Selected quad for the lemma: cause_n

Word A	Word B	Word C	Word D	Occurrence	Frequency Band	MI	MI Band	Prominent
cause_n	blood_n	matter_n	part_n	1,493	5	4.5242	4	false

Text snippets containing the quad

ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A42181	Arthritology, or, A discourse of the gout written by John Groenevelt.	Groeneveld, Joannes, 1647-1710?	1691 (1691)	Wing G2059; ESTC R8006	7,348	40

plenty of serum is bred The necessary evacuation of the serum is hindred when some vitious matter is impacted in the very glands whence it comes to pass that either the sensible or insensible transpiration of our body is insufficient as it happens in idleness melancholy stopping of sweat and over-cooling the body Moreover the necessary evacaution of this serum is hindred when people are costive and make but a little urine and thin such as contains not in itself enough of salt and sediment For the alimentary and sweet portion of what we eat and drink cannot be wholly converted into the substance of our body but even this has some excrements So that the Succus 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the imperfect and violent juice which is the other part of our aliment according to Hippocrates ought not to be wholly mixt with the blood but the greatest share of it should be purged out by stool and urine whence it may be drawn by destillation Now if for the causes aforesaid the evacuation of the sharp serum be checked as it increases first in plenty and then in power it is separated from the other parts and so it affords matter for the Gout Now we proceed to the second that is to the more plentiful generation of serum here we do not mean the supply of the watry part but of the acrid and salt or a certain hereditary inclination to the Gout derived from the seed and maternal blood which seems to consist in a weakness of the joynts and especially in some innate fault of the blood Then there is an adscititious disposition of the body induced partly by the frequent invasion of the fit partly by the manner of living such as is in them who though they use their utmost diligence cannot guard themselves from the return of this grief Which indeed happens for divers causes hereafter to be mentioned namely through the weakness of the parts about the joynts through pains whereby many fibres of the nervous parts are broke from a frequent influx of humors whereby the parts are relaxed and softned through unreasonable heat or cold from violent motion as it happens in Venery and finally when a vitious sanguification is contracted whereby the acrid matter is continually bred in the blood Such meats and drink should be taken notice of as have in them a sharp matter in such plenty and power as not being to be conquered with the other juices in our body it can neither be sufficiently separated nor discharged nor can it be exactly mixt or tempered with the other juyces Such as are generous Wines which have much Tartar in them for not only that Tartar but the spirit also breeds the Gout which consists of an oyl an acid and a volatil salt from whence the Wine receives all its strength Moreover gluttony and drunkenness contribute much to the breeding of this humor all intemperance likewise in dainty meat and drink over hard study especially in the night which in this case is the most dangerous and afflicting cares all these hinder sanguification so that the sharp part in the aliment is either not well mixt or not well separated and above all immoderate Venus is the most dangerous and hurtful But if any doubt arise and the question be what way it hurts it may properly be replied that Hippocrates his assertion is of undoubted truth there is in us a salt and a sharp Now I think this is rendred more efficacious by the use of Venery so that at first it is augmented not so much in plenty as in power for what is sweet or fat in the blood is consumed partly with the spirits partly with the seed and what remains is more and more exasperated and so existing more apart it acquires strength and does harm This matter being augmented and gathered by the foresaid causes is moved not always by the proper impulse of nature but often as it is stimulated by several evident causes such as are able either to impress an impulse on the blood or to quicken its internal motion or fermentation violent passions of the mind especially anger and fear sudden cold and heat retention of accustomed sweat some seasons of the year especially Spring and Autumn and as we said before gluttony and Venery The causes of this disease being now explained we lay down this definition of the Gout The Gout is a violent pain of the parts about the joynts caused by a serous and sharp humor suddenly coming out of the Vessels Sometimes wandring pains foretell the Gout to be coming especially in the joynts of the feet or hands that it is at hand stretching yawning painful weariness catarrhs wandring pains in the limbs and joynts and sometimes a heaviness in the head do shew a kind of feverish heat a pricking pain in the joynt with inability to move and after that a swelling usually red which are attended by divers other things as watching loss of strength and several other complaints familiar to gouty persons shew it to be present The Gout ends either in the translation of the matter to a more ignoble part or in the discussion of it or when being changed into corruption it breaks through the skin or when tarrying long there it turns knotty All which come to pass sometimes by the assistance of nature sometimes of art For there is a twofold design in the artificial cure First to remove that which aggravates the paroxysm Secondly to preserve the patient from the return of it In the fit three things are urgent pain the swelling and inability to move of all which since an humor is the cause partly still coming in partly got in already so the whole method of cure consists in two things first in hindring the influx of the humor secondly in expelling the humor that is got in Which method of cure is often interrupted by some grievous pain or by some other urgent symptome The influx may be checked by repelling the humor from the joynt or by stopping its motion or by expelling it out of the Body Repulsion whereby the humor is driven from the part affected may be made either by strong ligatures or by application of coolers and astringents The Repulsion of this humor in the beginning is very dangerous because the repulsed humor may run either into another joynt or into some more noble part or being impacted into the inner recesses of the parts about the joynt it may increase the pain The motion of the humor which depends upon a certain inevitable agitation of the heterogenous humors cannot of itself be stopt yet it may be abated by evacuating some part of the mass of blood if nothing hinder by venaesection whereupon the quantity of the humors being lessened the heat of the blood and the violence of the peccant matter may both be stopt in some measure The evacuation of the humor which does offend if this humor could altogether be evacuated would prove a most effectual remedy

