Dr. CAM's Account, &c. A Rational and Useful ACCOUNT OF THE Venereal Disease: WITH Observations on the Nature, Symptoms, and Cure, and the bad Consequences that attend by ill Management; with proper Admonitions; recom- mended as a Friendly Instruction to all Persons who do, or may, labour under this Misfortune. ALSO A short Enquiry into Old GLEETS, and other Weaknesses; and the Reason why they are so seldom cur’d: With the Author’s Method of Cure. To which are added, Some Hints on the Practical Scheme, the Methods and Medicines therein expos'd, and the gross Impositions justly detected. WITH An Account of Specificks; the Use and Abuse of the Name, and how it covers Ignorance and a Cheat. The Seventh Edition, corrected, with Additions. By JOSEPH CAM, M.D. Evasti? credo metues, doctusque cavebis. Quæres quando iterum paveas, iterumque perire Possis, ô toties servus! Horat. Principiis obsta. Ovid. LONDON: Printed for, and Sold by G. Strahan against the Royal Exchange, W. Mears without Temple-Bar, C. King in Westminster-Hall, T. Norris on London-Bridge, and J. Baker against Hatton-Garden in Holborn. Price stitch’d in Marble Paper 1 s. TO THE READER. IN the First Edition of this small Treatise, I gave a short Account of the Pretensions I had to the Business I now follow: And as many Persons in this Ci- ty have become Great Men from such a Profession; nor is it difficult to mention several at this Juncture who deserved- ly are reputed Men of Sound judg- ment; I shall wave all farther Ac- counts of that Nature, and consequent- ly spurn at any invidious Calumnies, which some base designing Reptiles have heretofore loaded me with. I cannot but hope this Book has open'd the Eyes of many Persons, who have been deceiv'd by too credulous a A2 Tem- To the Reader. Temper, into Expenses and Danger. I have in this Edition hinted at some Cases and Observations on this Disease, which are sufficiently convincing I am not out in my Conjectures; more I have reserv'd behind, left the Enlargements should require a greater Price: In short, since a considerable Number has been dispos'd of, in so small a Compass of Time, and since the Demand for them has of late increased, I have Reason to hope the Practice may again be brought out of the designing Crowd, into its re- gular Channel. Thrice happy they who fall into the Hands of Judicious Men. How many Fathers have entail'd Mi- sery on their Progeny from ill-cured Poxes! But 'tis not convenient to ap- pear too open in this Affair, and there- fore I shall desist from Particulars; on- ly this I may safely remark, that the Venereal Disease is with great Diffi- culty To the Reader. culty cur'd on Persons whose Parents had fix'd a Taint in their Blood in their Mothers Wombs; and Patience is re- quir'd, both on the part of the Physician and the Patient, when such have the Misfortune to be seiz'd. It can't be suppos'd I design'd in this small Performance to give a large Body of Prescripts for the instructing of Others how to cure this Disease; my Aim was rather to kindle in my Readers a Flame, to consume the Intrigues of some Traders in this Malady; how- ever proper I may think the converting it into a Prelude to a larger Volume, when I shall perceive any critical Cir- cumstances to demand it. Since the Publication of this Work, I find I have Reason to repent me, that I had not done myself Justice somewhat earlier; for my Patients are not de- ceived, as will appear in the Close; and I am happy enough. since I can gratify myself with the pleasing Reflection of having To the Reader. having been instrumental in serving Mankind. This Business is now become a Re- fuge to every little Bankrupt, who at first Appearance glares in borrow’d Lays, and blinds the Unthinking Po- pulace into their Ruin; and when the Spring of all their Misfortunes is for- got, they are believ'd to fall Victims to an honest and a different Disease. I have pursu'd my Design in this Edition, to wit, the Discovery of far- ther Collusions and Impositions upon the Publick; but I shall leave the Reader to consult the Additions at the end of the Book, for his Instructions and In- sight into them: I cannot however pass over so barefac'd an Effrontery as is this Arthritick Tincture; surely the Publisher designs to persuade Mankind into a Belief, That he can chime all the Notes upon one Bell: Happy Boldness! and lucky Patients! Had there been some other Tincture, (and be To the Reader. be might have pick'd out Numbers of dif- ferent kinds) some Pretense might have been fram'd; but to cry up the famous Elixir one Day for the Venereal Dis- ease, and, because it serves his turn, to cry up the same individual Tincture for the Gout another Day, is like the Jingle on Tobacco. So that I do not despair of his following my Advice given in my first Edition of this Book. And as to his Treatise on Canary-Birds, that should be reprinted, because its Use is extensive. If I have not divulg'd my Secrets in this Edition, I design in some fol- owing ones to publish ’em, because then the World will both judge better of my Abilities, and of my good Intentions towards the Publick. My Peruses will be at some far- ther Expense for this Edition, than for the former; but the Additions are many, and such as, I hope, will recom- pense. I To the Reader. I have taken the Freedom to add some few Cases which have happen'd lately to fall under my Hands, where the Rea- der will see perhaps his own Misfortune as in a Glass; and I the rather have done this, that it may appear I can Act as well as Speak. I have also added some few Remark- ables on the Gout, as Occasional Hints to a farther Design; which I reserve till my leisure Hours. Vouchers with me shall always be look'd on with an indifferent Eye; for Mankind to be subject to Vice, is a grie- vous Curse entail'd upon 'em; to suffer Sickness from Sin committed, is great Misery; to communicate this Misfor- tune to one (tho' their Deliverer) is Oc- casion of Shame and Confusion; but to publish one's Mischance to the whole World, to point out their Abodes, and re- veal their Names, is such a Complex of Villany, that, believe me, Readers, tho' it hath been often propos'd, and even de- sir'd To the Reader. sir'd of me for my Benefit, I scorn to ac- cept of so base and low a Condescension: For my part, I can hardly think any Mo- tive but Want of Business should induce a Man to such a mean Acceptance, or any thing but meer Poverty (as appears too plainly by several of Mr. Tanner's Vouchers) prevail for such a Compliance. Here I had clos'd my Preface, as formerly; but by an odd Accident meet- ing with the following Letter, which I keep by me, I thought fit to insert it, in order to acquaint the World how un- easy genteel Reproofs sit upon a Person, who, in his Fifth Edition, persisted in his groundless Scandals, and utter'd the deepest Calumnies. That unjust Treatment manet alta mente repô- stum. The Letter was mark’d to my Hand for the Press by the inge- nious Author, and is verbatim as follows: B The The Letter. WHenever Dr. Cam's Book is advertis’d, I desire to have no Advertisement in the Paper that Day. As for his Electuarium Mi- rabile, I have no Objection against it, nor would not have against be- ing Advertis’d the same Day with his Book, if it were for those ma- licious injurious Lashes he unjustly gives me in: So that whenever those are omitted, I shall have no Objection against his Book neither, nor any thing else he shall publish without Injury to his Neighbour, and without endeavouring to build his own Edifice upon the Calumny and Detraction (unthinkingly) cast on another, whose Pen and Abilities will not knock under to any thing ever as yet publish’d by him. What he may hereafter publish, perhaps, may have more Influence. But nevertheless, I wish him very well, and To the Reader. and I believe he would wish bet- ter to himself, if he let his Neigh- bours alone. I am, SIR, Your very humble Servant, ANODYNE NECKLACE. Had the Author of the Scheme any Title to dictate his Sentiments on Dis- eases to the World; had his Education ever been pointed towards Physick; had he been made a Graduate or a Free- man in Physick, or Surgery, his Mi- stakes would have been carefully con- ceal'd: But whereas Divinity and Phy- sick have very different Objects, and Avarice only was the first Handle for his applying to Writing and Adverti- sing, so he writes what he has no B2 Know- To the Reader. Knowledge of, and gets what he has no Title to. Lashes then are his De- serts;’ tis the Duty of every honest Man to advise his Friend to avoid Imposition and Collusion: The Author of The Seven Useful Discourses has as much Title to write on Diseases, as he has to pronounce Sentence upon the Bench at Westminster; and to be plain with him, acts his Part in that Profession with the same Skill as he would in this. I hope the Reader will give me Credit for this Assertion, till it be judg'd proper to defend to Particu- lars, when I shall convince the World of the Fallacy and inconsistent Jargon that Pretender makes use of upon all Occasions; his Terms are ill adapted, his Sentiments are wide, his Judgment is erroneous, his Writing a Jingle, and the Whole an ill-fram'd Patch-work, if it can deserve the Name of any Co- herence at all. As for his hasty De- termination in his own Favour, and telling To the Reader. telling us he is sure his Performances are of a Superior Nature to mine; this is, as if an ignorant Censor should give his own Works the Test of Appro- bation, instead of those of others: And should we expose all our Productions to the World to pass Judgment for us, l am afraid he would be of Lazarus Baif’s Opinion, who when advis'd by a Friend to revise his Works, he answer'd, Oh, Sir, do you think a Father, to put his Children in a better Condition, would take Pleasure in breaking their Legs and Arms? For my part, I declare, I have acted sincerely, and am so modest in the Opinion of myself, that if I am fairly advis'd of any Mi- stake in the Performance, the next Edi- tion shall be the better for it. But, Sir, had you either the Knowledge in Anatomy, in Medicines, or in the Methods of Cure, you would have avoided such fulsom, obsolete, uncouth, improper Expressions; you would have known To the Reader. known how to have express’d yourself in just Terms; but as the Scheme and your other wonderful Performances are set forth in their Dress at present, all that know Physick are utter Strangers to your Meaning; for what Physician can find any Meaning where there is none? So that we may say of your little Works, as Virgil said heretofore of as excellent a Poet as you are a Writer; Qui Bavium non odit, amet tua carmina, Mævi. A A Rational ACCOUNT OF THE Venereal Disease, &c. CHAP. I. Of the Disease in general. THE Value each Person ought to put upon himself, should make him so industrious, as to discover Fraud from Sin- cerity, Chicane from Truth, and Collusion from Good-will. I say, each Person ought to labour from his Infancy [16] Infancy to extricate himself from the De- signs and Traps laid for him: But alas! we come to Maturity, we grow Old, and in some Affairs we are Blind, and continue so for ever. I know not, whe- ther this Blindness be in any thing more common, than it is in the Art of Phy- sick; in this, Men pass Judgment by the Force of their Affections, and not their Judging Faculty: This Man we like, his Conversation is agreeable, his Comport- ment is genteel, his Air is modish, he is obliging, and in short we love the Per- son; but let him be thoroughly search’d, his Business has been to study Men, not the dead Letter. Thus sometimes so high runs Affection, we even believe the Per- son Ignorant, but Charity and Love cover his Defects. I crave no Man’s Affection, in order to entrap him; this little Paper- Book I have presented to the Publick, is the Result of a continued Success for near a quarter of a Century, in the Cure of the Venereal Disease, in its whole Extent. I fancy it may be no great Honour to assume to myself an Air of Knowledge in this Distemper, because the Weakest of Mortals may in that time acquire to him- self a competent Observation on the com- mon Symptoms, when his Application has [3] has been bounded and limited to that Di- stemper chiefly. Let my Knowledge be to what Degree it can; such has been my Case, that