Pains are commonly periodical and chronical; and every now and then comes on a small wandering Fever, and the Ch. III. thro' the various Stages of Life. 401 the Pains come and go, having their Remis- sions and Exacerbations. When an Abscess in the Mesentery suppurates and breaks, it causes sometimes remarkable Shiverings and Shakings, which are followed by febrile Heats, and then the purulent Matter is most commonly discharged by Stool. Abscess. The Body in this Case gradually wastes, the Breathing grows more than usually difficult; and every now and then they complain of something that is very troublesome to them, which they cannot well explain: They tell you, that it lies deep in their Belly about the Navel, or below it; they are most commonly very much troubled with Wind. These Tumours oftentimes continue many Years, being turn'd schirrous and strumous. Prognostick. When the Disorders of the Mesen- tery are of a long standing, they are cured as other chronical Diseases, such as chachectick and hypochondriack Affections: Yet they are to be treated with Caution, and gently without any Violence. Externally, Em- plastrum de Cicuta cum Ammoniaco, de Ranis cum Mercurio, &c. are convenient. Inter- nally, Medicines that open Obstructions, such as Millepedes and Preparations of Steel, &c. likewise Remedies against strumous Distem- pers are proper, and opening of the hœmor- rhoidal Veins by Leaches; but rough Purges are hurtful, and Glysters are useful. The Cure. Cc Of 402 A GUIDE to HEALTH Part III. Of the Inflammation of the Guts. The Intestines or Guts, chiefly the small ones, are very often seiz'd with the like acute Inflammation in their Membranes, as the Stomach, from Causes common to all Inflammations carried thither; or from the Matter of acrimonious or sharp Drink, Aliments, high Sauces, Medicines or Poisons reaching those Parts, and detain'd in the Foldings of the Valvules and sticking to them; also from a sharp, putrid and fœtid, purulent, ichorous, gangrenous, bilious Mat- ter, convey'd hither from the Gullet, Stomach, Liver, Spleen, Pancreas, and Caul, which sticks also to them and corrodes them; or lastly, from a Convulsion filling them with Wind. The Cause. Symptoms. The Symptoms are a total Stop- page of the Passage, a vehement fix'd burning Pain, irritated by Things taken in- wardly; when any thing touches the Part af- fected, it excites Vomitings, sharp griping Pains, with Wind in other Parts of the Bowels; and the Consequences of such an Inflammation are the Iliac Passion, or what is vulgarly call'd the Twisting of the Guts, but in fact is either a Circumvolution or In- sertion of one Part of the Gut within the other; an Impostume, Gangrene, Schirrus, Cancer; a very acute Fever, with great Weakness from the Fierceness of the Pain, and a very sudden Death. It Ch. III. thro' the various Stages of Life. 403 It is of the utmost Importance to know what the Causes of Colicks are; for as they are various, so the Remedies in one Case are quite opposite and destructive in the other; for spicy, warm, carminative Things, which are given in Colicks proceeding from a phlegmatick or cold Cause, are Poison in an inflammatory one; but they may be distin- guished by the Fever, high Pulse, Thirst, and high-colour'd Urine attending the In- flammation. As to the Heat, tho' it is like- wise great by the Violence of the Pain, yet the Extremities grow cold; and besides, there is a hidden Prostration of Strength, or Weak- ness, attending this inflammatory Colick more than any other. This Disease requires a speedy Remedy, or none; for otherwise it terminates in an Iliac Passion, and Mortification of the Bowels very soon; therefore plentiful Bleeding, and fo- menting and relaxing the Bowels with emol- lient warm Liquors, both taken inwardly by the Mouth, and by Glyster injected hourly, is the most sovereign Method that can be made use of; yet it has been known, that Acids have relieved in very desperate Cases, as Juice of Lemons taken by the Mouth, and Vinegar and warm Water given in Glysters, have saved the Patient; by Reason of the con- tinual Vomiting, Opiates likewise to quiet the Convulsions are oftentimes necessary; also Warm Fomentations, even of warm Animals applied to the Belly, are extremely useful. Cc2 When 404 A GUIDE to HEALTH Part III. When the Inflammation happens to be in the Lower Guts, it is not so dangerous; and even when it suppurates it will admit of a Cure; for then it can be come at by proper Medicines in the Form of Glysters; and in the latter End of such a Case Chalybeat Wa- ters are very beneficial. If the Patient lives three Days, the Acute- ness of the Pain abates; and if a Shivering or Chilliness affects the Body, it is a Sign of a Suppuration, and in some few Days the Mat- ter flows either into the Cavity of the Belly, producing all the Symptoms which happen in an Impostumation of the Liver, or into the Cavity of the Guts, and causing a purulent Bloody-flux, and often a Consumption, Si- nus's and Fistulas; in which Case Whey and Chalybeat Waters are proper Drinks. The Aliment ought to be of such Substan- ces as generate little or no Excrements, as Broths of Flesh-meat, with Scorzonera, Par- sley, or Fennel boil'd in them: Goat's Whey is likewise excellent in the Case; but fat and oily Substances generally do harm. If the Fever continue with clammy Sweats, Paleness, an ichorous Loosness, fœtid, black, or like the Washings of Flesh, a small inter- mitting Pulse, and at last a Cessation of Pain totally, they are Signs of a Gangrene, and Death at hand. But if none of the foremention'd Signs hap- pen, and that the Fever abates, and the Per- son complains of a Weight, dull Pain, Stop- page Ch. III. thro' the various Stages of Life. 405 page of the Excrements, a Schirrus is form- ing, which increases daily, and may terminate in a Cancer; which Purging, and indeed all Medicines irritate: The Patient in such a Case may protract a miserable Life with an exact thin Diet of Whey, Broths, and such Things as produce no Fæces, or by nourish- ing Glysters. Inflammations of the Kidneys. The Kidneys as well as other Parts of the Body are subject to Inflam- mations: Which may be known from a pungent, burning, inflammatory Pain in the Region of the Kidneys, a Numbness, or dull Pain in the Thigh on the Side affected; likewise Colick, Wind, Vomiting, an acute continual Fever, Urine sometimes totally sup- press'd, often made in small Quantities, high colour'd; and which is worse, sometimes very watry and quite pale without any Sedi- ment. As to the outward Sensation of Heat, the Extremity of Pain oftentimes produces a Coldness in the extreme Parts, which is very consistent with inflammatory Distempers. Diagnostick Signs. This is produced by all the Causes of a general Inflammation directed to the Kidneys; and therefore, whatever ob- structs the Blood in the Extremities of the Arteries of the Kidneys, will produce this Distemper; a Wound, Bruise, Abscess, Swel- ling, Lying often long on the Back, too vio- The Cause. Cc3 lent 406 A GUIDE to HEALTH Part III. lent Motion, especially walking, or hard rid- ing in hot Weather; and whatever obstructs the Passage of the Urine into the Pelvis, Ureter, or Bladder, as a viscid Matter, Gravel or Stone; likewise every thing which forces the gross Parts of the Blood into the urinary Passages, as Heat, hard Riding, Straining, too great Fullness of Blood, and especially sharp and forcing Di- ureticks; and lastly, a convulsive and invo- luntary Contraction of the small Vessels of the Kidneys, if long continued. Coffee-colour'd Urine is not a dangerous Sign; for it proceeds from the Mixture of a small Portion of Blood with the Urine, and oftentimes it prognosticates a Resolution of the obstructed Matter, and the Expulsion of Gravel, or a Stone after great Pain; but pale Urine is a Symptom which portends the Di- stemper to be more lasting and dangerous. The Cure is to be perform'd by plentiful and repeated Bleeding, avoiding carefully at the same time all stimulating Diureticks, which in this State would increase the Dis- ease: Afterwards the Expulsion of the ob- structing Matter is to be promoted by emol- lient and soft Liquors plentifully drank, and by Glysters of the same kind frequently inject- ed; by Bathing and outward Fomentations, by opiate and anodyne Substances, which both ease and relax the Fibres; and those soft Liquors should be drank plentifully not- withstanding the frequent Vomitings; for Vomiting is an Effort of Nature in order to pro- Ch. III. thro' the various Stages of Life. 407 promote the Expulsion of the Gravel, Stone, or any other obstructing Cause. Therefore Whey, and in a great feverish Heat, Butter-milk; likewise Emulsions of Barley and Poppy Seeds, Honey in Whey and Water, are all very proper Liquors for this In- tention; also a moist and soft Diet, Rest, and keeping out of a warm Feather-bed, and par- ticularly avoiding lying upon the Back. If the Pains or Convulsions be very urgent, without waiting for the Effects of other Re- medies, Opiates with due Caution ought to be given; but when the Gravel, Stone, or any other obstructing Cause is separated from the Kidneys, soft express'd Oils, and oily Substances relax the Passages; and if the Pain proceeds only from Gravel, or a Stone, then oily Substances may be safely join'd with sti- mulating Substances, as with Juice of Lemon, Juniper-Water, and some diuretick Syrup, as that of Marsh-mallow, &c. In this Case the Jolting in a Coach, and such-like Motion may be used with Advantage. If the Pain is protracted beyond se- ven Days, an Abatement of the Pain, its changing into a Beating or Throb- bing, often-returning Shiverings, a Heaviness or Numbness of the Part, are Signs that Matter is a forming, which when made will appear in the Urine; in which Case, soft and balsamick Substances are the most beneficial; for if the Matter remains long, the Case is in- curable. Progno- sticks. Cc4 Some- 408 A GUIDE to HEALTH Part III. Sometimes it happens to terminate in a Fistula, with which the Person may live many Years in no great Uneasiness. All Bal- samicks are good in Ulcerations of the Kid- neys: Likewise Butter-milk not quite sour has been deem'd a Secret in the Cure of Ulcers of the Kidneys, and Steel-waters have proved very beneficial to some; Spruce-beer is also a good Balsamick in such a Case; and soft Malt Liquors are preferable to Wines. Inflammations of the Kidneys terminate sometimes in a Schirrus, or large Stone. But a sudden Remission of the Pain, with cold Sweats, a weak and intermitting Pulse, Hick- up, no Urine, or in very small Quantity, black and fœtid, are sure Signs of a Mortifica- tion and ensuing Death. Regimen. The Regimen of those who are subject to nephritick Disorders may be in some measure collected from what has been above-mention'd; and such ought to be ex- tremely careful of the Choice of their Li- quors; for sharp Wines which abound with Tartar, are very hurtful; soft Malt Liquors, not stale, are certainly much better to be made use of, and some of the softest diure- tick Substances often mention'd already; and to avoid acrimonious Things in their Food, use moderate Exercise, and not lie too hot, soft; nor much upon the Back. Of Ch. III. thro' the various Stages of Life. 409 Of an Apoplexy. This Distemper is a sudden Sus- pension of all the Senses, both ex- ternal and internal, and a Privation of all voluntary Motion, by the Stoppage of the Flux or Reflux of the animal Spirits through the Nerves destin'd for those Motions, com- monly attended with a strong Pulse, and dif- ficult Breathing, with Snoaring, together with an Appearance of a deep and continual Sleep. Definition. The most common Causes of A- poplexies are a particular Conforma- tion of the Body, as a short Neck; for there are some Persons who have fewer Vertebræ in their Necks than others; polypous Concre- tions of the Blood, an inflammatory Spissi- tude of it, a thick, glutinous, or pituitous Blood, and a dull Inactivity of the whole Mass; a gross, plethorick, fat, or phlegma- tick Constitntion; whatever hinders the Mo- tion of the Blood thro' the Arteries of the Brain, as Tumours arising within the Cra- nium, or Polypus's, especially about the Heart, attended most commonly with an unequal Pulse, a Vertigo, and sometimes a momentary Loss of the Eye-sight; old Age, attended with a glutinous, cold, catarrhous, leucophlegmatick Constitution; for in suck the Forerunners of an Apoplexy are, Dulness, Inactivity, Drowsiness, Sleepiness, Slowness The Causes. of 410 A GUIDE to HEALTH Part III. of Speech, and giving Answers, Vertigoes, Tremblings, Oppressions in Sleeping, Night- Mares, Weakness, Wateryness, and Turgi- dity of the Eyes, a great Fulness of Blood, with its Velocity increased by Heat and vio- lent Motion, a high Diet, and Spirituous Li- quors, a partial and imperfect Circulation of the Blood towards the lower Parts; the Effusion and Pressure of any Serosity, or Blood upon the Ventricles of the Brain, which is the most common and immediate Cause of Apoplexy; violent Passions and Affections of the Mind. The immediate Fore- runners of an Apoplexy are most commonly a Vertigo, Staggering, Loss of Memory, Stu- por, Sleepiness, a Noise in the Ears, and a deep and laborious Breathing. To these may be added, Extravasations of the Blood or Serum from Contusions or Concussions, oc- casion'd by external Violence, and an innu- merable other latent Causes. The Division of Apoplexies into sanguine- ous and pituitous is of Use, but then it is not an exact and perfect Division; because there are other Kinds, viz. serous, atrabilarious, and polypous Apoplexies, &c. Prognosticks. A slight Fit of an Apoplexy is carried off by a plentiful, warm, and equable Sweat, a great Discharge of thick Urine, a Flux of the Piles, or of the Men- ses, by a Looseness, or a great Fever coming