is and by what wayes it descendeth so wee shall the better finde a releefe to the part whereunto it descendeth And so to conclude this point the Gout is a paine of the feet depending upon some distemperature of the part or of some irregular humor either bred in the part by imbecility thereof or derived from some other part and that principally the braine which definition how it is to bee understood I have for better declaration sake verbatim expounded so that this may suffice for the first point to wit what the Gout is The second point conteineth the causes The causes of the Gout are partly externall and partly internall The externall are first too moist a state of the aire for that doth engender great store of rheum Also the use of many sorts of meats and too great ingurgitation thereof for that doth heape up great store of humors which one way or other must have a vent Also ill digestion for that doth engender ill humors Also the often use of strong wines especially fasting because they do send up many vapors unto the braine and fill it full of rheumatick matter and do withall procure a weaknesse to the nerves and sinewes whereupon must needs follow that nothing can bee worse for the Gout than to be often drunken The immoderate use of Venery is wonderfull ill for that it spendeth the spirits and decayeth naturall heat and so procureth a weaknesse to all parts of the body Also the Gout may come of overmuch sleepe especially in the afternoone and that immediatly after meat for that doth fill the brain full of rheumatick matter Also overmuch watching and fasting and study and labour and sorrow and care because they spend the body and cause a weaknesse in the parts thereof may occasion the Gout It may come also of too much rest and ease for that such superfluities are retained in the body as should bee discussed by exercise Also much walking and travell on foot because it draweth a deflux to the feet may procure the Gout Also the use of cold and moist meats as Cucumbers Gourds Lettuce Endive and such like Also it may come when any usuall evacuation is stopped for then the matter wanting an usuall vent will flow into other parts of the body And because exercise doth evacuate by sweat much superfluous and excrementitious matter the omission or long intermission of any accustomed exercise may be an occasion of the Gout Also too much cold in the feet because it dulleth the naturall heat of the part And too hot keeping of the feet because it resolveth forth the naturall heat of the part and so weakneth the feet may procure the Gout Sometimes the Gout commeth by inheritance The reason whereof is this The seed wherof conception is made is taken principally from the principall parts For the liver giveth the blood whereof it is made the heart giveth the vitall spirit whereby it receiveth life the braine giveth the animall spirit whereby it receiveth motion and sense and secondarily it is taken from all parts of the body so that if any imperfection be in any one part of the parents the inconvenience thereof often befalleth the child These and such like may bee the causes of the Gout externall and they are to be found out by the inquisition of the Physitian and relation of the patient All which do not one way procure the Gout but some by breeding the matter thereof some by procuring the deflux of the matter some by weakning the joynts making them subject to the deflux Now to come to the internall causes they are either blood or choler or phlegme or melancholy and that simply some one or moe mixed together Blood is of all humors the best First for that it is the matter or substance whereof the spirits are made wherein doe consist all actions and functions either vitall or animall or naturall Next for that it is that that doth nourish the body for it is the treasure of nature and the upholder and maintainer of life and therefore Moses said that anima omnis carnis est in sanguine the life of all flesh is in the blood This blood is made after this sort The food which we receive into our stomach is there converted into a white substance called chylus which being put over into the guts is from thence sucked out by certaine veines called venae mesaraicae which are dispersed all over the upper guts and bottome of the stomach and by them is conveyed into a veine entring into the liver called vena pâ—rta aâ—d by that it goeth to the liver wherein it is converted to blood by a peculiar property and faculty naturally given unto the liver Wherefore blòod is a humour hot and moist made ex chylo that is a substance of food concocted in the stomach being from thence and the guts by certaine veines conveyed into the liver It is after two sorts either good or bad The good is knowne first by his substance it is not too thick nor too thinne but of an indifferent substance Next by the colour it is very red Thirdly by the tast it is sweet Lastly by the smell for it is of no ill savour or sent The bad is when it declineth from these conditions and that either in respect of it selfe or of other humors mixed therewith In respect of it selfe it is sometimes not good either for that the substance therof is thicker or thinner than is convenient or because it is adust or burnt blood the thicker part wherof goeth into melancholy and thinner into choler By admistion with other humors it may bee made naught after sundry sorts in respect of great variety of many other humors as may be mixed therewith As being mixed with melancholy it is made thick and grosse and black being mixed with