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blood_n case_n cool_v great_a 27 3 2.1273 3 false
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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A50433 The frequent, but unsuspected progress of pains, inflammations, tumors, apostems, ulcers, cancers, gangrenes, and mortifications internal therein shewing the secret causes and course of many lingering and acute mortal diseases, rarely discerned : with a tract of fontanels or issues and setons / by Everard Maynwaringe, M.D. Maynwaringe, Everard, 1628-1699? 1679 (1679) Wing M1492; ESTC R31211 108,750 246

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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
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
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
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
moderate_a and_o gentle_a make_v a_o profitable_a secretion_n without_o gripe_n or_o pain_n but_o for_o the_o most_o part_n with_o these_o more_o or_o less_o which_o by_o continuance_n and_o shave_v the_o gut_n so_o thin_a at_o last_o do_v come_v to_o the_o quick_a and_o cause_n excoriation_n and_o this_o difference_n arise_v from_o the_o nature_n and_o quality_n of_o the_o humour_n or_o stimulate_a cause_n which_o sometime_o be_v so_o extreme_a sharp_a introduce_v a_o dysentery_n or_o bloody_a flux_n these_o flux_n sometime_o produce_v good_a effect_n when_o the_o peccant_a matter_n of_o any_o disease_n or_o a_o exuberant_a humour_n be_v timely_a and_o moderate_o discharge_v and_o send_v off_o but_o otherwise_o not_o and_o therefore_o say_v hippoc._n in_o turbationibus_fw-la alvi_fw-la &_o vomitibus_fw-la sponte_fw-la contingentibus_fw-la siquidem_fw-la qualia_fw-la purgari_fw-la oportet_fw-la purgentur_fw-la confert_fw-la &_o leniter_fw-la serunt_fw-la sin_v minùs_fw-la vice_fw-la versâ_fw-la in_o respect_n of_o place_n or_o part_n mandant_fw-la from_o whence_o these_o flux_n take_v their_o rise_n and_o the_o terminus_fw-la à_fw-la quo_fw-la they_o proceed_v sometime_o from_o morbific_a matter_n congregat_v and_o concentre_v issue_v from_o the_o whole_a body_n and_o of_o this_o take_v the_o example_n of_o hippoc._n give_v a_o prognostic_n in_o this_o case_n 7._o aphor._n 29._o si_fw-mi leucophlegmatiâ_fw-la detento_fw-it fortis_fw-la diarrhoea_n supervenerit_fw-la malum_fw-la solvit_fw-la which_o be_v to_o be_v understand_v in_o the_o begin_n of_o the_o disease_n strength_n firm_a and_o the_o viscera_n sound_n else_o it_o be_v common_o mortal_a but_o sometime_o also_o these_o diarrhoea_n do_v emerge_n from_o particular_a part_n as_o the_o ventricle_n brain_n spleen_n liver_n mesentery_n etc._n etc._n and_o therefore_o in_o the_o cure_n of_o these_o flux_n regard_n must_v be_v have_v to_o the_o part_n principal_o affect_v from_o whence_o as_o the_o original_n and_o fountain_n these_o diarrhoea_n do_v assurge_v and_o therefore_o examination_n be_v to_o be_v make_v by_o the_o diagnostic_n sign_n of_o every_o principal_a part_n discover_v thereby_o which_o perform_v their_o office_n in_o integrity_n and_o which_o of_o they_o decline_v their_o function_n and_o be_v deprave_v as_o be_v the_o author_n of_o this_o disturbance_n the_o three_o sort_n of_o flux_n be_v a_o dysentery_n or_o bloody_a flux_n which_o be_v a_o dolorous_a and_o frequent_a excretion_n of_o blood_n from_o a_o exulceration_n of_o the_o gut_n there_o be_v several_a voiding_n of_o blood_n by_o stool_n that_o be_v to_o be_v distinguish_v and_o know_v from_o dysentery_n galen_n mention_n four_o other_o add_v two_o more_o the_o first_o be_v a_o profusion_n of_o blood_n arise_v from_o plenitude_n or_o fullness_n of_o good_a blood_n nature_n over-burdened_n discharge_v herself_o this_o way_n by_o the_o gut_n the_o second_o be_v a_o evacuation_n of_o crude_a and_o watery_a blood_n not_o have_v its_o full_a tincture_n the_o three_o be_v of_o a_o feculent_a and_o foul_a blood_n the_o four_o of_o a_o acrid_a and_o salt_a blood_n the_o five_o be_v of_o a_o tabefied_a blood_n in_o acute_a disease_n the_o six_o which_o be_v galens_n four_o be_v a_o dysentery_n distinguish_v from_o the_o rest_n by_o ulceration_n and_o great_a pain_n to_o examine_v this_o division_n in_o the_o several_a part_n thereof_o and_o to_o set_v forth_o what_o truth_n and_o error_n it_o contain_v therein_o be_v not_o our_o business_n at_o this_o time_n i_o shall_v only_o discourse_v upon_o the_o last_o viz._n a_o dysentery_n be_v painful_a and_o grievous_a to_o bear_v which_o kind_n of_o bloody_a flux_n arise_v from_o and_o be_v accompany_v with_o a_o exulceration_n and_o common_o