upon it. If the Apoplexy be more severe, it usually terminates in a paralytick Disorder of Ch. III. thro' the various Stages of Life. 411 of some Part of the Body, or of all one Side, which is called a Hemiplegia; or sometimes of all the Body below the Head, which is called Paraplegia, and is seldom curable, but al- ways leaves behind it a great Defect of Me- mory, Judgment and Motion. An exquisite Apoplexy soon carries off the Patient; it is seldom known that they live beyond the se- venth Day. The Cure is to be varied ac- cording to the Difference of the Causes; for if occasion'd by a cold phlegmatick Cause, we ought immediately to endeavour that the Pressure of the glutinous Siziness may be diverted from the Head, by Derivation into other and opposite Parts, and universal Evacuations: for this Intention, Blisters, Causticks, Frictions, Ligatures, Anti- phlegmaticks, sneezing Medicines, and all sharp and stimulating ones are to be used, as Emeticks, strong Purges, and sharp purging Glysters. Yet in the Use of all these the Mischief is oftentimes increased, the Matter being there- by more violently moved and afterwards fix'd, and the Strength sinking under the Evacua- tions; therefore in endeavouring a Resolu- tion, we ought to insist upon Evacuations and Revulsions, as much as the Case will bear; whence the Rule of Hippocrates, Bleeding except it relieves, kills; and Celsus says, that it kills or cures. But if the Apoplexy pro- ceeds from a hot Cause, and that the Dis- The Cure va- rious. temper 412 A GUIDE to HEALTH Part III. temper seems inflammatory, then presently take a large Quantity of Blood out of the Jugular Veins, and repeat it as often as there is Occasion; by which, if the Distemper is curable, some Relief will arise. A Loose- ness is by all means to be promoted, and we are to give Diluters, Attenuants and Diure- ticks at the same time, keeping the Patient as much as we can out of Bed, especially from lying down. As the Applications in the Fit are of a medicinal Kind, it being too acute a Disease to admit of any Helps from Diet, yet that may be of great Use for Prevention; there- fore a thin, slender, cool, and regular Diet, opposite to the particular Symptoms above- mention'd, will be useful; so that the Regi- men is to be varied according to the Cause of the Disease, which may be collected from the Constitution of the Patient in these Apo- plexies, which depend upon a sanguineous Cause; the Regimen prescrib'd in a sangui- neous Constitution, in Part II. of this Trea- tise is proper. Fat and phlegmatick People, who are very subject to this Distemper, ought to give Attention to the Rules set down in the same Place, in their Case; and as there are Apoplexies from inveterate Gouts, the Re- gimen of such must be different from both, as I shall explain hereafter in treating of the Gout, the Intention being to translate the Gouty Matter upon the Extremities of the Body: and all those who have a Disposition to Ch. III. thro' the various Stages of Life. 413 to this Distemper, ought never to go to Bed with a full Stomach, nor to lie with their Head low. CHAP IV. Of Chronical Distempers. Of a Palsy. A Palsy is a Resolution or Relaxa- tion of the nervous Parts from their natural Tone, by which means their Motion and Sense, either one, or both, all over the Body, or in some particular Part or Parts, are impair'd, so as to be unable to exert their natural Functions. Definition. The best Rules of Diet in this Disease are taken from the Know- ledge of its Causes; for whatever stops either the Flux of the Spirits, or that of the Blood to any Part, induces a Palsy, for both are necessary for Sensation and Motion; such are all the Causes of an Apoplexy, an Epilepsy, extreme and lasting Pains, the Suppression of usual Evacuations, either natural or mor- bid, Translations of diseased Matter in acute Distempers, whatever distends, distorts, com- presses, or contracts the Nerves; strong and The Causes. strait 414 A GUIDE to HEALTH Part III. strait Ligatures, Luxations, Fractures, any Inflammation in the Integument, or mem- branaceous Sheath of a Nerve, especially in the Plexus, where they are tied together; likewise serous Defluxions, Excess in astrin- gent Aliment, chiefly unripe Fruits, drink- ing too much warm Water, is weakening and relaxing; also Excess in Tea or Coffee; extreme Heat or Cold, poisonous Fumes of Arsenick or Mercury. This Distemper is more or less dangerous according to the Cause, or the Extent and Seat of the Disease; for when the original of it is in the Brain, it is most dangerous; when it seizes the Heart or Organs of Breathing, it is fatal; because Life cannot be continued a Moment without the Use of those Parts. Difficult to cure. A Palsy succeeding an Apoplexy, Convulsions, the Colick, and other Affections of the Brain or nervous System, if it does not grow better in a little time, or give Way to Medicines, it commonly remains incurable. Regimen. The Regimen in this Distemper should be warm, attenuating, con- sisting of spicy and cephalick Vegetables, such as produce a feverish Heat; because such are necessary to resolve the Viscosity of the Fluids. Of such as consist likewise of an acrid, volatile Salt and Oil, as Mustard, Horse-Radish, &c. stimulating by Vomits, sneezing, relaxing the Belly by purging, and diluting strongly at the same time, promoting Sweat 415 thro' the various Stages of Life. Ch. IV. Sweat by such Motions as can be used, or other Means, and strong Frictions are here very useful; but Bleeding is to be used or omitted according to the Symptoms which affect the Brain: It relieves indeed, in any inflammatory Disposition of the Coat of a Nerve, yet it is not convenient in general for all Persons; for some Paralyticks are cold, and others of a hot Constitution; therefore Remedies ought to be of a different Kind, as is usual in the Scurvy itself. The most noted Medicines in this Case, are of Vipers, Amber, Earth-worms, Wood- lice, Emets, Antimonials, Mercurials, Steel Preparations, the Antiscorbutick Juices, with compound Horse-radish Water, and Juice of Oranges, Gum Guaiacum, Tincture of Amber, Spirit of Hartshorn with Amber, Bezoar Mineral, &c. And externally, Fo- mentations, Liniments, Cupping-glasses, Bli- sters, nettling the Members affected; also putting the relax'd Part into Grains, after the Wort is drawn off, or into the Belly of a Beast newly killed; or lastly, an artificial or natural Bath, as that in Somersetshire; like- wise Issues and Setons are proper in this Case. Of an Hemiplegia and a Paraplegia. A Hemiplegia is when only half of the Head, and of the rest of the Body on that Side is affected, after the manner of an Apo- plexy. A 416 A GUIDE to HEALTH Part III. A Paraplegia or Paraplexia, is, when the whole Body, except the Head, is affected by reason of the Spinal Marrow's being ob- structed; and more commonly this and a Hemiplegia are secondary Distempers, tho' sometimes they are primary; Sense and Mo- tion, or both, are either entirely lost, or much impaired. When either of those Distempers imme- diately follow an Apoplexy, Epilepsy, and o- ther Diseases, they are commonly called Pal- sies; but a Palsy is a different Distemper, as plainly appears by what has been said of it already. The Cure. Vomiting and purging are proper in all Paraplegia's, to cleanse the first Passages; and Bleeding is necessary in plethorick Bodies. In the next Place Sudo- risicks are very useful, mix'd with Specificks; a Decoction of Sassafras with Rosemary and Juniper-Berries is very proper; and for the rest of the internal Medicines for the Cure of these two Distempers, use those directed in an Apoplexy and Palsy. A Fomentation made with a Decoction of Emets and their Hillocks in common Water, used every Day to paralytick Limbs, often proves very bene- ficial, and sometimes procures present Re- lief, by restoring the Parts to their natural Strength. Of 417 thro' the various Stages of Life. Ch. IV. Of the Epilepsy or Falling-sickness. An Epilepsy is a Convulsion or convulsive Motion of the whole Body, or of some of its Parts, with the Loss of both internal and external Senses, attended with violent Concussions and reciprocal invo- luntary Motions of all or some of the Muscles, with alternate Rest, and new Insults thereof. It is called the Falling-sickness, because the Persons affected with it fall suddenly upon the Ground. The Definition. The Causes of this Distemper are various; sometimes an hereditary or Family Disposition from Parents; a sudden Fright of the Mother when with Child of the Patient; an ill Affection of the Brain by Wounds, Bruises, Blows, or Con- tusions; Abscesses, acrimonious Serum, bony Excrescencies of the Inside of the Skull, its pressing down upon the Brain; Inflammation, Corruption, or Corrosion of the Meninges or Membranes of the Brain; Repletion or Ful- ness, Heat, Drunkenness, intense Study, Ter- ror; all violent Affections and Irritations of the Nerves in any Part of the Body; especially by acrimonious Things in the Stomach or Bowels, by Worms, by Teething, and Aci- dity in the Stomach in Infants; by some Contagion or purulent Matter after acute Diseases; likewise by Suppression of usual Evacuations, as the Menses, Piles, and Urine, &c. also by hysterical Affections contracted The Causes various. Dd by 418 A GUIDE to HEALTH Part III. by Accidents in Lying-in; and often by too great Inanition or Weakness, occasioned by want of due Nourishment; by Fragments or Splinters of Bones, or sharp Instruments hurting the Meninges or Brain, or Quicksilver carried thither any how; by the Caries of a Bone, black Choler, or venereal Ulcers cor- rupting or corroding the Meninges or any Part of the Brain. Hence it is evident, that different Medi- cines and different Indications are requisite to cure this Disease, according to the known Variety of the Cause, the peccant Matter, and the Place to which the Remedy ought to be applied, and by which the Evil is to be eradicated: Hence likewise is sufficiently ex- posed the Vanity of the celebrated Specificks and Methods, which boasting idle People do brag of in this Disease. And it is also evident, that the proximate Cause of all true Epilepsies is always the too great Action of the Brain upon the Nerves serving for Motion, and the Privation of that in the Nerves dedicated to Sensation; and that the Causes which create the reciprocal Paroxysms are many in Number and Va- riety. The Cure. The Intentions in the Cure of this Disease must be different, ac- cording to the Cause, as I have just now ob- served: Bleeding and plentiful Evacuations, when there is a Plethora or inflammatory Dis- position in the Brain, are necessary; and Ali- ments Ch. IV. thro' the various Stages of Life. 419 ments that are without Acrimony, demulcent, avoiding every thing which stimulates, and taking such Things as are opposite to the par- ticular Acrimony that causes the Distemper; relaxing the Belly without irritating. In acute and periodical Pains to take anodyne Sub- stances; but if the Disease be the Conser quence of an hysterical Disposition, a warmer Regimen is necessary, in which Case anti- hysterick Medicines are proper. If the Cause is in the Stomach, generally Anti-acids re- lieve; if they are not flatulent or windy, se- veral have been cured by a Milk Diet; but in Case of Acidity in the Stomach it will do Harm. When the irritating Cause is in some outward Part of the Body, it is proper to e- radicate it by Suppuration; if it proceeds from Gnawings and Irritations of Worms, Teeth, sharp Humours turning Milk sour and curdled like Cheese, or any other Acid in Infants, Diacodium or Diascordium given them unseasonably, or the Contagion of the Small-pox in the first State: Hence the tes- taceous Powders, Anodynes, Paregoricks, An- tihystericks, all Medicines against Worms, and a seasonable Cutting of the Gums, and car- rying off the acrimonious Matter from the Bowels by gentle Purges; then all these, I say, become, by their Operation, Anti-epilep- tick Medicines. But if the Cause proceeds from a Stoppage of the usual Evacuations, as the Menses, Cleansings in Women, the Piles, or Urine, &c. Dd2 it 420 A GUIDE to HEALTH Part III. it may be remedied by dissolving the viscid Matter, and opening the Obstructions: In this Case Blisters, Issues made with Causticks, Steel Preparations, forcing Medicines, such as provoke the Menses and open the Piles, and Diureticks are all proper. An Epilepsy from Inanition or Weakness may be cured by a nourishing Diet, easy of Digestion, and a proper Use of nervine Me- dines; and the following are reckon'd amongst the anti-epileptick Specificks; Native Cinna- bar, Wild Valerian, Male Piony Roots and Seeds, Flowers of Lilies of the Vallies, Seeds of Rue, Misletoe of the Oak, Castor, Cam- phire, Rosemary, Earth-worms prepared, the Gum and Wood of Guaiacum, the Salt and Oil of Amber, Peacocks Dung, with a great many more too tedious to enumerate in this Place. Epilepticks ought to breath in a pure Air, untainted with any Steams, even such as are very fragrant; and their Diet should be nou- rishing, of easy Digestion, avoiding Hogs Flesh, Water Fowls, and all Vegetables that are pungent, windy, and, generally speaking, all Fruits, especially Nuts; they should use but little Wine, and none if they have not been accustomed to it; they ought not to turn round nor stand on Precipices, to keep regular Hours for Eating and Sleeping, for every unusual Thing is a Stimulus: But of all Things, the most necessary is to avoid the Occa- 421 thro' the various Stages of Life. Ch. IV. Occasions of violent Passions of the Mind, and keeping themselves chearful. Of Melancholy Madness. That Disease is called by Physicians a Me- lancholy, under which the Patient labours long, and is obstinately delirious without a Fever, and always intent upon one and the same Thought. This