time_n i_o have_v a_o patient_n repent_v that_o ever_o he_o commit_v himself_o into_o the_o hand_n of_o a_o practise_v apothecary_n for_o he_o by_o stop_v his_o gonorrhoea_n before_o the_o virulency_n be_v eradicate_v which_o i_o judge_v be_v do_v by_o astringent_a medicine_n the_o patient_n be_v force_v to_o leave_v his_o undertaker_n and_o come_v to_o i_o in_o a_o painful_a and_o dangerous_a condition_n one_o of_o the_o testicle_n be_v inflame_v hard_a and_o swell_v as_o big_a as_o a_o turkyegg_n by_o such_o miscarriage_n some_o have_v be_v quite_o lose_v other_o have_v be_v perplex_v and_o almost_o ruin_v afterward_o with_o difficult_a and_o very_a chargeable_a cure_n as_o not_o long_o ago_o a_o gentleman_n come_v to_o i_o who_o have_v spend_v above_o five_o hundred_o pound_n have_v be_v under_o several_a physician_n and_o surgeon_n of_o good_a repute_n for_o some_o year_n be_v reduce_v to_o such_o a_o difficult_a state_n from_o the_o imprudence_n of_o his_o first_o undertaker_n ulcer_n in_o the_o bladder_n be_v know_v by_o pain_n about_o the_o os_fw-la pubis_fw-la and_o bottom_n of_o the_o belly_n a_o strong_a or_o stink_a urine_n if_o the_o ulcer_n be_v fordo_v a_o purulent_a or_o furfuraceous_a matter_n float_v a_o hot_a or_o sharp_a urine_n which_o cause_v a_o painful_a discharge_n thereof_o and_o sometime_o with_o difficulty_n if_o any_o excrescence_n or_o viscous_a matter_n obstruct_v the_o passage_n these_o ulcer_n have_v be_v account_v incurable_a by_o our_o predecessor_n but_o this_o age_n have_v give_v testimony_n of_o their_o curability_n and_o myself_o have_v have_v good_a success_n in_o these_o undertake_n to_o the_o relief_n of_o some_o thus_o affect_v and_o great_a satisfaction_n to_o myself_o verruca_n caruncle_n or_o fleshy_a excrescence_n do_v infest_v the_o neck_n of_o the_o bladder_n and_o sometime_o the_o vrethra_n or_o urinary_a ducture_n and_o these_o common_o be_v the_o product_n of_o a_o precede_a ulcer_n or_o gonorrhoea_n and_o sometime_o conjoin_v therewith_o and_o now_o we_o have_v brief_o declare_v and_o run_v through_o the_o several_a pain_n that_o belong_v to_o the_o kidney_n and_o bladder_n remark_v the_o disease_n whereto_o they_o belong_v and_o from_o whence_o they_o do_v arise_v it_o remain_v in_o the_o last_o place_n that_o we_o set_v down_o the_o principal_a morbous_a affect_n discover_v or_o intimate_v by_o the_o urine_n capital_a symptom_n that_o attend_v the_o urine_n denote_v some_o disease_n or_o infirmity_n considerable_a in_o the_o part_n that_o belong_v to_o this_o urinary_a office_n be_v chief_o these_o a_o bloody_a urine_n sand_n or_o gravelly_a oily_a or_o greasy_a purulent_a or_o furfuraceous_a too_o much_o urine_n or_o too_o little_a a_o painful_a suppression_n or_o emission_n a_o white_a water_n red_z or_o black_a stink_v or_o strong-scented_n hot_a or_o sharp_a and_o thus_o have_v trace_v through_o the_o head_n breast_n and_o belly_n examine_v the_o most_o frequent_a and_o remarkable_a pain_n thereof_o it_o remain_v that_o we_o inquire_v into_o those_o pain_n that_o possess_v the_o limb_n as_o leg_n and_o arm_n of_o which_o in_o the_o follow_a paragraph_n gout-pain_n and_o rheumatism_n in_o this_o our_o catalogue_n of_o pain_n we_o must_v not_o forget_v to_o insert_v arthritic_n or_o gout-pain_n be_v so_o eminent_a a_o tormentor_n so_o contumacious_a and_o resist_a that_o oftentimes_o it_o have_v bid_v defiance_n to_o the_o potent_a mean_n of_o the_o most_o repute_a physician_n hereby_o gain_v the_o name_n with_o many_o and_o account_v among_o the_o number_n of_o incurable_a disease_n from_o hence_o the_o endeavour_n of_o the_o most_o be_v rather_o to_o palliate_v than_o to_o cure_v as_o have_v no_o hope_n to_o effect_v so_o great_a a_o work_n i_o must_v confess_v that_o mitigation_n and_o allay_v of_o pain_n be_v very_o acceptable_a to_o the_o torture_a patient_n and_o not_o without_o a_o deserve_a praise_n to_o the_o physician_n but_o to_o acquiesce_v and_o rest_v here_o as_o the_o ne_fw-la plus_fw-la ultrà _fw-la be_v too_o inferior_a a_o station_n and_o below_o the_o dignity_n of_o his_o function_n we_o will_v therefore_o make_v a_o far_a inquiry_n into_o the_o nature_n and_o difficulty_n of_o this_o contumacious_a malady_n thus_o post_v possible_o thereby_o to_o meet_v with_o some_o encouragement_n and_o to_o find_v out_o a_o way_n conduct_v we_o to_o such_o advantageous_a approach_n as_o may_v dispossess_v and_o subdue_v this_o grand_a enemy_n arthritis_fw-la the_o gout_n be_v so_o denominate_v from_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d articulus_fw-la the_o joint_n and_o be_v the_o generical_a word_n comprise_v several_a particular_a species_n thereof_o have_v their_o distinguish_a name_n from_o the_o part_n affect_v as_o podagra_fw-la the_o foot-gout_n gonagra_n the_o knee-gout_n and_o chiragra_fw-la the_o hand-gout_n but_o rheumatism_n take_v denomination_n from_o motion_n or_o fluxion_n rheumatismus_n fluxio_fw-la from_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d fluo_fw-la this_o kind_n of_o gout_n not_o fix_v here_o or_o there_o but_o move_v from_o part_n to_o part_n be_v therefore_o call_v the_o run_a gout_n i_o shall_v treat_v of_o these_o several_a gout_n together_o because_o of_o their_o affinity_n with_o each_o other_o in_o their_o continent_n cause_n and_o differ_v only_o as_o to_o the_o sedes_fw-la morbi_fw-la which_o may_v cause_v some_o variation_n in_o practice_n but_o not_o much_o concern_v the_o continent_n cause_n of_o the_o gout_n there_o be_v various_a opinion_n some_o determine_v it_o a_o sanguine_a humour_n other_o phlegmatic_a some_o a_o choleric_a other_o melancholy_a and_o some_o a_o mixture_n of_o these_o humour_n hippoc._n lib._n 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d will_v have_v the_o gout_n to_o arise_v from_o choler_n and_o phlegm_n galen_n the_o comp_n medic_fw-la say_v the_o humour_n be_v sometime_o sanguine_a but_o for_o the_o most_o part_n phlegmatic_a or_o phlegm_n and_o choler_n mix_v trallianus_n also_o a_o ancient_a greek_a author_n lib._n 11._o derive_v the_o gout_n from_o blood_n choler_n phlegm_n and_o melancholy_n far_o affirm_v that_o if_o the_o several_a kind_n of_o the_o gout_n arise_v from_o the_o different_a mixture_n of_o these_o humour_n be_v right_o know_v this_o disease_n be_v easy_a to_o be_v cure_v thus_o from_o the_o difference_n of_o opinion_n and_o mistake_n concern_v the_o gout_n the_o designment_n of_o cure_n and_o mean_v adapt_v thereto_o have_v be_v various_a and_o also_o frastraneous_a other_o improbable_a opinion_n there_o be_v but_o i_o wave_v the_o recital_n of_o they_o and_o come_v to_o set_v down_o what_o be_v most_o consonant_a with_o reason_n establish_v upon_o latter_a and_o clear_a discovery_n and_o here_o i_o must_v premise_v a_o few_o thing_n as_o introductory_n but_o necessary_o serve_v to_o our_o present_a purpose_n food_n which_o sustain_v and_o repair_v the_o body_n be_v meat_n and_o drink_n of_o meat_n some_o be_v liquid_a other_o solid_a but_o the_o solid_a and_o dry_a meat_n come_v into_o the_o stomach_n be_v macerate_v liquefy_v and_o transmute_v by_o the_o digestive_a power_n thereof_o and_o assistance_n of_o ingested_a liquor_n be_v change_v into_o a_o liquid_a juice_n call_v chyle_n this_o chyle_n be_v export_v out_o of_o the_o stomach_n receive_v several_a alteration_n afterward_o in_o the_o various_a part_n through_o which_o it_o pass_v and_o be_v become_v a_o milky_a juice_n in_o the_o venae_fw-la lacteae_fw-la blood_n in_o the_o vein_n and_o artery_n water_n in_o the_o lymphae-ductus_a and_o a_o spirituous_a exalt_v succus_fw-la in_o the_o nerve_n and_o all_o these_o for_o various_a use_n and_o purpose_n but_o still_o keep_v in_o a_o liquid_a form_n and_o flow_v in_o the_o vessel_n contain_v and_o to_o prevent_v stagnation_n or_o stoppage_n of_o their_o motion_n in_o the_o several_a small_a pipe_n of_o conveyance_n through_o the_o body_n hence_o it_o be_v that_o all_o the_o humour_n or_o juice_n of_o the_o body_n do_v participate_v much_o of_o water_n or_o a_o thin_a watery_a and_o fluctuate_a substance_n call_v serum_n by_o some_o lympha_fw-la by_o helmont_n latex_n which_o be_v thus_o appoint_v for_o a_o distribution_n of_o the_o chyle_n and_o blood_n hence_o it_o be_v that_o hypocrates_n fit_o call_v it_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d vehiculum_fw-la nutrimenti_fw-la this_o serosity_n or_o watery_a part_n abound_v be_v not_o easy_o contain_v in_o the_o vessel_n or_o conduit-pipe_n especial_o be_v deprave_v become_v sharp_a and_o penetrate_a with_o a_o tartarous_a saltness_n but_o either_o by_o apertion_n or_o exsudation_n be_v let_v put_v and_o where_o it_o take_v its_o course_n discharge_v itself_o upon_o some_o tender_a part_n there_o pain_n and_o trouble_n arise_v thus_o the_o gout_n take_v its_o beginning_n from_o a_o acrid_a or_o sharp_a saline_a serosity_n invade_v the_o ligament_n membrane_n and_o nervous_a part_n about_o the_o joint_n lancinate_v those_o tender_a and_o very_a sensible_a part_n but_o how_o this_o serum_n come_v to_o abound_v and_o how_o to_o
ignoble_a part_n or_o to_o such_o place_n where_o mean_n can_v better_o be_v use_v and_o more_o apt_a for_o recession_n or_o egression_n of_o the_o continent_n material_a cause_n but_o if_o the_o tumour_n apostemate_n the_o danger_n be_v great_a or_o less_o according_a to_o the_o nature_n and_o condition_n of_o the_o member_n or_o part_n if_o it_o indurate_v the_o danger_n be_v delay_v but_o if_o it_o corrupt_v the_o part_n the_o danger_n be_v great_a and_o more_o speedy_a in_o execution_n apostem_fw-la be_v that_o degree_n or_o state_n of_o a_o tumour_n when_o it_o be_v maturate_v or_o ripe_a which_o be_v call_v suppuration_n the_o material_a or_o humoral_a cause_n be_v then_o convert_v into_o a_o pus_fw-la or_o purulent_a matter_n and_o while_o this_o be_v in_o fieri_fw-la do_v all_o symptom_n be_v aggravate_v pain_n heat_n pulsation_n tension_n be_v great_a but_o be_v perfect_v they_o all_o decrease_v again_o and_o the_o patient_n find_v ease_n but_o not_o out_o of_o danger_n in_o these_o internal_a apostem_n for_o if_o it_o be_v so_o seat_v where_o there_o be_v no_o convenient_a vent_n or_o emunctory_a to_o discharge_v it_o the_o case_n be_v desperate_a as_o the_o humoral_a matter_n that_o form_v the_o tumour_n be_v more_o benign_a and_o good_a as_o pure_a blood_n so_o the_o convert_v pus_fw-la or_o purulent_a matter_n from_o thence_o do_v common_o answer_v it_o in_o goodness_n for_o of_o good_a blood_n and_o in_o sound_a body_n the_o maturation_n be_v more_o kind_o the_o pus_fw-la white_a mild_a and_o not_o endanger_v to_o corrupt_v the_o part_n but_o in_o foul_a deprave_a body_n and_o malignant_a disease_n apostemate_v matter_n be_v more_o putrid_a stink_a and_o venenous_a and_o do_v threaten_v a_o gangrene_n or_o mortification_n of_o the_o part_n and_o therefore_o such_o internal_a collection_n of_o matter_n in_o pestilential_a and_o malignant_a fever_n venereal_a pox_n small_a pox_n and_o such_o like_a be_v common_o mortal_a scirrhous_n tumour_n be_v such_o as_o when_o the_o continent_n matter_n do_v not_o maturate_a and_o become_v soft_a fit_a to_o break_v and_o discharge_v but_o grow_v hard_a and_o fine_v in_o the_o part_n not_o apt_a to_o be_v discharge_v or_o remove_v by_o discussion_n or_o suppuration_n and_o this_o the_o word_n scirrhus_n import_v from_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d induro_fw-la tumour_n in_o some_o part_n of_o the_o body_n be_v apt_a to_o suppurate_n as_o in_o the_o carnous_a or_o fleshy_a in_o other_o part_n as_o the_o joint_n tendon_n and_o ligament_n more_o incline_v to_o indurate_a and_o become_v scirrhous_a and_o the_o reason_n may_v be_v this_o that_o those_o part_n which_o take_v their_o origine_fw-la from_o blood_n be_v more_o prompt_a and_o ready_a to_o suppurate_a as_o the_o flesh_n but_o those_o which_o take_v their_o rise_n from_o seminal_a matter_n as_o the_o tendon_n ligament_n nerve_n &c_n &c_n they_o be_v more_o inclinable_a to_o scirrhosity_n or_o hardness_n but_o beside_o this_o disposition_n of_o the_o part_n affect_v there_o be_v also_o and_o chief_o a_o propension_n in_o the_o congest_a or_o influx_v matter_n of_o these_o tumour_n for_o by_o the_o different_a nature_n of_o humoral_a matter_n some_o be_v more_o fluxible_a and_o thin_a participate_v much_o of_o serosity_n and_o apt_a to_o transpire_v or_o be_v discuss_v other_o more_o yield_v to_o a_o preternatural_a digestion_n and_o suppuration_n as_o the_o blood_n that_o be_v pure_a and_o good_a other_o incline_v to_o be_v viscous_a coagulate_v and_o consequent_o to_o indurate_a as_o a_o feculent_a grumou_n or_o gross_a blood_n deprive_v of_o its_o serosity_n and_o far_o beside_o the_o disposition_n of_o part_n and_o that_o of_o the_o material_a cause_n incline_v to_o this_o scirrhosity_n there_o may_v also_o come_v in_o and_o be_v join_v with_o these_o a_o three_o promoter_n which_o in_o some_o case_n may_v be_v the_o chief_a cause_n and_o that_o be_v a_o ill_a method_n and_o injurious_a medicine_n so_o endeavour_v to_o remove_v may_v thereby_o fix_v and_o fasten_v the_o matter_n for_o thus_o a_o tumour_n which_o may_v probable_o be_v disperse_v may_v be_v change_v from_o its_o own_o capacity_n and_o tendency_n and_o become_v scirrhous_a and_o indurate_a as_o when_o constant_a or_o great_a cooler_n be_v administer_v to_o abate_v the_o symptomatical_a or_o concomitant_a fever_n the_o matter_n of_o the_o tumour_n be_v thereby_o fix_v and_o impact_v which_o otherwise_o may_v have_v surrender_v unto_o proper_a and_o powerful_a medicine_n due_o use_v and_o e_fw-la contrà _fw-la by_o too_o great_a dryer_n and_o heater_n the_o thin_a part_n be_v evaporate_v and_o the_o grosser_n remains_o therefore_o medio_fw-la tutissimus_fw-la ibis_fw-la good_a resolutive_a transpire_a medicine_n take_v their_o turn_n with_o the_o use_n of_o proper_a cathartic_n be_v the_o safe_a and_o bed_n way_n these_o scirrhous_a tumour_n although_o they_o be_v not_o so_o dangerous_a for_o the_o present_a except_o they_o be_v very_o great_a or_o cancerous_a yet_o they_o be_v the_o foundation_n of_o some_o chronic_n or_o linger_a disease_n which_o prove_v very_o contumacious_a and_o sometime_o incurable_a especial_o if_o the_o tumour_n be_v latent_fw-la and_o conceal_v and_o hectic_a fever_n sometime_o take_v its_o rise_n from_o hence_o which_o if_o you_o think_v to_o cure_v by_o emulsion_n restaurative_n and_o cool_a drink_n you_o will_v be_v much_o mistake_v in_o your_o purpose_n and_o endeavour_n these_o scirrhous_a tumour_n some_o be_v with_o pain_n some_o without_o those_o that_o have_v pain_n be_v more_o hopeful_a except_o they_o be_v cancerous_a but_o those_o which_o be_v insensible_a upon_o pressure_n be_v more_o difficult_a or_o incurable_a now_o according_a to_o the_o nature_n and_o degree_n of_o depravedness_n in_o the_o continent_n matter_n and_o from_o the_o part_n affect_v so_o be_v these_o tumour_n better_a or_o worse_o to_o be_v deal_v with_o and_o because_o these_o tumour_n be_v internal_a and_o hide_v from_o the_o eye_n therefore_o judgement_n be_v to_o be_v give_v of_o they_o from_o their_o situation_n and_o from_o the_o constitution_n with_o other_o circumstance_n of_o the_o patient_n body_n but_o although_o these_o scirrhous_a tumour_n be_v thus_o difficult_a to_o be_v undertake_v and_o manage_v yet_o these_o be_v not_o the_o worst_a and_o they_o may_v arrive_v far_o and_o to_o a_o more_o dangerous_a state_n as_o when_o tumour_n in_o their_o variation_n and_o degeneration_n do_v turn_v cancerous_a and_o this_o be_v apt_a to_o be_v in_o such_o body_n as_o abound_v with_o a_o black_a feculent_a blood_n or_o a_o thick_a blood_n adust_a by_o intemperate_a heat_n and_o by_o how_o much_o the_o blood_n thus_o exceed_v in_o this_o preternatural_a condition_n by_o so_o much_o the_o cancer_n be_v complete_v confirm_v and_o the_o worse_o and_o this_o supervene_v a_o scirrhus_n common_o as_o be_v a_o apt_a previous_a disposition_n but_o may_v happen_v also_o without_o a_o scirrhus_n precede_v from_o other_o tumour_n degenerate_v into_o cancer_n and_o therefore_o in_o the_o cure_n of_o scirrhous_a tumour_n great_a circumspection_n and_o diligence_n be_v to_o be_v use_v lest_o by_o their_o delay_n add_v continuance_n or_o improper_a usage_n of_o medicine_n these_o tumour_n do_v not_o become_v cancerous_a and_o desperate_a as_o sometime_o it_o fall_v out_o so_o now_o a_o tumour_n be_v say_v to_o be_v cancerous_a when_o it_o turn_v into_o a_o dark_a radish_n or_o livid_n and_o blackish_a colour_n declare_v this_o transmutation_n and_o degenerate_a state_n the_o beginning_n of_o these_o cancer_n be_v very_o small_a in_o compass_n as_o those_o that_o present_a outward_n do_v manifest_v their_o gradual_a enlargement_n but_o by_o time_n they_o increase_v and_o grow_v big_a with_o tumified_a vein_n round_o about_o these_o cancerous_a tumour_n may_v happen_v to_o any_o part_n of_o the_o body_n but_o chief_o and_o moult_v frequent_o in_o the_o upper_a part_n about_o the_o face_n as_o nose_n lip_n etc._n etc._n or_o the_o dug_n and_o other_o glandulous_a part_n also_o the_o womb_n be_v thus_o affect_v sometime_o from_o tumour_n there_o breed_v venereal_a or_o other_o degenerate_v cancerous_a these_o tumour_n sometime_o be_v occasion_v from_o the_o menstrual_a suppression_n in_o woman_n and_o heamorrhoidal_a in_o man_n and_o when_o it_o happen_v so_o those_o cause_n be_v to_o be_v remove_v with_o speed_n great_a skill_n and_o circumspection_n be_v to_o be_v use_v in_o tumour_n of_o this_o nature_n lest_o provoke_v the_o continent_n matter_n it_o grow_v more_o fierce_a eat_v and_o ulcerate_v and_o from_o a_o cancerous_a tumour_n it_o become_v a_o cancerous_a preside_a ulcer_n which_o be_v worse_o now_o the_o sign_n of_o this_o tumour_n incline_v to_o break_v and_o ulcerate_v be_v great_a heat_n and_o pulsation_n in_o the_o part_n the_o difficulty_n or_o incurability_n of_o cancer_n lie_v here_o for_o that_o the_o cancerous_a matter_n will_v not_o yield_v to_o digestion_n or_o discussion_n and_o this_o because_o the_o
