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A35400 Two treatises, the first of blood-letting and the diseases to be cured thereby, the second of cupping and scarifying, and the diseases to be cured thereby by Nich. Culpeper, Gent., M. Ruland, and Abdiah Cole ... Culpeper, Nicholas, 1616-1654.; Ruland, Martin, 1532-1602.; Cole, Abdiah, ca. 1610-ca. 1670. 1663 (1663) Wing C7550; ESTC R22526 30,415 98

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saphena or the veins on both sides the privities See Mictus or Pissing In Vteri malis or diseases of the womb open the salvatella of the left Hand sciatica or saphena In inflamations of it open the Ham or Ankle veins Vvula fallen open the right Cephalick or Basilick if there be Repletion APHORISMES TO BE Observed in Bloodletting Hippocrates his Aphorismes concerning Phlebotomy IF the Vessels be emptied as they should be it doth good and the Patient likes it wel if otherwise not Therefore consider the Climate Time and Age and Diseases whether you ought to bleed or no. All diseases by repletion are cured by Evacuation or Blood-letting if large and violent or much at the nose If any be dumb on the sudden open the vein in the right arm A Woman with child will miscarry upon bleeding and the sooner as her child is older In acute diseases open a vein when the disease is vehement and the patient in his youth and strong The veins behind the Ears being opened cause barrenness If you will let blood by reason there is blood gathered together to turn it from the place do it at a great distance from the part afflicted The opening of the veins beneath in the Groyns Thighs Legs and Ankles maketh men unfruitful It is good for a man to bleed somtimes the time of bleeding begins at February and again at September The Aphorismes of Galen concerning Bleeding THere are three Considerations in Blood-letting the vehemency of the disease the youth of the Patient and the strength of the Faculty Nor too yong nor too old are to be let blood They need no blood-letting that have any natural evacuation Many need bleeding after long Diseases by the three considerations mentioned We bleed when there is no fulness when there is great pain or in a Fracture or dislocation or any contraction in a Joynt Bleeding requires strength agreeable to the evacuation It is not good to bleed often in one year When you let blood keep off far from the Artery Bleeding and Water-drinking are chief remedies of conteining Feavers When you wil cure obstructions first open a Vein though there be no fulness Necessity allows and commands blood-letting at any time or hour It is a good Remedy in continual Feavers to let blood til they faint if the Patient be strong Two hours after bleeding the Patient may eat In bleeding in continual Feavers consider not the number of the daies but only the strength If at the time of bleeding the Terms chance to flow or the Haemorrhoids observe it and if the quantity voided be sufficient leave the whole business to Nature and that flux but otherwise bleed a little These are the inconveiencies that follow loss of too much blood Faintness worse habit of body a colder temper discoloring of the whole body and falling into long deadly Diseases In all Feavers bleed at the first if the Patient be strong It is lawful by bleeding to evacuate superfluities in a Feaver In a Phlegmon of the Liver the blood that flows thicker must be let out by opening the internal vein in the right Arm. In a Phrenzy and Lethargy bleed at first coming of it In a Carbuncle bleed til they faint In great Diseases alwaies bleed but with respect to the age and the strength You must bleed plentifully in a Lassitude with a Phlegmon somtimes til they faint After bleeding you must not presently refresh the Patient Abstain from bleeding when the blood is good and little and other humors are abundant but when it is contrary let blood If you forbear bleeding by reason of the age or for fear let the Patient purge the more To open the Haemorrhoids or provoke Terms or open the Ankle-vein and then purge is good with bleeding in the Arm. When blood abounds it must not presently be let out for fasting slender diet loosness of belly or purging or bathing often or exercise alone or much rubbing wil abate it After the opportunity of bleeding is passed other evacuations are dangerous when there are excrements either in the Brain or the Instruments of the Spirits Bleeding must be at the beginning of Diseases and somtimes purging Bleeding is a common way to cure diseases by repletion Bleeding whatsoever or wheresove● or howsoever done equally evacuateth the whole body The Aphorisms of Cornelius Celsus out of his Book 2. Chap. 9. THere is scarce a Disease in which bleeding is not allowed It is an old custom to let blood yong men and women not with Child But not Children and old folks and Women with Child for the Ancients thought the first and last age could not endure this kind of help and were perswaded that if a