Disease arises from that Malignity in the Blood and Humours, which the Ancients have called Black Choler; and tho' this Dis- ease begins in the Mind, yet it renders the Choler black in the Body very soon. It will be therefore necessary to give a small Sketch of this wonderful Disease, the Doc- trine of which is supposed to be so obscure, that Antiquity is unjustly blamed for it. If the most fluid Parts of all the Blood be dissipated, and leave the less moveable united in the Body, then will the Blood become thick, black, fat, and earthy; and this Defect is called by the Name of an atrabilarian Humour, or melancholy Juice. The Cause whereof is whatever expels the most fluid Parts of the Blood, and fixes the rest: A violent Exercise of the Mind; the dwelling Night and Day upon one and the same Object; a constant Wakefulness; great Motions of the Mind, whether Joy or Sorrow; great and laborious Motions of the Body, often repeated, chiefly in a very hot and dry Air; to these may be The Causes. Dd3 refer'd 422 A GUIDE to HEALTH Part III. refer'd immoderate Venery; rough, hard, dry, earthy Aliments, long used without Motion or Exercise of the Body to digest them; the like Drink; Parts of Animals dried in Smoak, Air, or Salt, chiefly of old and tough ones; unripe Fruits, and mealy and unfermented Substances; astringent coa- gulating, sticking, and cooling Medicines, and slow Poisons of the same Nature; hot Fevers hanging about long, often returning without a good Crisis, and going off without the Help of diluting Means. When this Evil, already bred in the Blood, and produced by the abovementioned Causes, does yet infect equally all the circulating Mass of Humours, it will produce some Diseases, which will appear immediately, and are most- ly as follow: The Colour of the Patient in- ternally and externally is first paler, yellower, and more tawny; livid, black with like Spots; the Pulse flower; the Circulation through the Blood-vessels free, more sparing through the Side-vessels and less free; hence a slower, less, and thicker Separation of all the secretory and excretory Humours, and a less Wasting of them; a lessen'd Appetite; a Leanness, Sorrowfulness, Love of Solitude, all the Affections of the Mind violent and lasting; an Indifferency to all other Matters; a Laziness as to Motion, and yet a very great and earnest Application to any Sort of Study or Labour. Its Ch. IV. thro' the various Stages of Life. 423 Its Matter therefore is the Earth and thick Oil of the Blood united and closed up toge- ther, which is worse in its Effects, and more difficult to cure, according to its Degrees of Fluidity, Softness, Dryness, Thickness, inti- mate Mixture, and Time of being so. Hence the Diagnosticks and Prognosticks are plain enough, and the Rationality of the Cure does also occur easy enough from these Principles. Thus far I have transcribed the learned Boer- haave's Sentiments of this Distemper. The atrahilarian Constitution, or a black, viscous pitchy Consistence of the Fluids, which most frequently produces this Disease, makes all the Secretions difficult and sparing; the Intention therefore ought to be to render the Humours fluid, moveable, and carry them out of the Body, especially the Bile, which is viscous; but Sudorificks are not here so pro- per, because they thicken. Therefore the Diet prescrib'd, Chap. VIII. Part II. in an atrabilarian Constitution, is very proper in this Case, to which I refer the Reader. The learned Author just now mentioned relates an Instance of a Patient, who, by a long Use of Whey, Water, and ripe Garden- Fruits, evacuated a great Quantity of black Matter, or Choler, and recover'd entirely his Senses. Cold Bathing, and especially a sud- den Immersion into the Sea, has produced very good Effects by acting upon the Nerves and Spirits. Dd4 Madness 424 A Guide to Health Part III. Madness proceeding from a Plethora, or too great Fulness in young, strong, hale Peo- ple of a hot Constitution, is cured by plenti- ful Bleeding, Purging, Vomiting, and other Evacuations, with Diluters; and the Weak- ness which succeeds Madness requires a more refreshing and warm Diet, and especially the Use of Chalybeat or Steel Waters. If this Distemper continues long, it pro- duces Foolishness, Epilepsies, Apoplexies, fu- rious Madness, Convulsions, Blindness, won- derful Fancies; for some will imagine them- selves to be Beasts, or to be earthen Vessels, or they will fancy themselves dead; others will crow like a Cock, believing themselves to be such a Creature; others laugh, sing, cry, sigh, groan and belch; others obstinate- ly refuse to eat any Victuals, as believing they are actually dead; some think themselves Kings, Prophets; others a Grain of Wheat, Grass, or Wax: Sometimes they have great Evacuations of Urine, clear like fair Water; at other times very thick; a Retention, mulation, and often a sudden Excretion of bloody Fæces in the Vessels of the abdominal Viscera or Belly; an obstinate Costiveness, with a thin and frequent Spitting, and they can endure to be without Sleep, Aliment, or Fire, even to a Wonder. This Distemper grows worse upon taking Medicines that weaken and evacuate roughly, or such as put the Fluids into a violent Mo- tion; therefore the curative Indications will be Ch. IV. thro' the various Stages of Life. 425 be to bring the Fluids of the Brain and Nerves into a good Order; by withdrawing, first, the Mind from the usual Object to others contrary to the same, and raising art- fully, if possible, another Passion of the Mind, contrary to the melancholy one; by siding sometimes with them in their false and de- prav'd Fancies, or often opposing the same with great Force. Secondly, By opening, softening, inciding, and stimulating the Obstructions, or the Cause, or the EfFects of a false Imagination, with Mineral Waters, Whey, Water and Honey, Splanchnick, Hepatick, or Anti-hypo- chondriack Medicines and Decoctions; like- wise Waters made with the Addition of lixi~ vious or compound Salts, especially Nitre; also loosening Mercurials, Vomits, Motions, Exercise, and Riding; and Medicines which cleanse and purge the Womb, or the Piles, Bathings, Ointments and Plasters, and easing the Symptoms by Bleeding, plunging into cold Water, and using Carminatives and Opi- ates sometimes. Of Madness from the Bite of a Mad Dog, or any other Creature, called Hydrophobia. The Fury or Madness mostly proceeding from the Bite of Mad-Dogs is call'd Dog- Madness; and from that terrible Symptom of dreading Water, an Hydrophobia. It 426 A GUIDE to HEALTH Part III. It almost ever arises from other Animals, which were first mad, and that by Contagion; tho' also sometimes of its own accord in some acute Fevers, as has been observed, and is well attested. Almost all sorts of Animals may be affected with this Evil, and by their Contagion infect others, and even Men. Dogs, Cats, Wolves, Foxes, Horses, Asses, Mules, Oxen, Sows, Monkies, Turkey-cocks, and Men, all these being first mad themselves, have communicated the same Madness to others; but it is common to none so fre- quently as to Dogs, Wolves and Foxes, and it invades these chiefly from inward Causes, without catching it from any others. A hot Country, open and exposed to vio- lent Heats, or to very cold raw Weather; hot and dry Weather long continued; the living upon rotten, stinking and worm-eaten Meat; Want of Drink; Worms grown in the Kidneys, Guts, Brain, or the Inside of the Nostrils; all these are preceding Causes of Madness in Animals just now mentioned. The Symptoms of a Person infected with this Poison, after different Distances of Time, are much in the following Manner: The Place where he was bit pains him; then fol- low wandering uncertain Pains in other, but chiefly the nearest Parts; a Weariness, Hea- viness, and Slowness succeed in the whole System of the Muscles; his Sleeps are disturb- ed, uneasy, all with Frights, Convulsions and Catchings in the Tendons; he is continually restless, Ch. IV. thro' the various Stages of Life. 427 restless, sighs, looks dejected, and affects to be alone; and it is much after this Manner that this Disease begins and finishes its first Stage. Then all the foregoing Symptoms are in- creased, and there follows besides a prodigious Narrowness and Pressure about the Heart and Chest, Breathing is difficult, and accompanied with Sighs; he frequently shakes all over; his Hair stands an end, and trembles all over at the Sight of Water, or any sort of Liquors, or even at the Sight of transparent Things, or reflecting like Looking-Glasses; he loses his Appetite entirely, yet he can swallow any thing that is very dry and solid: The Touch of any Moisture, chiefly with his Lips or Tongue, creates an incredible Anguish, Tremors, vio- lent Convulsions, and a Raving; he vomits tawny glewish Choler, or green, like Leeks; he grows very hot, feverish, sleepless; is trou- bled with a Priapism; and he thinks disor- derly of Things quite foreign and unusual. Thus it goes on, and here ends its Second Stage. But afterwards every thing grows constant- ly worse; for he soon lolls out his rough and dry Tongue, gapes wide, speaks hoarse, has a great Drought, grows raving and fu- rious at every Attempt to drink, and at the Sight or Touch of all Drinkables and Liquors; he gathers Froth in and about his Mouth, endeavouring the spitting of the same upon the By-standers, and that even against his Will; bites and snaps at every thing within his 428 A GUIDE to HEALTH Part III. his Reach, and that likewise involuntarily, nor yet to be witheld from those; he gnashes his Teeth with Froth, snarling like a Dog; his Pulse and Breathing begin to fail, cold Sweats break out on all Sides; he raves in the highest Degree, notwithstanding which he is all the while sensible, and is afraid that he shall unwillingly hurt the By-standers. Hence you may always reckon upon his dying (within the fourth Day from the first State of his Illness, convulsed with a most terrible Anguish upon drawing his Breath. As Brevity, and the want of Leisure and Room at present, oblige me to proceed to the Method of Cure without any farther Disqui- sition about the Nature of this dreadful Con- tagion, I present the Reader with the follow- ing short, easy, and in all Probability the most infallible Method hitherto discover'd. A French Physician of the University of Bourdeaux, and a Gentleman of Note and great Merit in his Profession, has publish'd a Treatise * some few Years ago, in which there is a Dissertation on the Hydrophobia, wherein he candidly communicates a very rational Method of curing this terrible Con- tagion, after a new and easy manner, of which he has made several Trials, and always with the desir'd Success, as may be seen in his own Treatise at large; therefore as this Remedy * Dr. Desault's Treatise translated from the French, by John Andree, M. D. and printed for John Clarke, under the Royal-Exchange, Cornhill, 1738. Ch. IV. thro' the various Stages of Life. 429 Remedy he proposes (in all human Probabi- lity,) may prove successful and certain, (at least it bids the fairest of any hitherto known in the Art of Physick for that desirable End) I thought proper and necessary to communi- cate the same to my Readers, in order to impart it to all their Friends and Acquaint- ance. The Remedy consists of a Powder called Palmarius's Powder, and an Ointment made in the following manner. The Powder. Take of the Leaves of Rue, Vervain, Sage of Virtue, Plantane, Polypody, common Wormwood, Mint, Baum, Betony, St. John's Wort, lesser Cen- taury and Coraline, of each equal Parts; mix them, and reduce them to a Powder. The Ointment. Take one third Part of Mercury reviv'd from Cinnabar, one third Part of hu- man Fat, and as much of Hog's Lard, mix all very well till all the mercurial Globules disappear. Here I give you the Author's Method in administering the Powder and Ointment in his own Words. 'I 430 A GUIDE to HEALTH Part III. 'I order one Dram of the Powder (says he) 'in White-Wine every Morning; and 'Persons of the fair Sex, who cannot bear 'Wine, take it in a Draught of warm Wa- 'ter. 'In this Method I continue 30 Days with 'those who have been bit in an uncover'd 'Place, or have receiv'd some considerable 'Wound by the Bite; but to those who have 'been bit in a Place that was cover'd, and 'had only a few Holes made with the Teeth, 'I give the Powder only 20 Days. 'From the first Day of using the Powder, 'I make them administer a Friction of one 'or two Drams of the Ointment upon the 'Wound and neighbouring Part, and spread 'the Ointment all over the Part that was 'wounded. 'The Friction is repeated every other Day 'in the beginning, and after the third time, 'every third Day; after the 6th, every 4th, 'till two or three Ounces of the Ointment 'have been used; the Quantity of which 'ought to be proportion'd to the Strength, 'Age, Temperament, Sex, the Bite, &c. 'But when the Patient comes to me seve- 'ral Days after the Bite, for fear of Acci- 'dent, and to prevent the Rabies or Mad- 'ness, I order to make the Frictions every 'Day to four or five times, and increase the 'Dose of the Powder sometimes to half a 'Dram; afterwards I leave a Day or two be- 'tween to avoid a Salivation, which might 'ensue Ch. IV. thro' the various Stages of Life. 431 'ensue from the daily use of the Ointment, 'altho' but a particular Friction. 