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A65251 An examination of a late treatise of the gout wherein John Colbatch's demonstrations are briefly refuted, the College cleared from his scandalous imputations; and a short account of his vulnerary powder. By S. W. no inconsiderable branch of the College. S. W. 1697 (1697) Wing W107; ESTC R217645 34,436 55

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with and these are both of a sort yet you cannot tell us how to manage them but there s more in this matter Diseases don 't always appear with the same face no not in the same person at different times Oh then what can I do nay any thing and take a Fee Now in short Mr. Member I le tell you that Physick was neither begun nor can be promoted by such Observations And thus having made a hopeful Introduction we must expect a learned and useful practice which I now will follow him into and leave him singing his Io triumph's over the learning of the Introduction by which he has baffled all Foreign Physicians some Dead ones and all living ones without names CHAP. I. Of the GOVT He begins first with the Names the Gout has obtain'd among Physicians when they would tell any one of its having seiz'd upon any one part of the Body tho' this sorting by-name he seems to arrogate to himself but pray Sir do you know that the most of the Names you have told us are all Greek Heathen Greek and how came they by those names without ranging this Disease into the same order you pretend to They gave name to the Sciatica too but you have forgot it But not to insist too long upon Names where the thing is so plain especially since you have afforded me more matter to reflect upon than really I can be at the trouble to consider that I will tell you that 't is no other than to read your Book and to write an answer for I have no other before me but your own And now to begin you tell us p. 16. § 3. of the different opinions Authors have vented about the seat and original of this Disease but I will delay speaking any thing to that subject now because its proper place is a little after this but since you now begin your description I will tell you that I will have no consideration about that since your owing it to Dr. Sydenham which is more than you confess has miraculously obtain'd him from you the Character of a fair and honest man and I will content my self to attack you where you first begin to shew your Learning in p. 16. § ult I cannot agree say you with those Gentlemen who will have all pain to proceed from a solution of Continuity which in plain English is either a Wound or Ulcer Now for my part I can't see why we should not be made sensible of any thing that injures us which whatsoever causeth pain doth without destroying the Integrity of the parts and it 's plain whatever causeth a solution of unity must destroy the Integrity of them Further Malbranche tells us that our Sences were given us to guard ourselves from injuries and that they never fail to answer the end for which they were given us They are never guilty of Deceiving us as for instance our Taste c. and all these proceed from a placid vellication of the Membranes Pain proceeds from a Contraction of the Fibres and Pleasure from a pacid relaxation of them which being granted c. My Masters the Physicians I assure you do not care whether you agree with them or not but why the pox won't you agree with your self for you say that a solution of Continuity in plain English is a Wound or an Ulcer then in the very next paragraph that a Blow with a blunt thing upon any part which only bruiseth it will occasion greater pain than if the same part were cut with a sharp instrument although the one only compresseth the parts and the other divides them asunder and so makes a perfect solution of Unity Now good Mr. Member did ever any one but your self call a Contusion by the name of Wound or Vlcer Nay I 'm convinc'd you will not say so neither and I 'll undertake to prove to you that pain is a solution of Unity and then you ll see that not only Contusions but even Wounds and Ulcers that make more sensible solutions of Unity may make pain yet still there comes another inconvenience upon the heels of this for we see that the pain of a Contusion is greater by your own confession than the pain by a sharp instrument yet this pain in a Contusion is not so great at least not greater than the pain of the Gout and this you tell us only comes from the sharp pointed particles that may affect the membranes of the Toe and do you think then that those particles have more points and are sharper than the Knives and Saw that Surgeons use in amputations but this en passpant Now for the other part that we ought to be made sensible of any thing that injures us which whatsoever causeth pain doth without destroying the Integrity of the parts What he means by this I cannot understand neither is it true English and I don't know any body but will acknowledge that pain makes him sensible with a vengeance but why should we be made sensible without destroying the integrity of the parts For a Wound and an Ulcer by his own confession causes pain and yet he says too that in Wounds and Ulcers there is a solution of Vnity or the Integrity of the parts broke off But what a Devil brought Father Malebranche hither was it to let us know he has seen his Book de la recherche de la verit More of his works he pretends not to have seen and even that I 'm convinc'd he