Woman with Child ●ould be let blood she would abort but after this Custom hath shewed that it is otherwise for it is not matterial what age the party is of or what is in the body but what strength the Patient is of ●herefore if a Youth be weak or if the woman be not with Child and be also weak it is not good to let blood for so the strength that remains wil be taken away but a strong Boy or old Man and a hearty strong Woman with Child may be cured by bleeding according to Celsus But the Physitian may be deceived if unskilful because in those ages there is less strength A Woman with Child hath need of strength after her cure not only for her self but to sustain the Child The chief art is to consider the strength of a Child old Man or Woman with Child There is difference to be observed between a fat and a lean body a strong and a weak The thin bodies have more blood the full bodies have more flesh They endure the loss of blood better and a fat man is sooner disturbed with it if it be too much Therefore the strength of the body is better to be found by the Veins than the Form Nor are these only to be considered but the Disease what kind it is whether abundance or want of matter hurteth whether the body be corrupt or sound For if the matter be wanting or be sound that is another thing but if it offend in plenty or be corrupt it can no way be better helped than by bleeding Therefore in a vehement Feaver when the body is red and the veins are swollen bleeding is required But if the Feaver be vehement and you let blood in the height of it you kill the Patient Therefore expect a remission if it decreaseth not but hath ceased to decrease and you hope for no remission then though it be worse bleeding then before avoid not the opportunity Somtimes make two daies work of it if there be necessity for it is better first to refresh the Patient and then to do it throughly then to spend all the strength at once If you bleed for the whole body open the arm if for a part bleed in that part or near it But this cannot be done every where but
in the Temples Arms or about the Ankles Some say that blood must be drawn far off from the part affected For that will divert the course of the matter and take away that which offendeth But that is false For it emptieth the nearest part first and blood flows thither from the remote while it bleeds when it is stopt it will not be drawn And experience shews that if the Head be broken that it is best to bleed in the Arm. If there be a fault in the shoulder the contrary Arm is to be blooded because if there be any evil the part that is affected will sooner receive it Somtimes blood is diverted when it breaks out in one part and you let blood in an other And it ceaseth to flow by applying things that stop to the part first bleeding and giving it another vent Though bleeding be easie to an Artist yet is it hard to an ignorant person For the vein is joyned to the Arteries and the Nerves to them Therefore if the Lancet touch the Nerve there is stretching of the Nerve which his grievous But an Artery cut neither grows together nor wil be healed but somtimes causeth a violent flux but if a Vein be cut the heads or orifices being pressed down the blood stoppeth If the Lancet be fearfully applied it only cuts the Skin and not the Vein The Vein must be cut in the middle out of which when blood flows you must observe the color and habit of body for if blood be thick and black it is bad and fit to be lost If it be red and shining it is sound and the loss of it instead of profit hurteth therefore it must be stopt But these things cannot happen to a Physitian that knows what Body ought to loose Blood If it be all black let it often out and bleed not again if you have enough before fainting Tie up the Arm with a Pledget dipt in cold water and open the vein with your nail the next day for the new Escar will easily come off and it will bleed again But whether it be in the first or second day that blood which first was thick and black begins to wax red and clear there is enough taken therefore let the Vein be presently bound up and kept so till there be a strong Eschar which will quickly be in a Vein This Celsus THE APORISMES OF Arnoldus de Villa nova out of his Book of the Regiment of Health AFter Bathing or Venery or great Exercise bleed not by any means And also after a long sickness They which serve in hot houses and take great pains in their calling to resolve the Body must not be let blood Bl●ed not in very hot nor very cold Weather The Spring and Autumn are best times to let blood in Bleed not in a pestilent Air cloudy or stormy Weather or when the South-wind blows In Summer bleed at eight in the morning in Winter at noon Let young men bleed in the first quarter of the Moon and old in the last Sanguine men must bleed in the first quarter Cholerick in the second Phlegmatick in the third and Melancholick in the fourth If the Moon be in a sign with a evil aspect or to any member bleed not