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A06682 [The general practise of medecine By Philiatreus.] Philiatreus, fl. 1630.; Makluire, John, attributed author. 1634 (1634) STC 17139; ESTC S102714 28,414 84

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the yeare cold doth cause aboundance of ventosites And when winde is gathered in the body by reason of the former causes there is found a distention of the ventricle of the colick gowt chiefly on the left side with a noyse The wandring distenting paines running heere and there through the whole body There is heard wind issuing at all occasions both vp and down from whence commeth some ease there is remarked often a singing in the eares The colik with other diseases arysing of wind troubleth often Canon XX. The externall causes of sicknesse called of the Greekes procatartik commonly named primitives should be diligently searched for they lead vs as well to the knowledg of the cause intern as of the disease for aire meat and drink to warme watching great and violent motion anger and the suppression of the excrements ingenders hote humours and hote diseases In the contrare cold food with a cooling aire sleepe Idleset feare and all evacuation immoderat causes cold humors and cold diseases Dry diseases ordinarly accompanies the hote causes and the humide the cold For hote doth ordinarly bring with it drouth and cold humiditie because it is the mother of crudities For to find out then exactlie the cause and effect of the maladie which is hid it is needefull by a diligent inquisition and interrogation of all things which commonlie are called not naturall causes to learne of the sick if he hath exposed himselfe to an intemperat or impure aire if he hath committed any excesse in meat and drinke or in watching and labouring or if he hath bene too fierce in Venus service or if the spirit hath not beene troubled by passions or if any ordinare evacuation bee not suppressed as the monethly courses to women and the flux of the aemrodes to men and so much the rather wee ought to inquyre carefully of the things past because the ignorance of the causes is not without great danger for if a fever should fall into long watching fasting or over great dallying with Venus then without consideration of the cause of the disease presently they would draw blood and purge should they not thinke you hazard his life seeing the disease to haue come from evacuation For in the contrare wee ought rather to repare the forces by analeptiks or restoring things and not augment it by Phlebotomie and cathartiks For to foresee the issue of the Disease Canon I. THe fundamentall laws of the Prognosticks are taken from things naturall not naturall and conter nature as of the springs for we foresee and foretell the sicknesse to be salutare or mortall short or long by the force the constitution of the body and age of the Patient the season the forme of life by the cause the espece and seige of the evill with the symptomes which wee remarke in the change or diminution of the actions the excrements and the qualities of the body Canon II. If the forces bee strong to obtaine the victorie over the disease without doubt the sick shall escape if not shall die For none dies so long as their force remaines but so soone as the forces beginnes to yeeld to the burden of the sicknesse then followeth death Now to foretell the day of death yee must remarke how farre the sicknesse surpasseth the forces and remarke the most violent accesse for if one doth perceive the sicknesse so to outrepasse the forces that they cannot bee able any longer to resist death shall follow presently but if it appear otherwise it shall be longer so that the origine of Prognosticks consists in the conferring of the forces with the sicknesse For if nature bee strong enough to overcome the sicknesse then the person shall escape but if it bee so weake that it cannot obtaine the victorie death of necessity will follow and yee must wait on the one or the other sooner or later according as the forces are stronger or weaker hence it appeares that all the other signes salubres or mortals are no otherwise foresignes of death or life but because they point foorth the forces or weaknesse of nature in the combat with the sicknesse Canon III. It is a great helpe to health to bee of a mediocre constitution of body that is neither too fat nor too leane for such a bodie hath great forces to resist vnto any disease that doth present the selfe but where this mediocrisie is not a grosse bodie is in a worse case then a small for who are of that taillie dies sooner then they that are of the other because the veines and arteres of growne fat people are narrow and strait therefore hath both litle blood and spirits so that the age concurring vpon a light occasion the naturall heat is choaked or extinguished But they that are of a leane and thin constitution because they haue the veines arters larger and also more blood spirits which in them doth not so shortly incurre the danger of death yet so it is that they are sooner troubled by externall causes and that for lacke of flesh and greise so the grosse are more obnoxius to interne injuries the leane to extern Canon IV. Youth hath great force to withstand the disease because it hath store of naturall heat requisit to the concoction and excretion of the evill humors Contrare old age is not able to resist because of the defect of force not having much naturall heat Hence it is that sicknesse are longer in old people then young because they abound in cold humors the digestion whereof cannot be but in a long space by reason of