to_o discharge_v and_o abate_v blood_n by_o the_o nose_n by_o the_o haemorrhoid_v or_o menstrual_a purgation_n sometime_o by_o plentiful_a feed_n and_o too_o much_o ease_v so_o that_o evacuation_n and_o transpiration_n be_v not_o proportionable_a in_o abatement_n and_o to_o balance_v the_o import_v food_n conjunct_a cause_n be_v such_o as_o more_o immediate_o and_o near_o concur_v or_o conspire_v actual_o in_o form_v of_o these_o pleuritic_n pain_n and_o they_o be_v either_o acidity_n or_o viscidity_n within_o the_o vessel_n of_o the_o pleura_fw-la or_o a_o violent_a fluxion_n from_o the_o large_a vessel_n too_o great_a for_o the_o capacity_n and_o reception_n of_o these_o exiguous_a canal_n 2._o acidity_n or_o a_o acrid_a serosity_n do_v sometime_o fabricate_a and_o finish_v this_o disease_n by_o pung_v and_o lancinate_v the_o pleura_fw-la for_o omne_fw-la acidum_fw-la extra_fw-la stomachum_fw-la corpori_fw-la est_fw-la hostile_a say_v helmont_n thereby_o irritate_v and_o exciting_a the_o vital_a spirit_n to_o estuate_v and_o be_v incense_v and_o from_o this_o focus_fw-la a_o febrile_a heat_n be_v kindle_v and_o communicate_v to_o the_o whole_a body_n and_o that_o oftentimes_o and_o for_o the_o most_o part_n it_o be_v a_o sharp_a serous_a humour_n predominant_a in_o the_o blood_n which_o cause_v this_o disturbance_n in_o the_o pleura_fw-la be_v confirm_v by_o the_o manner_n of_o solution_n or_o termination_n of_o the_o disease_n which_o most_o frequent_o be_v by_o a_o sudorific_a evacuation_n or_o insensible_a transpiration_n and_o therefore_o hippoc._n in_o his_o prediction_n say_v sudores_fw-la &_o urinas_fw-la in_o pleuritide_n probè_fw-la fieri_fw-la bonum_fw-la esse_fw-la &_o salutare_fw-la friendly_o sweat_v and_o effusion_n of_o urine_n presage_v a_o good_a event_n 2._o viscidity_n or_o grumosity_n of_o the_o blood_n do_v sometime_o cause_n pleuritic_n pain_n for_o by_o obstruct_v those_o small_a ducture_n of_o the_o pleura_fw-la and_o stop_v the_o circulation_n a_o tumour_n thereby_o be_v raise_v within_o this_o double_a membrane_n for_o the_o vein_n artery_n and_o nerve_n lie_v between_o these_o two_o coat_n of_o the_o pleura_fw-la and_o that_o the_o blood_n be_v thus_o apt_a to_o be_v stagnant_a especial_o in_o the_o small_a vessel_n by_o coagulation_n grossness_n or_o congelation_n be_v confirm_v by_o phlebotomy_n for_o be_v let_v out_o of_o the_o body_n it_o be_v sometime_o find_v destitute_a of_o its_o serum_n or_o latex_n that_o keep_v it_o fluxile_n thin_a and_o transient_a and_o also_o be_v manifest_a so_o to_o be_v when_o it_o be_v in_o the_o vessel_n as_o in_o gangrene_n where_o the_o blood_n be_v fix_v and_o the_o part_n almost_o mortify_v and_o when_o pleurisy_n do_v happen_v upon_o this_o cause_n of_o concretion_n they_o common_o tend_v to_o suppuration_n as_o not_o capable_a of_o be_v discuss_v or_o put_v into_o motion_n for_o a_o discharge_n of_o the_o part_n now_o the_o blood_n become_v thus_o incrassated_a gross_a and_o viscous_a from_o every_o cause_n that_o do_v too_o much_o exhaust_v and_o expend_v the_o serosity_n thereof_o as_o too_o great_a transpiration_n or_o sweat_v or_o immoderate_a make_n of_o urine_n and_o sometime_o from_o a_o malignant_a or_o a_o venomous_a miasm_n that_o curdle_n or_o congelate_v the_o blood_n 3._o fluxion_n or_o ebullient_a and_o preternatural_a fermentation_n cause_v pleuritic_n pain_n and_o thus_o it_o happen_v when_o a_o pleurisy_n be_v the_o consequent_a or_o appendent_a to_o a_o fever_n precede_v for_o sometime_o a_o pleurisy_n do_v precede_v and_o be_v the_o cause_n of_o a_o fever_n as_o when_o the_o dart_n be_v feel_v to_o strike_v the_o pleura_fw-la before_o any_o febrile_a distemper_n appear_v sometime_o a_o pleurisy_n do_v supervene_v and_o follow_v a_o fever_n as_o a_o effect_n from_o that_o general_a ebullition_n the_o hot_a spumou_n blood_n rush_v into_o the_o pleura_fw-la have_v establish_v these_o cause_n in_o their_o due_a series_n present_v they_o in_o the_o method_n and_o order_n of_o their_o causation_n and_o action_n we_o shall_v not_o trouble_v ourselves_o with_o choler_n phlegm_n and_o melancholy_n the_o suppose_a material_n of_o every_o disease_n nor_o shall_v i_o controvert_v the_o insufficiency_n of_o that_o doctrine_n here_o for_o indication_n of_o cure_n prompt_v what_o be_v to_o be_v do_v which_o way_n and_o with_o what_o they_o be_v various_a as_o the_o case_n present_v 1._o plethory_n indicates_z phlebotomy_n and_o require_v a_o depletion_n or_o abatement_n of_o the_o redundance_n of_o blood_n that_o there_o may_v be_v room_n for_o the_o peccant_a matter_n to_o retire_v and_o for_o a_o revulsion_n and_o derivation_n thereof_o as_o also_o to_o avert_v the_o current_n and_o flux_n tend_v towards_o the_o pain_a part_n 2._o purgation_n by_o sedate_n and_o amicable_a cathartic_n if_o you_o can_v procure_v such_o else_o by_o clyster_n the_o best_a substitute_n in_o that_o defect_n be_v necessary_a to_o absterse_v and_o cleanse_v the_o whole_a body_n thereby_o subduct_v fuel_n from_o the_o fire_n and_o for_o render_v the_o patient_n not_o so_o liable_a to_o effervescency_n and_o turgid_a estuation_n and_o for_o a_o retraction_n from_o the_o part_n affect_v 3._o topical_a discussive_n be_v available_a and_o contribute_v to_o the_o remove_n of_o the_o morbific_a cause_n both_o as_o defensative_n give_v robor_fw-la to_o the_o grieve_a part_n for_o resistance_n of_o the_o humour_n flow_v in_o and_o also_o for_o a_o transmission_n and_o discharge_n of_o the_o conjunct_a matter_n reside_v 4._o diaphoretic_n to_o rarify_v dissipate_v and_o set_v open_a the_o pore_n for_o a_o free_a transpiration_n and_o exsudation_n be_v not_o only_o safe_a but_o exceed_v necessary_a thereby_o to_o avert_v the_o antecedent_n cause_n resort_v to_o the_o pain_a place_n and_o to_o disperse_v and_o scatter_v the_o morbific_a conjunct_a cause_n from_o the_o part_n affect_v if_o possible_a to_o prevent_v suppuration_n which_o be_v very_o dangerous_a and_o common_o mortal_a 5._o anacathartics_n or_o proper_a and_o true_o expectorate_n medicine_n be_v auxiliary_a and_o profitable_a in_o promote_a expectoration_n by_o digest_v the_o peccant_a matter_n and_o render_v it_o more_o apt_a and_o easy_a to_o be_v bring_v up_o and_o of_o these_o some_o be_v attenuate_v other_o incrassating_a to_o be_v use_v pro_fw-la re_fw-mi nata_fw-la suitable_a to_o the_o offend_a cause_n which_o if_o it_o yield_v soon_o and_o free_o and_o nature_n throw_v it_o up_o by_o cough_n and_o spit_v it_o portend_v good_a promise_a shortness_n of_o the_o disease_n and_o a_o prosperous_a event_n which_o hippoc._n 1_o aphor._n 12._o confirm_v 6._o anodynes_n elect_v by_o a_o discern_a judgement_n and_o cautious_o use_v may_v be_v of_o good_a advantage_n in_o some_o case_n and_o at_o some_o time_n else_o may_v prove_v very_o pernicious_a have_v dispatch_v these_o pleuritic_n pain_n we_o be_v next_o to_o take_v notice_n what_o other_o pain_n be_v incident_a to_o the_o thorax_n or_o breast_n and_o here_o we_o find_v pain_n to_o arise_v from_o inflammation_n of_o the_o lung_n of_o the_o mediastinum_fw-la and_o of_o the_o diaphragma_n whereof_o a_o account_n will_v be_v give_v in_o their_o proper_a place_n hereafter_o when_o we_o treat_v of_o inflammation_n but_o the_o lung_n do_v suffer_v pain_n also_o from_o other_o cause_n as_o from_o tumour_n not_o inflame_v sometime_o from_o adhesion_n or_o stick_v of_o the_o lung_n to_o the_o side_n of_o the_o breast_n sometime_o from_o stone_n and_o worm_n that_o have_v breed_v there_o observe_v and_o find_v upon_o dissection_n and_o sometime_o by_o erosion_n and_o ulcer_n of_o which_o in_o their_o due_a place_n follow_v back-pain_n of_o the_o thorax_n be_v either_o upon_o the_o spine_n between_o the_o shoulder_n or_o upon_o the_o scapulae_fw-la the_o shoulder_n blade_n and_o these_o pain_n do_v arise_v from_o some_o impression_n of_o cold_a late_o take_v or_o from_o defluxion_n of_o a_o serous_a humour_n from_o the_o head_n or_o sometime_o from_o a_o malign_a miasm_n venereal_a or_o scorbutic_a that_o infest_v those_o part_n pain_n sometime_o be_v seat_v at_o the_o bottom_n of_o the_o sternum_n between_o the_o short_a rib_n under_o the_o cartilege_n mucronata_fw-la vulgar_o call_v the_o pit_n of_o the_o stomach_n but_o improper_o this_o cartilege_n hang_v down_o be_v as_o it_o be_v a_o defensative_a to_o the_o subjacent_a part_n namely_o the_o stomach_n and_o liver_n yet_o be_v flexible_a to_o give_v way_n to_o the_o extension_n of_o the_o stomach_n without_o compression_n this_o place_n be_v very_o tender_a at_o all_o time_n insomuch_o that_o a_o blow_n here_o be_v ready_a to_o make_v a_o strong_a man_n faint_a the_o part_n be_v thus_o sensible_a pain_n therefore_o here_o must_v be_v very_o troublesome_a now_o this_o place_n be_v of_o acute_a sense_n or_o feeling_n in_o regard_n the_o upper_a orifice_n of_o the_o stomach_n be_v very_o nervous_a and_o almost_o subjacent_a to_o this_o cartilege_n and_o the_o heart_n adjacent_a hence_o it_o be_v that_o a_o blow_n or_o