I have confined myself to the Consideration of this Disease for the most part, have made Observations suita- ble to the time I have practiced; and I think I have built, upon what I have read, a large Structure, and will be bold to say, (without a Breach of Modesty) If Au- thors have discovered no more of this Dis- ease than what they have publish’d, I can range somewhat farther than they have done, and without much Trouble to myself. By the Word Authors, I abstract from Bills of Fare, such as the Practical Scheme, a Rhapsody of bold Promises, incoherent (and sandy) Matter, mask’d under the fulsome Pretext of following a Philoso- phy, I am well apprized, the Scribbler has never enter’d the Threshold of. The Publick may here expect I should descend to Particulars they have never been told of; so I could; but my Busi- ness at present is, an Appeal to the World how fairly I have dealt with them in the Publications I have made; and whether I am under the Incapacity some vile de- signing Empiricks (for so I must call such of my Adversaries, as I have hitherto C spurn'd [4] spurn’d, who have never been dignified with the Cap) have branded all their Fel- low-Advertisers with, for the sake of Gain. I think it will be needless to let the World into the Secret of the Manner of Infection; this would be to trifle like the Scheme-maker; who, in his Pamphlet, pretends to clinch that Nail, which others had but touch’d. My Design is to relate Facts I am well assured of, confirm’d with Truth, ripen’d by Experience into a cer- tain Method, which I am sure is far from smelling of the Quack. I need no Atte- station to what I shall advance, nor is it necessary to court any Chamberlen for what I affirm; nor do I think it reasonable, any Gentleman of a Faculty should pro- stitute his Name to my Account; nor do I design to work by Collusion: No Sirs, I know no Necessity I am under for such a crafty Procedure. As soon as a Person has convers’d with any one Infected, he commences also Unfortunate; the Infection being Local, the Part of Contact is the Seat of the Disease at first, and by Neglect is daily more propagated: --Unless [5] --Unless strong Nature still Exerts itself, and then throws off the Ill. But how seldom this happens in our Isle, I leave it to any indifferently skill’d to pronounce for me. The Combatants untainted suffer by the Friction; the Torch is kindled at the Fire, which costs much Pains to extin- guish. If the Vagina is infected with Ulcers, their Linnen must be stain’d Greenish or Yellowish; and they scarce can bear the Coition without a wry Brow: As for the Males, they also are easily discover’d, if warily ey’d; and ’twould be amazing to me, to find so many sad Examples, if Passion did not blind our Conscience and our Reason. I cou'd give Instances how to discover any Degree of Infection, and consequently how to guard Mortals from it; Nay, how to know whether Artifice were not used, to patch up a Mi- stress for the Battle: But all this ought to be conceal’d from the Publick, lest we should seem to encourage Vice. I shall in short give a Description how a Patient may know his Degree of Infection, and how reasonable it may be for him to make a serious Application in Season. C2 A [6] A Clap is discovcr’d from the following Signs; a Pain and Scalding whilst they make Water; Matter of various Colours runs out continually; there is a Pain up- on squeezing the Part; there’s an Erection often in a Day; Ulcers in the Urethra; the Penis swells; is crooked especially upon Erection; they cannot stand close with their Thighs, because of the Pain of the Penis; Ulcers often seize on the Glans or Prepuce; all these Symptoms are Attendants upon an infectious Copu- lation: But whether this Matter Infecting be an Acid or an Alcali, I think is scarce worth while to enquire into, much less is it to the Purpose to affirm with the Garway Scheme-Maker, Mr.Tanner, that an Alcali has changed its Nature into Acid, which is a Leap Principles (if he thinks them such) never take, and a Piece of Philo- sophy, which is neither new nor old, and consequently not learnt Abroad nor at Home. I look upon this Quality to be Acrimonious, because we do indeed find many convincing Proofs of it; but to what Species of Acrimony his referrible, I can tell this Divine 'tis not in his Pro- vince to enquire into; nor is it known, but from some Consequences, which are best judged of, from an Experience he is not Matter of. When [7] When the Infected have sat patiently down under their Misfortune for some time, which they often do, if their Scald- ing of Urine or Dysury be moderate; the Infection steals upon them, and produces other Symptoms about the Parts first charged with the venomous Particles; so that now not only the Urethra, the Glans, the Prepuce, and the Penis are affected, but also the Prostate Glands, the Gallus Gallinaceus, the Testicles, the preparing Vessels, the Groin, and the Anus, begin to suffer by their Proximity or Nearness, as will be made appear: For how otherwise happens it, that the Patients by a supine Neglect sometimes never recover from a Gleet all their Lives after? I have endea- vour’d in vain to cure Gleets of 20 Years standing, which I am now wiser than to attempt when I have examin’d them, as Experience has taught me to do; and know them by a certain Rule I have, to distinguish whether they are really incu- rable; which however, in others, I can cure, tho’ of any Date. A Phymosis and Paraphymosis, are Sym- ptoms on the Prepuce; in the first, the Fore-Skin is so tumid, that it won’t be brought behind the Nut; in the latter, it can’t be brought forwards to cover the Nut; [8] Nut; they are mostly watery Tumours, and call’d Crystallines, tho’ I have seen them of another Species, and inclinable to a Scirrhus, particularly by Mismanage- ment. I think no one need be told, that the Testicles are swell’d; but for their Inflam- mation we know it by a Tumour there, and a throbbing Pain, daily increasing till it turns into an Imposthume (if the Patient be foolish and willful.) The Anus is often beset with Warts or other Scirrhous or Cancerous Tu- mours, as well as the Glans is with Shankers, and which are equally trouble- some and dangerous. The former are Tubercles, Excrescences, or hard Tu- mours, which seize the Verge of the Anus, and are callous and hard to the Touch. The latter are hard Ulcers up- on the Prepuce or Glans, which also are in the Vagina; and I have seen them as large as a Chestnut: They who have the latter, can never be safe without the Grand Cure, because they are Signs of a radicated Lues: And let the Continu- ance of the Infection be how small so ever; yet if these appear, it is a sure Sign of certain Footing. The [9] The Groin is attack’d with Buboes, which are a Critical Tumour and Inflam- mation, which tends often, or ought so to do, to an Abscess, and by breaking, carries off Part of the Venom out of the Body, and sometimes the Whole, if art- fully managed. We have seen the Patients troubled with the Hernia Varicosa, where the Ves- sels are crowded with Humours, and their Substance is thicken’d and harden’d sometimes so much, that there's no Pos- sibility of reducing them to their usual Size by the nicest Management; for they will, all their Life after, have these Ves- sels more turgid than usual. As soon as the Venom has left the Se- cret Parts, and is lick’d up into the Blood- Vessels, then it circulates along with the Blood into all the Parts of the Body, and produces every Symptom producible by a vitiated Blood, such as Pains, Pustules, Ulcers, Itchings, Tetters, &c. for as the Acrimony, with which the Blood is taint- ed, makes the Globules of a Size which do not, in circulating, yield as it ought to do, for want of a due Elasticity, they are apt to stick close to the little Arteries or Fibres, which they cannot pass thro’; and thus, according to their Degree of Acri- [10] Acrimony, they either give us trouble- some Sensations, which are often, in the beginning, not lasting; or at other times they are deeply engaged in the Capilla- ries; and the Blood being very much tainted or charged with Salts, Ulcers and such Symptoms are produced. At last, when the Venom has been a long Sojourner in the Fluids, it begins to affect the Solids, and particularly the Nerves and Bones. This is a dismal Scene indeed, and many a Bill of Mor- tality is hid under the Name of a gentle Decay, and a Consumption, which had its Beginning in the Stews. Now Con- vulsions, Consumptions, Palsies, Apoplexies, then Nodes Caries, Spinæ Ventosæ, the Fal- ling of the Os Palati, and the Nose, and such melancholy Scenes are carried on; and why all these and more, but because now we are crush’d with the Quantity of the Poison, as well as the Quality of it? For there is as much Difference between this last Degree and the first, as there is between the Effects of a Pound of diluted Aqua-fortis, and two Pounds of the most concentrated Spirit of this same Acid, where the first may even be brought down to a Degree of being swallowed, whereas the latter destroys in a small Quantity. I [11] I say not this to declare my Sentiments on the Species of Acrimony, but on the Difference of Quantity and Quality. To set about to explain to my Reader, the Manner how those Accidents come on, would be perhaps to talk like a Scholar, more than a Practitioner; but my Aim is rather to be accounted the latter. How- ever, that the Reader may have some Glimpse into the Nature of the Malady, I may venture to say, that it is safe in Diseases to argue from the Effects to their Cause; and as Ulcerations do often con- comitate the Venereal Disease, which yield upon certain Applications, we knowing the Nature of the Medicines applied, may give probable Conjectures at the Quality offending: In such Cases therefore we need only give a short Ca- talogue of the Remedies in use for the Venereal Disease, and draw a Conclu- sion from thence concerning the Na- ture of it. The Virus communicated is taken off by Medicines of a con- trary Quality; for this is the proper Characteristic of a Remedy, if in the Disease certain Medicines are admi- nistered which exasperate it, we may safe- ly conclude that these Medicines are of a like Nature with the Particles which gave D the [12] the first Rise to it. Therefore on the other hand, if certain Medicines are given or used which take off the Malady, we may equally conclude that these Reme- dies are of a contrary Nature to the Poison. The Medicines usually given in this Disease are Mercurials, Guaiacum, Sassa- fras, China, Sarsa, Juniper, Zedoary, Antimonials, Volatile Salts, and Aroma- tick Oils: I speak of the Alternatives on- ly or chiefly. Now the Simples named are Drugs, consisting either of Volatile or fix’d Salts, or Oils: It cannot so safely be concluded on, that the Cause of the Disease is a Cor- rosive Acid, from the Relief receiv’d from smooth and oily Remedies, because these smooth Drugs do equally relieve Symp- toms arising from a Corrosive Alcali, in- asmuch as they imbibe the corrosive Par- ticles of both alike: But it is a Demon- stration that its Acrimony is Acid, when Volatile and fix’d Salts relieve the Symp- toms of the Disease; because Experi- ence convinces us, that these Salts are diametrically opposite to each other. Nor can it be any Objection, at least of any Force, to say that some Acid Re- medies are found to relieve some parti- cular [13] cular Symptoms which retain to this Disease; since we all know some Acid Remedies to be contrary to other Acids, and are therefore known by Experience, our best and surest Guide in Physical Mat- ters, to be of a Subalcaline Nature in re- gard to the other Acid. Consult Dr. Grew on Mixture, and you will be agreeably instructed in this Affair. Moreover, in some Symptoms of this Disease, it is not worth the Dispute whether an Alcaline or an Acid be apply’d, upon Condition that both be Corrosive; because in Fun- gus's or Callus's, the Fibres are to be ero- ded or quite eat away. Now it is indif- ferent in this what Caustick is used, since a Correction of the Juices is not the Question in hand, but a Consumption of the Fibres, and as that is indiscri- minately done by either, it is the Ope- rator’s Business to effect it with the least Trouble, and the least Hazard. I cannot tell