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A50152 XCIX canons, or rules learnedly describing an excellent method for practitioners in physick / written by Dr. J. Macallo [sic], physitian in ordinary, first to Rodolphus, late Emperor of Germany, and after his death, physitian in like manner to K. James. Macollo, John, 1576?-1622.; Rudolf II, Holy Roman Emperor, 1552-1612.; James I, King of England, 1566-1625. 1659 (1659) Wing M113B; ESTC R43414 28,981 122

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a nature temperate which ingenders abundance of blood The fashions and carriage merry joviall peaceable and gentle are good signes because they are marks of a body well-disposed The heaviness of the head proceeding from the abundance of vapours ascending upwards increaseth blood so doth the sleep profound and pleasant with dreames of things pleasant the pulse also strong great and full for in it the veines are so full that they do infuse a part in the neighbour-Arteries by an Anastomasie or transfusion of the blood through the veines which being filled causeth such a pulse and that not onely in the Wrists but also in the Temples the Fingers and over all the body The respiration or breathing more difficile and frequent chiefly after exercise is another signe of encrease of blood because the Muscles of the breast are made lazy through the abundance of blood Hence it is that the respiration is made more frequent by reason of the use but shortened because the capacity interiour of the breast is made more strict The promptitude of rendring blood by the Stooles the Emrods the monthly Courses the Water the Nose and the Spittle And finally by a continuall sweating during the time of the disease are tokens of much plenitude Canon 16. Cacochimy or evill digestion is three-fold Cholerick Melancolick and Phlegmatick the Causes that gather abundance of Choler are signes preceding the same and such are 1. The Complexion hot and dry for commonly there engenders much Choler in men of a hot and dry Complexion by reason of the conformity of this humour with that temperament 2. The manly age which is between twenty five and thirty five for in that age Choler doth abound because the naturall heat is much more dry and active then before in which also a great part of inbred moisture or sap is consumed 3. The Summer for the Choler is more abundant then by reason of the circumsisting Aire which maketh the blood more hot and dry 4. The Climate hot and dry the precedent dyet of the same qualities 5. Great exercise Travell Anger Care Watching Fasting and Abstinence do all gather Choler 6. The suppression of the ordinary evacuation of Choler by Vomit by the Stool by Urine and by Sweat The consequent marks of abounding Choler are 1. The whole colour of the body pale yellow or blackish drawing near to that of the Jaundies or brown for when the temperament is excessive in heat the Choler is black 2. The state of the body dry leane and small for such proportions are commonly Cholerick as also such as be hairy with the haire red for that is the Excrement of Choler but more the black for black haire is when the exhalation burnt by the force of the heat is changed into black but the red is when it is not so burnt 3. The greatness of the veines extended by the heat for they who have great veines are of Complexion hot but such as have straite and narrow veines are of cold constitution for it is heat that doth enlarge 4. The heat sharp and biting to the touch 5. Promptitude to courage and a disposition to anger and revenge 6. The sense lively light and suddaine 7. The spirit subtile and of great invention for the subtilty and industry of the judgement comes of the humour Bilous or Cholerick 8. The sleep little and light accompanied with inquietudes great watching testifying the great dryness of the braine or from abundance of an humour bilious or Cholerick with them 9. Dreames of War Fire and things furious 10. The pulse vehement hasty and hardy 11. Bitterness of the mouth losse of Appetite great Thirst venting of Choler upward and downward with the belly often constipate or bound 12. The Urine yellow biting inflamed and with little grounds 13. The diseases cholerick frequent as Fevers fierce and ardent Raving Jaundies Herps or Ring-wormes Erisiple or S. Anthonies fire Pustules Cholericks dispersed through the whole body Canon 17. The Melancholick distemper is known First by the causes productive of Melancholy such are 1. The temperature cold and dry with a debility in the Spleen or hot from the beginning but becoming cold by change for if any hot and dry before by an adus●ion of the blood shall ingender much black Choler he becomes cold and dry and in the end Melancholy 2. The declining Age which is between thirty five and forty five for melancholy doth abound in that age because it succeeding to the youth which is the most Cholerick of all it receives the Choler burnt 3. The Harvest for in it also melancholy abounds because succeeding from the Summer it receives the burnt Choler from it 4. Gross food and viscous increase melancholy as brown-Bread Hogs-flesh Beef Hares-flesh Harts-flesh and chiefly