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
common_o call_v stitch_n pain_n be_v incident_a to_o these_o muscle_n from_o external_a injury_n as_o contusion_n and_o impression_n of_o cold_a or_o else_o internal_a cause_n and_o these_o be_v either_o by_o defluxion_n of_o humour_n that_o may_v flow_v in_o as_o most_o frequent_o from_o a_o abound_a serosity_n be_v thin_a sharp_a and_o extravasated_a fall_v in_o among_o these_o muscle_n or_o else_o by_o congestion_n matter_n be_v accumulate_v which_o nature_n not_o be_v able_a to_o discharge_v lie_v there_o as_o a_o burden_n impede_v the_o muscular_a motion_n and_o cause_v pain_n sometime_o from_o flatulency_n and_o wind_n get_v into_o the_o interstitia_fw-la of_o the_o muscle_n thereby_o cause_v intercurrent_a and_o fleet_a pain_n and_o for_o remedy_n in_o such_o case_n fomentation_n and_o hot_a bag_n apply_v be_v advantageous_a evacuation_n be_v premit_v according_a to_o the_o condition_n of_o the_o body_n require_v we_o come_v now_o to_o consider_v of_o pleurisy_n or_o pain_n in_o the_o pleura_fw-la that_o inward_a membrane_n that_o do_v invest_v or_o line_v the_o breast_n a_o disease_n very_o eminent_a and_o frequent_o occur_v that_o both_o hippoc._n and_o galen_n often_o mention_v it_o by_o way_n of_o example_n these_o pain_n be_v acute_a and_o sharp_a like_o puncture_n and_o have_v no_o constant_a place_n but_o in_o some_o person_n they_o seize_v the_o right_a side_n in_o other_o the_o left_a in_o some_o the_o pain_n be_v high_a in_o other_o low_o towards_o the_o hypochonder_n sometime_o more_o backward_o and_o sometime_o forward_o and_o although_o chief_o and_o more_o manifest_o the_o pain_n be_v here_o or_o there_o to_o be_v point_v at_o yet_o the_o whole_a membrane_n by_o reason_n of_o continuity_n be_v thereby_o affect_v and_o the_o part_n adjacent_a do_v suffer_v by_o consent_n from_o whence_o various_a symptom_n as_o concomitant_n and_o attendant_n do_v inseparable_o accompany_v and_o consort_v with_o this_o pleuritic_n pain_n hence_o it_o be_v that_o difficult_a and_o short_a breathe_n be_v constant_o annex_v to_o it_o and_o this_o because_o the_o part_n for_o respiration_n be_v hereby_o impede_v and_o have_v not_o their_o due_a motion_n and_o liberty_n of_o extension_n but_o be_v restrain_v and_o curb_v which_o be_v do_v in_o favour_n to_o avoid_v compress_v the_o grieve_a part_n otherwise_o will_v exasperate_v and_o increase_v the_o pain_n and_o therefore_o the_o sick_a fetch_v their_o breath_n short_a and_o quick_a because_o they_o can_v take_v it_o full_o and_o large_o and_o do_v repeat_v it_o the_o often_o by_o way_n of_o recompense_n to_o this_o and_o by_o consent_n of_o part_n be_v adjoin_v a_o short_a and_o dry_a cough_n which_o irritate_v and_o provoke_v the_o pain_n by_o move_v and_o strain_v those_o part_n and_o therefore_o be_v very_o troublesome_a and_o grievous_a to_o the_o patient_n here_o also_o a_o continual_a acute_a fever_n do_v necessary_o follow_v as_o inseparable_a for_o the_o archaeus_n or_o vital_a principle_n be_v invade_v in_o those_o part_n by_o something_o hostile_a do_v therefore_o insurge_v become_v enrage_v grow_v hot_a and_o fiery_a raise_v a_o burn_a distemper_n throughout_o the_o body_n to_o these_o we_o may_v add_v another_o constant_a character_n namely_o a_o hard_a swift_a but_o small_a pulse_n and_o these_o be_v the_o pathognomonical_a signal_n that_o be_v always_o attend_v upon_o and_o do_v distinguish_v pleurisy_n from_o other_o disease_n of_o adjacency_n or_o affinity_n and_o likeness_n with_o they_o for_o when_o pain_n fall_v in_o among_o the_o intercostal_a muscle_n although_o there_o may_v be_v some_o puncture_n or_o pricking_n because_o of_o the_o membrane_n there_o yet_o not_o so_o great_a the_o fever_n not_o so_o high_a nor_o the_o breath_n so_o short_a nor_o the_o cough_n so_o troublesome_a if_o any_o if_o the_o lung_n be_v inflame_v only_o the_o pain_n be_v but_o little_a not_o pung_v but_o obtuse_a not_o in_o the_o circumference_n or_o side_n but_o in_o the_o cavity_n or_o middle_n of_o the_o breast_n yet_o the_o difficulty_n of_o breathe_v be_v great_a here_o than_o in_o pleurisy_n from_o angustness_n that_o seize_v the_o part_n of_o respiration_n pleurisy_n differ_v from_o inflammation_n of_o the_o diaphragma_n because_o in_o this_o there_o be_v no_o pain_n in_o the_o side_n but_o only_o at_o the_o end_n of_o the_o short_a rib_n and_o the_o upper_a part_n of_o the_o belly_n be_v extend_v and_o with_o it_o a_o delirium_fw-la pleurisy_n also_o be_v distinguish_v from_o inflammation_n of_o the_o liver_n in_o the_o seat_n or_o place_n of_o pain_n which_o always_o be_v in_o the_o right_a side_n under_o the_o short_a rib_n the_o pain_n not_o pung_v but_o heavy_a and_o obtuse_a the_o cough_n less_o difficulty_n of_o breathe_v less_o but_o the_o urine_n higher-coloured_n or_o tinged_a red_a and_o now_o i_o see_v the_o reason_n though_o very_o weak_a why_o some_o author_n have_v distinguish_v pleurisy_n or_o difference_v they_o into_o legitimate_a and_o spurious_a which_o indeed_o be_v a_o division_n of_o pleurisy_n into_o pleurisy_n and_o no_o pleurisy_n for_o i_o account_v no_o disease_n to_o challenge_v that_o denomination_n but_o such_o as_o have_v their_o foundation_n in_o the_o pleura_fw-la else_o by_o the_o same_o reason_n all_o disease_n may_v admit_v of_o the_o same_o distinction_n of_o legitimate_a and_o spurious_a for_o as_o much_o as_o every_o disease_n have_v some_o symptom_n which_o be_v common_a to_o other_o disease_n that_o may_v give_v they_o some_o resemblance_n or_o affinity_n with_o each_o other_o or_o be_v affect_v by_o consent_n from_o another_o but_o i_o pass_v it_o over_o and_o come_v to_o examine_v the_o cause_n from_o whence_o pleuritic_n pain_n do_v arise_v these_o cause_n be_v external_a and_o internal_a external_n cause_n be_v such_o as_o remote_o prepare_v and_o dispose_v the_o body_n to_o a_o likely_a capacity_n of_o reception_n or_o aptness_n to_o this_o disease_n lay_v the_o foundation_n for_o internal_a cause_n and_o they_o do_v arise_v out_o of_o or_o from_o the_o irregular_a unfit_a or_o improper_a use_n of_o the_o diaetetic_n which_o lead_v to_o a_o morbific_a or_o unsound_a state_n for_o example_n violent_a exercise_n or_o otherwise_o raise_v great_a heat_n in_o the_o body_n and_o open_v the_o pore_n by_o neglect_n upon_o it_o as_o not_o to_o preserve_v that_o warmth_n for_o some_o time_n and_o suffer_v it_o gradual_o to_o abate_v and_o go_v off_o by_o keep_v on_o clothes_n and_o forbear_v cool_a drink_n this_o may_v introduce_v a_o pleurisy_n so_o likewise_o in_o the_o heat_n of_o summer_n to_o throw_v off_o clothes_n and_o be_v expose_v to_o the_o wind_n at_o a_o casement_n or_o the_o cool_a air_n in_o the_o evening_n to_o overheat_v the_o body_n with_o strong_a liquor_n and_o sudden_o endeavour_v to_o cool_v it_o again_o with_o small_a beer_n may_v effect_v the_o like_a cold_a north-wind_n after_o southerly_a and_o hot_a weather_n do_v alter_v the_o texture_n of_o the_o blood_n and_o be_v previous_a to_o pleuritic_n or_o similar_v pain_n but_o here_o you_o must_v take_v notice_n and_o know_v that_o quicquid_fw-la recipitur_fw-la recipitur_fw-la per_fw-la modum_fw-la recipientis_fw-la all_o body_n be_v not_o alike_o nor_o equal_o dispose_v for_o reception_n for_o in_o some_o these_o cause_n produce_v pleurisy_n in_o other_o angina_n in_o some_o dysentery_n in_o other_o arthritic_n pain_n etc._n etc._n according_a to_o the_o aptitude_n and_o disposition_n of_o body_n in_o fabrication_n or_o organization_n and_o peculiar_a property_n have_v the_o same_o general_a external_a cause_n various_a and_o divers_a effect_n be_v determine_v and_o specificate_v by_o different_a state_n of_o body_n more_o liable_a and_o apt_a to_o this_o or_o that_o disease_n rather_o than_o another_o hence_o it_o be_v that_o external_a cause_n as_o diaetetic_n error_n have_v heterogeneous_a effect_n and_o procure_v dissimilar_v disease_n according_a to_o various_a constitution_n purity_n and_o impurity_n stability_n or_o debility_n concur_v with_o or_o resist_v their_o influence_n which_o consideration_n bring_v i_o direct_o to_o the_o next_o stage_n be_v the_o latter_a part_n of_o the_o precede_a division_n internal_a cause_n be_v antecedent_n or_o conjunct_a antecedent_n as_o plethory_n be_v fullness_n of_o blood_n or_o cacochymy_n a_o deprave_a or_o degenerate_a blood_n both_o which_o be_v previous_a state_n or_o condition_n of_o body_n dispose_v or_o render_v more_o liable_a to_o this_o disease_n for_o the_o great_a vessel_n be_v full_a and_o distend_v upon_o any_o effervescence_n and_o superfermentation_n of_o the_o blood_n this_o impetuous_o like_o a_o torrent_n be_v impel_v into_o the_o small_a pipe_n as_o those_o of_o the_o pleura_fw-la where_o not_o have_v a_o free_a passage_n it_o do_v cause_n pain_n by_o distension_n and_o inflammation_n now_o this_o plenitude_n be_v bring_v on_o or_o aggravate_v and_o increase_v sometime_o by_o a_o suppression_n of_o some_o accustom_a evacuation_n as_o those_o that_o be_v wont_a