whether any one who follows this Business, has better Preten- sions to it than myself, because the Num- bers I have had under my Care, have made me endeavour at proper Methods to relieve them and support myself, and I thank God I have effected Both: I am sure then, I have no occasion, like the D2 Scheme- [14] Scheme-Maker, in his Directions, to de- sire any to draw up an Advertisement, and say unknown to the Author, and they shall be refunded the Price of the Advertisement, and shall have a Guinea for a Pair of Gloves for so doing, because this is an Effrontery not to be equal'd: For what poor Wretch having bought a dear Re- medy, would not be glad to regain his lost Money at any rate? And this is the Reason why so many Certificates appear in favour (as one would imagine) of the Specific Remedy, when in Truth they are only Claims put in, to recover their Money sunk in an useless Remedy; so that these poor Miscreants (for such these Claimants generally are) are repaid for Hush-Money and gross Impositions: Nay, we have known it advertised, that such an one (who had been as dead as Julius Cœsar for above half a Year before) was recover’d by, &c. Si populus vult decipi, decipiatur. But the Readers will be pleas’d to find here in the following Chapter, most of the Symptoms in such Order as they in- vade them, that they may at one View know their Condition, and apply seri- ously for their Recovery. CHAP. [15] CHAP. II. Of the Symptoms. FIRST then, A Clap or Gonorrhœa Virulenta, which the French call Chaude-pisse, has generally a vast Heat of Urine attending it. I need not tell my Reader, that Ulcers in the whole Pas- sage sometimes cannot bear the sharp Urine gliding over it, and grating it; and therefore till these Ulcers are some way benumm’d or cur’d, we find this Symptom seldom ceases entirely. Shankers are hard and callous Ulcers on the Glans, or Prepuce, or both; which are sometimes so large as to equal a Chestnut, and give the Operator and Patient much Trouble, for that they must in some Cases be cut away. I shall not say more here, only refer you to what I shall ob- serve hereafter. Bubo's: They are Inflammations on the Groin; ’tis a sort of an After-game, and a piece of Good-luck; for ’tis much better [16] better this Part should be seiz'd than the Internal ones; because by Impostu- mating, the Humour is in great measure thrown out this way; which it could not, if it seiz’d on the Viscera. Inflam'd Testicles: All Tumours are raised, because more is brought to a Part than can be reconvey’d; and therefore when I name an Inflammation, I suppose some sort of Obstruction; and if any one throws into a Distractile Syphon a Quan- tity of Liquor by a Syringe, you will see it rise and settle. Why swells it, but because the Part is drawn up by the Quantity not passing on hastily enough? And why settles it, but because now it passes freely on? Caruncles are known by pissing in a double Stream, or an Obstruction of ma- king Water: They are fleshy Excrescen- ces in the Urethra, (I have sometimes known them at the Neck of the Bladder, and this is dangerous) arising from the ulcerated Parts turning Fungous; and at last this Fungus (from a peculiar Acri- mony in the Humours) becomes even Scirrhous or Cancerous. Strangu- [17] Stranguries are occasion’d by the Salts of the Urine pricking the ulcerated Parts, and thus corrugating and exasperating them; and as a sharp Instrument fails not to gall and irritate the Part ’tis fix’d in, this Humour in like manner, accord- ing to its Figure and Durity, fixes in some Corner of the ulcerated Part, and there galls till it is obtunded by the Mu- cus spew’d out of the Glands of the Uri- nary Passage. Dysuries and Stranguries differ by Degrees only; but both are a Sharpness and Heat of Urine. Nocturnal Pains arise from the Heat of the Bed, which occasions a brisker Mo- tion of the Fluids around the Body, and particularly on the Surface: If the Salts (which by this Heat are melted) be gen- tle, then such only feel a Tingling and Uneasiness on the Surface of the Skin; but if they are very sharp and corrosive, instead of tingling, they pinch us prodi- giously, and bring on Pains. Erosions of the Bones of the Palate. When the Humours have been suffer’d to lodge for a long Space of Time, with- out due Care, what Wonder if they cor- rode the Parts? For as this Ferment is of such [18] such a Nature, as every day to grow more corrosive than other, we must na- turally conclude, the longer it lodges on any Part, the more Mischief it does: Why then should we wonder at such a Disfiguration? Nodes are hard Tumours on the Bones: However there are Degrees of them; for when they begin, they are softish, and are then term’d Gumma's; and, in the Head, Talpa's or Topinaria's; but when confirm’d, they are Nodes and Exostoses; they arise from the Lodgment of Hu- mours on the Bones or near them, be- cause some of these Tumours appear at first to be Cystical, and others seem to, and really do, grow on the Bones. Phymosis, Paraphymosis. I have already taken Notice, that these are Faults on the Prepuce; and if the Patient’s Penis is so fram’d, as always to be cover’d or un- cover'd, these Accidents seize them; for the Symptom is but a Tumour diversi- fy’d by this Structure. Cordee, is a French Word, signifying a String or Cord; and what they call Chaude- pisse Cordee, is a Clap with an Inflamma- tion [19] tion on the Penis; but we never take it in any other Sense, than when the Frœ- num is drawn downwards, and the Ere- ction, which is troublesome at this time, cords the Penis around, and on the side of the Frœnum, with exquisite Pain; so that as Erection is unavoidable, from numerous Causes and Irritations, there- fore is also the Pain following it. Scabs or Blotches: These Eruptions are occasion’d; from the Humours stopt and confirm’d; and as an Acrimony may be wrapt up in gross Particles, so this Viscidity occasions an Impediment to the Circulation in the small Vessels (which we call Capillaries): When they have rested here some time, then their Acri- mony begins to exert itself, and gradu- ally inflames, throbs, and at last throws itself into the Surface of the Skin in Blotches and Scabs. Disorders from the Blood, and Nervous Disorders. When the Venom has desert- ed the Genitalia, it creeps gradually and insensibly into our Vessels, and then cor- rupts all our Juices, and changes them into Caustical ones; and as the Blood soon corrupts the Spirits, so bad Blood soon E hurries [20] hurries on bad Spirits; therefore when the Blood is tainted, Crowds of Disea- ses attend a Patient thus unfortunate, and they every Day more than other begin to look Pale and grow Lean, because Nutrition is not rightly perform’d; for how shou’d a Body be nourish’d with Particles so keen-edg'd? How can they be apply’d with Advantage, when they are utter Enemies to it? How can they grow without lodging there firmly? And if they do lodge, instead of nourishing, they pare them off, and even grate the very Bowels unmercifully. Thus Disea- ses grow up instead of Nutriment, and at last jam seges est ubi Troja fuit; nothing but Destruction and Death attend them. I shrink at the Thoughts of the innu- merable Disasters springing up from the Blood tainted: But when I consider that the Venom is deeper sunk, even so far as into the Nerves themselves, I am yet more in Concern for such Neglects; and I must here acquaint my Reader, that ’tis not the poor Patients are always on- ly to be blam’d for these unhappy Ca- ses; for I have known many who have run the Gauntlet of Physick under igno- rant Hands, who have lock’d the Door, and suffer'd the Thief to ravage within; [21] within; or even have sometimes over- done the Matter, and ignorantly thrown their Patients into Nervous Distempers. Lastly, I must observe to you, that tho’ these are the Common Symptoms, yet they are far from being the Complement, since Defluxions on the Throat, Coughs, Night-Sweats, Lassitudes, Pains of the Back, Leanness, Consumptions, Fissures any where, Falling off of the Nails, Crustiness on the Skin, Polypus's, Piles, a cancerous Thrush, Tetters on the Pri- vities, Melancholies, Madnesses; the A- lopecia or Falling off of the Hair, Ficus, Condylomata, Mariscæ on the Anus and its Verge; nay, we have seen some Hy- pochondriacal, others Phrenetick; we have often observ’d Hecticks, Vertigo's, Dropsies, Deafness, Blindness, Palsies, Epilepsies, all sorts of Breakings out, Dy- senteries, Fluxes, Diabetes; and in short, there is hardly any Distemper which this malignant and acrimonious Humour does not bring on; and the Reason I think is pretty plain, because all these Distem- pers are only some Share or Parcel of this Humour, fix’d on some one or more of the Viscera or Parts; which settling there, frets and exasperates the Parenchy- E2 ma [22] ma of the Part seized, and either raises Exulcerations, Evacuations, Commotions, Tumours, Eruptions, Caries, and many such Disorders; or its Tenacity blocks up the Passages, and then it raises all Disor- ders which take their Rise from Ob- structions; and then the Parts are not ir- radiated by the Spirits; whereupon Fal- lings off of the Hair, Palsies, Gutta Se- rena's, and thousands of other Distem- pers follow, which I neither am at Lei- sure to nominate, nor cou’d they be comprehended within a moderate Com- pass; Mille modis morimur. CHAP. III. Of the Prognosticks. THAT such whose Hands this lit- tle Pamphlet may fall into, may conceive their Disorder somewhat more readily, I shall annex some short Prog- nosticks on their Condition. As to such who are seiz’d with the va- rious Symptoms of a Gonorrhœa, or other [23] other Disorders about the Genitals; un- less their Blood have been violently taint- ed before with sharp Humours; if the Disorder be fresh and newly received, they recover with good Management ve- ry readily; and I cannot but be surpri- sed to meet with so many in this City, who have labour’d under common Symp- toms, easily to be remedied; and yet such hath been their Misfortune, that they have stalk’d thro’ some Courses of Physick; they have taken Pills, Bolus's and Electuaries, Elixirs, Specificks, and the Lord knows what, to no manner of purpose, but to plunge them deeper in the Mire; and in short, they have by these promising Medicines been seeming- ly cured of their Clap, and have barter’d it for a Pox. This I speak upon Expe- rience; and I must frankly own, I know not how it should fall out otherwise, if we speak of such Medicines as are com- monly disposed of at Toyshops; because the Patient is given to understand his Case by a false Glimmer, he proceeds by stated Directions, the Boot is ready made, and it must fit every Man's Leg. Now how ridiculous this Procedure is, will be evident upon taking a View of one Case I shall remark: Some People will [24] will have Shankers in a confirm’d Pox, and which the common Methods of Tur- pentine and Mercury, mention’d by Doctor Cockburn, will relieve indeed; but your Case becomes desperate thereby; for the common Operator (I talk not of Artists) will glory of a Victory, when his Ene- my has retreated; whereas in Truth his Disappearance is for no other End but to proceed by Sap, and undermine the Foundation; for the Blood being charg’d with a large Stock of sharp and corroding Humours, enters the Bones, and lurks in them, and either produces Carrier, Spinæ Ventosæ, or Nodes; and then, to their Cost, they take hasty Measures, and come to the Grand Cure: However, if it be an old Gonorrhœa, or the Blood be much tainted, (as it is in some Scorbutick Per- sons) then indeed more than ordinary Care is required, and the Patient must be narrowly look’d after, and the Cure varies according to the Degree; which it is impossible to describe, and as impos- sible to be relieved by Medicines prepa- red by Bopeep Doctors, who never ap- pear, nor are solicitous about the Mat- ter, so long as their Specificks sell well; and who, if they did appear, know no- thing of the Case, unless perhaps what is in [25] in their Pamphlets, which they have rifled Blegny, Cockburn, or some Writer or Pamphleteer for; such are the Reverse of what is requir’d; for instead of knowing more than their Writings contain, they know less, and even nothing of the Mat- ter, and therefore lie conceal’d; Such Pa- tients then must