phlegm it is made cold and whitish with choler it is made thinne and pale or yellowish and hot and fretting and bitter And being mixed with putrified humors it is wholly corrupted in substance in colour in taste and is of an ill savour This blood amongst the rest is one internall cause of the Gout when as it is good but in too great quantity whereof I have given a reason before but most of all when it is bad either in it selfe or by admistion with other humors for being once made in the liver it is put over into a great master veine out of the which a great multitude of other veines some big some lesse do ramifie whereby this blood is conveyed into all parts of the body and such as it is good or bad so doth it affect the parts of the body either in good sort or in bad The second internall cause of the Gout is the humor phlegmatick which is next unto blood for that it is indeed a crude or inconcocted blood and
in time of hunger and hard fare it is by better concoction converted into a profitable blood for the maintenance of the body And therefore next unto blood it is of all humors in greatest abundance in the body and hath no proper place allotted unto it but doth converse with the blood in the veines and that for three causes The first is to make the blood more current in the veines which of it selfe otherwise would be too thick The second is for that with the blood it should passe to such phlegmatick parts as are to be nourished therewith The third that it should go into the joynts for the suppling and moistning thereof for they are compounded of dry substances which without that kinde of suppling would bee unapt to any ready motion wherefore this humor may bee defined after this sort That it is an humor in quality cold and moist in substance crude and inconcocted in colour inclining to white or either of no taste or somewhat sweet which being bred in the stomach is from thence conveyed to the liver and from thence by the veines with the blood is distributed into all parts of the body This humor is either naturall or unnaturall to the naturall belongeth that which is before The unnaturall is made either in respect of it selfe or by admistion of other humors Of it selfe sometimes it is too thick somtimes too thin sometimes roping like birdlime sometimes like to molten glasse called vitrea pituita There is also a phlegm which is sowre which likewise is very crude another of no taste which is not so crude and another is salt and that in respect of it selfe Now by admistion of other humors the like depravation ariseth being mixed with choler it is salt or being mixed with some putrified humor it hath the like taste and being mixed with melancholy it is of a sowre taste But in all these sorts of phlegme wee must speake after two sorts eyther properly or improperly Properly that is to be understood for the humor phlegmatick which with the blood goeth into the veines Improperly all the cold and grosse matter that commeth out of the braine and out of the lungs and stomach is called phlegme Now for the Gout it may come either of the humor it selfe or being mixed with other humors If it come of it selfe then must it not be thick or grosse for that is not apt for a deflux but it must bee a thinne phlegme which may be fluent and this doth happen to old men and such as are of a cold constitution which through weaknesse of naturall heat do breed it and therefore in such wee shall often see towards night their legs to swell for the humor being not good the heart and stronger parts put it downe to the lower where it doth settle and swell But in yonger persons we shall seldome see the Gout to come of this humor alone but being mixed with choler which maketh it more fluent and more to afflict the patient Wherefore now I will entreat of the third cause internall of the Gout which is the humor cholerick It it is to bee understood that the food whereon wee feed is not of one simple condition and nature and therefore is not in us converted into one only humor but moe And as in the liver this food is turned into blood so in the same part is there a purification of the blood by separation of other humors and by taking of them to their proper places wherefore with blood there are made in the liver both choler and melancholy for the thinner part and hotter is turned into choler and the thicker and grosser into melancholy The choler is drawn from the blood by the gall and the melancholy by the spleen which two places are the receptacles of these two humors This cholerick humor as the former is either naturall or unnaturall the naturall is an humor in quality hot and dry but not actually dry for that in touching it is felt to be moist but potentially for that it hath the power of drying and in substance thin in colour yellow and in taste bitter This being bred in the liver is divided into two parts the unprofitable part is passed over unto the gall and the profitable goeth with the blood into the veines which is for two causes the one that it may go to nourish such parts as in whose composition and complexion this humor hath ought to do the other that by the sharpnesse and thinnesse thereof the blood may passe the better through the small veines That which is in the gall is evacuated by a conduct into a gut called jejunum the empty or hungry gut for that the choler comming into it doth clense and scoure it and so keep it empty And it is evacuated into the guts for two causes the one to clense and scoure them from slimy and grosse phlegm the other to excitate and