But I do not propose this course of mine as a general rule to all Physicians, but leave this to every mans private judgment; Neither do I hereby bind my self to the same practice, because some few Cases may fall out (though to an equal advantage to the Patient) may perswade me to the contrary. For I find some persons of that perswasion, as to think they have not given satisfaction, unless they have payed for the Medicines; but to such persons, I have always allowed them to give me what they pleased themselves, for the cure only, to the full satisfaction of both parties. Though I will not deny but some persons out of gratitude for their Cure, have rewarded me beyond this proposal. Some of my acquaintance have desired me to be more plain in this last Paragraph, especially in that part of it where I say I do not bind my self to the said practice; and to declare more fully the Cases that may perswade me to the contrary; which are these and such as these. First Where Patients of their own free offers will contract with the Physician, or have formerly too meanly rewarded him for his Cure, in both which the Statutes of our College allow a contract to be made with Patients. Another case is, if a Physician be consulted once, and for his Fee hath given Medicines gratis, if the Patient frequently send for his Medicines without the least reward at all. Or if the Patient living far in the Country, having (as before) once consulted the Physician, as in the last case, and shall for weeks, nay months, send for the same Medicines. Or if the Patients friend shall recommend a Medicine to another friend of his unknown to the Physician; and where he gives no Counsel, if a Physician in the Country shall desire some of his Medicines, which are all the cases that occur at present; I say in some of these, the Physician must needs be payed for his Medicines; but in other, ’tis rational he should be payed for his advice, as he desireth new Medicines, which charge will be far short also of the Apothecaries Medicines, whether repeated or prescribed upon new advice.
Now the great charge of Apothecaries Bills, and nauseousness of their Medicines, appears to be the cause why long habitual diseases, as the Kings Evil, Falling-Sickness, Convulsions, Melancholies, and Winds in the Bowels, Gouts, &c. become seldom relieved, though they may with a constant, facile way, be perfectly cured, where neither the great charge, nor unpleasantness of Medicines, deterr them from a continued necessary use of Remedies. And for the same reasons many will be kept from relapses, who being tired out with taking variety of Medicines, give over before the tone and strength of their parts is restored, which is necessary to be done in all long Diseases.
He may so contrive his Medicines, first, That they may be taken in small quantity, and be made more grateful to the tast, and stomach, and perform more then those of the Apothecaries, commonly slovenly made, and of themselves Fulsom, Nauseous, and Sluggish. Secondly, His Medicines made for particular persons, may last Weeks, Months, nay Years, whereas the Apothecaries Drinks, especially in the Summer time, must be renewed once, or twice every day, to the excessive charge of the Patient.