his_o right_a aim_n at_o the_o morbific_a cause_n hence_o arise_v all_o the_o invention_n of_o cool_a and_o so_o frequent_o use_v in_o most_o case_n repeat_v phlebotomy_n ptisan_n julep_n emulsion_n cool_a apozem_n embrocation_n liniment_n etc._n etc._n which_o make_v the_o great_a clutter_v of_o pot_n and_o glass_n about_o the_o sick_a and_o nothing_o more_o advantageous_a to_o the_o apothecary_n than_o trifle_v away_o the_o time_n thus_o with_o a_o number_n of_o these_o hazardous_a but_o many_o time_n and_o too_o often_o pernicious_a medicine_n this_o mode_n of_o practice_n and_o these_o device_n for_o cool_v feverish_a body_n i_o suppose_v be_v take_v up_o in_o imitation_n of_o galen_n a_o famous_a master_n of_o this_o art_n who_o appoint_v exhaustion_n of_o blood_n by_o phlebotomy_n ad_fw-la animi_fw-la deliquium_fw-la until_o the_o patient_n faint_v and_o large_a draught_n of_o cold_a water_n until_o the_o patient_n turn_v pale_a shake_v or_o quiver_n and_o the_o whole_a body_n cool_v and_o a_o author_n of_o our_o time_n in_o his_o write_n do_v febribus_fw-la appoint_v the_o casement_n to_o be_v set_v open_a to_o cool_v the_o sick_a upon_o what_o design_n i_o know_v not_o except_o to_o fan_v the_o house_n lest_o the_o heat_n of_o the_o fever_n shall_v fire_v the_o chamber_n and_o a_o late_a author_n of_o great_a fame_n in_o his_o work_n de_fw-fr febribus_fw-la suppose_v fever_n to_o arise_v a_o sulphur_n accenso_fw-la &_o exaltato_fw-la from_o a_o sulphurous_a deflagration_n of_o the_o blood_n prosecute_v upon_o the_o indication_n of_o refrigerate_v and_o quench_v this_o fire_n by_o cool_a liquor_n and_o for_o encouragement_n herein_o give_v a_o example_n i_o suppose_v his_o own_o patient_n of_o a_o young_a man_n about_o twenty_o year_n old_a that_o by_o immoderate_a drink_n of_o wine_n fall_v into_o a_o fever_n with_o thirst_n and_o insignal_n burn_v about_o the_o heart_n who_o after_o phlebotomy_n and_o plentiful_a drink_n of_o water_n aquae_fw-la fontanae_fw-la ingentem_fw-la quantitatem_fw-la ebibit_fw-la the_o author_n word_n he_o recover_v the_o success_n be_v good_a and_o i_o may_v say_v wonderful_a but_o whether_o from_o the_o mean_n or_o providence_n judge_v you_o but_o i_o shall_v not_o imitate_v the_o practice_n lest_o ten_o die_v for_o one_o that_o live_v but_o this_o learned_a doctor_n have_v high_o deserve_v in_o some_o other_o part_n of_o his_o write_n and_o therefore_o i_o tread_v soft_o now_o to_o consider_v all_o this_o in_o gross_a for_o brevity_n sake_n and_o apply_v it_o to_o our_o purpose_n in_o hand_n these_o way_n true_o be_v very_o probable_a not_o rational_a to_o cool_v a_o feverish_a hot_a sick_a man_n and_o to_o make_v he_o in_o a_o short_a time_n stone-cold_a and_o the_o probability_n thereof_o upon_o good_a ground_n do_v appear_v thus_o first_o upon_o the_o account_n of_o this_o latent_fw-la series_n and_o progress_n inflammation_n tumour_n etc._n etc._n usher_v in_o by_o pain_n more_o frequent_o than_o discern_v as_o already_o prove_v this_o refrigerate_a course_n the_o insist_v upon_o or_o intermix_v these_o cool_a medicine_n now_o and_o then_o to_o quench_v a_o preternatural_a heat_n be_v destructive_a at_o best_a a_o great_a delay_n and_o impediment_n in_o the_o cure_n and_o this_o be_v the_o common_a way_n of_o practice_n which_o need_v no_o far_a confirmation_n but_o a_o review_n second_o in_o all_o other_o case_n and_o from_o what_o cause_n soever_o a_o fever_n do_v arise_v this_o julepe_n and_o cool_a mode_n of_o practice_n be_v dangerous_a more_o or_o less_o as_o the_o case_n be_v in_o itself_o but_o in_o no_o wise_a advantageous_a make_v acute_a disease_n to_o commute_v and_o terminate_v in_o chronic_n and_o chronic_a or_o linger_a disease_n to_o hold_v on_o their_o course_n and_o become_v more_o contumacious_a to_o prove_v the_o first_o we_o shall_v compare_v that_o series_n and_o commutation_n of_o disease_n with_o the_o designment_n and_o nature_n of_o these_o cool_a medicine_n and_o by_o that_o you_o shall_v see_v what_o probability_n and_o season_n there_o be_v to_o expect_v from_o thence_o any_o good_a effect_n but_o rather_o the_o contrary_a promote_a of_o mischief_n begin_v and_o set_v forward_o those_o disease_n whatever_o cause_v pain_n whether_o it_o be_v obstruction_n in_o the_o part_n or_o oppression_n by_o indigested_a or_o degenerate_a incongruous_a matter_n by_o wind_n and_o flatulency_n by_o any_o exotic_a generation_n as_o worm_n stone_n etc._n etc._n any_o tumour_n or_o apostem_fw-la breed_v inflammation_n or_o ulcer_n plant_v etc._n etc._n these_o cool_n and_o cold_a invention_n touch_v not_o the_o disease_n except_o to_o do_v mischief_n and_o exasperate_v and_o remove_v no_o morbific_a cause_n for_o the_o nature_n of_o these_o cause_n and_o disease_n require_v aperitives_n abstersives_n cathartic_o discussive_n diaphoretick_n dissolvent_n sarcotic_n etc._n etc._n pro_fw-la re_fw-la nata_fw-la each_o case_n require_v some_o or_o more_o medicament_n of_o these_o operation_n but_o these_o cooler_n è_fw-fr contrà _fw-la stand_v in_o opposition_n and_o act_v repugnant_a to_o these_o property_n and_o consequent_o to_o the_o cure_n of_o those_o infirmity_n by_o obstruct_v of_o ducture_n and_o pore_n incrassate_v what_o shall_v be_v attenuate_v coagulate_v what_o shall_v be_v keep_v fluid_fw-la condense_v what_o ought_v to_o be_v rarify_v and_o discuss_v fix_v and_o retain_v what_o shall_v be_v move_v and_o send_v off_o impede_v transpiration_n but_o promote_a putrefaction_n general_o they_o check_v and_o damp_n the_o power_n of_o nature_n endeavour_v to_o extricate_v and_o quit_v herself_o from_o those_o encumbrance_n and_o grow_a evil_n that_o assault_n and_o beset_v she_o to_o make_v good_a the_o second_o part_n that_o in_o what_o other_o case_n soever_o a_o fever_n or_o vehement_a heat_n shall_v arise_v with_o ebullition_n of_o the_o blood_n and_o preternatural_a fermentation_n cool_v medicine_n be_v very_o prejudicial_a in_o many_o case_n mortal_a for_o whether_o it_o be_v a_o pestilential_a or_o other_o malign_a miasm_n seminary_n or_o taint_n or_o other_o impurity_n and_o feculency_n of_o the_o blood_n that_o nature_n intend_v by_o this_o febrile_a disturbance_n and_o irritation_n to_o throw_v off_o and_o separate_v which_o nature_n sometime_o without_o help_n do_v perform_v and_o make_v a_o good_a crisis_n but_o these_o cooler_n act_v counter_a to_o and_o prevent_v nature_n good_a work_n check_v the_o fermentation_n and_o thereby_o hinder_v the_o separation_n of_o any_o degenerate_v or_o noxious_a admixture_n and_o the_o reason_n of_o these_o ill_a consequent_n from_o cooler_n do_v main_o lie_v here_o for_o as_o the_o stomach_n do_v preside_v over_o and_o have_v great_a influence_n upon_o the_o other_o faculty_n and_o subsequent_a digestion_n who_o briskness_n and_o vigorous_a performance_n depend_v much_o thereon_o so_o likewise_o whatever_o subvert_v the_o tone_n of_o the_o stomach_n and_o flat_n the_o acuteness_n of_o this_o principal_a part_n and_o prime_a office_n of_o digestion_n injure_v allay_v and_o abate_v the_o energy_n of_o the_o rest_n impede_v the_o fermentation_n of_o the_o blood_n for_o depuration_n in_o such_o case_n as_o also_o for_o conservation_n and._n supply_n in_o the_o constant_a daily_a work_n and_o although_o the_o patient_n escape_v this_o fever_n and_o come_v off_o with_o life_n yet_o by_o this_o male_a practice_n they_o fall_v into_o dropsy_n scurvy_n jaundice_n and_o cachectic_a foul_a habit_n of_o body_n a_o obstruct_a or_o tumify_v spleen_n liver_n mesentery_n etc._n etc._n or_o it_o break_v out_o upon_o the_o skin_n and_o some_o eruption_n or_o cutany_n defedation_n will_v appear_v in_o time_n or_o it_o settle_v in_o some_o limb_n and_o disable_v the_o part_n and_o it_o be_v but_o reasonable_a to_o expect_v that_o patient_n thus_o cure_v shall_v soon_o be_v patient_n again_o upon_o the_o old_a account_n the_o relic_n of_o the_o former_a sickness_n for_o that_o morbific_a matter_n and_o cause_n of_o fever_n be_v retain_v by_o check_v and_o cool_v the_o febrile_a fermentation_n and_o not_o observe_v hippoc._n advice_n quò_fw-la natura_fw-la vergit_fw-la this_o morbous_a impurity_n and_o foulness_n must_v precipitate_v and_o settle_v somewhere_o and_o then_o you_o may_v well_o imagine_v it_o will_v make_v some_o appearance_n or_o alteration_n in_o time_n upon_o some_o part_n or_o other_o and_o then_o a_o aftergame_n be_v to_o be_v play_v for_o not_o have_v its_o due_a fermentation_n secretion_n and_o passport_n former_o when_o it_o do_v turgere_fw-la and_o be_v upon_o the_o flight_n only_o want_v the_o physician_n be_v direction_n and_o guidance_n hint_v by_o hippoc._n 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d aphor._n 21._o sect._n 1_o now_o a_o hole_n in_o the_o skin_n perhaps_o be_v think_v on_o a_o issue_n for_o a_o tedious_a and_o troublesome_a vent_n to_o discharge_v the_o matter_n which_o a_o good_a laudable_a course_n in_o due_a time_n may_v have_v prevent_v and_o thus_o or_o by_o this_o mean_v the_o patient_n come_v into_o the_o physician_n
cause_n may_v be_v such_o as_o these_o as_o when_o the_o head_n be_v expose_v to_o heat_n or_o cold_a a_o strong_a scent_n sweet_a or_o stink_a fume_n or_o smoke_n a_o blow_n or_o fall_v etc._n etc._n occasion_v disturbance_n of_o the_o spirit_n obstruction_n in_o the_o pore_n and_o vessel_n inflammation_n tumour_n or_o imposthume_n internal_a cause_n be_v sometime_o plenitude_n or_o fullness_n of_o blood_n which_o then_o upon_o small_a occasion_n be_v ready_a to_o estuate_v and_o ferment_n cause_v extension_n of_o the_o vessel_n and_o membrane_n or_o else_o depravation_n and_o foulness_n of_o the_o blood_n which_o may_v offend_v the_o brain_n or_o other_o part_n of_o the_o head_n by_o its_o noxious_a property_n now_o the_o degeneration_n of_o the_o blood_n from_o its_o due_a and_o laudable_a state_n to_o a_o evil_a and_o bad_a condition_n be_v various_a and_o do_v manifest_v itself_o by_o divers_a symptom_n in_o several_a part_n of_o the_o body_n and_o also_o when_o it_o be_v let_v out_o of_o the_o body_n by_o colour_n sapour_fw-la consistence_n heat_n etc._n etc._n either_o the_o blood_n be_v impoverish_v and_o deficient_a in_o vital_a spirit_n and_o heat_n slow_a in_o motion_n feculent_a gross_a or_o grumou_n and_o thereby_o apt_a to_o be_v stagnant_a or_o obstruct_v or_o else_o too_o hot_a and_o fiery_a cause_v inquietude_n of_o the_o spirit_n and_o irregular_a motion_n of_o that_o vital_a stream_n disturb_v the_o head_n with_o pain_n and_o watchfulness_n second_o the_o blood_n degenerate_v sometime_o from_o its_o balsamic_a quality_n into_o a_o acrid_a sharp_a or_o acrimonious_a condition_n and_o then_o most_o common_o there_o be_v a_o abound_a serosity_n or_o a_o superfluous_a latex_n or_o water_n which_o state_n of_o the_o blood_n as_o very_o remarkable_a cause_v many_o disease_n i_o shall_v set_v forth_o in_o another_o work_n deo_fw-la volente_fw-la to_o be_v make_v public_a three_o the_o blood_n may_v be_v contaminate_v with_o a_o contagious_a malignant_a or_o virulent_a miasm_n and_o taint_n as_o in_o the_o plague_n small_a pox_n high_o graduate_v scorbute_n venereal_a lues_fw-la as_o more_o full_o appear_v in_o my_o tract_n of_o the_o scurvy_a and_o that_o of_o the_o venereal_a lues_fw-la in_o all_o which_o case_n the_o head_n frequent_o be_v offend_v and_o suffer_v pain_n and_o here_o also_o we_o must_v account_v among_o the_o internal_a cause_n impotency_n and_o weakness_n of_o some_o organical_a part_n of_o the_o head_n not_o perform_v their_o office_n obstruction_n of_o some_o ducture_n or_o porosity_n by_o constriction_n compression_n or_o coagulation_n congest_v matter_n infest_v any_o part_n of_o the_o head_n raise_v pain_n wind_z or_o flatulent_a spirit_n rove_a here_n and_o there_o may_v produce_v the_o like_a watch_v unreasonable_o which_o tire_v the_o spirit_n cause_v disturbance_n in_o the_o head_n immoderate_a study_n or_o cogitation_n weaken_v the_o brain_n and_o render_v it_o liable_a to_o pain_n violent_a motion_n agitate_v the_o spirit_n furious_o and_o drive_v the_o humoral_a current_n out_o of_o their_o natural_a placid_a course_n discompose_v the_o head_n and_o may_v cause_v pain_n immoderate_a venus_n or_o long_a forbearance_n the_o first_o by_o too_o great_a exhaustion_n and_o drain_n the_o nerve_n the_o latter_a by_o plenitude_n overcharging_a the_o genital_a vessel_n reverberate_v back_o or_o by_o consent_n affect_v the_o head_n and_o now_o brief_o i_o shall_v show_v here_o what_o part_n chief_o and_o frequent_o the_o head_n consent_v with_o from_o whence_o internal_a cause_n of_o pain_n be_v communicate_v and_o as_o these_o part_n be_v well_o or_o ill_o by_o interval_n so_o the_o head_n be_v better_a or_o worse_a thereby_o the_o stomach_n in_o the_o first_o place_n as_o be_v the_o general_a and_o grand_a office_n of_o preparation_n to_o supply_v the_o whole_a body_n with_o nutriment_n so_o be_v it_o the_o part_n that_o most_o frequent_o afflict_v the_o head_n by_o communication_n through_o vessel_n of_o intercourse_n convey_v to_o each_o other_o the_o head_n complain_v from_o the_o stomach_n either_o before_o meat_n when_o suppose_a to_o be_v empty_a or_o after_o meat_n when_o replete_a and_o fill_v if_o the_o head_n complain_v before_o eat_v it_o argue_v the_o stomach_n to_o have_v some_o remainder_n or_o relic_n from_o former_a digestion_n not_o wrought_v off_o that_o do_v disturb_v the_o stomach_n and_o from_o thence_o the_o head_n if_o after_o meat_n the_o head_n ache_v it_o do_v declare_v the_o stomach_n indisposition_n to_o digest_v and_o imbecility_n to_o overcome_v what_o be_v receive_v and_o labour_v under_o the_o burden_n the_o head_n suffer_v also_o now_o to_o know_v that_o the_o stomach_n be_v not_o in_o good_a order_n or_o ability_n for_o the_o true_a performance_n of_o its_o office_n in_o digestion_n be_v manifest_a by_o these_o sign_n vomit_v or_o nauseat_v pain_n oppression_n or_o heaviness_n eructation_n or_o belch_a want_v of_o appetite_n or_o thirstiness_n but_o here_o by_o way_n of_o caution_n in_o this_o consent_n between_o the_o stomach_n and_o the_o head_n you_o must_v right_o distinguish_v lest_o it_o happen_v as_o sometime_o it_o do_v that_o the_o stomach_n suffer_v from_o the_o head_n and_o not_o the_o head_n from_o the_o stomach_n and_o since_o the_o consent_n be_v reciprocal_a and_o mutual_a you_o must_v nice_o observe_v which_o be_v the_o part_n primary_o affect_v and_o which_o the_o part_n by_o consent_n else_o endeavour_n of_o relief_n will_v be_v frustrate_a if_o you_o begin_v not_o with_o the_o part_n primariò_fw-la disease_v to_o free_a and_o set_v that_o right_n for_o then_o the_o other_o spontaneous_o and_o of_o course_n will_v be_v reduce_v the_o spleen_n be_v ill-affected_a draw_v the_o head_n into_o consent_n sometime_o and_o participate_v of_o its_o evil_n and_o this_o be_v to_o be_v know_v by_o examine_v the_o spleen_n whether_o any_o symptom_n of_o disorder_n or_o distemper_n be_v manifest_a there_o or_o from_o thence_o now_o the_o sign_n of_o a_o disease_a spleen_n be_v these_o pain_n hardness_n tumour_n or_o extension_n flatulent_a motion_n in_o the_o left_a hypochonder_n or_o side_n under_o the_o short_a rib_n and_o most_o common_o the_o head_n be_v affect_v or_o pain_v on_o the_o same_o side_n or_o else_o the_o forepart_n if_o the_o liver_n occasion_n the_o disturbance_n or_o pain_n in_o the_o head_n for_o the_o most_o part_n the_o pain_n be_v seat_v on_o the_o right_a side_n and_o then_o some_o symptom_n of_o a_o distemper_a liver_n will_v appear_v as_o heaviness_n or_o fullness_n in_o the_o right_a side_n hardness_n pain_n or_o heat_n affect_v also_o the_o stomach_n and_o cause_v thirst_n also_o dryness_n or_o heat_n in_o the_o palm_n of_o the_o hand_n and_o sole_n of_o the_o foot_n and_o as_o these_o sign_n have_v their_o intention_n or_o remission_n so_o the_o head_n be_v better_a or_o worse_o if_o the_o womb_n be_v in_o fault_n and_o cause_n pain_n of_o the_o head_n as_o frequent_o it_o do_v by_o the_o great_a communication_n and_o consent_n between_o these_o part_n then_o either_o there_o be_v a_o suppression_n of_o the_o menstrual_a purgation_n or_o irregular_a and_o out_o of_o due_a course_n not_o keep_v the_o due_a time_n or_o insufficient_a in_o quantity_n or_o abound_v or_o too_o long_a retension_n of_o seman_n or_o too_o great_a a_o profusion_n and_o waste_v some_o of_o these_o cause_n be_v sufficient_a not_o only_o to_o disturb_v the_o head_n but_o also_o divers_a other_o part_n of_o the_o body_n and_o these_o pain_n of_o the_o head_n arise_v by_o consent_n from_o the_o womb_n do_v most_o common_o affect_v the_o top_n or_o hind-part_n of_o the_o head_n if_o from_o the_o intestine_n pain_n of_o the_o head_n do_v proceed_v than_o either_o worm_n be_v breed_v there_o or_o the_o gut_n be_v trouble_v with_o sharp_a or_o corrupt_a humour_n or_o else_o there_o be_v costiveness_n and_o siccity_n of_o the_o bowel_n whereby_o the_o excrement_n be_v bake_v and_o harden_v cause_v too_o long_a retention_n and_o from_o hence_o by_o vessel_n of_o communication_n the_o head_n complain_v also_o if_o from_o the_o kidney_n the_o head_n be_v grieve_v then_o inquire_v into_o the_o condition_n of_o the_o kidney_n and_o you_o will_v find_v some_o signal_n of_o a_o disease_n there_o either_o stone_n or_o gravel_n or_o a_o sharp_a serum_n a_o inflammation_n or_o preternatural_a heat_n a_o ulcer_n or_o excoriation_n now_o as_o concern_v the_o cure_n of_o headache_n and_o likewise_o of_o all_o pain_n that_o arise_v by_o consent_n from_o other_o part_n take_v this_o general_a rule_n that_o in_o the_o first_o place_n application_n be_v make_v to_o the_o part_n primary_o affect_v to_o reduce_v that_o into_o a_o state_n of_o integrity_n then_o consider_v the_o part_n that_o suffer_v by_o communication_n and_o participation_n if_o by_o continuance_n or_o length_n of_o time_n any_o impression_n remain_v there_o or_o debility_n that_o may_v require_v help_n although_o