to_o discharge_v and_o abate_v blood_n by_o the_o nose_n by_o the_o haemorrhoid_v or_o menstrual_a purgation_n sometime_o by_o plentiful_a feed_n and_o too_o much_o ease_v so_o that_o evacuation_n and_o transpiration_n be_v not_o proportionable_a in_o abatement_n and_o to_o balance_v the_o import_v food_n conjunct_a cause_n be_v such_o as_o more_o immediate_o and_o near_o concur_v or_o conspire_v actual_o in_o form_v of_o these_o pleuritic_n pain_n and_o they_o be_v either_o acidity_n or_o viscidity_n within_o the_o vessel_n of_o the_o pleura_fw-la or_o a_o violent_a fluxion_n from_o the_o large_a vessel_n too_o great_a for_o the_o capacity_n and_o reception_n of_o these_o exiguous_a canal_n 2._o acidity_n or_o a_o acrid_a serosity_n do_v sometime_o fabricate_a and_o finish_v this_o disease_n by_o pung_v and_o lancinate_v the_o pleura_fw-la for_o omne_fw-la acidum_fw-la extra_fw-la stomachum_fw-la corpori_fw-la est_fw-la hostile_a say_v helmont_n thereby_o irritate_v and_o exciting_a the_o vital_a spirit_n to_o estuate_v and_o be_v incense_v and_o from_o this_o focus_fw-la a_o febrile_a heat_n be_v kindle_v and_o communicate_v to_o the_o whole_a body_n and_o that_o oftentimes_o and_o for_o the_o most_o part_n it_o be_v a_o sharp_a serous_a humour_n predominant_a in_o the_o blood_n which_o cause_v this_o disturbance_n in_o the_o pleura_fw-la be_v confirm_v by_o the_o manner_n of_o solution_n or_o termination_n of_o the_o disease_n which_o most_o frequent_o be_v by_o a_o sudorific_a evacuation_n or_o insensible_a transpiration_n and_o therefore_o hippoc._n in_o his_o prediction_n say_v sudores_fw-la &_o urinas_fw-la in_o pleuritide_n probè_fw-la fieri_fw-la bonum_fw-la esse_fw-la &_o salutare_fw-la friendly_o sweat_v and_o effusion_n of_o urine_n presage_v a_o good_a event_n 2._o viscidity_n or_o grumosity_n of_o the_o blood_n do_v sometime_o cause_n pleuritic_n pain_n for_o by_o obstruct_v those_o small_a ducture_n of_o the_o pleura_fw-la and_o stop_v the_o circulation_n a_o tumour_n thereby_o be_v raise_v within_o this_o double_a membrane_n for_o the_o vein_n artery_n and_o nerve_n lie_v between_o these_o two_o coat_n of_o the_o pleura_fw-la and_o that_o the_o blood_n be_v thus_o apt_a to_o be_v stagnant_a especial_o in_o the_o small_a vessel_n by_o coagulation_n grossness_n or_o congelation_n be_v confirm_v by_o phlebotomy_n for_o be_v let_v out_o of_o the_o body_n it_o be_v sometime_o find_v destitute_a of_o its_o serum_n or_o latex_n that_o keep_v it_o fluxile_n thin_a and_o transient_a and_o also_o be_v manifest_a so_o to_o be_v when_o it_o be_v in_o the_o vessel_n as_o in_o gangrene_n where_o the_o blood_n be_v fix_v and_o the_o part_n almost_o mortify_v and_o when_o pleurisy_n do_v happen_v upon_o this_o cause_n of_o concretion_n they_o common_o tend_v to_o suppuration_n as_o not_o capable_a of_o be_v discuss_v or_o put_v into_o motion_n for_o a_o discharge_n of_o the_o part_n now_o the_o blood_n become_v thus_o incrassated_a gross_a and_o viscous_a from_o every_o cause_n that_o do_v too_o much_o exhaust_v and_o expend_v the_o serosity_n thereof_o as_o too_o great_a transpiration_n or_o sweat_v or_o immoderate_a make_n of_o urine_n and_o sometime_o from_o a_o malignant_a or_o a_o venomous_a miasm_n that_o curdle_n or_o congelate_v the_o blood_n 3._o fluxion_n or_o ebullient_a and_o preternatural_a fermentation_n cause_v pleuritic_n pain_n and_o thus_o it_o happen_v when_o a_o pleurisy_n be_v the_o consequent_a or_o appendent_a to_o a_o fever_n precede_v for_o sometime_o a_o pleurisy_n do_v precede_v and_o be_v the_o cause_n of_o a_o fever_n as_o when_o the_o dart_n be_v feel_v to_o strike_v the_o pleura_fw-la before_o any_o febrile_a distemper_n appear_v sometime_o a_o pleurisy_n do_v supervene_v and_o follow_v a_o fever_n as_o a_o effect_n from_o that_o general_a ebullition_n the_o hot_a spumou_n blood_n rush_v into_o the_o pleura_fw-la have_v establish_v these_o cause_n in_o their_o due_a series_n present_v they_o in_o the_o method_n and_o order_n of_o their_o causation_n and_o action_n we_o shall_v not_o trouble_v ourselves_o with_o choler_n phlegm_n and_o melancholy_n the_o suppose_a material_n of_o every_o disease_n nor_o shall_v i_o controvert_v the_o insufficiency_n of_o that_o doctrine_n here_o for_o indication_n of_o cure_n prompt_v what_o be_v to_o be_v do_v which_o way_n and_o with_o what_o they_o be_v various_a as_o the_o case_n present_v 1._o plethory_n indicates_z phlebotomy_n and_o require_v a_o depletion_n or_o abatement_n of_o the_o redundance_n of_o blood_n that_o there_o may_v be_v room_n for_o the_o peccant_a matter_n to_o retire_v and_o for_o a_o revulsion_n and_o derivation_n thereof_o as_o also_o to_o avert_v the_o current_n and_o flux_n tend_v towards_o the_o pain_a part_n 2._o purgation_n by_o sedate_n and_o amicable_a cathartic_n if_o you_o can_v procure_v such_o else_o by_o clyster_n the_o best_a substitute_n in_o that_o defect_n be_v necessary_a to_o absterse_v and_o cleanse_v the_o whole_a body_n thereby_o subduct_v fuel_n from_o the_o fire_n and_o for_o render_v the_o patient_n not_o so_o liable_a to_o effervescency_n and_o turgid_a estuation_n and_o for_o a_o retraction_n from_o the_o part_n affect_v 3._o topical_a discussive_n be_v available_a and_o contribute_v to_o the_o remove_n of_o the_o morbific_a cause_n both_o as_o defensative_n give_v robor_fw-la to_o the_o grieve_a part_n for_o resistance_n of_o the_o humour_n flow_v in_o and_o also_o for_o a_o transmission_n and_o discharge_n of_o the_o conjunct_a matter_n reside_v 4._o diaphoretic_n to_o rarify_v dissipate_v and_o set_v open_a the_o pore_n for_o a_o free_a transpiration_n and_o exsudation_n be_v not_o only_o safe_a but_o exceed_v necessary_a thereby_o to_o avert_v the_o antecedent_n cause_n resort_v to_o the_o pain_a place_n and_o to_o disperse_v and_o scatter_v the_o morbific_a conjunct_a cause_n from_o the_o part_n affect_v if_o possible_a to_o prevent_v suppuration_n which_o be_v very_o dangerous_a and_o common_o mortal_a 5._o anacathartics_n or_o proper_a and_o true_o expectorate_n medicine_n be_v auxiliary_a and_o profitable_a in_o promote_a expectoration_n by_o digest_v the_o peccant_a matter_n and_o render_v it_o more_o apt_a and_o easy_a to_o be_v bring_v up_o and_o of_o these_o some_o be_v attenuate_v other_o incrassating_a to_o be_v use_v pro_fw-la re_fw-mi nata_fw-la suitable_a to_o the_o offend_a cause_n which_o if_o it_o yield_v soon_o and_o free_o and_o nature_n throw_v it_o up_o by_o cough_n and_o spit_v it_o portend_v good_a promise_a shortness_n of_o the_o disease_n and_o a_o prosperous_a event_n which_o hippoc._n 1_o aphor._n 12._o confirm_v 6._o anodynes_n elect_v by_o a_o discern_a judgement_n and_o cautious_o use_v may_v be_v of_o good_a advantage_n in_o some_o case_n and_o at_o some_o time_n else_o