the weaknesse of their naturall heat yea the greatest part of sicknesse that arrives to old people doth convoy them to their grave Canon V. The Spring is verie wholesome and no wayes mortall when it keeps the temperature but in Harvest the diseases are very strong and deadly for the most part First because being cold and dry is diametrically opposed to our life which consists in heat and moisture and so hinders the generation of blood whereof our bodie is made and nourished Secondly because it receives from the Summer preceeding the body languishing and wearie Thirdly because it beat back within the body the superfluous humors melted by the heat of Summer and come foorth to the skin to the end they may goe foorth The fourth because about the twelfth hour it opens the pores of the body by the heat and incontinent thereafter becomes cold it ryses within the bodie as an enemy to extinguish by its qualitie maligne the naturall heat already feeble and languishing Moreover it gathers store of crudities within the body the which doth choak the naturall heat and that by the vse of fruits which it furninisheth The Summer hastenes sicknes but the Winter doth retarde them because in the Summer the pores being open the evill humors of the body being melted by the heat of the aire are suddainly dissipat but in Winter they being closed by the cold they are retained within
mediocre to these of a middle age because that old men indures easily hunger next to them that are at the entry of the declining age worse then these young men worst of all boyes for they that are growing hath much of the natural heat and therefore hath much need of nourishment otherwise their body should consume but there is but little heat in old bodies wherefore they need not much nourishment because that too much should choake it Canon XXIX The great cavities in the body in Winter and in the Spring are naturallie hoter then at any other time and the sleep longer wherefore in these the dyat may bee larger heere by the cavities wee must vnderstand the stomacke the whole bellie containing the puddings and the rest of the naturall parts that are appointed for digestion But if yee desire to know why the natural heat is augmented in Winter Arist. attributs the cause to the circumsisting air that is colder chasing by this meanes the naturall heat inward while as in the Summer it extends the selfe ordinarly through the whole body towards the heat that is without as familiar to it Hence is it that in the Summer its substance is dissipat and exhals but in Winter it is holden in and keeped there and therefore all the coctions are the better made Canon XXX As to the forme and maner of dyat one should eat lesse in the Summer the Harvest ofter but in the Winter and Spring more seldome but more aboundantly because in the Summer and the Harvest hardly doth one digest meat in Winter verie easily but in the Spring some way well Canon XXXI Yee must nourish gentlie and repare by little and little the bodies that hath beene extenuat of long time and restore quickly these that hath quickly beene taken down Canon XXXII You must give meat to the sick when as the sicknesse gives intermission or release during the accesse abstaine from giving for meat then is hurtfull because that it withdraws nature from the digestion of the humor to the concoction of the nouritour as also because by it the cause of the disease is augmented Canon XXXIII Among the operations of chirurgerie phlebotomie or drawing of blood keepes the first rank because it is the common remead of diseases which proceeds of plenitud or fulnesse for by it an evacuation is made of the humors equally being for this the most exquisit of all other meanes Canon XXXIV Phlebotomie is not only a remead evacuative but also revulsive and derivative for it is profitable when wee turne the course of the flux to the opposit part or desires to turne it asid to the neighbour part Canon XXXV Wee must draw blood in hot fevers 'till the spirits faile and heart saint if so bee the forces bee strong also in great inflammations and extreame paines for if one draw blood in hot fevers till the heart faint all the body is incontinent cooled and the vehement heat extinguished to diverse after it there followeth a flux of the bellie and a sweat By this meanes some are wholly freed of the fever others receives great ease the vehemencie of their sicknesse having passed This sort of bleeding is likewise good in great inflammations both for the former reasons and for that it stops the flux causing the inflammation and so hinders the growth of the phlegmon by this same it appeaseth the great dolours caused of the heat of the fever and of the inflamtions wherefore there is not found a remead more soveraine for insupportable dolours than it Canon XLV You must draw much blood if the sicknesse doeth vrge and the forces doe permit if not by litle and litle and at diverse tymes for all extreame evacuations are dangerous and cheifly bleeding being al at once Canon XXXVII They to whom purging and blood drawing is profitable ought to be purged and bled in the spring For that season is very proper to make evacuation by phlebotomie or pharmacie because that at that time there is no extraordinar heat for to weaken the body by exhalation nor great cold to make it stiffe by congealing the humors in it nor yet inaequall to disturbe the forces but rather a mediocre temper Canon XXXVIII You must not without great cause or deliberation open a veine to a woman with child because that a woman with child bled is broght to bed before the time if the chyld be great because having drawne