the_o foundation_n or_o first_o cause_n of_o complaint_n be_v remove_v else_o you_o begin_v at_o the_o wrong_a end_n for_o in_o vain_a it_o be_v to_o endeavour_v amendment_n in_o the_o part_n consent_v until_o the_o other_o be_v in_o its_o rectitude_n sublatâ_fw-la causâ_fw-la tollitur_fw-la effectus_fw-la for_o example_n if_o the_o head_n complain_v from_o the_o stomach_n let_v the_o cure_n be_v design_v upon_o the_o stomach_n and_o that_o be_v perform_v the_o work_n be_v do_v thus_o you_o see_v plain_o that_o the_o cure_n of_o head-pain_n by_o consent_n be_v as_o various_a and_o different_a as_o the_o part_n of_o the_o body_n be_v different_a in_o organization_n situation_n and_o office_n whereby_o they_o become_v liable_a and_o be_v seize_v with_o various_a disease_n require_v a_o different_a manner_n or_o method_n of_o cure_v which_o be_v to_o be_v treat_v of_o in_o their_o proper_a place_n touch_v the_o cure_n of_o head-pain_n that_o be_v the_o product_n or_o consequent_n of_o essential_a or_o idiopathical_a disease_n seat_v in_o the_o head_n the_o removing_z or_o take_v away_o those_o pain_n depend_v upon_o the_o cure_n of_o those_o disease_n whereof_o they_o be_v the_o effect_n and_o concomitant_n and_o do_v require_v their_o due_a and_o regular_a course_n of_o mean_n suitable_a to_o the_o nature_n of_o the_o disease_n but_o in_o case_n of_o extremity_n and_o for_o mitigation_n of_o pain_n and_o the_o inconvenience_n arise_v thence_o as_o long_o watch_v or_o want_n of_o rest_n and_o prostration_n of_o strength_n there_o be_v such_o good_a remedy_n as_o anodynes_n prudent_o to_o be_v use_v for_o allay_v and_o give_v ease_n or_o respite_n until_o the_o cause_n can_v be_v eradicate_v and_o a_o perfect_a cure_n wrought_v pain_n in_o the_o thorax_n or_o breast_n among_o the_o several_a division_n of_o man_n body_n into_o part_n we_o may_v observe_v three_o insignal_n cavity_n each_o contain_v principal_a member_n of_o the_o body_n the_o first_o and_o supreme_a be_v the_o head_n and_o all_o contain_v therein_o the_o middle_a cavity_n be_v the_o breast_n which_o contain_v the_o lung_n and_o heart_n the_o low_a region_n call_v the_o abdomen_fw-la or_o belly_n comprehend_v the_o stomach_n liver_n spleen_n gut_n kidney_n etc._n etc._n and_o have_v take_v cognizance_n of_o those_o pain_n incident_a to_o the_o head_n we_o now_o come_v to_o remark_n what_o pain_n happen_v to_o the_o contain_v and_o contain_v part_n of_o the_o breast_n hence_o we_o may_v note_v that_o these_o pain_n from_o their_o situation_n and_o place_n may_v be_v distinguish_v into_o external_a and_o internal_a external_n pain_n we_o may_v call_v such_o as_o be_v outward_a among_o the_o musculous_a and_o fleshy_a part_n as_o the_o pap_n dug_n and_o intercostal_a muscle_n internal_a pain_n be_v such_o as_o seize_v the_o heart_n lung_n mediastinum_fw-la etc._n etc._n part_n contain_v the_o breast_n be_v circumscribe_v thus_o the_o upper_a part_n be_v from_o the_o two_o canal-bone_n call_v claviculae_fw-la about_o the_o bottom_n of_o the_o neck_n the_o low_a part_n be_v bound_v by_o the_o diaphragma_n or_o midriff_n spread_v just_a above_o the_o stomach_n and_o liver_n from_o side_n to_o side_n the_o forepart_n be_v the_o sternon_n or_o breastbone_n seat_v in_o the_o middle_n which_o join_v and_o fasten_v the_o rib_n on_o the_o backpart_n be_v the_o vertebra_n or_o spine_n consist_v of_o many_o bone_n knit_v together_o where_o also_o the_o rib_n have_v their_o articulation_n the_o side_n be_v compass_v with_o rib_n swell_v outward_o and_o they_o reach_v from_o the_o spine_n to_o the_o sternon_n and_o this_o be_v the_o extent_n or_o limit_n of_o the_o breast_n pain_n may_v fall_v into_o the_o pap_n or_o dug_n of_o both_o sex_n but_o most_o common_o it_o happen_v so_o to_o woman_n except_o from_o external_a cause_n blow_n or_o fall_v and_o thus_o it_o be_v upon_o a_o sixfold_a account_n first_o because_o those_o part_n be_v more_o capacious_a and_o swell_a outward_o in_o woman_n which_o be_v glandulous_a spungy_a soft_a and_o porous_a be_v thereby_o apt_a to_o imbibe_n or_o receive_v any_o vagrant_a humour_n come_v to_o this_o part_n second_o more_o liable_a to_o the_o impression_n of_o cold_a from_o its_o tender_a soft_a nature_n and_o be_v by_o they_o more_o frequent_o expose_v to_o the_o air_n which_o may_v occasion_v and_o lay_v a_o foundation_n for_o pain_n and_o other_o symptom_n to_o follow_v three_o in_o woman_n these_o part_n be_v furnish_v with_o more_o vessel_n of_o use_n for_o lactation_n or_o suckling_n be_v thereby_o more_o liable_a and_o obnoxious_a to_o disorder_v four_o from_o the_o communication_n and_o intercourse_n between_o this_o part_n and_o the_o womb_n who_o disease_n and_o distemper_n may_v affect_v the_o other_o by_o consent_n five_o from_o the_o attraction_n of_o suckling_n ill_a humour_n may_v be_v draw_v and_o gather_v there_o which_o otherwise_o will_v not_o resort_v to_o that_o part_n six_o pain_n seize_v this_o part_n in_o woman_n from_o the_o various_a condition_n of_o their_o milk_n now_o the_o variation_n of_o milk_n cause_v this_o effect_n arise_v upon_o a_o double_a account_n redundance_n or_o plenitude_n and_o cacochymy_n or_o alienation_n sometime_o by_o plenitude_n for_o milk_n abound_v and_o distend_v the_o vessel_n cause_v pain_n and_o trouble_v in_o the_o part_n sometime_o by_o alienation_n of_o milk_n from_o its_o natural_a good_a condition_n to_o a_o degenerate_a state_n and_o this_o proceed_v from_o a_o cachectic_a or_o vicious_a habit_n of_o body_n for_o as_o the_o blood_n be_v good_a or_o bad_a so_o likewise_o the_o milk_n which_o be_v sanguis_fw-la dealbatus_fw-la blood_n change_v white_a by_o another_o digestion_n this_o milky_a substance_n be_v balsamic_a dulcet_a and_o pure_a in_o its_o integrity_n yet_o be_v very_a subject_n to_o alteration_n and_o change_n from_o distemper_n and_o various_a disposition_n of_o the_o body_n as_o sometime_o from_o thence_o be_v not_o so_o sweet_a but_o saltish_a bitter_a acrid_a and_o pung_a sometime_o curdle_v and_o coagulate_v thereby_o not_o flow_v free_o in_o the_o vessel_n but_o cause_v obstruction_n in_o those_o small_a ducture_n hence_o arise_v pain_n inflammation_n hardness_n tumour_n etc._n etc._n if_o not_o prevent_v by_o a_o due_a course_n with_o good_a mean_n and_o such_o inconvenience_n as_o these_o be_v frequent_a to_o woman_n after_o the_o birth_n of_o child_n when_o milk_n flow_v plentiful_o into_o those_o part_n and_o this_o many_o time_n or_o for_o the_o most_o part_n do_v proceed_v from_o the_o imprudent_a custom_n of_o manage_v woman_n in_o childbed_n especial_o some_o nurse_n who_o will_v be_v think_v more_o careful_a kind_a and_o diligent_a to_o their_o mistress_n do_v feed_v they_o too_o plentiful_o give_v they_o caudle_n at_o every_o 〈◊〉_d or_o after_o every_o short_a sleep_n night_n and_o day_n tell_v they_o they_o be_v empty_a and_o must_v fill_v up_o again_o and_o make_v up_o their_o loss_n which_o after_o this_o manner_n be_v do_v too_o hasty_o and_o the_o body_n change_v from_o a_o large_a evacuation_n to_o a_o sudden_a â—epletion_n the_o stomach_n thereby_o fail_v and_o be_v clogâ—â—…_n the_o blood_n ferment_n into_o disorder_n cause_v â—â—…e_n and_o dangerous_a fever_n of_o which_o the_o milk_n â—â—…ticipates_v and_o thereby_o degenerate_v endanger_v both_o the_o mother_n and_o the_o infant_n but_o indeed_o by_o experience_n i_o have_v find_v and_o reason_n urge_v the_o same_o that_o nothing_o be_v more_o safe_a than_o a_o spare_a diet_n which_o preserve_v the_o stomach_n quick_a and_o sharp_a and_o keep_v the_o whole_a body_n in_o a_o moderate_a temper_n and_o a_o regular_a condition_n not_o occasion_v such_o overflowing_n of_o milk_n or_o otherwise_o flood_v and_o this_o i_o have_v caution_v and_o make_v some_o nurse_n sensible_a of_o who_o by_o observance_n thereof_o afterward_o find_v their_o office_n more_o successful_a and_o have_v give_v i_o thanks_o for_o my_o advice_n as_o be_v the_o safe_a and_o best_a way_n to_o discharge_v the_o trust_n and_o care_v repose_v in_o they_o in_o the_o next_o place_n we_o be_v to_o take_v notice_n of_o pain_n that_o be_v seat_v in_o the_o musculous_a part_n namely_o the_o intercostal_a muscle_n in_o number_n 44_o so_o call_v from_o costae_fw-la the_o rib_n which_o these_o musc_n les_fw-fr do_fw-mi cover_v and_o also_o be_v insert_v fill_v up_o the_o space_n between_o each_o rib._n in_o these_o part_n pain_n sometime_o do_v fix_v and_o settle_v and_o be_v most_o perceive_v upon_o draw_v in_o of_o the_o breath_n when_o the_o muscle_n be_v upon_o extension_n and_o swell_a outward_a these_o pain_n be_v call_v by_o some_o bastard_n pleurisy_n though_o improper_o and_o by_o mistake_n for_o pain_n of_o the_o pleura_fw-la be_v different_a sometime_o these_o pain_n be_v not_o of_o continuance_n as_o to_o time_n nor_o constant_a as_o to_o place_v but_o move_v here_o and_o there_o and_o these_o be_v
common_o call_v stitch_n pain_n be_v incident_a to_o these_o muscle_n from_o external_a injury_n as_o contusion_n and_o impression_n of_o cold_a or_o else_o internal_a cause_n and_o these_o be_v either_o by_o defluxion_n of_o humour_n that_o may_v flow_v in_o as_o most_o frequent_o from_o a_o abound_a serosity_n be_v thin_a sharp_a and_o extravasated_a fall_v in_o among_o these_o muscle_n or_o else_o by_o congestion_n matter_n be_v accumulate_v which_o nature_n not_o be_v able_a to_o discharge_v lie_v there_o as_o a_o burden_n impede_v the_o muscular_a motion_n and_o cause_v pain_n sometime_o from_o flatulency_n and_o wind_n get_v into_o the_o interstitia_fw-la of_o the_o muscle_n thereby_o cause_v intercurrent_a and_o fleet_a pain_n and_o for_o remedy_n in_o such_o case_n fomentation_n and_o hot_a bag_n apply_v be_v advantageous_a evacuation_n be_v premit_v according_a to_o the_o condition_n of_o the_o body_n require_v we_o come_v now_o to_o consider_v of_o pleurisy_n or_o pain_n in_o the_o pleura_fw-la that_o inward_a membrane_n that_o do_v invest_v or_o line_v the_o breast_n a_o disease_n very_o eminent_a and_o frequent_o occur_v that_o both_o hippoc._n and_o galen_n often_o mention_v it_o by_o way_n of_o example_n these_o pain_n be_v acute_a and_o sharp_a like_o puncture_n and_o have_v no_o constant_a place_n but_o in_o some_o person_n they_o seize_v the_o right_a side_n in_o other_o the_o left_a in_o some_o the_o pain_n be_v high_a in_o other_o low_o towards_o the_o hypochonder_n sometime_o more_o backward_o and_o sometime_o forward_o and_o although_o chief_o and_o more_o manifest_o the_o pain_n be_v here_o or_o there_o to_o be_v point_v at_o yet_o the_o whole_a membrane_n by_o reason_n of_o continuity_n be_v thereby_o affect_v and_o the_o part_n adjacent_a do_v suffer_v by_o consent_n from_o whence_o various_a symptom_n as_o concomitant_n and_o attendant_n do_v inseparable_o accompany_v and_o consort_v with_o this_o pleuritic_n pain_n hence_o it_o be_v that_o difficult_a and_o short_a breathe_n be_v constant_o annex_v to_o it_o and_o this_o because_o the_o part_n for_o respiration_n be_v hereby_o impede_v and_o have_v not_o their_o due_a motion_n and_o liberty_n of_o extension_n but_o be_v restrain_v and_o curb_v which_o be_v do_v in_o favour_n to_o avoid_v compress_v the_o grieve_a part_n otherwise_o will_v exasperate_v and_o increase_v the_o pain_n and_o therefore_o the_o sick_a fetch_v their_o breath_n short_a and_o quick_a because_o they_o can_v take_v it_o full_o and_o large_o and_o do_v repeat_v it_o the_o often_o by_o way_n of_o recompense_n to_o this_o and_o by_o consent_n of_o part_n be_v adjoin_v a_o short_a and_o dry_a cough_n which_o irritate_v and_o provoke_v the_o pain_n by_o move_v and_o strain_v those_o part_n and_o therefore_o be_v very_o troublesome_a and_o grievous_a to_o the_o patient_n here_o also_o a_o continual_a acute_a fever_n do_v necessary_o follow_v as_o inseparable_a for_o the_o archaeus_n or_o vital_a principle_n be_v invade_v in_o those_o part_n by_o something_o hostile_a do_v therefore_o insurge_v become_v enrage_v grow_v hot_a and_o fiery_a raise_v a_o burn_a distemper_n throughout_o the_o body_n to_o these_o we_o may_v add_v another_o constant_a character_n namely_o a_o hard_a swift_a but_o small_a pulse_n and_o these_o be_v the_o pathognomonical_a signal_n that_o be_v always_o attend_v upon_o and_o do_v distinguish_v pleurisy_n from_o other_o disease_n of_o adjacency_n or_o affinity_n and_o likeness_n with_o they_o for_o when_o pain_n fall_v in_o among_o the_o intercostal_a muscle_n although_o there_o may_v be_v some_o puncture_n or_o pricking_n because_o of_o the_o membrane_n there_o yet_o not_o so_o great_a the_o fever_n not_o so_o high_a nor_o the_o breath_n so_o short_a nor_o the_o cough_n so_o troublesome_a if_o any_o if_o the_o lung_n be_v inflame_v only_o the_o pain_n be_v but_o little_a not_o pung_v but_o obtuse_a not_o in_o the_o circumference_n or_o side_n but_o in_o the_o cavity_n or_o middle_n of_o the_o breast_n yet_o the_o difficulty_n of_o breathe_v be_v great_a here_o than_o in_o pleurisy_n from_o angustness_n that_o seize_v the_o part_n of_o respiration_n pleurisy_n differ_v from_o inflammation_n of_o the_o diaphragma_n because_o in_o this_o there_o be_v no_o pain_n in_o the_o side_n but_o only_o at_o the_o end_n of_o the_o short_a rib_n and_o the_o upper_a part_n of_o the_o belly_n be_v extend_v and_o with_o it_o a_o delirium_fw-la pleurisy_n also_o be_v distinguish_v from_o inflammation_n of_o the_o liver_n in_o the_o seat_n or_o place_n of_o pain_n which_o always_o be_v in_o the_o right_a side_n under_o the_o short_a rib_n the_o pain_n not_o pung_v but_o heavy_a and_o obtuse_a the_o cough_n less_o difficulty_n of_o breathe_v less_o but_o the_o urine_n higher-coloured_n or_o tinged_a red_a and_o now_o i_o see_v the_o reason_n though_o very_o weak_a why_o some_o author_n have_v distinguish_v pleurisy_n or_o difference_v they_o into_o legitimate_a and_o spurious_a which_o indeed_o be_v a_o division_n of_o pleurisy_n into_o pleurisy_n and_o no_o pleurisy_n for_o i_o account_v no_o disease_n to_o challenge_v that_o denomination_n but_o such_o as_o have_v their_o foundation_n in_o the_o pleura_fw-la else_o by_o the_o same_o reason_n all_o disease_n may_v admit_v of_o the_o same_o distinction_n of_o legitimate_a and_o spurious_a for_o as_o much_o as_o every_o disease_n have_v some_o symptom_n which_o be_v common_a to_o other_o disease_n that_o may_v give_v they_o some_o resemblance_n or_o affinity_n with_o each_o other_o or_o be_v affect_v by_o consent_n from_o another_o but_o i_o pass_v it_o over_o and_o come_v to_o examine_v the_o cause_n from_o whence_o pleuritic_n pain_n do_v arise_v these_o cause_n be_v external_a and_o internal_a external_n cause_n be_v such_o as_o remote_o prepare_v and_o dispose_v the_o body_n to_o a_o likely_a capacity_n of_o reception_n or_o aptness_n to_o this_o disease_n lay_v the_o foundation_n for_o internal_a cause_n and_o they_o do_v arise_v out_o of_o or_o from_o the_o irregular_a unfit_a or_o improper_a use_n of_o the_o diaetetic_n which_o lead_v to_o a_o morbific_a or_o unsound_a state_n for_o example_n violent_a exercise_n or_o otherwise_o raise_v great_a heat_n in_o the_o body_n and_o open_v the_o pore_n by_o neglect_n upon_o it_o as_o not_o to_o preserve_v that_o warmth_n for_o some_o time_n and_o suffer_v it_o gradual_o to_o abate_v and_o go_v off_o by_o keep_v on_o clothes_n and_o forbear_v cool_a drink_n this_o may_v introduce_v a_o pleurisy_n so_o likewise_o in_o the_o heat_n of_o summer_n to_o throw_v off_o clothes_n and_o be_v expose_v to_o the_o wind_n at_o a_o casement_n or_o the_o cool_a air_n in_o the_o evening_n to_o overheat_v the_o body_n with_o strong_a liquor_n and_o sudden_o endeavour_v to_o cool_v it_o again_o with_o small_a beer_n may_v effect_v the_o like_a cold_a north-wind_n after_o southerly_a and_o hot_a weather_n do_v alter_v the_o texture_n of_o the_o blood_n and_o be_v previous_a to_o pleuritic_n or_o similar_v pain_n but_o here_o you_o must_v take_v notice_n and_o know_v that_o quicquid_fw-la recipitur_fw-la recipitur_fw-la per_fw-la modum_fw-la recipientis_fw-la all_o body_n be_v not_o alike_o nor_o equal_o dispose_v for_o reception_n for_o in_o some_o these_o cause_n produce_v pleurisy_n in_o other_o angina_n in_o some_o dysentery_n in_o other_o arthritic_n pain_n etc._n etc._n according_a to_o the_o aptitude_n and_o disposition_n of_o body_n in_o fabrication_n or_o organization_n and_o peculiar_a property_n have_v the_o same_o general_a external_a cause_n various_a and_o divers_a effect_n be_v determine_v and_o specificate_v by_o different_a state_n of_o body_n more_o liable_a and_o apt_a to_o this_o or_o that_o disease_n rather_o than_o another_o hence_o it_o be_v that_o external_a cause_n as_o diaetetic_n error_n have_v heterogeneous_a effect_n and_o procure_v dissimilar_v disease_n according_a to_o various_a constitution_n purity_n and_o impurity_n stability_n or_o debility_n concur_v with_o or_o resist_v their_o influence_n which_o consideration_n bring_v i_o direct_o to_o the_o next_o stage_n be_v the_o latter_a part_n of_o the_o precede_a division_n internal_a cause_n be_v antecedent_n or_o conjunct_a antecedent_n as_o plethory_n be_v fullness_n of_o blood_n or_o cacochymy_n a_o deprave_a or_o degenerate_a blood_n both_o which_o be_v previous_a state_n or_o condition_n of_o body_n dispose_v or_o render_v more_o liable_a to_o this_o disease_n for_o the_o great_a vessel_n be_v full_a and_o distend_v upon_o any_o effervescence_n and_o superfermentation_n of_o the_o blood_n this_o impetuous_o like_o a_o torrent_n be_v impel_v into_o the_o small_a pipe_n as_o those_o of_o the_o pleura_fw-la where_o not_o have_v a_o free_a passage_n it_o do_v cause_n pain_n by_o distension_n and_o inflammation_n now_o this_o plenitude_n be_v bring_v on_o or_o aggravate_v and_o increase_v sometime_o by_o a_o suppression_n of_o some_o accustom_a evacuation_n as_o those_o that_o be_v wont_a
