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The Sweating Sickness

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Auoidance, because it cãnot be safely done withoute the healpe of a good Phisicien, I let passe here, expressing howe it shoulde bee done duelye accordinge to the nature of the disease and the estate of the personne, in an other booke made by me in Latine, vppon this same matter and disease. Who therfore lusteth to see more, let him loke vpon that boke. Yet here thus much wil I say, that if after euacuation or auoiding of humors, the pores of the skinne remaine close, and ye sweating excrement in the fleshe continueth grosse (whiche thinge howe to know, hereafter I will declare) then rubbe you the person meanly at home, & bathe him in faire water sodden with Fenel, Chamemil, Rosemarye, Mallowes, & Lauendre, & last of al, powre water half colde ouer al his body, and so dry him, & clothe him. Al these be to be don a litle before ye end of ye spring, that the humours may be seatled, and at rest, before the time of the sweting, whiche cometh comonly in somer, if it cometh at al. For the tormoiling of the body in that time when it ought to be most quiete, at rest, and armed against his enemy, liketh me not beste here, no more then in the pestilence. Yet for the presente nede, if it be so thoughte good to a learned and discrete Phisicien, I condescend the rather. For as in thys, so in alle others before rehearsed, I remytte you to the discretion of a learned manne in phisike, who maye iudge what is to be done, and how, according to the present estate of youre bodies, nature, custome, and proprety, age, strength, delyghte and qualitie, tyme of the yeare, with other circumstaunces, and thereafter to geue the quantitie, and make diuersitie of hys medicine. Other wise loke not to receiue by this boke that good which I entend, but that euel which by your owne foly you vndiscretelye bring. For good counseil may be abused. And for me to write of euery particular estate and case, whiche be so manye as there be menne, were so great almost a busines, as to numbre the sandes in the sea. Therfore seke you out a good Phisicien, and knowen to haue skille, and at the leaste be so good to your bodies, as you are to your hosen or shoes, for the wel making or mending wherof, I doubt not but you wil diligently searche out who is knowẽ to be the best hosier or shoemaker in the place where you dwelle: and flie the vnlearned as a pestilence in a comune wealth. As simple women, carpenters, pewterers, brasiers, sopeballesellers, pulters, hostellers, painters, apotecaries (otherwise then for their drogges,) auaunters thẽ selues to come from Pole, Constantinople, Italie, Almaine, Spaine, Fraunce, Grece and Turkie, Inde, Egipt or Jury: from ye seruice of Emperoures, kinges & quienes, promising helpe of al diseases, yea vncurable, with one or twoo drinckes, by waters sixe monethes in continualle distillinge, by Aurum potabile, or quintessence, by drynckes of great and hygh prices, as though thei were made of the sũne, moone, or sterres, by blessynges and Blowinges, Hipocriticalle prayenges, and foolysh smokynges of shirtes Smockes and kerchieffes, wyth suche others theire phantasies, and mockeryes, meaninge nothinge els but to abuse your light belieue, and scorne you behind your backes with their medicines (so filthie, that I am ashamed to name theim) for your single wit and simple belief, in trusting thẽ most, whiche you know not at al, and vnderstãd least: like to them whiche thinke, farre foules haue faire fethers, althoughe thei be neuer so euel fauoured & foule: as thoughe there coulde not be so conning an Englishman, as a foolish running stranger, (of others I speake not) or so perfect helth by honest learning, as by deceiptfull ignorance. For in the erroure of these vnlerned, reasteth the losse of your honest estimation, diere bloudde, precious spirites, and swiete lyfe, the thyng of most estimation and price in this worlde, next vnto the immortal soule.