stimulate them to expell the excrementall drosse of the guts The unnaturall humor of choler is made of it selfe by adustion or by admistion of other humors as with thinne phlegm and it is thin choler and of the colour of the pill of pome citron called cholera citrina or with thick phlegm and then it is thicker called cholera vitellina because it is like the yolks of egges which as they are some of a paler some of an higher colour so is this kinde of choler this choler by the action of greater heat doth become green and is called cholera porraria because it is greene like to leek blades and by greater heat it doth become black like unto rust and therefore is called oeruginosa cholera Of all these sorts of choler the fittest to breed the Gout is that which with the blood doth passe into the veines for together with the blood it goeth into all parts and according to the disposition thereof affecteth such parts as are offended therewith the signes whereof shall bee declared hereafter The last cause internall of the Gout is the humor melancholy which humor is in quality cold and dry in substance thick and somwhat slimy in colour black in taste sowre The originall whereof is in the liver and the thinner part goeth with the blood into the veines for the nourishing of such parts as are by constitution melancholick and the grosser part is drawn from the liver by the spleen which is the proper seat of melancholy and from thence is put over into the stomach and that because it should in the mouth of the stomach procure the sense of hunger For hunger is a want of food the feeling or sense whereof is in the mouth of the stomach and that sense is made of the sowernesse of this humor whereby the orifice or mouth of the stomach is shriveled and wrinckled and drawn together whereof is made a desire of food And these two sorts of melancholy are naturall
There are also some unnaturall as when by excesse of heat the naturall melancholy receiveth adustion then is it unnaturall and called adust which if withall it hath any putrifaction it breedeth bad melancholy fevers There is another melancholy humor unnaturall which commeth by the adustion of choler which is a most euill humor whereof commeth dementia ferina a belluine madnesse when one is as mad as a wild beast Another unnaturrall humor melancholick doth proceed of the adustion of other humors as of blood and of salt phlegme The fourth is when in the unskilfull cure of tumors there is left an hard substance for this if it should come to exulceration would proue a cancer a kinde of ulcer which is hardly cured or not at all Now the Gout doth indeed seldome proceed of the melancholick humor first for that there is no great store thereof in mans body secondly for that this humor is not apt for a deflux because it is grosse Notwithstanding sometimes it fal leth out being mixed with some other humor it may communicate with it in the procuring of the Gout And thus farre forth concerning the causes externall and internall of the Gout It followeth now that I deliver the signes whereby each cause is to bee knowne And first for the causes externall they are to bee found out by the inquisition of the Physitian and relation of the party for the Physitian must aske the patient of each one and the patient must answer particularly so shall it appeare by what externall meanes he hath gotten his Gout Wherfore â—ereof I surcease to speake because it standeth in the private conference of the Physitian and patient But concerning the causes internall they do only stand in the skill of the Physitian to judge of and to diserne by the signes Wherefore first of the first internall cause of the Gout which is blood Whereof when it proceedeth it is to bee known by these signes first of the manner of the tumor for when the Gout proceedeth of blood then doth there concurre a tumor or swelling and that very big Next of the colour for the tumor will be very red Thirdly of the heat of the part for it will be but of a tolerable heat Fourthly of the manner of the greife for it will not be extreme and that by distention for that the fulnesse of blood in the part doth by dissevering such parts as are united cause in the part affected a distending greife Hereunto must bee added the complexion of the patient which if it be sanguine it confirmeth with the former evidence that the Gout proceedeth of blood Also the age is to be considered whether the patient be yong and his manner of diet whether he doth use to eat liberally and that of the best and most nourishing meats and drinks Also his custome of life whether he live at ease and much rest enjoying many delights which if they concurre to the former it is the greater confirmation of blood And if any usuall evacuation of bleeding by the nose or otherwise bee suppressed after that the Gout befall to the person it is an argument that it is of blood If the Gout proceed of choler then is it known by these signes first the tumor is not so bigge The colour thereof is pale The heat that followeth this humor is most vehement The paine it procureth is untolerable It is greatly releeved by application of cooling things Hereunto must bee added the complexion of the patient whether it bee cholerick Also his age whether hee bee in the middle age which is from five and thirty to five and forty the hot and dry time of mans age And whether his diet hath been of cholerick meats and hot and dry wines And whether hee hath led his life in sorrow and care or watching or study or fasting or hath used great labour and travell