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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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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
which they have some affinitie An Epidemik sicknesse is knowne incontinent by the running of it among the people seazing on many at one tyme al hereditar disease as the epilepsie the gravell the gowt is suspect to be incident to those who are procreat of parents sicke of such infirmities Moreover often men finds the kind of the disease by the usage of the things which hurts or helps for the hote intemperature doth increase by the vse of hote things but is mitigate by the vse of cooling things the cold intemperature of the contraire Canon X. After the acquyred knowledg of the disease make search thereafter for the cause of it the which is either extern or intern the intern is two fold antecedent or conjoyned First then seeke out the cause conjoyned because it produceth immediatly the disease It is therefore needefull to search whither it be winde or any other superabundant humor as blood bile melancholie or phlegme or any other thing contrare natur as stone lump of blood worms or any other sort of excrement The colour natur of the place the kind of the dolour and the sort of the excrement with the praedominant humor in the bodie will serve for markes Canon XI For when the part in flāmed is red it is full of blood when yellow full of byle but that which is cold and whyt is replenished with phlegme when blackish with melancholy for the colour of the skin doth commonly point forth the humor is within Divers parts are appointed for the ingendring of diverse humors excrementitious as the lever for breeding of yellow byle the melt of black byle the stomack the tryps and the braine of phlegme the neers and the bladder of the gravell and stone the tryps of wormes The paine pricks sore when it is caused of choler it is moderat when it proceeds of blood blunt when of melancholy phlegme or wind except it bee when they mak great distention through their aboundance If that which issueth forth by the excrements of the part affected bee a portion of that which is continued within it it shews either by the colour or substance what it is wee shall speak heereafter of the predominant humour Canon XII After the knowledg of the cause conjoynt it follows know whether it bee alone or if it bee fostered or furnished by any other cause antecedent That which gathered is by way of congestion through the fault of the part offended is reput to bee alone but when all the bodie or any part of it doth exoner the selfe on the member affected of any superabundant humor the which overburthened there is then a cause antecedent which doth accompany the conjoynt so there be two sort of causes interne to the which remead must be vsed Canon XIII The cause antecedent of the sicknesse is double the one is named Plethor or plenitud the other is called Cacochymi Plethor is a repletion of all the humours aequallie augmented or of blood only Cacochymie is a repletion of Choler melancholy or phlegme the signes both of the one and the other are taken both from the causes antecedent which doth gather the humor as from the temperature of the whole body and of the principall parts from the age season constitution of the aire region maner of living and of the evacuation ordinar suppressed as also from the accidents that befall all the qualities of the body such as bee the colour the habitud the fashions the functions animall vitall and naturall as from the sleep dreams pulse concoction excrements of the diseases ensuing and of the things that hurts and profites Canon XIV There bee two sorts of plenitud the one called plenitudo ad vires in the which the blood although it be not excessive neither in quantity nor qualitie overcharges never the lesse the weake forces of nature the other is plenitudo ad vasa the which in quantity surpasses the naturall limits or bounds and this either light or gentle when it fills only the cavity of the veines not farre exceeding mediocritie or it is excessive when it extends so that it almost rives the veines through the fulnesse of it by too great aboundance and althogh it bee verie excessive it may bee so that nature bee not chooked by it for commonlie the force growes with the blood but if it fall out that the forces bee abaited then it is plenitudo supra vires When then in a plethor the bodie is on no wayes by a too great weight lasie or heavie and the force remaines stil in a state it is onely a plentitud ad vasa But when the bodie becomes heavie lasie doyled the fleepe troubled and profond seeming to carie as it were some thing while hee sleepes it is then plenitudo supra vires Canan XV. The causes that ingenders blood in aboundance are signes antecedents of a plenitud as the complection temperat of all the whole bodie but chiefly of the lever and the heart or else moderatly hot and humid The age growing for the bairnes and young men hath much blood because they are not farre from there principes of naturall generation The spring