For consuming of euel matter within, and for making our bodies lustye, galiard, & helthful, I do not a litle comende exercise, whiche in vs Englishe men I allowe quick, and liuishe: as to runne after houndes and haukes, to shote, wrastle, play at Tẽnes and weapons, tosse the winde balle, skirmishe at base (an exercise for a gentlemanne, muche vsed among the Italianes,) and vaughting vpon an horse. Bowling, a good excercise for women: castinge of the barre and camping, I accompt rather a laming of legges, then an exercise. Yet I vtterly reproue theim not, if the hurt may be auoyded. For these a conueniente tyme is, before meate: due measure, reasonable sweatinge, in al times of the yeare, sauing in the sweatinge tyme. In the whiche I allow rather quietnesse then exercise, for opening the body, in suche persons specially as be liberally & freely brought vp. Others, except sitting artificers, haue theire exercises by daily labours in their occupatiõs, to whom nothing niedeth but solace onely, a thing conuenient for euery bodye that lusteth to liue in helth. For els as nõ other thing, so not healthe canne be longe durable. Thus I speake of solace, that I meane not Idlenesse, wisshing alwayes no man to be idle, but to be occupied in some honest kinde of thing necessary in a cõmon welth. For I accompt thẽ not worthi meate & drink in a cõmõ welth, yt be not good for some purpose or seruice therin, but take thẽ rather as burdennes vnprofitable and heauye to the yearth, men borne to fille a numbre only, and wast the frutes whiche therthe doeth giue, willing soner to fiede the Lacedemonians old & croked asse, whiche labored for the liuing so long as it coulde for age, then suche an idle Englisshe manne. If the honestye and profite of honeste labour and exercise, conseruation of healthe, preseruation from sickenesse, maintenaunce of lyfe, aduauncement, safety from shamefull deathes, defence from beggerye, dyspleasures by idlenesse, shamefulle diseases by the same, hatefulle vices, and punishemente of the immortalle soule, canne not moue vs to reasonable laboure and excercise, and to be profitable membres of the commune welthe, let at the least shame moue vs, seyng that other country menne, of nought, by their owne witte, diligence, labour and actiuitie, can picke oute of a cast bone, a wrethen strawe, a lyghte fether, or an hard stone, an honeste lyuinge: Nor ye shal euer heare theym say, alas master, I haue nõ occupaciõ, I must either begge or steale. For they can finde other meanes betwene these two. And forsomuche as in the case that nowe is, miserable persons are to be relieued in a cõmon welth, I would wisshe for not fauouring the idle, the discretion of Marc. Cicero the romaine were vsed in healping them: Who wolde compassion should be shewed vpon them, whome necessitie compelled to do or make a faute: & no cõpassion vpon them, in whome a faulte made necessitie. A faulte maketh necessitie, in this case of begging, in them, whyche might laboure and serue, & wil not for idlenes: and therfore not to be pitied, but rather to be punished. Necessitie maketh a fault in thẽ, whiche wold labor and serue, but cãnot for age, ĩpotẽcy, or sickenes, and therfore to be pitied & relieued. But to auoyde punishmente & to shew the waye to amendmente, I would again wishe, yt forsomuch as we be so euel disposed of our selfes to our own profites and comodities with out help, this old law were renued, which forbiddeth the nedy & impotent parentes, to be releued of those their welthi chyldren, that by theym or theire meanes were not broughte vppe, eyther in good learning and Science, or honeste occupation. For so is a man withoute science, as a realme withoute a kyng. Thus muche of exercise, and for exercise. To the which I wolde now ioyne honeste companye betwene man and woman, as a parte of natural exercise, and healpe to ye emptieng & lightning the bodye in other tymes allowed, in this sweating tyme for helthes sake, & for feare of opening the bodye, and resoluing the spirites, not approued, but for dout, that wt lengthing the boke, I shold wery ye reader. Therfore I let yt passe & come to sleping & waking, whiche without good ordre, be gretly hurtful to the bodie. For auoiding the whiche, I take the meane to be best, and against this sweat moste commendable. But if by excesse a man must in eyther part offend, I permit rather to watch to muche, then to lie in bedde to longe: so that in watchinge, there be no way to surfetting. Al these thinges duely obserued, and well executed, whiche before I haue for preseruation mencioned, if more ouer we can sette a parte al affections, as fretting cares & thoughtes, dolefull or sorowfull imaginations, vaine feares, folysh loues, gnawing hates, and geue oure selues to lyue quietly, frendlie, & merily one with an outher, as men were wont to do in the old world, whẽ this countrie was called merye Englande, and euery man to medle in his own matters, thinking theim sufficient, as thei do in Italye, and auoyde malyce and dissencion, the destruction of commune wealthes, and priuate houses: I doubte not but we shall preserue oure selues, bothe from this sweatinge syckenesse, and other diseases also not here purposed to be spoken of.