may_v prove_v very_o pernicious_a have_v dispatch_v these_o pleuritic_n pain_n we_o be_v next_o to_o take_v notice_n what_o other_o pain_n be_v incident_a to_o the_o thorax_n or_o breast_n and_o here_o we_o find_v pain_n to_o arise_v from_o inflammation_n of_o the_o lung_n of_o the_o mediastinum_fw-la and_o of_o the_o diaphragma_n whereof_o a_o account_n will_v be_v give_v in_o their_o proper_a place_n hereafter_o when_o we_o treat_v of_o inflammation_n but_o the_o lung_n do_v suffer_v pain_n also_o from_o other_o cause_n as_o from_o tumour_n not_o inflame_v sometime_o from_o adhesion_n or_o stick_v of_o the_o lung_n to_o the_o side_n of_o the_o breast_n sometime_o from_o stone_n and_o worm_n that_o have_v breed_v there_o observe_v and_o find_v upon_o dissection_n and_o sometime_o by_o erosion_n and_o ulcer_n of_o which_o in_o their_o due_a place_n follow_v back-pain_n of_o the_o thorax_n be_v either_o upon_o the_o spine_n between_o the_o shoulder_n or_o upon_o the_o scapulae_fw-la the_o shoulder_n blade_n and_o these_o pain_n do_v arise_v from_o some_o impression_n of_o cold_a late_o take_v or_o from_o defluxion_n of_o a_o serous_a humour_n from_o the_o head_n or_o sometime_o from_o a_o malign_a miasm_n venereal_a or_o scorbutic_a that_o infest_v those_o part_n pain_n sometime_o be_v seat_v at_o the_o bottom_n of_o the_o sternum_n between_o the_o short_a rib_n under_o the_o cartilege_n mucronata_fw-la vulgar_o call_v the_o pit_n of_o the_o stomach_n but_o improper_o this_o cartilege_n hang_v down_o be_v as_o it_o be_v a_o defensative_a to_o the_o subjacent_a part_n namely_o the_o stomach_n and_o liver_n yet_o be_v flexible_a to_o give_v way_n to_o the_o extension_n of_o the_o stomach_n without_o compression_n this_o place_n be_v very_o tender_a at_o all_o time_n insomuch_o that_o a_o blow_n here_o be_v ready_a to_o make_v a_o strong_a man_n faint_a the_o part_n be_v thus_o sensible_a pain_n therefore_o here_o must_v be_v very_o troublesome_a now_o this_o place_n be_v of_o acute_a sense_n or_o feeling_n in_o regard_n the_o upper_a orifice_n of_o the_o stomach_n be_v very_o nervous_a and_o almost_o subjacent_a to_o this_o cartilege_n and_o the_o heart_n adjacent_a hence_o it_o be_v that_o a_o blow_n or_o
dysentery_n send_v forth_o blood_n and_o corrupt_a matter_n sometime_o a_o bloody_a flux_n continue_v a_o while_n without_o vlceration_n and_o afterward_o ulcerate_v the_o gut_n and_o make_v a_o dysentery_n that_o be_v when_o this_o extravasated_a blood_n lodging_n in_o the_o gut_n degenerate_v and_o putrify_v it_o do_v thereby_o erode_a and_o plant_v a_o ulcer_n which_o complete_v a_o dysentery_n now_o this_o kind_n of_o dysentery_n arise_v from_o a_o impurity_n or_o corruption_n of_o the_o blood_n which_o cause_v a_o preternatural_a fermentation_n or_o effervescence_n in_o the_o whole_a mass_n but_o nature_n not_o be_v able_a to_o depurate_n and_o separate_a from_o this_o degenerate_a admixture_n either_o by_o transpiration_n or_o urine_n be_v force_v upon_o this_o emission_n by_o the_o intestine_n without_o a_o secretion_n and_o throw_v out_o both_o the_o good_a and_o bad_a together_o in_o the_o prosecution_n of_o cure_n as_o these_o cause_n be_v right_o adjudge_v and_o medicine_n adapt_v thereto_o depend_v the_o success_n and_o therefore_o that_o course_n and_o method_n which_o be_v advantageous_a and_o proper_a to_o one_o may_v be_v injurious_a and_o altogether_o disagree_v to_o another_o and_o here_o you_o must_v take_v notice_n that_o dysentery_n be_v sometime_o malignant_a as_o common_o when_o epidemical_a and_o then_o alexipharmacal_a medicine_n be_v not_o to_o be_v omit_v now_o concern_v the_o degree_n of_o dysentery_n as_o to_o a_o better_a and_o worse_o curable_a or_o deplorable_a state_n and_o the_o signal_n declare_v they_o as_o also_o several_a query_n that_o may_v be_v raise_v and_o satisfaction_n give_v to_o each_o the_o conciseness_n of_o this_o work_n will_v not_o admit_v to_o enlarge_v thereon_o in_o the_o next_o place_n and_o of_o great_a affinity_n with_o dysentery_n be_v a_o tenesmus_n agree_v in_o the_o cause_n and_o symptom_n but_o differ_v in_o the_o part_n affect_v a_o tenesmus_n be_v seat_v at_o the_o low_a end_n of_o the_o right_a gut_n or_o fundament_n the_o etymology_n of_o the_o word_n import_v something_o of_o the_o nature_n of_o the_o disease_n be_v a_o frequent_a desire_n and_o strain_v downward_o to_o the_o stool_n but_o instead_o of_o excrement_n blood_n and_o mucous_a matter_n be_v bring_v forth_o and_o with_o great_a pain_n this_o arise_v from_o a_o ulceration_n of_o the_o last_o intestine_a procure_v from_o the_o same_o cause_n as_o dysentery_n which_o we_o need_v not_o repeat_v this_o disease_n be_v most_o dangerous_a to_o woman_n with_o child_n for_o that_o it_o cause_v abortion_n but_o to_o all_o person_n it_o be_v very_o troublesome_a and_o painful_a and_o if_o it_o continue_v long_o the_o ulcer_n become_v fistulous_a and_o difficult_a to_o be_v cure_v and_o now_o i_o remember_v the_o cure_n of_o a_o old_a ulcer_n in_o this_o part_n notwithstanding_o the_o contumacy_n and_o difficulty_n thereof_o in_o the_o year_n 1653._o when_o i_o be_v but_o a_o young_a practiser_n yet_o by_o the_o blessing_n of_o god_n upon_o my_o endeavour_n i_o cure_v a_o gentlewoman_n afflict_v with_o a_o ulcer_n in_o ano_fw-la for_o seven_o year_n who_o can_v not_o in_o all_o that_o time_n receive_v help_v though_o she_o have_v try_v many_o physician_n and_o surgeon_n have_v a_o plentiful_a fortune_n to_o allow_v it_o she_o be_v age_v between_o fifty_o and_o sixty_o a_o alderman_n wife_n of_o maxfilde_a in_o cheshire_n where_o i_o happen_v to_o stay_v in_o that_o town_n for_o some_o time_n whereby_o this_o gentlewoman_n beyond_o her_o expectation_n receive_v a_o perfect_a cure_n to_o finish_v our_o discourse_n of_o pain_n belong_v to_o the_o intestine_n we_o shall_v conclude_v with_o the_o haemorrhoid_v a_o disease_n frequent_a and_o sometime_o of_o great_a complaint_n the_o word_n haemorrhois_n signify_v a_o flux_n of_o blood_n in_o general_a but_o custom_n have_v restrain_v it_o and_o among_o physician_n it_o be_v use_v and_o understand_v only_o that_o effusion_n of_o blood_n by_o the_o haemorrhoid_n vein_n which_o vein_n terminate_v at_o the_o low_a end_n of_o the_o last_o intestine_a and_o about_o the_o fundament_n these_o haemorrhoid_n vein_n be_v internal_a and_o external_a although_o most_o of_o the_o ancient_n and_o some_o modern_a author_n acknowledge_v only_o the_o internal_a but_o erroneous_o the_o internal_a and_o external_a haemorrhoid_n vein_n do_v differ_v much_o as_o first_o in_o their_o rise_n or_o descent_n for_o the_o external_a do_v proceed_v from_o the_o hypogastric_a branch_n of_o the_o vena_fw-la cava_fw-la and_o the_o internal_a from_o the_o vena_fw-la porte_fw-fr and_o common_o from_o the_o splenical_a branch_n thereof_o second_o in_o number_n the_o internal_a be_v but_o one_o though_o orbicular_o multiply_v and_o divide_v about_o the_o anus_fw-la the_o external_a be_v threefold_a three_o in_o their_o insertion_n the_o internal_a be_v insert_v into_o the_o membranous_a substance_n of_o the_o right_a gut_n the_o external_a into_o the_o musculous_a substance_n of_o the_o anus_fw-la or_o fundament_n four_o they_o differ_v in_o their_o content_n the_o internal_a carry_v a_o gross_a and_o black_a blood_n the_o external_a more_o thin_a and_o ruddy_a five_o in_o their_o office_n and_o use_n the_o internal_a evacuate_v the_o vena_fw-la porta_fw-la and_o splenical_a artery_n thereby_o advantageous_a in_o some_o disease_n of_o the_o spleen_n and_o cacochymy_n the_o external_a do_v empty_a the_o vena_fw-la cava_fw-la and_o correct_v such_o disease_n that_o depend_v upon_o plethory_n or_o redundance_n six_o they_o differ_v in_o evacuation_n the_o internal_a not_o so_o copious_a the_o external_a common_o large_a in_o the_o profusion_n and_o sometime_o very_o injurious_a and_o to_o some_o mortal_a seven_o