never read in the Original or English translation for this proves nothing to his purpose But I 'll tell you good Mr. Member that the great design of that part of the Book you quote is to prove to us the real design and use of our senses ho tells you that they are made serviceable to our design of living and that in a due distance in a proper Medium and when there 's a Mens sana in Corpora sano we are never deceiv'd by them in what they represent to us he tells you that beyond a due distance a House that is square will appear round The reason he gives you but you don't understand it yet he maintains that tho the House is really square and we apprehend it to be Round our sences are not deceived because the object is not round at a proper distance but why it appears round rather than of any other Figure he makes very plain after the same manner he tells you that if you put your black Stick with the white Head for so much only you have of a Fop Doctor into clear Water your Stick will appear bent yet when you pull it out you find it as straight as it was and notwithstanding this Paradox your Eyes perfectly well if you but saw as Pere Malebranch did your reason wou'd tell you all the time It is in the water that 't is very strait But how comes all this authority in to condemn poor solution of Unity Is it because he tells
you in the one that that proceeds from a placid vellication of the Membranes I don't know he has any neeessity to say that but because you quote it from him and I have not the Book by me I 'll believe you But what does this vellication make for your purpose Vellication to you is pain and nothing that 's placid only people cannot be kept from showing their reading upon occasions And because all this will not do you wou d palm upon us a description of pain and pleasure that ought to be your own tho it is not truly so and then wou d make a very ridiculous conclusion and that without your learned ergo The Conclusion I have no time to consider but to the description we ll allow a line or two and I 'll suppose with you in another part of this Book that all sence proceeds from vibrillation motion I don't remember how you express it of the Nerves and that pleasure is a more placid relaxation of them as here Now does not the word Relaxation at first view signifie a solution of unity Yet not to put this hardship upon you let us suppose I say that sence and every feeling in general is a accompany'd with a vibrillation or trembling of the Nerve with viz. an alternat contraction and distraction of the same but these motions cannot be perform'd if there be not a mutual departure or excursus of these parts of which the Nerve is made in their contact neither this excursus but by a successive change of their Contact or in plain English but by a solution of Unity and therefore 't is evident too that in all sensation there is a sort of solution of Unity and so even pleasure itself is never without a solution of Unity But because pain is a trembling of greater power hence it is that that solution which is by pain is greater and more violent than in any other feeling and since this gives the doleful feeling alone this alone may be said to be a Solution of Vnity insomuch that a solution of Unity signifies or infers a troublesome sensation and feeling Pray what reason can you perswade us by that pain proceeds from a Contraction of the Fibres and pleasure from a pacid Relaxation of them These are indeed most peaceable words but what authority have you for this positive assertion as you are pleased to speak in the following Paragraph I may agree with you that pain may be by a stagnation of the Juices but not by a compression but a distention of the vessels that this feeling is made and of this you are so very fond that you assert that there can be no pain but by a stagnation entirely forgetting the pain we talk'd of but now when a cutting But pray when the Blood is upon occasions penn'd up in any Vessel so that the obstructing power is greater than that of the approaching Blood can any Man think that this greater quantity will rather contract the Vessel or dilate it I 'm sure if it does the last the pain that attends it must be a solution of Unity as I explain'd before The same 's to be said of the Blood in a neighbouring Vessel that does not stop any other way than by the distended side of the obstructed vessel compressing its less resisting side But pray Mr. Member give us an account of the wonderful flight in the next Paragraph that positive Assertion as you are indeed full of such by which you wou'd so evidently put upon us a conclusion ab absurdo which is natural from your Doctrine but not at all from ours in a palsie there is a wasting and a decay of the Member and a Man might say that it is contracted and if so supposing your Assertion there ought to be a great deal of pain which indeed is contrary to Experience on the other hand such wastings and decays of Members are far from the conditions we prov'd to be necessary in feeling and still further from the conditions of pain and therefore or ergo this experience you have brought in destroys your Hypothesis but mightily establishes what I prov'd to you before All I will add to this is that if you ever have the impudence to show your talent to the World once more you will not assert any thing positively and without a foundation too but especially when you are to run down Men and Opinions both But to proceed I