The cure or remedy. But if in leauinge a parte these or some of them, or negligently executing them, it chaunceth the disease of sweating to trouble our bodies, then passinge the bondes and compasse of preseruation, we must come to curation, the way to remedie the disease, & the third and last parte (as I first sayed) to be entreated in this boke. The principalle entente herof, is to let out the venime by sweate accordinge to the course of nature. This is brought to passe safely two waies, by suffring and seruing handsomly nature, if it thruste it oute readily and kindely: and helping nature, if it be letted, or be weake in expellinge. Serue nature we shall, if in what time so euer it taketh vs, or what so euer estate, we streyghte lay vs downe vppon oure bedde, yf we be vp and in oure clothes, not takyinge them of: or lie stille, if we be in bed out of our clothes, laiyng on clothes both wayes, if we wante, reasonably, and not loadinge vs therewith vnmeasurably. Thus layed and couered, we must endeuoure our selues so to continue wyth al quietnes, & for so much as may be without feare, distruste, or faintehartednesse, an euel thinge in al diseases. For suche surrendre and geue ouer to the disease without resistence. By whiche occasion manye more died in the fyrste pestilence at Athenes, that I spake of in the beginnynge of thys boke, then other wyse should. Oure kepers, friendes and louers, muste also endeuoure theym selues to be handesome and dilygente aboute vs, to serue vs redilye at al turnes, and neuer to leaue vs duringe foure and twentie houres, but to loke welle vnto vs, that neyther we caste of oure clothes, nor thruste out hande or foote, duryng the space of the saide foure and twenty houres. For albeit the greate daungere be paste after twelue houres, or fourtene, the laste of trial, yet many die aftre by to muche boldenes, when thei thinke theim selues most in suretye, or negligence in attendaunce, when they thinke no necessitie. Wherby it is proued that without dout, the handsome diligence, or carelesse negligence, is the sauing, or casting awaye of many. If ij. be taken in one bed, let theym so continue, althoughe it be to their vnquietnesse. For feare wherof, & for the more quietnesse & safetye, very good it is duryng all the sweating time, that two persones lye not in one bed. If with this quietnes, diligẽce, and ordre, the sicke do kindelye sweate, suffre them so to continue, without meate all the xxiiij houres: withoute drincke, vntil the fifth houre, if it maie be. Alwayes taking hede to theim in the fourth, seuenth, nineth, & eleuenth houres speciallye, and fourteenth also, as the laste of triall and daungier, but of lesse in bothe. For these be most perilous, as I haue obserued this yere in this disease, hauing ye houres iudicial, as others haue theire dayes, and therfore worse to geue anye thinge in, for troublyng nature standyng in trialle. Yet wher more daunger is in forbearyng then in takyng, I counseill not to spare in these howres to do as the case requireth with wisdome & discretion, but lesse then in other howres. In the fifthe howre geue theim to drinke clarified ale made only doulcet with a litle suger, out of a cruet, or glasse made in cruet facion, with a nebbe, for feare of raisynge theim selues to receiue the drinke offered, & so to let the sweat, by the ayer strikyng in. But if the sicke on this wise beforesaid canot sweate kyndly, then nature must be holpen, as I sayd before. And for so moch as sweat is letted in this disease fower waies, by disorder, wekenes of nature, closenes of the pores in the skinne, & grosnes of the humoures: my counseil is to auoide disorder by suche meanes as hetherto I haue taught, and next to open the pores if they be close, and make thinne the matter, if it be grosse, and prouoke sweat, if nature be weke. Those you shal doe by gentle rubbynges, this by warme drinckes as hereafter streight I will declare. And for that euery man hath not the knowlege to discerne which of these is the cause of let in sweatyng, I wil shewe you plainly howe to do with moste suretie and leste offense. I wyll beginne with wekenes of nature. Therefore remember well that in treatynge the causes of this disease, I sayed that this sweate chauncethe cõmonly in theim of the mydde age and beste luste, the infection hauyng a certein concordance, or conuenience with the corrupte spirites of theim more then others. Knowe agayne that nature is weke, ij. waies, either in the selfe, or by the annoiance of an other. In the selfe, by wante of strength consumed by sicknes or other wise. By annoiaunce of an other, when nature is so ouerlaid with the quantitie of euill humours that it can not stirre. Betwene thes two set youre witte, and se whether the persõ be lustye or sickly. If he be lustye, vnderstande that the sweat doth not stoppe for wekenes of nature in it selfe. Then of necessitie it must be for some of thother causes. But for whiche, thus knowe. Consider whether the lusty person were in foretyme geuen to moche drynkyng, eatyng and rauenyng, to moch ease, to no exercise or bathinges in his helth, or no. If all these you finde in him, knowe that bothe nature is wekened by the annoiance of the humoures, and that the skinne is stopped, and the humoure grosse, and that for thys the sweate is letted. If you finde onely some of these, and that rauenynge, annoiance is the cause. If want of exercise or bathinges, stoppinges of the pores and closenesse, or grosenes of humours, or bothe, be the cause of not sweatying. On the othersyde, if the persõ be sickely, it is easely knowẽ that his wekenes consisteth in