to_o discharge_v and_o abate_v blood_n by_o the_o nose_n by_o the_o haemorrhoid_v or_o menstrual_a purgation_n sometime_o by_o plentiful_a feed_n and_o too_o much_o ease_v so_o that_o evacuation_n and_o transpiration_n be_v not_o proportionable_a in_o abatement_n and_o to_o balance_v the_o import_v food_n conjunct_a cause_n be_v such_o as_o more_o immediate_o and_o near_o concur_v or_o conspire_v actual_o in_o form_v of_o these_o pleuritic_n pain_n and_o they_o be_v either_o acidity_n or_o viscidity_n within_o the_o vessel_n of_o the_o pleura_fw-la or_o a_o violent_a fluxion_n from_o the_o large_a vessel_n too_o great_a for_o the_o capacity_n and_o reception_n of_o these_o exiguous_a canal_n 2._o acidity_n or_o a_o acrid_a serosity_n do_v sometime_o fabricate_a and_o finish_v this_o disease_n by_o pung_v and_o lancinate_v the_o pleura_fw-la for_o omne_fw-la acidum_fw-la extra_fw-la stomachum_fw-la corpori_fw-la est_fw-la hostile_a say_v helmont_n thereby_o irritate_v and_o exciting_a the_o vital_a spirit_n to_o estuate_v and_o be_v incense_v and_o from_o this_o focus_fw-la a_o febrile_a heat_n be_v kindle_v and_o communicate_v to_o the_o whole_a body_n and_o that_o oftentimes_o and_o for_o the_o most_o part_n it_o be_v a_o sharp_a serous_a humour_n predominant_a in_o the_o blood_n which_o cause_v this_o disturbance_n in_o the_o pleura_fw-la be_v confirm_v by_o the_o manner_n of_o solution_n or_o termination_n of_o the_o disease_n which_o most_o frequent_o be_v by_o a_o sudorific_a evacuation_n or_o insensible_a transpiration_n and_o therefore_o hippoc._n in_o his_o prediction_n say_v sudores_fw-la &_o urinas_fw-la in_o pleuritide_n probè_fw-la fieri_fw-la bonum_fw-la esse_fw-la &_o salutare_fw-la friendly_o sweat_v and_o effusion_n of_o urine_n presage_v a_o good_a event_n 2._o viscidity_n or_o grumosity_n of_o the_o blood_n do_v sometime_o cause_n pleuritic_n pain_n for_o by_o obstruct_v those_o small_a ducture_n of_o the_o pleura_fw-la and_o stop_v the_o circulation_n a_o tumour_n thereby_o be_v raise_v within_o this_o double_a membrane_n for_o the_o vein_n artery_n and_o nerve_n lie_v between_o these_o two_o coat_n of_o the_o pleura_fw-la and_o that_o the_o blood_n be_v thus_o apt_a to_o be_v stagnant_a especial_o in_o the_o small_a vessel_n by_o coagulation_n grossness_n or_o congelation_n be_v confirm_v by_o phlebotomy_n for_o be_v let_v out_o of_o the_o body_n it_o be_v sometime_o find_v destitute_a of_o its_o serum_n or_o latex_n that_o keep_v it_o fluxile_n thin_a and_o transient_a and_o also_o be_v manifest_a so_o to_o be_v when_o it_o be_v in_o the_o vessel_n as_o in_o gangrene_n where_o the_o blood_n be_v fix_v and_o the_o part_n almost_o mortify_v and_o when_o pleurisy_n do_v happen_v upon_o this_o cause_n of_o concretion_n they_o common_o tend_v to_o suppuration_n as_o not_o capable_a of_o be_v discuss_v or_o put_v into_o motion_n for_o a_o discharge_n of_o the_o part_n now_o the_o blood_n become_v thus_o incrassated_a gross_a and_o viscous_a from_o every_o cause_n that_o do_v too_o much_o exhaust_v and_o expend_v the_o serosity_n thereof_o as_o too_o great_a transpiration_n or_o sweat_v or_o immoderate_a make_n of_o urine_n and_o sometime_o from_o a_o malignant_a or_o a_o venomous_a miasm_n that_o curdle_n or_o congelate_v the_o blood_n 3._o fluxion_n or_o ebullient_a and_o preternatural_a fermentation_n cause_v pleuritic_n pain_n and_o thus_o it_o happen_v when_o a_o pleurisy_n be_v the_o consequent_a or_o appendent_a to_o a_o fever_n precede_v for_o sometime_o a_o pleurisy_n do_v precede_v and_o be_v the_o cause_n of_o a_o fever_n as_o when_o the_o dart_n be_v feel_v to_o strike_v the_o pleura_fw-la before_o any_o febrile_a distemper_n appear_v sometime_o a_o pleurisy_n do_v supervene_v and_o follow_v a_o fever_n as_o a_o effect_n from_o that_o general_a ebullition_n the_o hot_a spumou_n blood_n rush_v into_o the_o pleura_fw-la have_v establish_v these_o cause_n in_o their_o due_a series_n present_v they_o in_o the_o method_n and_o order_n of_o their_o causation_n and_o action_n we_o shall_v not_o trouble_v ourselves_o with_o choler_n phlegm_n and_o melancholy_n the_o suppose_a material_n of_o every_o disease_n nor_o shall_v i_o controvert_v the_o insufficiency_n of_o that_o doctrine_n here_o for_o indication_n of_o cure_n prompt_v what_o be_v to_o be_v do_v which_o way_n and_o with_o what_o they_o be_v various_a as_o the_o case_n present_v 1._o plethory_n indicates_z phlebotomy_n and_o require_v a_o depletion_n or_o abatement_n of_o the_o redundance_n of_o blood_n that_o there_o may_v be_v room_n for_o the_o peccant_a matter_n to_o retire_v and_o for_o a_o revulsion_n and_o derivation_n thereof_o as_o also_o to_o avert_v the_o current_n and_o flux_n tend_v towards_o the_o pain_a part_n 2._o purgation_n by_o sedate_n and_o amicable_a cathartic_n if_o you_o can_v procure_v such_o else_o by_o clyster_n the_o best_a substitute_n in_o that_o defect_n be_v necessary_a to_o absterse_v and_o cleanse_v the_o whole_a body_n thereby_o subduct_v fuel_n from_o the_o fire_n and_o for_o render_v the_o patient_n not_o so_o liable_a to_o effervescency_n and_o turgid_a estuation_n and_o for_o a_o retraction_n from_o the_o part_n affect_v 3._o topical_a discussive_n be_v available_a and_o contribute_v to_o the_o remove_n of_o the_o morbific_a cause_n both_o as_o defensative_n give_v robor_fw-la to_o the_o grieve_a part_n for_o resistance_n of_o the_o humour_n flow_v in_o and_o also_o for_o a_o transmission_n and_o discharge_n of_o the_o conjunct_a matter_n reside_v 4._o diaphoretic_n to_o rarify_v dissipate_v and_o set_v open_a the_o pore_n for_o a_o free_a transpiration_n and_o exsudation_n be_v not_o only_o safe_a but_o exceed_v necessary_a thereby_o to_o avert_v the_o antecedent_n cause_n resort_v to_o the_o pain_a place_n and_o to_o disperse_v and_o scatter_v the_o morbific_a conjunct_a cause_n from_o the_o part_n affect_v if_o possible_a to_o prevent_v suppuration_n which_o be_v very_o dangerous_a and_o common_o mortal_a 5._o anacathartics_n or_o proper_a and_o true_o expectorate_n medicine_n be_v auxiliary_a and_o profitable_a in_o promote_a expectoration_n by_o digest_v the_o peccant_a matter_n and_o render_v it_o more_o apt_a and_o easy_a to_o be_v bring_v up_o and_o of_o these_o some_o be_v attenuate_v other_o incrassating_a to_o be_v use_v pro_fw-la re_fw-mi nata_fw-la suitable_a to_o the_o offend_a cause_n which_o if_o it_o yield_v soon_o and_o free_o and_o nature_n throw_v it_o up_o by_o cough_n and_o spit_v it_o portend_v good_a promise_a shortness_n of_o the_o disease_n and_o a_o prosperous_a event_n which_o hippoc._n 1_o aphor._n 12._o confirm_v 6._o anodynes_n elect_v by_o a_o discern_a judgement_n and_o cautious_o use_v may_v be_v of_o good_a advantage_n in_o some_o case_n and_o at_o some_o time_n else_o may_v prove_v very_o pernicious_a have_v dispatch_v these_o pleuritic_n pain_n we_o be_v next_o to_o take_v notice_n what_o other_o pain_n be_v incident_a to_o the_o thorax_n or_o breast_n and_o here_o we_o find_v pain_n to_o arise_v from_o inflammation_n of_o the_o lung_n of_o the_o mediastinum_fw-la and_o of_o the_o diaphragma_n whereof_o a_o account_n will_v be_v give_v in_o their_o proper_a place_n hereafter_o when_o we_o treat_v of_o inflammation_n but_o the_o lung_n do_v suffer_v pain_n also_o from_o other_o cause_n as_o from_o tumour_n not_o inflame_v sometime_o from_o adhesion_n or_o stick_v of_o the_o lung_n to_o the_o side_n of_o the_o breast_n sometime_o from_o stone_n and_o worm_n that_o have_v breed_v there_o observe_v and_o find_v upon_o dissection_n and_o sometime_o by_o erosion_n and_o ulcer_n of_o which_o in_o their_o due_a place_n follow_v back-pain_n of_o the_o thorax_n be_v either_o upon_o the_o spine_n between_o the_o shoulder_n or_o upon_o the_o scapulae_fw-la the_o shoulder_n blade_n and_o these_o pain_n do_v arise_v from_o some_o impression_n of_o cold_a late_o take_v or_o from_o defluxion_n of_o a_o serous_a humour_n from_o the_o head_n or_o sometime_o from_o a_o malign_a miasm_n venereal_a or_o scorbutic_a that_o infest_v those_o part_n pain_n sometime_o be_v seat_v at_o the_o bottom_n of_o the_o sternum_n between_o the_o short_a rib_n under_o the_o cartilege_n mucronata_fw-la vulgar_o call_v the_o pit_n of_o the_o stomach_n but_o improper_o this_o cartilege_n hang_v down_o be_v as_o it_o be_v a_o defensative_a to_o the_o subjacent_a part_n namely_o the_o stomach_n and_o liver_n yet_o be_v flexible_a to_o give_v way_n to_o the_o extension_n of_o the_o stomach_n without_o compression_n this_o place_n be_v very_o tender_a at_o all_o time_n insomuch_o that_o a_o blow_n here_o be_v ready_a to_o make_v a_o strong_a man_n faint_a the_o part_n be_v thus_o sensible_a pain_n therefore_o here_o must_v be_v very_o troublesome_a now_o this_o place_n be_v of_o acute_a sense_n or_o feeling_n in_o regard_n the_o upper_a orifice_n of_o the_o stomach_n be_v very_o nervous_a and_o almost_o subjacent_a to_o this_o cartilege_n and_o the_o heart_n adjacent_a hence_o it_o be_v that_o a_o blow_n or_o
pressure_n here_o raise_v a_o faint_a pain_n the_o cartilege_n yield_v and_o give_v way_n to_o any_o force_n but_o sometime_o a_o pain_n be_v plant_v here_o not_o always_o by_o any_o external_a manifest_a cause_n but_o from_o internal_a and_o preternatural_a state_n of_o the_o part_n and_o this_o pain_n be_v rare_o take_v notice_n of_o by_o physician_n and_o mention_v but_o by_o a_o few_o practical_a author_n now_o to_o examine_v into_o the_o cause_n of_o pain_n you_o must_v know_v that_o this_o cartilege_n be_v flexible_a and_o yield_a in_o its_o natural_a condition_n be_v of_o a_o middle_a nature_n between_o a_o bone_n and_o a_o ligament_n and_o therefore_o may_v be_v curvate_v and_o bend_v inward_a upon_o a_o threefold_a account_n by_o laxation_n exsiccation_n and_o external_a depression_n 1._o by_o laxation_n as_o when_o too_o much_o moisture_n reside_v here_o mollify_a and_o loosen_v the_o part_n from_o any_o small_a occasion_n the_o cartilege_n may_v be_v inflex_v and_o turn_v inward_a change_v its_o due_a position_n and_o rectitude_n and_o from_o the_o like_a cause_n ligament_n be_v sometime_o relax_v which_o render_v juncture_n ready_a and_o apt_a for_o dislocation_n and_o disjuncture_n and_o upon_o this_o score_n the_o vertebra_n of_o the_o spine_n have_v be_v displace_v also_o the_o hip_n and_o ankle_n 2._o by_o exsiccation_n this_o cartilege_n may_v be_v distort_v and_o wrest_v from_o its_o posture_n as_o sometime_o that_o which_o be_v straight_o green_a and_o pliable_a by_o dry_v and_o shrink_v become_v crooked_a bend_v and_o draw_v aside_o so_o this_o cartilege_n that_o be_v a_o gristle_n tender_a and_o pliable_a sometime_o become_v dry_a hard_a and_o bony_a and_o fix_v upon_o distortion_n or_o writhe_n as_o not_o return_v to_o its_o rectitude_n or_o straightness_n and_o distance_n from_o the_o subjacent_a part_n over_o which_o and_o for_o who_o guard_n it_o be_v place_v 3._o by_o external_a depression_n as_o from_o a_o blow_n or_o fall_v any_o thing_n too_o much_o or_o too_o long_o press_v upon_o that_o part_n may_v pervert_v and_o alter_v the_o situation_n and_o due_a posture_n and_o those_o who_o business_n or_o employ_v keep_v they_o bend_v or_o press_v forward_o too_o much_o and_o constant_a render_v they_o liable_a to_o this_o inconvenience_n and_o therefore_o student_n and_o clerk_n that_o write_v much_o press_v upon_o this_o part_n be_v injure_v thereby_o and_o find_v it_o upon_o age_n though_o youth_n bear_v it_o off_o for_o a_o time_n now_o since_o this_o cartilege_n be_v thus_o expose_v to_o depression_n and_o bend_v inward_a and_o thereby_o the_o tender_a part_n subjacent_a to_o be_v press_v upon_o and_o molest_v the_o cause_n of_o pain_n and_o manner_n how_o be_v make_v evident_a and_o which_o most_o common_o be_v feel_v after_o eat_v and_o upon_o a_o full_a stomach_n when_o the_o part_n be_v dilate_v and_o swell_a up_o to_o this_o cartilege_n and_o far_o as_o all_o part_n of_o the_o body_n in_o several_a person_n do_v vary_v and_o differ_v much_o in_o figure_n position_n magnitude_n and_o distance_n so_o thereby_o some_o be_v more_o liable_a and_o apt_a for_o this_o pain_n than_o other_o although_o subject_n to_o the_o same_o external_a procure_n or_o internal_a antecedent_n cause_n and_o so_o i_o dismiss_v this_o particular_a pain_n and_o pressure_n and_o must_v take_v cognizance_n brief_o of_o that_o which_o be_v more_o general_a upon_o the_o whole_a breast_n the_o thorax_n or_o breast_n suffer_v by_o compression_n or_o constriction_n whereby_o a_o general_a obtuse_a pain_n of_o angustness_n be_v perceive_v and_o that_o chief_o upon_o inspiration_n and_o draw_v in_o of_o the_o breath_n and_o why_o now_o more_o than_o at_o another_o time_n be_v because_o the_o inspire_a air_n fill_v and_o distend_v the_o breast_n which_o make_v opposition_n to_o or_o resist_v the_o compress_a cause_n now_o the_o cause_n of_o angustness_n or_o coarctation_n be_v from_o the_o genus_fw-la nervosum_fw-la that_o give_v motion_n to_o the_o muscle_n and_o other_o part_n of_o the_o breast_n which_o nerve_n sometime_o be_v impedit_v and_o contract_v that_o their_o function_n be_v not_o free_o execute_v and_o therefore_o to_o this_o symptom_n of_o compression_n be_v common_o adjoin_v shortness_n or_o difficulty_n of_o breathe_v upon_o the_o same_o score_n and_o sometime_o spasm_n or_o convulsive_a motion_n and_o this_o complaint_n of_o straitness_n or_o contraction_n of_o the_o breast_n do_v frequent_o happen_v to_o scorbutic_a person_n who_o nervous_a juice_n be_v degenerate_a and_o taint_a their_o organ_n or_o vessel_n perform_v not_o their_o office_n due_o as_o they_o ought_v in_o give_v the_o full_a motion_n and_o extension_n or_o every_o part_n for_o this_o nervous_a liquor_n be_v feed_v and_o supply_v from_o the_o mass_n of_o blood_n which_o be_v scorbutic_a feculent_a and_o depauperate_v in_o spirit_n that_o also_o which_o be_v extract_v thence_o must_v be_v answerable_a and_o of_o a_o degenerate_a nature_n so_o than_o this_o nervous_a juice_n which_o shall_v be_v vegete_a noble_a and_o spirituous_a for_o put_v the_o motive_n faculty_n into_o action_n with_o vigour_n and_o briskness_n be_v become_v dispirited_a flat_a and_o deprave_a and_o the_o organ_n act_v thereby_o move_v heavy_o and_o irregular_o so_o that_o upon_o inspiration_n or_o fill_v the_o breast_n with_o air_n the_o part_n do_v not_o ready_o give_v way_n by_o expansion_n to_o let_v in_o hence_o the_o patient_n feel_v himself_o gird_v or_o straitlaced_n it_o remain_v now_o in_o the_o last_o place_n that_o we_o finish_v this_o second_o division_n in_o examine_v and_o search_v into_o the_o nature_n and_o cause_n of_o those_o pain_n that_o more_o peculiarly_a and_o eminent_o afflict_v the_o heart_n the_o heart_n be_v a_o noble_a or_o the_o noble_a and_o principal_a part_n be_v as_o the_o sun_n of_o the_o microcosm_n who_o irradiate_a lustre_n and_o beam_n of_o vital_a heat_n enlivens_fw-la and_o refresh_v all_o the_o region_n and_o part_n thereof_o the_o eclipse_n storm_n and_o cloud_n then_o that_o happen_v as_o the_o consequent_n of_o its_o distemper_n and_o suffering_n must_v needs_o be_v eminent_a and_o remarkable_a this_o supreme_a organ_n that_o bear_v the_o government_n of_o vitality_n be_v so_o general_o concern_v in_o all_o disease_n and_o discomposure_n of_o the_o body_n that_o few_o there_o be_v but_o the_o heart_n be_v make_v sensible_a thereby_o and_o give_v notice_n thereof_o by_o variation_n of_o the_o pulse_n as_o a_o sigrial_n from_o thence_o and_o not_o only_o distemper_n of_o the_o body_n or_o the_o defect_n and_o decay_n of_o some_o particular_a member_n or_o faculty_n do_v affect_v the_o heart_n but_o also_o the_o disorder_n and_o passion_n of_o the_o mind_n have_v influence_n thereon_o that_o from_o thence_o the_o heart_n ache_v beat_v or_o suffer_v pain_n and_o restless_a disturbance_n hence_o it_o be_v that_o grief_n anger_n fear_v desire_v etc._n etc._n change_v the_o regular_a motion_n of_o the_o heart_n and_o the_o pulse_n alter_v as_o a_o token_n and_o manifest_a character_n of_o its_o suffering_n now_o the_o heart_n be_v make_v thus_o sensible_a of_o the_o body_n infirmity_n and_o preternatural_a mutation_n from_o the_o vital_a government_n that_o be_v plant_v here_o have_v commerce_n and_o communication_n with_o every_o member_n from_o the_o circulate_v afflux_n and_o reflux_n of_o the_o crimson_a vital_a stream_n continual_o transmit_v through_o this_o organ_n which_o thereby_o be_v affect_v well_o or_o ill_o as_o the_o blood_n be_v better_a or_o worse_o in_o the_o current_n and_o quality_n thereof_o and_o the_o heart_n be_v also_o affect_v from_o the_o mind_n for_o as_o much_o as_o the_o soul_n exercise_v her_o power_n more_o eminent_o here_o and_o if_o a_o particular_a part_n may_v be_v assign_v this_o may_v be_v say_v to_o be_v the_o seat_n or_o throne_n of_o regality_n the_o heart_n be_v of_o a_o solid_a fibrous_a flesh_n the_o pain_n thereof_o be_v obtuse_a not_o so_o accurate_o perceptible_a so_o acute_a and_o sharp_a as_o those_o of_o the_o nervous_a part_n notwithstanding_o the_o effect_n and_o consequent_n thereof_o be_v impress_v upon_o the_o whole_a body_n and_o each_o member_n be_v impair_v in_o its_o vivacity_n and_o vigour_n and_o although_o this_o heart_n pain_n by_o the_o nature_n and_o substance_n of_o the_o organ_n be_v not_o so_o great_a common_o and_o perceptible_a as_o that_o of_o some_o other_o part_n yet_o when_o this_o pain_n do_v arise_v to_o some_o degree_n a_o syncope_n seize_v the_o patient_n a_o deprivation_n or_o cessation_n of_o life_n for_o a_o time_n that_o what_o it_o want_v as_o to_o sense_n be_v double_v in_o the_o consequent_n as_o threaten_v and_o endanger_v the_o life_n so_o that_o extremity_n of_o pain_n be_v not_o perceive_v here_o because_o sense_n decay_v as_o the_o cause_n of_o pain_n increase_v the_o heart_n be_v molest_v and_o suffer_v pain_n these_o several_a way_n by_o extension_n