in that member In Aries bleed the Head in Gemini the Arms in Cancer the Median in Sagittarius the Thigh in Aquarius the Legs and Thighs and in Pisces the Feet The other parts are safe at any time If the Moon be in Taurus Virgo Capricorn it is bad to let blood if in Cancer Scorpio Piscis indifferent if in Aries Libra Sagittarius or Aquarius it is good Let Drunkards and Gluttons and those that are filled to loathing abstain from Bleeding If any want Blood-letting and neglect it there wil be Imposthumes inward and outward the great and small Scab the Ring-worm Synochus Meazles Apoplexy and Palsie small Pox and spitting of Blood Quinzy Plague sudden Death and Leprosie and generally all sickness of much Blood or corruption of Blood and they that are inclinable to such Diseases let them not neglect phlebotomy There are many evils by bleeding unreasonably From often bleeding come Obstructions Dropsies Age hastneth on the Appetite decaies and Stomach weakness of Heart and Liver Trembling and Palsie and weakness of all virtues both Natural and Animal He that is very musculous and fleshy by accident and he that is extenuated and they which use to diet that breeds much blood and live in idleness and pleasure and dwell in Countries where there is little resolution and that eat much flesh roasted and drink sweet Wines and use Baths and no copulation and exercise little are more to bleed than others and they who fast and eat melancholick meats are to bleed less When Phlebotomy is used to evacuate and in a place near the Disease or the part where it is then the first blood ought to be worse than the second and the second then the third and if the contrary happen there is stil need of bleeding and Physick But in some bodies that need little bleeding it often happens that the first is better than the second and then you may bleed again presently Before bleeding it is good to exercise move and watch to make it move better The Member to bleed is to be rub'd and heated and washed with warm Water to make the Vein plainer and the blood freer The Chirurgeon must be yong expert and of quick sight not trembling or drunk If a weak-hearted Patient or one very faint is to bleed let him first eat Bread and drink astringent Wine They whose Blood is thick immovable and the Veins hidden must be bathed some daies before except the body be very plethorick Before bleeding let the Belly and Bladder be free In those that have an Imposthume bleed while the colour of it changeth but when there is a simple plenitude without an Imposthume expect not the change of blood for the blood may be all a like or good If the Blood be whitish and thin lose but little In Summer and Spring bleed in the right side in Autumn and Winter in the left In a venemous matter bleed on the same side When there is great necessity open the same Vein twice in a day or when you have not taken enough If after the Vein is opened the blood wil not flow then it is good to cough and hawk and clap the Patient upon the Shoulders Touch the Blood as it comes forth if it be cold stop it presently and also if it be very hot and thin for in both cases you may fear swounding Take a drop of blood upon the Nail if it flow off and stand not firm it is waterish and must be presently stopped Or drop it into water if it sink it is too thick and if it disperse and swim it is too watery if it be in a mean it is good After bleeding Exercise not that day but rejoyce at home nor Bath that day use no Venery
till the fourth day nor sleep in the day Consider also the substance of the Blood it is either melancholick phlegmatick sanguine pure cholerick or watery Melancholy is the dregs of blood it is black and in the bottom of the Poringer and when there is too much of this it is no good sign then we may judge that the Patient is sad envious and curious covetous fearful and poor-spirited such must use things to clense and increase blood Flegm is white slimy unsavory like whites of Egs and it is in the blood next above the Melancholy this must not be too much and if there be much of it we judge him to be flegmatick naturally sleepy rude and dull to action and to spit much but there ought to be more of this than of Melancholy Then follows pure blood it ought to be of a purple colour reddish or ruddy of this there ought to be more if there be much of it the Patient is sanguine and and free amiable and cheerful laughing and of a red colour bold and bountiful Then follows Choler which is the froath of Blood of a Saffron-colour with glittering red there ought to be less of this than of blood or flegm and more than of melancholy If therefore there be a great quantity of this we may judg the party cholerick and by consequence crafty deceitful wrathful bold and prodigal apt for action watchful and subtile Moreover you must consider the watery substance that swims at top when the blood is congealed as whey when milk is curdled and it is like Urine if it be put into a Glass and when this water is