very_o weak_o other_o use_v their_o arm_n but_o with_o little_a strength_n and_o some_o the_o use_n of_o their_o limb_n almost_o take_v away_o the_o material_a and_o continent_n cause_n of_o these_o fugitive_n and_o vagrant_a pain_n be_v the_o same_o or_o of_o the_o same_o nature_n with_o the_o former_a arthritis_fw-la or_o joynt-gout_n viz._n a_o tartarous_a or_o sharp_a penetrate_a serosity_n that_o molest_v these_o several_a part_n and_o to_o confirm_v that_o this_o be_v a_o serous_a or_o watery_a humour_n it_o make_v no_o tumour_n nor_o suppurate_n which_o be_v it_o of_o another_o kind_n it_o will_v beside_o the_o mobility_n and_o fluctuate_a nature_n thereof_o argue_v it_o to_o be_v of_o that_o kind_n and_o far_o à _fw-la juvantibus_fw-la we_o may_v most_o rational_o conclude_v so_o transpiration_n and_o copious_a emission_n of_o urine_n and_o also_o purgation_n that_o evacuate_v serous_a humour_n give_v allay_v and_o sedation_n to_o these_o fleet_a pain_n but_o why_o this_o shall_v be_v so_o movable_a and_o change_v its_o place_n the_o other_o fix_v or_o constant_a to_o a_o part_n since_o one_o and_o the_o same_o humoral_a matter_n be_v the_o cause_n of_o both_o the_o reason_n hereof_o may_v be_v this_o from_o abundance_n of_o the_o humour_n and_o for_o want_v of_o vent_n one_o way_n not_o be_v sufficient_a to_o receive_v and_o spend_v it_o nature_n be_v necessitate_v to_o find_v out_o and_o break_v through_o several_a way_n that_o be_v by_o force_v the_o anastomosis_n and_o open_v the_o termination_n of_o the_o vein_n spew_v forth_o this_o pung_a irritate_v humour_n into_o several_a part_n and_o be_v a_o unwelcome_a guest_n hostile_a and_o troublesome_a the_o archaeus_n or_o vital_a principle_n defend_v its_o territory_n quoad_fw-la posse_fw-la and_o unwilling_a to_o give_v it_o harbour_v transmits_n it_n from_o place_n to_o place_n this_o rheumatism_n and_o erratic_a pain_n depend_v upon_o the_o same_o humoral_a cause_n with_o the_o gout_n will_v require_v much_o what_o the_o same_o method_n and_o medicine_n for_o cure_n as_o also_o such_o prophylactic_n that_o be_v proper_a and_o fit_a by_o way_n of_o prevention_n for_o the_o other_o may_v here_o be_v use_v with_o the_o like_a advantage_n and_o therefore_o it_o be_v not_o needful_a to_o point_v out_o a_o particular_a methodus_fw-la medendi_fw-la or_o peculiar_a medicine_n only_o the_o topical_a medicine_n be_v not_o of_o such_o use_n here_o as_o in_o the_o joint_n gout_n and_o now_o i_o have_v go_v through_o and_o brief_o inquire_v into_o the_o most_o and_o most_o considerable_a pain_n incident_a to_o several_a and_o principal_a part_n of_o man_n body_n it_o remain_v now_o as_o be_v propose_v and_o promise_v in_o the_o front_n of_o this_o work_n that_o i_o proceed_v on_o to_o the_o next_o stage_n viz._n inflammation_n and_o there_o observe_v what_o be_v most_o remarkable_a and_o most_o profitable_a to_o be_v take_v notice_n of_o inflammation_n internal_a by_o the_o common_a order_n of_o causation_n pain_n precede_v inflammation_n follow_v to_o illustrate_v and_o set_v forth_o the_o nature_n of_o inflammation_n more_o evident_o and_o to_o avoid_v confusion_n and_o intanglement_n in_o our_o discourse_n we_o shall_v distribute_v our_o matter_n and_o place_n it_o distinct_o under_o these_o follow_a head_n first_o what_o the_o word_n import_v and_o congruous_a signification_n with_o the_o nature_n thereof_o second_o what_o part_v of_o the_o body_n inflammation_n do_v usual_o possess_v three_o the_o occasional_a matter_n that_o provoke_v and_o set_v forward_o these_o inflammation_n four_o how_o they_o arise_v and_o from_o what_o principle_n or_o efficient_a they_o be_v cause_v five_o the_o use_n and_o practice_n that_o arise_v natural_o from_o the_o precede_a doctrine_n the_o word_n inflammatio_fw-la use_v in_o the_o latin_a in_o the_o greek_a be_v 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d and_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d from_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d uro_fw-mi to_o burn_v or_o inflame_v in_o both_o language_n signify_v some_o extraordinary_a and_o preternatural_a heat_n kindle_v and_o begin_v in_o some_o part_n of_o the_o body_n and_o in_o the_o common_a acceptation_n of_o a_o phlegmon_n or_o inflammation_n be_v understand_v thereby_o a_o hot_a tumour_n arise_v from_o blood_n but_o although_o inflammation_n be_v reckon_v among_o the_o tumour_n and_o so_o account_v by_o most_o practiser_n yet_o i_o must_v take_v leave_n to_o divide_v inflammation_n from_o tumour_n and_o distinguish_v they_o apart_o as_o proper_o so_o for_o common_o they_o be_v separate_v although_o oftentimes_o conjunct_a and_o the_o denomination_n be_v give_v à _fw-la calore_fw-la not_o à _fw-la tumore_fw-la bianca_n inflammation_n therefore_o i_o understand_v here_o only_o a_o preternatural_a or_o extraordinary_a heat_n begin_v in_o any_o part_n as_o the_o etymon_n of_o the_o word_n import_v before_o a_o tumour_n be_v raise_v but_o by_o time_n and_o continuance_n inflammation_n or_o great_a heat_n do_v attract_v matter_n and_o form_n a_o tumour_n and_o then_o inflammation_n and_o tumour_n be_v couple_v or_o complicate_v together_o for_o as_o we_o plain_o find_v external_a part_n to_o burn_v or_o feel_v very_o hot_a and_o to_o look_v red_a you_o say_v then_o the_o part_n be_v inflame_v although_o no_o tumour_n or_o swell_a appear_v so_o be_v it_o internal_o the_o part_n be_v fiery_a hot_a or_o inflame_v before_o a_o fluxion_n of_o blood_n arrive_v thither_o to_o throng_v the_o part_n and_o raise_v a_o tumour_n so_o that_o there_o be_v inflammation_n without_o tumour_n and_o inflammation_n conjoin_v with_o tumour_n and_o here_o i_o make_v inflammation_n a_o distinct_a classis_fw-la and_o to_o be_v a_o gradation_n or_o step_n towards_o a_o tumour_n which_o probable_o may_v follow_v if_o not_o prevent_v as_o sometime_o it_o do_v and_o here_o it_o be_v worth_a our_o inquiry_n to_o know_v the_o reason_n why_o some_o inflammation_n produce_v tumour_n and_o some_o go_v off_o without_o form_v a_o tumour_n and_o this_o be_v cause_v from_o the_o difference_n of_o the_o part_n affect_v and_o the_o copious_a influx_n and_o contumacy_n of_o the_o material_a cause_n to_o be_v remove_v from_o the_o efficacy_n of_o mean_n timely_o use_v or_o the_o strength_n of_o nature_n to_o relieve_v herself_o second_o we_o be_v to_o take_v notice_n what_o part_n of_o the_o body_n be_v subject_a to_o inflammation_n and_o they_o be_v the_o muscular_a flesh_n the_o membrane_n the_o parenchyma_n of_o the_o viscera_n and_o the_o glandula_n hence_o it_o be_v that_o inflammation_n as_o they_o be_v seat_v in_o divers_a part_n of_o the_o body_n so_o be_v they_o call_v by_o distinguish_a name_n from_o the_o part_n affect_v as_o phrenitis_n a_o inflammation_n of_o the_o meninge_n or_o membrane_n of_o the_o brain_n ophthalmia_fw-la of_o the_o eye_n parotis_n of_o the_o glandule_n near_o the_o ear._n peripneumonia_n of_o the_o lung_n pleuritis_fw-la of_o the_o pleura_fw-la nephritis_n of_o the_o kidney_n angina_n of_o the_o muscle_n of_o the_o throat_n now_o from_o the_o part_n affect_v you_o be_v to_o observe_v that_o any_o