which all or some if they concurre because they are the breeders of the cholerick humor they signifie unto us the cause of that Gout to bee the said humor But when the Gout proceedeth of a phlegmatick humor then the tumor thereof will bee very big and soft The colour thereof white The paine not great except so great quantity of the humor possesse the part as that by distention the paine is augmented The heat it procureth is little and it is releeved by application of hot things The complexion of the party is phlegmatick or having used meats of a cold and moist constitution and lived in much rest without competent exercise giving himselfe to much sleeping or bathing and that immediatly after meat Also the old age is a signe of this humor and the cold time of the yeere as winter a cold and moist-habitation which are both causes and signes of a phlegmatick humor Now if the Gout proceed of a salt phlegme then together with the other signes there will bee in the part affected a great itching which is caused through the saltnesse of the humor The Gout doth seldome come of a melancholy humor but when it befalleth it is known by the tumor for it is little and hard and in colour black The paines will be as if the part were bored with a percer There will appeare little heat but rather a cold The person is in the declining age as from forty five to fifty five His complexion is melancholick and hath used to eat of melancholick meats and to give himselfe to much labour and travell even to overgreat defatigation his habitation is in a cold and dry place and commonly it haunteth him in autumne Thus farre of the signes of such particular causes internall as occasion the Gout which causes being somtimes confounded as blood and choler or blood with phlegme or melancholy or melancholy with blood choler or phlegme the signes are more hard to bee seene and therefore the cause more hard to be known and the cure very hard to bee performed for in a confusion it is hard for a man to determine upon a certainty and that which may be good for one is hurtfull to another whereas things of contrary natures and dispositions are confounded together wherefore herein doth cheifly consist the skill of a good Physitian as by the signes to judge whereof the confusion is made and to discerne the one from the other and so to moderate his medicine that in doing good to some one which principally hath the dominion it may not work any inconvenience to the rest This because it is a curious peece of work and standeth upon many termes of our Art it will bee but obscure and tedious if I entreat thereof wherfore here an end of this point which containeth the signes of such causes as procure the Gout Now to the next point whether the Gout may bee cured or not I would I could warrant the cure for I might bee the richest Physitian in England Many make many vaine brags to win them a name but if a
man will shew himselfe honest and good and to professe a troth without collusion or dissimulation hee must needs confesse that he cannot radically cure the Gout with warrant that it shall never returne First for that Gout which is by inheritance it is altogether impossible to remove it for that imperfection which commeth by kinde may bee releeved but not removed by Art And that Gout that commeth by surfetting and banquetting it is most hard for such persons to keepe a good diet wherein indeed the whole preservation consisteth And when the joynts are once weakned it is an hard matter to reclaime them to a naturall state because they are farre from the heart the fountaine of heat which should bee their comforter Likewise such parts as by their depravation do breed the matter of the Gout will hardly bee reformed for both the part that breedeth and the parts that receive the matter are so farre distant from the stomach whereinto the helping medicines are to bee received that before they can approach either part they suffer so great alteration as that they lose their proper effect and cannot work to that purpose upon those parts as they should I adde hereunto that when a water taketh a course it is hardly restrained so when a deflux hath once tooke a course it is hardly restrained for the stronger parts will evermore disburden themselves by the same course In ancient time the matter was not so hard for that people were of a more temperate and orderly diet Then was it true that Hippocrates saith that eunuches were not subject to the Gout for that they used no venery which because it weakneth the joynts and other principall parts if it bee used too often doth procure the Gout And that women except their naturall termes were suppressed were not subject to the Gout for by that evacuation their bodies were clensed and preserved from superfluous matter And that no yong man before hee had betooke himselfe to venery could be possessed with theÌ„ Gout But now because of excessive and disordered diet or some other disorder whereinto this age is incâ—dent I know not who can be exempted from the Gout except he can overrule his affections and direct himselfe by great moderation and having once got it it will bee hard for him to remove it Paulus Aegineta saith that the Gout by reason of so manifold causes whereof it may come and are hard to be known doth bring with it a very heavy conceit to wit that it can no way be cured by the Art of Physick And Tralliâ—nus saith that when a humor is once confirmed in a joynt there is no hope that the part can be reclaimed to a naturall state And Galen is of the same opinion which