be_v the_o consequent_a of_o long_a or_o severe_a diarrhoea_n for_o those_o flux_n not_o be_v check_v do_v sometime_o make_v their_o transition_n and_o terminate_v in_o dysentery_n this_o word_n dysentery_n take_v its_o name_n from_o the_o part_n affect_v import_v only_o a_o difficulty_n of_o the_o intestine_n but_o may_v as_o proper_o be_v use_v for_o other_o disease_n and_o pain_n there_o but_o author_n have_v fix_v it_o to_o bloody_a flux_n from_o exulceration_n its_o general_a signification_n be_v restrain_v and_o custom_n among_o physician_n have_v fasten_v it_o here_o as_o the_o character_n of_o this_o disease_n only_o the_o part_n affect_v be_v the_o gut_n either_o the_o small_a or_o the_o great_a and_o sometime_o both_o but_o pain_n of_o the_o small_a be_v more_o grievous_a than_o those_o of_o the_o great_a the_o small_a gut_n be_v of_o more_o exquisite_a sense_n the_o external_a and_o procatarctic_a cause_n that_o predispose_v and_o introduce_v a_o dysenterical_a disposition_n or_o promote_v and_o set_v forward_o a_o inclination_n already_o begin_v be_v first_o the_o constitution_n of_o the_o air._n second_o a_o bad_a diet_n conspire_v therewith_o or_o some_o unwonted_a kind_n of_o meat_n or_o drink_n and_o therefore_o it_o be_v that_o many_o people_n upon_o the_o change_n of_o climate_n and_o a_o new_a sort_n of_o food_n do_v fall_n into_o bloody_a flux_n hence_o it_o be_v also_o that_o these_o flux_n be_v sometime_o epidemical_a and_o malignant_a infest_v many_o together_o in_o a_o city_n or_o country_n as_o of_o late_a year_n in_o london_n and_o some_o other_o part_n of_o england_n this_o disease_n be_v rage_v these_o epidemical_a dysentery_n arise_v sometime_o to_o to_o the_o height_n of_o pestiléntial_a and_o be_v very_o contagious_a that_o it_o be_v not_o safe_a to_o converse_v with_o or_o be_v near_o the_o disease_a but_o especial_o such_o as_o attend_v upon_o the_o sick_a be_v in_o most_o danger_n from_o the_o excrement_n that_o send_v forth_o a_o pernicious_a and_o infectious_a vapour_n for_o the_o time_n of_o the_o year_n autumn_n be_v most_o ready_a and_o do_v more_o frequent_o produce_v these_o flux_n partly_o from_o the_o change_n of_o the_o season_n and_o partly_o from_o the_o effect_n of_o summer_n fruit_n to_o which_o many_o be_v intemperate_o give_v the_o consequent_n whereof_o be_v common_o diarrhoea_n and_o dysentery_n now_o the_o reason_n why_o these_o flux_n do_v break_v out_o more_o frequent_o at_o this_o time_n of_o the_o year_n be_v because_o the_o external_a ambient_fw-la air_n and_o cool_a blast_n condense_v and_o incrassate_v the_o juice_n of_o the_o body_n as_o also_o occlude_v and_o shut_v up_o the_o pore_n deny_v and_o hinder_v the_o former_a transpiration_n which_o in_o the_o summer_n and_o hot_a weather_n do_v spend_v and_o evaporate_v that_o way_n much_o superfluous_a matter_n which_o vent_v be_v stop_v humour_n accumulate_v ferment_n and_o grow_v turgid_a and_o force_v a_o discharge_n inward_o by_o the_o gut_n and_o not_o only_o this_o change_n of_o air_n from_o hot_a to_o cold_a or_o summer_n fruit_n be_v procure_v cause_n but_o also_o some_o astral_a and_o inimical_a influence_n draw_v in_o with_o our_o breath_n may_v deprave_v and_o alter_v the_o crasis_n of_o the_o blood_n and_o nervous_a juice_n as_o to_o effect_v this_o disease_n and_o make_v it_o popular_a in_o like_a manner_n as_o other_o epidemical_a disease_n be_v sometime_o procure_v also_o some_o sort_n of_o meat_n in_o quantity_n or_o quality_n offend_v and_o disagree_v and_o for_o want_v of_o good_a digestion_n may_v corruption_n and_o dispose_n to_o these_o flux_n to_o these_o we_o may_v add_v as_o procurer_n some_o ill_a prepare_a medicine_n and_o medicinal_a drug_n not_o well_o correct_v that_o have_v and_o will_v produce_v a_o dysentery_n but_o concern_v the_o proximate_a cause_n and_o manner_n of_o generation_n of_o this_o disease_n we_o must_v far_o declare_v and_o whereas_o before_o we_o mention_v several_a sort_n of_o bloody_a excretion_n or_o flux_n not_o dolorous_a nor_o depend_v upon_o or_o conjoin_v with_o exulceration_n of_o the_o intestine_n and_o therefore_o not_o denominate_v nor_o to_o be_v understand_v as_o dysentery_n in_o the_o strict_a and_o present_a sense_n therefore_o i_o must_v wave_v the_o mention_v of_o their_o cause_n and_o only_o give_v a_o account_n of_o dysentery_n in_o the_o usual_a acceptation_n of_o the_o word_n in_o the_o form_n or_o generate_a of_o this_o dysentery_n you_o must_v understand_v that_o sometime_o the_o vlceration_n be_v plant_v first_o and_o have_v the_o priority_n and_o a_o flux_n of_o blood_n follow_v as_o the_o consequent_a but_o sometime_o the_o void_a of_o blood_n precede_v and_o a_o ulcer_n or_o ulcer_n be_v procure_v thereby_o as_o the_o effect_n and_o this_o consideration_n be_v not_o of_o small_a moment_n in_o the_o designment_n and_o intention_n of_o cure_v for_o both_o the_o former_a and_o the_o latter_a happen_v in_o several_a person_n sometime_o vlceration_n be_v make_v by_o sharp_a corrosive_a humour_n as_o in_o diarrhoea_n which_o ulcerate_v the_o gut_n first_o than_o a_o dysentery_n of_o blood_n follow_v or_o sometime_o from_o a_o inflammation_n of_o the_o intestine_n or_o other_o tumour_n come_v to_o suppuration_n which_o break_v and_o make_v a_o