any of these salted thick black-Wine Beer and old Cheese 5. The life sad occupied in great affairs in contemplation Studying without Recreation or exercise of the body for by it the naturall heat diminisheth and the humours become grosse and thick 6. The suppression of melancholy which used to be by the Emrods monthly Courses Seeges Scabs or by Medicine As also by the signes of melancholy predominant in the body such are 1. The colour brown or blackish of the Face or all the body the skin full of Scabs Hardness Swelling and pain of the Spleen the habitude of the body dry and leane the visage sad and heavy Feare Silence Solitariness Urine Imagination Conceits for the constancy of the spirit comes of an humour melancholick 2. The mind slow to wrath but being incensed hard to be appeased 3. The sleep troubled with horrible Dreames as with sights of evill Spirits Tortures of Death Sepulchres and other things fearfull 4. The pulse light slow and hard 5. The appetite depraved sometimes disordered by reason of a sower matter adhering to the orifice of the Stomach 6. The water clear and white where there is no melancholy mixed but thick and black where there is melancholy mixed with it 7. Where the diseases melancholy are frequently arriving Canon 18. The knowledge of Pituitous or phlegmatick distemper is taken from the causes antecedent procreating it and the signs assequent following it The antecedent are 1. The Complexion of the body cold and humid the old age which is from Forty nine to the term of Life for in that age by reason of the weakness of the natural heat much phlegme is engendred 2. The Winter because that season as Hipocrates reports replenisheth the body with phlegm both by the length of nights as also by reason of the abundance of rain for in the rainy season the watry air which doth environ the body gathers quantities of pituitous humours and watery superfluities 3. The great uses of humid and moist meat the frequent drinking of water and any kind of excess either in meat or drink 4. Idleness or want of exercise with a sedentary or sitting life long sleepe and especially after meat The assequent or following marks of phlegm
disposition of the Arire the form of Life with the diseased and the sickness wherewith he useth to be molested for one is soonest overtaken with a disease wherewith their nature hath greatest familiarity so hot diseases are most frequently incident to hot bilious or cholerick people and cold sicknesses to cold lumpish natures and that as well to those who are such by Nature Habitude and Age as to those who are so by reason of the Region the season and the constitution of the Aire and albeit that all sorts of sickness may befall to all sorts of Persons of all Ages in all Places and Times yet they fall most frequently on the Temperament Age Place and time with the which they have some affinity an Epidemick or universall sickness is known incontinently by the running of it among the people seizing on many at one time All hereditary diseases as the Epilepsy or Falling-sickness the Gravell the Gout are suspected to be incident to Persons descended from Parents afflicted with such infirmities Moreover the kind of the disease is often found by using such things as hurt or help it for the hot intemperature doth encrease by the use of hot things but is mitigated by the use of cooling things the cold intemperature is contrary Canon 10. After the acquired knowledg of the disease search next for the Cause of it which is either externe or interne inward or outward The interne is twofold antecedent or conjoyned First then seek out the Cause conjoyned because it immediately produceth a disease it is therefore needfull to search whether it be wind or any other superabounding humour as Blood Choler Melancholly or Phlegme or any other thing contrary to nature as Stone lump of blood wormes or any other sort of Excrement the colour and nature of the Place the kind of the dolour and the sort of the Excrement these with the predominant humour in the body will serve for Marks Canon 11. For when the part inflamed is red it is full of Blood when yellow full of Choller that which is cold and white is replenished with Phlegme when blackish with melancholy for the colour of the skin doth commonly point forth the humour that is within divers parts are appointed for the engendring of divers humours excrementitious as the Liver for breeding of yellow Choler the Spleen of black Choler the Stomach the Lungs the Braine of Phlegme the Kidnies and Bladder of Gravell and the Stone the Guts of Wormes The pain pricks sore when it is caused of choler more moderate when it proceeds of blood blunt when it comes of Melancholy Phlegme or Wind except when they make great distention through their abundance If that which issueth forth by the Excrement be a portion of that which is continued within it shews either by the substance or colour what it is we shall speak hereafter of the predominant humour Canon 12. After the knowledge of the Cause conjoyned it followeth to know whether it be alone or if it be fostered and furnished by any other Cause antecedent that which gathers is by way of