dysentery_n send_v forth_o blood_n and_o corrupt_a matter_n sometime_o a_o bloody_a flux_n continue_v a_o while_n without_o vlceration_n and_o afterward_o ulcerate_v the_o gut_n and_o make_v a_o dysentery_n that_o be_v when_o this_o extravasated_a blood_n lodging_n in_o the_o gut_n degenerate_v and_o putrify_v it_o do_v thereby_o erode_a and_o plant_v a_o ulcer_n which_o complete_v a_o dysentery_n now_o this_o kind_n of_o dysentery_n arise_v from_o a_o impurity_n or_o corruption_n of_o the_o blood_n which_o cause_v a_o preternatural_a fermentation_n or_o effervescence_n in_o the_o whole_a mass_n but_o nature_n not_o be_v able_a to_o depurate_n and_o separate_a from_o this_o degenerate_a admixture_n either_o by_o transpiration_n or_o urine_n be_v force_v upon_o this_o emission_n by_o the_o intestine_n without_o a_o secretion_n and_o throw_v out_o both_o the_o good_a and_o bad_a together_o in_o the_o prosecution_n of_o cure_n as_o these_o cause_n be_v right_o adjudge_v and_o medicine_n adapt_v thereto_o depend_v the_o success_n and_o therefore_o that_o course_n and_o method_n which_o be_v advantageous_a and_o proper_a to_o one_o may_v be_v injurious_a and_o altogether_o disagree_v to_o another_o and_o here_o you_o must_v take_v notice_n that_o dysentery_n be_v sometime_o malignant_a as_o common_o when_o epidemical_a and_o then_o alexipharmacal_a medicine_n be_v not_o to_o be_v omit_v now_o concern_v the_o degree_n of_o dysentery_n as_o to_o a_o better_a and_o worse_o curable_a or_o deplorable_a state_n and_o the_o signal_n declare_v they_o as_o also_o several_a query_n that_o may_v be_v raise_v and_o satisfaction_n give_v to_o each_o the_o conciseness_n of_o this_o work_n will_v not_o admit_v to_o enlarge_v thereon_o in_o the_o next_o place_n and_o of_o great_a affinity_n with_o dysentery_n be_v a_o tenesmus_n agree_v in_o the_o cause_n and_o symptom_n but_o differ_v in_o the_o part_n affect_v a_o tenesmus_n be_v seat_v at_o the_o low_a end_n of_o the_o right_a gut_n or_o fundament_n the_o etymology_n of_o the_o word_n import_v something_o of_o the_o nature_n of_o the_o disease_n be_v a_o frequent_a desire_n and_o strain_v downward_o to_o the_o stool_n but_o instead_o of_o excrement_n blood_n and_o mucous_a matter_n be_v bring_v forth_o and_o with_o great_a pain_n this_o arise_v from_o a_o ulceration_n of_o the_o last_o intestine_a procure_v from_o the_o same_o cause_n as_o dysentery_n which_o we_o need_v not_o repeat_v this_o disease_n be_v most_o dangerous_a to_o woman_n with_o child_n for_o that_o it_o cause_v abortion_n but_o to_o all_o person_n it_o be_v very_o troublesome_a and_o painful_a and_o if_o it_o continue_v long_o the_o ulcer_n become_v fistulous_a and_o difficult_a to_o be_v cure_v and_o now_o i_o remember_v the_o cure_n of_o a_o old_a ulcer_n in_o this_o part_n notwithstanding_o the_o contumacy_n and_o difficulty_n thereof_o in_o the_o year_n 1653._o when_o i_o be_v but_o a_o young_a practiser_n yet_o by_o the_o blessing_n of_o god_n upon_o my_o endeavour_n i_o cure_v a_o gentlewoman_n afflict_v with_o a_o ulcer_n in_o ano_fw-la for_o seven_o year_n who_o can_v not_o in_o all_o that_o time_n receive_v help_v though_o she_o have_v try_v many_o physician_n and_o surgeon_n have_v a_o plentiful_a fortune_n to_o allow_v it_o she_o be_v age_v between_o fifty_o and_o sixty_o a_o alderman_n wife_n of_o maxfilde_a in_o cheshire_n where_o i_o happen_v to_o stay_v in_o that_o town_n for_o some_o time_n whereby_o this_o gentlewoman_n beyond_o her_o expectation_n receive_v a_o perfect_a cure_n to_o finish_v our_o discourse_n of_o pain_n belong_v to_o the_o intestine_n we_o shall_v conclude_v with_o the_o haemorrhoid_v a_o disease_n frequent_a and_o sometime_o of_o great_a complaint_n the_o word_n haemorrhois_n signify_v a_o flux_n of_o blood_n in_o general_a but_o custom_n have_v restrain_v it_o and_o among_o physician_n it_o be_v use_v and_o understand_v only_o that_o effusion_n of_o blood_n by_o the_o haemorrhoid_n vein_n which_o vein_n terminate_v at_o the_o low_a end_n of_o the_o last_o intestine_a and_o about_o the_o fundament_n these_o haemorrhoid_n vein_n be_v internal_a and_o external_a although_o most_o of_o the_o ancient_n and_o some_o modern_a author_n acknowledge_v only_o the_o internal_a but_o erroneous_o the_o internal_a and_o external_a haemorrhoid_n vein_n do_v differ_v much_o as_o first_o in_o their_o rise_n or_o descent_n for_o the_o external_a do_v proceed_v from_o the_o hypogastric_a branch_n of_o the_o vena_fw-la cava_fw-la and_o the_o internal_a from_o the_o vena_fw-la porte_fw-fr and_o common_o from_o the_o splenical_a branch_n thereof_o second_o in_o number_n the_o internal_a be_v but_o one_o though_o orbicular_o multiply_v and_o divide_v about_o the_o anus_fw-la the_o external_a be_v threefold_a three_o in_o their_o insertion_n the_o internal_a be_v insert_v into_o the_o membranous_a substance_n of_o the_o right_a gut_n the_o external_a into_o the_o musculous_a substance_n of_o the_o anus_fw-la or_o fundament_n four_o they_o differ_v in_o their_o content_n the_o internal_a carry_v a_o gross_a and_o black_a blood_n the_o external_a more_o thin_a and_o ruddy_a five_o in_o their_o office_n and_o use_n the_o internal_a evacuate_v the_o vena_fw-la porta_fw-la and_o splenical_a artery_n thereby_o advantageous_a in_o some_o disease_n of_o the_o spleen_n and_o cacochymy_n the_o external_a do_v empty_a the_o vena_fw-la cava_fw-la and_o correct_v such_o disease_n that_o depend_v upon_o plethory_n or_o redundance_n six_o they_o differ_v in_o evacuation_n the_o internal_a not_o so_o copious_a the_o external_a common_o large_a in_o the_o profusion_n and_o sometime_o very_o injurious_a and_o to_o some_o mortal_a seven_o in_o pain_n the_o internal_a for_o the_o most_o part_n painful_a the_o external_a not_o in_o evacuation_n last_o they_o differ_v in_o association_n the_o internal_a descend_v without_o artery_n the_o external_a be_v adjoin_v with_o artery_n to_o the_o anus_fw-la the_o haemorrhoid_n vein_n be_v liable_a to_o contrary_a affect_n and_o the_o disease_a do_v suffer_v in_o a_o different_a way_n sometime_o these_o vein_n abound_v with_o blood_n and_o swell_v for_o want_v of_o apertion_n and_o a_o discharge_n and_o this_o be_v call_v the_o blind_a haemorrhoid_v è_fw-la contrà _fw-la sometime_o the_o mouth_n of_o these_o vein_n do_v open_a and_o pour_v out_o too_o plentiful_o either_o sudden_o or_o by_o too_o long_a continuance_n and_o this_o be_v call_v the_o open_a haemorrhoid_v both_o these_o extreme_n be_v grievous_a to_o suffer_v the_o swell_a of_o the_o haemorrhoid_n vein_n and_o pain_n from_o thence_o have_v the_o same_o cause_n as_o provoke_v and_o continue_v the_o haemorrhoidal_a flux_n viz._n blood_n offend_v in_o quantity_n or_o quality_n which_o if_o it_o find_v not_o vent_v by_o the_o termination_n or_o mouth_n of_o the_o vein_n they_o be_v extend_v and_o swell_v big_a and_o sometime_o inflame_v which_o if_o it_o continue_v be_v dangerous_a lest_o it_o become_v cancerous_a and_o gangrene_n on_o the_o other_o side_n a_o immoderate_a flux_n be_v very_o pernicious_a and_o induce_v dropsy_n consumption_n cachexy_n etc._n etc._n by_o exhaust_v the_o treasury_n of_o life_n these_o haemorrhoidal_a flux_n continue_v undue_o and_o injurious_o argue_v the_o blood_n to_o be_v hot_a and_o sharp_a or_o too_o thin_a abound_v with_o a_o acrid_a serosity_n which_o provoke_v the_o expulsive_a faculty_n and_o open_v the_o mouth_n of_o the_o vein_n but_o the_o blind_a swell_n haemorrhoid_v denote_v the_o blood_n to_o be_v gross_a and_o thick_a or_o the_o coat_n that_o cover_v the_o extreme_a end_n or_o mouth_n of_o those_o vein_n to_o be_v dense_a and_o impenetrable_a not_o permit_v a_o exsudation_n here_o it_o may_v be_v query_v how_o it_o come_v to_o pass_v that_o these_o haemorrhoid_n vein_n shall_v be_v more_o trouble_v with_o blood_n and_o more_o frequent_o suffer_v a_o apertion_n since_o many_o other_o place_n of_o the_o body_n receive_v the_o extremity_n or_o termination_n of_o the_o vein_n and_o so_o equal_o capable_a of_o effusion_n in_o answer_v hereunto_o you_o must_v understand_v that_o although_o nature_n have_v form_v the_o like_a and_o plant_v they_o in_o divers_a part_n of_o the_o body_n which_o sometime_o though_o more_o rare_o do_v issue_n and_o send_v forth_o blood_n yet_o these_o haemorrhoid_v be_v place_v more_o commodious_o for_o void_v of_o superfluous_a and_o feculent_a blood_n be_v near_o the_o common_a vent_n and_o outlet_n for_o excrement_n to_o pass_v away_o and_o their_o situation_n be_v downward_o together_o with_o the_o strain_n upon_o occasion_n at_o the_o stool_n the_o extremity_n of_o these_o vein_n be_v fill_v and_o sometime_o force_v to_o evacuate_v more_o frequent_o than_o other_o now_o concern_v the_o blind_a haemorrhoid_v you_o may_v take_v notice_n and_o know_v that_o there_o be_v this_o difference_n sometime_o the_o tumour_n or_o extension_n be_v in_o the_o trunk_n or_o cavity_n of_o the_o vein_n and_o then_o there_o be_v no_o apertion_n and_o sometime_o the_o
liver_n before_o i_o inquire_v into_o the_o nature_n and_o cause_n of_o these_o pain_n it_o will_v be_v necessary_a to_o let_v you_o know_v the_o office_n and_o use_n of_o this_o member_n its_o situation_n figure_n and_o vessel_n for_o hereby_o the_o disease_n upon_o which_o pain_n depend_v will_v be_v more_o manifest_a and_o apparent_a as_o also_o such_o part_n as_o suffer_v by_o vicinity_n connexion_n and_o consent_n from_o hence_o to_o enumerate_v the_o various_a opinion_n that_o have_v be_v hold_v by_o learned_a man_n in_o all_o age_n concern_v the_o office_n of_o this_o member_n will_v be_v too_o tedious_a therefore_o i_o shall_v only_o mention_v what_o latter_a discovery_n have_v prove_v most_o rational_a from_o the_o motion_n of_o the_o chyle_n and_o blood_n which_o be_v this_o that_o the_o liver_n primary_o be_v appoint_v to_o receive_v the_o blood_n come_v from_o the_o heart_n to_o give_v it_o a_o far_a digestion_n and_o depuration_n by_o separate_v the_o bilious_a matter_n and_o secondary_o by_o embrace_v the_o ventricle_n to_o cherish_v and_o promote_v the_o stomach_n digestion_n or_o chylification_n for_o which_o purpose_v this_o member_n be_v fit_o seat_v form_v and_o furnish_v with_o vessel_n to_o import_v and_o export_n the_o liver_n be_v place_v in_o the_o right_a hypochonder_n under_o the_o diaphragma_n cover_v in_o part_n by_o the_o short_a rib_n and_o cover_v the_o upper_a and_o forepart_n of_o the_o ventricle_n and_o for_o firmness_n of_o situation_n it_o be_v fasten_v by_o three_o ligament_n to_o the_o abdomen_fw-la to_o the_o cartilege_n ensiformis_fw-la and_o to_o the_o diaphragma_n the_o figure_n of_o this_o member_n upon_o the_o superior_a part_n be_v convex_a or_o round_a the_o better_a to_o give_v way_n to_o the_o motion_n of_o the_o diaphragma_n but_o the_o under_o side_n be_v concave_a or_o hollow_a fit_o to_o apply_v to_o the_o extension_n of_o the_o ventricle_n as_o for_o magnitude_n it_o be_v various_a in_o divers_a person_n great_a and_o less_o and_o also_o different_a in_o the_o same_o person_n in_o health_n and_o sickness_n this_o member_n sometime_o be_v waste_v and_o shrink_v and_o sometime_o swell_v or_o increase_v wonderful_o big_a this_o organ_n have_v vessel_n appertain_v to_o it_o as_o vein_n artery_n and_o nerve_n the_o two_o eminent_a great_a vein_n of_o man_n body_n vena_fw-la cava_fw-la and_o vena_fw-la porte_fw-fr have_v their_o root_n various_o disperse_v here_o through_o the_o parenchyma_n or_o body_n of_o the_o liver_n the_o trunk_n of_o the_o former_a rise_n out_o of_o the_o superior_a gibbous_a part_n the_o latter_a from_o the_o concave_n and_o under-side_n the_o liver_n be_v design_v for_o the_o use_n aforesaid_a seat_v and_o accommodate_v after_o this_o manner_n we_o shall_v inquire_v into_o the_o impediment_n and_o preternatural_a condition_n from_o whence_o pain_n and_o trouble_n arise_v for_o many_o complain_v of_o pain_n and_o heaviness_n in_o their_o right_a side_n about_o the_o short_a rib_n sometime_o more_o forward_o sometime_o backward_o sometime_o inward_a and_o sometime_o more_o outward_a to_o what_o part_v these_o pain_n belong_v and_o the_o cause_n from_o whence_o they_o arise_v be_v worth_a our_o labour_n to_o be_v resolve_v for_o sometime_o pain_n of_o the_o liver_n have_v erroneous_o be_v take_v for_o pleurisy_n because_o the_o pain_n have_v extend_v upward_o and_o affect_v the_o thorax_n by_o reason_n of_o vicinity_n and_o sometime_o the_o muscular_a pain_n of_o the_o abdomen_fw-la in_o the_o right_a hypochonder_n have_v be_v adjudge_v to_o be_v hepatic_a not_o right_o discern_v the_o diagnostic_n sign_n disease_n which_o the_o liver_n be_v most_o subject_a to_o and_o procure_v pain_n be_v these_o obstruction_n adhesion_n inflammation_n inflation_n scirrhous_a tumour_n apostem_n ulcer_n from_o hence_o we_o may_v understand_v that_o as_o these_o pain_n be_v various_a in_o their_o cause_n so_o be_v they_o dissimilar_v and_o unlike_a in_o the_o sense_n of_o feeling_n and_o different_o seat_v obstruction_n that_o impede_fw-la and_o injure_v the_o office_n of_o the_o liver_n and_o produce_v pain_n be_v frequent_a and_o these_o be_v either_o in_o the_o outmost_a gibbous_a part_n and_o do_v belong_v to_o the_o trunk_n of_o the_o vena_fw-la cava_fw-la or_o else_o in_o the_o hollow_a inferior_a part_n and_o the_o vena_fw-la porte_fw-fr be_v concern_v herein_o or_o else_o the_o obstruction_n be_v fix_v in_o the_o body_n of_o the_o liver_n and_o then_o the_o small_a ramification_n of_o either_o or_o both_o vein_n be_v affect_v hence_o it_o be_v that_o this_o member_n be_v most_o frequent_o infest_a with_o obstruction_n because_o it_o be_v store_v with_o so_o many_o vessel_n as_o none_o more_o but_o beside_o these_o obstruction_n of_o the_o vessel_n there_o be_v also_o obstruction_n in_o the_o parenchyma_n or_o substance_n of_o this_o organ_n that_o be_v when_o the_o small_a meatus_fw-la or_o pore_n be_v shut_v up_o that_o ventilation_n and_o transpiration_n be_v deny_v hence_o it_o be_v that_o this_o member_n sometime_o be_v preternatural_o extend_v and_o increase_v in_o magnitude_n through_o all_o its_o dimension_n for_o have_v a_o continual_a supply_n of_o additional_a matter_n and_o not_o due_o expend_v the_o part_n of_o necessity_n must_v be_v augment_v and_o enlarge_v and_o it_o be_v observe_v by_o some_o that_o those_o have_v the_o great_a liver_n that_o be_v of_o a_o cold_a temperature_n and_o such_o as_o be_v great_a eater_n of_o this_o cornelius_n gemma_fw-la give_v a_o example_n of_o a_o old_a woman_n that_o can_v not_o forbear_v eat_v and_o drink_v scarce_o a_o moment_n but_o with_o great_a trouble_n and_o anguish_n and_o be_v open_v after_o her_o death_n her_o liver_n be_v find_v to_o be_v wonderful_o big_a signal_n declare_v the_o liver_n to_o be_v obstruct_v be_v a_o heaviness_n fullness_n or_o a_o obtuse_a pain_n in_o the_o right_a hypochonder_n and_o chief_o after_o meat_n or_o exercise_v and_o upon_o more_o than_o ordinary_a motion_n the_o face_n be_v apt_a to_o be_v high-coloured_n the_o hand_n to_o look_v red_a and_o the_o breath_n to_o be_v short_a and_o they_o be_v apt_a to_o be_v feverish_a upon_o small_a occasion_n but_o upon_o rest_n and_o ease_v common_o they_o be_v incline_v to_o be_v pale_a cause_n from_o whence_o these_o obstruction_n arise_v and_o do_v depend_v be_v first_o such_o as_o remote_o dispose_v as_o a_o plentiful_a and_o bad_a diet_n or_o a_o gross_a feed_n upon_o such_o meat_n as_o be_v difficult_a to_o be_v digest_v and_o distribute_v what_o those_o be_v you_o will_v find_v in_o the_o preservation_n of_o health_n etc._n etc._n also_o a_o thick_a unwholesome_a air_n to_o be_v without_o exercise_n and_o to_o indulge_v sleep_n too_o much_o which_o over-clogs_a the_o body_n make_v a_o plethory_n and_o fullness_n whereby_o the_o circulation_n be_v retard_v lay_v the_o foundation_n and_o a_o aptness_n for_o obstruction_n in_o general_n second_o and_o more_o immediate_o from_o a_o viscidity_n and_o grossness_n of_o the_o blood_n render_v it_o influid_a slow_a of_o motion_n and_o apt_a to_o stop_v in_o the_o vessel_n and_o this_o be_v generate_v in_o the_o liver_n from_o its_o distemper_n debility_n and_o decay_n of_o the_o faculty_n or_o be_v transmit_v from_o other_o part_n and_o bring_v in_o from_o the_o antecedent_n cause_v aforesaid_a to_o which_o we_o may_v add_v angustness_n of_o the_o vessel_n in_o some_o person_n dispose_v to_o this_o inconvenience_n obstruction_n of_o the_o liver_n be_v careful_o to_o be_v look_v after_o and_o remove_v because_o they_o introduce_v many_o other_o disease_n as_o jaundice_n dropsy_n fever_n inflammation_n scirrhous_a tumour_n etc._n etc._n adhesion_n or_o coalescence_n sometime_o be_v the_o cause_n of_o pain_n in_o the_o right_a hypochonder_n as_o when_o the_o liver_n stick_v to_o or_o grow_v together_o with_o the_o peritonaeum_fw-la and_o this_o may_v happen_v from_o too_o much_o and_o constant_a lie_v on_o the_o right_a side_n or_o by_o the_o magnitude_n of_o the_o liver_n extend_v to_o the_o peritonaeum_fw-la whether_o tumify_v preternatural_o or_o increase_v by_o a_o natural_a nutrition_n and_o growth_n now_o pain_n arise_v hence_o the_o membrane_n that_o invest_v and_o cover_v the_o liver_n be_v very_o sensible_a as_o all_o membrane_n be_v that_o cleave_v to_o the_o peritonaeum_fw-la be_v disturb_v and_o strain_v by_o motion_n or_o shake_n of_o the_o body_n or_o by_o lie_v on_o the_o contrary_a side_n the_o weight_n of_o the_o liver_n endeavour_v a_o separation_n inflammation_n sometime_o seize_v the_o liver_n and_o cause_v great_a pain_n and_o this_o common_o proceed_v from_o or_o be_v the_o consequent_a of_o obstruction_n for_o the_o blood_n be_v stop_v in_o its_o current_n and_o overflow_a especial_o be_v more_o hot_a and_o fiery_a be_v then_o apt_a to_o inflame_v the_o part_n and_o this_o be_v manifest_a to_o sense_n by_o heat_n and_o tension_n of_o the_o right_a hypochonder_n inflammation_n be_v know_v from_o