in_o pain_n the_o internal_a for_o the_o most_o part_n painful_a the_o external_a not_o in_o evacuation_n last_o they_o differ_v in_o association_n the_o internal_a descend_v without_o artery_n the_o external_a be_v adjoin_v with_o artery_n to_o the_o anus_fw-la the_o haemorrhoid_n vein_n be_v liable_a to_o contrary_a affect_n and_o the_o disease_a do_v suffer_v in_o a_o different_a way_n sometime_o these_o vein_n abound_v with_o blood_n and_o swell_v for_o want_v of_o apertion_n and_o a_o discharge_n and_o this_o be_v call_v the_o blind_a haemorrhoid_v è_fw-la contrà _fw-la sometime_o the_o mouth_n of_o these_o vein_n do_v open_a and_o pour_v out_o too_o plentiful_o either_o sudden_o or_o by_o too_o long_a continuance_n and_o this_o be_v call_v the_o open_a haemorrhoid_v both_o these_o extreme_n be_v grievous_a to_o suffer_v the_o swell_a of_o the_o haemorrhoid_n vein_n and_o pain_n from_o thence_o have_v the_o same_o cause_n as_o provoke_v and_o continue_v the_o haemorrhoidal_a flux_n viz._n blood_n offend_v in_o quantity_n or_o quality_n which_o if_o it_o find_v not_o vent_v by_o the_o termination_n or_o mouth_n of_o the_o vein_n they_o be_v extend_v and_o swell_v big_a and_o sometime_o inflame_v which_o if_o it_o continue_v be_v dangerous_a lest_o it_o become_v cancerous_a and_o gangrene_n on_o the_o other_o side_n a_o immoderate_a flux_n be_v very_o pernicious_a and_o induce_v dropsy_n consumption_n cachexy_n etc._n etc._n by_o exhaust_v the_o treasury_n of_o life_n these_o haemorrhoidal_a flux_n continue_v undue_o and_o injurious_o argue_v the_o blood_n to_o be_v hot_a and_o sharp_a or_o too_o thin_a abound_v with_o a_o acrid_a serosity_n which_o provoke_v the_o expulsive_a faculty_n and_o open_v the_o mouth_n of_o the_o vein_n but_o the_o blind_a swell_n haemorrhoid_v denote_v the_o blood_n to_o be_v gross_a and_o thick_a or_o the_o coat_n that_o cover_v the_o extreme_a end_n or_o mouth_n of_o those_o vein_n to_o be_v dense_a and_o impenetrable_a not_o permit_v a_o exsudation_n here_o it_o may_v be_v query_v how_o it_o come_v to_o pass_v that_o these_o haemorrhoid_n vein_n shall_v be_v more_o trouble_v with_o blood_n and_o more_o frequent_o suffer_v a_o apertion_n since_o many_o other_o place_n of_o the_o body_n receive_v the_o extremity_n or_o termination_n of_o the_o vein_n and_o so_o equal_o capable_a of_o effusion_n in_o answer_v hereunto_o you_o must_v understand_v that_o although_o nature_n have_v form_v the_o like_a and_o plant_v they_o in_o divers_a part_n of_o the_o body_n which_o sometime_o though_o more_o rare_o do_v issue_n and_o send_v forth_o blood_n yet_o these_o haemorrhoid_v be_v place_v more_o commodious_o for_o void_v of_o superfluous_a and_o feculent_a blood_n be_v near_o the_o common_a vent_n and_o outlet_n for_o excrement_n to_o pass_v away_o and_o their_o situation_n be_v downward_o together_o with_o the_o strain_n upon_o occasion_n at_o the_o stool_n the_o extremity_n of_o these_o vein_n be_v fill_v and_o sometime_o force_v to_o evacuate_v more_o frequent_o than_o other_o now_o concern_v the_o blind_a haemorrhoid_v you_o may_v take_v notice_n and_o know_v that_o there_o be_v this_o difference_n sometime_o the_o tumour_n or_o extension_n be_v in_o the_o trunk_n or_o cavity_n of_o the_o vein_n and_o then_o there_o be_v no_o apertion_n and_o sometime_o the_o
liver_n before_o i_o inquire_v into_o the_o nature_n and_o cause_n of_o these_o pain_n it_o will_v be_v necessary_a to_o let_v you_o know_v the_o office_n and_o use_n of_o this_o member_n its_o situation_n figure_n and_o vessel_n for_o hereby_o the_o disease_n upon_o which_o pain_n depend_v will_v be_v more_o manifest_a and_o apparent_a as_o also_o such_o part_n as_o suffer_v by_o vicinity_n connexion_n and_o consent_n from_o hence_o to_o enumerate_v the_o various_a opinion_n that_o have_v be_v hold_v by_o learned_a man_n in_o all_o age_n concern_v the_o office_n of_o this_o member_n will_v be_v too_o tedious_a therefore_o i_o shall_v only_o mention_v what_o latter_a discovery_n have_v prove_v most_o rational_a from_o the_o motion_n of_o the_o chyle_n and_o blood_n which_o be_v this_o that_o the_o liver_n primary_o be_v appoint_v to_o receive_v the_o blood_n come_v from_o the_o heart_n to_o give_v it_o a_o far_a digestion_n and_o depuration_n by_o separate_v the_o bilious_a matter_n and_o secondary_o by_o embrace_v the_o ventricle_n to_o cherish_v and_o promote_v the_o stomach_n digestion_n or_o chylification_n for_o which_o purpose_v this_o member_n be_v fit_o seat_v form_v and_o furnish_v with_o vessel_n to_o import_v and_o export_n the_o liver_n be_v place_v in_o the_o right_a hypochonder_n under_o the_o diaphragma_n cover_v in_o part_n by_o the_o short_a rib_n and_o cover_v the_o upper_a and_o forepart_n of_o the_o ventricle_n and_o for_o firmness_n of_o situation_n it_o be_v fasten_v by_o three_o ligament_n to_o the_o abdomen_fw-la to_o the_o cartilege_n ensiformis_fw-la and_o to_o the_o diaphragma_n the_o figure_n of_o this_o member_n upon_o the_o superior_a part_n be_v convex_a or_o round_a the_o better_a to_o give_v way_n to_o the_o motion_n of_o the_o diaphragma_n but_o the_o under_o side_n be_v concave_a or_o hollow_a fit_o to_o apply_v to_o the_o extension_n of_o the_o ventricle_n as_o for_o magnitude_n it_o be_v various_a in_o divers_a person_n great_a and_o less_o and_o also_o different_a in_o the_o same_o person_n in_o health_n and_o sickness_n this_o member_n sometime_o be_v waste_v and_o shrink_v and_o sometime_o swell_v or_o increase_v wonderful_o big_a this_o organ_n have_v vessel_n appertain_v to_o it_o as_o vein_n artery_n and_o nerve_n the_o two_o eminent_a great_a vein_n of_o man_n body_n vena_fw-la cava_fw-la and_o vena_fw-la porte_fw-fr have_v their_o root_n various_o disperse_v here_o through_o the_o parenchyma_n or_o body_n of_o the_o liver_n the_o trunk_n of_o the_o former_a rise_n out_o of_o the_o superior_a gibbous_a part_n the_o latter_a from_o the_o concave_n and_o under-side_n the_o liver_n be_v design_v for_o the_o use_n aforesaid_a seat_v and_o accommodate_v after_o this_o manner_n we_o shall_v inquire_v into_o the_o impediment_n and_o preternatural_a condition_n from_o whence_o pain_n and_o trouble_n arise_v for_o many_o complain_v of_o pain_n and_o heaviness_n in_o their_o right_a side_n about_o the_o short_a rib_n sometime_o more_o forward_o sometime_o backward_o sometime_o inward_a and_o sometime_o more_o outward_a to_o what_o part_v these_o pain_n belong_v and_o the_o cause_n from_o whence_o they_o arise_v be_v worth_a our_o labour_n to_o be_v resolve_v for_o sometime_o pain_n of_o the_o liver_n have_v erroneous_o be_v take_v for_o pleurisy_n because_o the_o pain_n have_v extend_v upward_o and_o affect_v the_o thorax_n by_o reason_n of_o vicinity_n and_o sometime_o the_o muscular_a pain_n of_o the_o abdomen_fw-la in_o the_o right_a hypochonder_n have_v be_v adjudge_v to_o be_v hepatic_a not_o right_o discern_v the_o diagnostic_n sign_n disease_n which_o the_o liver_n be_v most_o subject_a to_o and_o procure_v pain_n be_v these_o obstruction_n adhesion_n inflammation_n inflation_n scirrhous_a tumour_n apostem_n ulcer_n from_o hence_o we_o may_v understand_v that_o as_o these_o pain_n be_v various_a in_o their_o cause_n so_o be_v they_o dissimilar_v and_o unlike_a in_o the_o sense_n of_o feeling_n and_o different_o seat_v obstruction_n that_o impede_fw-la and_o injure_v the_o office_n of_o the_o liver_n and_o produce_v pain_n be_v frequent_a and_o these_o be_v either_o in_o the_o outmost_a gibbous_a part_n and_o do_v belong_v to_o the_o trunk_n of_o the_o vena_fw-la cava_fw-la or_o else_o in_o the_o hollow_a inferior_a part_n and_o the_o vena_fw-la porte_fw-fr be_v concern_v herein_o or_o else_o the_o obstruction_n be_v fix_v in_o the_o body_n of_o the_o liver_n and_o then_o the_o small_a ramification_n of_o either_o or_o both_o vein_n be_v affect_v hence_o it_o be_v that_o this_o member_n be_v most_o frequent_o