appear at the Bar, and take the Physician or Surgeon as Judges in the Case, must by their Assistance prove the Degree of Damages, and the Assailant must be oblig’d to quit Costs: In short, they must apply to their Deli- verer seriously, and follow his Directi- ons obsequiously. If the first Degree of this Venom re- quires such an exquisite Care, what must the more rooted Degrees of it demand? Surely double and treble. I don’t know that the Husbandman would trust his Brutes to the Hazard of a Receipt, but the Experienc’d Cow-Doctor must be call’d in to remedy the Disease; and how it comes that we trust to those Toy- shop Medicasters, who pretend to Receipts only, (as many there be in this City) is amazing! I must then observe to you, that if in this Degree the Excretory Ducts of the Prostatæ (or Glands in the Urinary Passage, which spew out upon Occasion, a [26] a glutinous, colourless Substance) are eroded or eaten away by the Acrimony of the Humours; or also, if farther, the Mouths of the Vesiculæ Seminales (or long Tortuous Membranes which hold the true Seed) are gnaw by this same Hu- mour; then there remains a perpetual Flux, and sometimes ’tis so large as to evacuate large Quantities, and emaciate the Patients, and brings on the Tabes Dor- salis, and kills them. However, we know not how to remedy these Evils, and therefore they lead an uncomfortable Life, because they are incurable; we have seen such a Case in the Dissection of an executed Person: In the same man- ner is it with Women whose Lacunæ are eroden; for then whatever Ichor arrives at their Mouths, is thrown out, and this cannot be remedied, as we have known some who have undergone several Saliva- tions for this purpose, without any Ad- vantage; and if the Undertaker had been skillful or honest, there wou’d have been no need to have treated these unhappy Mortals so roughly, since the Disorder was Local; and if Application would not succeed, nothing wou’d. Some Symptoms indeed are wholesome; so a Bubo appearing, if it suppurate, the Venom [27] Venom is eradicated, and the Patient recovers with little Trouble; nay, and sometimes a Gonorrhœa runs off in warm- er Climes, but seldom or never with us in these cold Climates. In fine, the Consequences of this Disease bear a Pro- portion with the Continuance of it, with the lntemperies of the Blood and Juices, with the Nature of the Soil, and with the Number of the Symptoms: For the fresh- er a Pox or a Gonorrhœa are, the easier are they remedied. Phlegmatick Persons, as well as Spleneticks, are hard to be cured. Whoever are sickly or weak, undergo great Hazards, because the Evacuations necessary to carry off a great Part of this Disease, cannot in these Circumstances be made use of. A Pox, accompany’d with a Hoarse- ness, is hard to be taken off, and in a more particular manner if it is attended with a Caries of the Bones. Every Pox or Gonorrhœa is dangerous, especially when accompany’d with a Tumour of the Penis and a Stench of the Matter, and if Ulcers or Caruncles are sprung up in the Urethra. Ulcers of the Palate, Nose or Throat, are more easily cured than those in the Anus; because the latter turn Sinuous, and the Humours are sharp and cachecti- F cal, [28] cal, so that there can remain no Hopes but in the last Remedy; whereas the for- mer are often superficial only, and then they may be remedied by external Ap- plications: However it is confessed, that the former in our Clime are also very hard to eradicate, particularly if the Bones be any way eroded. Leanness and Barrenness do often fol- low this Malady; the first, because there can be no Nourishment without a Bal- samick Blood; and the latter, because the Vigour of the Parts is injur’d; but I am not fully at liberty to give in all the Reasons I could produce on this Head: I shall only observe to you, that whenever the Physician is apprised of the Method of Cure in the nice Manner he ought, I can by Experience allure my Reader, there is no Hazard in the latter Point. Women are less afflicted with this Disease than Men, because their Month- ly Purgations free them of a great many noxious Humours which are retain’d in Men. Altho’ most Physicians have told us, that the Seasons, particularly the Winter, have an Effect upon Bodies thus diseased; yet I could never find this true, farther than [29] than that Medicines may be better given in warm Weather than in cold; but how easily this is remedied, need not be mentioned. The severest Relick of a virulent Go- norrhœa is a simple one: Here many Re- medies are try’d without Success, if any Part of the Veru Montanum be eroded; which is undoubtedly the Case, where Glutinous Remedies, Stypticks, and even Injections, have fail’d of Success: In this Circumstance I would advise the Pa- tients to the continued and unwearied taking of certain Specificks, which I for- bear to name in these Papers; by the Use of which I have prevented that Spe- cies of Consumption called the Taber Dorsalis, whose dire Effects are Loss of Virility, and of all that follows from thence; of which enough; And since it is not in our Power to remedy this Symptom, yet it is fully in our Power to prevent any ill Consequence from it. Asthmas are dangerous in the Venereal Disease; because if once the corrosive Particles are lodged in any principal Viscera, it is almost impossible to eradi- cate them, by reason of the Tenderness of the Parts, and the quick Advances of the Ravages made in those Parts. F2 Fluxes [30] Fluxes do often follow an inveterate Pox; and as they are the last Symptom in most Diseases, so here, where the A- crimony is so manifestly corrosive, what Ills do they not bode? I have been more particular in this Edition, concerning the Events of this Distemper; because I find some fool- hardy enough to flight the Disease, and let it run dangerous Lengths, before they apply themselves; and are too apt after- wards to excuse their own Neglects, and calumniate the Physician or Surgeon, if they are not in as perfect a State of Health as they were before Infection: But how unjust will this Calumny ap- pear to any Person who considers, that it is not in the Power of a Physician to frame new Parts, nor so to eradicate all the Taint of an inveterate Pox in such Persons, but that Scurvies may in certain Constitutions sprout up annually for their whole Lives after. However this Com- fort may be promis’d them, that if they apply to Judicious Men, they may lead a Life tolerably easy, free from danger- ous Maladies, and spin it out to Length enough, if they are contented so to do; but they must avoid all Extremes both in Diet and Medicine. Where [31] Where the Blood is tainted, more Care is to be taken of this Leaven; for if neg- lected, the Disease grows apace, and en- ters the solid Parts, and destroys us. Hence due Regard had to the Taint, (of what Species cannot be determin’d) but by Sight of the Patient, by proper and Specifical Remedies, the Humour is either corrected, or else thrown off by proper Emunctories, and the Patient may be re- lieved in a Month’s time with Safety, Pri- vacy and Pleasure. Where the last Degree is, then any one, the least skill’d, may know the Fate of these Unfortunates; for what Trou- ble attends not rotten Bones, some of which are curable, others not at all? For such, which are hollow, and contain a Medullar Substance, will, with Time and Care, exfoliate and be cured; but if the porous Bones are tainted, (unless ve- ry superficially so) such as the Rotula, the Patella, the Articulations, the Os Cal- caneum, and those spongy Bones there- abouts, the Scull, and in short such Bones as are Cellular; how can we remedy them? No, ye Unfortunate, deceive not your- selves with vain and promising Airs, the Operators flatter ye with; all this is Gri- mace, [32] mace, and poor Policy, level’d at enrich- ing themselves with your Spoil; but if you applied in Rags to them, their true Judgment (if they have any) wou’d ap- pear. CHAP IV. Of the Cure. IT would be in vain to split this Disease into so many trifling Divisions, and thus to make the Cure of it appear intri- cate; for in Truth, the Parts are only affected around the Genitals, or the Juices and the Solids are also tainted; so that whoever considers what I have said, will soon be Master of the Methods. When it seizes in the Form of a Gonor- rhœa, the Methods of Cure are the fol- lowing; the Ulcer of the Urethra indi- cates Detersion and Cleansing: When this is sufficiently done, we must incarn; or if this be look’d on as too tedious, we must cicatrize: But I look upon it as ne- cessary to be somewhat flow in this last Indication; and tho' this Caution has been [33] been slighted by many Persons, yet how many Complaints do we daily meet with in this City, for want of such a Piece of Justice? I can’t but acknow- ledge there are short Methods of Curing, and easier than what we ordinarily find used by many unskillful Men: But as each Man seems to glory in his own Skill in this Point, I believe it would be in vain to endeavour to persuade some Men to proceed in a manner more Christian than they do: If they wou’d obey me, I do assure them, I wou’d avoid all dangerous Proceedings: I wou’d not with one use Sublimate Water internally, and chouse the too Credulous out of their Money, (for so I must call selling a Pint of this Water for a Guinea) and at the same time endanger their Persons; for who does not know that Sublimate is rank Poison? I only desire the Reader wou’d consult the most learned Dr. Mead on Poisons upon this Head, and see what Consequences attend the giving of it in- ternally; and I believe I shall terrify all honest Men from administering it, and such as value their Lives from taking it; and that what is advanced by me here, is not said Gratis, or out of Envy, the Rea- der shall be convinc’d of, by his Senses, before [34] before I leave this Discourse. Nor wou’d I with others give Mercurius Vitæ, Green Precipitate, and many more such danger- ous Medicines, daily too much used in this Town; for in Truth, there is no Necessity, that Persons to be cured of one Evil, should be thrown headlong into others, equally hazardous; and there- fore I avoid (as much as in me lies) all such Devious Practices. These are the Harsh Methods used in Town; and I should be sorry that Men of Learning, and supposed Knowledge, should be found Guilty of what I condemn: I wish they may not, for their Patients Sakes as well as their own; they must expect the fatal Consequences which follow such Usage, and which they need not be advertised of, as knowing them as well as my- self. It would be too frivolous to tell the World of giving Cathartics, such as Ro- sin of Jalap, Mercurius Dulcis, Pilulæ Cochiæ, Rudii, Ruffi, Rosin of Scam- mony, or Guaiacum, and such like; it would be trifling to tell that Bal- sams of Capivi, Peru, of Chili, of Gilead, are useful to cleanse the ulcerated Part, or that Tinctures made of these Rosins or Balsams, are much used by some as won- [35] wonderful Secrets to cure and chouse the Vulgar withal: I shall not trouble my Reader to descant upon Or Sepiæ, Crocus Martis astringens, Sal Martin Saccharum Saturni, Oleum Martis per deliquium, boil'd Turpentine, some fashionable Jellies, which are fram’d for the completing the Cure; nor shall I mention the Injections of Mer- curius Dulcis, with Mel Rosarum and Plan- tane Water, nor of Decoctions of Roses, Balaustines, Vitriol Saccharum Saturni, and such like; because they are to be met with in every Writer on this Distemper: But I shall frankly own some have been modest, but many more have exceeded all Bounds on this Head: I shall for my part study to say so little on this Point, that may offend Modesty, or prove an Incentive, that I hope I shall have nothing to answer for, either to a Superior Being, or to any Court of Judicature; and I wish some, who otherwise want not Parts enough to distinguish themselves, would avoid this Ungentleman, as well as Unchristian Demeanour. But Quo semel est imbuta recens servabit odorem Testa diu. As for Shankers, I shall not mention how some use Cathereticks, in order to eradicate them along with the general G Methods [36] Methods to keep us safe. I know in Ca- runcles, the common Methods are Era- dication by Catheretics on Candles. Bubo's we all know are treated with Sup- purative