is to bee understood of the perfect and radicall cure of the Gout As for the fit no doubt there are many good meanes to releeve and remove it Wherefore thereof I will entreat comming now to that point which conteineth the cure of the Gout The cure of the Gout must bee referred to the causes thereof for except the cause bee removed the effect will still continue I have said before that the causes of the Gout are either internall or externall Now for the cure of the causes externall as they are to be understood by the patient so he being warned of the Physitian to forsake and avoid the same shall finde a good releefe to his Gout If hee live in such an aire as may procure it the counsell of the Physitian is to change If by overmuch feeding and ingurgitation of meats of sundry sorts then hee must use a more temperate diet If it come by excessive use of drinking that must bee avoided If it come by ill digestion then the patient must be carefull of better If it come by overmuch venery that is to be used in more moderation If it come by too much labour or fasting or watching or sorrow or care then the ground of the cure is to abandon the cause If it come of too much ease then let the patient use more exercise If of too much walking and travell on foot then let him avoid it If any usuall evacuation be stopped let the Physitian procure it again or derive it by some other course And so if the patient can tell from whence his Gout either beginneth at the first or afterward doth come to a fit let him avoid that cause and it shall bee a great help unto him for except the patient bee obedient herein no good cure can bee done The cure of the Gout in respect of the causes internall have two principall scopes the one is an order of diet the other consisteth in administration of medicines and neither of these can be generall but particularly must bee appropriated unto the cause Wherefore first I will begin the cure of the Gout proceeding from blood And first for the diet of the patient which in all diseases is a principall point the aire must be somwhat disposed to coldnesse and drinesse sleeping and watching must be used moderately If the belly bee costive it must bee made soluble with gentle clysters when as the flux doth begin the patient must rest and hold up his leg on a stoole for the motion would draw downe the greater deflux and laying up doth resist the deflux but when it is in declination a little motion is good for that it doth evacuate that which remaineth All sorrowes and cares and great perturbations of the minde must be avoyded Little meat must bee used especially if it nourish much and breed store of blood because that encreaseth the cause Wherefore in the fit of this kinde of Gout the patient should altogether abstaine from flesh or if that cannot bee by reason of his weaknesse then let him eat of birds especially such as live in the hils as Feldefares Thrushes Black birds And wine in this cause must altogether bee avoyded for that it is an increaser of blood and through the heat and thinnesse and peercing property it searcheth each part of the body and both breedeth and stirreth defluxes Wherefore many by abstaining from wine have had more speedy recovery and longer intermission of the Gout Here also the use of Venus must bee omitted or seldome and moderately used for there is nothing worse to procure the Gout especially if it bee used dayly and out of season as when the stomack is full for then it destroyeth concoction or when the body is too empty for then it spendeth and weakneth the body And here because eating and drinking too much breedeth great store of raw humors the patient must give himselfe to a moderate and sober diet for as Hippocrates saith the principall point of maintaining good health is not to stuffe the stomach too full and to bee ready to put the body to exercise This order being observed in respect of the aire and eating and drinking and sleeping and watching and resting and stirring and
quantity of which compositions the Apothecaries shop wanteth no store Now the best writers would have a man not passe benedicta or using the other it should bee in some of the gentlest confections wherein they were in no great quantity and perfectly corrected After this it shall bee good to use some lotion or bath for the feet wherein are boyled some things of an astringent property to roborate the joynts that they may bee more able to resist the deflux of any humor And throughout all the yeere it shall bee good to keepe the body in soluble state and rather by meats that have that property than by medicines Or if by medicines then by the gentlest as such as may bee given with meat or a little before or after But if nature it selfe doe worke sufficient expulsion then wee may abstaine from any farther attempt FINIS The first distinction of the word Gout The second Morbus Gallicus i. Lues venerea The generall proposition The generall division The definition of the Gout Foure sorts of griefes The application of this fourefold distinction Foure reasons wherefore the feet are subiect to the Gout Wherefore in the Gout the feet should suffer paine There are eight sorts of distemperatures The causes thereof The foure elements The foure complexions and whereof they proceed The foure humors and whence they proceed How a distemperature may befall any part Three sorts of humors A humor may offend in three respects 1 Quantity 2 Quality 3 Substance Three sorts of bodies considered in Physick * i. e. good * i. e. naught * i. e. neither good nor bad The