infest_a with_o obstruction_n because_o it_o be_v store_v with_o so_o many_o vessel_n as_o none_o more_o but_o beside_o these_o obstruction_n of_o the_o vessel_n there_o be_v also_o obstruction_n in_o the_o parenchyma_n or_o substance_n of_o this_o organ_n that_o be_v when_o the_o small_a meatus_fw-la or_o pore_n be_v shut_v up_o that_o ventilation_n and_o transpiration_n be_v deny_v hence_o it_o be_v that_o this_o member_n sometime_o be_v preternatural_o extend_v and_o increase_v in_o magnitude_n through_o all_o its_o dimension_n for_o have_v a_o continual_a supply_n of_o additional_a matter_n and_o not_o due_o expend_v the_o part_n of_o necessity_n must_v be_v augment_v and_o enlarge_v and_o it_o be_v observe_v by_o some_o that_o those_o have_v the_o great_a liver_n that_o be_v of_o a_o cold_a temperature_n and_o such_o as_o be_v great_a eater_n of_o this_o cornelius_n gemma_fw-la give_v a_o example_n of_o a_o old_a woman_n that_o can_v not_o forbear_v eat_v and_o drink_v scarce_o a_o moment_n but_o with_o great_a trouble_n and_o anguish_n and_o be_v open_v after_o her_o death_n her_o liver_n be_v find_v to_o be_v wonderful_o big_a signal_n declare_v the_o liver_n to_o be_v obstruct_v be_v a_o heaviness_n fullness_n or_o a_o obtuse_a pain_n in_o the_o right_a hypochonder_n and_o chief_o after_o meat_n or_o exercise_v and_o upon_o more_o than_o ordinary_a motion_n the_o face_n be_v apt_a to_o be_v high-coloured_n the_o hand_n to_o look_v red_a and_o the_o breath_n to_o be_v short_a and_o they_o be_v apt_a to_o be_v feverish_a upon_o small_a occasion_n but_o upon_o rest_n and_o ease_v common_o they_o be_v incline_v to_o be_v pale_a cause_n from_o whence_o these_o obstruction_n arise_v and_o do_v depend_v be_v first_o such_o as_o remote_o dispose_v as_o a_o plentiful_a and_o bad_a diet_n or_o a_o gross_a feed_n upon_o such_o meat_n as_o be_v difficult_a to_o be_v digest_v and_o distribute_v what_o those_o be_v you_o will_v find_v in_o the_o preservation_n of_o health_n etc._n etc._n also_o a_o thick_a unwholesome_a air_n to_o be_v without_o exercise_n and_o to_o indulge_v sleep_n too_o much_o which_o over-clogs_a the_o body_n make_v a_o plethory_n and_o fullness_n whereby_o the_o circulation_n be_v retard_v lay_v the_o foundation_n and_o a_o aptness_n for_o obstruction_n in_o general_n second_o and_o more_o immediate_o from_o a_o viscidity_n and_o grossness_n of_o the_o blood_n render_v it_o influid_a slow_a of_o motion_n and_o apt_a to_o stop_v in_o the_o vessel_n and_o this_o be_v generate_v in_o the_o liver_n from_o its_o distemper_n debility_n and_o decay_n of_o the_o faculty_n or_o be_v transmit_v from_o other_o part_n and_o bring_v in_o from_o the_o antecedent_n cause_v aforesaid_a to_o which_o we_o may_v add_v angustness_n of_o the_o vessel_n in_o some_o person_n dispose_v to_o this_o inconvenience_n obstruction_n of_o the_o liver_n be_v careful_o to_o be_v look_v after_o and_o remove_v because_o they_o introduce_v many_o other_o disease_n as_o jaundice_n dropsy_n fever_n inflammation_n scirrhous_a tumour_n etc._n etc._n adhesion_n or_o coalescence_n sometime_o be_v the_o cause_n of_o pain_n in_o the_o right_a hypochonder_n as_o when_o the_o liver_n stick_v to_o or_o grow_v together_o with_o the_o peritonaeum_fw-la and_o this_o may_v happen_v from_o too_o much_o and_o constant_a lie_v on_o the_o right_a side_n or_o by_o the_o magnitude_n of_o the_o liver_n extend_v to_o the_o peritonaeum_fw-la whether_o tumify_v preternatural_o or_o increase_v by_o a_o natural_a nutrition_n and_o growth_n now_o pain_n arise_v hence_o the_o membrane_n that_o invest_v and_o cover_v the_o liver_n be_v very_o sensible_a as_o all_o membrane_n be_v that_o cleave_v to_o the_o peritonaeum_fw-la be_v disturb_v and_o strain_v by_o motion_n or_o shake_n of_o the_o body_n or_o by_o lie_v on_o the_o contrary_a side_n the_o weight_n of_o the_o liver_n endeavour_v a_o separation_n inflammation_n sometime_o seize_v the_o liver_n and_o cause_v great_a pain_n and_o this_o common_o proceed_v from_o or_o be_v the_o consequent_a of_o obstruction_n for_o the_o blood_n be_v stop_v in_o its_o current_n and_o overflow_a especial_o be_v more_o hot_a and_o fiery_a be_v then_o apt_a to_o inflame_v the_o part_n and_o this_o be_v manifest_a to_o sense_n by_o heat_n and_o tension_n of_o the_o right_a hypochonder_n inflammation_n be_v know_v from_o
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
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
heterogeneous_a discordant_a matter_n or_o some_o malign_a and_o venenate_a miasm_n be_v mingle_v or_o get_v into_o the_o blood_n nature_n which_o be_v the_o vital_a principle_n raise_v a_o preternatural_a fermentation_n and_o febrile_a effervescency_n in_o the_o mass_n of_o blood_n for_o a_o purification_n and_o separation_n of_o this_o exotic_a mixture_n and_o admit_v of_o no_o sedation_n and_o rest_n until_o that_o work_n be_v finish_v five_o and_o from_o hence_o you_o be_v to_o be_v warn_v of_o the_o dangerous_a and_o common_a practice_n in_o fever_n by_o julep_n barleywater_n and_o other_o such_o like_a cool_a medicine_n use_v to_o allay_v the_o heat_n from_o a_o great_a mistake_n of_o the_o rise_n of_o fever_n and_o from_o whence_o this_o heat_n do_v assurge_v for_o whether_o the_o fever_n do_v depend_v upon_o a_o particular_a inflame_a part_n or_o a_o general_a fermentation_n of_o the_o blood_n for_o purification_n in_o both_o case_n of_o fever_n such_o cool_a medicine_n be_v pernicious_a and_o have_v kill_v thousand_o for_o by_o insist_v so_o much_o upon_o they_o and_o aim_v to_o suppress_v the_o fever_n by_o cooler_n which_o be_v not_o possible_a to_o be_v do_v thus_o trifle_v the_o time_n away_o the_o opportunity_n of_o cure_v be_v lose_v and_o the_o disease_n prevail_v the_o error_n of_o these_o cool_a medicine_n be_v apparent_a from_o the_o insuccess_n thereof_o for_o never_o be_v the_o thirst_n of_o a_o sick_a person_n satisfy_v by_o a_o julep_n but_o a_o draught_n of_o good_a drink_n such_o as_o the_o patient_n stomach_n call_v for_o that_o be_v acceptable_a and_o refresh_a so_o that_o i_o say_v julep_n be_v but_o cold_a comfort_n to_o a_o feverish_a sick_a man_n for_o these_o cold_a medicine_n impose_v upon_o the_o sick_a be_v so_o far_o from_o assist_v nature_n to_o perform_v the_o work_n she_o be_v struggle_v about_o that_o they_o nauseate_a and_o flat_a the_o stomach_n which_o shall_v invigorate_v the_o other_o faculty_n damp_n the_o power_n of_o nature_n contend_v and_o leave_v she_o languish_v for_o refreshment_n covet_v in_o her_o natural_a common_a drink_n what_o advantage_n can_v there_o be_v in_o a_o julep_n to_o take_v off_o or_o any_o way_n contribute_v to_o the_o removal_n of_o any_o matter_n that_o be_v the_o cause_n of_o inflammation_n in_o the_o liver_n spleen_n kidney_n mesentery_n pleura_fw-la etc._n etc._n any_o part_n of_o the_o body_n true_o none_o but_o that_o be_v not_o all_o for_o beside_o the_o do_v no_o good_a it_o do_v much_o mischief_n in_o suppress_v the_o fortitude_n of_o nature_n and_o cheat_v the_o poor_a patient_n of_o that_o desire_v common_a assistance_n by_o drink_n that_o will_v be_v comfortable_a but_o no_o more_o of_o this_o because_o i_o have_v enlarge_v upon_o this_o point_n pag._n 27_o 28_o 29_o 30._o yet_o it_o fall_v in_o here_o necessary_o to_o be_v take_v notice_n of_o because_o inflammation_n always_o introduce_v fever_n which_o fever_n be_v most_o obvious_a and_o apparent_a engross_v all_o endeavour_n for_o allay_v that_o general_a and_o expanded_a heat_n but_o they_o go_v the_o wrong_a way_n to_o work_v even_o preposterous_o begin_v at_o the_o wrong_a end_n but_o now_o to_o inform_v what_o be_v necessary_a to_o be_v do_v when_o a_o pain_a inflame_a part_n require_v help_v take_v these_o direction_n in_o general_n which_o will_v be_v advantageous_a in_o most_o if_o not_o all_o particular_a case_n first_o examine_v and_o consider_v the_o nature_n of_o the_o part_n