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
extuberance_n be_v out_o of_o the_o vein_n that_o be_v when_o the_o extravasated_a blood_n be_v lodge_v between_o the_o mouth_n or_o termination_n of_o the_o vein_n and_o the_o cover_a coat_n in_o the_o former_a case_n and_o when_o the_o external_a haemorrhoid_n vein_n be_v so_o affect_v phlebotomy_n may_v alleviate_v make_v a_o revulsion_n and_o draw_v away_o the_o plenitude_n but_o in_o the_o latter_a it_o give_v no_o relief_n for_o the_o extravasated_a blood_n will_v not_o return_v into_o its_o canal_n or_o pipe_n again_o and_o beside_o it_o soon_o coagulate_v and_o putrify_v out_o of_o the_o vessel_n the_o proper_a place_n and_o then_o suppuration_n be_v to_o be_v promote_v the_o apostem_fw-la to_o be_v break_v after_o that_o abstersion_n and_o heal_v to_o be_v design_v and_o endeavour_v and_o here_o you_o may_v discern_v the_o difference_n between_o these_o two_o haemorrhoid_n painful_a swell_n that_o the_o first_o kind_n do_v abate_v and_o retire_v of_o its_o own_o accord_n sometime_o nature_n retract_v and_o turn_v the_o current_n of_o blood_n to_o some_o other_o part_n at_o least_o it_o soon_o yield_v to_o mean_n and_o be_v more_o easy_o remedy_v but_o the_o latter_a will_v not_o revert_v nor_o be_v easy_o cure_v but_o proceed_v to_o apostemation_n and_o after_o break_v send_v forth_o corrupt_a and_o bloody_a matter_n from_o hence_o you_o may_v perceive_v that_o as_o there_o be_v many_o sort_n of_o haemorrhoid_v so_o many_o question_n may_v here_o be_v start_v and_o much_o more_o to_o be_v say_v concern_v they_o to_o complete_a the_o discourse_n thereof_o as_o why_o the_o hemorrhoid_v shall_v swell_v and_o not_o bleed_v sometime_o why_o they_o be_v painful_a and_o sometime_o not_o why_o they_o appear_v and_o pass_v away_o without_o injury_n sometime_o what_o difference_n between_o a_o inflation_n and_o inflammation_n of_o the_o haemorrhoid_v etc._n etc._n but_o to_o enlarge_v hereon_o and_o give_v full_a satisfaction_n will_v swell_v this_o work_n beyond_o intention_n and_o our_o limit_n set_v at_o this_o time_n pain_n of_o the_o spleen_n the_o spleen_n be_v a_o principal_a part_n and_o of_o great_a use_n in_o the_o body_n be_v also_o subject_a to_o disturbance_n and_o great_a pain_n this_o member_n be_v seat_v in_o the_o left_a hypochonder_n over_o against_o the_o liver_n below_o the_o diaphragma_n and_o under_o the_o short_a rib_n hang_v downward_o in_o figure_n like_o a_o ox-tongue_n incline_v rather_o to_o the_o backpart_n and_o near_o the_o left_a kidney_n to_o pass_v over_o the_o different_a opinion_n among_o the_o ancient_a and_o modern_a author_n concern_v the_o office_n of_o this_o organ_n we_o shall_v concur_v with_o those_o that_o assign_v the_o use_n of_o this_o member_n for_o a_o depuration_n of_o the_o blood_n transmit_v from_o the_o heart_n to_o receive_v a_o far_a elaboration_n there_o that_o the_o whole_a mass_n of_o blood_n may_v be_v purify_v and_o keep_v in_o a_o due_a state_n from_o whence_o it_o come_v to_o pass_v that_o when_o the_o spleen_n be_v injure_v out_o of_o order_n or_o decay_v and_o perform_v not_o this_o office_n aright_o the_o blood_n become_v foul_a and_o many_o disease_n arise_v from_o thence_o which_o cause_v much_o alteration_n in_o the_o body_n for_o with_o the_o spleen_n do_v many_o part_n consent_v and_o well_o or_o ill_o as_o that_o be_v in_o a_o good_a or_o bad_a condition_n the_o brain_n though_o remote_o seat_v be_v much_o affect_v from_o hence_o cause_v sometime_o epileptic_a fit_n vertigo_n headache_n mad_a melancholy_n and_o many_o other_o symptom_n which_o hypocrates_n have_v observe_v 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d the_o heart_n also_o from_o a_o tumified_a or_o obstruct_a spleen_n be_v draw_v into_o consent_n cause_v palpitation_n and_o oppression_n hence_o also_o difficulty_n of_o breathe_v from_o a_o swell_v big_a spleen_n hinder_v the_o free_a motion_n of_o the_o diaphragma_n the_o liver_n also_o