like the Urine of a sound man whose blood it is it is good otherwise not And when this water is separated more perfectly from the blood the better it is and the better is the digestion and decoction in the Liver And the contrary This water must be in the blood to make it thin that it may pass more free through the great Veins and small and so come to the members Therefore it is not good that blood should be without this water For it wanted shew driness and thickness of blood this is in such us fast much and watch and eat dry and hot meats and that study and exercise much and in some that are wel Moreover it is not good that too much water be in the blood for it would shew defect of digestion either in respect of meat or drink or in respect of the parts that cannot convert the meat into blood and it shews also too much coldness and moistness of blood and weakness of body Hence it is that they who have cold Stomachs and Livers and Veins and eat cold and moist Meats and much and especially drink much and exercise little and fast not nor watch have such blood Also in Blood there is a fleshy Substance declining to white for the Blood beginning to whiten in the Veins because the farther digestion to convert it into Members proceeds in whitning This digestion begins in the great veins and end in the small with the Members of the third digestion namely at the outward solid Members of the whole Body This Substance is flesh-like and appears manifestly in Blood after it is washed and the fatter moister or more watery the Blood is the less there is in it of this substance and the thicker except it exceed the temper and less far and without water the more of this fleshy substance is to be seen Therefore from a great quantity of this white substance is signified the good digestion in the Veins and the pliableness of the Blood to turn into Members especially when you feel it with your hands And when there are no great things contained in it that are not hard but will crumble with the fingers For by such there is signified an inclination to a Leprosie Moreover if thou wouldst know the substance of the whole blood cut it when it is congealed with a knife or thin stick and if it resist not but cut easily it signifies the subtility of the blood but if it divide with difficulty then it signifies sliminess and grossness of Blood And if Blood wil not be cut though it be easily divided as it is in Oyl and water and other moist things which are easily divided though not cut that blood is too thin and that thinness argues want of digestion And when blood is easily pricked but not cut then it is slimie and that blood is commonly flegmatick And when it is cut but with resistance then the blood is gross but not viscous or clammy You must consider also of the colour of blood for if in one part of the Poringer it appear of one colour and in another of another colour as in a Pigeons neck it signifies diversities of evil humors Therefore we must consider the true fixed colour of the blood it is red and purple not dark red and that argues good blood If it be a glittering red it argues predominant choler and also if it be like Saffron If it be froathy it shews wind If it be white or livid or blew it signifies cold and predominant flegm and especially if the blood be slimie and there are other signs of flegm These colours may come from burning as appears in consumptive and leprous persons Green signifies burning and specially of choler Black and Blew signifies natural melancholy or that which is burnt You must also consider the tast for it ought to be sweet if it be unsavory it signifies flegm predominant if bitter choler if sower or brackish melancholy and sour flegm if it be salt it signifies salt flegm and adustion of humors The scent is also to be considered if it be sweet and pleasant it is good if it stink it shews great putrefaction in the humors Moreover if blood drawn do quickly coagulate or congeal it is too gross if it be long and slow to congeal it is too thin and undigested If it be in a mean the blood is indifferent APHORISMS of Avicen Rhasis Aetius Montagnanus Savanarola and Damascen and others THey that use much Blood-letting in Youth are cured after sixty sooner than others and their natural heat is choaked especially if they are of a cold complexion They who dwel in the fourth or sixt climate may lose more blood than they that live in the seventh first second or third They who have weak Stomachs and cold weak Hearts and Livers and Cold and have cold Diseases must not be let blood nor melancholick persons except their veins be swollen Nor pale lean starved or such as eat melancholick food nor such as use too much Venery nor such as have a Dysentery or Iliack or are much bound in Belly nor such as have not bodies prepared nor such as are seventy except they be strong and have broadful veins and used it and when there is necessity At sixty open not the Cephalick At fifty open not the Median At seventy take heed