inflame_v be_v the_o part_n primary_o affect_v the_o foundation_n of_o this_o disturbance_n from_o who_o peculiar_a structure_n and_o fabrication_n as_o also_o from_o its_o office_n you_o will_v find_v what_o be_v the_o usual_a impediment_n that_o molest_v and_o disturb_v such_o a_o part_n and_o how_o it_o become_v liable_a thereto_o second_o you_o be_v to_o consider_v what_o way_n this_o matter_n be_v to_o be_v carry_v off_o if_o it_o be_v humoral_a and_o by_o what_o mean_v adapt_a such_o remedy_n suitable_a to_o the_o condition_n of_o the_o part_n affect_v and_o proper_a for_o the_o removal_n of_o such_o a_o morbific_a cause_n three_o the_o fever_n that_o arise_v from_o and_o depend_v upon_o this_o inflammation_n be_v not_o to_o bias_n you_o or_o take_v you_o off_o from_o any_o thing_n necessary_a to_o be_v do_v in_o order_n to_o reduce_v the_o part_n primary_o affect_v but_o prosecute_v direct_o there_o and_o regard_v not_o the_o fever_n for_o as_o you_o get_v advantage_n in_o relieve_v the_o part_n grieve_v you_o will_v find_v the_o fever_n to_o decrease_v and_o total_o vanish_v when_o that_o be_v restore_v and_o to_o tell_v you_o plain_o i_o know_v nothing_o you_o can_v do_v advantageous_a for_o the_o part_n inflame_v that_o may_v be_v injurious_a upon_o account_n of_o the_o fever_n if_o the_o fever_n be_v independent_a and_o have_v no_o relation_n to_o the_o other_o four_o if_o blood_n be_v the_o primary_n cause_n or_o otherwise_o aggravate_v through_o plenitude_n make_v a_o depletion_n thereby_o the_o circulation_n will_v be_v more_o free_a turgency_n abate_v and_o fluxion_n prevent_v at_o least_o retract_v for_o if_o the_o cause_n be_v in_o the_o vein_n or_o artery_n most_o necessary_a it_o be_v to_o be_v do_v for_o common_o then_o a_o plethory_n grossness_n or_o coagulation_n give_v the_o occasion_n of_o this_o grief_n but_o if_o it_o a_o acrid_a serosity_n that_o lance_v and_o irritate_v the_o tender_a part_n phlehotomy_n may_v draw_v off_o and_o make_v a_o diversion_n for_o a_o time_n until_o other_o good_a mean_n can_v be_v administer_v to_o eradicate_v or_o blunt_a the_o sharpness_n of_o its_o acidity_n five_o set_v open_a the_o vent_v and_o outlet_n which_o nature_n have_v frame_v and_o make_v evacuation_n to_o abate_v fullness_n and_o remove_v foulness_n in_o the_o whole_a body_n thereby_o you_o will_v prevent_v or_o allay_v the_o turgency_n of_o ill_a humour_n that_o be_v apt_a to_o ferment_n and_o move_v upon_o this_o disorder_n and_o cut_v off_o a_o supply_n of_o morbific_a matter_n that_o may_v resort_v to_o the_o part_n pain_v of_o raise_v a_o new_a disturbance_n in_o other_o part_n of_o the_o body_n here_o you_o must_v procure_v and_o prosecute_v this_o intention_n with_o balsamic_a abstersives_n the_o true_a cathartic_n not_o venenous_a laxative_n the_o common_a repute_a purgative_n and_o cleanse_v the_o low_a region_n of_o the_o body_n whereby_o also_o you_o will_v subduct_v and_o draw_v away_o from_o the_o part_n affect_v the_o grosser_n matter_n be_v thus_o remove_v and_o carry_v off_o sufficient_o the_o remainder_n discharge_v by_o transpiration_n make_v a_o apertion_n of_o the_o pore_n and_o set_v open_a those_o imperceptible_a vent_n by_o the_o use_n of_o effectual_a and_o choice_a diaphoretic_n thereby_o to_o attenuate_v rarify_v and_o scatter_v for_o outward_a inflammation_n topical_a medicine_n be_v apply_v to_o the_o part_n fomentation_n cataplasm_n unguent_n &c_n &c_n to_o appease_v and_o allay_v but_o our_o internal_a case_n do_v not_o admit_v of_o such_o application_n therefore_o we_o be_v to_o design_n otherwise_o and_o adapt_v such_o internal_a medicine_n and_o by_o such_o operation_n as_o may_v reach_v the_o morbous_a matter_n to_o remove_v and_o transmit_v it_o yet_o when_o a_o inflammation_n be_v seat_v near_o the_o superficies_n or_o extern_a part_n of_o the_o body_n as_o the_o pleura_fw-la the_o gibbous_a part_n of_o the_o liver_n and_o such_o like_a especial_o if_o a_o tumour_n conjoin_v do_v appear_v also_o or_o any_o visible_a extension_n then_o local_a medicine_n may_v be_v of_o good_a use_n and_o contribute_v towards_o a_o cure_n but_o here_o by_o way_n of_o caution_n take_v notice_n that_o no_o refrigerate_a or_o repercuss_v application_n be_v make_v to_o repel_v and_o drive_v back_o from_o the_o part_n pain_v for_o this_o may_v prove_v of_o dangerous_a consequence_n as_o the_o imprudent_a adventure_n of_o some_o in_o this_o manner_n have_v leave_v sad_a memento_n to_o forbid_v the_o like_a practice_n but_o some_o may_v say_v how_o shall_v we_o know_v when_o any_o internal_a part_n be_v inflame_v because_o neither_o the_o eye_n nor_o the_o hand_n can_v reach_v there_o to_o discover_v the_o disease_n yes_o very_o well_o for_o great_a pain_n and_o anguish_n continue_v in_o any_o secret_a internal_a part_n and_o raise_v a_o febrile_a heat_n in_o the_o whole_a body_n do_v as_o certain_o declare_v that_o part_n to_o be_v inflame_v in_o the_o sense_n before_o express_v as_o any_o outward_a sign_n can_v manifest_v where_o see_v and_o handle_v do_v or_o can_v adjudge_v the_o case_n six_o and_o in_o the_o last_o place_n because_o inflammation_n do_v arise_v from_o and_o depend_v much_o upon_o the_o continuance_n of_o pain_n therefore_o anodynes_n or_o allayer_n of_o pain_n may_v be_v profitable_a at_o some_o time_n and_o in_o some_o case_n but_o wary_o to_o be_v use_v and_o the_o time_n nice_o to_o be_v distinguish_v 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
malignity_n and_o venenate_n matter_n have_v proceed_v too_o forward_o and_o draw_v near_o to_o a_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d mortification_n then_o these_o mean_n be_v to_o be_v lay_v aside_o and_o nothing_o remain_v to_o be_v do_v but_o amputation_n or_o dismember_n and_o that_o only_a if_o the_o part_n will_v allow_v it_o as_o arm_z or_o leg_n scrotum_fw-la or_o dug_n immedicabile_fw-la vulnus_fw-la ense_n recidendum_fw-la est_fw-la ne_fw-la pars_fw-la sincera_fw-la trahatur_fw-la and_o if_o a_o separation_n of_o this_o dead_a part_n from_o the_o live_n can_v be_v perform_v there_o be_v no_o hope_n of_o recovery_n or_o reduction_n of_o that_o to_o life_n again_o à _fw-la privatione_fw-la ad_fw-la habitum_fw-la non_fw-la datur_fw-la regressus_fw-la nor_o be_v there_o any_o hope_n of_o the_o patient_n life_n for_o this_o mortify_a part_n will_v corrupt_v and_o mortify_v the_o whole_a where_o amputation_n can_v be_v perform_v this_o question_n as_o a_o difficulty_n arise_v among_o man_n of_o art_n whether_o section_n shall_v be_v make_v in_o the_o sound_n or_o unsound_a part_n some_o be_v of_o opinion_n that_o it_o shall_v be_v in_o the_o die_a or_o dead_a part_n thereby_o to_o avoid_v pain_n to_o prevent_v the_o great_a haemorrhage_n or_o flux_n of_o blood_n and_o convulsion_n but_o i_o rather_o consent_v with_o those_o that_o determine_v of_o the_o other_o side_n as_o the_o most_o secure_a way_n and_o the_o argument_n for_o it_o be_v more_o prevalent_a rather_o to_o take_v away_o some_o of_o the_o sound_a flesh_n than_o to_o leave_v any_o of_o the_o corrupt_a and_o mortify_v for_o from_o that_o root_n the_o same_o mischief_n may_v grow_v again_o notwithstanding_o cauterize_n or_o what_o else_o may_v be_v do_v for_o a_o good_a performance_n and_o happy_a success_n in_o this_o operation_n be_v the_o ultimum_fw-la refugium_fw-la and_o extreme_a remedy_n in_o this_o desperate_a case_n there_o be_v many_o thing_n to_o be_v caution_v some_o before_o as_o previous_a other_o in_o the_o do_n and_o also_o after_o dismember_n to_o prevent_v the_o ill_a accident_n that_o may_v attend_v or_o follow_v but_o i_o must_v wave_v those_o particular_n now_o until_o occasion_n be_v offer_v to_o revise_v this_o work_n and_o enlarge_v upon_o the_o several_a head_n treat_v of_o and_o since_o that_o these_o disease_n now_o brief_o discourse_v have_v such_o transition_n and_o gradation_n from_o bad_a to_o worse_o and_o from_o