Arthritology OR A DISCOURSE OF THE GOUT Written by JOHN GROENEVELT M. D. One of the College of Physicians LONDON Printed for the Author MDCXCI TO THE READER ALL improvements in arts have ever been alike obnoxious to the fate of either being slighted by the injudicious or frown'd upon by the censorious till being crown'd with success their manifest advantages have forced mankind to a liking of and compliance with the undertaking And though Physick is more than the rest capable of improvement as it s daily advance doth sufficiently manifest yet being likewise daily sullied by the vain pretences of the ignorant 't is no wonder if even the judicious themselves look somewhat strangely upon what is beyond the common method of practise But every thing that seems new ought not therefore to be rejected since if it be verified by experience it bears date with time and truth it self the limits of art and nature not being of so narrow a compass as our present knowledge And though it be far from me to imagine my skill and judgment to be above that of other Physitians however my university and collegiate qualifications will I hope sufficiently exempt me from being accounted only a pretender to what I profess Yet having besides the other parts of Physick chiefly employed my time and studies in order to the cure of the Stone wherein what success I have had both by inward remedies and manual operation this famous city can sufficiently evidence and finding the Gout to be equally tormenting if not as pernicious a disease and altogether of the same origine 't is no wonder if the proximity of the subject bent my endeavours that way Now having by the blessing of GOD attained to a seldom failing method for the cure of and preservation from that disease I submit my endeavours to your candid reception referring you for your further satisfaction to the ensuing treatise and a continued success by experience Arthritology OR A DISCOURSE OF THE GOUT THE body of man contains in it blood phlegm and a two-fold bile to wit yellow and black of which the nature of this body is constituted upon account whereof also it is sick and enjoys health Hipp. de Naturâ Hominis Text xix sequ Yet not these humours alone do affect the body but the qualities of the humours are in a possibility to affect it such as a bitter a salt an acid and other things both within a man and out of a man and these qualities indeed through a mixtion and mutual temperament among themselves are neither discerned nor create any man trouble but when any one of these is divided or separated from the rest and exists by itself then it is clear and plainly evident how great trouble and pain it creates a man The salt in our body the salt I say and acrid which was diuted with a thin insipid or water as soon as ever it is separated and falls upon the sensible parts about the joynts there it presently excites pain first of all by twitching and pricking them and not long after by pressing and distending them with its abundance As this salt likewise is more or less sharp or vehement the pains also do much vary that is do increase or abate And this salt is lodged in the serum which that it is acid or that an acid adheres to it cannot be denied There is moreover in the serum of our body a certain thicker matter which we may call the terrene faeculency of which nodes are chiefly generated This one thing also we do over and above maintain that there is something of a thicker salt in the serum itself which joyned by some of the terrene blood out of the rest of the mass will much alter the nature of the Gout in respect of pain heat and duration as to degree or violence or gentleness Besides this salt serum is contained about the extremities of the muscles tendons ligaments periostea and the other nervous parts of the joynts in which places also nodes and stones are usually bred Moreover as long as the use of things non natural is moderate all goes well but when the body is pampered with more plenty than is needful the particles of the blood are not so exactly mixt with the rest of the mass but are blended and confounded as heterogeneous whereupon sanguification once vitiated the blood is usually corrupted by divers humours and the non-natural heat grows so high that it is forced to undergo a fermentation like new beer and it works so much more than usual that it seems to boyl then it forces those sharp and foreign juyces together with part of the serum by what way it finds what gets into the guts is evacuated by a watery looseness what into the kidneys by plenty of urine what into the habit of the body by the pores of the skin but what falls upon the joynts pierceth into the inmost recesses and interstices of the nervous parts which being beset round with dense and cold parts use to stop and retain the serum This Serum at first is very small but thin and sharp producing pain only deep within and a swelling without yet the violence of the pain continuing greater store of serum and very often a flood of other humours with it supervenes so that at last the swelling appears which in a plethorick body by its redness heat and throbbing pain resembles an angry boyl and when this humor is spent that fit of the Gout is at an end And the nature of this disease is such that when it has once seized a man unless by the care and industry of Physicians prevented especially by such as are well experienced in this affair scarce any one can look so well to himself but that at certain seasons and distances of time it will return when the matter is increased afresh and gathered to the joynts again which distances in the beginning are longer and when the mass of blood is vitiated and the joynts weakned become shorter so that they confine some people perpetually to their bed and render the joynts stiff and knotty It remains now to enquire what the causes of the serous matter in the blood are and then what moves it first and causes the fit the first our Schools call Antecedent the latter Procatarctick causes Hippocrates in his Book de prisca Medicina teacheth how that Salts Acids Sweets and abundance of other such things which are in us have divers faculties according to their plenty and power but do no way molest us when they are mixt and mutually tempered one with another This mixture and temper is often dissolved in the mass of blood when the humors are augmented in plenty or power or in both Omitting other humors in the foregoing discourse we have only mentioned the serum to which in the further disquisition hereof we will confine our selves and do say that sometimes the evacuation of this serum is hindred and sometimes too great