pass over the weak Account you give of the Disposition some People at different times have to this Disease more than at another time and we consider your Definition which I 'll assure you is very far from an Vniversity Definition and 't will please you mightily because you hate all the Art of that place You tell us that it is Pain of the Joints and parts adjacent occasion'd from an extravasated Alkaline Humour irritates the Membranes of the Joints and parts adjacent Hitherto we suppose with you that all pain is the Extravasation of Alkaline parts upon those Membranes where the Pain is but the difference being the Extravasation upon the Membranes of the Joints that constitute the essence of the Gout Then all Pains in Joints are Gouts but Nocturnal Pains that affect the Vertebrae are Pains in Joints Ergo Nocturnal Pains are either the Gout which I do not believe you 'l assert or else your Definitio non competit Definito and that 's contrary to the Laws of a good Definition But again why alkaline parts they are the most innocent smoothest things in the World they have no edges because you tell us their Antagonist's have then supposing that these were Extravasated and this condition cou'd effect the Membranes we cannot see how 't would irritate them but you prove afterwards that these are the offending Particles and there 's no standing against your Arguments Ergo they may be true tho not hitherto Well let 's get another step forward and see what necessity there is for their being Extravasated truly I see none for it but a great deal to the contrary But again we 'll suppose them Extravasated and as sharp as you say they are nay even carrying Chevaux de Frise with them yet I don't believe they could provoke Pain and my reason is that I have been told by some of my Masters that Aq. Fortis applied to a Membrane or a naked Nerve not otherways hurt did excite no Contractions as Convulsions or the like and if that be true as I believe it is then farewell something else and your excellent Definition which indeed I believe you think gone for nothing but that 't was never at the Vniversity and you think to put it upon the Vniversity Doctors Having thus told us the very Nature of this Disease by this learned Definition we must needs advance and determin the Cure and Original too You take your ordinary way in Sacrificing three or four Old Fellows at least for every thing you are to Establish and because some
AN EXAMINATION OF A Late Treatise OF THE GOUT Wherein John Colbatch's Demonstrations are briefly Refuted the College cleared from his scandalous Imputations And a short Account of His Vulnerary Powder By S. W. no inconsiderable Branch of the College Efficiam posthác ne quenquam voce lacessas Virg. LONDON Printed for the Author and sold by the Booksellers of London and Westminster 1697. To the President and other Members of the Royal College of Physicians London Gentlemen OUR Countrey is the most fam'd of any in the World for the Liberty we enjoy and the security we have made to our Property by its excellent Laws Yet I think Societies are upon some occasions so very strict that to less discerning Eyes they may seem meer Monopolies I must complain of my own hardships in this matter especially but to whom I know not for t is from You that all my misfortunes flow and since this Error of the first Concoction cannot be so easily retrieved among you by Reason of the fault and defect in the Constitution that hinders People of singular parts tho' now of a mean Office at last to arrive to the liberty of being admitted a Fellow among you to be a Licentiate will not go down since Colbatch s admission I confess I did once resolve to have suppress'd all those aspiring thoughts with considerations of Religion but when I see scandalous Libels thrown about against you and these so fitted to the Capacity of the Mob that you think their Author below your wrath I must perswade my self that my Religion obliges me to secure my Neighbour's good Name and that the following defence of my old Masters may entitle me a great deal better to a Diploma than any thing this feigned friend of the College can pretend to and may also prevent my Petitioning the King and Parliament to oblige you to do me Justice But if we look into the merit of the Cause it must be allowed me that I who have seen so many Dissections heard so many Lectures over-heard so many Examinations of Young Physicians I who have kept the Books written by our learned Members and have very often carried their Gowns and Caps must be a great deal more knowing in all the difficult parts of Physick than He. Did I not hear the learned Dr Harvey talk after so lively a manner of the Blood 's Circulation and his Generation ex Ovo that I vow and swear I have thought I have seen the Drunken Heart spew out its Blood into the great Artery and I could trace its Stages thro' the whole Body then for the business of the Valves I have so lively an Idea of them that I can show you them only by looking upon you Skin But as for the Generation that did so tickle me when I was a Young Man that I easily apprehended the false Notions of former Physicians upon that Subject I can yet give a very plain description of that genital liquor attacking the ripe Egg in the Ovarium and a great deal more that I saw at some diffections he made to King Charles II. nay for my part I thought all this matter was so clear that I wonder the Dr never found the way to get a