seldom_o stand_v firm_a if_o the_o spleen_n be_v disease_v and_o the_o pancreas_n for_o the_o most_o part_n incur_v prejudice_n be_v obstruct_v or_o scirrhous_a from_o a_o ill_a affect_a spleen_n hence_o it_o be_v that_o the_o spleen_n challenge_v a_o great_a share_n in_o the_o production_n of_o divers_a cachexy_n or_o ill_a habit_n of_o body_n dropsy_n scorbute_n black_a jaundice_n haemorrhoid_v cancer_n etc._n etc._n of_o which_o i_o may_v give_v you_o many_o example_n but_o i_o shall_v recite_v one_o only_o and_o that_o very_o eminent_a plain_o show_v that_o the_o rise_v thereof_o and_o dependence_n be_v sometime_o from_o the_o spleen_n in_o the_o year_n 1658._o a_o cheshire_n woman_n name_v elizabeth_n swain_n a_o farmer_n wife_n age_v 39_o year_n come_v to_o i_o at_o chester_n where_o i_o then_o practise_v she_o live_v about_o a_o dozen_o mile_n off_o her_o complaint_n be_v of_o pain_n hardness_n and_o tumour_n of_o the_o spleen_n before_o which_o happen_v she_o have_v a_o tertian_n ague_n for_o some_o time_n but_o after_o that_o have_v leave_v she_o the_o left_a side_n begin_v to_o swell_v and_o pain_n upon_o the_o region_n of_o the_o spleen_n this_o increase_v and_o when_o she_o come_v to_o i_o the_o tumour_n be_v raise_v very_o high_a and_o the_o compass_n of_o a_o penny-loaf_n be_v very_o hard_a and_o scirrhous_a not_o yield_v when_o it_o be_v press_v with_o a_o finger_n her_o desire_n be_v to_o be_v under_o my_o care_n and_o i_o be_v willing_a to_o undertake_v the_o cure_n but_o she_o not_o have_v bring_v conveniency_n with_o she_o to_o stay_v will_v go_v home_o and_o return_v speedy_o with_o such_o necessary_n as_o she_o shall_v want_v but_o come_v not_o again_o until_o three_o month_n after_o and_o then_o not_o only_o the_o left_a hypochonder_n but_o the_o abdomen_fw-la her_o whole_a belly_n be_v tumify_v and_o extend_v as_o big_a as_o if_o she_o be_v ready_a to_o be_v deliver_v of_o a_o child_n so_o that_o the_o tumour_n of_o the_o spleen_n be_v then_o hide_v the_o whole_a belly_n be_v equal_o raise_v up_o to_o it_o by_o a_o dropsy_n ascite_v this_o neglect_n of_o she_o and_o thereby_o render_v the_o cure_n much_o more_o difficult_a and_o uncertain_a make_v i_o to_o refuse_v meddle_v with_o she_o since_o by_o her_o folly_n she_o have_v lose_v the_o opportunity_n for_o i_o be_v doubtful_a and_o fear_v that_o the_o spleen_n by_o that_o time_n be_v become_v scirrhous_a and_o the_o tumour_n not_o to_o be_v discuss_v or_o otherwise_o decay_v and_o putrify_v as_o not_o be_v restore_v but_o she_o have_v a_o sister_n live_v in_o that_o city_n who_o have_v be_v my_o patient_n before_o upon_o both_o their_o importunate_a entreaty_n though_o i_o will_v give_v little_a encouragement_n i_o unwilling_o do_v put_v she_o into_o a_o course_n of_o physic_n but_o after_o i_o begin_v i_o endeavour_v the_o best_a i_o can_v for_o she_o which_o be_v as_o follow_v first_o i_o appoint_v a_o preparative_a to_o be_v give_v which_o be_v this_o r._n radie._n utriusque_fw-la bugloss_n gram_n cichor_n apii_fw-la ana_fw-it ℥_o i_o polypod_n quercin_n ʒ_n vi_o court_n cappar_fw-la median_n fraxin_n liquirit_n ana_fw-it ℥_o ss_z herb_n scolopend_v ling._n cervin_n chamae_v ana_fw-la m.j._n tamarisc_n mss_n sem_fw-mi foenic._o dulc_a ʒ_n iii._o passular_fw-la maj_o exacinat_fw-la m.j._n coq_fw-la in_o aq_n &_o vin_fw-fr alb_fw-la ad_fw-la lib._n two_o colat_fw-la ℥_o four_o add_v sir_n de_fw-fr pomis_fw-la magistral_a ℥_o i_o rosar_n solut_a ℥_o ss_z tart_a vitriolat_a ℈_o ss_z misce_fw-la pro_fw-la do_v after_o that_o i_o order_v leech_n to_o be_v apply_v to_o the_o haemorrhoid_v and_o much_o watery_a blood_n come_v away_o and_o she_o find_v herself_o something_o better_o then_o i_o appoint_v a_o purge_a apozem_n for_o four_o dose_n and_o it_o be_v this_o r._n rad._n filicis_fw-la mar_v court_n cappar_fw-la polypod_n ireos_fw-la nostr_n liquirit_n ana_fw-it ℥_o i_o herb_n scolopend_v m.j._n cuscut_fw-la tamarisc_fw-la ana_fw-it m._n ss_z sem_fw-mi alkekeng_fw-mi foenic._o dulc_a anaʒ_n iii._o stor_n bugloss_n p._n i_o coq_fw-la in_o aq_n &_o vin_fw-fr alb_fw-la ad_fw-la lib._n jss_n colat_fw-la infund_v sennae_fw-la ope_v mund_o ℥_o jss_n epithymi_fw-fr ℥_o i_o agar_n troch_n ℥_o ss_z rhabarb_n ope_v ʒ_n three_o macis_n caryophyll_n ana_fw-it ℈_o two_o calam_fw-la aromat_fw-la schoenanth_n ana_fw-it ℈_o i_o fiat_n colat_fw-la pro_fw-la 4_o dos_n addendo_fw-la unicuique_fw-la dosi_fw-la sir_n rosar_n solut_a ℥_o i_o aq_fw-la cinnam_n ʒ_n ss_z tart_a vitriolat_a ℈_o ss_z which_o be_v take_v the_o distension_n of_o her_o belly_n begin_v to_o abate_v after_o the_o apozem_n i_o give_v she_o a_o chalybeate_a wine_n for_o four_o day_n morning_n and_o at_o four_o a_o clock_n after_o noon_n with_o exercise_n and_o at_o night_n three_o aperitive_a pill_n not_o purge_v the_o chalybeat_a wine_n be_v this_o r._n cort._n rad_a cappar_fw-la polypod_n ireos_fw-la nostr_n liquirit_n ana_fw-it ℥_o two_o herb_n scolopend_v cuscut_fw-la tamarisc_fw-la ana_fw-la m.j._n chalyb._o