Pultises or Plaisters, or the Lan- cet is at last made use of: We know that Heat of Urine is allay’d by Mucilages, by Sal Prunellæ, by Opiates, and other Methods of Cure. I need not trouble my Reader to inculcate to him, that Cor- dees are alleviated by Anodyne Fetus's or Cataplasms: I shall, I say, lay aside all these Considerations, they having been canvassed by all Writers even to a Loath- ing: But I shall make the Reader observe, that my Method is easy and safe, quick and certain; and tho’ I can brag as well as others of my Electuary and its Salu- tiferous Effects, because I have try’d it above these twenty Years successfully; yet I am not altogether so vain nor em- pirical as to tell the World this Medicine does never fail; only I shall inform you and desire you to give an attentive Ear to what I am about to say, That if I manage this Electuarium Mirabile myself, I will give any Person who tries it, double the Value, if it ever fail to cure the first De- gree of Infection: And as for the rest, I do suppose they will apply, otherwise I do [37] do faithfully allure them, ’tis hardly pos- sible for them to recover truly; for some unfortunate Reliques will sooner or later grasp them too close ever to be rid of their Misfortune, unless by a skillful Hand. I would then have my Readers to observe, that what is possible to be done by one Medicine, this Electuary will ef- fect; it evacuates the Humours gently; it revulses from the Part affected, and draws it off; it obtunds the acrimonious Humour; it destroys the Venom in Bud, and all this with Ease, Safety, and Con- sistence with the nicest Reputation. But as every one cries up his own Secret and Nostrum, ’tis natural for them to decry other Mens, and therefore has this un- dergone that Fate; but how unjustly, appears, because it has surviv’d all Envy, and will continue so to do; and so it is with all excellent things: If they are Good, nothing will sink their Credit; if they are Bad, nothing will make them continue. In case the Venom has tainted the Blood, and begins to produce such Symp- toms as I have already named, an easy Matter will not complete the Cure; for then we must have Recourse to more po- tent Remedies, either to evacuate roundly, or to alter strongly; and even this Method G2 will [38] will not answer, without Regard had to the Parts too much injur’d by the Venom deep sunk into them. However, my Reader must not misap- prehend me in saying we must cure by strong Remedies; for I can understand the Word strong in no other Sense than this, to wit, that the Cure must be propor- tion’d to the Quantity of Poison in our Veins, and Strength in our Patients; and if the former be in such a Quantity as can- not be eradicated without exhausting the latter; who does not see the Danger? However, even then, there are certain Ways and Means unknown to common Managers, to be made use of, in order to retrieve the Patients, as I may say Invitâ Minervâ; which I know myself under no Obligation to discover; only such as fall into my Management, and under my Care, will experience even in this Desperate Case Safety and Comfort, not to be met with from many: For to era- dicate a Disease, is to be well instructed in the Causes of that Disease by Reason and Experience: Neither alone can be sufficient. By the Causes, I mean all that is contain’d within our Bowels and Vessels. Now how is it possible for Per- sons not train’d up in the Investigation of [39] of the Causes, to lay Symptoms related together, so as to help his Imagination to conceive what is the individual Ail- ment? I am sure, without this it is im- possible for any Physician to assert what his Patient ails; and then I am sure he must be at a loss to know what to do or how to relieve; and as there is an infi- nite Number of Symptoms which direct us in the Methods we are to pursue, who but the Experienced can venture to act with Safety? and who but the Ignorant will suffer under ill Managers? I hope this little Treatise will plead for my Knowledge, whilst my Success will se- cure Patients from my Enemies. Some will expert me in this Place to make Excursions, and to discourse to them of the Method of Cure by Diapho- retics: I know in Foreign Countries, they are very fond of this Method of Cure; and in the Indies, from whence we received this venomous Disease, they entirely depend on this Method; nay, and even in this Town some boast of their Royal Decoctions, or Diet Drinks, and order them to be taken plentifully, and religiously confine you to Roast Meat and dry Victuals, and poor Fare at Night, and order their Drinks to be swallow’d down [40] down in such a plentiful manner, that they either evaporate your Blood to a Cinder and a Caput Mortuum, or at least endanger a Fever: We hear of all that have the good Fortune to escape; but who sink? they are perfectly hush in that. Others believe it necessary in these last Extremities, to have recourse to vio- lent Vomits, and never think the Diseas’d can be too roughly treated for the sake of the Disease; Festina lentè is my Mot- to; I am for making no more Haste than good Speed; for ’tis very usual to hear these Pretenders murder at once the Disease and the Diseased: I wou’d in- deed murder the Disease, and can do it; but they kill two Birds with one Stone. I am not a little surprised to find some of Opinion, that Salivations are little to the purpose, if not rais'd by Unction, and unless they spit two or three Quarts in a Day! Quisque sensu suo abundet. I shall not endeavour to dispossess these Gentlemen of the good Opinion they have of themselves, for I know no body that loves to be contradicted; but I shall only say, I act otherwise, and gain my Point; and if they always do so, I wish them much Joy; I shou’d not submit myself [41] myself to such a rude Management, nei- ther shall my Patients be treated so roughly. The Disease does not vanish, nor is it reputed to do so, unless the Symptoms disappear; and whenever they do, for a small Space of Time we need go no farther; (what is done over and above, is at the Expense of their Lives or Spirits); for what will do this, will leave a small Relique at most, which may be otherwise handled by a Person moderate- ly skill’d; and in this I appeal to all such as practice Physick or Surgery. I am sensible that Physicians have in- culcated to us, that a Disease is cured when its principal Symptoms disappear; and if the Cure, be it by what Method you please to name, be firm, the Symp- toms will never return. I can’t say but we may sometimes be deceiv’d in this Affair; but the Patients ought to know their Person, that he be a Man of Inte- grity as well as of Knowledge: For In- stance, a slight Salivation may take off the Ulcers, Shankers, the Scabs, the No- cturnal Pains, the virulent Running: And should an unskillful Manager cease here, they would all return with equal Violence in a certain Space of Time; whereas it is sufficiency to a skillful Person that [42] that they disappear: The Residue of the Cure is easily completed without much Torture. I don’t know that Diureticks will avail at all in this rooted Degree, because they are too weak for the Disease; and be- sides, Dr. Freind has lately observ’d in his Treatise of Fevers, that they seldom answer our Ends, saying, p. 154, Ita ut hodie hæc Medicinæ pars quæ ad urinas provocandas pertinet, sit omnium maximè manca. This Observation is true as to Fact; and Dr. Paxton in his Tentamen, p. 117, first asserted it in the following Words; “ Diuretics or Medicines causing and “ increasing Urine, may be observ’d to “ be very uncertain in their Operations; “ For Urine being a Separation from the “ Blood, whatsoever causes or increases “ that, must some way so dispose or “ alter the Blood itself, that such of its “ Parts may be more plentifully secern’d “ by the Kidneys, and from thence flow “ into the Bladder. And the Blood being “ so very different in several Bodies, it. “ can be no Wonder if the same Reme- “ dy does not at all times, in all Bodies, “ produce the same Effect; as it is most “ evident it doth not, that being often a “ pow- [43] “ powerful Diuretic in one, that in “ another will discover no such Virtue. “ For, perhaps, modestly and nicely “ speaking, Art hath not as yet prepar’d “ any one Medicine, that will at all “ Times, to all Persons, prove itself a “ nice and real Diuretick. Some I know there are, that pretend to evacuate by Saliva for two or three Hours in a Day, and no more; and thus are for carrying off, by Degrees, the ve- nomous Particles out of the Blood; and if so, why may not this be done by To- bacco as well as Mercury? For in such a Case these enter not the Blood: But this is bare Shuffle and Pretence; and if they neglect at the same time other advanta- geous Methods, 'tis an Imposition upon their Patients. Of late, Injections have been strong- ly advertised, and speciously supported by a rational Account given of their man- ner of Operating. Were this Gentleman assured that there is no more Venom in a Venereal than a common Ulcer, I cou’d very readily come into his Measures, and he ought in good Manners to suppose it no great Difficulty for us to find out De- tersive, Digestive, Incarning, and Cica- trizing Injections, equally proper as his H are; [44] are; but alas! we find to our Sorrow that a Venereal Ulcer may justly be termed universal, whilst a common Ul- cer remains particular. That I may be comprehended the more easily, the Rea- der must excuse a small Digression. I say, that Venereal Ulcers are of such a Nature, that if they are neglected, they spread and branch into a thousand dan- gerous Maladies, each of which is suffi- cient to hurry us headlong into the Grave, whilst a common Ulcer is often used as an Issue to drain noxious Humours out of the Body; And altho' the Methods of Cure in either be univocal, as to the ex- ternal Application, yet it is not always necessary to make use of Internals in common Ulcers, because they are void of a diffusive Virulency, which never is wanting in Venereal Ulcers: From whence it is very easy to see, that a Per- son may be freed of a Gonorrhœa with the Use of pompous Injections, and yet be under a Necessity of undergoing a severe Salivation to cure him of a Pox in less than half a Year. I am at no Loss to produce a fresh Instance in this very Case; but that I am under Obligations of Si- lence from the Nature of the thing. Ex- amples are Convictions; but I hope the Rea- [45] Reader will consult his Reason, and give Credit to what I affirm. I cannot deny that Injections may be useful in the first Moments of the Infection; but how few are there who make so early an Applica- tion? In fine, Washing off same viru- lent Salts from the Urethra and prostate Glands, with a Lotion gently Corrosive, is a Detersive, with Smooth and Emol- lients, is Digestion; and with Styptics, is Cicatrization: But when you have thus artificially cured this Sore in the Passage, and have Reason to hope you are freed from the Gonorrhœa , the Virulency be- ing very active, taints your Blood and Juices, lies unheeded and unregarded in your Veins, and attacks your Bones. Hence it is we see so many Scenes of Misery in this Metropolis, so many Per- sons disabled from their lawful Employ- ments, so much Barrenness in Women, who wou’d otherwise have been teeming Dames, but that their Spouses have had heretofore Misfortunes in the Manage- ment of themselves. For my own part, I have had Opportunities to see too much of this kind, and I heartily wish there were no Occasion to complain; but so long as all who undertake to remedy this Disease, have not the good Fortune H2 to [46] to be well instructed in the Methods of Cure, I think I may safely affirm, that so long shall we hear Complaints. If Preventives succeed, Temporal Pu- nishment, for the Sin of Impurity, is in good part cut off. This Advertiser, I must confess, is the most whimsical of any I have yet read of: The Venetian Courtezans are said indeed to have a Me- thod of communicating with Mankind with Impunity, and there are several Ways recounted in Physical Authors to guard the Combatants from any Dan- ger; but to publish the Method, smells so rank of the Libertine and Free-Thinker, that it ought not to be allowed in a Christian Country: And pray, good Sir, from whence had you this