'In the last Place, I let him keep his 'usual Meals, forbidding him all Excess; for 'Experience proves, that they increase all 'other contagious Distempers. I let him 'drink Wine with moderation: I take Care 'that they be not left alone, and desire their 'Relations and Friends to keep them Com- 'pany, forbidding them to mention Madness 'to them, or mad Creatures. A more circumstantial Account of this Method may be seen in the Author's own Observations, to which I refer the Reader; but here I cannot omit observing, that if 20 or 30 Grains of native Cinnabar were added to every Dose of the Powder, the Cure might be thereby perform'd with much greater Certainty. As for his directing to make the Ointment with human Fat, &c. it is need- less; for the common strong salivating Oint- ment, which is always ready prepar'd in the Shops, is every bit as good, if not better. The Experiments of the ingenious Dr. James seem to confirm the Efficacy of the above Method, at leasst that of Mercury, in curing the Bite of a mad Dog; wherefore I beg leave to transcribe Part of the Conclusion to his New Method of preventing and curing the Madness caused by the Bite of a mad Dog, laid before the Royal-Society, 1741. 'Firft I would (says he) rub into the 'Place wounded as soon as possible, a Dram 'of 432 A GUIDE to HEALTH Part III. 'of the Ointment recommended by Desault. 'I would then give Turpeth Mineral by 'Way of Vomit, in a Dose proportion'd to 'the Age and Constitution of the Patient; 'and this I would repeat more than once, at 'Intervals, which would secure it from rais- 'ing a Salivation, always remembring to rub 'the Wound once in a Day, or oftener, with 'the Mercurial Ointment. 'But when thro' Neglect, any Symptoms 'of approaching Madness should appear, I 'would increase the Quantity of Mercurial 'Ointment, and give Mercury in some Form. 'or other internally, in as large Doses, and 'those as often repeated as could be done, 'without hazarding the Patient by a Saliva- 'tion too precipitate. 'In both Cases I would recommend the 'Cold-Bath, as a Thing of great Conse- 'quence, as soon as ever the Patient can 'make Use of it without Danger; but in 'this Case, as in all others, many accidental 'Circumstances will occur, for which it is 'impossible to lay down universal Rules; it 'must therefore be left to the Prudence of a 'Physician to guard against, and remedy In- 'conveniencies arising from particular Acci- 'dents. Of the Scurvy. It is impossible to define this Distemper by Words, containing any simple or distinct Idea; for it is rather a Name used to signify a Ch. IV. thro' the various Stages of Life. 433 a Multitude of Symptoms, different and sometimes opposite in their Causes and Cures. It is a Disease affecting the Inha- bitants of cold Countries, and a- mong those, such of them as inhabit marshy, fat, low, moist Soils, near stagnating Wa- ters, fresh or Salt; and it invades chiefly in the Winter Season, such as lead a sedentary Life, or live upon salted and smoaked Flesh and Fish, or Quantities of unfermented mealy Vegetables, and drink bad Water; and likewise such as are Hysterical or Hypochon- driacal, and sometimes such as have taken. great Quantities of the Bark, without pro- per Evacuations; so that from these Causes the best Rules for Prevention may be taken. The Cause. The Symptoms of this Distemper are a spontaneous Lassitude or Sensation of Weari- ness, being unrefreshed by Sleep, laborious Breathing upon small Motion, cold Swellings in the Legs, going off and returning; some- times Paleness, or a livid Colour in the Face, Spots on the Skin of various Colours, as red, violet-colour'd, yellow, or livid; oftentimes an ill Smell in the Mouth, and of the Breath, painful and bleeding Corrosions of the Gums, and by these Means the Teeth grow bare and loose; Fluxes of all Sorts, untractable Ul- cers, especially in the Legs, with a gangre- nous Appearance in the Skin; the Itch, dry and crusty Eruptions, and sometimes a small Degree of Leprosy; the Blood when taken away is black, grumous, and the red Part Ee without 434 A GUIDE to HEALTH Part III. without a due Consistence; the Serum very salt, and of a yellowish green; wandering Pains in the Limbs, increasing when warm in Bed, and sometimes a feverish Heat. These Symptoms arise from a bad Tem- perature of the Blood, either too thin, or too thick, being of a saline Constitution, either from an acid, alkaline, or Muriatick Cause, which requires very different and oftentimes contrary Remedies; for which Reason, See Part II. Chap. VIII. where I have treated of acid and alkaline Constitutions. The Scurvy of Seafaring People is generally cur'd by Acids, such as all Sorts of ripe Fruits, Lemons, Oranges, Butter-Milk; but all alkaline Spirits do harm; and acid Spirits, as that of Salt and Nitre are proper for them. If the Symptoms are attended with an ill Smell of any kind, either in the Mouth, Breath, or Urine, with Drought, Heat, Bleeding of the Gums, or of any kind, such a Disease will be cur'd by the Use of Acids, and none better than Whey; and in this Sort of Scurvy Steel Waters are commonly effectual. But if the Scurvy be muriatick or briny, occafion'd by a Diet of sait Flesh or Fish, the Plants commonly called Antiscorbutick, as Water-cresses, Scurvy-grass, and Brooklime, may be taken with Success, but always mix'd with Acids, as the Juice of Lemons and Oranges; and all the Pot-Herbs which are antiacid, as describ'd in Part II. Chap. VI. are a proper Diet in this Case; but if there be 435 thro' the various Stages of Life. Ch. IV. be a high Degree of Heat and Inflammation, all the hot Antiscorbuticks will be very im- proper. When a Patient is pale, cool without Thirst, with pale or natural colour'd Urine, and has made Use of an acescent Diet for any- time, that the Eruptions are not of a high inflammatory or livid Colour, then the warm Antiscorbuticks, animal Food, and Salts are necessary. In the Scurvy great Attention should be always given to the Condition of the Mouth, Gums and Teeth, from which the Nature and Degree of the Distemper may be pretty Well known. All sharp and strong Purges injure scorbu- tick Constitutions; but Lenitives are of great Service, and Bleeding is not proper, unless where the Symptoms are urgent and inflam- matory. Of a Cachexy, or ill Habit of Body. A Cachexy is so called from an ill Habit of the Body. It proceeds most commonly from the Intemperance of the Person, or the ill Cure of some preceding Disease; from a scirrhous Tumor of the Li- ver or Spleen, or from a too long and pro- fuse Flux of the Piles, or other Fluxes; from long continual Fevers, or intermitting Fevers ill cur'd; from a Surfeit, or too plen- tiful use of spirituous Liquors; from the Causes. Ee2 Green- 436 A GUIDE to HEALTH Part III. Green-Sickness, from an Obstruction, or too great a Flux of the Menses; from Aliments of unfermented mealy Substances, as Pease, or such as are coarse, fibrous, fat, sharp, watry, and rough; from Bodies that cannot be digested at all, as Clay, Cinders, Chalk, Sand, Tobacco-pipes, Lime, &c. from a Defect of animal Motion in lazy and idle People, and such as sleep too much. Signs. The Diagnostick Signs are a Paleness of the Face, with a livid, yellow, greenish, or ruddy Colour; and frequently with a tumid or bloated Habit of Body, a Sluggishness; there is also often a slow Fever, scarce perceivable by the Person that has it. Cure. The Cure is to be begun with a Vo- mit; but before a Vomit it will be ad- viseable to make use of saline Dlgestives to dissolve the Viscidities, as Cream of Tartar, vitriolated Tartar, Salt of Wormwood, Tin- cture of Salt of Tartar, Elixir Proprietatis with Tartar, and the absorbent testaceous Powders; but if an Emetick be not judged convenient in the Beginning, a Purge may be given, and repeated as need requires; and then after these Things have been done, we may advantageously proceed to the Use of Chalybeats, and Fuller's Ecphratick Mixture is a powerful Remedy in this Disorder. This Distemper sometimes disposes to Con- sumptions, Bloatedness, and Dropsies, and is attended often with Palpitations of the Heart; therefore 437 thro' the various Stages of Life. Ch. IV. therefore the Rules of Diet must be drawn from the Nature of the Symptoms. Of a Consumption. A Consumption is commonly defined to be a Wasting of the whole Body, arising from an Ulcer of the Lungs, but not justly; be- cause I have open'd the Bodies of several who died of this Distemper, whose Lungs I found without Ulcers, but full of Tubercles, Stones, and fabulous Matter; wherefore a Consump- tion is better defined to be a Wasting of the whole Body from a bad Conformation of the Lungs. Willis Pharmaceut. Rat. Part II. Sect. I. Chap. 6. A Consumption, or Marasmus, is a Wasting of the whole Body, or some of its Parts, aris- ing from a Distemperature of the Fluids, or from their Defection, or an unequal and dis- proportionate Heat. Dr. Christopher Bennet, in his Theatrum Tabidorum, translated by Quincy, Page 135. By these two last Definitions we see, that an Ulcer of the Lungs is neither the Ante- cedent, nor Concomitant Cause of a Con- sumption, but only a Symptom, as will evi- dently appear presently, in a few Passages ab- stracted from a Dissertation of a modern Au- thor *, supported by Reason and Observation, the surest and best Guides: afterwards I give the Reader his Method of curing this Di- Ee3 stemper, * Dr. Desault's Dissertation upon Consumptions. 438 A GUIDE to HEALTH Part III. stemper, which I found in many Instances to answer the Intentions he proposes. Before I declare the Causes of a Consump- tion (says he) I thought proper to give a Description of them in behalf of such as are not of the Profession who may read this Disser- tation. A Consumption attacks Youth sooner than other Ages; that is, from 18 till the 35th Year it makes its principal Havock. Hippocrates, Aph. 9. Sect. 5. Not that the other Ages are exempted from it, since we see consump- tive People under and above the Time set down in the Aphorism; but not so often. 1. Those who have a narrow Chest, a long Neck, high Shoulders, like Birds Wings, are most subject to it; of those Hippocrates speaks in his first Book of Epidemicks. 2. Those who have the Misfortune of be- ing born of consumptive Parents are very subjed to it; for this Distemper has this in common with many others, that it is propa- gated by Inheritance. 3. Such as are obliged to live with con- sumptive People, to wait on them, may con- tract it, if they are any ways inclin'd to it, for it is contagious; thus Women who attend their consumptive Husbands catch it of them, and Husbands of their Wives. The Disorder manifests itself, and makes its Progress in the following manner. The Patient seems to have a Cold, he is seiz'd with a dry Cough, which fatigues him most at 439 thro' the various Stages of Life. Ch. IV. at Night: Afterwards he brings up a well- digested Phlegm of a sweet Taste. Nevertheless as this Cough continues, as it exceeds the Bounds of a common Cold, as it goes daily increasing, as the Patient's Legs are observ'd to waste, and the rest of the Body in Proportion, as his Colour changes, and he grows pale and yellow, as the Phlegm changes Taste, and becomes a little bitterish, as some small Quantity of Blood is mix'd with it, as a slow Fever associates with it, with a Pain in the Breast, and in short, when he is at the Brink of the second Stage, he is frighted, and very much alarm'd. Besides these Symptoms which Authors have taken Notice of, and which establish the first Degree, I have always found a con- siderable Disorder in the Liver, so that an Obstruction in this Bowel plainly appear'd from its Hardness, and sometimes a great Pain. I am surpriz'd to see, that Authors have not taken Notice of this, which how- ever is a Symptom deserving of great At- tention, since it is of great Importance for the Discovery of the Cause of Consumptions, and of the Agreeableness of the Remedy I have to propose. Notwithstanding all the Remedies, Se- crets, and other Specificks, the Patient grows worse, and comes to the second Stage, which makes itself known by the Cough being stronger and more frequent by Night, by Night Sweats, which fatigue and drain the Ee4 Patient, 440 A GUIDE to HEALTH Part III. Patient, by the Quantity of Blood in his Spit- ting, and lastly he comes to spit Matter. The Leanness to which he was reduced by the first Degree, increases considerably in the second; the Fever, stronger and more violent, has even some Returns, with cold Shiverings, which encourages his taking the Bark regu- larly, to stop at least the Returns complicated with the slow Fever, and to continue the Medicines to heal the Ulcer, the Existence of which is no more to be doubted. His Nails grow crooked, and the Distemper, be- comes contagious in this Stage. Let us observe, that it is not always ne- cessary the Patient should spit Blood, to die consumptive; neither is it even necessary for the Patient to spit Pus to determine the Exis- tence of a Consumption, as I shall prove by Observations made at the opening of con- sumptive Bodies. The Cough, the Spitting of certain Phlegm without Blood or Pus, the Wasting, the nocturnal Sweats, and last- ly a Looseness, put an End to Life, it not being essential to this Distemper to spit Blood or Pus. The Patient at last comes to the third Stage; his Leanness is at the last Period; he resembles a Skeleton covered with a human Skin, which is hard, wrinkled, and rough; his Breath smells strong, and what he expec- torates stinks so that he loaths it; he brings up almost pure Matter, and his Life termi- nates with a Looseness. Let Ch. IV. thro' the various Stages of Life. 441 Let us now speak of the Causes of a Con- sumption: We shall divide them into con- comitant and antecedent. The concomitant Cause of a Consumption, I say, consists in Tubercles and Concretions form'd in the Sub- stance of the Lungs, and which are spread thro' its Lobes. These Concretions are like Hail-stones, and of different Dimensions. These Tubercles in the Lungs are real, and fall under the Cognizance of the Senses, and are no Supposition invented by a System- monger, to explain the easier his Hypothesis. That great Observator Hippocrates speaks of them in his Book de Morbis: He makes them of two Sorts; some crude, which do not suppurate; and others which