also for in it the blood abounds for then the cold ceaseth and there falls out waters Also good fare a plesant past lyfe without care moderat excersise and sleepe The naturall evacuation of blood suppressed or the artificiall of long intermitted The accidents which showes the domination of blood in the bodie are the signes consequent of blood such bee The colour of the face and all the bodie red by the ordinare custome or mixed of red and whyt The swelling of the veines aequalie appearing through all A manifest bending of the vessels being full of blood by measure A lazines or wearying comming of it self without any labour vnder the which the joynters by reason of their weight with great difficultie doe move the selfe for it is when the great veines over full of blood doe exoner themselves in the litle and they againe in the muscels so that they are filled and bended The habitude of the bodie fleshie because it doeth proceed of an aboundance of blood yea the mediocer fleshy acompanied of a heat benigne and vaporous for that is a signe of nature temperat which ingenders aboundance of blood The fashions and cariag merrie joviall peaceable gentle because they are marks of a body well disposed The heavinesse of the head proceeding from the aboundance of vapours ascending vpwards The sleepe profound and pleasant with dreames of things pleasant The pulse strong great and full for in it the veines are so full that they doe infuse a part in the neighbors arters by an anastomosie the which being filled causes such a pulse and that not onelie in the shakle bones but also in the temples the fingers and over all the body The respiration more difficill and frequēt chiefly after exercise because the muscells of the breast are made lazie throgh the aboundance of blood hence it is that the
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
within is pierced then the wind doth blow forth at the hole Moreover the forme of issuing foorth is remarked for the better vnderstanding of the part that is troubled so the blood that proceedes of the arteries because of the abundance of the spirits doth issue with force in a leaping manner but if flowing and deadly from the veine also if any peece of the part troubled doe come forth alone it signifieth the place or seat to be neere by but if it bee mixed with the excrements it declares to bee higher and further removed The accidents points also at the place so the pearle declares the eye to bee molested the swelling of the right lisk the lever and that of the left the melt The symptomes manifests the place for ravery designes the braine to bee distempered the cheeks verie red the lights to be inflammed the losse of appetit the indisposition of the stomack the excrements like to the washing of raw flesh the debility of the lever Canon V. Thus having found out the part that is troubled next yee must search whether it is by Idiopathie or by Sympathie because it is requisit first to help the part that is troubled by the owne proper desert so Idiopathie is a proper indisposition of the part as is the pearle of the eye Sympathie is an indisposition which befalls any part by the fault of another And that either because of the defluxion of an humour falling from one part to another or by reason of the defect of the naturall facultie requyred for the action of the part sometimes it fals out that a part of a long trouble by a sympathie in end turnes to bee troubled by an Idiopathie Idiopathie is either privatiue or consecutiue so it is expedient to remark whether the disease bee privatiue that is bee first or consecutive that is doth flow from another An Idiopathie is by this discerned from a Sympathie when the sore is alone continuall and without intermission and receaves neither increase nor diminution by the augmentation or declination of any disease that is in any other part but remaines still in one state and condition the remeds applyed serving for the good of the same it is a signe that the indisposition is Idiopathetick But when it followeth another disease growes according to the growth of the same and also is mitigat by the same remeades and when the remeades applyed to it selfe doth not help it is then by Sympathie so the paine of the head arising from the stomack is distinguished from the dolour that comes of the proper fault of the braine in that it succeeds to a desire to vomite a heavie rifting evill smell or taste in the mouth with a falling away or lypothomie and when it growes with the indisposition of the stomack not receiving help from the topicks applyed to the head Canon VI. Having found out the part of the body offended next yee must make inquisition of the indisposition The indisposition that hindreth action is called morbus or sicknesse that which followeth it is termed Symptome and that which ingenders is named cause so that all indisposition against natur is either morbus symptoma or causa The Symptome is knowne of the selfe without other signes because it is objected still to some of our senses but the disease and the cause for the most part are removed from our senses but they are