application of the former distinction of humors The good estate of all parts in the body consisteth in the naturall heat Three inconveniences through the infirmity of naturall heat The application The Gout proceeding from a deflux may be in two respects The rheume is the mother of many diseases The reason why the rheume from the braine doth cause many diseases Foure points to be considered in every deflux The application thereof The conclusion of the first generall point The second generall point which containeth the causes of the Gout * 1 Reason * 2 Reason * 3 Reason * 4 Reason 5 Reason 6 Reason 7 Reason 8 Reason 9 Reason 10 Reason 11 Reason 12 Reason 13 Reason 14 Reason 15 Reason How diseases may come by our parents The internall causes of the Gout which are foure The first to wit blood How blood is made The definition of blood Two sorts of blood The signes to know good blood Ill blood is caused after sundry sorts The application how blood may be a cause of the Gout The second internal cause of the Gout This humor hath no proper place but doth converse with the blood for three causes The definition of the humor phlegmatick Two sorts of phlegm in generall The particulars of the first The particulars of the second A distinction How the Gout may come of phlegme The third cause internall of the Gout The cholerick humor is of two sorts The definition The unnaturall choler is of two sorts Mo sorts of choler What kindé of choler is in cause of the Gout Melancholy the fourth internall cause of the Gout The definition Two sorts of naturall melancholy The unnaturall melancholy The third generall point contayning the signes of each cause of the Gout The signâ—s of the Gout proceeding oâ— blood The signes of the Gout proceeding of choler The signes of the Gout proceeding of the humor phlegmatick The signes of the Gout proceeding of melancholy The fourth generall point that is whether the Gout can be cured or no The reasons why the Gout is hard to be cured Why in ancient time the Gout was not so common The fift generall point that is the cure of the Gout The cure in respect of the causes externall Two principall scopesin the cure of the Gout to be observed The cure of the Gout proceeding of blood What diet must be observed The administration of medicines â—nternall Externall or locall medicines To repell the descending humor Partly to repell and a little to resolve To ease the paine and to resolve and a little to repell An observation Medicines to resolve The cure of the Gout pro ceeding of choler The order of diet The order of administration of medicines Locall medicines To repell and mitigate pain To coole and repell To coole and mitigate pain An experiment To mitigate paine and to resolve Stupefactives A caution to be obserued The cure of the Gout proceeding of the humor phlegmatick The order of diet The method of cure The order to be used in applying medicines A caution to be observed This is to disâ—â—sse and repell This is more discussive This is more discussive A defensive This is good in the declination of the fit The cure of the Gout proceeding of the humor melancholick The diet The method of the cure by medicines The locall medicines An observation The method of cure when the Gout pro ceedeth upon a mixture of humors A conclusion of the five general points antecedent The last point which is a preservation from the Gout The order of diet to be used of such as will be preserved from the Gout which doth consist upon three generall points The ayre Of meate and things to bee considered therein Substance Quantity Quality Time Order Concerning the substance Mutton veal Capon Chickken Partridge Fesant Pullet Rabbet Uenison Wilde-fowle Beefe Salt meats Fish Herbs Roots Fruits Milk and all things made of milk are to be auoyded The quantity that is to wit how much we are to eat How we shall know when we have eaten too much It is better to eat a little too much than much too little The quality of meats The time of taking our meat The order therein To eat of many sorts of meats is not good Banquetting dishes are hurtfull after meat Curious Cookes mar good meat Concerning our drink Small drink is not good Wine Some allow of white wine in preservation from the Gout But nothing can be worse The reasonâ— Claret wine Of sweet wines Sack and how it is to be used What quantity of drink is convenient with meat The quality of our drinks Bragget Alacras Hipocras Ale is better than Beere The time to drink Of sleepe To sleepe in the day is not good What rules are to bee observed if wee sleepe in the day time Our night sleepe is most naturall and requireth some observations How long we are to sleep An observation Of watching how hurtfull it is to watch too much Of our exercise and of the commodities thereof The ends of exercise The place wherein wee are to exercise The time when What kind of exercise is best for such as feare the Gout Of rest and ease and the discommodities thereof The fift point of this preservative diet Bleeding too much is hurtfull So is Sweating too much So is often use of Uenery The commodities of seasonable and moderate Venery A continuall lask is hurtfull or any other immoderate evacuation Competent evacuation of superfluities is requisite Costivenesse is hurtfull Of the passions of the minde Concerning medicinall matters what is to bee done in this preservation Why at the Spring and at the Fall we are to purge in this preservation What is to be respected in this evacuation A caution A distinction of purgative medicines The application thereof