congestion through the fault of the part offended and is reputed to be alone but when all the body or any part of it doth exonerate it self on the member affected of any superabounding humour which overburdeneth there is th●n the Cause antecedent which doth accompany the conjoyned so there be two sorts of Causes interne to which Remedies must be used Canon 13. The Cause antecedent of the sickness is double the one is named Plethor or Plenitude the other is named Cacochymie or evil digestion Plethor is a repletion of all the humours equally augmented or of blood onely Cacochymie is a repletion of Choler Melancholy or Phlegme the signs both of the one and the other are taken both from the causes antecedent which do gather the humours that is to say from the temperature of the whole body and of the principal parts from the age season constitution of the Air from the Region Manner of living and of the evacuation ordinarily suppressed As also from the accidents that befall all the qualities of the body such as be the color the habitude the functions animal vital and natural as from the sleep dreams pulse concoction excrements of the diseases ensuing and of the things that hurt or profit Canon 14. There be two sorts of Plenitude the one called Plenitudo ad vires in which the blood though it be not excessive neither in quantity nor quality doth nevertheless overcharge the weak forces of Nature The other is Plenitudo ad vasa the which in quantity surpasseth the natural limits or bounds and this either light or gentle that is when it filleth onely the cavity of the vein not far exceeding mediocrity or it is excessive when it extends so that it almost rends the veins through the fulness of it by too great abundance and although it be very excessive yet it may be so that Nature be not choaked by it for commonly the force grows with the blood but if it fall out that the forces are abated then it is Plenitudo super vires When then in a Plethor the body is no way by a too great weight lazy or heavy and the force or strength remains still in one state it is onely a Plenitudo ad vasa but when the body becomes heavy lazy and doiled the sleep troubled and profound seeming to carry as it were something whilst he sleeps it is then Plenitudo super vires Canon 15. The causes that engender blood in abundance are signs antecedent of a Plenitude as the Complexion temperate of all the whole body but chiefly of the Livor and the Heart or else moderately hot and humid The Age growing is another for children and young folke have much blood because they are not far from their principes or beginning of their natural generation The Spring also is a cause for in it the Blood abounds for then the cold ceaseth and the waters descend Also good fare a pleasant passed life without care with moderate exercise and sleep The naturall evacuation of Blood suppressed or the artificiall for long time intermitted The Accidents which shew the domination of Blood in the body are the signes consequent of Blood such be the colour of the face and all the body red by the ordinary custome or mixed of red and white the swelling of the Veines equally appearing through all a manifest bending of the Vessels being full of Blood by measure a laziness or weariness coming of it self without any labour under the which the joynts by reason of their weight with great difficulty do move themselves for it is when the great Veines over-full of blood do exonerate themselves into the little and they again into the Muscles that they are thus filled and bended The Habitude of the body fleshy because it doth proceed of abundance of blood yea the Mediocre fleshy accompanied with a heat benigne and vaporous this is a signe of
24. When the disease is in its vigour it is then necessary to use a very slender diet as well for the greatness of the Symptomes as for the coction of the humours for nature must not be hindred in the coction of the humours by the coction of the meat Canon 25. When the Disease is violent and quick it immediately causeth extream pain and dolour wherefore a most sharp weak diet is then most requisite because such a disease is in the vigour the first dayes as the grievous Symptomes which do incontinently accompany from the beginning do bear witness for a sharp sickness is that which attains to its height in the first four dayes or little after Canon 26. So soon as the sickness by its violence doth shew that it is drawing near the height then a strict diet must be enjoyned but when the height is long in continuing as it falls out in long diseases then a larger diet would be used till the approching to the height or a little before and then it must be restrained strict and small diets are dangerous in long diseases because they abate the spirits which ought to be preserved in their integtity to the end they may resist the height of the disease Canon 27. When the body is not clear the more it is nourish'd the more it is hurt for seeing that the body full of vicious humors hath more need of evacuation then nutrition it appears that they should not be too much nourished because these evil humours gather'd a long time in the body do spoyl the