Male-child at one bout of a Consummation Action We have Sir George Ent's Book too that defends his Circulation contra omnes mortales for as easy a matter as Colbatch thinks it but had he had to do with Parisanus the old fellow wou'd have plaid the Devil with him and his Ligature too then came Dr Glisson with his Livers Stomachs and Guts so nicely prepar'd that the Secretion of the Gall the Digestion the business of the Chyle and the Excrements were so familiar to me that I had no difficulties left me in that affair But as for Dr Willis he was the first that taught us to dissect the Brain that we might see all its parts when Physicians before him were content to slice it down like a piece of Pudding and when Des Cartes did see his Glandula Pinealis sticking in a slice like a Plum he was a great Master who could hit upon it once in five times but our Dr cou'd show you any thing and when you pleas'd he trac'd out all the Nerves and describ'd nobly the whole Brain I have heard him talk of his Anima Brutorum his Books of Fermentation Vrins Fevers c. with that exactness that I must own that I have had sometimes the Vanity to think my self as learned a Physician as himself Dr Wharton began first to number the Glands and to undeceive the World of a fancy they had about Parenchymatous substances Next came Dr Lower who told us of the Hearts being Muscular and put it under the same laws he tells us in the same Book of putting Blood out of one Animal into another and what advantage that may be in curing some Diseases Dr Havers gives us a Book of the Make of the Bones and Dr Riddley gives us a Lecture upon the Brain tho' a Frenchman one de Vuyssens had made Dr Willis's way more clear yet not so much neither but that the Dr has done it in greater order Dr Garth read very finely upon Respiration and the use of the Lungs Dr Lister has oblig'd us with the Anatomy of Snails and Dr Cockburn with an O Econom Animalis Of Botanaists we have had a vast number and lately Dr Sloan has given us an excellent account of the Plants of the Leeward Islands Pharmacians a great many and lately Dr Bates But for the Theory and practice of Medicin no Countrey has exceeded us in my time Willis both for the Theory and the Practice Dr Charleton Sir Theoder Mayern Dr Bates Dr Morton and Dr Cockburn who first told us how they are sick at Sea Now can any Man think that I can be such a blockhead as to have liv'd among all these Masters in Medicin to be bred up as it were at the foot of Gamaliel and for so long a time and not to be better qualified for my Admission than a fellow that either cannot think or at least cannot tell us what he thinks and yet is so vain as to esteem himself more knowing than any of your worthy and learned Members one of whom he attacks because he s Dead one still alive and by Name and another he has only the courage to hint at tho' he has told his story so plainly over the Town that 't is now no great difficulty to know him and therefore I may hope that my thus proving a dutiful Servant in giving my self all this trouble may give me greater pretences to a Diploma and to be more and more Gentlemen Your most Obedient Humble Servant S. W. THE PREFACE TO John Colbatch SIR YOVR Book fell first into my hands on Ash-Wednesday after I came from Church and I was glad to think you had hit upon an absolute Cure of the Gout a demonstrative one at least as you please to call it
ones sight but your own but since you have got within your Dilemma as Conjurers are said to be within a Circle for their defence from the Devil that we may give you story for story I will for once suppose that they knew nothing of the matter and yet I cannot see how they cur'd by guess or groped in the dark since they had more certain Rules which you seem to despise and I 'm sure you know nothing of and what lumieres you have got from this Hypothesis we shall find by your following observations tho having ruined your foundation already the thing is evident of it self Again we suppose that they did know it tho no otherways than that the Hypothesis of Acid and Alkali is the most precarious supposition in the world and that they knew Dr Blankard fond tho modestly of this Castle in the Air and you a peremptory dictating Block-head maintaining this ill-grounded stuff and defaming Men of Learning to defend it and in that sense they were not confined to your giving of Acids upon all occasions and to despise the greater part of Simples which they must needs do since the greater part are either Alkalies in the common acceptation or nothing at all I said in the common Acceptation because I am one of those who desires no kind of jargon in physical knowledge But what a fine excuse you make for them I think the common-wealth of learningought to grace your Birth-day with a Panegyrick upon it that men of learning who will own no other Motto but Nullius in verba yet you 'll bedaub them with your impudence jurare in verbo as you call it Magistri I must tell you that in governs both the Accusative and Ablative Cases and so it may be good Grammar which I 'm sure is more than you know but in the sense you design it 't was never us d but in the Accusative But pray you what Masters ' words do you find your College Oath bind you to or what Master is that other Physicians follow since they did shake off Hippocrates and Galen the antient Guides of former Physicians we see none other set up but every one wou'd make Proselytes or