suppurate, and leave an Ulcer. Etmuller, who has compiled the Opinions of the Moderns, has a whole Chapter de Tuberculis Pulmonum, Lib. II. Part. II. Cap. 8. p. 436. Read Morton's Book upon Consumptions, he never open'd a consumptive Body where he did not find them: He mentions them in almost every Passage; he imputes to them all the Disorder, and thinks they are the Source of all the Symptoms of a Consump- tion. Bonetus, in his Practical Anatomy, Lib. 2. Sect. 7. proposes several Observations collect- ed from Dissections of Bodies, where the Tu- bercles have been deemed the true Cause of a Consumption, and the Pus and Ulcers only as 442 A GUIDE to HEALTH Part III. as the Consequence of these same Tubercles suppurated and degenerated into Ulcers. But why should we look for Proofs in An- tiquity, why employ the Evidence of Fo- reigners? I appeal to all the Surgeons who have open'd consumptive Carcasses, and to the Physicians who have assisted thereat: Have they not regularly found in all these Tu- bercles, tho' less in Quantity in those who died of a long Consumption, they having had Time to melt away, and be confirmed by Ulceration? Some however have always remained, Death having prevented their Sup- puration. This being allow'd to be the con- comitant Cause of a Consumption, it will be easy to explain all its Symptoms. The dry Cough in the Beginning comes from the Pressure of the Tubercles upon the Ramifications of the Aspera Arteria, dis- persed through the Substance of the Lungs. Morton, p. 36. The same Irritations which this Compression makes in the Aspera Ar- teria, squeeze at length a Phlegm out of the Glands, spread about the internal Membrane of the Trachea; and the Cough, which in the Beginning was dry and hard, becomes moist, and throws up the Matter press'd out of the Glands by the Strength of the Cough. Mort. p. 34. The Difficulty of Breathing comes from these Tubercles, which fill up part of the Lungs, and lessen in Proportion the Quantity of Air which used to enter there; besides, the Com- Ch. IV. 443 thro' the various Stages of Life. 443 Compression they make upon the Ramifica- tions of the Aspera Arteria renders its Ad- mission more difficult. The Leanness and Wasting are the Effcts of these Tubercles, and not the Ulcer of the Lungs, as has been supposed; and as it is of the greatest Importance for the Indication, which should be pursued in this Distemper, to prove that the Ulcer is not the Cause of the Wastings, we shall insert here the follow- ing Proofs. 1. Hippocrates, in his first Book of Epi- demicks, acknowledges a Consumption with- out an Ulcer of the Lungs. Ægrotabant macilenti citra Pulmonum Ulcus: They were sick and wasted without an Ulcer of the Lungs. 2. Hippocrates has also observed, that Lean- ness has begun before the Rise of the Ulcer, and that it is even far gone when the Ulcer appears. Temporis autem progressu exaspe- ratur Pulmo, & intus ulceratur à Pituita inhœrente & putrescente, & gravitatem exhi- bet Pectori & Dolorem acutum ante & re- tro caloresque acutiores in corpus incidunt. It appears from these Passages of Hippo- crates, and especially the last, that the Wast- ing, Cough, Spitting, and slow Fever, have begun before the Ulcer comes on. Temporis autem progressu exulceratur Pulmo: It is only in the Course of the Distemper; temporis progressu, says he; in progress of Time. 3. Lastly, 444 A GUIDE to HEALTH Part III. 3. Lastly we prove by an invincible Rea- son, that the Ulcer of the Lungs is not the Cause of a Consumption. There have been Persons who died of a Consumption with the whole Train of Symptoms, yet during the whole Course of the Distemper never spit any Pus; and upon the opening of their Bodies no Ulcers were found in their Lungs, but Tubercles in great Numbers. For Proof of this Fact we shall introduce the Observa- tions † upon the Body of Mr. Clever, Mer- chant, of this City, and of a young Gentle- woman; and also Willis's Observations al- ready mentioned. The slow Fever depends as much upon the Obstructions of the Liver, as of the Lungs: When the Blood finds its Passage shut up in any Part, it rebounds in a greater Body into the other Vessels; besides, when the Blood, which has not been sufficiently broke in the Lungs, nor depurated in the Li- ver, does not give way, but resists the Im- pulse of the Heart and Arteries, it revives its Play, and occasions two or three Pulsa- tions, where one would be sufficient, if it did not resist, and was thin and fluid. The nocturnal Sweats are owing to the thick and gross Disposition of the Blood: When the Serum is not exactly mixt with the other Principles of the Blood, it easily escapes through the Pores. It † Observations of the Author in his Dissertation upon Consumptions, which see. Ch. IV. thro' the various Stages of Life. 445 It is easy to comprehend the Spitting of Blood: Who can now be surprised, that a Vein squeezed between two Tubercles should open and furnish some Blood in the Spittle? We are now come to the second Stage: Some Tubercles come to be inflamed; Matter is formed there; the Fever increases, as also the Difficulty of Breathing; the Tubercle bursts, and the Pus comes away like Spittle, which the Patient voids in abundance. But as the Pus which was contained in this Tubercle served its Neighbours as a suppurating Cataplasm, they are not long before they are inflamed, and come to Suppuration in their Turn, and the Lungs are thus destroy'd and ulcerate every Day more and more. And now the Distemper becomes contagious, the Suppuration of the Tubercle breeds Worms, which institute the Characteristick of the Ulcer. These Worms spread themselves a- bout the neighbouring Tubercles, as proper Beds for their Nourishment and Breeding, and by their Means it is that the Distemper be- comes contagious. [The Author has shewn, in his Treatise on Venereal Disorders, that all Infection pro- ceeds from Worms.] The Looseness comes from hence, that the Pores are destroyed by the Dryness of the Skin, which has begun with effacing the Pores of the insensible Perspiration, and now even stops up those which evacuate Sweat: The Serum not being well mixt with the Blood, 446 A GUIDE to HEALTH Part III. Blood, and finding no more its former Out- lets, falls upon the Feet and Legs, and after- wards upon the intestinal Glands, which brings on a Diarrhœa, and makes an End of Life. We come now to examine the antecedent Causes which produce Tubercles in the Lungs, and shall make it apppear, by an exact En- quiry, that they owe their Rise to eager and coagulating Juices, and not to sharp and cor- rosive ones. Authors tell us, and we see it confirmed by daily Experience, that Grief is a power- ful Cause to bring on a Consumption. The Soul being continually employ'd in Affliction about the Object which causes it, studies Night and Day to find out a Remedy: This continual Attention of the Soul employs the Spirits in the Brain, hinders their descending into the Stomach, the Appetite disappears, the Digestion suffers, the Chyle is sent gluti- nous and ill digested into the Blood, disposed to bring on Obstructions either in the Lungs or Liver. But the free Course of the animal Spirits is not only suspended in the Stomach, but also in the Organs of Respiration; for we see Per- sons under Affliction forget as it were to breathe to that Degree, that as the Blood stagnates in the Lungs, they are oblig'd to fetch at Intervals deep Sighs, which are called sorrowful Sighs. Besides, Ch. IV. thro' the various Stages of Life. 447 Besides, Grief suppresses the insensible Transpiration. Sanctorius, Aph. 2. Sect. 7. And Consolation restores it, Animi Consolatio liberam facit Perspirationem. Aph. 6. Sect. 7. For the same Reason Men of Letters, who keep their Spirits continually upon the stretch, by the Excess of Meditation are also subject to Consumptions, as Morton observes. The eager Wines, according to Etmuller, produce abundance of Consumptions in the Province of Moravia, as being very proper to form Coagulations and Concretions. [The Author mentions a Case in his Dis- sertation, which proves how apt this Cause is to bring on a Consumption.] Melancholick Persons, according to Mor- ton's Observation, are very subject to Con- sumptions, their Blood being disposed to form Obstructions and Tubercles: Likewise, pag. 27, he has oserved, that Cold is always the Cause of Consumptions. His Observation a- grees with that of Hippocrates, Frigus genitor est phthiseos pulmonis, scilicet, venulis a fri- gore constrictis ac convulsis. Cold is the Pa- rent of the Phthisis of the Lungs, viz. when the Veins are drawn together by Cold. Van Helmont has observed, that Steams of Spirit of Vitriol, and of Aqua Fortis, have sometimes occasioned Consumptions. This Effect proceeds from the Concretion of the Juices by these acid Vapours, which form the Tubercles. From 448 A GUIDE to HEALTH Part III. From this Enquiry into the Causes which are capable of producing Tubercles in the Lungs, it appears, that they owe their Ori- gin to acid and coagulating Juices; and if afterwards the Fluids grow pungent by stag- nating there, it is an Effect of the Part which alkalises them, in like manner as we see some Fruits change their Taste, according as they come near to be ripe or rotten. The Question then is, to look out for Re- medies which can dissolve and destroy these Tubercles. This is the Indication which you ought not to lose out of Sight: They are the Obstacles which you must either conquer or die. The Roman Hippocrates, Baglivius, in se- veral Places of his practical Writings, exhorts us to give aperitive Medicines in all the Dis- orders of the Breast; and Duretus, in his Coac. p. 423. says, that the urinary Passages are the Emunctories of the Breast, the Flux of Urine being augmented, procures a Di- version of the Phlegm, which otherwise would take its Course to the Lungs. These Authors not only propose that Indi- cation, but also the Remedies which I make use of to discharge it. Read Morton, p. 81. I don't at all doubt, says he, but by a pru- dent Choice and frequent Use of a thin and sharp Air, and by a long Use of balsamick, mercurial, and chalybeat Medicines and Mil- lepedes, but more especially of Mineral Wa- ters, and other anti-scrophulous Remedies, those Ch. IV. thro' the various Stages of Life. 449 those Tumors may as well be destroy'd in these Parts as any other, and the Patient be freed from a phthisical and scrophulous Disorder, as we have often found by Ex- perience. This is very certain, for all the English Consumptions, generally speaking, proceed from a scrophulous Disposition; therefore, in the Accesses of such a Distemper, aperitive and deobstruent Medicines, free from much Acrimony, with the mild Anti-scorbuticks, will always prove the most effectual Reme- dies; but whatever heats too much, disposes to Suppuration; and it is upon these Princi- ples that the Author establishes his Method of Cure in the following Manner. 'As soon as I am call'd to a consumptive 'Person of the first Degree, fatigued with a 'Cough, which at first was dry, and after- 'ward is become moist, which exceeded the 'Bounds of a common Rheum, accompanied 'with a slow Fever, Difficulty of Breathing, 'Leanness, &c. I examine immediately the 'Liver, where I constantly find a conspicu- 'ous Hardness and often a Pain. 'I afterwards examine if any general Me- 'dicines are indicated, in which Case I order 'the Patient to bleed and purge; I even 'repeat Bleeding when the Pain is violent, 'and if the Patient is young, heated with 'drinking of Wine, or spirituous Liquors, to 'prevent the Inflammation of the Tubercles. Ff 'Then 450 A GUIDE to HEALTH Part III. 'Then I apply a great Plaster of the Empl. 'Diabotanum upon the Region of the Liver, 'with which Mercury revived from Cinnabar 'is incorporated, or in default thereof the 'Empl. Vigonis cum Mercurio. Every Night 'I order the Plaster to be taken off, and the 'Quantity of a Dram of the Mercurial Oint- 'ment to be rubb'd in at the Swelling, and then 'the Plaster is put on again, which remains 'there Night and Day. 'Internally I give twice a-day the follow- 'ing Powder. 'Take of prepared Mars, Millepedes, 'Benjamin, red Coral and Crabs Eyes, 'one Scruple of each; mix all well to- 'gether to make into a Powder, to be 'taken in the Morning and to be re- 'eated at Night. 'Or made up into Troches in the following 'Manner: 'Take of Mars, Millepedes, Benjamin, 'Coral and Crabs Eyes, of each half an 'Ounce, Powder of Cinnamon three 'Drams, fine Sugar half a Pound; mix 'all together, and with the Mucilage 'of Gum Tragacanth made with O- 'range-flower Water, make Troches 'of two Drams each, of which let the 'Patient take one Night and Morning. 