other_o disease_n of_o the_o liver_n by_o the_o vehemency_n of_o the_o symptom_n that_o attend_v this_o more_o than_o in_o other_o case_n for_o the_o pain_n be_v great_a the_o fever_n high_o and_o other_o symptom_n more_o fierce_a and_o sharp_a if_o the_o inflammation_n be_v upon_o the_o superior_a gibbous_a part_n of_o the_o liver_n it_o counterfeit_v a_o pleurisy_n and_o affect_v the_o breast_n much_o by_o short_a breath_n and_o a_o dry_a cough_n the_o tumour_n then_o extend_v to_o the_o diaphragma_n the_o vital_n be_v most_o affect_v and_o pain_n reach_v up_o to_o the_o jugulum_fw-la sometime_o but_o if_o it_o be_v in_o the_o cavous_a inferior_a part_n than_o the_o stomach_n be_v most_o sensible_a thereof_o by_o great_a thirst_n nauseat_v or_o vomit_v but_o lest_o you_o be_v mistake_v between_o a_o inflammation_n of_o the_o gibbous_a part_n of_o the_o liver_n and_o that_o of_o the_o muscle_n you_o must_v observe_v the_o difference_n by_o sight_n and_o feeling_n that_o the_o former_a have_v its_o extension_n circular_a according_a to_o the_o figure_n of_o the_o liver_n but_o the_o latter_a not_z beside_o the_o former_a may_v be_v perceive_v to_o lie_v deep_a the_o other_o a_o more_o superficial_a distension_n if_o the_o inflammation_n be_v in_o the_o body_n or_o flesh_n of_o the_o liver_n the_o pain_n be_v obtuse_a and_o heavy_a but_o if_o the_o membrane_n invest_v be_v the_o seat_n of_o the_o inflammation_n the_o pain_n be_v more_o sharp_a and_o pung_a inflammation_n be_v better_a or_o worse_o as_o the_o blood_n be_v good_a or_o bad_a for_o according_a to_o the_o degree_n of_o pravity_n and_o goodness_n the_o inflammation_n vary_v and_o therefore_o a_o phlegmon_n be_v not_o so_o vehement_a as_o a_o erysipelas_n inflammation_n be_v very_o cautious_o to_o be_v deal_v with_o both_o in_o regard_n of_o the_o present_a danger_n as_o also_o for_o future_a consequent_n for_o if_o a_o right_a course_n be_v not_o observe_v in_o the_o cure_n although_o the_o patient_n may_v escape_v the_o acute_a sickness_n and_o recover_v yet_o he_o may_v fall_v into_o a_o dropsy_n or_o consumption_n and_o that_o perhaps_o incurable_a the_o liver_n be_v so_o decay_v and_o tabefy_v as_o not_o to_o be_v reduce_v to_o soundness_n hence_o it_o be_v that_o after_o inflammation_n apostemation_n so_o frequent_o follow_v or_o a_o scirrhous_a tumour_n if_o the_o inflammation_n terminate_v in_o or_o leave_v a_o apostem_fw-la behind_o it_o if_o it_o be_v deep_a in_o the_o parenchyma_n of_o the_o liver_n it_o be_v more_o desperate_a but_o if_o the_o apostem_fw-la or_o abscess_n lie_v between_o the_o flesh_n and_o the_o cover_a coat_n of_o the_o liver_n their_o case_n be_v more_o hopeful_a because_o the_o matter_n may_v be_v better_o discharge_v and_o the_o liver_n not_o in_o so_o much_o danger_n concern_v the_o termination_n of_o this_o phlegmon_n or_o inflammation_n either_o it_o spend_v itself_o and_o go_v off_o by_o resolution_n or_o it_o arrive_v to_o maturation_n or_o it_o end_v in_o a_o scirrhous_a hard_a tumour_n the_o first_o be_v only_o desire_v and_o that_o which_o all_o practiser_n shall_v aim_v at_o in_o the_o administration_n and_o application_n of_o medicine_n the_o two_o latter_a be_v doubtful_a and_o dangerous_a in_o the_o beginning_n therefore_o discussive_n and_o diaphoretic_a resolver_n be_v the_o chief_a mean_n to_o oppose_v this_o disease_n not_o neglect_v to_o abate_v plethory_n and_o to_o make_v evacuation_n thereby_o to_o retract_v and_o withdraw_v fuel_n from_o the_o fire_n but_o if_o the_o apostem_fw-la can_v be_v discuss_v than_o the_o best_a way_n be_v to_o bring_v it_o to_o suppuration_n as_o soon_o as_o may_v be_v leave_v the_o part_n gangrene_n and_o if_o the_o faculty_n of_o the_o liver_n be_v strong_a to_o digest_v and_o beget_v a_o laudable_a white_a pus_fw-la or_o matter_n than_o there_o may_v be_v hope_n of_o the_o patient_n recovery_n but_o if_o it_o be_v sordid_a and_o stink_a the_o case_n be_v desperate_a this_o matter_n be_v evacuate_v sometime_o by_o stool_n and_o sometime_o by_o urine_n but_o if_o it_o fall_v into_o the_o abdomen_fw-la section_n must_v be_v make_v to_o let_v it_o out_o if_o nature_n can_v discharge_v it_o other_o way_n natura_fw-la in_o statu_fw-la praeternaturali_fw-la ab_fw-la interitu_fw-la se_fw-la liberatura_fw-la saepe_fw-la mirabiles_fw-la quaerit_fw-la vias_fw-la ac_fw-la meatus_fw-la moebius_n the_o apostem_fw-la be_v thus_o generate_v and_o arrive_v to_o suppuration_n it_o break_v and_o then_o the_o scene_n be_v change_v for_o now_o it_o become_v a_o ulcer_n and_o challenge_v that_o denomination_n but_o a_o ulcer_n be_v generate_v sometime_o without_o inflammation_n by_o sharp_a erode_a humour_n which_o be_v not_o so_o dangerous_a as_o the_o other_o because_o it_o come_v on_o gradual_o the_o symptom_n mild_a and_o give_v more_o time_n for_o the_o use_n of_o mean_n an_fw-mi apostem_fw-la likewise_o be_v gather_v in_o the_o liver_n sometime_o without_o inflammation_n be_v not_o then_o so_o painful_a nor_o come_v to_o its_o height_n so_o soon_o apostem_n do_v not_o always_o come_v to_o suppuration_n but_o sometime_o they_o grow_v hard_a and_o scirrhous_a and_o such_o tumour_n the_o liver_n and_o also_o the_o spleen_n be_v subject_a to_o these_o scirrhous_a tumour_n do_v depend_v upon_o impacted_a matter_n that_o will_v not_o be_v discuss_v and_o be_v the_o consequent_n of_o inflammation_n or_o inveterate_a obstriction_n procure_v sometime_o by_o a_o ill_a management_n of_o their_o intend_a cure_n draw_v away_o the_o thin_a matter_n and_o leave_v the_o grosser_n behind_o as_o by_o the_o use_n of_o too_o great_a dryer_n and_o heater_n or_o by_o refrigerate_v and_o constr_v medicine_n do_v so_o incrassate_fw-it they_fw-mi humour_n as_o not_o to_o be_v resolve_v this_o scirrhus_n of_o the_o liver_n be_v painful_a in_o the_o begin_n before_o it_o come_v to_o be_v exquisite_a and_o confirm_v but_o afterward_o not_o and_o that_o which_o be_v with_o pain_n be_v more_o hopeful_a the_o other_o desperate_a because_o it_o be_v in_o the_o way_n to_o gangrene_n those_o that_o be_v thus_o affect_v lie_v more_o easy_a on_o their_o right_a side_n than_o on_o the_o left_a in_o regard_n the_o weight_n of_o the_o liver_n press_v upon_o the_o ventricle_n when_o they_o be_v upon_o the_o left_a you_o be_v to_o take_v notice_n that_o pain_n of_o this_o scirrhus_n and_o also_o from_o other_o tumour_n of_o the_o liver_n or_o obstruction_n do_v not_o always_o possess_v the_o right_a side_n but_o pain_n be_v feel_v sometime_o forward_o upon_o the_o region_n of_o the_o stomach_n for_o as_o much_o as_o one_o part_n of_o the_o liver_n lie_v forward_o upon_o the_o ventricle_n hence_o it_o be_v that_o many_o be_v mistake_v sometime_o in_o judge_v all_o pain_n about_o the_o region_n of_o the_o stomach_n to_o be_v pain_n of_o the_o stomach_n when_o indeed_o they_o be_v seat_v in_o the_o left_a part_n of_o the_o liver_n there_o be_v also_o a_o inflation_n of_o the_o liver_n which_o be_v a_o tumour_n or_o extension_n thereof_o from_o wind_n and_o flatulent_a humour_n sometime_o in_o the_o vessel_n and_o sometime_o lodge_v between_o the_o invest_n membrane_n and_o the_o parenchyma_n this_o tumour_n be_v not_o hard_o but_o yield_v to_o pressure_n the_o pain_n from_o hence_o be_v mutable_a shift_v its_o place_n great_a and_o less_o sometime_o cease_v but_o return_v by_o interval_n there_o be_v also_o other_o cause_n that_o have_v and_o may_v produce_v pain_n of_o the_o liver_n as_o stone_n and_o worm_n which_o have_v be_v find_v upon_o dissection_n but_o be_v more_o rare_a and_o scarce_o to_o be_v discover_v but_o after_o death_n i_o wave_v the_o prosecution_n thereof_o and_o pass_v on_o to_o the_o next_o considerable_a part_n pain_n of_o the_o reins_o and_o bladder_n for_o the_o better_a understanding_n of_o pain_n in_o these_o part_n and_o their_o cause_n we_o shall_v first_o show_v you_o the_o formation_n of_o the_o kidney_n and_o their_o use_n afterward_o we_o shall_v discover_v the_o impediment_n and_o morbous_a affect_n that_o produce_v pain_n the_o reins_o or_o kidney_n be_v two_o placed_z one_o of_o either_o side_n the_o spine_n or_o backbone_n about_o the_o low_a short_a rib_n the_o one_o under_o some_o part_n of_o the_o liver_n the_o other_o under_o the_o spleen_n in_o the_o structure_n of_o the_o kidney_n the_o most_o observable_a for_o our_o purpose_n be_v the_o cavity_n and_o ducture_n in_o the_o parenchyma_n or_o body_n of_o they_o and_o the_o vessel_n lead_v to_o and_o from_o the_o substance_n of_o the_o be_v much_o like_a to_o that_o of_o the_o heart_n there_o be_v two_o cavity_n in_o the_o kidney_n be_v large_a than_o the_o rest_n into_o which_o the_o small_a pipe_n do_v convey_v and_o empty_v themselves_o as_o contain_v cistern_n and_o out_o of_o these_o again_o there_o be_v other_o small_a conveyance_n to_o transmit_v and_o send_v it_o forth_o there_o be_v also_o certain_a
of_o urine_n this_o disease_n be_v always_o accompany_v with_o a_o acute_a fever_n great_a thirst_n astriction_n of_o the_o belly_n heat_n of_o urine_n and_o great_a pain_n about_o the_o loin_n and_o if_o the_o artery_n be_v affect_v the_o pain_n will_v be_v with_o pulsation_n sometime_o a_o delirium_fw-la attend_v with_o long_o watch_v and_o if_o the_o inflammation_n be_v in_o the_o membrane_n the_o patient_n be_v scarce_o able_a to_o sit_v upright_o because_o the_o pain_n thereby_o be_v exasperate_v if_o the_o right_a kidney_n be_v affect_v pain_n extend_v upward_o to_o the_o liver_n and_o short_a rib_n and_o downward_o to_o the_o genitals_o also_o a_o stupor_n seize_v the_o right_a thigh_n by_o consent_n the_o nerve_n be_v compress_v that_o pass_v thence_o down_o to_o the_o thigh_n but_o if_o the_o left_a kidney_n be_v the_o part_n affect_v that_o side_n be_v most_o grieve_a and_o in_o like_a manner_n but_o if_o both_o the_o kidney_n be_v attack_v than_o the_o symptom_n on_o both_o side_n be_v equal_a the_o termination_n of_o these_o inflammation_n be_v either_o by_o a_o apostem_fw-la or_o abscess_n by_o induration_n and_o a_o scirrhous_a hardness_n or_o by_o transpiration_n and_o resolution_n which_o last_o be_v the_o only_a safe_a and_o secure_a way_n and_o this_o the_o physician_n ought_v to_o design_n for_o and_o aim_v at_o in_o his_o administration_n but_o if_o contrary_a to_o his_o endeavour_n the_o inflammation_n apostemate_n suppurate_n and_o break_v evacuate_v the_o purulent_a matter_n by_o the_o vreter_n into_o the_o bladder_n there_o be_v good_a hope_n of_o safety_n but_o if_o it_o be_v discharge_v inward_o by_o the_o emulgent_a vein_n the_o case_n be_v desperate_a scirrhous_n tumour_n in_o the_o next_o place_n come_v to_o be_v view_v and_o these_o be_v hard_a tumour_n very_o difficult_a to_o be_v remove_v be_v the_o relict_n of_o a_o inflammation_n or_o other_o tumour_n precede_v and_o not_o well_o cure_v or_o form_v by_o gross_a matter_n congest_v and_o accumulate_v there_o cause_v contumacious_a obstruction_n for_o humoral_a matter_n flow_v thither_o and_o be_v obstruct_v in_o the_o transition_n the_o heat_n of_o the_o part_n do_v exsiccate_a and_o harden_v it_o by_o time_n more_o and_o more_o and_o then_o by_o accumulation_n and_o addition_n form_v a_o tumour_n this_o cause_v heaviness_n about_o the_o loin_n but_o little_a pain_n the_o urine_n be_v but_o little_a also_o and_o that_o pale_a and_o watery_a in_o regard_n the_o office_n of_o the_o kidney_n be_v debilitate_a and_o by_o reason_n of_o the_o angustness_n of_o the_o passage_n let_v pass_v the_o thin_a but_o retain_v the_o thick_a part_n of_o the_o urine_n the_o long_a this_o tumour_n continue_v the_o more_o difficult_a and_o incurable_a it_o become_v and_o withal_o it_o bring_v on_o hydropic_a cachexy_n for_o the_o superfluous_a serosity_n not_o be_v drain_v away_o regurgitate_v back_o into_o the_o body_n the_o cure_n be_v to_o be_v set_v upon_o with_o internal_a and_o external_a medicine_n aperitives_n resolvent_n discussive_n and_o emollient_n apertion_n of_o the_o vessel_n contrary_a to_o nature_n sometime_o do_v threaten_v danger_n by_o the_o appearance_n of_o blood_n stain_v the_o urine_n and_o this_o proceed_v from_o a_o weakness_n of_o the_o vessel_n be_v relax_v in_o their_o retentive_a faculty_n or_o by_o a_o plenitude_n and_o fullness_n of_o blood_n or_o because_o the_o blood_n be_v thin_a and_o sharp_a which_o cause_v the_o mouth_n of_o the_o vessel_n to_o open_v on_o the_o contrary_a angustness_n or_o straitness_n sometime_o do_v incommode_v the_o vessel_n appertain_v to_o the_o reins_o which_o hinder_v the_o free_a ransmission_n of_o the_o urine_n now_o this_o angustness_n of_o the_o vessel_n do_v arise_v either_o by_o compression_n from_o some_o tumour_n or_o distend_v part_n that_o press_v upon_o the_o vessel_n and_o straiten_n they_o from_o without_o or_o by_o contraction_n or_o constriction_n of_o the_o vessel_n that_o be_v shrink_v as_o by_o great_a heat_n in_o long_a fever_n or_o a_o tabes_fw-la that_o seize_v the_o kidney_n or_o last_o by_o obstruction_n within_o from_o some_o viscous_a matter_n grumou_n or_o clot_a blood_n sand_n gravel_n stone_n etc._n etc._n the_o sign_n declare_v these_o obstruction_n be_v a_o suppression_n of_o urine_n with_o pain_n or_o a_o abatement_n of_o the_o usual_a quantity_n not_o answerable_a to_o the_o drink_n receive_v the_o place_n or_o part_v affect_v whether_o in_o the_o kidney_n or_o vreter_n be_v know_v by_o the_o seat_n of_o pain_n the_o cause_n that_o obstruct_v be_v know_v by_o their_o proper_a signal_n and_o by_o examine_v into_o the_o precede_a state_n of_o the_o patient_n the_o place_n or_o part_v grieve_v with_o these_o obstruction_n whether_o in_o the_o kidney_n or_o vreter_n pain_n discover_v and_o the_o dislodging_n or_o shift_v thereof_o of_o all_o the_o obstruction_n that_o infest_v the_o kidney_n the_o most_o frequent_a and_o sad_a complaint_n be_v from_o the_o stone_n this_o be_v the_o most_o contumacious_a obstruction_n the_o most_o painful_a be_v a_o hard_a solid_a body_n and_o the_o most_o uncertain_a remedy_n for_o relief_n concern_v the_o generation_n of_o these_o stone_n there_o have_v be_v various_a opinion_n among_o learned_a man_n in_o short_a the_o difference_n and_o contest_v hereupon_o may_v be_v reduce_v to_o these_o two_o head_n what_o the_o material_a cause_n of_o the_o stone_n be_v and_o what_o the_o efficient_a for_o the_o material_a cause_n or_o matter_n whereof_o the_o stone_n be_v breed_v galen_n and_o most_o of_o his_o disciple_n will_v have_v it_o to_o be_v a_o phlegmatic_a gross_a or_o viscous_a humour_n apt_a for_o condensation_n and_o induration_n and_o the_o efficient_a to_o be_v heat_n exsiccate_v this_o matter_n and_o bring_v it_o to_o a_o stony_a hardness_n but_o other_o of_o they_o will_v have_v this_o to_o proceed_v from_o cold_a by_o way_n of_o congelation_n but_o this_o doctrine_n can_v hold_v as_o rational_a nor_o do_v it_o answer_v experience_n as_o for_o the_o matter_n we_o can_v allow_v it_o to_o be_v such_o for_o as_o much_o as_o many_o that_o abound_v with_o a_o viscous_a tough_a phlegm_n and_o slimy_a matter_n as_o most_o ancient_a people_n do_v yet_o many_o of_o they_o be_v never_o trouble_v with_o stone_n or_o gravel_n and_o for_o a_o concurrence_n of_o both_o the_o cause_n material_a and_o efficient_a we_o have_v example_n of_o the_o age_a who_o be_v most_o cold_a and_o phlegmatic_a and_o for_o abound_a heat_n with_o the_o like_a matter_n we_o may_v produce_v fever_n yet_o no_o stony_a concretion_n or_o sign_n thereof_o to_o be_v find_v from_o such_o sickness_n so_o that_o we_o be_v now_o to_o seek_v for_o other_o cause_v both_o material_a and_o efficient_a whereon_o to_o ground_v our_o endeavour_n for_o the_o relief_n of_o such_o as_o be_v afflict_v with_o this_o disease_n the_o matter_n therefore_o and_o substance_n of_o the_o stone_n be_v from_o a_o tartarous_a and_o saline_a succus_fw-la with_o the_o addition_n of_o a_o terrestrial_a feculency_n concrete_v or_o petrify_v by_o a_o lapidifactory_a spirit_n or_o disposition_n of_o the_o reins_o which_o be_v the_o efficient_a and_o seminal_a be_v of_o that_o production_n the_o concurrence_n of_o both_o these_o cause_n do_v much_o produce_v the_o stone_n and_o afflict_v the_o patient_n in_o a_o high_a degree_n but_o one_o of_o they_o be_v sufficient_a viz._n this_o petrify_a power_n of_o the_o reins_o to_o coagulate_v any_o laudable_a good_a matter_n import_v there_o into_o a_o stony_a substance_n to_o confirm_v this_o fernelius_n relate_v upon_o his_o own_o knowledge_n of_o one_o that_o for_o three_o or_o four_o month_n together_o above_o a_o dozen_o small_a stone_n come_v from_o he_o every_o day_n all_o which_o time_n notwithstanding_o he_o eat_v nothing_o but_o broth_n and_o panadoe_n be_v confine_v to_o his_o bed_n by_o weakness_n and_o pain_n but_o allow_v this_o to_o be_v true_a from_o the_o credit_n of_o the_o author_n yet_o we_o must_v own_v and_o acknowledge_v that_o beside_o this_o principal_a cause_n of_o a_o petrify_a spirit_n in_o the_o reins_o there_o be_v also_o antecedent_n and_o procatarctic_a cause_n adjuvant_fw-la and_o promote_a as_o some_o sort_n of_o meat_n and_o drink_n and_o other_o error_n in_o the_o diaetetic_n that_o increase_n and_o set_v forward_o this_o disease_n which_o otherwise_o may_v be_v much_o slow_a in_o generation_n nor_o yet_o arrive_v to_o so_o high_a a_o degree_n of_o torture_n also_o the_o stomach_n spleen_n or_o liver_n not_o perform_v their_o function_n right_o may_v contribute_v matter_n to_o the_o promotion_n hereof_o for_o relief_n of_o the_o disease_a in_o this_o case_n there_o be_v two_o grand_a intention_n to_o be_v prosecute_v and_o aim_v at_o a_o dissolution_n of_o the_o body_n of_o the_o stone_n already_o generate_v and_o second_o the_o take_v away_o of_o the_o petrify_a disposition_n of_o the_o reins_o and_o abolition_n of_o