food newly received so that thereby the Chacochymie or evil digestion is augmented to the double which falls out chiefly when the stomach is foul for even as mixing clear water with muddy it becometh all muddy and troubled so the meat although pure and clear of it self yet taken by a great quantity into a foul body becomes wholly corrupt Canon 28. A larger diet must be granted to children then to old folks and a mediocre to those of a middle age because old men endure hunger easily and next to them such as are entring into the declining age young men worse and worst of all boyes for such as are growing have much of the naturall heat and therefore have much need of nourishment otherwise the body would consume but there is little heat in old bodies therefore they need not much nourishment for too much would choak them Canon 29. The great Cavities in the body in Winter and in the Spring are naturally hotter then at any other time and the sleep longer wherefore in these the diet may be larger by the Cavities the stomack is understood the whole belly containing the guts and the rest of the natural parts which are appointed for digestion If any one desire to know why the naturall heat is augmented in Winter Aristotle attributes the cause to the circumsisting air which is then colder by which means it driveth the natural heat inward whereas in Summer it extends itself ordinarily through the whole body towards the heat which is without as familiar to it Hence it is that in the Summer the substance is dissipated and exhales but in the Winter it is holden in and keeps there and therefore all the coction is the better made Canon 30. As to the form and manner of diet one should eat less in the Somer and in the Harvest and more often but in the Winter and Spring more seldome but more abundantly because in the Somer and the Harvest one doth hardly digest meat but in Winter very easily and in the Spring moderately well Canon 31. Such bodies as have been extenuated by long sickness must be nourished gently and repaired by little and little and those bodies that have been suddenly brought down must be speedily restored Canon 32. When the sickness gives intermission and leisure then it is time to give meat to the Patient but during the access and increase of the disease he must abstain for meat is then hurtful because it withdraws nature from the digestion of the humour to the concoction of the nouriture and because by it the disease is augmented Canon 33. Amongst the operations of Chyrurgery Phlebotomy or drawing of blood keeps the first rank because it is the common remedy of diseases which proceed of plenitude or fulness for by it an evacuation is made of the humours equally that course being for such infirmities the most exquisite of all other Canon 34. Phlebotomy is not onely a remedy evacuative but also revulsive and derivative for it is profitable to turn the course of the Flux to the opposite part or desire to turn it aside to the neighbour part Canon 35. In hot Fevers blood must be drawn even to the fainting of the spirits and heart if strength will bear it which course must be used in great inflammations and extreme pains for if blood be drawn in hot Fevers till the heart faint the whole body is immediately cooled and the vehement heat extinguished after which there followeth a flux of the belly and a Sweat by this means some are wholly cured of a Fever and others receive great ease when the vehemency of that sickness is past this sort of bleeding is likewise good in great inflamations both for the former reasons and because it stops the flux causing the inflamation as also it hinders the growth of the Phlegmon by which likewise it appeaseth the great dolours caused by the heat of the Fever and of its inflamations wherefore there is not found a remedy more soveraign for insupportable dolours then this of Phlebotomy or bleeding Canon 36. If the sickness do require it much blood must be drawn alwayes provided the spirits do permit it but if they fail then take it by little and little and at divers times for all extreme evacuations are dangerous and chiefly bleeding all at once Canon 37. They to whom purging and bleeding are profitable ought to be purged bled in the Spring for that season is most proper to make evacuation by Phlebotomy or Pharmacy because at that time there is no extraordinary heat to weaken the body by exhalation nor great cold to make it stiff by congealing the humours in it nor yet unequall to disturb the spirits but rather a moderate temper Canon 38. There is great cause of deliberation to be had in opening a veyn upon a woman with child because a woman with child being let blood may thereby be brought to be delivered before her time if the child be great because thereby the child is robbed of its food and shall famish in the womb of the mother which will cause it to break the bounds and seek elsewhere for nourishment and all before the maturity of time except the mother abound in blood for then the fear is so needless as in case that administration be not used both the mother and the child are in danger as hath been observed upon some of the most eminent Ladies in