praep_v ℥_o two_o vin_fw-fr alb_fw-la lib._n four_o diger_fw-la s●…a_fw-la in_o balneo_fw-la mariae_fw-la per_fw-la dies_fw-la four_o colat_fw-la duleoret_fw-la sir_n byzantin_n simp_n the_o aperitive_a pill_n be_v these_o follow_v r._n gum._n ammonias_fw-la acet_fw-la scillit_fw-la solut_a ʒ_n two_o myrrhae_fw-la rub_n tart_a chalybeat_fw-la anaʒ_n ss_z croci_fw-la ℈_o i_o ol_n foenic._o dulc_a chym_fw-mi gut_n viij_o succi_fw-la cochlear_fw-la q._n s_o fiat_n massa_fw-la during_o which_o time_n from_o the_o beginning_n she_o be_v anoint_v with_o a_o lineament_n all_o over_o her_o belly_n morning_n and_o evening_n the_o lineament_n be_v this_o r._n ol._n cappar_fw-la unguent_n è_fw-la succis_fw-la aperit_fw-la ana_fw-it ℥_o i_o misce_fw-la after_o this_o a_o cataplasm_n be_v apply_v to_o the_o region_n of_o the_o spleen_n every_o day_n for_o a_o week_n the_o cataplasm_n be_v make_v thus_o r._n panis_n alb_n farin_fw-mi sem_fw-mi lini_fw-la ana_fw-it ℥_o four_o farin_fw-mi hoard_n ℥_o jss_n lactis_fw-la vaccin_n lib._n jss_n coq_fw-la ad_fw-la exsiccationem_fw-la add_v mucilag_n rad_a althaeae_fw-la foenugr_fw-la ana_fw-it ℥_o i_o ol_n chamaem_fw-la cappar_fw-la ana_fw-it ℥_o i_o gum_n ammoniac_a acet_fw-la scillit_fw-la solut_a ʒ_n iii._o galban_n bdellii_fw-la styracis_fw-la liquid_a anaʒ_n two_o crociʒ_n ss_z misce_fw-la f._n cataplasma_n after_o this_o the_o pain_n be_v go_v and_o the_o spleen_n begin_v to_o be_v soft_a and_o yield_a then_o i_o appoint_v the_o former_a apozem_n to_o be_v repeat_v which_o be_v take_v the_o swell_a of_o her_o belly_n be_v much_o go_v down_o after_o this_o i_o cause_v a_o fomentation_n to_o be_v apply_v morning_n and_o evening_n for_o some_o day_n and_o then_o order_v the_o chalybeat_a wine_n to_o be_v repeat_v the_o fomentation_n be_v this_o r._n rad._n bryon_n ireos_fw-la nostr_n ana_fw-it ℥_o four_o rad_a cyclamin_n cucum_fw-la agre_v filicis_fw-la mar_v ana_fw-it ℥_o two_o fol._n lauri_fw-la abrotan_n absinth_n menthae_fw-la salviae_fw-la hyssop_n ana_fw-it m.ii_o sem_fw-mi cymin_fw-fr foenugr_n ana_fw-it ℥_o i_o flor_n chamaemel_fw-la melilot_n ana_fw-la m.j._n coq_fw-la in_o aq_n fabror_n lib._n x._o acet_fw-la vin_fw-fr alb_fw-la sub_fw-la finem_fw-la addit_fw-la lib._n two_o ad_fw-la tertiae_fw-la partis_fw-la consumpt_n pro_fw-la fotu_fw-la after_o which_o one_o purge_v potion_n be_v give_v and_o a_o emplaster_n apply_v to_o the_o spleen_n and_o then_o both_o the_o spleen_n and_o abdomen_fw-la the_o whole_a belly_n as_o flat_a and_o soft_a as_o ever_o she_o be_v and_o perfect_o cure_v and_o return_v home_o all_o which_o be_v perform_v in_o the_o space_n of_o about_o seven_o week_n and_o two_o month_n after_o she_o conceive_v with_o child_n as_o i_o be_v inform_v by_o her_o relation_n and_o she_o stand_v firm_a in_o health_n long_o after_o notwithstanding_o the_o success_n be_v very_o good_a and_o the_o medicine_n well_o design_v as_o such_o preparation_n will_v afford_v yet_o in_o the_o like_a case_n i_o do_v not_o use_v the_o same_o now_o this_o in_o short_a and_o i_o can_v not_o rehearse_v the_o particular_n so_o exact_o be_v twenty_o year_n since_o but_o that_o i_o have_v the_o whole_a story_n with_o the_o several_a medicine_n in_o write_v now_o by_o i_o and_o this_o i_o have_v relate_v to_o confirm_v what_o i_o assert_v here_o before_o that_o a_o disease_a spleen_n may_v lay_v the_o foundation_n for_o and_o introduce_v a_o dropsy_n and_o now_o i_o proceed_v on_o to_o set_v forth_o the_o cause_n of_o a_o pain_a spleen_n which_o be_v right_o state_v application_n may_v more_o successful_o be_v make_v in_o that_o complaint_n the_o most_o frequent_a and_o apparent_a symptom_n that_o afflict_v the_o spleen_n be_v pain_n and_o this_o do_v arise_v and_o depend_v upon_o some_o of_o these_o several_a disease_n obstruction_n tumour_n inflammation_n apostemation_n compression_n vlceration_n obstruction_n in_o some_o of_o the_o vessel_n of_o the_o spleen_n be_v a_o frequent_a cause_n that_o produce_v pain_n and_o this_o obstruction_n be_v procure_v from_o a_o feculency_n and_o grossness_n of_o blood_n which_o arise_v either_o from_o a_o natural_a debility_n of_o the_o spleen_n not_o able_a to_o perform_v its_o office_n due_o or_o occasion_v by_o a_o melancholy_a disposition_n