very_o weak_o other_o use_v their_o arm_n but_o with_o little_a strength_n and_o some_o the_o use_n of_o their_o limb_n almost_o take_v away_o the_o material_a and_o continent_n cause_n of_o these_o fugitive_n and_o vagrant_a pain_n be_v the_o same_o or_o of_o the_o same_o nature_n with_o the_o former_a arthritis_fw-la or_o joynt-gout_n viz._n a_o tartarous_a or_o sharp_a penetrate_a serosity_n that_o molest_v these_o several_a part_n and_o to_o confirm_v that_o this_o be_v a_o serous_a or_o watery_a humour_n it_o make_v no_o tumour_n nor_o suppurate_n which_o be_v it_o of_o another_o kind_n it_o will_v beside_o the_o mobility_n and_o fluctuate_a nature_n thereof_o argue_v it_o to_o be_v of_o that_o kind_n and_o far_o à _fw-la juvantibus_fw-la we_o may_v most_o rational_o conclude_v so_o transpiration_n and_o copious_a emission_n of_o urine_n and_o also_o purgation_n that_o evacuate_v serous_a humour_n give_v allay_v and_o sedation_n to_o these_o fleet_a pain_n but_o why_o this_o shall_v be_v so_o movable_a and_o change_v its_o place_n the_o other_o fix_v or_o constant_a to_o a_o part_n since_o one_o and_o the_o same_o humoral_a matter_n be_v the_o cause_n of_o both_o the_o reason_n hereof_o may_v be_v this_o from_o abundance_n of_o the_o humour_n and_o for_o want_v of_o vent_n one_o way_n not_o be_v sufficient_a to_o receive_v and_o spend_v it_o nature_n be_v necessitate_v to_o find_v out_o and_o break_v through_o several_a way_n that_o be_v by_o force_v the_o anastomosis_n and_o open_v the_o termination_n of_o the_o vein_n spew_v forth_o this_o pung_a irritate_v humour_n into_o several_a part_n and_o be_v a_o unwelcome_a guest_n hostile_a and_o troublesome_a the_o archaeus_n or_o vital_a principle_n defend_v its_o territory_n quoad_fw-la posse_fw-la and_o unwilling_a to_o give_v it_o harbour_v transmits_n it_n from_o place_n to_o place_n this_o rheumatism_n and_o erratic_a pain_n depend_v upon_o the_o same_o humoral_a cause_n with_o the_o gout_n will_v require_v much_o what_o the_o same_o method_n and_o medicine_n for_o cure_n as_o also_o such_o prophylactic_n that_o be_v proper_a and_o fit_a by_o way_n of_o prevention_n for_o the_o other_o may_v here_o be_v use_v with_o the_o like_a advantage_n and_o therefore_o it_o be_v not_o needful_a to_o point_v out_o a_o particular_a methodus_fw-la medendi_fw-la or_o peculiar_a medicine_n only_o the_o topical_a medicine_n be_v not_o of_o such_o use_n here_o as_o in_o the_o joint_n gout_n and_o now_o i_o have_v go_v through_o and_o brief_o inquire_v into_o the_o most_o and_o most_o considerable_a pain_n incident_a to_o several_a and_o principal_a part_n of_o man_n body_n it_o remain_v now_o as_o be_v propose_v and_o promise_v in_o the_o front_n of_o this_o work_n that_o i_o proceed_v on_o to_o the_o next_o stage_n viz._n inflammation_n and_o there_o observe_v what_o be_v most_o remarkable_a and_o most_o profitable_a to_o be_v take_v notice_n of_o inflammation_n internal_a by_o the_o common_a order_n of_o causation_n pain_n precede_v inflammation_n follow_v to_o illustrate_v and_o set_v forth_o the_o nature_n of_o inflammation_n more_o evident_o and_o to_o avoid_v confusion_n and_o intanglement_n in_o our_o discourse_n we_o shall_v distribute_v our_o matter_n and_o place_n it_o distinct_o under_o these_o follow_a head_n first_o what_o the_o word_n import_v and_o congruous_a signification_n with_o the_o nature_n thereof_o second_o what_o part_v of_o the_o body_n inflammation_n do_v usual_o possess_v three_o the_o occasional_a matter_n that_o provoke_v and_o set_v forward_o these_o inflammation_n four_o how_o they_o arise_v and_o from_o what_o principle_n or_o efficient_a they_o be_v cause_v five_o the_o use_n and_o practice_n that_o arise_v natural_o from_o the_o precede_a doctrine_n the_o word_n inflammatio_fw-la use_v in_o the_o latin_a in_o the_o greek_a be_v 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d and_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d from_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d uro_fw-mi to_o burn_v or_o inflame_v in_o both_o language_n signify_v some_o extraordinary_a and_o preternatural_a heat_n kindle_v and_o begin_v in_o some_o part_n of_o the_o body_n and_o in_o the_o common_a acceptation_n of_o a_o phlegmon_n or_o inflammation_n be_v understand_v thereby_o a_o hot_a tumour_n arise_v from_o blood_n but_o although_o inflammation_n be_v reckon_v among_o the_o tumour_n and_o so_o account_v by_o most_o practiser_n yet_o i_o must_v take_v leave_n to_o divide_v inflammation_n from_o tumour_n and_o distinguish_v they_o apart_o as_o proper_o so_o for_o common_o they_o be_v separate_v although_o oftentimes_o conjunct_a and_o the_o denomination_n be_v give_v à _fw-la calore_fw-la not_o à _fw-la tumore_fw-la bianca_n inflammation_n therefore_o i_o understand_v here_o only_o a_o preternatural_a or_o extraordinary_a heat_n begin_v in_o any_o part_n as_o the_o etymon_n of_o the_o word_n import_v before_o a_o tumour_n be_v raise_v but_o by_o time_n and_o continuance_n inflammation_n or_o great_a heat_n do_v attract_v matter_n and_o form_n a_o tumour_n and_o then_o inflammation_n and_o tumour_n be_v couple_v or_o complicate_v together_o for_o as_o we_o plain_o find_v external_a part_n to_o burn_v or_o feel_v very_o hot_a and_o to_o look_v red_a you_o say_v then_o the_o part_n be_v inflame_v although_o no_o tumour_n or_o swell_a appear_v so_o be_v it_o internal_o the_o part_n be_v fiery_a hot_a or_o inflame_v before_o a_o fluxion_n of_o blood_n arrive_v thither_o to_o throng_v the_o part_n and_o raise_v a_o tumour_n so_o that_o there_o be_v inflammation_n without_o tumour_n and_o inflammation_n conjoin_v with_o tumour_n and_o here_o i_o make_v inflammation_n a_o distinct_a classis_fw-la and_o to_o be_v a_o gradation_n or_o step_n towards_o a_o tumour_n which_o probable_o may_v follow_v if_o not_o prevent_v as_o sometime_o it_o do_v and_o here_o it_o be_v worth_a our_o inquiry_n to_o know_v the_o reason_n why_o some_o inflammation_n produce_v tumour_n and_o some_o go_v off_o without_o form_v a_o tumour_n and_o this_o be_v cause_v from_o the_o difference_n of_o the_o part_n affect_v and_o the_o copious_a influx_n and_o contumacy_n of_o the_o material_a cause_n to_o be_v remove_v from_o the_o efficacy_n of_o mean_n timely_o use_v or_o the_o strength_n of_o nature_n to_o relieve_v herself_o second_o we_o be_v to_o take_v notice_n what_o part_n of_o the_o body_n be_v subject_a to_o inflammation_n and_o they_o be_v the_o muscular_a flesh_n the_o membrane_n the_o parenchyma_n of_o the_o viscera_n and_o the_o glandula_n hence_o it_o be_v that_o inflammation_n as_o they_o be_v seat_v in_o divers_a part_n of_o the_o body_n so_o be_v they_o call_v by_o distinguish_a name_n from_o the_o part_n affect_v as_o phrenitis_n a_o inflammation_n of_o the_o meninge_n or_o membrane_n of_o the_o brain_n ophthalmia_fw-la of_o the_o eye_n parotis_n of_o the_o glandule_n near_o the_o ear._n peripneumonia_n of_o the_o lung_n pleuritis_fw-la of_o the_o pleura_fw-la nephritis_n of_o the_o kidney_n angina_n of_o the_o muscle_n of_o the_o throat_n now_o from_o the_o part_n affect_v you_o be_v to_o observe_v that_o any_o member_n the_o more_o nervous_a it_o be_v by_o so_o much_o the_o pain_n be_v great_a and_o by_o how_o much_o the_o part_n be_v more_o fleshy_a by_o so_o much_o the_o soon_o the_o inflammation_n come_v to_o a_o resolution_n or_o collection_n of_o matter_n in_o the_o three_o place_n we_o come_v to_o remark_n the_o conjunct_a and_o material_a cause_n of_o inflammation_n and_o they_o be_v generate_v either_o by_o obstruction_n or_o extravasation_n obstruction_n beget_v inflammation_n when_o the_o fluid_a liquor_n in_o the_o vessel_n be_v deny_v their_o free_a motion_n and_o transition_n and_o this_o happen_v when_o these_o juice_n be_v coagulate_v gross_a or_o thick_a and_o thereby_o become_v stagnant_a in_o the_o small_a vessel_n or_o by_o compression_n when_o the_o vessel_n be_v stop_v by_o some_o adjacent_a part_n tumify_v or_o extend_v beyond_o its_o common_a bound_n or_o by_o a_o influx_n of_o blood_n rush_v into_o some_o small_a vessel_n from_o whence_o there_o be_v not_o a_o ready_a transmission_n and_o passage_n for_o the_o venal_a and_o arterial_a pipe_n enter_v into_o a_o member_n be_v common_o large_a but_o grow_v small_a as_o they_o go_v deep_o in_o and_o their_o ramification_n very_a minute_n that_o they_o may_v soon_o be_v overcharge_v by_o a_o turgid_a blood_n more_o than_o ordinary_o ferment_v and_o flow_v in_o thus_o great_a pain_n from_o what_o cause_n soever_o may_v introduce_v inflammation_n by_o draw_v a_o flux_n of_o humour_n to_o a_o part_n or_o member_n from_o whence_o they_o can_v ready_o retire_v or_o move_v forward_o and_o here_o you_o may_v see_v how_o contusion_n luxation_n fracture_n etc._n etc._n do_v occasion_n inflammation_n if_o not_o prevent_v by_o care_n and_o skill_n with_o exquisite_a good_a mean_n by_o extravasation_n sometime_o inflammation_n do_v arise_v that_o be_v when_o either_o by_o plenitude_n and_o fullness_n or_o heat_n and_o
be_v no_o passage_n or_o vent_n it_o corrupt_v the_o contain_v part_n and_o be_v mortal_a except_o a_o passage_n can_v be_v make_v by_o section_n ulcer_n from_o their_o cause_n their_o aptness_n and_o inaptness_n for_o heal_v some_o be_v benign_a mild_a and_o tractable_a other_o be_v malign_v very_o difficult_a or_o incurable_a the_o benign_a and_o mild_a be_v such_o as_o arise_v in_o sanguine_a sound_a body_n and_o the_o young_a people_n have_v no_o ill_a symptom_n or_o adjunct_n of_o impediment_n the_o matter_n of_o such_o ulcer_n be_v a_o laudable_a pus_fw-la or_o otherwise_o apt_a for_o digestion_n more_o yield_v and_o ready_o command_v by_o medicine_n malign_v ulcer_n and_o contumacious_a difficult_a or_o intractable_a be_v such_o as_o be_v sordid_a fetid_v ichorous_a unctuous_a dolorous_a corrode_a and_o depascent_fw-la of_o long_a continuance_n virulent_a cancerous_a fistulous_a cavernous_a the_o product_n or_o effect_n of_o malignant_a disease_n as_o venereal_a lues_fw-la leprosy_n pestilence_n etc._n etc._n in_o cachectic_a habit_n of_o body_n hydropic_a hectic_a age_a consumptive_a and_o decay_a person_n in_o principal_a and_o difficult_a part_n of_o the_o body_n as_o the_o brain_n lung_n liver_n spleen_n etc._n etc._n the_o spondyl_n of_o the_o back_n and_o great_a juncture_n since_o ulcer_n be_v thus_o various_a in_o their_o nature_n from_o the_o several_a condition_n of_o body_n and_o disease_n that_o they_o arise_v from_o or_o depend_v on_o and_o the_o difference_n of_o part_n wherein_o they_o be_v seat_v a_o general_a method_n of_o heal_a and_o course_n of_o medicine_n can_v be_v institute_v and_o appoint_v but_o every_o case_n have_v its_o peculiar_a complication_n of_o circumstance_n as_o directory_n indication_n to_o be_v remark_v from_o whence_o a_o designment_n method_n and_o adaptation_n of_o medicine_n be_v form_v suitable_a to_o the_o particularity_n and_o different_a case_n of_o every_o individual_a patient_n and_o therefore_o i_o have_v not_o proceed_v to_o the_o rule_n and_o medicine_n for_o curation_n only_o thus_o much_o i_o shall_v note_v to_o you_o as_o a_o grand_a observable_a in_o the_o cure_n of_o these_o ulcer_n that_o such_o as_o arise_v from_o some_o remarkable_a disease_n as_o dropsy_n scorbute_n venereal_a lues_fw-la or_o other_o malign_a and_o cacochymical_a habit_n of_o body_n that_o these_o ulcer_n be_v not_o to_o be_v cure_v until_o the_o disease_n and_o evil_a state_n of_o the_o body_n on_o which_o they_o do_v depend_v be_v reduce_v to_o a_o good_a condition_n or_o mediocrity_n of_o constitution_n for_o the_o antecedent_n cause_n which_o first_o produce_v the_o ulcer_n must_v be_v remove_v before_o the_o ulcer_n be_v capable_a of_o heal_v because_o of_o the_o continual_a supply_n of_o peccant_a matter_n bring_v to_o the_o ulcerate_v part_n and_o therefore_o application_n be_v first_o to_o be_v make_v there_o else_o all_o endeavour_n will_v be_v frustrate_a and_o further_o the_o designment_n of_o these_o cure_n be_v not_o to_o be_v parallel_v with_o nor_o level_v by_o the_o method_n and_o intention_n that_o the_o common_a rule_n in_o chirurgery_n have_v lay_v down_o for_o as_o much_o as_o many_o of_o they_o be_v erroneous_o ground_v and_o deserve_v great_a correction_n and_o amendment_n which_o hereafter_o will_v be_v point_v out_o and_o discuss_v for_o we_o have_v not_o room_n here_o nor_o time_n now_o to_o engage_v in_o that_o cantroversie_n and_o must_v refer_v it_o to_o the_o next_o opportunity_n gangrene_n and_o mortification_n the_o last_o and_o worst_a transition_n of_o this_o dangerous_a train_n of_o disease_n and_o the_o ne_fw-fr plus_fw-fr ultrà _fw-la in_o vitality_n be_v a_o gangrene_n be_v a_o borderer_n upon_o or_o next_o adjoin_v unto_o mortification_n or_o the_o begin_n thereof_o and_o although_o gangrene_n be_v thus_o rank_v next_o to_o ulcer_n and_o it_o fall_v out_o so_o sometime_o in_o the_o preternatural_a course_n of_o nature_n if_o i_o may_v so_o speak_v yet_o it_o be_v not_o always_o so_o but_o a_o part_n may_v and_o do_v gangrene_n sometime_o before_o it_o be_v ulcerate_v for_o inflammation_n and_o tumour_n do_v gangrene_n as_o oft_o as_o ulcer_n but_o gangrene_n be_v place_v in_o this_o order_n after_o ulcer_n as_o be_v the_o worst_a and_o last_o morbous_a state_n that_o can_v come_v and_o beyond_o this_o there_o be_v no_o disease_n for_o although_o mortification_n be_v set_v down_o after_o gangrene_n yet_o this_o be_v no_o disease_n vita_fw-la extincta_fw-la non_fw-la est_fw-la morbus_fw-la for_o disease_n be_v seat_v in_o the_o life_n corpus_fw-la vivens_fw-la est_fw-la domicilium_fw-la morborum_fw-la and_o where_o no_o life_n be_v there_o be_v no_o disease_n but_o mortification_n be_v posit_v here_o as_o the_o centre_n to_o which_o disease_n move_v and_o as_o bound_n to_o stop_v all_o far_a disquisition_n a_o gangrene_n be_v a_o corruption_n and_o change_n of_o a_o part_n or_o member_n into_o such_o a_o degree_n or_o state_n as_o beginning_z to_o mortify_v or_o be_v mortify_v but_o sphacelus_n with_o the_o greek_n syderatio_n in_o the_o latin_a which_o we_o call_v mortification_n in_o english_a be_v when_o a_o part_n be_v perfect_o mortify_v and_o dead_a and_o therefore_o a_o gangrene_n be_v capable_a of_o cure_n but_o a_o sphacelus_n not_o because_o the_o part_n be_v dead_a a_o privatione_fw-la ad_fw-la habitum_fw-la non_fw-la datur_fw-la regressus_fw-la the_o external_a and_o primitive_a cause_n of_o gangrene_n be_v contusion_n vulneration_n congelation_n combustion_n constriction_n poison_n contusion_n sometime_o introduce_v a_o gangrene_n by_o coagulate_v and_o fix_v the_o blood_n so_o firm_o in_o the_o part_n contuse_v that_o thereby_o the_o life_n be_v suppress_v and_o overcome_v for_o communication_n and_o intercourse_n with_o other_o part_n of_o the_o body_n which_o be_v requisite_a be_v thus_o deny_v the_o life_n extinguish_v beside_o the_o coagulate_v bruise_a blood_n remain_v long_o undiscuss_v do_v putrify_v and_o gangrene_n vulneration_n or_o section_n sometime_o procure_v a_o gangrene_n when_o the_o vital_a principle_n be_v so_o debilitate_a or_o enormous_a by_o the_o wound_n that_o instead_o of_o a_o good_a suppuration_n and_o vigorous_a transmutation_n a_o deprave_a matter_n be_v generate_v which_o corrupt_v and_o gangrene_n the_o part_n and_o thus_o a_o small_a cut_n of_o a_o finger_n or_o toe_n have_v gangrene_v and_o kill_v the_o person_n but_o in_o great_a wound_n the_o danger_n be_v great_a as_o more_o frequent_o to_o happen_v congelation_n by_o extremity_n of_o cold_a hinder_v transpiration_n and_o condense_v the_o blood_n render_v it_o stagnant_a in_o the_o vessel_n suffocate_v the_o life_n and_o gangrene_n the_o member_n thus_o in_o extreme_a cold_a country_n people_n by_o casualty_n expose_v have_v their_o limb_n mortify_v sometime_o and_o thus_o a_o gangrene_n be_v bring_v upon_o a_o inflammation_n or_o erysipelas_n sometime_o by_o incautelous_a and_o pernicious_a application_n of_o great_a refrigerate_n or_o cool_a medicine_n thereby_o incrassate_v the_o blood_n and_o prohibit_v transpiration_n and_o this_o be_v very_o hazardous_a though_o advise_v and_o practise_v frequent_o by_o some_o surgeon_n in_o these_o case_n use_v cold_a astringent_a emplastic_a cataplasm_n ex_fw-la farin_fw-mi hoard_n bolo_fw-it armen_fw-la album_fw-la ovor_fw-la aceto_fw-la &c_n &c_n when_o a_o inflammation_n appear_v combustion_n sometime_o beget_v a_o gangrene_n and_o destroy_v the_o life_n of_o the_o part_n when_o by_o neglect_n thereupon_o or_o improper_a mean_n use_v relief_n be_v not_o due_o afford_v and_o thus_o by_o cautery_n and_o caustic_n sometime_o a_o member_n become_v mortify_v now_o vstion_n or_o great_a hurt_n by_o burn_v cause_v gangrene_n by_o corrugate_a shrink_a and_o sear_v up_o the_o vessel_n that_o they_o can_v bring_v supply_n of_o vital_a spirit_n and_o nutriment_n to_o the_o part_n constriction_n or_o compression_n procure_v a_o gangrene_n by_o intercept_n of_o vital_a communication_n so_o that_o the_o member_n thereby_o be_v as_o it_o be_v separate_v and_o cut_v off_o from_o the_o body_n and_o fountain_n of_o life_n for_o the_o part_n be_v maintain_v by_o influxed_a ray_n and_o stream_n of_o vital_a heat_n and_o moisture_n to_o the_o remote_a part_n of_o the_o body_n but_o be_v deprive_v thereof_o they_o die_v thus_o a_o ligature_n draw_v straight_o about_o the_o arm_n or_o leg_n and_o continue_v too_o long_o may_v gangrene_n and_o mortify_v the_o part_n by_o excommunicate_v it_o from_o commerce_n with_o and_o participation_n of_o the_o general_a life_n and_o thus_o sometime_o internal_a scirrhous_a tumour_n do_v compress_v the_o vessel_n and_o obstruct_v they_o of_o this_o fabricius_n hildanus_n give_v a_o example_n of_o one_o that_o a_o gangrene_n seize_v both_o his_o leg_n of_o which_o he_o die_v the_o cause_n be_v latent_fw-la until_o by_o dissection_n he_o find_v a_o scirrhous_a tumour_n about_o the_o vena_fw-la cava_fw-la descend_v between_o the_o reins_o where_o this_o great_a vein_n divide_v into_o two_o part_n to_o supply_v both_o leg_n poison_n some_o of_o