instruct with the force of reason they declare that we may learn a great deal from and ought to read Hipp. Gal. Avicen c. on one side and all the moderns of whatsoever sect on the other but not to fight for the Infallibility either of Hippocr or Van Helmont but these old Gentlemen are none of your acquaintance and therefore for once I crave your Mercy for introducing them into your Company But pray Mr Member must a man be said to jurare in verba that will not blindly follow all the nonsense that an impudent fellow wou'd obtrude upon him if so then I 'le promise you 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 will be the word still Now to what you say of a few Book-learn'd Gentlemen's dreams about Acids being the source of all other Diseases I don t say that you 'll own my Masters Book-learned but we see few of them either fond of Acid or Alkalies being the causes of Diseases but if one of them must needs be so against all sense and reason I told you before that Dr Blankard appealing to your experiment has prov'd it so without Book surely you could not have thought that I don t think the rest of this Paragraph worthy my consideration and especially because I was by when Mr Boyl s Dialogists were at a hot dispute about the power of Fire in bringing out the first principles of Mixt Bodies where it was carried in the Negative after many a learned Speech but you were not worthy of such a Conversation nor I neither but I was Door-keeper and did sometimes peep in and took care to over-hear as much as possibly I could and tho I 'm no Book-learn'd Man nor a Gentleman yet I was told that That was all in print I think they call'd it the Sceptical Chymist Now here was a learned man that was for trying a thousand tricks upon Blood and every thing without ever dreaming of essential and elementary princlples as some of the common Chymists about this town who were only employ'd about his Furnace have done since and for any thing I know you may have got some Learning by blowing his Bellows as I have by carrying of Gowns and Caps The rest of this Book to the 10th page containing nothing but Conquest and the Ignorance of others I must pass it over because I cannot be able to consider it without letting slip some things as undiscreet as his are Only I think that a Man of his Policy and Understanding wou'd at least have represented his Antagonists as more knowing and of more Experience that so he might lay his way for a Glorious Conquest and now if he is struck with the Servant of these Ignorants what a damnable misfortune is it to fall by the Jaw-bone of an Ass But the 1st § of the 10th page is so full of Instruction and Knowledge that it requires our serious consideration and therefore we 'll set it down at length For want says he of our taking pains in making Experiments has been the only cause of our so long building the Foundation of our Practice upon so false a Bottom and I hope that what I have said will excite the Physicians of our Age to make such Experiments that thereby we may act upon some sort of certainty The Physicians of our own Age but more particularly of our own Nation and amongst them in a more especial manner those of our College have made more and greater discoveries in Anatomy than ever were made before I mean in the Anatomy of the solid Parts But as for the Fluids those parts wherein the Cause and seat of most Diseases lurk they have in a great measure been neglected But the College abounds with Men of such large Capacities that if once they set about that noble work I doubt not they will soon perfect it to the great satisfaction and Advantage of all Mankind This Paragraph consists of three considerable Members the first is the Cause why Medicin has not made greater advances the praise of the Anatomical discoveries in our Age but more especially in our own Nation and the third an Encomium upon the College a little healing after his Causticks and Incisions as good Chyrurgeons generally do work to the ground of sordid and sinuous Ulcers such as he has or will make the present Members if he can but out-live them But pray Mr. Member of the Royal College do you pretend to be the first beginner of making Experiments truly they 'l be well made when I dare challenge you to tell me whether a Stone sees hears c. or not but have we not discover'd to us by the affiduous labours of learned Men a more perfect knowledge of the make of our own Body the conveyances of its liquors and the Circulation of the Blood
else you are pleas'd to dictate upon this occasion which is that besides the necessary Conclusions to be made from reiterated Experiments of Distilling or Analizing by Fire the Blood of those People who labour under the Fit of the Gout the generating of the Chalky Substance contained in the Node during that time and those Nodes nor that chalky Substance are at any other time produced but during the very time of the Fit from this very production alone it plainly appears that the Blood and other Juices c. Here I set your Achillean Argument in its best and most favourable Light and after I tell you that I pass your rediculous stuff about this matter being bred all in one Fit c. I must enquire of you what this proves in the general about the Alkality of the Blood in the time of any Sickness and then I 'll tell you that 't is not against the Doctrine establish'd before upon supposing the Truth of Acid and Alkali being the real Principles of Bodies tho' at