mighty Arca- num? Who are you? Whence come you? Where are your Testimonies? I doubt you import Goods that are Con- traband. Surely, Sir, you advise all Mankind, which is prompt enough of itself to offend, to use Machinery, and to fight in Armour. If so, you are not the Inventor, but the Propagator of Wick- edness: But we see how some Persons aim to deceive the World. In short, I shall only add this one Ob- servation, which may lead a skillful Per- son [47] son through the whole Range of the Dis- ease; and it is this, That in what manner soever the Disease has been found to be cri- tically carried off in warmer Countries, we may lawfully conclude that Medicines which are found by Experience to force this same Separation by Art, will do the same Feats; and as it has been found that the Indians did it by Sweating, (in the Sun, Bagnio’s, or by any other Means) so we find in England, that Sweating goes a great way to complete the Work: For I could ne- ver yet find that Sweats alone, in our Clime, did totally carry off the Venereal Virus: And it is reasonable to think that our Fluids are not attenuated to that Pitch as theirs are in hotter Regions; that the acrimonious Particles are lodged in a more viscous Vehicle; and that a Dia- phoresis cannot carry off so much of it, nor so freely, without much greater In- conveniences than the Advantages re- ceiv’d; for Fevers are frequently subse- quent to great Sweats, and therefore in England we dare not follow this Method so much as the Foreigners may, because our Pores seem to be much less than theirs, and our Juices less fluid; so that we give Purgatives more frequently, and Foreigners Diaphoreticks: And moreover, as [48] as Mercurials are the best Remedies yet known in this Malady, and as they work mostly by the Mouth or Anus; so it seems to favour our Clime the most, and the Disease is not more certainly eradi- cated in any Country than it is with us. And as it has been found that Stools do carry off this Distemper, so may we imitate and ape Nature, and order Ca- thartics to carry off the Load; after which however, a tedious Course ought to back this Method, in order to correct the Reliques, lest it sprout again. A Course of Alternatives, justly pro- portion’d in Dose and Quality to the Quantity of Virus in the Blood and the reigning Acrimony, the Symptoms sub- sisting, give us plain Hints that we must continue our Endeavours in changing the Mass of Blood into still a better Condi- tion than it is now under; and the Spe- cies of Acrimony is often detected from the Nature of the Symptoms, which give us Light how to vary our Prescrip- tions; But as I have not Room nor Lei- sure to insert all Particulars concerning this Affair, the Reader must content him- self with the Sketch given. How the Salivation was found to cure this Disease, is too late an Invention to be [49] be forgot; and therefore I shall proceed, the History of Physick not being my Design at this Juncture. As for the Symptoms which retain to the several Degrees of this virulent Dis- ease, it behoves a Physician to follow the easiest and surest Methods to root them soon out; and as I have acquir’d by Ex- perience several short Methods to effect this, I shall give my Reader to under- stand their Names and Uses; and I shall leave it to the Patient to let the World know, how truly they are Nostrums and Specificks in their kind. Electuarium Mirabile; or, the Admira- ble Electuary. I have already spoke of the Virtues of this Electuary; and as too much cannot be said in its Praise, the Reader must excuse a little Excursion on a favourite Medicine; Favourite, because I admire its Efficacy and Palatableness: To be pleasant and grateful to the Taste only, wou’d be a small Recommenda- tion indeed; but when I say ’tis success- ful in the first Degree of this Disease, and seldom, if ever, fails of answering its Ends, as thousands can sufficiently testify, I think I need not add much farther, than to advise the Unfortunate to consult their Safety, [50] Safety, in having speedy Recourse to such an admirable Remedy in time. Pilulæ Antivenereæ, or my Antivenereal Pills, I never found it advisable to pro- ceed to Stronger Medicines, when I was sure Weaker wou’d serve the turn; nor, vice versâ, is it convenient to dally with Weak ones, where Stronger are plainly required. When therefore People have neglected themselves, or have been treat- ed ignorantly till their Case becomes Desperate, I have recourse to these admi- rable Pills and Powder following, which together will not fail to root out the very minutest Atoms of the Poison with Cer- tainty and Safety; the Truth of which (upon Trial) the Afflicted will soon be convinced of; as many I have already had under my Hands have largely expe- rienced. Pulvis Specificus; or, my Specifick Pow- der. This Powder is an Alternative, and great Sweetener of the Blood and Juices, corrects efficaciously and suddenly all Taints proceeding from this Poison, and indeed is almost universal in its Virtues, as several Physicians, who however use it too sparingly, can testify in their Pra- ctice; [51] ctice; but my Method of using it being different to theirs, I reap greater Benefit by it in proportion; as daily Experience sufficiently proves. Electuarium Balsamicum; or, my Bal- samic Electuary. This is a Medicine which is extremely cleansing and healing; therefore particularly adapted to Gleets, after the Cure of the Venom; for it often happens, that after all the Venom is car- ried off, yet the Vessels are not closed, tho' good and wholesome Methods have been used; then this Electuary, with my Balsamick Pills, will effectually succeed; as also in all Gleets and Seminal Weak- nesses, whether occasion’d from ill cured Claps, Self-Pollutions, or other Disor- ders, if neither the Vent Montanum, or the Mouths of the Excretory Ducts of the Parastatæ be quite eaten away; for then ’tis impossible to be done, because ’tis impossible to frame new Parts; Ex- perto crede. Linimentum Carcinomatosum; or, the Liniment for Shankers. This Liniment is design’d chiefly for Shankers, to eradicate them gently, and yet not in such a manner that they shall retreat into the Blood, as I is [52] is the Misfortune of many Medicines of this kind. As for Directions for its Use, I must beg that the Persons who may be concern'd will not expect any here; for I don't think it safe to give general Dire- ctions, but will expect to see, and then di- rect; and indeed I would be glad to know how any Patient can be Judge of the De- gree of his Misfortune; for this is the Re- sult of Experience and Practice only. How many young Physicians are there, that know very well what is to be done with a Patient; that is, they know what Re- medy is to be used; but how many of them are at a stand to give the sufficient Quantity, and to time it? This is too evident, and is in Practice granted by the whole World, when they reject young Physicians (tho’ Relations) for old ones, whom they trust with their Lives, by rea- son of their Experience. Emplastrum Bubonicum; or, the Plaister for Bubo's: The Part is shav’d, and this is applied; it draws the Part to a Head in a little time; so that ’tis easy to digest and perform all other Intentions after- wards. I need not cry this Plaister up, because I am sure of its Effects, which arc quick and certain; for otherwise the Venom [53] Venom might retreat into the Blood, and give the Operator a great deal of Trou- ble, in obliging him to a long Course, which this Method wou’d soon accom- plish. Pulvis Anti-Dysuricus; or, the Pow- der against Heat of Urine, (or Spirit,) I have contrived this Medicine for the Pa- late, so that it may be given in Powder or Drops: ’Tis one of the best Reme- dies known for this Sharpness of Wa- ter, which is one of the most trouble- some Symptoms that reigns in this Dis- ease; it relieves it by a sort of Enchant- ment, by allaying the Pungency of the Humour, and correcting it specifically: It may be taken in Wine, or any other Liquor which pleases the Patient best. Emplastrum, and Unguentum Anti-To- phicum; or, the Plaister and Unguent for Nodes. These two Medicines will utter- ly extirpate or dissipate these Nodes; which, if they be suffer’d to continue, at last produce Caries of the Bones, and endanger Loss of Life; the one is milder than the other, that if one should not operate, the other will effectually do it; for as it is sometimes more rooted I2 than [54] than at another, weaker or stronger Re- medies are required. When Patients have neglected themselves till Nodes seize them, they must apply seriously for their Re- covery, or they are in the high Road to be lost. Pulvis Extirpans; or, the Powder a- gainst a Caruncle. Whatever is used against a Caruncle, ought so to be mo- derated, as not to inflame the Urethra; for so many fatal Symptoms might be brought on, that a total Suppression of Urine might ensue. This Powder is exactly proportion’d, and performs its Work gently, yet certainly. Mr. Wiseman's Powder and Plaister, used according to his Directions, are pretty effectual: He takes the Bark of Pomegranate powder’d two Drams, Al- lum powder’d a Scruple, Cerus one Ounce; as also he takes Red Precipitate one Ounce, Lapis Calaminaris three Drams, Vitriol calcin’d one Dram and a half, Plaister Diacalciteos six Ounces; mix and make a Plaister; which melted, is to be dawb’d over a Wax Candle: However, if it is not large, there are other Me- thods not so tedious nor so tormenting; which [55] which it is enough to have hinted at in this small Book. Many other Medicines I have for other Symptoms, experienced over and over successfully, which I will not trouble my Reader withal at this Juncture; only I shall add, that Method is the true Secret in Physick; and whoever does not study it, can have no Glory due to him; for nothing of Invention can issue from Ig- norance, and Chance will never make a Man wise, no more than a World will be fram’d out of Atoms jumbled toge- ther, as Lucretius wildly teaches. It might be easy for me to proceed in the ordinary Road, and bring my Vou- chers for the Cures I have done; but in the first place, I find none but poor and worthless Wretches who are willing to subscribe to this Method, and such I don’t value; for, depend upon it, I will not (like the Scheme-Maker) hire any to own the Favours I have done them; and for the Better sort, they hate even the Sight of a Person who has done them Service in this kind, lest they shou’d dis- cover, to their Prejudice, what they have too much in their Power; and indeed I should [56] should be of the same Opinion myself. And in the next place, this is done to persuade the World of the Goodness of a Medicine which they have good Reason to doubt of: And lastly, when these Gentlemen do us the Favour to balance the Account of such as Live and Die under their Methods, then would it be reasonable for the World to follow them, according to their Deserts; but they publish an Advertisement now and then, certifying what vast Advantage such and such have received by their Specificks and Elixirs; but not one Word is said of such as have died by the Neglect of better Remedies; Culpas eorum tegit terra. I shall then supersede all Discoveries of this kind, they being odious, and sit for nothing but to bring Reproach upon the Physician and the poor Patient; and shall proceed to a short Account of Specificks, as they are called, and demonstrate to Mankind the Extortion and Folly of these Pretenders and Presences. Indeed I must own, they are properly Specificks in their Sense; for as each Remedy is worth what it brings in of Profit, so they who get the most Money for their Specificks, fancy themselves the wisest Men, and their [57] their Specificks must be very Valuable; but I can’t stoop to this Sense of the Word, as will appear in the next Chap- ter. CHAP. V. Of Specificks, and the Abuse of the Name, and how it covers Ignorance and a Cheat. I Can’t but admire the Assurance of some Men, who adapt the Significa- tion of Specificks to their own Remedies, and who cry up a paltry Mixture for the finest Invention in the World; but my Wonder ceases, when I consider the Mat- ter in a different Light; for Profit will make a Man of no Honour say and do any thing; and as Mr. Dryden says, there is a certain sort of Impudence in Want. An