member_n the_o more_o nervous_a it_o be_v by_o so_o much_o the_o pain_n be_v great_a and_o by_o how_o much_o the_o part_n be_v more_o fleshy_a by_o so_o much_o the_o soon_o the_o inflammation_n come_v to_o a_o resolution_n or_o collection_n of_o matter_n in_o the_o three_o place_n we_o come_v to_o remark_n the_o conjunct_a and_o material_a cause_n of_o inflammation_n and_o they_o be_v generate_v either_o by_o obstruction_n or_o extravasation_n obstruction_n beget_v inflammation_n when_o the_o fluid_a liquor_n in_o the_o vessel_n be_v deny_v their_o free_a motion_n and_o transition_n and_o this_o happen_v when_o these_o juice_n be_v coagulate_v gross_a or_o thick_a and_o thereby_o become_v stagnant_a in_o the_o small_a vessel_n or_o by_o compression_n when_o the_o vessel_n be_v stop_v by_o some_o adjacent_a part_n tumify_v or_o extend_v beyond_o its_o common_a bound_n or_o by_o a_o influx_n of_o blood_n rush_v into_o some_o small_a vessel_n from_o whence_o there_o be_v not_o a_o ready_a transmission_n and_o passage_n for_o the_o venal_a and_o arterial_a pipe_n enter_v into_o a_o member_n be_v common_o large_a but_o grow_v small_a as_o they_o go_v deep_o in_o and_o their_o ramification_n very_a minute_n that_o they_o may_v soon_o be_v overcharge_v by_o a_o turgid_a blood_n more_o than_o ordinary_o ferment_v and_o flow_v in_o thus_o great_a pain_n from_o what_o cause_n soever_o may_v introduce_v inflammation_n by_o draw_v a_o flux_n of_o humour_n to_o a_o part_n or_o member_n from_o whence_o they_o can_v ready_o retire_v or_o move_v forward_o and_o here_o you_o may_v see_v how_o contusion_n luxation_n fracture_n etc._n etc._n do_v occasion_n inflammation_n if_o not_o prevent_v by_o care_n and_o skill_n with_o exquisite_a good_a mean_n by_o extravasation_n sometime_o inflammation_n do_v arise_v that_o be_v when_o either_o by_o plenitude_n and_o fullness_n or_o heat_n and_o
heterogeneous_a discordant_a matter_n or_o some_o malign_a and_o venenate_a miasm_n be_v mingle_v or_o get_v into_o the_o blood_n nature_n which_o be_v the_o vital_a principle_n raise_v a_o preternatural_a fermentation_n and_o febrile_a effervescency_n in_o the_o mass_n of_o blood_n for_o a_o purification_n and_o separation_n of_o this_o exotic_a mixture_n and_o admit_v of_o no_o sedation_n and_o rest_n until_o that_o work_n be_v finish_v five_o and_o from_o hence_o you_o be_v to_o be_v warn_v of_o the_o dangerous_a and_o common_a practice_n in_o fever_n by_o julep_n barleywater_n and_o other_o such_o like_a cool_a medicine_n use_v to_o allay_v the_o heat_n from_o a_o great_a mistake_n of_o the_o rise_n of_o fever_n and_o from_o whence_o this_o heat_n do_v assurge_v for_o whether_o the_o fever_n do_v depend_v upon_o a_o particular_a inflame_a part_n or_o a_o general_a fermentation_n of_o the_o blood_n for_o purification_n in_o both_o case_n of_o fever_n such_o cool_a medicine_n be_v pernicious_a and_o have_v kill_v thousand_o for_o by_o insist_v so_o much_o upon_o they_o and_o aim_v to_o suppress_v the_o fever_n by_o cooler_n which_o be_v not_o possible_a to_o be_v do_v thus_o trifle_v the_o time_n away_o the_o opportunity_n of_o cure_v be_v lose_v and_o the_o disease_n prevail_v the_o error_n of_o these_o cool_a medicine_n be_v apparent_a from_o the_o insuccess_n thereof_o for_o never_o be_v the_o thirst_n of_o a_o sick_a person_n satisfy_v by_o a_o julep_n but_o a_o draught_n of_o good_a drink_n such_o as_o the_o patient_n stomach_n call_v for_o that_o be_v acceptable_a and_o refresh_a so_o that_o i_o say_v julep_n be_v but_o cold_a comfort_n to_o a_o feverish_a sick_a man_n for_o these_o cold_a medicine_n impose_v upon_o the_o sick_a be_v so_o far_o from_o assist_v nature_n to_o perform_v the_o work_n she_o be_v struggle_v about_o that_o they_o nauseate_a and_o flat_a the_o stomach_n which_o shall_v invigorate_v the_o other_o faculty_n damp_n the_o power_n of_o nature_n contend_v and_o leave_v she_o languish_v for_o refreshment_n covet_v in_o her_o natural_a common_a drink_n what_o advantage_n can_v there_o be_v in_o a_o julep_n to_o take_v off_o or_o any_o way_n contribute_v to_o the_o removal_n of_o any_o matter_n that_o be_v the_o cause_n of_o inflammation_n in_o the_o liver_n spleen_n kidney_n mesentery_n pleura_fw-la etc._n etc._n any_o part_n of_o the_o body_n true_o none_o but_o that_o be_v not_o all_o for_o beside_o the_o do_v no_o good_a it_o do_v much_o mischief_n in_o suppress_v the_o fortitude_n of_o nature_n and_o cheat_v the_o poor_a patient_n of_o that_o desire_v common_a assistance_n by_o drink_n that_o will_v be_v comfortable_a but_o no_o more_o of_o this_o because_o i_o have_v enlarge_v upon_o this_o point_n pag._n 27_o 28_o 29_o 30._o yet_o it_o fall_v in_o here_o necessary_o to_o be_v take_v notice_n of_o because_o inflammation_n always_o introduce_v fever_n which_o fever_n be_v most_o obvious_a and_o apparent_a engross_v all_o endeavour_n for_o allay_v that_o general_a and_o expanded_a heat_n but_o they_o go_v the_o wrong_a way_n to_o work_v even_o preposterous_o begin_v at_o the_o wrong_a end_n but_o now_o to_o inform_v what_o be_v necessary_a to_o be_v do_v when_o a_o pain_a inflame_a part_n require_v help_v take_v these_o direction_n in_o general_n which_o will_v be_v advantageous_a in_o most_o if_o not_o all_o particular_a case_n first_o examine_v and_o consider_v the_o nature_n of_o the_o part_n inflame_v be_v the_o part_n primary_o affect_v the_o foundation_n of_o this_o disturbance_n from_o who_o peculiar_a structure_n and_o fabrication_n as_o also_o from_o its_o office_n you_o will_v find_v what_o be_v the_o usual_a impediment_n that_o molest_v and_o disturb_v such_o a_o part_n and_o how_o it_o become_v liable_a thereto_o second_o you_o be_v to_o consider_v what_o way_n this_o matter_n be_v to_o be_v carry_v off_o if_o it_o be_v humoral_a and_o by_o what_o mean_v adapt_a such_o remedy_n suitable_a to_o the_o condition_n of_o the_o part_n affect_v and_o proper_a for_o the_o removal_n of_o such_o a_o morbific_a cause_n three_o the_o fever_n that_o arise_v from_o and_o depend_v upon_o this_o inflammation_n be_v not_o to_o bias_n you_o or_o take_v you_o off_o from_o any_o thing_n necessary_a to_o be_v do_v in_o order_n to_o reduce_v the_o part_n primary_o affect_v but_o prosecute_v direct_o there_o and_o regard_v not_o the_o fever_n for_o as_o you_o get_v advantage_n in_o relieve_v the_o part_n grieve_v you_o will_v find_v the_o fever_n to_o decrease_v and_o total_o vanish_v when_o that_o be_v restore_v and_o to_o tell_v you_o plain_o i_o know_v nothing_o you_o can_v do_v advantageous_a for_o the_o part_n inflame_v that_o may_v be_v injurious_a upon_o account_n of_o the_o fever_n if_o the_o fever_n be_v independent_a and_o have_v no_o relation_n to_o the_o other_o four_o if_o blood_n be_v the_o primary_n cause_n or_o otherwise_o aggravate_v through_o plenitude_n make_v a_o depletion_n thereby_o the_o circulation_n will_v be_v more_o free_a turgency_n abate_v and_o fluxion_n prevent_v at_o least_o retract_v for_o if_o the_o cause_n be_v in_o the_o vein_n or_o artery_n most_o necessary_a it_o be_v to_o be_v do_v for_o common_o then_o a_o plethory_n grossness_n or_o coagulation_n give_v the_o occasion_n of_o this_o grief_n but_o if_o it_o a_o acrid_a serosity_n that_o lance_v and_o irritate_v the_o tender_a part_n phlehotomy_n may_v draw_v off_o and_o make_v a_o diversion_n for_o a_o time_n until_o other_o good_a mean_n can_v be_v administer_v to_o eradicate_v or_o blunt_a the_o sharpness_n of_o its_o acidity_n five_o set_v open_a the_o vent_v and_o outlet_n which_o nature_n have_v frame_v and_o make_v evacuation_n to_o abate_v fullness_n and_o remove_v foulness_n in_o the_o whole_a body_n thereby_o you_o will_v prevent_v or_o allay_v the_o turgency_n of_o ill_a humour_n that_o be_v apt_a to_o ferment_n and_o move_v upon_o this_o disorder_n and_o cut_v off_o a_o supply_n of_o morbific_a matter_n that_o may_v resort_v to_o the_o part_n pain_v of_o raise_v a_o new_a disturbance_n in_o other_o part_n of_o the_o body_n here_o you_o must_v procure_v and_o prosecute_v this_o intention_n with_o balsamic_a abstersives_n