In this kind of melancholy one of the most offensive symptoms is wind, which, as in the other species, so in this, hath great need to be corrected and expelled.
The medicines to expel it are either inwardly taken, or outwardly. Inwardly to expel wind, are simples or compounds: simples are herbs, roots, &c., as galanga, gentian, angelica, enula, calamus aromaticus, valerian, zeodoti, iris, condite ginger, aristolochy, cicliminus, China, dittander, pennyroyal, rue, calamint, bay-berries, and bay-leaves, betony, rosemary, hyssop, sabine, centaury, mint, camomile, staechas, agnus castus, broom-flowers, origan, orange-pills, &c.; spices, as saffron, cinnamon, bezoar stone, myrrh, mace, nutmegs, pepper, cloves, ginger, seeds of annis, fennel, amni, cari, nettle, rue, &c., juniper berries, grana paradisi; compounds, dianisum, diagalanga, diaciminum, diacalaminth, electuarium de baccis lauri, benedicta laxativa, pulvis ad status. antid. florent. pulvis carminativus, aromaticum rosatum, treacle, mithridate &c. This one caution of Gualter Bruell is to be observed in the administering of these hot medicines and dry, "that whilst they covet to expel wind, they do not inflame the blood, and increase the disease; sometimes" (as he saith) "medicines must more decline to heat, sometimes more to cold, as the circumstances require, and as the parties are inclined to heat or cold."
Outwardly taken to expel winds, are oils, as of camomile, rue, bays, &c.; fomentations of the hypochondries, with the decoctions of dill, pennyroyal, rue, bay leaves, cumin, &c., bags of camomile flowers, aniseed, cumin, bays, rue, wormwood, ointments of the oil of spikenard, wormwood, rue, &c. Areteus prescribes cataplasms of camomile flowers, fennel, aniseeds, cumin, rosemary, wormwood-leaves, &c.
Cupping-glasses applied to the hypochondries, without scarification, do wonderfully resolve wind. Fernelius consil. 43. much approves of them at the lower end of the belly; Lod. Mercatus calls them a powerful remedy, and testifies moreover out of his own knowledge, how many he hath seen suddenly eased by them. Julius Caesar Claudinus respons. med. resp. 33. admires these cupping-glasses, which he calls out of Galen, "a kind of enchantment, they cause such present help."
Empirics have a myriad of medicines, as to swallow a bullet of lead, &c., which I voluntarily omit. Amatus Lusitanus, cent. 4. curat. 54. for a hypochondriacal person, that was extremely tormented with wind, prescribes a strange remedy. Put a pair of bellows end into a clyster pipe, and applying it into the fundament, open the bowels, so draw forth the wind, natura non admittit vacuum. He vaunts he was the first invented this remedy, and by means of it speedily eased a melancholy man. Of the cure of this flatuous melancholy, read more in Fienus de Flatibus, cap. 26. et passim alias.
Against headache, vertigo, vapours which ascend forth of the stomach to molest the head, read Hercules de Saxonia, and others.
If costiveness offend in this, or any other of the three species, it is to be corrected with suppositories, clysters or lenitives, powder of senna, condite prunes, &c. Rx. Elect. lenit, e succo rosar. ana ounces j. misce. Take as much as a nutmeg at a time, half an hour before dinner or supper, or pil. mastichin. ounces j. in six pills, a pill or two at a time. See more in Montan. consil. 229. Hildesheim spicel. 2. P. Cnemander, and Montanus commend "Cyprian turpentine, which they would have familiarly taken, to the quantity of a small nut, two or three hours before dinner and supper, twice or thrice a week if need be; for besides that it keeps the belly soluble, it clears the stomach, opens obstructions, cleanseth the liver, provokes urine."
These in brief are the ordinary medicines which belong to the cure of melancholy, which if they be used aright, no doubt may do much good; Si non levando saltem leniendo valent, peculiaria bene selecta, saith Bessardus, a good choice of particular receipts must needs ease, if not quite cure, not one, but all or most, as occasion serves. Et quæ non prosunt singula, multa juvant.