the same time Dr. Blankard tells you that you Chymists as you please to title your self say that all Fermentation arises from the Combination of Acid and Alkali tho' you say most astonishingly from the Alkali only but you are both agreed that Acids are more the causes of Quiet or Rest now Quiet is a necessary requisite for Petrification and consequently that the Acids is more fit to make the parts of this Stony and Chalky Substance unite but a great deal more than that bustling Alkali that causes Fermentation and Disunion of parts but again I must tell you that you will not have it an Alkali neither for you lay this as a general Truth that whatever changes a Solution of Syrup of Violets with water or an Aqueous Body into Green is an Alkali and now you tell us that when this Chalky Substance is Calcin'd it will turn Syrup of Violets Green and sometimes tho' not always will do the same without Calcination Here is indeed Chymical Sense every thing that changes Syrup of Violets dissolv'd in Water into a Green Colour is an Alkaline Substance the Chalky Stuff taken out of Gouty Nodes seldom do it ergo 't is an Alkali positively Alkali Is not this a hopeful Conclusion But Sir I know you despise the Maxims of my poor old Masters that have always told us that the cause and effect are the same or the cause and effect are always together and never separated here by a piece of sublimated Knowledge you tell us that 't is the Essence of an Alkali which makes us call a Body so because it works these changes upon your Syrup of Violets yet here 's no such change but yet it must be an Alkali How are you to be understood 'T is an Alkali and 't is not an Alkali well but say you Calcine it then it will do but pray why must I Calcine it that it might be more Homogeneous as you call it and liker what it is in the Body but how am I sure that there is such a Fire in our Bodies and a Chymist that makes these Alkalines or that the Fire has made this Substance more natural some change it has undergone it did not change your Syrup now it does but is it become more natural But these are things of common Sense and you Chymists despise all that and therefore I tell you that I 'll leave all the rest of this damn'd Jargon and your whole II Chapter too about the Regulation of the non Naturales as you call them because I would only vindicate my old Masters and have a touch at your belov'd Medicine before I 've done yet I must tell you that Dr. Garth in his Lecture proved it evidently that no Air was mixt with the Blood in the Lungs and another said that it would make it less Fluxil if it was so and because People live most upon Air by your Experiment which you bring us I wou'd advise you to get into a Glass Vessel with a cover that 's peirced to let in the Air then Substracting two thirds of your ordinary allowance because of the Experiment and a half of the other third because you now are quiet and do not perspire so much as when you go about in your Coach and smoke Tobacco in the Coffee-Houses and then we 'll know more of the matter But let 's leave this and look into your III. Chapter and there you tell us that To Demonstrate the Insufficiency of the Method of Cure both heretofore and at this time in common practice by the generality of Physicians for the well performance of which I shall give you the whole Method taken by a great Physician Sir John Gordon since dead with a Noble Lord the Lord Carlisle he used all the Alkalious Medicines c. He was a Man very fit to teach you Mr. Member both by Instructing you in any part of Physick and curbing that insolent impudent forwardness of yours and 't is well you have nick'd the time so well as to accuse him after he is Dead and when he may have no Friend out of his own Country but I can assure you for once that his Death was very much regretted by worthy and learned People that had known his dextrerous Hand in ordering and adjusting a Medicine his Merits I acknowledge are as far above my praise as they are above your snarling and therefore I will only ask why this great Man was to expiate for former and present Physicians he never told you that 't was the Gout he was to cure my Lord Carlisle of and how come you to know it were not there Books of former Physicians that told you I give Alkalies for the Gout and Physicians alive that justify this practice why was not their Blood to be sprinkled before your Threshold dead Authors may have defenders and live ones will but here 's a Man for the purpose he has few Friends here and my Books being only design'd for the Mob they are not only not read here but they 're sure never to go into Scotland Yet may I presume to tell you that the usage of the French in disturbing the Ashes of the Dead at Hailbron Two Years ago after they had taken it was reckon'd a piece of the most inhuman and barbarous Cruelty that ever was heard of They were incens'd Enemies and might have done it in fury and in a mad fit but for you to do almost the same thing and more considering the circumstances is unpardonable It not only shows the meanness of your Soul but the apprehensions you lye under as to other Physicians of your own time But when did you learn this Story was it about the time that you had the impudence to come in upon the practice of one of the greatest and justly eminent Chyrurgeons of this Town for my Lady Carlile and was in a very short time after sent a packing for your success truly this is a very remarkable