the_o true_a cathartic_n not_o venenous_a laxative_n the_o common_a repute_a purgative_n and_o cleanse_v the_o low_a region_n of_o the_o body_n whereby_o also_o you_o will_v subduct_v and_o draw_v away_o from_o the_o part_n affect_v the_o grosser_n matter_n be_v thus_o remove_v and_o carry_v off_o sufficient_o the_o remainder_n discharge_v by_o transpiration_n make_v a_o apertion_n of_o the_o pore_n and_o set_v open_a those_o imperceptible_a vent_n by_o the_o use_n of_o effectual_a and_o choice_a diaphoretic_n thereby_o to_o attenuate_v rarify_v and_o scatter_v for_o outward_a inflammation_n topical_a medicine_n be_v apply_v to_o the_o part_n fomentation_n cataplasm_n unguent_n &c_n &c_n to_o appease_v and_o allay_v but_o our_o internal_a case_n do_v not_o admit_v of_o such_o application_n therefore_o we_o be_v to_o design_n otherwise_o and_o adapt_v such_o internal_a medicine_n and_o by_o such_o operation_n as_o may_v reach_v the_o morbous_a matter_n to_o remove_v and_o transmit_v it_o yet_o when_o a_o inflammation_n be_v seat_v near_o the_o superficies_n or_o extern_a part_n of_o the_o body_n as_o the_o pleura_fw-la the_o gibbous_a part_n of_o the_o liver_n and_o such_o like_a especial_o if_o a_o tumour_n conjoin_v do_v appear_v also_o or_o any_o visible_a extension_n then_o local_a medicine_n may_v be_v of_o good_a use_n and_o contribute_v towards_o a_o cure_n but_o here_o by_o way_n of_o caution_n take_v notice_n that_o no_o refrigerate_a or_o repercuss_v application_n be_v make_v to_o repel_v and_o drive_v back_o from_o the_o part_n pain_v for_o this_o may_v prove_v of_o dangerous_a consequence_n as_o the_o imprudent_a adventure_n of_o some_o in_o this_o manner_n have_v leave_v sad_a memento_n to_o forbid_v the_o like_a practice_n but_o some_o may_v say_v how_o shall_v we_o know_v when_o any_o internal_a part_n be_v inflame_v because_o neither_o the_o eye_n nor_o the_o hand_n can_v reach_v there_o to_o discover_v the_o disease_n yes_o very_o well_o for_o great_a pain_n and_o anguish_n continue_v in_o any_o secret_a internal_a part_n and_o raise_v a_o febrile_a heat_n in_o the_o whole_a body_n do_v as_o certain_o declare_v that_o part_n to_o be_v inflame_v in_o the_o sense_n before_o express_v as_o any_o outward_a sign_n can_v manifest_v where_o see_v and_o handle_v do_v or_o can_v adjudge_v the_o case_n six_o and_o in_o the_o last_o place_n because_o inflammation_n do_v arise_v from_o and_o depend_v much_o upon_o the_o continuance_n of_o pain_n therefore_o anodynes_n or_o allayer_n of_o pain_n may_v be_v profitable_a at_o some_o time_n and_o in_o some_o case_n but_o wary_o to_o be_v use_v and_o the_o time_n nice_o to_o be_v distinguish_v and_o
dysentery_n send_v forth_o blood_n and_o corrupt_a matter_n sometime_o a_o bloody_a flux_n continue_v a_o while_n without_o vlceration_n and_o afterward_o ulcerate_v the_o gut_n and_o make_v a_o dysentery_n that_o be_v when_o this_o extravasated_a blood_n lodging_n in_o the_o gut_n degenerate_v and_o putrify_v it_o do_v thereby_o erode_a and_o plant_v a_o ulcer_n which_o complete_v a_o dysentery_n now_o this_o kind_n of_o dysentery_n arise_v from_o a_o impurity_n or_o corruption_n of_o the_o blood_n which_o cause_v a_o preternatural_a fermentation_n or_o effervescence_n in_o the_o whole_a mass_n but_o nature_n not_o be_v able_a to_o depurate_n and_o separate_a from_o this_o degenerate_a admixture_n either_o by_o transpiration_n or_o urine_n be_v force_v upon_o this_o emission_n by_o the_o intestine_n without_o a_o secretion_n and_o throw_v out_o both_o the_o good_a and_o bad_a together_o in_o the_o prosecution_n of_o cure_n as_o these_o cause_n be_v right_o adjudge_v and_o medicine_n adapt_v thereto_o depend_v the_o success_n and_o therefore_o that_o course_n and_o method_n which_o be_v advantageous_a and_o proper_a to_o one_o may_v be_v injurious_a and_o altogether_o disagree_v to_o another_o and_o here_o you_o must_v take_v notice_n that_o dysentery_n be_v sometime_o malignant_a as_o common_o when_o epidemical_a and_o then_o alexipharmacal_a medicine_n be_v not_o to_o be_v omit_v now_o concern_v the_o degree_n of_o dysentery_n as_o to_o a_o better_a and_o worse_o curable_a or_o deplorable_a state_n and_o the_o signal_n declare_v they_o as_o also_o several_a query_n that_o may_v be_v raise_v and_o satisfaction_n give_v to_o each_o the_o conciseness_n of_o this_o work_n will_v not_o admit_v to_o enlarge_v thereon_o in_o the_o next_o place_n and_o of_o great_a affinity_n with_o dysentery_n be_v a_o tenesmus_n agree_v in_o the_o cause_n and_o symptom_n but_o differ_v in_o the_o part_n affect_v a_o tenesmus_n be_v seat_v at_o the_o low_a end_n of_o the_o right_a gut_n or_o fundament_n the_o etymology_n of_o the_o word_n import_v something_o of_o the_o nature_n of_o the_o disease_n be_v a_o frequent_a desire_n and_o strain_v downward_o to_o the_o stool_n but_o instead_o of_o excrement_n blood_n and_o mucous_a matter_n be_v bring_v forth_o and_o with_o great_a pain_n this_o arise_v from_o a_o ulceration_n of_o the_o last_o intestine_a procure_v from_o the_o same_o cause_n as_o dysentery_n which_o we_o need_v not_o repeat_v this_o disease_n be_v most_o dangerous_a to_o woman_n with_o child_n for_o that_o it_o cause_v abortion_n but_o to_o all_o person_n it_o be_v very_o troublesome_a and_o painful_a and_o if_o it_o continue_v long_o the_o ulcer_n become_v fistulous_a and_o difficult_a to_o be_v cure_v and_o now_o i_o remember_v the_o cure_n of_o a_o old_a ulcer_n in_o this_o part_n notwithstanding_o the_o contumacy_n and_o difficulty_n thereof_o in_o the_o year_n 1653._o when_o i_o be_v but_o a_o young_a practiser_n yet_o by_o the_o blessing_n of_o god_n upon_o my_o endeavour_n i_o cure_v a_o gentlewoman_n afflict_v with_o a_o ulcer_n in_o ano_fw-la for_o seven_o year_n who_o can_v not_o in_o all_o that_o time_n receive_v help_v though_o she_o have_v try_v many_o physician_n and_o surgeon_n have_v a_o plentiful_a fortune_n to_o allow_v it_o she_o be_v age_v between_o fifty_o and_o sixty_o a_o alderman_n wife_n of_o maxfilde_a in_o cheshire_n where_o i_o happen_v to_o stay_v in_o that_o town_n for_o some_o time_n whereby_o this_o gentlewoman_n beyond_o her_o expectation_n receive_v a_o perfect_a cure_n to_o finish_v our_o discourse_n of_o pain_n belong_v to_o the_o intestine_n we_o shall_v conclude_v with_o the_o haemorrhoid_v a_o disease_n frequent_a and_o sometime_o of_o great_a complaint_n the_o word_n haemorrhois_n signify_v a_o flux_n of_o blood_n in_o general_a but_o custom_n have_v restrain_v it_o and_o among_o physician_n it_o be_v use_v and_o understand_v only_o that_o effusion_n of_o blood_n by_o the_o haemorrhoid_n vein_n which_o vein_n terminate_v at_o the_o low_a end_n of_o the_o last_o intestine_a and_o about_o the_o fundament_n these_o haemorrhoid_n vein_n be_v internal_a and_o external_a although_o most_o of_o the_o ancient_n and_o some_o modern_a author_n acknowledge_v only_o the_o internal_a but_o erroneous_o the_o internal_a and_o external_a haemorrhoid_n vein_n do_v differ_v much_o as_o first_o in_o their_o rise_n or_o descent_n for_o the_o external_a do_v proceed_v from_o the_o hypogastric_a branch_n of_o the_o vena_fw-la cava_fw-la and_o the_o internal_a from_o the_o vena_fw-la porte_fw-fr and_o common_o from_o the_o splenical_a branch_n thereof_o second_o in_o number_n the_o internal_a be_v but_o one_o though_o orbicular_o multiply_v and_o divide_v about_o the_o anus_fw-la the_o external_a be_v threefold_a three_o in_o their_o insertion_n the_o internal_a be_v insert_v into_o the_o membranous_a substance_n of_o the_o right_a gut_n the_o external_a into_o the_o musculous_a substance_n of_o the_o anus_fw-la or_o fundament_n four_o they_o differ_v in_o their_o content_n the_o internal_a carry_v a_o gross_a and_o black_a blood_n the_o external_a more_o thin_a and_o ruddy_a five_o in_o their_o office_n and_o use_n the_o internal_a evacuate_v the_o vena_fw-la porta_fw-la and_o splenical_a artery_n thereby_o advantageous_a in_o some_o disease_n of_o the_o spleen_n and_o cacochymy_n the_o external_a do_v empty_a the_o vena_fw-la cava_fw-la