known by the Symptomes which are the signes to wit by the actions hurt by the excrements and by the accidents of the bodie Canon VII Maladie or sicknesse is an indisposition against nature that hurts immediatly the action of the part affected whensoever then thou perceives the action to be hindred or hurt then is it a disease Sicknesse or maladie is triple similare instrumentall and common the first hurts the action of the part similare the second troubles the vse of the organick the third hinders both wherefore if the action of the part in so farre as it is similare be hurt the disease shall bee similare if in so farre as an instrument it shall bee instrumentall and if they both befall together it shall bee common The action of the part similary is hindred by a simple intemperature as heat cold moistnesse and drouth or by one composed as hot and dry hot and humid cold and dry cold and humid that either with or without mater The vse of the organe is preverted by the fault of the greatnesse nombre situation oftest by conformation and obstruction both the one and the other is troubled by the breach or solution of continuitie in the parts as by phlegmon scirrh or any other tumour contrare nature as also by vlcere wound fracture or luxation so in temperature is a sicknesse similare obstruction a disease organick and solution of the continuitie sicknesse common The diversitie of especes are known by the varietie of the actions hindered so the continuall desyre of sleepe signifieth an indisposition cold and moist of the braine a continuall waking shewes a hote and dry pulse frequent quick and vnaequall a fever suchlike the kind of the paine points foorth the disease as a dolour inflammative a hot distemper a stupefactive a cold The excrements serveth also to find out the espece of the sicknesse as sand in the water shews a gravell the meat sent foorth below without change declares a lienterie suchlike the accidents of the bodie so the colour greene shewes an oppilation in the liver browne colour an obstruction in the melt a blak tougne a burning or fever the nailes crooked a consumption ptisie the cheekes red a peripneumonie Among those accidents they that are proper and inseparable are holden for most certaine because they haue a great demonstrative facultie Canon VIII The nature and situation of the place serves much to the knowledge of the kind of the sickenesse for everie part hath the owne prope sicknesse so the eyes onely are subject to a pearle the neires and bladder to the stone the puddings to wormes and not the stomacke the heart can never suffer a vlcer profound nor the lights any dolour Canon IX The better taking of the disease you must diligently consider the things antecedent such are the nature the habitude the age the countrie the season the disposition of the aire the forme of lyfe of him who is diseased and the sickenesse wherewith hee vses to be molested for one is soonest overtaken with the disease with the which there nature hath greatest familiaritie So hote diseases are most frequentlie incident to hot bilious persons as cold sickenes to cold lumpish nature and that alswell to those who are such by nature habitude and age as to those who are so by reason of the region the season and the constitution of the aire And albeit that all sort of sickenesse may befall to all sort of persons all ages in all place time yet they fal on most frequētly the temperament age place time with the
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
and the time opportune A crise is knowne to be perfyt and assured by the restablishing of the functions naturalls vitals and animalls by the coction of the excrements or by qualitie or forme of the body reduced and made conforme to the naturall Canon XXX Yee must not trust to any ease or aleagment which falls without cause nor feare evill symptomes ariving against reason for the most part of those are inconstant and doth not last a long time for when any vehement diseases ceaseth of the selfe without any evacuation either by sweat vomit flux downward or hemorrage vpward or without any signe of concoction one must not take that ease to be assured neither must one beleeve to it seing it doth threaten with something of greater evill which follow thereon As also one must not be affraighted of the evills that befalls without or rather contrare reason as difficultie of breathing raverie shiviring reduplication of the fever seing they are not constant nor of long last and so farre from signifying any thing evill that on the contrar they presage often a good crise which shall arive to the great ease of the patient The right methode of curing the disease Canon I. WHosever will exactly keepe the method of right proceeding in the cure ought to begin at the first indications then come to those that followes them Afterward to the next and never leave off till they haue come to the end pretended Wee take heere indication for that which serves to teach vs the way in the cure of the disease to attaine to health Canon II. The forces before all things ought to be keeped in those who are diseased