'After every Dose of the Powder or Tro- 'ches I order them to take a Draught of 'Ptisane Ch. IV. thro' the various Stages of Life. 451 'Ptisane made of Nettle-Roots, or Whey 'well clarified, with which I mix two Oun- 'ces of the Juice of Water-Cresses, and as 'much of the Juice of Chervil; or some Broth 'made of a Piece of Veal, Radishes, Cresses, 'Brooklime and Chervil, or an Infusion of 'Green Tea.' The Powder is in two great a Bulk, as he orders it, therefore it would be much a neater Way, and much easier for the Patient to take, if he had ordered the Steel, Millepedes, and Benjamin in a Bole with Syrup of Balsam, and the testaceous Powders in a Julap, or in an Emulsion of Sperma Ceti, to be taken by two or three Spoonfuls after each Bolus, and at other Intervals. This shews the Injudicious ness of foreign Prescribers in dosing their Me- dicines in a neat and proper Form, though otherwise never so learned. Our Author strenuously recommends Rid- ing twice a-day, in all Stages of a Consump- tion, if the Weather permits, the Usefulness of which he demonstrates from Observation, Reason, and Experience. In the first Stage of a Consumption he allows light Meats of easy Digestion without any Seasoning; but in the second Stage, he orders the Medicines to be taken three times a-day, and makes the Patient live upon Cow's Milk, boil'd and skimm'd, and mix'd with an equal Quantity of Green Tea, and sometimes without it, but a thorough Forbearance from all manner of Ff2 Flesh- 452 A GUIDE to HEALTH Part III. Flesh-meat: He likewise recommends the Use of Asses Milk, Chearfulness and Musick. Other Con- sumptions. As Consumptions are mostly occa- sioned by Tubercles in the Lungs, there are some also that owe their Origin to Obstructions of the Liver, Spleen, Pancreas, Mesentery, Kidneys, Womb, and Bladder, &c. The Knowledge, Prognostick, Effects, Cure, and Palliation are easily drawn from the distinguishing Marks of each parti- cular Bowel, of which no good Physician ought to be ignorant. For a more ample Account of the Nature and Cure of this lingering Disease, I refer the Reader to the Author's Observations in his Dissertation upon Consumptions. Of a Dropsy. When a watery Serum is shed out of its Vessels and received into Cavities, or when stagnating it distends its Vessels too much, it is called a Dropsy. Which may take place consequently wherever there are such serous Vessels, that is, in the whole Habit of the Body, and in each Particular thereof. Therefore this Distemper may happen wherever there are serous Vessels; an Hydro- cephalus or Dropsy of the Head, which is only incurable when the Serum is extravasated into the Ventricles of the Brain; and it is generally fatal in Infants, when the Sutures are closed and the Skull will yield no more. A Dropsy Ch. IV. thro' the various Stages of Life. 453 A Dropsy of the Breast is attended almost with the same Symptoms as an Empyema, and cured by the same Chirurgery. A Dropsy of the Lungs, either by Hydatides or Water-Bladders, or by Lympha extravasated in the Body of the Lungs. A Dropsy in the fore Part of the Windpipe like a Bronchocele. Likewise a Dropsy in the Oviarium, Testes, Scrotum, or Uterus. An Ascites, or Collection of Water in the Abdomen. First, in the Foldings of the Peri- toneum. Secondly, Between the Peritoneum and the Bowels. Thirdly, When the Water is contained in the membranaceous Coat of the Glands. Sometimes the Air is so rarified in the Tu- mor as makes it hard and tight like a Drum, and from thence it is call a Tympany. When the Tendon is from Air, it is easily distin- guished by the specifick Gravity of the Pa- tient, and so is Water. And when the Wa- ter or Lymph stagnates, or is extravasated under the Skin, it is called Anasarca. What- ever hinders the Return of the Lymph into the Veins, or breaks the Lymphatick Vessels, or obstructs the absorbent Vessels, so as the Lymph cannot be absorbed, or exhal- ed, produces a Dropsy; likewise any Stop- page of the Circulation will occasion a Dropsy, as by strong Ligatures or Com- pression. The most of the Causes are hereditary Dis- positions; drinking great Quantities of wa- Ff3 tery 454 A GUIDE to HEALTH Part III. tery Liquors, which are not discharged again; violent acute Distempers; stubborn Obstruc- tions of the Bowels; the Jaundice; obstinate intermitting Fevers; Bloody-fluxes; great Evacuations, especially of Blood; viscid Ali- ment and hard of Digestion; inveterate Scur- vies: But the most common and most perni- cious of all is the habitual and plentiful Use of spirituous Liquors. The Effects are a Swelling of the Legs at Night by Degrees, still rising higher; like- wise a Swelling of the Belly increasing; but in a Tympany, sounding and tense like a Drum; sometimes the Sensation and Noise of fluctu- ating Water; Shortness of Breath; Thirst; Urine in too small a Quantity; no Sweat; the stagnating Serum at last turns acrimonious, exulcerates and putrefies the Bowels, produc- ing most dismal Symptoms. The best Cautions and Rules of Diet may be drawn from the Enumeration of these Causes and Effects; for the Intentions to be pursued are in removing the Causes, as Ob- structions, dissolving the Viscidity or Glewy- ness of the Serum, and discharging it out of the Body. The Viscidity of the Serum is best correct- ed by such Things as contain abundance of alkaline and volatile Salts, Spices, acrimoni- ous pungent Vegetables, soapy Substances; and what has been prescrib'd in a phlegmatick Constitution, Part II. which see. The Ch. IV. thro' the various Stages of Life. 455 The only Contradiction in this is, too great Heat and Thirst, to which Attention is to be given, and indicates the Use of Acids, Juice of Lemons and Oranges, Sorrel, &c. And it may be taken for a general Rule, that when the Urine is high-colour'd Acids are proper, for they are contrary to that alkalescent State of the Humours, and resist the Putrefaction, which is the Product of acrimonious Serum. Their Drink should be sparing; but as the Thirst is sometimes insufferable, the Patient may be indulged the free Use of Spaw-water and Rhenish Wine: And the Aliment should be dry and diuretick; but Diureticks of the acid Kind are the best: Strong Frictions of the Skin are very beneficial, which attenuate and promote the Circulation of the stagnating Serum or Water. Vomiting in strong Constitutions has proved oftentimes very effectual; because the Con- cussion of the solid Parts dissolves and expells the stagnating Humours; and likewise Gly- sters of sharp and purgative Ingredients are very beneficial. Smart Purges are useful to carry off the Waters; but they should not consist of Vola- tiles, because such dissolve the Blood, which is pernicious. Abstinence from Drink is very beneficial, and eating dry Biscuit, which cre- ates no Thirst; likewise strong Frictions four or five Times a Day. When the Waters are carried off, the Diet ought to be such as stengthens the solid Parts, Ff4 allow- 456 A GUIDE to HEALTH Part III. allowing Spices and generous Wine, but espe- cially the Use of Chalybeat Waters, dry Food, and astringent Vegetables, Exercise, especial- ly Riding; and in general, such a Diet as ge- nerates good Blood. When the Serum stagnates long, it turns acrimonious, and commonly renders the Pa- tient feverish and thirsty; then acid or four Things are properest, both to prevent and cure these Symptoms, as they are specifically proper against that alkaline Putrefaction. For a more circumstantial and accurate Account of this Distemper and its Cure in every Par- ticular, consult the learned Boerhaave's Apho- risms upon it. Of the Gout. This Distemper is a very painful Illness, seated principally in and about the Ligaments of the Bones of the Foot and its Joints, seiz- ing Persons mod commonly in the Spring and Autumn; which when undisturbed com- monly runs its own natural Stage, and is usually the Companion of People of the mid- dle Age, of the Male Sex, Men of acute and deep Sense, who exercise the same much, and study late by Nights, such as lead a voluptu- ous and debauched Life, and at Night drink great Quantities of Wine or spirituous Liquors: Such as have been much addicted to Venery in their younger and unripe Years; large ple- thorick Men; such as are much used to Acids Ch. IV. thro' the various Stages of Life. 437 Acids, and cool their sweaty Feet too sud- denly; sweat in wet Stockings or Shoes; hence such as do hunt or ride much in cold Weather; and finally, such as have it by Inheritance from Parents, or lie much with gouty People. This Distemper may affect any membra- nous Part, but commonly those which are the most remote from the Brain and Heart, where the Motion of the Fluids is the slow- ed, the Resistance, Friction, and Stricture of the solid Parts the greatest, and Sensation of Pain by the Obstruction of the small Ves- sels and Dilaceration of the nervous Fibres extreme. The most common Seat of it is in the Foot, its Tendons, Nerves, Membranes, Li- gaments and Periosteum, or Membranes in- vesting the Bones. The Patient immediate- ly is sensible of a stretching, tearing, strait- ning Pain, gradually increasing and decreas- ing again, with a Moistness, Redness, Tu- mor, ending with a breathing Sweat, an Itch- ing, furfuraceous Skinning, or changing into a chalky Substance, which breaks the Vessels. By all which it appears, that the proximate Cause of this Disease is a vitiated Temper of the least, and consequently the nervous Ves- sels in the Body; and also of the Liquid which waters those nervous Parts; and more- over, that this Liquid here is defective by its Acrimony and by its great Viscidity, and the solid Vessels by too great Rigidity and Nar- rowness: 458 A GUIDE to HEALTH Part III. rowness: Whence it shews itself in Parts the most remote from the Brain, as resisting Motion the most, because of their Solidity, Hardness, Exercise, and Weight incumbent upon them. Now the immediate Origin of this Defect is from an Indigestion of the Bowels, which do not sufficiently attenuate or assimilate the Aliment into a Substance fit to supply the Nerves with Juices proper for them, which require a most elaborate Con- coction. The Cure therefore is impossible, unless wrought by such Medicines as are able to mend these Defects entirely. So that the Gout has hitherto been reputed incurable by Antients as well as Moderns, if except a few Quacks and boasting Empiricks in all Ages. From the same may be known, that Bleeding does not reach either the Matter, Seat, or Cause of the Disease: yet that same is sometimes found not only beneficial, but also necessary to cause a Revulsion, and lessen the most urgent inflammatory Symptoms that often attend it. As one of the Causes of the Gout is the Suppression of Sweat and Perspiration, so the procuring a due Degree of these seems to be the best Preventative of it; and if the Feet could be made to sweat in due time, it would prevent the Gout, which invades in such Constitutions of the Air as suppress Perspi- ration. Violent Ch. IV. thro' the various Stages of Life. 459 Violent Purges in the Absence of the Fit, by agitating the Humours too much, often hurt, and may draw the Gout into the Sto- mach if given during the Paroxysm. The best Diet is Abstinence from all man- ner of Acids, high Sauces, and Gluttony; the moderate use of such things as promote Perspi- ration, as aromatick Substances with volatile Salts, which relieve Gouty People, by ren- dering the Body perspirable; diluting Li- quors, taken in such a Degree as not to in- jure the Stomach or Bowels, Moderation in Food of a nourishing light Sort, that is easily digested, as likewise in the use of strong Liquors; Exercise without Fatigue, such as Riding constantly in a pure, open Country Air, and Frictions and Motions of the Parts often repeated; going to Bed early, and ly- ing long in the Morning. It will be likewise necessary to restore the lost Vigour in the Bowels, by carrying off the corrupted Liquid flowing yet in the Ves- sels, or stagnating in the Places already as- sign'd. To the first relates the Us of aro- matick, bitter, antiscorbutick Plants, and chiefly the Juice with a little Honey; the use of lixivious fix'd Salts taken in small Doses, and often repeated for a long time together, observing at the same time the Diet as above directed. To the second (that is, the stag- nating of the Humours) will be useful, 1. Volatile Salts long taken and in small Quan- tities, in the Morning sometime before rising, with 460 A GUIDE to HEALTH Part III. with a large Draught of some softening Apo- zem, and thereby promoting a gentle breath- ing Sweat for about an Hour together. 2. Warm Frictions with dry Cloths. 3. Repeated Doses from time to time of such Medicines as purge serous or watery Humours, taking a gentle opiate Draught the same Night. In the Fit of the Gout, as temperate and as cool and diluent a Diet as the Patient can bear, abstaining from Opiates, except when the morbid Matter is separting, otherwise the constant Use of them is injurious; keeping the affected Part warm without the Applica- tion of Plasters, or Cataplasms; for even such as are emollient, weaken and relax too much. It will be of the greatest Importance to know if any Disease proceeds from a Trans- lation of the gouty Matter; for the Me- thods, especially Evacuations, used in an ori- ginal Distemper, would be very improper in a gouty Case, where the Intention must be to draw the Gout down to the Feet by Blis- ters applied to the Thighs or Legs, and acrid inflammatory Cataplasms and Plasters. If a Person subject to the Gout, (except he has Chalk Stones) can bring himself en- tirely to a Milk Diet, he may by that means so change the whole Mass of the Juices of his Body, as to eradicate the Distemper. The Effects of Riding. The English Hippocrates, Syden- ham, in recommending Riding in the Cure of this Distemper, says, that if a Medicine could be known to any one, Ch. IV. thro' the various Stages of Life. 461 one, and he could conceal it, that would be as effectual for the curing this Distemper as Riding on Horseback is; and not only here, but in most other chronical Diseases, he might get immense Riches by it. And Dr. Lister likewise says, that one single Golden Rule of Ab- stinence pleases me beyond all things, Parva cibatio summœ Curœ sit, viz. Beware not to eat and drink too much, which is a thing every one ought to regard who has his Health at Heart; and this Abstinence is in all People's Power, in whatever State or Condition they are in, to be substituted in- stead of Exercise, when they have even lost the Use of their Feet. The Effects of Abstinence. Of the Rheumatism. This is a Distemper ally'd to the Gout and Scurvy, and is common in all the Northern Parts of Europe. Such are most subject to this Dis- ease as are of a sanguine Con- stitution, infected with some acrimonious De- fect, manly Age, plentiful Living, a sudden Cooling of a heated Body, Spring and Fall, Perspiration interrupted, an inflammatory Disposition, but appearing slower than in a Pleurisy. It