and_o correct_v such_o disease_n that_o depend_v upon_o plethory_n or_o redundance_n six_o they_o differ_v in_o evacuation_n the_o internal_a not_o so_o copious_a the_o external_a common_o large_a in_o the_o profusion_n and_o sometime_o very_o injurious_a and_o to_o some_o mortal_a seven_o in_o pain_n the_o internal_a for_o the_o most_o part_n painful_a the_o external_a not_o in_o evacuation_n last_o they_o differ_v in_o association_n the_o internal_a descend_v without_o artery_n the_o external_a be_v adjoin_v with_o artery_n to_o the_o anus_fw-la the_o haemorrhoid_n vein_n be_v liable_a to_o contrary_a affect_n and_o the_o disease_a do_v suffer_v in_o a_o different_a way_n sometime_o these_o vein_n abound_v with_o blood_n and_o swell_v for_o want_v of_o apertion_n and_o a_o discharge_n and_o this_o be_v call_v the_o blind_a haemorrhoid_v è_fw-la contrà _fw-la sometime_o the_o mouth_n of_o these_o vein_n do_v open_a and_o pour_v out_o too_o plentiful_o either_o sudden_o or_o by_o too_o long_a continuance_n and_o this_o be_v call_v the_o open_a haemorrhoid_v both_o these_o extreme_n be_v grievous_a to_o suffer_v the_o swell_a of_o the_o haemorrhoid_n vein_n and_o pain_n from_o thence_o have_v the_o same_o cause_n as_o provoke_v and_o continue_v the_o haemorrhoidal_a flux_n viz._n blood_n offend_v in_o quantity_n or_o quality_n which_o if_o it_o find_v not_o vent_v by_o the_o termination_n or_o mouth_n of_o the_o vein_n they_o be_v extend_v and_o swell_v big_a and_o sometime_o inflame_v which_o if_o it_o continue_v be_v dangerous_a lest_o it_o become_v cancerous_a and_o gangrene_n on_o the_o other_o side_n a_o immoderate_a flux_n be_v very_o pernicious_a and_o induce_v dropsy_n consumption_n cachexy_n etc._n etc._n by_o exhaust_v the_o treasury_n of_o life_n these_o haemorrhoidal_a flux_n continue_v undue_o and_o injurious_o argue_v the_o blood_n to_o be_v hot_a and_o sharp_a or_o too_o thin_a abound_v with_o a_o acrid_a serosity_n which_o provoke_v the_o expulsive_a faculty_n and_o open_v the_o mouth_n of_o the_o vein_n but_o the_o blind_a swell_n haemorrhoid_v denote_v the_o blood_n to_o be_v gross_a and_o thick_a or_o the_o coat_n that_o cover_v the_o extreme_a end_n or_o mouth_n of_o those_o vein_n to_o be_v dense_a and_o impenetrable_a not_o permit_v a_o exsudation_n here_o it_o may_v be_v query_v how_o it_o come_v to_o pass_v that_o these_o haemorrhoid_n vein_n shall_v be_v more_o trouble_v with_o blood_n and_o more_o frequent_o suffer_v a_o apertion_n since_o many_o other_o place_n of_o the_o body_n receive_v the_o extremity_n or_o termination_n of_o the_o vein_n and_o so_o equal_o capable_a of_o effusion_n in_o answer_v hereunto_o you_o must_v understand_v that_o although_o nature_n have_v form_v the_o like_a and_o plant_v they_o in_o divers_a part_n of_o the_o body_n which_o sometime_o though_o more_o rare_o do_v issue_n and_o send_v forth_o blood_n yet_o these_o haemorrhoid_v be_v place_v more_o commodious_o for_o void_v of_o superfluous_a and_o feculent_a blood_n be_v near_o the_o common_a vent_n and_o outlet_n for_o excrement_n to_o pass_v away_o and_o their_o situation_n be_v downward_o together_o with_o the_o strain_n upon_o occasion_n at_o the_o stool_n the_o extremity_n of_o these_o vein_n be_v fill_v and_o sometime_o force_v to_o evacuate_v more_o frequent_o than_o other_o now_o concern_v the_o blind_a haemorrhoid_v you_o may_v take_v notice_n and_o know_v that_o there_o be_v this_o difference_n sometime_o the_o tumour_n or_o extension_n be_v in_o the_o trunk_n or_o cavity_n of_o the_o vein_n and_o then_o there_o be_v no_o apertion_n and_o sometime_o the_o
praep_v â„¥_o two_o vin_fw-fr alb_fw-la lib._n four_o diger_fw-la sâ—…a_fw-la in_o balneo_fw-la mariae_fw-la per_fw-la dies_fw-la four_o colat_fw-la duleoret_fw-la sir_n byzantin_n simp_n the_o aperitive_a pill_n be_v these_o follow_v r._n gum._n ammonias_fw-la acet_fw-la scillit_fw-la solut_a Ê’_n two_o myrrhae_fw-la rub_n tart_a chalybeat_fw-la anaÊ’_n ss_z croci_fw-la ℈_o i_o ol_n foenic._o dulc_a chym_fw-mi gut_n viij_o succi_fw-la cochlear_fw-la q._n s_o fiat_n massa_fw-la during_o which_o time_n from_o the_o beginning_n she_o be_v anoint_v with_o a_o lineament_n all_o over_o her_o belly_n morning_n and_o evening_n the_o lineament_n be_v this_o r._n ol._n cappar_fw-la unguent_n è_fw-la succis_fw-la aperit_fw-la ana_fw-it â„¥_o i_o misce_fw-la after_o this_o a_o cataplasm_n be_v apply_v to_o the_o region_n of_o the_o spleen_n every_o day_n for_o a_o week_n the_o cataplasm_n be_v make_v thus_o r._n panis_n alb_n farin_fw-mi sem_fw-mi lini_fw-la ana_fw-it â„¥_o four_o farin_fw-mi hoard_n â„¥_o jss_n lactis_fw-la vaccin_n lib._n jss_n coq_fw-la ad_fw-la exsiccationem_fw-la add_v mucilag_n rad_a althaeae_fw-la foenugr_fw-la ana_fw-it â„¥_o i_o ol_n chamaem_fw-la cappar_fw-la ana_fw-it â„¥_o i_o gum_n ammoniac_a acet_fw-la scillit_fw-la solut_a Ê’_n iii._o galban_n bdellii_fw-la styracis_fw-la liquid_a anaÊ’_n two_o crociÊ’_n ss_z misce_fw-la f._n cataplasma_n after_o this_o the_o pain_n be_v go_v and_o the_o spleen_n begin_v to_o be_v soft_a and_o yield_a then_o i_o appoint_v the_o former_a apozem_n to_o be_v repeat_v which_o be_v take_v the_o swell_a of_o her_o belly_n be_v much_o go_v down_o after_o this_o i_o cause_v a_o fomentation_n to_o be_v apply_v morning_n and_o evening_n for_o some_o day_n and_o then_o order_v the_o chalybeat_a wine_n to_o be_v repeat_v the_o fomentation_n be_v this_o r._n rad._n bryon_n ireos_fw-la nostr_n ana_fw-it â„¥_o four_o rad_a cyclamin_n cucum_fw-la agre_v filicis_fw-la mar_v ana_fw-it â„¥_o two_o fol._n lauri_fw-la abrotan_n absinth_n menthae_fw-la salviae_fw-la hyssop_n ana_fw-it m.ii_o sem_fw-mi cymin_fw-fr foenugr_n ana_fw-it â„¥_o i_o flor_n chamaemel_fw-la melilot_n ana_fw-la m.j._n coq_fw-la in_o aq_n fabror_n lib._n x._o acet_fw-la vin_fw-fr alb_fw-la sub_fw-la finem_fw-la addit_fw-la lib._n two_o ad_fw-la tertiae_fw-la partis_fw-la consumpt_n pro_fw-la fotu_fw-la after_o which_o one_o purge_v potion_n be_v give_v and_o a_o emplaster_n apply_v to_o the_o spleen_n and_o then_o both_o the_o spleen_n and_o abdomen_fw-la the_o whole_a belly_n as_o flat_a and_o soft_a as_o ever_o she_o be_v and_o perfect_o cure_v and_o return_v home_o all_o which_o be_v perform_v in_o the_o space_n of_o about_o seven_o week_n and_o two_o month_n after_o she_o conceive_v with_o child_n as_o i_o be_v inform_v by_o her_o relation_n and_o she_o stand_v firm_a in_o health_n long_o after_o notwithstanding_o the_o success_n be_v very_o good_a and_o the_o medicine_n well_o design_v as_o such_o preparation_n will_v afford_v yet_o in_o the_o like_a case_n i_o do_v not_o use_v the_o same_o now_o this_o in_o short_a and_o i_o can_v not_o rehearse_v the_o particular_n so_o exact_o be_v twenty_o year_n since_o but_o that_o i_o have_v the_o whole_a story_n with_o the_o several_a medicine_n in_o write_v now_o by_o i_o and_o this_o i_o have_v relate_v to_o confirm_v what_o i_o assert_v here_o before_o that_o a_o disease_a spleen_n may_v lay_v the_o foundation_n for_o and_o introduce_v a_o dropsy_n and_o now_o i_o proceed_v on_o to_o set_v forth_o the_o cause_n of_o a_o pain_a spleen_n which_o be_v right_o state_v application_n may_v more_o successful_o be_v make_v in_o that_o complaint_n the_o most_o frequent_a and_o apparent_a symptom_n that_o afflict_v the_o spleen_n be_v pain_n and_o this_o do_v arise_v and_o depend_v upon_o some_o of_o these_o several_a disease_n obstruction_n tumour_n inflammation_n apostemation_n compression_n vlceration_n obstruction_n in_o some_o of_o the_o vessel_n of_o the_o spleen_n be_v a_o frequent_a cause_n that_o produce_v pain_n and_o this_o obstruction_n be_v procure_v from_o a_o feculency_n and_o grossness_n of_o blood_n which_o arise_v either_o from_o a_o natural_a debility_n of_o the_o spleen_n not_o able_a to_o perform_v its_o office_n due_o or_o occasion_v by_o a_o melancholy_a disposition_n a_o studious_a sedentary_a inactive_a or_o a_o careful_a and_o afflict_a life_n to_o which_o or_o single_o a_o evil_a bad_a diet_n and_o irregular_a diaetetic_a custom_n may_v contribute_v or_o