a_o studious_a sedentary_a inactive_a or_o a_o careful_a and_o afflict_a life_n to_o which_o or_o single_o a_o evil_a bad_a diet_n and_o irregular_a diaetetic_a custom_n may_v contribute_v or_o effect_v as_o more_o full_o you_o may_v be_v inform_v in_o a_o late_a tract_n of_o i_o entitle_v the_o preservation_n of_o health_n and_o prolongation_n of_o life_n all_o which_o impede_v the_o due_a fermentation_n and_o volatization_n of_o the_o blood_n in_o the_o spleen_n from_o whence_o it_o become_v thick_a and_o foul_a and_o beget_v a_o stoppage_n or_o too_o slow_a a_o motion_n and_o fullness_n in_o those_o vessel_n and_o whereas_o the_o office_n of_o the_o spleen_n as_o before_o determine_v be_v to_o ferment_n anew_o spiritalize_v exalt_v and_o rarify_v the_o thick_a indigested_a and_o melancholy_a blood_n send_v thither_o for_o a_o far_a elaboration_n and_o depuration_n it_o be_v most_o rational_a that_o this_o not_o be_v perform_v from_o some_o of_o the_o impediment_n aforesaid_a obstruction_n and_o stagnation_n there_o will_v be_v the_o consequent_a and_o the_o patient_n from_o hence_o will_v feel_v a_o pain_n and_o heaviness_n about_o those_o part_n but_o for_o a_o more_o promptness_n or_o aptness_n to_o these_o obstruction_n angustness_n and_o straitness_n of_o the_o vessel_n so_o form_v by_o nature_n do_v render_v some_o person_n more_o prone_a than_o other_o to_o obstruction_n and_o these_o splenetic_a pain_n and_o far_o this_o obstruction_n do_v arise_v not_o always_o from_o the_o cause_n aforesaid_a but_o sometime_o from_o a_o compression_n of_o other_o part_n adjacent_a that_o may_v incommode_v and_o offend_v the_o spleen_n or_o by_o contusion_n from_o a_o blow_n or_o fall_v or_o by_o a_o injurious_a dress_n and_o too_o straight_o lace_v or_o gird_v as_o frequent_o among_o the_o female_a sex_n these_o obstruction_n when_o continue_v and_o contumacious_a be_v so_o aggravate_v and_o increase_v with_o additional_a influx_n that_o they_o form_n a_o tumour_n this_o distension_n be_v perceptible_a by_o sight_n sometime_o but_o always_o by_o ceiling_n be_v to_o be_v adjudge_v and_o distinguish_v whether_o soft_a and_o flatuous_a or_o hard_a and_o scirrhous_a the_o former_a soon_o yield_v to_o mean_n but_o the_o latter_a more_o difficult_a of_o cure_n inflammation_n though_o rare_o yet_o sometime_o do_v affect_v the_o spleen_n and_o this_o inflammation_n do_v arise_v from_o obstruction_n for_o the_o blood_n be_v stop_v in_o its_o current_n and_o passage_n and_o upon_o some_o extraordinary_a cause_n be_v more_o hot_a and_o fiery_a do_v make_v a_o sudden_a ebullition_n and_o inflame_v cause_v great_a pain_n heat_n and_o extension_n and_o this_o pain_n be_v distinguish_v by_o pulsation_n and_o beat_n of_o the_o part_n have_v many_o artery_n this_o inflammation_n not_o right_o apply_v unto_o by_o diligent_a and_o good_a mean_n do_v make_v transition_n and_o pass_v into_o apostemation_n and_o sometime_o terminate_v in_o a_o scirrhous_a tumour_n but_o these_o two_o dangerous_a commutation_n be_v to_o be_v prevent_v with_o great_a care_n and_o industry_n therefore_o before_o the_o disease_n arrive_v to_o this_o height_n and_o when_o only_a pain_n or_o heaviness_n give_v warning_n and_o tell_v you_o of_o a_o distemper_a spleen_n it_o be_v then_o most_o seasonable_a and_o opportune_a to_o apply_v the_o mean_n and_o then_o a_o little_a may_v prevent_v that_o which_o afterward_o perhaps_o a_o great_a deal_n can_v cure_v and_o first_o the_o procure_a cause_n if_o any_o there_o be_v apparent_a be_v to_o be_v avoid_v as_o a_o sedentary_a slothful_a life_n intemperance_n and_o gross_a feed_n or_o unseasonable_a eat_n as_o late_a supper_n immoderate_a study_n melancholy_a grief_n or_o care_n which_o introduce_v sometime_o but_o always_o contribute_v to_o aggravate_v splenetic_a distemper_n and_o although_o a_o natural_a debility_n and_o infirm_a constitution_n of_o the_o spleen_n may_v procure_v the_o effect_n aforesaid_a without_o other_o provocation_n yet_o most_o frequent_o they_o be_v so_o cause_v at_o least_o much_o heighten_v thereby_o and_o therefore_o for_o prevention_n as_o also_o for_o cure_v those_o injurious_a habit_n be_v to_o be_v abandon_v and_o such_o a_o diaetetic_a course_n of_o life_n observe_v as_o may_v check_v this_o disposition_n of_o body_n as_o at_o large_a you_o may_v be_v direct_v in_o the_o forementioned_a book_n the_o preservation_n of_o health_n and_o prolongation_n of_o life_n etc._n etc._n for_o pharmaceutic_a remedy_n that_o be_v make_v public_a i_o shall_v commend_v the_o aperitive_a tincture_n of_o mars_n pil._n antihypochondriac_n swelferi_fw-la chalybeat_v tartar_n sal_fw-la volatile_a succini_fw-la spir._n veneris_n right_o prepare_v which_o prudent_o use_v pro_fw-la re_fw-mi nata_fw-la as_o the_o several_a case_n require_v may_v prove_v advantageous_a pain_n of_o the_o