begins with a continual Fever, causes a most terrible tearing Pain, increasing cruelly upon the least Motion, long continu'd and fix'd in one Place, seizing the Joints of Diagnosticks. any 462 A GUIDE to HEALTH Part III. any Limbs, but most particularly trouble- some to the Knees, Loins, and Rump-bone, tormenting and invading sometimes the Brain, Lungs and Bowels, with a Tumor and Red- ness of the Place, going off and returning again by Fits. The proximate Cause. The immediate Cause of this Distemper seems to be an Inflam- mation in the serous part of the Blood affecting the lymphatick Arteries, and for that Reason affecting those Parts where the Vessels are the smallest, but not fierce enough to change it into an Impostumation. The Blood, as in other inflammatory Cases, is sizy, the alkalescent Salts in the Serum a- bounding with coreaceous or leathery Concre- tions. The Cure. The Cure consists in repeated Bleedings, cooling, repeated Purges, always allaying the Pain those Nights after purging with gentle Opiates join'd with mild Sudorificks, bathing in warm Water, and Fomentations apply'd to the Parts, and Bli- sters when it is obstinately fix'd in one Place. As for the Diet, it must be cooling, dilu- ting, and chiefly Vegetable. The constant Use of Whey is most effectual in rhis Disease, likewise a Milk Diet for changing the saline Constitution of the Serum of the Blood, is very useful and proper. Cream of Tartar taken either in Whey or Water-Gruel, for several Days together, will abate the Pains and Swellings considerably, by Ch. IV. thro' the various Stages of Life. 463 by its Acidity correcting the alkaline Salts in the Blood. Of the Gravel and Stone. When any insoluble Matter stops in any Part of the Body, it gathers a Crust about it, which may grow into a Stone or stony Matter in any Part of a human Body; as a small Drop of concreted Blood may grow to be a Stone; for by the Evaporation of the most fluid Parts it grows hard, and by At- traction of new Matter it increases in Bulk. When these stony Concretions happen in the Kidneys, and are expell'd, or drop into the Ureters, they produce what is called Gra- vel; when they lodge and stick in the Body of the Kidneys, and grow to such a Bulk as not to drop into the Pelvis, or pass by the Ureters into the Bladder, they make the Stone in the Kidneys. But these Concretions hap- pen generally in the Kidneys and Bladder; and it is very certain, that if the Tartar and other Contents of the Urine were not con- stantly discharg'd, such Concretions would happen to all Mankind; for the Urine of most found Persons being inspected after it has stood a while with a Microscope, will discover a black Speck in it, which is Sand; and wherever this Sand sticks, it grows still bigger by the Apposition of new Matter. The 464 A GUIDE to HEALTH Part III. The chief Signs or Symptoms of a Stone in the Kidneys are a fix'd Pain in the Region of the Loins, continually heavy like a Weight in the Substance of the Kidneys, with a kind of Numbness in the Part; but the Stone passing out of the Pelvis or Bason of the Kidneys into the Ureters, a most tormenting Pain follows, of all the most severe; an In- flexibility of the Back Bone, by the Exten- sion and Compression of the Nerves; a burn- ing Heat in the Loins, a Numbness of the Leg of the same Side, by means of the Nerves being affected; a Retraction of the Testicle for the same Reason; the Urine either bloody, upon any hidden Jolt or vio- lent Motion, or thin and watry, and little in Quantity; but after the Stone is fallen into the Bladder, the Urine presently becomes very thick, turbid, blackish, and in great Quan- tity. Fleshy Filaments, or Matter voided by Urine, are suspicious Symptoms of a Stone in the Kidneys, especially if the Patient has been subject to voiding of Gravel. The Symptoms of a Stone in the Bladder, are, a Titillation about the Neck of the Blad- der, and Parts thereabouts; a Sense of Weight in the lower Belly under the Share-bone, and the Region of the Groin; a perpetual Desire of making Water, with a great Pain, espe- cially upon any hidden Motion, which causes a Concussion of the Bladder, a Dribbling dif- ficultly, and a hidden Suppression of Urine by the Stone's stopping the Orifice of the Bladder, Ch. IV. thro' the various Stages of Life. 465 Bladder, attended with great needing to go to Stool, and a burning Pain in the Urethra; sometimes a white Mucus or Slime in the Urine; this may happen without a Stone in the Bladder: But the most certain Sign of all is, when it can be most certainly felt with the Finger in Ano, or by a Catheter. The Regimen in the Cure of the Stone in the Kidneys, is, by diluting and soft Diure- ticks, both medicinal and dietetical, to try to expel it, if it is small enough to pass; but if it is brittle, it will often crumble and pass in the form of Gravel by those Means: If the Stone is too big to pass, nor will not crumble, the only Method is to come to a sort of Composition or Truce with it, and use a cooling and diluting Diet constant- ly, to hinder, as far as possible, its Increase; to use Diureticks that resolve gently, as Pars- ley, Fennel, Scorzonera, Mallows, Tea, Dan- delion, Cichory, Sassafras, Oats, Barley, Honey, Vinegar and Honey; likewise nitrous Salts, and dulcify'd Spirit of Nitre; but the most soft and cooling Diluent of all is Whey, and the Emollients are Decoctions of Marshmal- lows and Linseed-Tea. Bathing in warm Water, and Glysters, are proper; seasoning the Food with Sea-salt moderately will not be amiss, for the mode- derate use of it is resolving and diuretick; and the Belly, in all Cases of the Stone, should be kept lax and open. In a confirm'd Stone in the Kidneys violent Exercise or Motion is dangerous. Gg While 466 A GUIDE to HEALTH Part III. Stimulating Things not proper in the Beginning. While the Stone is passing, we should avoid the Use of all forcing and stimulating Things at first; but relaxing and lubricating the Passages, and quieting the spasmodick Disorders by O- piates, is by far the safest and best Method; and where Bathing cannot be performed, Ox- bladders, half full of warm Water, constantly apply'd to the Part affected, may be very usefully substituted; and Bleeding takes off the Tension and prevents an Inflammation better than any Thing, and is therefore very necessary, especially when the Symptoms are urging and violent: When the Parts are suffi- ciently relaxed, forcing Diureticks joined with Opiates will be properly given. The best Way to prevent the Generating of a Stone, is to keep the Body open by Whey, Broth, and a liquid Diet, especially for all such as are troubled with Gravel. When the Stone is fallen into the Bladder, all Endeavours must be used to make it pass as soon as possible, otherwise if it should happen to continue there long, it would in Time become a large Stone, which nothing but the Operation could cure. If all the Symptoms abate without finding the Stone, it is not certain that it remains still in the Bladder, because a very small Stone may pass by Urine insensibly; and if the Stone has passed, it is not certain that the Affair is over, for there are often more Stones remaining, and therefore the usual Remedies ought not to be discontinued. When Ch. IV. thro' the various Stages of Life. 467 When the Stone stops in the Urethra, emol- lient Fomentations ought to be apply'd to the Parts, and Oil injected; or in Case of Extre- mity, an Instrument with a Cavity in it, dipt in Oil, may extract the Stone. Irritations in the Membranes of the Bladder, occasioned by a Stone, may be mitigated very much by an Injection of Linseed Oil, or that of Sweet Almonds into the Bladder. CHAP. V. Of the Nature and Use of Bathing and Frictions. BATHING being either hot or cold, it will be necessary to enquire a little into the Nature of it, and what Alterations it produces in human Bodies, in order to know in what Cases and Constitutions the Use of it may be either beneficial or hurtful. There- fore I shall begin with Cold-Bathing, which was in the greatest Esteem with the Egyptians, Jews, Greeks and Romans, as evidently ap- pears by the Account given thereof in the Writings of Hippocrates, Galen, Suetonius, Seneca, Pliny, Oribassius, Celsus, Ægineta, and others, needless to make mention of in this Place; But they who require to be fully satisfied as to that Point, may peruse Floyer and Baynard on Cold-Bathing, wherein they will likewise find a great many Instances of surprising Cures performed by Cold-Bathing Gg2 in 468 A GUIDE to HEALTH Part III. in Rheumatisms, Palsies, Scurvies, Cachexies, Epilepsies, Gout, and Rickets, &c. It is experimentally known, that Cold contracts the Fibres, as I have observed in treating of the Qualities of Air, pag. 104. and the more suddenly it is applied to our Bodies, the more violently it operates: It has been likewise observed, pag. 87. that our Bodies undergo various Changes by the Al- terations of the Pressure of the Air, in its Weight and Elasticity: Now if we consider that Water is 800 Times heavier than Air, what Alterations must we not then expect and be sensible of upon bathing or plunging all over into cold Water? For the Cold and Weight of the Water and Atmosphere acting all together, must consequently first brace up and straiten the Fibres and Vessels conside- rably in the Surface of the Body, and those Parts adjoining to it, and those at the Center the least and latest; so that the Blood will be forced in great Plenty upon the Viscera or Bowels, where there is the least Resistance: for which Reason it is never safe for those to bath who have weak or ulcerated Bowels, without endangering Life. But those Ends which are compassed by a greater Weight or Pressure, are more effec- tually obtained by whatever encreases the Weight of the Water, or contracts the Fibres of the Body: Thus Sea-Water, by reason of the Salt it contains, is heavier and more preferable; upon which Account all the Humours in the Body must be propell'd with Ch. V. thro' the various Stages of Life. 469 with greater Force thro' the Vessels in which they circulate. Besides, the Tension of the Fibres being greater, their Vibration will be both quicker and stronger; so that the Blood and Spirits will not only move more swiftly through the Vessels, but also be much more ground and broken, digested and rendered fitter to pass the Glands and small Vessels: Moreover, as the Immersion into the Cold Bath mightily encreases the Blood in the Brain and Viscera, being forced thither where there is the least Resistance, whereby the Quantity of animal Spirits, of Urine, of Gall, of the pancreatick Juice, and of all other Secretions, will be very much encreas'd, these Humours being thrust forwards with greater Celerity, will probably remove any Obstruction that is not too long fixed and obstinate; for which Reasons, if we would have the Blood dis- solved, or any viscid Matter adhering to the Sides of the Vessels removed, or the Glands deterged, or a greater Quantity of Spirits se- creted, and moved with greater Celerity thro' the Nerves, or would force Urine, or remove Obstructions in the Liver, Spleen, pancreatick and mesenterick Glands, if they are not grown too obstinate (in which Case it is very dange- rous) we should order Cold-bathing. In fine, whatever is to be effected by bracing the Solids, invigorating and quickening their Vi- brations, and accelerating the Blood's Motion, is with Certainty to be had from the Use of Cold-bathing. All Diseases therefore from a viscid Blood, Gg3 and 470 A GUIDE to HEALTH Part III. and a Lentor in the animal Juices (if the Elasticity of the Vessels is not worn out with Age and Debauches) will find Relief from this Practice. Besides, whatever Inconveni- ences proceed from a bad Perspiration, or when Humours are thrown upon the Surface pf the Body, which cannot get through the Skin, this Method will relieve; for upon Immersion the whole nervous System is so shook, that the very Capillaries feel the In- fluence, and the minutest Passages are forced open by an encreased Velocity of the circu- lating Fluids, whereby the Skin will be cleared, and instead of retaining gross and a- crimonious Humours in the cuticular Glands, will promote insensible Perspiration; and this is the Reason why People are so brisk and chearful after Bathing. And it is for the Reasons already given, that Cold-Bathing is proper in most cutane- ous Diseases, Scurvies, Leprosy, Elephantiasis, Rheumatisms, Lameness, Sciatica, Melancholy, Madness; some Palsies, Cachexies, Icteric and Hydropic Cases, before the Distempers be too, far advanced; it likewise stops Hæmorrhages, Gleets, Fluor Albus; and cures also venereal Impotency and nervous Disorders. Necessary Rules to be observed before Cold- Bathing 1. To Bleed and Purge, and use such proper Diet and Medi- cines, both before and after Bath- thing, as your Physician knows to be suitable to your Disease and Constitution. 2. Not to bathe when hot and sweating, but cool; and not to stay in the Bath above two Ch. V. thro' the various Stages of Life. 471 two or three Minutes, as the Patient can bear it; and to go in and out immediately, on the first Bathing, after an Immersion of the whole Body, because staying in too long would relax the Solids too much, instead of contracting and strengthening them. 3. To use the Cold-Bath before Dinner fasting, or in the Afternoon towards Four or Five o'Clock: It is dangerous to go in after great Drinking, or a full Stomach. 4. To use Sweating with Cold-Bathing in Palsies, Rickets, and several Diseases affecting the Nerves with Obstructions. 5. In Windiness or Siziness of the Hu- mours, no Sweating is necessary, nor where Bathing is used for the Preservation of Health, or the invigorating of the animal Spirits. 