thence_o to_o extremity_n it_o behoove_v every_o one_o upon_o suspicion_n of_o these_o latent_fw-la and_o obscure_a malady_n intimate_v by_o pain_n to_o begin_v early_o with_o they_o when_o with_o a_o small_a matter_n they_o be_v capable_a to_o be_v reduce_v but_o delay_n and_o neglect_v or_o improper_a mistake_a course_n do_v precipitate_v the_o patient_n into_o languish_v and_o difficult_a or_o irremediable_a condition_n multae_fw-la aegritudines_fw-la suâ_fw-la naturâ_fw-la sanabiles_fw-la aegri_fw-la negligentiâ_fw-la aut_fw-la medici_n errore_fw-la fiunt_fw-la incurabiles_fw-la the_o result_n of_o the_o whole_a matter_n by_o way_n of_o recapitulation_n i_o have_v thus_o brief_o deliver_v to_o you_o the_o most_o considerable_a matter_n relate_v to_o the_o subject_a propose_v in_o the_o front_n of_o this_o work_n pain_n inflammation_n tumour_n apostem_n etc._n etc._n this_o frequent_a and_o latent_fw-la progress_n of_o disease_n which_o may_v admit_v of_o great_a inlargement_n and_o long_a discourse_n upon_o the_o several_a part_n and_o point_v touch_v upon_o but_o i_o have_v only_o draw_v out_o the_o chief_a head_n as_o a_o compendium_n easy_a to_o review_v and_o retain_v in_o memory_n whereto_o many_o case_n and_o the_o most_o principal_a in_o practice_n do_v refer_v and_o belong_v and_o may_v serve_v as_o a_o guide_n and_o caution_n to_o practiser_n that_o jog_v on_o in_o the_o common_a beat_a road_n who_o little_o suspect_v this_o train_n of_o disease_n and_o discern_v not_o their_o disguise_n in_o the_o sickness_n they_o undertake_v indeed_o it_o seem_v something_o strange_a that_o these_o capital_a disease_n which_o most_o other_z be_v dependent_a upon_o or_o move_v towards_o shall_v not_o be_v obvious_a and_o more_o frequent_o the_o subject_n of_o practice_n these_o be_v primitive_a disease_n and_o a_o groundwork_n from_o whence_o many_o other_o be_v derive_v and_o bottom_v upon_o or_o else_o they_o be_v such_o as_o most_o disease_n do_v fall_v into_o and_o be_v the_o termination_n of_o they_o and_o it_o be_v very_o reasonable_a to_o expect_v that_o both_o most_o acute_a and_o also_o chronic_a disease_n shall_v go_v in_o this_o road_n and_o make_v their_o transition_n by_o these_o stage_n for_o pain_n be_v so_o general_a in_o disease_n and_o this_o so_o natural_o lead_v on_o the_o rest_n or_o at_o least_o do_v signal_o declare_v that_o the_o rest_n be_v come_v on_o as_o in_o pag._n 9_o 10_o 11_o 12._o be_v set_v forth_o and_o if_o you_o do_v but_o consider_v that_o in_o disease_n both_o acute_a and_o slow_a of_o motion_n there_o be_v most_o common_o a_o peccant_a matter_n lodge_v here_o or_o there_o and_o cause_v particular_a pain_n in_o some_o part_n or_o else_o this_o morbific_a matter_n be_v float_v in_o the_o vessel_n and_o produce_v only_o some_o general_a indisposition_n or_o a_o febrile_a estuation_n and_o distemper_n if_o it_o be_v lodge_v in_o any_o part_n by_o defluxion_n or_o breed_v there_o by_o congestion_n it_o necessary_o disease_v that_o part_n give_v some_o disturbance_n by_o pain_n and_o will_v form_v a_o tumour_n if_o not_o remove_v and_o dislodge_v in_o due_a time_n but_o if_o the_o morbific_a matter_n be_v rove_a and_o fluctuate_a nature_n either_o make_v a_o secretion_n and_o send_v it_o forth_o by_o her_o own_o strength_n or_o assist_v by_o medicine_n or_o else_o it_o be_v transmit_v into_o some_o ignoble_a part_n where_o it_o will_v not_o lie_v dormant_a long_o but_o accumulate_v there_o become_v more_o deprave_v and_o lay_v the_o foundation_n for_o this_o train_n of_o disease_n so_o that_o either_o way_n there_o be_v a_o tendency_n to_o bring_v about_o this_o design_n the_o subject_n of_o our_o discourse_n in_o the_o most_o malignant_a sickness_n you_o may_v discern_v some_o or_o more_o of_o these_o confederate_a disease_n as_o actor_n therein_o whether_o small_a pox_n great_a pox_n plague_n etc._n etc._n for_o eruption_n and_o superficial_a tumour_n be_v but_o internal_a tumour_n transplant_v at_o least_o be_v the_o signal_n of_o nature_n endeavour_n and_o strength_n with_o or_o without_o assistance_n to_o cast_v out_o that_o morbous_a matter_n which_o otherwise_o must_v necessary_o inflame_v tumifie_v apostemate_n ulcerate_v corrupt_a and_o destroy_v the_o internal_a part_n and_o fever_n that_o be_v not_o malign_v they_o be_v adjudge_v salutary_a and_o hopeful_a when_o nature_n make_v a_o good_a crisis_n by_o flux_n or_o sweat_v by_o urine_n or_o a_o haemorrhage_n and_o if_o the_o morbific_a matter_n be_v not_o discharge_v some_o of_o these_o way_n it_o lodge_v here_o or_o there_o after_o long_o float_v about_o be_v sequester_v and_o cast_v into_o some_o recess_n glandule_n or_o other_o ignoble_a part_n where_o it_o form_v a_o tumour_n and_o be_v the_o secret_a foundation_n of_o some_o chronic_a disease_n or_o another_o acute_a sickness_n if_o not_o anticipate_v or_o prevent_v by_o due_a course_n of_o medicine_n and_o therefore_o in_o the_o designment_n of_o most_o cure_n acute_a or_o chronic_a these_o be_v the_o dangerous_a rock_n you_o be_v to_o avoid_v lest_o the_o patient_n miscarry_v here_o for_o want_v of_o discern_v and_o foresight_n thereof_o the_o method_n and_o drift_n of_o our_o discourse_n be_v to_o let_v you_o understand_v that_o this_o grand_a series_n of_o disease_n be_v the_o usual_a progress_n in_o sickness_n and_o by_o these_o stage_n most_o disease_n do_v pass_v on_o and_o have_v their_o gradual_a advance_n by_o these_o commutation_n and_o thus_o make_v their_o approach_n towards_o death_n some_o go_v but_o part_n of_o this_o way_n such_o as_o providence_n with_o good_a mean_n do_v shorten_v the_o course_n prevent_v the_o mischief_n threaten_v and_o reduce_v they_o back_o into_o their_o former_a state_n of_o health_n some_o be_v only_o pain_v for_o a_o while_n it_o go_v off_o and_o end_v there_o but_o some_o be_v pain_v in_o a_o high_a degree_n and_o inflammation_n follow_v thereupon_o but_o it_o go_v no_o far_o this_o febrile_a inflame_a heat_n be_v allay_v and_o all_o be_v quiet_a again_o sometime_o it_o proceed_v far_o and_o to_o inflammation_n a_o tumour_n be_v add_v which_o notwithstanding_o by_o due_a administration_n of_o medicine_n this_o be_v disperse_v and_o the_o sick_a reduce_v to_o a_o sound_a state_n again_o but_o yet_o sometime_o it_o advance_v far_a and_o into_o great_a danger_n as_o by_o some_o neglect_n improper_a mean_n or_o other_o casualty_n that_o this_o tumour_n apostemate_n and_o than_o it_o can_v stop_v there_o for_o this_o must_v break_v and_o then_o a_o ulcer_n will_v follow_v of_o
they_o do_v gangrene_n by_o concrete_v and_o condense_v the_o blood_n stop_v the_o canal_n and_o suffocate_a the_o life_n as_o the_o venom_n of_o a_o scorpion_n and_o asp_n other_o by_o putrify_v and_o corrupt_v the_o blood_n or_o some_o other_o part_n where_o they_o chief_o discharge_v their_o venom_n internal_a and_o conjunct_a cause_n of_o gangrene_n be_v inflammation_n corrupt_a venenous_a or_o malignant_a matter_n that_o prey_v upon_o and_o destroy_v the_o vital_a principle_n stagnation_n of_o the_o blood_n or_o what_o else_o may_v intercept_v commerce_n and_o supply_n from_o the_o fountain_n of_o life_n the_o character_n or_o sign_n declare_v a_o gangrene_n be_v these_o the_o sense_n of_o feel_a decay_n the_o colour_n change_v and_o incline_v to_o be_v livid_v or_o blackish_a the_o flesh_n grow_v flaccid_a and_o frigid_a but_o when_o the_o gangrene_n proceed_v on_o to_o a_o sphacelus_n or_o perfect_a mortification_n these_o symptom_n than_o be_v aggravate_v and_o appear_v more_o eminent_a sense_n be_v quite_o abolish_v and_o the_o part_n become_v fetid_v and_o cadaverous_a gangrene_n be_v very_o seldom_o mention_v in_o practice_n and_o you_o shall_v rare_o hear_v of_o any_o person_n to_o die_v of_o a_o gangrene_n yet_o i_o must_v believe_v and_o not_o without_o good_a ground_n that_o many_o thousand_o dye_n by_o a_o internal_a gangrene_n not_o take_v notice_n of_o