they_o do_v gangrene_n by_o concrete_v and_o condense_v the_o blood_n stop_v the_o canal_n and_o suffocate_a the_o life_n as_o the_o venom_n of_o a_o scorpion_n and_o asp_n other_o by_o putrify_v and_o corrupt_v the_o blood_n or_o some_o other_o part_n where_o they_o chief_o discharge_v their_o venom_n internal_a and_o conjunct_a cause_n of_o gangrene_n be_v inflammation_n corrupt_a venenous_a or_o malignant_a matter_n that_o prey_v upon_o and_o destroy_v the_o vital_a principle_n stagnation_n of_o the_o blood_n or_o what_o else_o may_v intercept_v commerce_n and_o supply_n from_o the_o fountain_n of_o life_n the_o character_n or_o sign_n declare_v a_o gangrene_n be_v these_o the_o sense_n of_o feel_a decay_n the_o colour_n change_v and_o incline_v to_o be_v livid_v or_o blackish_a the_o flesh_n grow_v flaccid_a and_o frigid_a but_o when_o the_o gangrene_n proceed_v on_o to_o a_o sphacelus_n or_o perfect_a mortification_n these_o symptom_n than_o be_v aggravate_v and_o appear_v more_o eminent_a sense_n be_v quite_o abolish_v and_o the_o part_n become_v fetid_v and_o cadaverous_a gangrene_n be_v very_o seldom_o mention_v in_o practice_n and_o you_o shall_v rare_o hear_v of_o any_o person_n to_o die_v of_o a_o gangrene_n yet_o i_o must_v believe_v and_o not_o without_o good_a ground_n that_o many_o thousand_o dye_n by_o a_o internal_a gangrene_n not_o take_v notice_n of_o for_o if_o the_o major_a part_n at_o least_o a_o great_a part_n do_v die_v with_o a_o high_a fever_n or_o phlogosis_n we_o may_v rational_o then_o conclude_v that_o a_o gangrene_n be_v frequent_o conjoin_v as_o the_o last_o actor_n in_o the_o tragedy_n and_o immediate_a cause_n of_o death_n for_o gangrene_n do_v common_o supervene_v inflammation_n where_o they_o be_v mortal_a and_o thus_o also_o inflammation_n from_o fracture_n and_o dislocation_n often_o bring_v on_o a_o gangrene_n and_o in_o malignant_a high_a fever_n there_o be_v sometime_o such_o vibices_fw-la mark_n of_o mortify_a blood_n and_o black_a mouth_n which_o do_v strong_o suggest_v a_o gangrene_n within_o the_o body_n and_o for_o those_o that_o perish_v by_o the_o plague_n in_o so_o short_a a_o time_n who_o venomous_a matter_n show_v itself_o by_o spot_n vesicles_n bubo_n and_o carbuncle_n most_o of_o these_o die_v gangrene_v and_o many_o of_o those_o that_o expire_v by_o the_o small_a pox_n have_v a_o gangrene_n in_o some_o part_n the_o putrid_a matter_n be_v lodge_v there_o nature_n not_o able_a to_o protrude_v and_o bring_v it_o forth_o and_o it_o be_v very_o reasonable_a to_o assert_v this_o for_o if_o a_o gangrene_n will_v arise_v out_o of_o a_o very_a small_a portion_n of_o matter_n extravasated_a deflux_v or_o congest_v in_o a_o part_n then_o where_o the_o whole_a body_n abound_v with_o malign_a putrefaction_n and_o overflow_v with_o it_o any_o part_n thereof_o remain_v within_o the_o body_n may_v and_o do_v very_o often_o corrupt_a and_o gangrene_n that_o part_n that_o our_o opinion_n be_v not_o so_o extravagant_a and_o excentric_a from_o the_o judgement_n of_o all_o learned_a man_n as_o some_o perhaps_o inconsiderate_o may_v censure_v take_v notice_n what_o arnisaeus_n a_o eminent_a physician_n in_o germany_n professor_n in_o the_o university_n of_o julia_n write_v to_o gregor_n horstius_n about_o a_o person_n of_o quality_n that_o die_v of_o the_o small_a pox_n queried_a or_o rather_o conclude_v that_o the_o liver_n be_v gangrene_v and_o far_o say_v verisimile_fw-la est_fw-la multis_fw-la idem_fw-la accidere_fw-la qui_fw-la ex_fw-la variolis_fw-la moriuntur_fw-la to_o which_o horstius_n answer_v by_o letter_n and_o consent_n with_o his_o determination_n in_o these_o word_n cùm_fw-la autem_fw-la necessariò_fw-la febris_fw-la sanguinea_fw-la cum_fw-la putredine_fw-la majori_fw-la concurrunt_fw-la in_fw-la tali_fw-la casu_fw-la facillimè_fw-la fieri_fw-la poterit_fw-la ut_fw-la praevalente_fw-la calore_fw-la febrili_fw-la 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d in_o viscere_fw-la sanguificationis_fw-la prae_fw-la caeteris_fw-la corrumpatur_fw-la inprimis_fw-la cùm_fw-la propter_fw-la cutem_fw-la undique_fw-la pustulis_fw-la exulceratam_fw-la &_o incrustatam_fw-la transpiratio_fw-la &_o eventilatio_fw-la difficilior_fw-la fit_n si_fw-mi enim_fw-la inflammationes_fw-la internae_fw-la ipsiusque_fw-la jecoris_fw-la juxta_fw-la communem_fw-la nostrum_fw-la amicum_fw-la guil_n fabr._n non_fw-la rarò_fw-la desinunt_fw-la in_o gangraenam_fw-la non_fw-la video_fw-la cur_n non_fw-la idipsum_fw-la saepiùs_fw-la etiam_fw-la fieri_fw-la possit_fw-la tunc_fw-la temporis_fw-la ubi_fw-la variolis_fw-la undique_fw-la satìs_fw-la quidem_fw-la expulsis_fw-la gravissima_fw-la symptomata_fw-la partium_fw-la internarum_fw-la inflammatarum_fw-la nihilominus_fw-la perdurant_fw-la eo_fw-la usque_fw-la donec_fw-la aegrum_fw-la penitùs_fw-la jugulent_fw-la horst_n institut_fw-la med._n disp_n 3._o coron_n 1._o additament_n and_o in_o many_o other_o acute_a malign_a disease_n either_o the_o morbific_a matter_n be_v not_o discuss_v and_o discharge_v from_o the_o seat_n of_o the_o disease_n or_o else_o be_v expulse_v thence_o into_o some_o other_o perhaps_o a_o remote_a part_n where_o it_o corrupt_v the_o member_n and_o extinguish_v the_o vital_a principle_n call_v by_o some_o the_o innate_a spirit_n now_o concern_v the_o curability_n and_o incurability_n of_o gangrene_n take_v these_o instruction_n before_o the_o disease_n be_v undertake_v or_o leave_v for_o desperate_a and_o hopeless_a first_o consider_v the_o duration_n or_o time_n of_o the_o disease_n the_o age_n and_o strength_n of_o the_o patient_n for_o a_o gangrene_n in_o the_o beginning_n be_v more_o easy_a and_o hopeful_a than_o after_o continuance_n because_o it_o proceed_v on_o common_o and_o draw_v near_a to_o a_o sphacelus_n which_o be_v incurable_a also_o young_a person_n vegete_a and_o vigorous_a in_o spirit_n be_v more_o hopeful_a than_o other_o age_a or_o wear_v out_o by_o long_a or_o enervate_v by_o acute_a sickness_n second_o examine_v into_o the_o essence_n nature_n and_o rise_v of_o the_o disease_n which_o will_v lay_v open_a much_o of_o the_o difficulty_n thereof_o for_o gangrene_n from_o a_o primitive_a cause_n as_o contusion_n fracture_n section_n vstion_n caustic_n or_o other_o erosion_n etc._n etc._n be_v more_o curable_a and_o less_o dangerous_a than_o those_o that_o arise_v and_o depend_v upon_o antecedent_n internal_a cause_n for_o gangrene_n of_o this_o sort_n do_v declare_v a_o cachectic_a deprave_a habit_n of_o body_n and_o that_o some_o of_o the_o internal_a viscera_n be_v damnify_v and_o vitiate_a from_o whence_o a_o supply_n of_o ill_a matter_n and_o therefore_o in_o hydropic_a scorbatic_a and_o hectic_a febrile_a body_n also_o in_o malign_a and_o contagious_a disease_n small_a pox_n venereal_a lues_fw-la plague_n etc._n etc._n gangrene_n be_v more_o desperate_a three_o the_o part_n affect_v or_o seat_n of_o the_o disease_n be_v to_o be_v note_v for_o if_o a_o principal_a part_n be_v gangrene_v recovery_n be_v very_o rare_a also_o in_o the_o gut_n a_o gangrene_n be_v mortal_a by_o reason_n of_o continual_a moisture_n there_o and_o imbecility_n of_o these_o also_o in_o the_o vagina_n vteri_fw-la and_o glandule_n of_o the_o body_n a_o cure_n be_v seldom_o perform_v now_o as_o touch_v the_o cure_n of_o gangrene_n there_o be_v not_o any_o one_o method_n or_o particular_a medicine_n for_o gangrene_n but_o they_o require_v such_o variation_n of_o cure_n according_a to_o the_o difference_n of_o their_o cause_n from_o whence_o they_o do_v arise_v with_o respect_n to_o the_o part_n affect_v and_o therefore_o we_o can_v point_v out_o any_o general_a course_n that_o may_v be_v applicable_a to_o this_o great_a disease_n but_o indication_n of_o particular_a and_o special_a case_n must_v vary_v and_o will_v make_v exception_n against_o it_o so_o that_o the_o rational_a physician_n perpend_v and_o due_o consider_v the_o nature_n of_o the_o disease_n and_o variation_n thereof_o as_o aforesaid_a with_o the_o symptom_n and_o circumstance_n attend_v must_v design_n such_o a_o method_n and_o adapt_v such_o medicine_n pro_fw-la re_fw-la nata_fw-la as_o may_v best_a suit_n with_o the_o urgency_n of_o this_o dangerous_a and_o threaten_a malady_n the_o mean_v require_v and_o useful_a in_o these_o emergency_n be_v take_v some_o from_o pharmacy_n and_o some_o from_o chirurgery_n pharmaceutic_a remedy_n be_v both_o internal_a and_o external_a internal_a be_v select_a and_o choice_a purgative_n diaphoretic_n and_o cardiac_n elaborate_v and_o prepare_v according_a to_o latter_a invention_n and_o the_o best_a rule_n of_o art_n topical_a and_o external_a be_v fomentation_n liniment_n and_o cataplasm_n specificate_v and_o appropriate_v to_o these_o purpose_n chirurgical_a help_n be_v phlebotomy_n cup_v scarification_n cantery_n etc._n etc._n and_o therefore_o a_o expert_a chirurgeon_n must_v here_o be_v assist_v to_o perform_v these_o operation_n now_o all_o these_o various_a mean_n be_v not_o to_o be_v use_v to_o every_o person_n gangrene_v but_o each_o case_n will_v require_v some_o of_o these_o more_o or_o less_o as_o the_o judgement_n of_o a_o skilful_a physician_n in_o this_o disease_n shall_v determine_v and_o appoint_v but_o if_o the_o gangrene_n by_o continuance_n and_o neglect_n or_o from_o acuteness_n by_o great_a
malignity_n and_o venenate_n matter_n have_v proceed_v too_o forward_o and_o draw_v near_o to_o a_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d mortification_n then_o these_o mean_n be_v to_o be_v lay_v aside_o and_o nothing_o remain_v to_o be_v do_v but_o amputation_n or_o dismember_n and_o that_o only_a if_o the_o part_n will_v allow_v it_o as_o arm_z or_o leg_n scrotum_fw-la or_o dug_n immedicabile_fw-la vulnus_fw-la ense_n recidendum_fw-la est_fw-la ne_fw-la pars_fw-la sincera_fw-la trahatur_fw-la and_o if_o a_o separation_n of_o this_o dead_a part_n from_o the_o live_n can_v be_v perform_v there_o be_v no_o hope_n of_o recovery_n or_o reduction_n of_o that_o to_o life_n again_o à _fw-la privatione_fw-la ad_fw-la habitum_fw-la non_fw-la datur_fw-la regressus_fw-la nor_o be_v there_o any_o hope_n of_o the_o patient_n life_n for_o this_o mortify_a part_n will_v corrupt_v and_o mortify_v the_o whole_a where_o amputation_n can_v be_v perform_v this_o question_n as_o a_o difficulty_n arise_v among_o man_n of_o art_n whether_o section_n shall_v be_v make_v in_o the_o sound_n or_o unsound_a part_n some_o be_v of_o opinion_n that_o it_o shall_v be_v in_o the_o die_a or_o dead_a part_n thereby_o to_o avoid_v pain_n to_o prevent_v the_o great_a haemorrhage_n or_o flux_n of_o blood_n and_o convulsion_n but_o i_o rather_o consent_v with_o those_o that_o determine_v of_o the_o other_o side_n as_o the_o most_o secure_a way_n and_o the_o argument_n for_o it_o be_v more_o prevalent_a rather_o to_o take_v away_o some_o of_o the_o sound_a flesh_n than_o to_o leave_v any_o of_o the_o corrupt_a and_o mortify_v for_o from_o that_o root_n the_o same_o mischief_n may_v grow_v again_o notwithstanding_o cauterize_n or_o what_o else_o may_v be_v do_v for_o a_o good_a performance_n and_o happy_a success_n in_o this_o operation_n be_v the_o ultimum_fw-la refugium_fw-la and_o extreme_a remedy_n in_o this_o desperate_a case_n there_o be_v many_o thing_n to_o be_v caution_v some_o before_o as_o previous_a other_o in_o the_o do_n and_o also_o after_o dismember_n to_o prevent_v the_o ill_a accident_n that_o may_v attend_v or_o follow_v but_o i_o must_v wave_v those_o particular_n now_o until_o occasion_n be_v offer_v to_o revise_v this_o work_n and_o enlarge_v upon_o the_o several_a head_n treat_v of_o and_o since_o that_o these_o disease_n now_o brief_o discourse_v have_v such_o transition_n and_o gradation_n from_o bad_a to_o worse_o and_o from_o thence_o to_o extremity_n it_o behoove_v every_o one_o upon_o suspicion_n of_o these_o latent_fw-la and_o obscure_a malady_n intimate_v by_o pain_n to_o begin_v early_o with_o they_o when_o with_o a_o small_a matter_n they_o be_v capable_a to_o be_v reduce_v but_o delay_n and_o neglect_v or_o improper_a mistake_a course_n do_v precipitate_v the_o patient_n into_o languish_v and_o difficult_a or_o irremediable_a condition_n multae_fw-la aegritudines_fw-la suâ_fw-la naturâ_fw-la sanabiles_fw-la aegri_fw-la negligentiâ_fw-la aut_fw-la medici_n errore_fw-la fiunt_fw-la incurabiles_fw-la the_o result_n of_o the_o whole_a matter_n by_o way_n of_o recapitulation_n i_o have_v thus_o brief_o deliver_v to_o you_o the_o most_o considerable_a matter_n relate_v to_o the_o subject_a propose_v in_o the_o front_n of_o this_o work_n pain_n inflammation_n tumour_n apostem_n etc._n etc._n this_o frequent_a and_o latent_fw-la progress_n of_o disease_n which_o may_v admit_v of_o great_a inlargement_n and_o long_a discourse_n upon_o the_o several_a part_n and_o point_v touch_v upon_o but_o i_o have_v only_o draw_v out_o the_o chief_a head_n as_o a_o compendium_n easy_a to_o review_v and_o retain_v in_o memory_n whereto_o many_o case_n and_o the_o most_o principal_a in_o practice_n do_v refer_v and_o belong_v and_o may_v serve_v as_o a_o guide_n and_o caution_n to_o practiser_n that_o jog_v on_o in_o the_o common_a beat_a road_n who_o little_o suspect_v this_o train_n of_o disease_n and_o discern_v not_o their_o disguise_n in_o the_o sickness_n they_o undertake_v indeed_o it_o seem_v something_o strange_a that_o these_o capital_a disease_n which_o most_o other_z be_v dependent_a upon_o or_o move_v towards_o shall_v not_o be_v obvious_a and_o more_o frequent_o the_o subject_n of_o practice_n these_o be_v primitive_a disease_n and_o a_o groundwork_n from_o whence_o many_o other_o be_v derive_v and_o bottom_v upon_o or_o else_o they_o be_v such_o as_o most_o disease_n do_v fall_v into_o and_o be_v the_o termination_n of_o they_o and_o it_o be_v very_o reasonable_a to_o expect_v that_o both_o most_o acute_a and_o also_o chronic_a disease_n shall_v go_v in_o this_o road_n and_o make_v their_o transition_n by_o these_o stage_n for_o pain_n be_v so_o general_a in_o disease_n and_o this_o so_o natural_o lead_v on_o the_o rest_n or_o at_o least_o do_v signal_o declare_v that_o the_o rest_n be_v come_v on_o as_o in_o pag._n 9_o 10_o 11_o 12._o be_v set_v forth_o and_o if_o you_o do_v but_o consider_v that_o in_o disease_n both_o acute_a and_o slow_a of_o motion_n there_o be_v most_o common_o a_o peccant_a matter_n lodge_v here_o or_o there_o and_o cause_v particular_a pain_n in_o some_o part_n or_o else_o this_o morbific_a matter_n be_v float_v in_o the_o vessel_n and_o produce_v only_o some_o general_a indisposition_n or_o a_o febrile_a estuation_n and_o distemper_n if_o it_o be_v lodge_v in_o any_o part_n by_o defluxion_n or_o breed_v there_o by_o congestion_n it_o necessary_o disease_v that_o part_n give_v some_o disturbance_n by_o pain_n and_o will_v form_v a_o tumour_n if_o not_o remove_v and_o dislodge_v in_o due_a time_n but_o if_o the_o morbific_a matter_n be_v rove_a and_o fluctuate_a nature_n either_o make_v a_o secretion_n and_o send_v it_o forth_o by_o her_o own_o strength_n or_o assist_v by_o medicine_n or_o else_o it_o be_v transmit_v into_o some_o ignoble_a part_n where_o it_o will_v not_o lie_v dormant_a long_o but_o accumulate_v there_o become_v more_o deprave_v and_o lay_v the_o foundation_n for_o this_o train_n of_o disease_n so_o that_o either_o way_n there_o be_v a_o tendency_n to_o bring_v about_o this_o design_n the_o subject_n of_o our_o discourse_n in_o the_o most_o malignant_a sickness_n you_o may_v discern_v some_o or_o more_o of_o these_o confederate_a disease_n as_o actor_n therein_o whether_o small_a pox_n great_a pox_n plague_n etc._n etc._n for_o eruption_n and_o superficial_a tumour_n be_v but_o internal_a tumour_n transplant_v at_o least_o be_v the_o signal_n of_o nature_n endeavour_n and_o strength_n with_o or_o without_o assistance_n to_o cast_v out_o that_o morbous_a matter_n which_o otherwise_o must_v necessary_o inflame_v tumifie_v apostemate_n ulcerate_v corrupt_a and_o destroy_v the_o internal_a part_n and_o fever_n that_o be_v not_o malign_v they_o be_v adjudge_v salutary_a and_o hopeful_a when_o nature_n make_v a_o good_a crisis_n by_o flux_n or_o sweat_v by_o urine_n or_o a_o haemorrhage_n and_o if_o the_o morbific_a matter_n be_v not_o discharge_v some_o of_o these_o way_n it_o lodge_v here_o or_o there_o after_o long_o float_v about_o be_v sequester_v and_o cast_v into_o some_o recess_n glandule_n or_o other_o ignoble_a part_n where_o it_o form_v a_o tumour_n and_o be_v the_o secret_a foundation_n of_o some_o chronic_a disease_n or_o another_o acute_a sickness_n if_o not_o anticipate_v or_o prevent_v by_o due_a course_n of_o medicine_n and_o therefore_o in_o the_o designment_n of_o most_o cure_n acute_a or_o chronic_a these_o be_v the_o dangerous_a rock_n you_o be_v to_o avoid_v lest_o the_o patient_n miscarry_v here_o for_o want_v of_o discern_v and_o foresight_n thereof_o the_o method_n and_o drift_n of_o our_o discourse_n be_v to_o let_v you_o understand_v that_o this_o grand_a series_n of_o disease_n be_v the_o usual_a progress_n in_o sickness_n and_o by_o these_o stage_n most_o disease_n do_v pass_v on_o and_o have_v their_o gradual_a advance_n by_o these_o commutation_n and_o thus_o make_v their_o approach_n towards_o death_n some_o go_v but_o part_n of_o this_o way_n such_o as_o providence_n with_o good_a mean_n do_v shorten_v the_o course_n prevent_v the_o mischief_n threaten_v and_o reduce_v they_o back_o into_o their_o former_a state_n of_o health_n some_o be_v only_o pain_v for_o a_o while_n it_o go_v off_o and_o end_v there_o but_o some_o be_v pain_v in_o a_o high_a degree_n and_o inflammation_n follow_v thereupon_o but_o it_o go_v no_o far_o this_o febrile_a inflame_a heat_n be_v allay_v and_o all_o be_v quiet_a again_o sometime_o it_o proceed_v far_o and_o to_o inflammation_n a_o tumour_n be_v add_v which_o notwithstanding_o by_o due_a administration_n of_o medicine_n this_o be_v disperse_v and_o the_o sick_a reduce_v to_o a_o sound_a state_n again_o but_o yet_o sometime_o it_o advance_v far_a and_o into_o great_a danger_n as_o by_o some_o neglect_n improper_a mean_n or_o other_o casualty_n that_o this_o tumour_n apostemate_n and_o than_o it_o can_v stop_v there_o for_o this_o must_v break_v and_o then_o a_o ulcer_n will_v follow_v of_o