blood of a woman with chyld the chyld thereby frustrat of his food famishing in the matrix of the mother breaketh his bonds and seeketh foorth for nourishment and that before the time except the mother abound in blood for then yee may be so farre from fearing it that in the contrar if it be not administrat both the mother the child are in danger as hath beene remarked in the persons of the most illustrious dames in the court of France least the child should be choaked by the too great aboundance of blood Canon XXXIX Purgative medicines should be ordained to cacochymike diseases these that purges the bile to bilious they that phlegme to phlegmaticks and so of the rest for the cure of one cacochymie is made by a purgation which is particularly appropriat to the humor tha● exceedes and among the alterative potions the cold are appointed for the hot the hot for the cold the dry for the humids and the humid to the dry for the hot mistemper would be made cold and the cold made hot and such like of the rest Canon XL. Strong potions would be given to strong diseases and gentle medicins to more meik and gentle for extreame remedies are fitest for strong diseases hence the Romane oratour desyrous to show how a curagious man should interprise hazards sayes in the presenting of himselfe to dangers he must imitat the custome of the medicins that handles gently those that are but lightly troubled but in greater diseases are constrained to make vse of remedies more dangerous and doubtsome Canon XLI Wee must expell those things that requyres to be expelled by the wayes most proper whither nature chiefly tends and divert them if they make not there course by the way they ought the physition then ought curiously to mark the motion of nature and the inclination of the humor redounding to that end that if it tend to any place fitting to help it in the contrar if it seek for one vnfitting to hinder it and to draw it off that course So if phlegmatick or melancholick humors take the course downeward and nature haue essayed already to banish by the retract the fever the physition ought to prescribe a clister or some other proper remead for to stir vp nature and if a bilious humor bend vpward and nature strive to expell it at the mouth a vomit is expedient to be taken for that is to draw thither the humor whither nature aimes cheifly and if yee doe otherwise you shall change the order and course of nature
respiration is made more frequent by reason of the vse but shortned because the capacity interior of the breast is made more strait The promptitud of rendring blood by the seages aemerodes monethly courses water nose and spitle Moreover a continuall sweating during the time of the disease is a token of plenitud Canon XVI Cacothymie is three fold cholerick melancholick and phlegmatick the causes that gathers aboundance of choler are signes preceeding the same such are The complexion hot and dry for commonly there ingenders much choler in men of a hot and dry complexion by reason of the conformity of this humour with that temperament The manlie age which is betwixt 25 and 35. for in that choler doth abound because the naturall heat is much more dry and active then than before a great part of the inbred moist or sap being consumed by it The Summer for the byle is more abundant than by reason of the circumsisting air which makes the blood more hote and dry The climat hot and dry the precedent dyet of these same qualities Such like great exercise travell anger care watching fasting and abstinence doth all gather byle Moreover the ordinar evacuation of bile by vomit by the stoole the water the sweat suppressed The consequent markes of abounding Choler are The whole colour of the body pale yellow or blackish drawing neere to that of Iandise or browne for when the temperament is excessive in heat the colour is black The state of the body dry leane small for such proportions are commonly bylous as also hairie with the haire red for it is the excrement of byle But more the black for black haire is when the exhalation burnt by the force of the heat is changed in black but the red is when it is not so burnt The greatnesse of the veines extended by the heat for they who hath great veines are of complexion hote but who hath strait and narrow veines are of cold for it is heat that doth inlarge The heat sharp and byting to the toucth Promptitud of courage and a disposition to anger and revenge The sense lively light and suddaine The spirit subtile and of good invention for the subtilitie and industrie of the judgment comes of the humor bylous The sleepe little and light accompanied with inquyetud great watching testifying the great drynes of the braine frō the which they flow or else from aboundance of a humor bilious with them The dreames of fire warre and things furious The pulse vehement hastie and hardie Bitternesse of the mouth losse of appetit great thirst venting of choler vpward and downward with the bellie often constipat The water yellow byting inflammed with little grounds The diseases bilious frequent as fevers fierce and ardent raverie jandies herpes or ring-worme erysiple pustuls cholericks dispersed through the whole body Canon XVII The melancholick distemper is knowne first by the causes productives of melancholie as are The temperature cold and dry with a debility of the melt or hote from the beginning but become cold by change for if any hote and dry before by an adustion of the blood ingenders much black bile hee becomes cold and dry and in end melancholick The declining age which is betwixt 35 and 45. for melancholie doth abound in that age for