after the indication of the forces followes the consideration of the indisposition which is proposed to be cured The forces wills allways their conservation and the indisposition its ablation Now as the forces are keeped or conserved by their like so the indisposition is taken away by the contrary Canon III. In all diseases where the efficient cause is yet present you must begin your cure at the same for it is impossible to cure perfytly any disease whileas the cause that doth ingender it is present so the maladies ceaseth never till the evill humors ingendring them bee banished which doth lurke within the body Canon IV. After the taking away of the cause you must next turne you to the disease ingendred of the cause keeping for a generall rule first the ablation of the cause efficient and next of the maladie Canon V. The cure of the symptome is never first intended but alwayes that of the maladie which causeth the symptome Yet when the symptome minaceth with death or greater and suddainer danger then the disease it selfe the cure of it may bee first attempted Canon VI. While as the disease is growing wee must hinder the growth of it and take away that part that is already ingēdred The generation of that which is to come is hindred by taking away the cause antecedent and the maladie alreadie ingendred is banished by taking away the cause conjoynt Canon VII In all diseases caused of fluxion yee must first stoppe that which floweth yet next draw foorth that which already is flowed Therefore the cure of a phlegmon catarrhe and of all other diseases that are caused by a fluxion lookes all to two buts the first is that the humour which runneth yet bee stayed the other that that part of it which is already in the part bee evacuat Canon VIII In all diseases complicate the one whereof cannot be cured without the other there must respect bee holden to order now method or order requyres still the cure of that first which hindreth the cure of the other as if a phlegmon were accompanied with a vlcer yee must first take away that then cicatrize this Canon IX When two indications are directly opposit one to another yee must not regard so the one that yee misregard the other but rather having as good mind of this as of that make a mixture as equall as ye can As for example if one be troubled by two so contrarie diseases that the one desires a hot the other a cold remead yee must then make vse of one temperat to that end it do harme neither to the one nor to the other but rather help both So when the stomack is cold and the lever over hot things temperat are convenable and all that is mixtioned of hot and cold things or the alternative vse of the one and the other Hence is it that when a phlegmon is in its grouth there is mixed repercussives with digestives Canon X. When there is remarked a repugnance among the indications after you haue well considred that which is taken from the forces and also the indication of the cause the disease thou shall follow the most important of all not neglecting howsoever the other Canon XI It is a maxime most necessarie that commands to cure first the most importunat danger For the indisposition that is the first principall cause of precipitating the diseased in any danger ought first to bee helped Wherefore excessive watching cruell paine all evacuation out of measure chiefly of blood the suppression of superfluities and other like symptomes which weakens the forces and augments the disease in such sort that there may arrive quickly some danger constraines often the Physitian to quyt the cure of the sicknesse to occur to these symptomes Canon XII The generall method of curing diseases is accomplished by the convenable quantity and quality of the remedies with the maner and time of vsing of them Canon XIII It is requyred that all the remedies bee contrare in quality to the disease for contraria contrariis curantur For if all that which is immoderat be contrare to nature and that which is moderat agreeable to nature of necessitie it will follow that that which is out of measure must bee brought to measure by its contrare in like degree out of measure Hence is it that all diseases ingendred of repletion are cured by evacuation and these that proceed of evacuation by repletion and such like of the rest Canon XIV The temper of the body diseased with the disease it selfe shews the measure of the contrarietie forasmuch as it is not enough to apply cold remedies to a hot disease if that be not done with a measure reasonable otherwise not equall in measure it is to bee feared that there remaine some portion of the disease or being excessive that one disease contrar to the other bee moved For to occur to this wee must know the nature of the body that is to be handled to that end that vnderstanding how farre the disease exceeds mediocritie one may exactly measure the proportion of the refrigeratiue remedie Therefore the quantity of everie remead ought to be measured according to the complexion of the sick and the greatnesse of the sicknesse Canon XV. The contrare remedies must be put in vse litle by litle and now and