Assertion or Authority in Physick, is like the Quotient in Division; no one is sure ’tis true, till it is proved; and I must in a particular manner let the World know, [58] know, that as no Person who is a Party concern’d, ought to be admitted as a Witness in that particular Case; there- fore Dr. Ch-b-l-n sharing in the Profits as he did, was an improper Judge of the Virtues of his Specifick, because the World could expert nothing from him but Elogiums, and extravagant Expressions to cry up this Specifick Panacæa: (as he term’d it, a learned Blunder!) But I may be answer’d, Why then so many Advertisements, if this were not a Real Specifick? In the first place, too much is pretended to be proved by these Ad- vertisers; for by them, it must be the Dew of Heaven! and this Gentleman has been stamp’d on purpose by the Almighty Power, to find out a Secret in a Profes- sion he is entirely ignorant of; (as a Re- ward, think we, for having dropt his Priestly Function?) In the next place, I have already told my Reader, that these Advertisements are hired at the Expense of a Guinea to the Advertiser, and at the Price of the Ad- vertisement also, as his printed Directions, which I have by me, do testify. As for a Specifick, I must acquaint my Reader, that I own no infinite Power in any [59] any natural Body, and therefore I cannot suppose any Material Acts beyond its Sphere; and particularly an Evacuating Remedy has little Leisure to correct any Humours, but hurries them off in the Position they are under; and what comes first to the Glands of the Guts, is first evacuated, and according to the Violence more or less is emptied; therefore if this wonderful Specifick stays in the Guts some few Hours, it is soon carried off again; and I must observe, that it is Phy- sically impossible that five or six Grains of any Medicine can produce those won- derful Alterations in the Blood and Juices so tainted; and therefore this is a ridiculous and an absolute Chouse, to de- lude poor Unfortunate People, and at once to empty their Bodies and their Purses. But this Gentleman returns to his Ar- gument, and tells me, Sir! Remark this Necklace! ’tis but a sorry one to look at! Nothing better for Teeth and Childbed- Women! Sir, ’tis an appended Remedy! only acts by Effluvia! weighs but a few Grains itself; and yet, Sir, take my Word for’t, it makes such Alterations in the Fluids, and such Impressions on the So- K lids, [60] lids, that, as the late worthy Dr. Ch-l-n said again, ’tis surprising. I shall not now give myself any Trouble about this Affair, only if its Effluvia were so strong as to make a Wind-Mill go, I cou’d tell him how to make it turn to good Advan- tage; and I can, in the mean while, tell the World, that if he pleas’d to affirm it would do so, he had then a Father to cite for his Assertion. But I have design’d this Chapter to convince the World how they are impo- sed on by some designing Men. First then I must inform you, that there is a Specifick Water made use of in Town for a Gonorrhœa: I had the Op- portunity of some brought to me by a Patient to make Trial of it; and ac- cordingly, upon dropping the common Fluids into it, it plainly appear’d by the Precipitates to be Mercury Sublimate, dis- solved in Water; the Danger of which (given internally) I have hinted at be- fore. Some time after, the Scheme-Maker's Specifick Elixir came to my Hands in the same manner, (as it often has since, together with his Specific Electuary:) I judged [61] judged it by the Taste to be Gum Guai- acum and Turpentine, dissolv’d in Spirit of Wine; and accordingly I evaporated the Spirit of Wine by Flame, and found the Spirit to be strongly rectify’d, for it evaporated entirely; and in the Spoon I found a Gum of the Colour of Gum Guaiacum, which, upon Taste, I found to be the very Gum; but, upon farther Trial, I believed I tasted Camphire in it; upon which I poured some of the Tin- cture into Water, and, upon pouring in a little Oil of Vitriol, the Water grew vehemently hot, and immediately at the Top swam the Camphire, which tasted and smelt very strong. The other Grand Specifick which he has made such a Noise about also, and to so little Purpose, (unless to deceive People of their Money and Health) is nothing but some of the common Purga- tives; such as Rosin of Jalap, Coloquin- tida, and Scammony, together with Mer. Dul. made up with Balsam of Capivi; and the Danger of giving Balsam Ca- pivi in the beginning of the Cure of Claps, Thousands, in this City, have ex- perienc’d to their Ruin. But my Aim here is this; Is it not a vile Imposition in K2 these [62] these Men, to dispose of such common, useless, and dangerous Medicines, at so extravagant a Rate? For neither of these can cost above 6 d. or 8 d. at most, and a Guinea is paid for them at Toy-Shops or elsewhere; upon which I say again, with the late worthy Dr. Chamberlen, ’tis very surprising. But what is most surprising to me, is, that Men of Sense and Worth should hazard their Lives and Fortunes, by buying Medicines at such Places, and taking them, without knowing the Au- thor, or where to apply to him upon the greatest Emergency. Besides, is Gum Guaiacum, Camphire, and Spirit of Wine, such a mighty Se- cret? or the Purgatives before hinted, with Balsam Capivi? No, they are such common things, that a Boy of Twelve Months Skill in Pharmacy wou’d be a- sham’d to boast of. As to my own Nostrums, I will give them up to any one to make what Trials they please upon them; they cannot find them out: But what is it to the Purpose if they shou’d? I can only say, I de- pend upon Judgment, and will not scru- ple to alter my Medicines as I see Occa- sion; for no Medicine can fit every Age and [63] and Constitution, nor is every Person that applies alike affected; some have a Bubo and a Running at the same time; others, a Bubo only: Some have a Sharp- ness of Water, and some have none: Some have watery Gleets, others a ropy one: Some have Shankers, others a Ca- runcle: Some have Strength enough, and Venom enough, to bear and re- quire strong and potent Remedies; others have a great deal of Poison in their Veins, and little Strength: And there- fore, I say, ’tis ridiculous and prepo- sterous to expose to Sale an Universal Remedy, which is suppos’d to be adapted to every one’s Age and Constitution; or to pretend to cure this Disease by a Dose or two of any Medicine, as some, who have more Assurance than Skill, fre- quently do; or with a Chymical Bolus, which is as much as if we should say with a Simple Compound, and that is full as pro- per as to fay a long Circle, or a Circular Quadrangle. --Sibi convenientia finge, Scriptor. Since my writing this Sketch of the Venereal Disease, Practice has furnish’d me [64] me with Cases enough to convince Rea- ders how little I am out in my Con- jectures as to the Practical Scheme, which I shall briefly insert for their sakes. A young Gentleman having contract- ed a Venereal Taint, and being asham’d to reveal his Case, bought at Mrs. Gar- raway's the Specifick Electuary and Elixir, at the Price of Two Guineas; and tho’ the Directions were follow’d, yet he was oblig’d to apply to me for Assistance, having a Shanker and a Phymosis upon him, and was cured by my Antivenereal Pills and Specifick Powders, along with Applications proper for his Shanker, &c. NB. 'Twas by the Favour of this Gentleman I had the Electuary and Elixir I made Trials on. Another Gentleman, who had been treated by a Surgeon, and who had us’d the Specifick likewise, but was cured by neither; upon the Perusal of this Trea- tise apply’d to me for Assistance: He was afflicted with a watery Gleet, a Pain at the Root of his Penis, and a continual Heat along the Urethra: He was treated with my Elect. Mirab. my Spirit Anti- dysu- [65] dysuricus, and Balsamick Pills, and effe- ctually cured. Upon the Perusal of my Book, I was consulted by a Gentleman of near fifty, who labour’d under a constant Gleet, and had been so afflicted for many Years. I cured him with my Balsamic Electuary and my Balsamic Pills; upon which we were both of us well satisfy’d. A young Man brought upon himself, by Onanism, a Weakness in the Seminals; after he had perus'd my Book, he ap- ply’d, and was perfectly cured by my Balsamic Electuary and Pills. A Captain of a Ship (under the Hat- ches) bought the Specifick, and injected according to Directions; the Success was a Translation of the Matter to the Scro- tum, which swell’d prodigiously: Upon reading this Pamphlet, he apply’d, and with my Anti venereal Pills and Powders, and proper Topics to the Scrotum, in a Month’s time we dismiss’d each other well satisfy’d. Whilst this was writing, a Gentleman’s Servant apply’d, who some time since had got the Distemper, and bought a Guinea Pot of the Specifick, which soon stop his Running: He laid out Three Guineas [66] Guineas more, to confirm the Cure, (as he term’d it;) but about Three Months after, he found he had only barter’d his CLAP for a POX. Such Effects the Balsam Capivi will mod certainly have when improperly administer’d, as Thou- sands many Years ago have dearly ex- perienc’d. The Specificks had the following Con- sequences attending their Use, a Stop- page of the Gleet, a Pain in the Back, a Weariness in the Thighs, a Scalding in the Urine, with fleshy Filaments in it. Upon buying this Book, he confess’d his Mistake in believing a Possibility of Uni- versal Remedies. In five Weeks I dis- miss’d him, recover’d perfectly. Since the Publication of the Third Edition, the following Remarkable have happen’d from the Use of the Specifick; one took Thirty Pots of it, Part of the Bone of his Nose grew Carious, which fell off with blowing it: The Surprise was great, and he apply’d himself to me, (having seen my Book) and was by proper Care perfectly restor’d to his Health, and the Nose sav’d without be- ing disfigur’d. A Second spent Five Guineas [67] Guineas on the Specifick, but yet was un- cur’d; whom I restor’d perfectly. This Person gave me to understand, how he had unwarily abused a Friend of his by the Specifick; for, said he, I recommend- ed it as an admirable Medicine, that had cur’d me, (as I then unfortunately believ’d) so he purchas’d it; but his Friend found his Remedy in the Hospi- tal only. A Third had his Running stop by one Pot: After three Months he marry’d to a very virtuous Woman, and presently appear’d a Shanker, a Bu- bo, and a Swelling of his Testicles; a sufficient Caution for all sorts of Peo- ple not to trust to these pernicious Me- dicines in Cases of this Nature. His Wife shar’d of the Misfortune, and both were oblig’d to apply for Remedy. These Histories can be well attested, and I wish ’twere all the Injury could be prov’d against its Use. But such is the Efficacy of Noise and Vouchers, that the World will try, and then repent; Wisdom is valu’d by its high-pric’d Pur- chase. These few Cases I was willing to in- sert, in order to convince the World of the Inefficacy of Universal Remedies; L more [68] more I did not, because we are hardly at full Liberty to day all we wou’d. I hope I shall not be look’d on as idle in my Generation, if I to these few Ad- ditions subjoin a little Digression on the Gout, and discover to the World a new Collusion in this Particular. This Disorder has so much hitherto baffled the Endeavours of Physicians, that they now at last begin to conclude it an useless Enquiry to seek after its Cure; and he would only convince the World of a superlative Folly, who wou’d go about to reason Persons into an Opi- nion of Specificks for it, at a time when the most diligent Practitioners give over such Attempts. Has it ever been known that any Remedy was yet found out to prevent a Return of the Gout, nay, which did not throw it upon the Bow- els, and lay the Foundation for a Nest of Distempers? Jumbles of Words which Pretenders join together, without Cohe- rence or Design, may cajole an unthink- ing Multitude into a Belief, that some- thing Extraordinary is attempted, be- cause somewhat Extraordinary is pro- mis’d, but the Men of Brains never judge [69] judge of a Book by its specious Title; those stale Tricks are out of Date. The Learned talk of Indigestions and Periods, which are never reliev’d; they speak of Natural Tendencies which they only can further; and the Unlearned prate of Specificks