effect_v as_o more_o full_o you_o may_v be_v inform_v in_o a_o late_a tract_n of_o i_o entitle_v the_o preservation_n of_o health_n and_o prolongation_n of_o life_n all_o which_o impede_v the_o due_a fermentation_n and_o volatization_n of_o the_o blood_n in_o the_o spleen_n from_o whence_o it_o become_v thick_a and_o foul_a and_o beget_v a_o stoppage_n or_o too_o slow_a a_o motion_n and_o fullness_n in_o those_o vessel_n and_o whereas_o the_o office_n of_o the_o spleen_n as_o before_o determine_v be_v to_o ferment_n anew_o spiritalize_v exalt_v and_o rarify_v the_o thick_a indigested_a and_o melancholy_a blood_n send_v thither_o for_o a_o far_a elaboration_n and_o depuration_n it_o be_v most_o rational_a that_o this_o not_o be_v perform_v from_o some_o of_o the_o impediment_n aforesaid_a obstruction_n and_o stagnation_n there_o will_v be_v the_o consequent_a and_o the_o patient_n from_o hence_o will_v feel_v a_o pain_n and_o heaviness_n about_o those_o part_n but_o for_o a_o more_o promptness_n or_o aptness_n to_o these_o obstruction_n angustness_n and_o straitness_n of_o the_o vessel_n so_o form_v by_o nature_n do_v render_v some_o person_n more_o prone_a than_o other_o to_o obstruction_n and_o these_o splenetic_a pain_n and_o far_o this_o obstruction_n do_v arise_v not_o always_o from_o the_o cause_n aforesaid_a but_o sometime_o from_o a_o compression_n of_o other_o part_n adjacent_a that_o may_v incommode_v and_o offend_v the_o spleen_n or_o by_o contusion_n from_o a_o blow_n or_o fall_v or_o by_o a_o injurious_a dress_n and_o too_o straight_o lace_v or_o gird_v as_o frequent_o among_o the_o female_a sex_n these_o obstruction_n when_o continue_v and_o contumacious_a be_v so_o aggravate_v and_o increase_v with_o additional_a influx_n that_o they_o form_n a_o tumour_n this_o distension_n be_v perceptible_a by_o sight_n sometime_o but_o always_o by_o ceiling_n be_v to_o be_v adjudge_v and_o distinguish_v whether_o soft_a and_o flatuous_a or_o hard_a and_o scirrhous_a the_o former_a soon_o yield_v to_o mean_n but_o the_o latter_a more_o difficult_a of_o cure_n inflammation_n though_o rare_o yet_o sometime_o do_v affect_v the_o spleen_n and_o this_o inflammation_n do_v arise_v from_o obstruction_n for_o the_o blood_n be_v stop_v in_o its_o current_n and_o passage_n and_o upon_o some_o extraordinary_a cause_n be_v more_o hot_a and_o fiery_a do_v make_v a_o sudden_a ebullition_n and_o inflame_v cause_v great_a pain_n heat_n and_o extension_n and_o this_o pain_n be_v distinguish_v by_o pulsation_n and_o beat_n of_o the_o part_n have_v many_o artery_n this_o inflammation_n not_o right_o apply_v unto_o by_o diligent_a and_o good_a mean_n do_v make_v transition_n and_o pass_v into_o apostemation_n and_o sometime_o terminate_v in_o a_o scirrhous_a tumour_n but_o these_o two_o dangerous_a commutation_n be_v to_o be_v prevent_v with_o great_a care_n and_o industry_n therefore_o before_o the_o disease_n arrive_v to_o this_o height_n and_o when_o only_a pain_n or_o heaviness_n give_v warning_n and_o tell_v you_o of_o a_o distemper_a spleen_n it_o be_v then_o most_o seasonable_a and_o opportune_a to_o apply_v the_o mean_n and_o then_o a_o little_a may_v prevent_v that_o which_o afterward_o perhaps_o a_o great_a deal_n can_v cure_v and_o first_o the_o procure_a cause_n if_o any_o there_o be_v apparent_a be_v to_o be_v avoid_v as_o a_o sedentary_a slothful_a life_n intemperance_n and_o gross_a feed_n or_o unseasonable_a eat_n as_o late_a supper_n immoderate_a study_n melancholy_a grief_n or_o care_n which_o introduce_v sometime_o but_o always_o contribute_v to_o aggravate_v splenetic_a distemper_n and_o although_o a_o natural_a debility_n and_o infirm_a constitution_n of_o the_o spleen_n may_v procure_v the_o effect_n aforesaid_a without_o other_o provocation_n yet_o most_o frequent_o they_o be_v so_o cause_v at_o least_o much_o heighten_v thereby_o and_o therefore_o for_o prevention_n as_o also_o for_o cure_v those_o injurious_a habit_n be_v to_o be_v abandon_v and_o such_o a_o diaetetic_a course_n of_o life_n observe_v as_o may_v check_v this_o disposition_n of_o body_n as_o at_o large_a you_o may_v be_v direct_v in_o the_o forementioned_a book_n the_o preservation_n of_o health_n and_o prolongation_n of_o life_n etc._n etc._n for_o pharmaceutic_a remedy_n that_o be_v make_v public_a i_o shall_v commend_v the_o aperitive_a tincture_n of_o mars_n pil._n antihypochondriac_n swelferi_fw-la chalybeat_v tartar_n sal_fw-la volatile_a succini_fw-la spir._n veneris_n right_o prepare_v which_o prudent_o use_v pro_fw-la re_fw-mi nata_fw-la as_o the_o several_a case_n require_v may_v prove_v advantageous_a pain_n of_o the_o
that_o coagulate_a ferment_n and_o for_o these_o purpose_n be_v paracelsus_n his_o ludus_fw-la and_o aroph_n also_o the_o alkahest_n can_v fail_v herein_o but_o such_o as_o have_v not_o acquire_v the_o great_a arcana_n and_o can_v procure_v a_o dissolvent_a for_o the_o stone_n that_o be_v to_o make_v a_o analysis_n or_o resolution_n of_o it_o into_o a_o liquid_a juice_n and_o reduce_v it_o back_o again_o to_o its_o humoral_a flow_a state_n capable_a of_o abstersion_n and_o cleanse_v out_o must_v endeavour_v to_o facilitate_v the_o exclusion_n of_o this_o hard_a body_n by_o the_o best_a and_o most_o hopeful_a mean_n for_o that_o purpose_n by_o lubrify_v relax_a and_o dilate_v the_o passage_n and_o asswage_v the_o spasm_n and_o contraction_n of_o the_o vreter_n that_o the_o stone_n may_v slide_v away_o much_o soon_o and_o with_o less_o pain_n hence_o by_o way_n of_o caution_n observe_v that_o diuretic_n and_o provoker_n to_o expulsion_n be_v not_o to_o be_v give_v before_o this_o preparation_n be_v make_v else_o you_o precipitate_v the_o patient_n into_o danger_n and_o increase_v his_o torment_n dislodging_n and_o force_v the_o stone_n through_o angust_n and_o very_o tender_a cavity_n not_o provide_v to_o give_v passage_n without_o detriment_n to_o this_o unwelcome_a stranger_n and_o thus_o much_o brief_o concern_v petrifaction_n or_o the_o production_n of_o stone_n in_o the_o kidney_n i_o proceed_v on_o to_o the_o next_o a_o most_o difficue_v and_o painful_a disease_n belong_v to_o this_o member_n namely_o ulcer_n ulcer_n of_o the_o kidney_n be_v introduce_v several_a way_n or_o take_v their_o rise_n from_o several_a cause_n 1._o acrimony_n and_o sharpness_n of_o humour_n pass_v this_o way_n and_o continue_v long_o do_v excoriate_v which_o not_o timely_o observe_v and_o remedy_v because_o pain_n at_o first_o be_v but_o small_a do_v corrode_v far_o eat_v into_o the_o flesh_n and_o plant_v a_o ulcer_n 2._o the_o kidney_n be_v ulceratedsometimes_o from_o a_o inflammation_n or_o other_o apostem_fw-la there_o come_v to_o suppuration_n and_o break_v which_o discharge_v the_o matter_n by_o urine_n or_o otherwise_o but_o leave_v a_o putrid_a ulcer_n behind_o 3._o sometime_o from_o a_o clot_n of_o blood_n extravasated_a or_o out_o of_o its_o place_n putrify_v do_v infect_v the_o part_n tabifie_v and_o ulcerate_v and_o not_o to_o be_v neglect_v lest_o this_o be_v the_o consequent_a 4._o sometime_o a_o stone_n be_v rough_a angular_a or_o sharp_a fret_n or_o grate_v upon_o the_o part_n and_o make_v a_o solution_n of_o continuity_n which_o at_o first_o send_v forth_o a_o bloody_a urine_n afterward_o purulent_a and_o beget_v a_o ulcer_n and_o this_o last_o be_v the_o most_o frequent_a cause_n that_o generate_v ulcer_n in_o the_o kidney_n these_o ulcer_n be_v discover_v by_o pain_n about_o the_o loin_n a_o purulent_a urine_n and_o sometime_o caruncle_n or_o small_a fleshy_a rag_n or_o string_n of_o concrete_v blood_n be_v bring_v forth_o with_o the_o urine_n accompany_v common_o with_o heat_n in_o the_o back_n and_o sometime_o faint_a sweat_v which_o continue_v bring_v on_o a_o consumption_n and_o hectic_a fever_n of_o these_o ulcer_n some_o be_v more_o sordid_a foul_a and_o stink_a as_o the_o urine_n do_v declare_v other_o not_o ill_o scent_v the_o pus_fw-la white_a not_o viscous_a but_o cloudy_a and_o light_a the_o difficulty_n of_o these_o cure_n lie_v here_o for_o that_o the_o urine_n which_o be_v acrid_a flow_v