succeeding to the youth which is the most bilious of all it receives the bile burnt The harvest in it also melancholie abounds for succeeding to the Summer it receaves the brunt bile from it Grosse food and viscuous as browne bread porcks flesh beif haires flesh Harts flesh chiefly salted thick black wine beir and old cheife The life sad occupied in great affaires in contemplation studying without recreation or exercise of the body for by it the natural heat diminisheth and the humors becomes grosse and thick The suppression of melancholy that vsed to bee by the aemrodes monethly courses seages with scabs or by medecine As also by the signes of melancholy predominant in the body as are the colour browne or blackish of the face and all the body the skinne full of scabs hardnesse swelling and paine of the melt The habitud of the body dry and lean the visage sad and heavie feare silence solitarinesse vrine imagination conceits for the constancie of the spirit comes of an humour melancholick The mind slow to wrath but being incensed hard to bee appeased The sleep troubled with horrible dreams as with sightes of evill spirits tortoures of death sepulchres and other things feareful The pulse litle slow hard The appetit depravat sometime disordinat by reason of a sowre mater adhearing to the orifice of the stomacke The water clear and whyt where there is no melancholy mixed but thick and black where there is some mixed The diseases melancholicks frequently arriving Canon XVIII The knowledg of a pituitous distemper is taken from the causes antecedēt procreating it and the signes assequent following it the antecedent are the complexion of the body cold and humid the old age which is from 49. to the tearme of life for in that age by reason of the weaknes of the natural heat much flegme is ingendred The Winter because that season as reporteth Hip replenishes the body with flegme both because of the length of the nights and also by reason of the abundance of raine The rainie reason for the watrie aire which doth inviron the body gathers quantity of pituitous humors and of watrie superfluities The great vses of humid and moist meat the frequent drinking of water and any kynd of excesse either in meat or drinke idlenesse and want of exercise with a sedentarie or sitting life long sleep but especially after meat The following markes of flegme are the colour of the face and all the body somewhat whitish grayish or livid beeing withall swelled the whole body growne and fat for fat folke are commonly cold and phlegmatick grease being ingendred by the coldnesse of the habitude of the body the veines and arteries little and strait as comming of little blood and few spirits the skin whit and soft without hair because the complexion cold and humid is no wayes hairie The haire is whit because procreat of flegme all the senses of the body heavie and lazie the spirit stupid the sleep profound the pulse little small soft Slow digestion oft belshing with a sowr taste a desire to vomit the water whitish crud and troubled sometimes with a thick ground Pituitous and flegmatick diseases frequently occurring or cold catarrhes and the like Canon XIX The antecedent causes pointing a windy Cacochymie are the stomack cold and humid with the debility of naturall heat proceeding of a simple intemperature or with humors indigested The melt swelled and bouden vp with melancholy hindering by a sympathie the digestion of the stomack Meats windy as raw fruits beanes pease chesnuts and the like Overmuch drinke too much vse of boyled meat drunkennesse and gluttonie Lacke of exercise great sleepe the age the countrie the season of
Canon VI. Among the constititions of the seasons the dry is more wholesome and not so deadly as the rain for it gathereth no excrements and resists better to the putrefaction the humid in the contrar causes many superfluities from whence are the generation of diseases when the seasons are constant keeping there temperature ordinar so that all things doth naturally fall out in them the diseases are lykewayes constant and facily to be vnderstood but when the season is inconstant so are the sicknes variable and hard to be vnderstood for there crise is accompanied with dangerous symptomes where they suddenly cause death or ells leaves a matter to a new sickenesse When the sicke proves a good second to the physitian fighting againes the sicknes it is easie to obtaine the victorie Now when he beleues the physition and puts in practise his ordinances hee serves him for a second and declares himselfe enemie of the disease in the contrar if quyting the physition he takes part with the disease accomplishing that which hee desyres he hazards his life two wayes the one in leaving the physition aboue in combat the other in serving as a second to the sickenesse which was before alone for it is certaine two is stronger nor one Canon VIII The greatnes of the sickenesse followes the greatnes of the cause for as a light cause produces a light evill even so a great causeth a great Hence a vehement cause contrar nature is a most certaine indice of a great and dangerous sicknes Canon IX Byle causes still quicke diseases which are termined or ended within few dayes because it is easilie resolved by its subtilitie but melancholie is the most viscuous of all the humors and makes longest accesses because it is dry cold and thicke being the lyfe of the blood Next to melancholy is phlegme in difficulty of digestion and expulsion by reason of its viscositie Canon X. The diseases that hath some resemblance with the nature bodily constitution and age of the diseased are lesse