cook’d up for the Mar- ket. The Difference then is, that the Modesty of the former instructs us how cautiously we ought to proceed in ma- naging Human Carcasses; but the latter aim at the Disposal of their Wares. In short, the Atoms plainly discoverable by the latter, are never to be seen (even with the nicest Glasses yet fram’d) by the former; but the Auri sacra fames makes Men very clear-sighted; for this the World runs unfathomable Lengths. A Sydenham, a Lister, a Musgrave, a Wintringham, must sink under the Weight of the New System; and were this to hold true in all the Branches of Sciences, Learn- ing must yield to Ignorance, and Re- ligion to Enthusiasm. Happy Age! in which the BLIND only hit the Mark! I shall in few Words dispatch this Affair under Consideration; but first, it will not be deem’d from the Purpose to L2 relate [70] relate the Particulars of the Trials made on the Anti-arthritick Specifick Tincture: One of the Purchasers made me a Pre- sent of a little of this pretended Specifick, which I try’d in the following manner: I exhal’d, as also in another Trial defla- grated, the Spirit of Wine, which I found rectified, and there was left behind a Gum, which I found to be Gum Guaiaci. I pour’d some of the Tincture into Water, and it immediately turn’d Milky, as all Gummous Bodies are ob- serv’d to do: To this Milky Liquor I pour’d on Ol. Vitriol. and presently the Camphire emerg’d, and smelt then very strong. This Trial having answer'd, and being like the Specifick mention’d in the Practical Scheme, I try’d that a- gain in the same manner as mention’d, and all the Difference I found was, that in this latter Specifick there was more Camphire, and in the Venereal Specifick there was more Gum Guaiaci; but in both of them I find a little Scammony; so that the Difference between these two Specifics is plainly no other, compara- tively speaking, than Beer and Ale, and Ale and Beer. Is [71] Is it possible then for Collusion to run higher than in this pretending Scribbler! Can he believe the World is grown so credulous, that he may impose any fri- volous Change upon them for wonder- ful Secrets? Or does he believe it is so Ignorant or Idle, as to take all he affirms upon Trust? No, these Banters are not like to be swallow’d down, nor succeed much longer; nor shall I cease in every following Edition to expose all such vain Pretensions to the Publick. To add some Reasoning upon the Point, I must remark to you what have been the standing Opinions concerning this Disease. Dr. Sydenham, and most Authors before and after him, have given it in as their common Sentiments, that the Humour resting in the Joints, is such as cannot freely pass the Glands, and the other minute Passages adjacent; and the Wiser of the Faculty have ad- ded, that this Humour is so noxious, that it cannot be safely translated from thence into the Blood again. If then nothing can effectually put a stop to the Humours being thrown upon the Joints; and I think we may safely enough af- firm, that nothing has hitherto been dis- [72] discover’d which has had this Effect; I must then necessarily conclude, that it is not safe to apply any thing exter- nally, which will throw this Humour back again into the Blood. Now what is any Tincture apply’d externally, but dispersing this Humour, and throwing it upon the Bowels? but shou’d it not do this, ’tis not owing to the Care of this Prater. Let it not be any farther affirm’d so boldly, how many are cured of this Distemper; but let them tell the Story half a Year hence; let them then give us an Account whether they are not afflicted again and again, and then we shall be able to judge of its Efficacy. I cannot disown that Dr. Sydenham's Method of giving Bitters is useful to attenuate the Juices, and to evacuate a share of them by the Pores; but neither he, nor any other since him, have ever affirm’d that Returns of the Gout were for ever prevented by such Medicines: And yet a Person without Skill on Hu- man Bodies, or in the Practice, shall set up to be an Æsculapius! ’tis to me surprising, both because of the Igno- rance of the Pretender, and the known Impossibility of the thing to be dore. It [73] It were however Folly to deny that Fitts of the Gout may be staved off for a con- siderable time, or that their Violence may be so abated, that Gouty Persons may live with some Comfort, and enjoy the Gout and Health together, as I may justly say. This Secret is worth the Gouty Per- son's while; and if my Subject were not foreign to the Business, I could descend to some surprising Particulars, which I have no room to mention here; there- fore I will defer this Head till a more convenient Opportunity, to communi- cate my Thoughts to the Publick, and let them see how willing as well as capable I am to serve them. But if the World is resolv’d to favour the aforesaid Impo- sitions, ’tis their own Choice, not Want of Discovery in me. Thus, my dear Readers, have I for your Sakes said much in a little Com- pass: I have, it is true, decry’d some Mens Practices, but I hope I have done it with good Manners and Decency; and as Mens Lives and Health lie at stake, I could hardly say less. I am not how- ever insinuating that I alone possess Se- crets for this Disease, which other Men have [74] have not; no, I admire and kiss the Feet of the Learned Body of Physick in this City: I cannot enough praise the Industry and Ingenuity of our Body of Surgeons in this great Metropolis, who of late Years have outdone those Mon- sieurs, who carry too much Sway even yet; but how deservedly, they only know, who are skill’d in this Noble Art; Those Gentlemen being regular in their Proceedings, I allow them all that they can request of me; and I hope they will also allow me some Competency of Knowledge in this one Point, in which I have labour’d so long with Success, as will appear to any considering Person; for ’tis odds but he that applies to one Distemper only, shall discover some- what Particular, which another who has not a Patient in a quarter of a Year has no Opportunity to do. And this, dear Reader, I hope, to your Comfort, is my Case. From my House, at the Golden-Ball and Lamp in Bow Church-yard, in Cheapside. POST- POSTSCRIPT. IF after all that hath been said, there be any who thro’ Bashfulness, or any other Reason, will not appear them- selves, let such send a true State of their Case in Writing, and they shall have proper Remedies sent ’em; but no Let- ters will be answer’d, either in Town, or from the Country, unless such as bring Orders for Medicines; and Money is expected on the Delivery of them. M THE THE TABLE. CHAP I. THE Introduction to the Book. Page I. Experience is the Foundation upon which this Book is built. p. 2. An Appeal to the World that I have hi- therto dealt fairly by them. p. 3. The Design of this Book is to recount to the World experienced Facts. p. 4. A Description of Infection. p. 4. Ulcers in the Vagina of Women how dis- cover'd. p. 5. The Signs of a Clap. p. 6. Whether the Occasion of a Clap be an Acid or Alcali, is not very material. ibid. M2 How The Table. How the Infection steals upon Patients p. 7. What a Phymosis and Paraphymosis are, and how they are discover'd. ibid. Swell'd Testicles. p. 8. Warts on the Anus, and Shankers on the Glans. ibid. Buboes on the Groins. p. 9. The Hernia Varicosa, what. ibid. How Symptoms are produced in the Blood, Nerves and Blood. ibid. How the Nerves and Bones become preju- diced. p. 10. The Manner of their being affected parti- cularly explained. p. 11. What Medicines are usually given in this Disease. p. 12. What convinces us of the Nature of the Cause of this Disease. ibid. An Objection against this Explanation an- swer'd. ibid. & 13. My Pretensions to Practice on this Disease vindicated. p. 13. Collusions of the Author of the Practical Scheme. p. 14. CHAP. The Table. CHAP. II. OF the Symptoms. p. 15. Signs of a Clap. ibid. Of Shankers. ibid. Of Buboes, ibid. Of inflamed Testicles. p. 16. Of Caruncles. ibid. Of Stranguries. p. 17. Of Nocturnal Pains. ibid. Of rotten Bones. ibid. Of Nodes. p. 18. Of a Phymosis and Paraphymosis. ibid. Of a Cordee. ibid. Of Blotches. p. 19. Of Nervous Disorders. ibid. Why we grow pale and lean. p. 20. Of the many dangerous Symptoms that fol- low the Pox. p. 21. CHAP. III. OF the Prognosticks. p. 22. Such as have been seized with this Disease about the Genitals are easily cured, The Table. cured, unless the Blood hath been also tainted, and proper Remedies have been neglected. p. 22, 23, 24. The rooted Degree ought to be carefully treated. p. 25. A Bubo appearing, of use to the Cure of a Pox. p. 26, 27. A Pox with an Hoarsness accompanying it, dangerous. p. 27. Ulcers of the Mouth dangerous. ibid. That Leanness and Barrenness often ensue upon the Pox. p. 28. Why Women less dangerously afflicted with the Venereal Disease ibid. Whether the Seasons make this Disease more dangerous. p. 28, 29. A simple Gonorrhœa, how dangerous. p. 29. Asthma's dangerous. ibid. Fluxes come upon inveterate Poxes. p. 30. Why I have been more particular on the Prognostics in this Edition. ibid. When the Blood is tainted, what is to be done. p. 31. In the last degree what can be done. ibid. Bold Promises have no Grounds. ibid. CHAP. The Table. CHAP. IV. OF the Cure. p. 32. In the Pox what Parts are affected. ibid. The Cure of a Gonorrhœa in general. ibid. Short but dangerous Methods and Cheats in Town. p. 33. The usual Methods for the various Symp- toms of the Pox made mention of. p. 34. Shankers how eradicated. p. 35. Buboes how cured. p. 36. Heat of Urine how remedied. ibid. Cordees how cured. ibid. My Electuarium Mirabile; what Degree of the Pox it is effectual in. p. 36. What is to be done when the Venom is rooted. p. 37. What I mean by strong Remedies. p. 38. What is meant by Causes. ibid. The Use of Diaphoreticks in Poxes. p. 39. High Salivations, and such as are raised by Unction, are dangerous, and not more successful than gentle ones. p. 40. Whether the Disease be cured when its chief Symptoms disappear. p. 41. Diu- The Table. Diureticks are of no use in the rooted Poxes. p. 42. Observations on Diureticks. ibid. Some aim to throw the Pox off by a Saliva- tion rais'd for the Space of two Hours in a Day, which is vain. p. 43. A full Account of the Danger of Injections, when and how they may be used. p. 43, 44, 45. How far Preventives may be communica- ted to the Public. p. 46. A Maxim which holds good thro' all the Stages of the Pox. p. 46, 47. Sweats alone seldom complete the Cure. p. 47. How a Course of altering Medicines must be used. p. 48. A Salivation. ibid. A Physician ought to use the safest Methods to cure this Malady. p. 49. My Electuarium Mirabile, its due Enco- miums. p. 49. My Antivenereal Pills, and their just Prai- ses. p. 50. My Specifick Powder. ibid. My Balsamic Electuary. p. 51. My Liniment for Shankers. ibid. My Plaister for Buboes. p. 52. My Powder and Spirit against scalding of Urine. p. 53. My The Table. My Plaister and Ointment for Nodes. p. 53. My Powder against a Caruncle. p. 54. Mr. Wiseman's Powder and Plaister a- gainst Caruncles. ibid. What is the true Secret in Physick. p. 55. Vouchers for Cures, a base Practice in the Venereal Disease. ibid. & 56. CHAP. V. OF Specificks and the Abuse of the Name, and how it covers Ignorance and a Cheat. p. 57. The Assurance of common Empiricks. ibid. No Assertion in Physick to be trusted till ex- perienced. ibid. Advertisements, how hired. p. 58. What a Specifick is. p. 58, 59. What are the Cheats of Physick in Town. p. 59. A Specifick Water against a Clap, dan- gerous. p. 60. A Specifick Elixir also dangerous. ibid. What it is. p. 61. The Grand Specifick. ibid. My own Nostrums. p. 62. N An The Table An universal Remedy is impossible. p. 63. A Chymical Bolus, what. ibid. Histories of Cures, when People have been spoiled by others. p. 64. Onanism by me. p. 65. The Cure of an old Gleet. ibid. Bones falling off from the Nose cured b. me. p. 66y A Digression on the Gout. p. 68. What the Gout is occasioned by. p. 69. Trials made upon several of the Town Me- dicines, and what they are. p. 70. Collusions great in Pretenders. p. 71. Sydenham’s Sentiments on the Gout. p. 71. His Method of Cure. p. 72. How we may enjoy Health and the Gout together. p. 73. The Conclusion. p. 73, 74. FINIS.