6. Jumping in precipitantly, or throwing the Head foremost into the Cold-Bath, gives too violent a shock to Nature, and endangers too much the bursting some of the smaller Vessels; therefore the best Way is, holding by the Rope, to walk down the Steps as fast as one can, and when got to the Bottom, bending the Hams to shorten their Length, so as to bring their Heads a good Way under Water, and then popping up again to take Breath; and thus alternately for two or three Times, and out again, rubbing themselves very well with a dry Cloth, before they are dress'd. They who have weak or little Heat, and are much decay'd, ought not to venture on Cold Bathing; nor they who are intemperate, and have Wherein Cold Bath- ing is inju- rious. Gg4 eat 472 A GUIDE to HEALTH Part III. eat extraordinarily; because the Distribution and Consumption of an abundant Chyle being thereby stopp'd, must occasion Fevers or De- fluxions. If the Spirits are depress'd by Looseness, Vomiting, Venery, Watching, or any other Evacuation, we cannot well bear Cold Bath- ing; for the Spirits being weak, will be over- come by its Chilness. In the Fits of the Gout, Epilepsy, and in Inflammations of the Lungs or inward Parts, and in the Beginning of putrid Fevers, Iliac Passions, and the Gripes, Colicks, and dur- ing any Defluxion, Cold Baths are improper; for they hinder Expectoration, repell Pains, promote the present Defluxions, Fluxes, and Pains; but when these acute Diseases, or chronical Pains and Defluxions are ended, it may be safe and it is certain that Gout Pains are prevented by Cold Baths, and using to wash the Feet. Corpulency, unfound Viscera or Bowels, and inveterate Obstructions, forbid the Use of Cold Bathing; for first, in very fat Persons the Fibres are so stuffed round that they have not Room to vibrate or contract with the sud- den Squeeze of the Bath; and in unsound Viscera, or where any Part is much weaker than the rest, such an additional Force will press the Fluids upon that, very much to its Detriment, which may be either the burst- ing of the Vessels, or promoting the Discharge of some ill Humours upon that Part, which might otherwise drain somewhere else. in Ch. V. thro' the various Stages of Life. 473 inveterate Obstructions it is likewise improper, because the more violently the Fluids are pro- pelled, the more the Obstructions will be ri- veted and lock'd in. As the Pressure of Water is ren- dered more effectual by Cold, so its relaxing Power is augmented by a moderate Warmth; for a gentle Heat always relaxes the Fibres of our Body, it being plea- sing and agreeable to the Sense of Feeling. So that when we would have the Benefit of universal Relaxation, we ought to use a tem- perate Bath, which has only a mild Heat, like that of our Bodies, and is therefore less beneficial to cold Diseases, and less injurious to the Healthful, who use it chiefly to wash their Bodies, to temper the Natural Heat, and to take off Weariness. The Use of Warm Baths But temperate Baths have many physical Uses besides Cleanliness and Pleasure, and are observed to be beneficial in the following Cases. Tepid Baths moisten and warm; but if more hot, they heat and moisten less; they likewise open the Pores and promote a free Perspiration, and are proper in most Erup- tions and Foulnesses of the Skin, especially where the Obstructions will not yield to the Cold Bath; for they not only relax the Pores, but likewise dilute the obstructed Matter at the same time, in being absorbed by the cuti- cular Vessels. Warm Baths are proper in most scorbu- tick Habits, Sciatica, Rheumatism, Colicks, Gravel, 474 A GUIDE to HEALTH Part III. Gravel, Costiveness, Gripes, Stiffness of the Joints and Muscles, and in most Cases pro- ceeding from an obstructed Perspiration. Temperate Baths are useful in all hot In- temperies, and are likewise proper in the bi- lious, viscid, or acrimonious State of the Blood: But they are injurious in Fevers, Inflamma- tions, and in all acute Diseases, especially be- fore the Concoction of the Humours. In using the Warm Bath, the Diet in ge- neral should be easy of Digestion, thin and diluting, and in many Cases sweating in Bed after warm Bathing is necessary; but in this and in other Circumstances which may occur, the Patient is to consult his Physician. The naturally hot Mineral Baths, such as that famous one at Bath in Somersetshire, are much more powerful in curing Diseases and removing Obstructions, than the Artificial; the Waters of the former being impregnated with balsamic, volatile, stimulating, and sub- astringent Particles, which the last can never have by any Art or Contrivance whatever. These natural hot Mineral Waters are like a Fomentation, which both supples and strengthens the Parts of the Body all over at once, and by gently shaking and undu- lating the Fibres, helps forward the vital Mo- tions, which are ready to be at a Stand. In old Pains and Aches, which have been the Remains of nervous Distempers, and where some particular Part continues contracted, or has any Humours fix'd upon it, which it can- not dislodge, these Waters pump'd upon it hot from Ch. V. thro' the various Stages of Life. 475 from the Spring, do more towards a Cure than all the most efficacious Compositions of Medicines. Bathing all over in these Springs cannot but wonderfully open that almost infinite Number of secretory Orifices upon the Surface of the Body, and clear the cutaneous Ducts of the Matter which is apt to stick in them; by the opening of which Spiracula the Fluids of the whole Body have more Room to move in, and have proper Vents to reak out a great deal, which is of great Service to the Oeconomy to get rid of. These small Sulphur-Fountains likewise inwardly taken, to Astonishment warm and strengthen a decay'd Stomach, especially if relax'd and worn out almost with Luxury and Debauches: The most grievous Nauseas and Vomitings from these Causes have been re- moved by them: For they both soften again with proper Moisture the Fibres which have been render'd incapable to vibrate, by the Use of hot, burning, spirituous Liquors, and at the same time draw them into greater Tensi- ty; as a Cord which relaxes with over-drying, fills up and straitens upon the Contact and Attraction of a convenient Moisture. The small Share of fine Salt which likewise attends, and is as it were wrapped up in the Particles of Sulphur, cannot but contribute somewhat in restoring the Tone of such de- cay'd Parts. But besides the Benefit these do to the Stomach, they also carry along with them into the most remote Recesses of the Body 476 A GUIDE to HEALTH Part III. Body, a Balsamic of Nature's own Prepara- tion; whereby such Decays in the Stomach, or in any of the Viscera or Bowels, from Ab- scesses, Ulcerations, or any like Causes, are with great Success reliev'd; and particularly if they be of the Kidneys and Urinary Passages, because they wash through them in more plenty, than where they come by the ordinary Course of Circulation. Of Frictions. Friction, or Rubbing with a Flesh-Brush, Cloth, Hand, &c. is, as it were, an alter- nate Compression and Relaxation of the Parts of the Body. A gentle Friction only com- presses the Veins; but by a stronger Degree, the Arteries are also compressed. By com- pressing the Veins by Friction, the Motion of the viscous Blood to the Heart is accelerated; hence the Motion of the Heart is roused: By which Means, the Blood is with greater Velo- city propell'd through all the Vessels. The vital Force may, therefore, be augmented to any Degree, by means of Frictions, without giving any Medicine internally; for by means of Frictions a burning Fever may be excited in the most dropsical Patients. In those Bodies where almost all the Or- gans of Digestion are so languid, as not duly to perform their respective Functions, Fric- tions with rough woolen Cloths over the whole Abdomen, or Belly, when the Patient is fasting, have been found to produce sur- prisingly happy Effects. Hence the Ancients had Ch. V. thro' the various Stages of Life. 477 had Frictions in so great Veneration, not only for the Preservation of Health, but also for the Cure of Diseases, that the Grecians, Ara- bians, Romans, and Egyptians in general con- stantly practised that Method; and Galen wrote a whole Book, intitled de Frictionibus. Celsus likewise recommends the Usefulness of Frictions in his Works: But this Practice has been almost neglected among the Moderns till of late, and is now reviv'd again with no less Success than in former Days, tho' not so general; for it is experimentally known, that it will strengthen weak Limbs, and bring Nourishment to the Parts, and likewise cure the Rickets in Children, especially if Cold Bathing be used. Therefore I would recommend to all Mo- thers and Nurses, to rub the Back, Sides, Shoulders, Hips, and Limbs of their Children by a warm Fire Night and Morning, being very necessary to prevent Obstructions and Rickets, and to promote their Growth and Ac- tivity; and likewise to preserve their Limbs strong and straight. By Frictions a free and full Circulation and Perspiration may be usefully promoted; and this is performed by abiding Nature to throw off by Perspiration the Vapours and Recre- ments of the third Concoction, which are of- ten retained and pent in between the Scales of the Scarf-skin, as likewise in the Interstices of the outward Muscles and Membranes of the Body; so that by the Use of Frictions Nature is not only assisted in discharging by insensible Per- 478 A GUIDE to HEALTH Part III. Perspiration those excrementitious Particles, which frequently hinder a full and free Cir- culation, but likewise Blood and Spirits are thereby attracted to those Parts mod remote from the Seat of Heat and Motion, by which Means also the natural Heat is increased, and the superficial Muscles are render'd plump and strong. Hence it is evident, that ancient People, and such as have weak Nerves and lead a se- dentary Life, especially those who are subject to Numbness, Weakness, or Obstructions in their Joints, or are threaten'd with paralytick Disorders, in order to supply the Want of Ex- ercise of other Kinds, ought to have their whole Bodies, more particularly their Limbs, rubbed for half an Hour every Morning espe- cially, and at Night, with a Flesh-Brush, Flannel, or Napkin, till the Parts begin to grow red and warm. The Friction should be made first on the Arms, Hands, Feet, Legs, and Thighs, from whence we ought to proceed to the Shoulders, Back, and Breast; and the Head should be rubb'd the last of all. Among the Ancients there were Frictions of various Kinds, and subservient to different Purposes. Hence Hippocrates in his Treatise De Med. Offic. tells us, 'That Friction may 'resolve, contract, incarn, diminish: Since 'strong Frictions contract, gentle Friction 'resolves, much Friction diminishes; and 'moderate Friction condenses.' Any Part of the Body is render'd more lax, by being rub- bed with soft oleous Substances. Nothing. Ch. V. thro' the various Stages of Life. 479 Nothing is more beneficial in curing a Weak- ness of the Fibres, than Frictions with rough warm woolen Cloths, especially if previously impregnated with the Smoke of burning Am- ber, or Mastick, that at the same time this aromatick and corroborating Steam may enter the relaxed Parts. But we are to proceed gradually in this Work, and not to use too strong Frictions at first; lest either the stag- nated Fluids in the preternaturally distended Vessels should be too copiously convey'd to the Heart, and by that Means overwhelm and suffocate it; or the tender Vessels should be broken by imprudently increasing the Motion of the Blood. When the Ancients wanted to reduce exte- nuated Parts to their natural Situation, they sti- initiated and irritated these Parts so as to produce a gentle Inflammation and Swelling; for by this Means, the Humours being convey'd with a greater Impetus and a brisker Motion to the Parts, they distended the too rigid Vessels pro- portionably the more. By often repeating this Irritation, the top great Strength of the Ves- sels was so diminished, as to yield to the Hu- mours, which, in order to their good State of Health, must necessarily flow into them. Thus Galen, in the third Chapter of his fifth Book De Sanitate Tuenda, informs us, 'That 'by Frictions with pinguious Substances, he in 'a few Days restored the Flesh of many, who 'had been for a long time emaciated.' Hence Frictions with fat Substances are highly proper in these Cases, but only to such a Degree 480 A GUIDE to HEALTH Part III. Degree as to excite a slight and gentle Redness of the Part; for when the Friction is violent, that which it attracts to the Part is discussed; but, in this Case, a large Distension of the too strong Vessels is required. Galen, in the seventh Chap. of his seventh Book De Method. Medend. gives this Caution in the following Words: 'When, says he, we 'intend to produce Flesh on any Part, we are 'by Friction to heat it, so as to render it tu- 'mid; but, when we intend to discuss and 'evacuate, this Friction and Heat are to be 'continued till the tumid Part subsides.' And in the sixteenth Chapter of his fourth Book De Method. Medendi, he tells us; 'That it was customary with some to strike 'emaciated Parts with slender Rods, slightly 'anointed, till the Parts became moderately 'tumid.' He also informs us, that by such a Percussion repeated daily, or every other Day, together with a moderate Friction or Stimulus, the diminutive and extenuated Buttocks of Children were wonderfully enlarged. Hence the Reason is obvious, why Friction sometimes produces opposite Effects; for a strong Friction with rough dry woolen Cloths, especially when impregnated with the Fumes of kindled Aromaticks, as I have observed be- fore, cures too weak Fibres; whereas a gentle Friction with pinguious Substances, by at- tracting the Humours, and relaxing the Solids, softens too rigid Fibres. FINIS.