nature the self. And for so moche as weke folkes and sicke shal also by other causes not sweate, consider if in his sickenes he hath swette moche or no, or hath bẽ disposed to it and coulde not. If he neither hath swette, nor coulde sweat disposed, knowe that closenes of the skinne, and grosenes of the humour is the cause. Therfore euery thing in his kynde muste be remedied, Wekenes of nature, by drinkes prouokyng sweate: closenes, & grosenes, by rubbynge, as I said. But be ware neither to rubbe or geue drinkes, excepte you see cause as beforesayd. For other wise, the one hindrethe nature, and thother letteth out the spirites & wasteth ye strength. Therefore accordyngly, if rubbe you must, geue to the sicke in to their beddes a newe and somewhat harde kerchefe, well warmed but not hote, and bydde theim rubbe all their bodies ouer therewith vnder the clothes, neither to moche neither to litle, nor to harde or to softe, but meanely betwene, takyng you hede whiche be aboute them, that by stirrynge their armes they raise not the clothes to let in the ayer. This done, if case so require, geue thẽ a good draught of hote possette ale made of swiete milke turned with vinegre, in a quarte wherof percely, and sage, of eche haulfe one litle handfull hath been sodden, wyth iii. sliftes of rosemary, ii. fenel rootes cutte, and a fewe hole maces. Alwaies remembrynge here, as in other places of this boke, to heate the herbes in a peuter dishe before the fyre, or washe theim in hote water, before you putte them in to the posset ale, and that you putte their to no colde herbes at any tyme durynge the hole fitte. Or geue theim posset ale hote with rosemary, dittane, & germander. Or baie beries, anise seades, & calamintes with claret wine sodden and dronke warme. Or white wine with hore and wilde tansy growen in medes sodden therin, and ii. d. weight of good triacle, dronke hote, or in ye stede of that, wilde tanesy, mogwort or feuerfue. These prouoke sweat, may easely be hadde, & be metest for thẽ which haue al ye causes beforesayde of lettyng thesame. But specially if for colde and grose humoures, or for closenes of the skinne, the sweate commethe not furthe. If with one draught they sweate not, geue theim one other, or ij. successiuely, after halfe one houre betwene, and encrease the clothes, first a litle aboue the meane, after, more or lesse as the cause requireth, & make a litle fire in the chamber of clene woode, as ashe & oke, with the perfume of bdellium: or swiet woode, as Juniper, fyrre, or pine, by theimselues: remembrynge to withdrawe the fire, when they sweat fully, and the clothes aboue the meane, by litle and litle as you laide theim on, when they firste complaine of faintyng. And after xii. or xiiii. houres, some also of the meane, but one after an other by halfe one houre successiuely with discrecion, alwaies not lokyng so moche to the quantitie of the sweat, as what the sicke may saufely beare. And in suche case of faintynge, suffer competent open aier to come into the chamber, if the same and the wether be hote, for smoderynge the pacient, by suche windowes as the wynde liethe not in, nor openeth to the south. Put to their noses to smell vinegre and rose water in an handkercher, not touchynge theim there with so nighe as maye be. Cause theim to lie on their right side, and bowe theim selues forward, call theim by their names, and beate theim with a rosemary braunche, or some other swete like thynge. In the stede of posset ale, they whiche be troubled with gowtes, dropsies, reumes, or suche other moiste euill diseases, chauncing to sweat, may drinke a good draught of the stronger drinke of Guaiacum so hote as they can, for the lyke effecte, as also others may, not hauynge these deseases, if it be so redy to theim as the other. After they ones sweat fully, myne aduise is not to geue any more posset ale, but clarified ale with suger, duryng the hole fitte, neither vnreasonably, nor so ofte as they call for it, neither yet pinchyng theym to moche when they haue nede, alwayes takynge hede not to putte any colde thynge in their mouthe to cole and moiste them with, nor any colde water, rose water, or colde vinegre to their face duryng the sweat and one daie after at the leaste, but alwaies vse warmeth accordynge to nature, neuer contrariyng thesame so nighe as may be. If they raue or be phrenetike, putte to their nose thesame odour of rose water & vinegre, to lette the vapoures from the headde. If they slepe, vse theim as in the case of faintyng I said, with betyng theim and callynge theim, pullyng theim by the eares, nose, or here, suffering them in no wise to slepe vntil suche tyme as they haue no luste to slepe, except to a learned mã in phisicke the case appere to beare the contrary. For otherwise the venime in slepe continually runneth inward to ye hart. The contrary hereof we muste alwaies intende, in prouokyng it outwarde by all meanes duryng the fitte, whyche so longe lasteth in burnynge and sweatyng, as the matter thereof hath any fyrie or apte partes therfore. For as great & strong wine, ale, or bere, so longe do burne as there is matter in theim apte to be burned, and then cesse when that whiche remainethe is come againe to hys firste nature: that is, to suche water clere & vnsauery, as either the bruer receiued of the riuer, or vine of the earth: euen so the body so longe continuethe burnynge and sweatynge, as their is matter apte therefore in the spirites, and then leaueth, when the corrupcion taken of the finest of the euill blode is consumed, and the spirites lefte pure and cleane as they were before the tyme of their corruption.