dangerous then these that hath no conformity for all sicknesse hot cold dry moist being conforme to the complexion age and bodily constitution of the sicke and also to the season hath so much lesse danger as it is lesse removed from the naturall constitution and so may more easily returne as proceeding frō a lighter yea a slighter cause As in the contrare the disease that hath no affinity neither with the temper taillie nor age of the Patient or with the season is much more dangerous then the former being further removed from the naturall complexion and therefore worse to cure as proceeding of a greater and stronger cause So that of two burnt fevers equall in grandure that which fals out in the Summer to a young man leane of body of temper hot shall not be so dangerous as that which fals out in the Winter to an old man of a fat body and cold complexion Canon XI Meeke and gentle relenting diseases are commonly long but the sharpe fyrie and fierce are ended within fourteene dayes and the extreame hot in seven dayes There can no certain prediction be made of hot sharp diseases either for health nor death for by that they are quickly ended they become on a suddaintie great so that both for the greatnesse of the disease with the suddaine change which befals in the crise as also because the humor is often transported from one place to another the issue is vncertaine wherefore while the humor is in its motion we must suspend our judgement for it is not certain whether it will rush on a noble or ignoble part within or without by passages conveniable or not conveniable thogh the humor were staied in one place yet the Physician ought not resolutly affirme that the sick shall escape but with this provision that no new change befall and that hee follow the advise and keep the regiment prescribed When a woman with child is overtaken by any firie hot disease shee is in danger of her life for a hot fyrie fever requyres a strait dyet which shee cannot admit least the child being frustrat of his food shee be broght to bed before the time and if oft to save the child yee give the mother often to eat the fever thereby growing yee shall precipitat the mother in a manifest hazard of her life and if it be any other strong sicknesse without fever as a epilepsie apoplexy convulsion shee shall never be able to support the vehemencie of it Canon XII To foretell the event of the disease yee must consider diligently the part that is offended whether it bee noble or ignoble publick or privat for the condition dignitie and necessitie of the part that suffereth are of great importance for the pronouncing of a sentence to the profit or prejudice of the sick Canon XIII In all diseases the constancie of the reason not troubled with the bounty of the appetit still readie for taking of whatsomeever shall bee offered to it is a good signe and the contrare is an evill the satlednesse of the reason and sharpnesse of the appetit are numbred among the good markes because the former beares witnesse of the temperat disposition of the braine the menings or tayes of the harnes and of the marrow of the backe the medrife and all the nervous parts and the latter shews the integritie of the stomack and lever In the contrare the alienation and troubling of the reason and the losse of appetit are evill signes because the one betokens the animal parts to be affected the other the naturall All they that are troubled with paine or dolour in any part of the body whatsomeever and are not sensible of it hath the reason troubled because the apprehension doth not perceiue in any measure the evill Canon XIV It is good to sleep in the night to make reparation of the spirits animals and digestion of the humors by the meanes of the heat that enters within the center of the body and to watch in the day for the clearing of the same spirits to give motion to the humors and to make expulsion of the excremēts but it is a verie pernicious signe not to sleepe night nor day for continuall watching commeth either of the dolour paine and torment that they suffer or of the drynesse of the braine which in end will cause an alienation of the mind Sleepe likewise surpassing the borders of mediocrite is in like maner evill because it is a marke of extreame coldnesse of the braine which causeth a lethargie if it bee mixed with humidity or catalepsie if with drynesse When in a sicknesse sleepe is noysome and hurteth there is danger of death for if the sleep hurts that time that hath bene accustomed to helpe much as in the decline of any sicknesse it is not without cause that it foretelleth death and that because the heat reteared within the body the time of the sleep and by this meanes increase Notable neverthelesse
are markes of force but the small and extenuat are evill both as signes and as causes forasmuch as they are signes of the debilitie of the parts extenuat and causes that the digestion is not well elaborat in the stomack nor the sanguification in the lever for the grossenesse or fatnesse of the epigastre or low parts of the belly augments the natural heat by the which the parts within being warmed they digest better the meat and so makes better blood Canon XXIV As to the consideration of these things that fals out in the body if yee remarke any good signe yee must not thinke for that that assuredly the sick shall escape neither although there do appeare any evill signes that hee shall die for a good signe may bee over weighted by an evill being great And on the contrare an evill may be overcome a good being stronger Canon XXV The disease quyts the sick either wholly at once by way of crise or by