for_o if_o the_o major_a part_n at_o least_o a_o great_a part_n do_v die_v with_o a_o high_a fever_n or_o phlogosis_n we_o may_v rational_o then_o conclude_v that_o a_o gangrene_n be_v frequent_o conjoin_v as_o the_o last_o actor_n in_o the_o tragedy_n and_o immediate_a cause_n of_o death_n for_o gangrene_n do_v common_o supervene_v inflammation_n where_o they_o be_v mortal_a and_o thus_o also_o inflammation_n from_o fracture_n and_o dislocation_n often_o bring_v on_o a_o gangrene_n and_o in_o malignant_a high_a fever_n there_o be_v sometime_o such_o vibices_fw-la mark_n of_o mortify_a blood_n and_o black_a mouth_n which_o do_v strong_o suggest_v a_o gangrene_n within_o the_o body_n and_o for_o those_o that_o perish_v by_o the_o plague_n in_o so_o short_a a_o time_n who_o venomous_a matter_n show_v itself_o by_o spot_n vesicles_n bubo_n and_o carbuncle_n most_o of_o these_o die_v gangrene_v and_o many_o of_o those_o that_o expire_v by_o the_o small_a pox_n have_v a_o gangrene_n in_o some_o part_n the_o putrid_a matter_n be_v lodge_v there_o nature_n not_o able_a to_o protrude_v and_o bring_v it_o forth_o and_o it_o be_v very_o reasonable_a to_o assert_v this_o for_o if_o a_o gangrene_n will_v arise_v out_o of_o a_o very_a small_a portion_n of_o matter_n extravasated_a deflux_v or_o congest_v in_o a_o part_n then_o where_o the_o whole_a body_n abound_v with_o malign_a putrefaction_n and_o overflow_v with_o it_o any_o part_n thereof_o remain_v within_o the_o body_n may_v and_o do_v very_o often_o corrupt_a and_o gangrene_n that_o part_n that_o our_o opinion_n be_v not_o so_o extravagant_a and_o excentric_a from_o the_o judgement_n of_o all_o learned_a man_n as_o some_o perhaps_o inconsiderate_o may_v censure_v take_v notice_n what_o arnisaeus_n a_o eminent_a physician_n in_o germany_n professor_n in_o the_o university_n of_o julia_n write_v to_o gregor_n horstius_n about_o a_o person_n of_o quality_n that_o die_v of_o the_o small_a pox_n queried_a or_o rather_o conclude_v that_o the_o liver_n be_v gangrene_v and_o far_o say_v verisimile_fw-la est_fw-la multis_fw-la idem_fw-la accidere_fw-la qui_fw-la ex_fw-la variolis_fw-la moriuntur_fw-la to_o which_o horstius_n answer_v by_o letter_n and_o consent_n with_o his_o determination_n in_o these_o word_n cùm_fw-la autem_fw-la necessariò_fw-la febris_fw-la sanguinea_fw-la cum_fw-la putredine_fw-la majori_fw-la concurrunt_fw-la in_fw-la tali_fw-la casu_fw-la facillimè_fw-la fieri_fw-la poterit_fw-la ut_fw-la praevalente_fw-la calore_fw-la febrili_fw-la 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d in_o viscere_fw-la sanguificationis_fw-la prae_fw-la caeteris_fw-la corrumpatur_fw-la inprimis_fw-la cùm_fw-la propter_fw-la cutem_fw-la undique_fw-la pustulis_fw-la exulceratam_fw-la &_o incrustatam_fw-la transpiratio_fw-la &_o eventilatio_fw-la difficilior_fw-la fit_n si_fw-mi enim_fw-la inflammationes_fw-la internae_fw-la ipsiusque_fw-la jecoris_fw-la juxta_fw-la communem_fw-la nostrum_fw-la amicum_fw-la guil_n fabr._n non_fw-la rarò_fw-la desinunt_fw-la in_o gangraenam_fw-la non_fw-la video_fw-la cur_n non_fw-la idipsum_fw-la saepiùs_fw-la etiam_fw-la fieri_fw-la possit_fw-la tunc_fw-la temporis_fw-la ubi_fw-la variolis_fw-la undique_fw-la satìs_fw-la quidem_fw-la expulsis_fw-la gravissima_fw-la symptomata_fw-la partium_fw-la internarum_fw-la inflammatarum_fw-la nihilominus_fw-la perdurant_fw-la eo_fw-la usque_fw-la donec_fw-la aegrum_fw-la penitùs_fw-la jugulent_fw-la horst_n institut_fw-la med._n disp_n 3._o coron_n 1._o additament_n and_o in_o many_o other_o acute_a malign_a disease_n either_o the_o morbific_a matter_n be_v not_o discuss_v and_o discharge_v from_o the_o seat_n of_o the_o disease_n or_o else_o be_v expulse_v thence_o into_o some_o other_o perhaps_o a_o remote_a part_n where_o it_o corrupt_v the_o member_n and_o extinguish_v the_o vital_a principle_n call_v by_o some_o the_o innate_a spirit_n now_o concern_v the_o curability_n and_o incurability_n of_o gangrene_n take_v these_o instruction_n before_o the_o disease_n be_v undertake_v or_o leave_v for_o desperate_a and_o hopeless_a first_o consider_v the_o duration_n or_o time_n of_o the_o disease_n the_o age_n and_o strength_n of_o the_o patient_n for_o a_o gangrene_n in_o the_o beginning_n be_v more_o easy_a and_o hopeful_a than_o after_o continuance_n because_o it_o proceed_v on_o common_o and_o draw_v near_a to_o a_o sphacelus_n which_o be_v incurable_a also_o young_a person_n vegete_a and_o vigorous_a in_o spirit_n be_v more_o hopeful_a than_o other_o age_a or_o wear_v out_o by_o long_a or_o enervate_v by_o acute_a sickness_n second_o examine_v into_o the_o essence_n nature_n and_o rise_v of_o the_o disease_n which_o will_v lay_v open_a much_o of_o the_o difficulty_n thereof_o for_o gangrene_n from_o a_o primitive_a cause_n as_o contusion_n fracture_n section_n vstion_n caustic_n or_o other_o erosion_n etc._n etc._n be_v more_o curable_a and_o less_o dangerous_a than_o those_o that_o arise_v and_o depend_v upon_o antecedent_n internal_a cause_n for_o gangrene_n of_o this_o sort_n do_v declare_v a_o cachectic_a deprave_a habit_n of_o body_n and_o that_o some_o of_o the_o internal_a viscera_n be_v damnify_v and_o vitiate_a from_o whence_o a_o supply_n of_o ill_a matter_n and_o therefore_o in_o hydropic_a scorbatic_a and_o hectic_a febrile_a body_n also_o in_o malign_a and_o contagious_a disease_n small_a pox_n venereal_a lues_fw-la plague_n etc._n etc._n gangrene_n be_v more_o desperate_a three_o the_o part_n affect_v or_o seat_n of_o the_o disease_n be_v to_o be_v note_v for_o if_o a_o principal_a part_n be_v gangrene_v recovery_n be_v very_o rare_a also_o in_o the_o gut_n a_o gangrene_n be_v mortal_a by_o reason_n of_o continual_a moisture_n there_o and_o imbecility_n of_o these_o also_o in_o the_o vagina_n vteri_fw-la and_o glandule_n of_o the_o body_n a_o cure_n be_v seldom_o perform_v now_o as_o touch_v the_o cure_n of_o gangrene_n there_o be_v not_o any_o one_o method_n or_o particular_a medicine_n for_o gangrene_n but_o they_o require_v such_o variation_n of_o cure_n according_a to_o the_o difference_n of_o their_o cause_n from_o whence_o they_o do_v arise_v with_o respect_n to_o the_o part_n affect_v and_o therefore_o we_o can_v point_v out_o any_o general_a course_n that_o may_v be_v applicable_a to_o this_o great_a disease_n but_o indication_n of_o particular_a and_o special_a case_n must_v vary_v and_o will_v make_v exception_n against_o it_o so_o that_o the_o rational_a physician_n perpend_v and_o due_o consider_v the_o nature_n of_o the_o disease_n and_o variation_n thereof_o as_o aforesaid_a with_o the_o symptom_n and_o circumstance_n attend_v must_v design_n such_o a_o method_n and_o adapt_v such_o medicine_n pro_fw-la re_fw-la nata_fw-la as_o may_v best_a suit_n with_o the_o urgency_n of_o this_o dangerous_a and_o threaten_a malady_n the_o mean_v require_v and_o useful_a in_o these_o emergency_n be_v take_v some_o from_o pharmacy_n and_o some_o from_o chirurgery_n pharmaceutic_a remedy_n be_v both_o internal_a and_o external_a internal_a be_v select_a and_o choice_a purgative_n diaphoretic_n and_o cardiac_n elaborate_v and_o prepare_v according_a to_o latter_a invention_n and_o the_o best_a rule_n of_o art_n topical_a and_o external_a be_v fomentation_n liniment_n and_o cataplasm_n specificate_v and_o appropriate_v to_o these_o purpose_n chirurgical_a help_n be_v phlebotomy_n cup_v scarification_n cantery_n etc._n etc._n and_o therefore_o a_o expert_a chirurgeon_n must_v here_o be_v assist_v to_o perform_v these_o operation_n now_o all_o these_o various_a mean_n be_v not_o to_o be_v use_v to_o every_o person_n gangrene_v but_o each_o case_n will_v require_v some_o of_o these_o more_o or_o less_o as_o the_o judgement_n of_o a_o skilful_a physician_n in_o this_o disease_n shall_v determine_v and_o appoint_v but_o if_o the_o gangrene_n by_o continuance_n and_o neglect_n or_o from_o acuteness_n by_o great_a