always_o by_o the_o ulcer_n hinder_v the_o consolidation_n of_o the_o part_n beside_o the_o situation_n be_v remote_a the_o virtue_n of_o a_o medicine_n be_v much_o alter_v before_o it_o arrive_v to_o the_o part_n but_o in_o the_o designment_n and_o manage_n of_o these_o cure_n the_o body_n must_v be_v well_o cleanse_v not_o with_o the_o common_a deleterious_a purger_n but_o balsamic_a detersives_n and_o so_o keep_v with_o a_o proper_a diaetetic_a regimen_n as_o no_o impurity_n or_o sharp_a humour_n disturb_v or_o abate_v the_o power_n or_o medicine_n which_o must_v be_v true_o balsamic_a and_o heal_a the_o experience_n of_o these_o ulcer_n i_o have_v have_v several_a time_n both_o many_o year_n since_o and_o late_o i_o remember_v in_o the_o year_n 1652._o i_o cure_v a_o ulcer_n of_o the_o kidney_n in_o a_o man_n about_o thirty_o year_n of_o age_n live_v near_o sheffield_n in_o yorkshire_n who_o come_v to_o i_o four_o mile_n twice_o a_o week_n during_o his_o cure_n i_o be_v then_o for_o a_o while_n at_o norton_n upon_o the_o edge_n of_o derbyshire_n his_o urine_n be_v hot_a sharp_a and_o stink_a with_o a_o great_a purulent_a sediment_n a_o great_a pain_n in_o his_o back_n with_o scorch_a heat_n and_o often_o flush_a faint_a sweat_v all_o over_o his_o body_n indeed_o i_o have_v wonder_v since_o how_o i_o do_v perform_v such_o a_o difficult_a cure_n then_o have_v so_o little_o practical_a knowledge_n i_o be_v but_o a_o tyro_n in_o this_o art_n it_o be_v in_o the_o first_o year_n of_o my_o practice_n and_o new_o graduate_v bachelor_n in_o physic_n but_o providence_n have_v appoint_v i_o the_o instrument_n to_o free_v this_o poor_a man_n out_o of_o his_o pain_n and_o languish_a condition_n since_o i_o have_v be_v acquaint_v with_o several_a of_o the_o like_a case_n and_o may_v with_o better_a assurance_n promise_v a_o cure_n from_o try_a medicine_n acquire_v by_o experience_n beyond_o what_o book-practice_n do_v communicate_v and_o this_o last_o year_n here_o in_o london_n i_o cure_v a_o gentlewoman_n of_o a_o ulcer_n in_o the_o kidney_n in_o the_o next_o place_n we_o be_v to_o take_v notice_n of_o pain_n belong_v to_o the_o bladder_n the_o bladder_n be_v the_o last_o receptacle_n for_o the_o urine_n and_o perform_v the_o office_n of_o a_o cistern_n to_o the_o body_n for_o keep_v and_o discharge_v the_o urine_n at_o convenient_a time_n and_o therefore_o be_v capable_a of_o distension_n and_o contraction_n be_v a_o membranous_a bag_n furnish_v with_o right_a transverse_a and_o oblique_a fibre_n for_o that_o purpose_n and_o have_v two_o muscle_n at_o the_o neck_n of_o it_o to_o let_v go_v or_o retain_v the_o urine_n this_o part_n be_v liable_a to_o great_a grievance_n and_o painful_a infirmity_n as_o distension_n obstruction_n inflammation_n excrescences_n ulcer_n scirrhous_a hardness_n from_o hence_o come_v suppression_n of_o urine_n imminution_n or_o small_a quantity_n ardour_n or_o heat_n of_o urine_n strangury_n or_o dolorous_a emission_n and_o drop_v incontinency_n of_o urine_n or_o difficulty_n of_o retain_v it_o distension_n of_o the_o bladder_n happen_v from_o too_o long_o retain_v of_o the_o urine_n whether_o it_o be_v voluntary_a or_o involuntary_a so_o that_o afterward_o the_o fibre_n do_v not_o recover_v again_o the_o power_n of_o contract_v the_o bladder_n and_o this_o may_v prove_v of_o dangerous_a consequence_n and_o to_o some_o it_o have_v prove_v mortal_a obstruction_n of_o the_o bladder_n cause_v a_o suppression_n of_o urine_n or_o diminution_n dolorous_a or_o difficult_a excretion_n do_v arise_v from_o many_o cause_n as_o a_o stone_n in_o the_o bladder_n or_o gravel_n coagulate_v blood_n worm_n a_o viscous_a humour_n or_o purulent_a matter_n a_o caruncle_n or_o tumour_n in_o the_o neck_n of_o the_o bladder_n or_o by_o compression_n from_o a_o tumified_a part_n adjacent_a as_o the_o womb_n or_o right_a intestine_a inflammation_n sometime_o happen_v from_o extremity_n of_o pain_n by_o the_o stone_n ulcer_n or_o other_o torture_a cause_n and_o these_o inflammation_n be_v common_o mortal_a ulcer_n do_v possess_v the_o bladder_n sometime_o and_o most_o common_o in_o the_o neck_n thereof_o cause_v by_o a_o stone_n or_o gravel_n excoriate_v and_o wound_v the_o part_n or_o by_o a_o erode_a purulent_a matter_n come_v from_o other_o part_n and_o lodge_v there_o or_o by_o a_o continue_a acrimony_n and_o sharpness_n of_o urine_n corrode_a sometime_o from_o a_o inflammation_n or_o abscess_n more_o rare_o but_o it_o have_v happen_v sometime_o from_o a_o gonorrhoea_n ill_o cure_v and_o i_o may_v say_v very_o ill_o indeed_o for_o the_o ulcer_n thus_o procure_v be_v of_o far_o great_a difficulty_n and_o danger_n than_o the_o gonorrhoea_n not_o long_o since_o a_o ulcer_n of_o the_o bladder_n be_v commit_v to_o my_o care_n be_v the_o relict_n of_o a_o gonorrhoea_n ill_o manage_v by_o a_o chirurgeon_n use_v restringent_n unreasonable_o ulcer_n in_o the_o meatus_fw-la penis_n as_o also_o in_o the_o prostate_n be_v more_o frequent_o offer_v to_o our_o help_n as_o late_o another_o person_n apply_v to_o i_o have_v a_o ulcer_n procure_v in_o the_o prostate_n from_o the_o like_o improper_a and_o pernicious_a course_n and_o although_o gonorrhoea_n be_v frequent_o cure_v and_o may_v with_o much_o certainty_n and_o safety_n in_o skilful_a hand_n yet_o there_o be_v many_o that_o patch_n up_o a_o seem_a cure_n for_o the_o present_a but_o future_a consequent_n be_v sad_a memento_n of_o their_o undertaker_n folly_n and_o at_o this_o
thinness_n of_o blood_n the_o termination_n or_o mouth_n of_o the_o vein_n be_v open_v and_o some_o effusion_n make_v which_o then_o be_v out_o of_o its_o proper_a place_n do_v degenerate_a and_o corrupt_a and_o afford_v matter_n for_o inflammation_n thus_o by_o rupture_n puncture_n and_o wound_n extravasated_a blood_n be_v the_o material_a cause_n of_o inflammation_n four_o but_o matter_n alone_o can_v produce_v a_o inflammation_n nor_o any_o other_o disease_n be_v inactive_a and_o a_o dead_a thing_n of_o itself_o except_o some_o vital_a agent_n work_v upon_o it_o form_n and_o move_v it_o who_o or_o what_o this_o agent_n be_v we_o be_v to_o inquire_v far_o since_o than_o inflammation_n be_v not_o procure_v by_o matter_n alone_o nor_o can_v it_o exist_v only_o by_o matter_n there_o must_v then_o be_v a_o internal_a efficient_a and_o movent_fw-la principle_n join_v with_o this_o matter_n that_o fabricate_v and_o generate_v of_o this_o matter_n a_o inflammation_n but_o understand_v i_o right_o i_o do_v not_o mean_v that_o this_o matter_n take_v fire_n and_o be_v kindle_v as_o if_o it_o be_v a_o sulphurous_a and_o combustible_a matter_n and_o so_o cause_v a_o inflammation_n or_o scorch_a heat_n no_o such_o thing_n but_o this_o morbific_a hostile_a matter_n stir_v up_o the_o vital_a heat_n by_o way_n of_o irritation_n provoke_v the_o vital_a principle_n to_o estuate_v and_o wax_v hot_a for_o from_o hence_o do_v all_o heat_n emanare_fw-la stream_n and_o issue_n forth_o whether_o it_o be_v a_o temperate_a and_o natural_a warmth_n or_o a_o preternatural_a and_o inflame_a heat_n both_o proceed_v from_o this_o fountain_n so_o that_o hereby_o you_o must_v distinguish_v between_o the_o occasional_a matter_n of_o inflammation_n and_o the_o internal_a efficient_a that_o do_v excandescere_fw-la &_o inflammare_fw-la this_o inflame_a heat_n arise_v from_o a_o principle_n much_o different_a from_o the_o materia_fw-la morbifica_fw-la occasionalis_fw-la this_o great_a heat_n do_v not_o rise_v out_o of_o the_o morbific_a matter_n inflame_v but_o from_o the_o vital_a principle_n incense_v a_o stone_n in_o the_o kidney_n by_o raise_v great_a pain_n may_v cause_v a_o inflammation_n there_o and_o this_o stone_n be_v the_o occasional_a and_o material_a cause_n thereof_o but_o none_o can_v think_v that_o this_o contain_v fire_n in_o it_o or_o be_v capable_a to_o be_v inflame_v or_o to_o communicate_v any_o heat_n to_o the_o contain_v part_n save_v only_o what_o it_o have_v receive_v from_o the_o vital_a heat_n reside_v in_o the_o body_n and_o thus_o it_o be_v in_o all_o other_o case_n of_o inflammation_n in_o any_o