litle and litle by way of resolution Crise is a suddaine change of the disease into health or else into death which is then when nature separats the vitious humours from the good and that for to expell them Of it there bee two sorts the one is by excretion and the other by absesse that comes by a flux of blood or sweat or a flux of the bellie or vomit or flux of the vrine Canon XXVI The good crise arives on the 7.14 or 20 day wherefore these dayes are called Criticks The future crise was foreseene by the signes of digestion appearing the 4.11 and 17. day hence these dayes are called of of the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 that is in dicatives contemplatives for according to the doctrine of Hip. the 4. day is the indicative of the 7. the 8. is the beginning of the next moneth the 11. is also remarkable because the fourth of the second weik the 17. is also to bee observed because the 4. after the 14. and the 7. from the 11. Canon XXVII When the crise is to bee on the 7. day there is perceived on the fourth day preceding a red cloud in the water and other signes correspondent for because the 4. day is the pointer out of the 7. if there appeare any signe of concoction that day it forwarnes the crise to bee on the 7. day Where then there appeares a clowd in the water not only red but whyt and yet rather a whyt hypostasies or ground vnited and equall if so bee the motion of the sicknesse bee suddaine it is a presage of the future crise When the crise draws neare the night preceeding is verie troublesome but that which follows is ordinarly more easie to indure For while nature is making a separation betwixt the good and evill humors that fals out that in this exercise of nature the disease is much troubled But so it is that this great worke appeares the night before the crise because the sleepe is interrupted but the night that follows the crise perfyte they are much more at their owne ease because nature is disburdened of superfluous humors Canon XXVIII The vniversall signes by the which one discernes the espece of the crise to come are taken from the kind of the disease from the part that is diseased and from the nature of the Patient For hot and quicke diseases are ordinarly judged by excretion but the cold and long by abscesse If there bee an inflammation in the gibbous part of the lever yee must expect a crise by a flux of blood at the right nostrile or by a flux of the vrine if the inflammation bee in the hollow part of it then yee must expect it by a flux of the belly or vomishment or sweat The inflammations of the braine and of all the head are commonly judged by an haemorragie at the nose but that of the stomack and mesenterie by vomishment or a flux downeward Moreover a flux of blood fals oftenest to young men cholericks overtaken with a hot fever and a flux of the bellie to old men phlegmaticks There the common and now heere the proper prognosticks of everie crise Rednes of the face extreame dolour of the head and the necke a beating of the arters in the temples the distention of hypochondres with dificultie of breathing a dimnes tnd watering of the eys singing of the eares and itching of the nostrell● prognosticks the crise to be a flux of blood by the nose A heat and heavines of the loynes with a paine and extention of the hypograster foreshowes a crise to be by a flux menstruall A suppression of the water with a pricking shivering through the whole bodie with the pulse soft and waterie and the exteriour parts of the bodie hote and vaporous betokens that it will be by sweat Rifts ventosites or winds a bending of the belly and paine of the neires by a flux of the belly losse of appetit or lothing of meat with a thrawing of the heart and sorenes of the head with a dissinesse great spitting bitternesse in the mouth and a trembling of the vnder lip prognosticks a future crise by vomit When the signes of concoction hath gone before and when the motions of a crise hath beene perceived then it may be exspected by a flux of the vrine if there doeth not appeare any marke of a crise by a flux of blood not by sweat flux of the belly vomit and specialy when the patient feels an heavines in the hypograster and an heat about the end of the privie member having also made much water thicke and grosse during his disease or if he be aged and sick in the Winter it foretells it the rather A heavines and paine of the head with a profoundity of sleepe and deafnesse succeeding immediatly to a difficultie of breathing suddenly ariving without any manifest cause to one sick with a long disease points foorth an absesse to be behind the eare But if there be no signe of a paritude and that the sicke hath had his vrine of a long tyme cleare and vndigested and when he finds a heavinesse a paine a bending or tension a heat in the hypochondres ye must exspect an absesse in the lower pairts If any part of the bodie hath beene hurt before there shall the aposteme or absesse be An absesse falls out most frequently in winter and after on imperfyt crise Canon XXIX Moreover a good crise ought to be signified before in the day of indication and should fall out in a critike day with a manifest excretion or notable absesse without dangerous accidents It ought also to be perfyt I call a perfyt crise that which evacuats all the vitious mater And on imperfyt that which evacuats but one part for the former is sure but you must not beleeve the latter for the evill humors remaining after a crise are wont to make one recidiwe Moreover a crise is iudged to be good by reason of the convenable qualitie and reasonable quantity with the forme agreable