pervious_a caruncle_n or_o glandulous_a substance_n through_o which_o the_o serum_n be_v strain_v and_o thus_o the_o water_n be_v transmit_v by_o percolation_n the_o vessel_n bring_v into_o the_o reins_o be_v the_o emulgent_a artery_n and_o these_o draw_v a_o serum_n from_o the_o great_a trunk_n of_o the_o aorta_fw-la arteria_fw-la and_o import_v it_o into_o the_o kidney_n the_o emulgent_a vein_n from_o the_o vena_fw-la cava_fw-la be_v think_v by_o the_o ancient_n to_o be_v for_o the_o same_o purpose_n but_o latter_a discovery_n contradict_v it_o they_o also_o receive_v from_o the_o lacteal_v vein_n the_o thin_a and_o more_o watery_a part_n of_o the_o chyle_n be_v a_o expedite_a and_o short_a way_n hence_o it_o be_v the_o urine_n be_v pale_a or_o whitish_a when_o the_o kidney_n be_v not_o strong_a enough_o to_o give_v this_o milky_a humour_n the_o urinary_a digestion_n or_o when_o drink_n be_v too_o plentiful_o pour_v in_o and_o force_v through_o before_o its_o due_a time_n therefore_o great_a drinker_n common_o piss_v a_o pale_a water_n there_o be_v also_o nerve_n insert_v into_o the_o kidney_n from_o a_o branch_n of_o the_o six_o pair_n which_o also_o serve_v the_o ventricle_n hence_o it_o be_v that_o the_o stomach_n be_v draw_v into_o consent_n by_o loss_n of_o appetite_n nauseat_v and_o vomit_v when_o the_o kidney_n be_v pain_v as_o in_o a_o fit_a of_o the_o stone_n it_o be_v manifest_a by_o these_o nerve_n the_o kidney_n do_v suffer_v not_o only_o a_o heaviness_n but_o sometime_o very_o acute_a pain_n vessel_n carry_v the_o urine_n out_o of_o the_o kidney_n be_v the_o vreter_n one_o belong_v to_o each_o kidney_n and_o they_o pass_v from_o hence_o down_o by_o the_o loin_n between_o the_o two_o membrane_n of_o the_o peritonaeum_fw-la and_o be_v insert_v into_o the_o bladder_n to_o convey_v the_o urine_n thither_o the_o length_n of_o these_o urinary_a ducture_n be_v about_o a_o span_n the_o cavity_n or_o hollow_a like_o a_o straw_n but_o capable_a of_o enlargement_n to_o the_o bigness_n of_o a_o finger_n as_o by_o a_o stone_n come_v down_o though_o with_o extreme_a pain_n by_o reason_n they_o be_v membranous_a and_o nervous_a exquisite_o sensible_a and_o therefore_o upon_o any_o obstruction_n be_v high_o urge_v to_o expulsion_n especial_o by_o a_o solid_a sharp_a or_o rugged_a body_n as_o stone_n or_o gravel_n hereby_o you_o may_v understand_v the_o office_n and_o use_n of_o these_o part_n that_o be_v to_o drain_v the_o body_n from_o a_o superfluous_a saline_a and_o tartarous_a serosity_n and_o this_o aught_o daily_a and_o dull_o to_o be_v perform_v but_o this_o serosity_n be_v not_o all_o discharge_v this_o way_n by_o the_o reins_o but_o some_o pass_v off_o by_o insensible_a transpiration_n and_o some_o by_o manifest_a sweat_v but_o the_o great_a part_n by_o the_o kidney_n and_o from_o hence_o it_o appear_v that_o the_o urine_n be_v partly_o a_o excrement_n of_o the_o first_o digestion_n in_o respect_n of_o the_o aquosity_n draw_v from_o the_o lacteal_n juice_n and_o partly_o of_o the_o second_o in_o respect_n of_o the_o serum_n sanguinis_fw-la exhaust_v from_o the_o blood_n by_o the_o emulgent_a artery_n and_o here_o you_o may_v observe_v that_o by_o a_o certain_a digestion_n or_o elaboration_n in_o the_o kidney_n these_o serosity_n be_v transmute_v into_o urine_n and_o then_o carry_v a_o odour_n or_o scent_n with_o it_o much_o different_a from_o what_o it_o be_v before_o and_o the_o like_a we_o may_v observe_v in_o other_o creature_n that_o their_o urine_n have_v peculiar_a smell_n which_o argue_v a_o digestive_a transmutation_n but_o although_o nature_n intend_v and_o endeavour_v this_o work_n constant_o yet_o there_o be_v many_o casualty_n and_o impediment_n to_o disturb_v these_o part_n and_o frustrate_v in_o some_o measure_n the_o designment_n of_o nature_n the_o error_n and_o fail_n herein_o we_o shall_v recite_v but_o those_o chief_o that_o be_v accompany_v with_o or_o produce_v pain_n we_o shall_v discourse_v of_o with_o brevity_n the_o general_a and_o most_o frequent_a symptom_n that_o manifest_o afflict_v or_o incommode_v the_o reins_o be_v pain_n and_o weakness_n or_o tenderness_n about_o those_o part_n disease_n plant_v there_o from_o whence_o those_o pain_n or_o weakness_n do_v arise_v and_o depend_v be_v intemperate_a heat_n imbecility_n and_o a_o decline_a state_n consumptive_a diminution_n and_o waste_v inflammation_n scirrhous_n tumour_n angustness_n and_o obstruction_n of_o the_o cavity_n and_o ducture_n apertion_n of_o the_o vessel_n apostem_n ulcer_n some_o there_o be_v who_o pain_n be_v hot_a and_o molest_a not_o by_o a_o natural_a constitution_n but_o acquire_v by_o time_n and_o evil_a custom_n or_o accident_n happen_v to_o those_o part_n and_o this_o beget_v a_o tenderness_n there_o and_o it_o be_v painful_a to_o lie_v on_o the_o back_n the_o urine_n most_o frequent_o be_v hot_a or_o high-coloured_n sometime_o sharp_a and_o then_o apt_a to_o make_v water_n often_o prone_a to_o venery_n at_o least_o the_o constitution_n of_o those_o part_n do_v dispose_v that_o way_n cause_n introduce_v this_o distemper_n be_v too_o frequent_a use_n of_o wine_n strong_a drink_n and_o hot_a spice_n much_o ride_v lie_v on_o the_o back_n and_o soft_a bed_n or_o too_o frequent_a venery_n and_o for_o a_o correction_n of_o this_o distemper_n all_o these_o procurer_n and_o aggravator_n be_v spare_o to_o be_v use_v and_o some_o of_o they_o to_o be_v avoid_v and_o forbear_v but_o if_o this_o intemperate_a heat_n depend_v upon_o any_o other_o disease_n seat_v there_o disturb_v the_o office_n of_o the_o kidney_n and_o raise_v a_o preternatural_a heat_n then_o remedy_n must_v be_v apply_v to_o that_o as_o the_o nature_n thereof_o do_v require_v which_o be_v remove_v this_o heat_n will_v allay_v and_o cease_v imbecility_n and_o weakness_n do_v sometime_o affect_v the_o reins_o and_o a_o decay_n in_o the_o performance_n of_o their_o office_n may_v be_v perceive_v and_o if_o this_o be_v not_o the_o consequent_a of_o some_o manifest_a disease_n debilitate_v and_o render_v they_o incapable_a than_o you_o must_v know_v that_o there_o be_v a_o natural_a robor_fw-la and_o fortitude_n implant_v in_o every_o part_n by_o nature_n whereby_o they_o execute_v their_o function_n with_o integrity_n and_o constancy_n there_o be_v also_o a_o inequal_a distribution_n of_o this_o vigour_n and_o strength_n that_o some_o part_n natural_o be_v strong_a and_o durable_a in_o their_o station_n other_o be_v not_o so_o firm_o radicate_v in_o their_o principle_n but_o by_o time_n spontaneous_o fall_v off_o from_o their_o duty_n and_o decay_n much_o soon_o than_o other_o part_n of_o the_o body_n hence_o it_o be_v that_o some_o though_o regular_o live_v complain_v of_o this_o part_n other_o of_o that_o there_o be_v also_o occasion_n accident_n and_o different_a manner_n of_o live_v which_o we_o call_v diaetetic_a custom_n which_o as_o they_o be_v various_a do_v various_o injure_v and_o decay_v this_o or_o that_o part_n of_o the_o body_n and_o cause_v it_o to_o decline_v soon_o than_o the_o rest_n imbecility_n therefore_o of_o the_o reins_o come_v under_o some_o of_o these_o notion_n and_o have_v its_o original_n from_o thence_o which_o when_o such_o a_o case_n present_a examination_n be_v to_o be_v make_v to_o which_o of_o these_o the_o case_n belong_v and_o be_v to_o be_v ascribe_v now_o that_o which_o i_o call_v imbecility_n or_o a_o decay_a state_n be_v when_o the_o reins_o do_v not_o make_v a_o due_a secretion_n or_o separation_n of_o the_o serum_n from_o the_o blood_n and_o give_v it_o the_o urinary_a transmutation_n so_o that_o from_o hence_o the_o urine_n be_v but_o little_a and_o that_o not_o well_o digest_v the_o injurious_a consequent_n whereof_o be_v many_o for_o the_o blood_n remain_v too_o much_o dilute_v and_o overcharge_v with_o the_o serum_n or_o watery_a part_n which_o be_v distribute_v throughout_o the_o body_n and_o fall_v upon_o this_o or_o that_o part_n cause_v many_o hydropic_a disease_n and_o some_o of_o they_o mortal_a as_o example_n hereof_o may_v be_v give_v the_o next_o considerable_a be_v consumptive_a waste_n diminution_n or_o lessen_v of_o the_o kidney_n not_o by_o ulceration_n but_o exsiccation_n proceed_v from_o a_o hot_a and_o dry_a distemper_n of_o the_o kidney_n arrive_v to_o a_o colliquate_a hectic_a or_o tabes_fw-la which_o by_o time_n beget_v a_o consumption_n of_o the_o whole_a body_n procure_v sometime_o from_o a_o fallacious_a temperament_n there_o be_v feel_v a_o heaviness_n and_o weakness_n about_o the_o loin_n and_o the_o kidney_n do_v not_o perform_v their_o office_n aright_o inflammation_n sometime_o possess_v the_o reins_o cause_v by_o pain_n of_o the_o stone_n gravel_n or_o otherwise_o by_o obstruction_n sometime_o by_o a_o blow_n or_o fall_v also_o by_o a_o influx_n of_o blood_n or_o any_o foul_a corrupt_a matter_n transmute_v thither_o and_o lodge_v there_o obstruct_v the_o passage_n and_o cause_v a_o suppression_n
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
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