part_n of_o the_o body_n from_o what_o cause_n soever_o this_o vital_a principle_n be_v seat_v in_o every_o member_n of_o the_o body_n and_o do_v preside_v as_o governor_n and_o not_o only_o for_o defence_n thereof_o but_o also_o to_o move_v and_o act_v in_o it_o so_o as_o no_o vital_a office_n or_o function_n can_v be_v perform_v without_o the_o assistance_n and_o power_n of_o this_o internal_a invisible_a agent_n nor_o be_v there_o any_o heat_n but_o what_o arise_v from_o hence_o and_o this_o be_v that_o which_o hypocrates_n call_v the_o impetum_fw-la faciens_fw-la helmont_n the_o archaeus_n which_o i_o choose_v rather_o to_o call_v the_o vital_a principle_n when_o any_o thing_n happen_v out_o of_o order_n in_o the_o body_n a_o vessel_n obstruct_v or_o some_o liquor_n extravasated_a or_o what_o else_o that_o may_v disturb_v and_o interrupt_v any_o member_n in_o its_o office_n soon_o the_o vital_a principle_n be_v affect_v and_o concern_v therein_o and_o if_o the_o matter_n be_v considerable_a and_o contumacious_a pain_n arise_v there_o and_o this_o pain_n be_v the_o suffering_n and_o anguish_n of_o the_o vital_a regent_n struggle_v to_o resist_v the_o injury_n and_o labour_v to_o remove_v the_o impediment_n hence_o the_o inflammation_n and_o preternatural_a heat_n arise_v from_o this_o vital_a power_n five_o and_o in_o the_o last_o place_n from_o the_o doctrine_n precede_v we_o be_v to_o make_v some_o observation_n that_o may_v be_v useful_a for_o guidance_n in_o practice_n and_o to_o remark_n some_o pernicious_a error_n that_o pass_v undiscerned_a and_o first_o here_o you_o must_v take_v notice_n of_o the_o affinity_n between_o inflammation_n and_o fever_n that_o most_o fever_n do_v arise_v from_o inflammation_n of_o some_o particular_a part_n and_o be_v the_o offspring_n from_o thence_o or_o spring_v from_o that_o root_n for_o the_o quòd_fw-la sit_fw-la practice_n do_v affirm_v it_o for_o rare_o you_o shall_v meet_v with_o any_o considerable_a fever_n but_o some_o particular_a part_n be_v chief_o complain_v of_o and_o as_o the_o grief_n or_o pain_n do_v abate_v there_o the_o fever_n be_v remiss_a and_o slacken_v also_o second_o you_o be_v to_o note_v that_o fever_n be_v erroneous_o define_v à _fw-la calore_fw-la praeter_fw-la naturam_fw-la in_o cord_n accenso_fw-la assign_v the_o heart_n to_o be_v the_o focus_n where_o febrile_a heat_n be_v first_o kindle_v and_o from_o whence_o it_o be_v maintain_v when_o almost_o in_o any_o other_o part_n of_o the_o body_n if_o a_o inflammation_n happen_v there_o a_o fever_n will_v certain_o follow_v take_v its_o rise_n from_o thence_o not_o from_o the_o heart_n so_o that_o the_o heart_n than_o suffer_v sympathical_o by_o consent_n not_o idiopathical_o and_o original_o and_o whereas_o i_o say_v almost_o any_o part_n intimate_v thereby_o that_o a_o slight_a inflammation_n may_v be_v in_o the_o small_a and_o capillary_a vein_n of_o short_a continuance_n which_o may_v not_o communicate_v a_o fever_n to_o the_o whole_a body_n and_o such_o inflammation_n we_o see_v external_o plant_v sometime_o the_o capillary_a vein_n of_o the_o cutis_fw-la be_v affect_v calore_fw-la &_o rubore_fw-la which_o either_o spontaneous_o vanish_v or_o soon_o yield_v to_o some_o outward_a application_n only_o three_o from_o the_o denomination_n of_o fever_n and_o inflammation_n you_o may_v observe_v the_o parity_n or_o near_a relation_n they_o have_v to_o each_o other_o for_o from_o the_o etymon_n of_o the_o word_n they_o seem_v to_o import_v much_o what_o the_o same_o thing_n denote_v only_o a_o extraordinary_a heat_n 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d from_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d ignis_fw-la and_o in_o the_o latin_a febris_n à _fw-la ferveo_fw-la 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d inflammatio_fw-la from_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d uro_fw-mi four_o we_o shall_v not_o depend_v upon_o etymology_n which_o be_v allegorical_a and_o often_o strain_v but_o inquire_v into_o the_o nature_n and_o extent_n of_o each_o and_o know_v what_o be_v mean_v by_o the_o one_o and_o the_o other_o and_o then_o what_o difference_n between_o they_o fever_n be_v know_v and_o define_v by_o preternatural_a heat_n and_o effervescency_n through_o the_o whole_a body_n inflammation_n be_v a_o preternatural_a heat_n of_o a_o particular_a part_n hence_o we_o remark_n that_o fever_n be_v general_a inflammation_n or_o inflammation_n dilate_v inflammation_n particular_a fever_n of_o a_o member_n thus_o differ_v in_o extent_n and_o latitude_n but_o withal_o observe_v the_o order_n of_o causation_n inflammation_n precede_v and_o lay_v the_o foundation_n in_o this_o or_o that_o part_n there_o be_v the_o foam_n and_o miner_n a_o morbi_fw-la a_o fever_n follow_v upon_o the_o whole_a body_n cause_v only_o by_o consent_n from_o thence_o and_o condolency_n now_o if_o all_o or_o most_o inflammation_n cause_v fever_n and_o inflammation_n so_o frequent_a as_o be_v the_o certain_a consequent_n of_o great_a pain_n than_o two_o thing_n be_v to_o be_v note_v first_o that_o upon_o the_o appearance_n or_o discovery_n of_o a_o fever_n you_o may_v suspect_v a_o inflammation_n couch_v under_o it_o from_o whence_o as_o the_o spring_n this_o fever_n do_v arise_v second_o that_o the_o cure_n of_o most_o fever_n ought_v to_o be_v design_v and_o manage_v so_o as_o respect_v and_o aim_v chief_o at_o a_o particular_a inflammation_n upon_o which_o the_o fever_n do_v depend_v sublatâ_fw-la causâ_fw-la and_o when_o a_o fever_n arise_v upon_o this_o account_n as_o for_o the_o most_o part_n it_o do_v then_o little_a regard_n be_v to_o be_v have_v to_o the_o general_a fever_n but_o die_v stress_n of_o cure_n lie_v upon_o remove_v the_o occasional_a and_o material_a cause_n of_o pain_n and_o inflammation_n in_o the_o particular_a part_n the_o foundation_n of_o all_o the_o rest_n which_o be_v remove_v the_o depend_v fever_n fall_v of_o course_n thus_o all_o our_o discourse_n tend_v to_o make_v a_o true_a discovery_n of_o cause_n that_o when_o preternatural_a heat_n do_v arise_v in_o the_o body_n and_o beget_v a_o fever_n we_o may_v know_v not_o only_o what_o to_o call_v it_o but_o also_o what_o to_o do_v by_o level_v at_o the_o right_a mark_n but_o by_o the_o way_n i_o must_v tell_v you_o also_o how_o a_o fever_n sometime_o do_v arise_v and_o not_o from_o inflammation_n of_o a_o pain_a part_n and_o that_o be_v when_o some_o
ignoble_a part_n or_o to_o such_o place_n where_o mean_n can_v better_o be_v use_v and_o more_o apt_a for_o recession_n or_o egression_n of_o the_o continent_n material_a cause_n but_o if_o the_o tumour_n apostemate_n the_o danger_n be_v great_a or_o less_o according_a to_o the_o nature_n and_o condition_n of_o the_o member_n or_o part_n if_o it_o indurate_v the_o danger_n be_v delay_v but_o if_o it_o corrupt_v the_o part_n the_o danger_n be_v great_a and_o more_o speedy_a in_o execution_n apostem_fw-la be_v that_o degree_n or_o state_n of_o a_o tumour_n when_o it_o be_v maturate_v or_o ripe_a which_o be_v call_v suppuration_n the_o material_a or_o humoral_a cause_n be_v then_o convert_v into_o a_o pus_fw-la or_o purulent_a matter_n and_o while_o this_o be_v in_o fieri_fw-la do_v all_o symptom_n be_v aggravate_v pain_n heat_n pulsation_n tension_n be_v great_a but_o be_v perfect_v they_o all_o decrease_v again_o and_o the_o patient_n find_v ease_n but_o not_o out_o of_o danger_n in_o these_o internal_a apostem_n for_o if_o it_o be_v so_o seat_v where_o there_o be_v no_o convenient_a vent_n or_o emunctory_a to_o discharge_v it_o the_o case_n be_v desperate_a as_o the_o humoral_a matter_n that_o form_v the_o tumour_n be_v more_o benign_a and_o good_a as_o pure_a blood_n so_o the_o convert_v pus_fw-la or_o purulent_a matter_n from_o thence_o do_v common_o answer_v it_o in_o goodness_n for_o of_o good_a blood_n and_o in_o sound_a body_n the_o maturation_n be_v more_o kind_o the_o pus_fw-la white_a mild_a and_o not_o endanger_v to_o corrupt_v the_o part_n but_o in_o foul_a deprave_a body_n and_o malignant_a disease_n apostemate_v matter_n be_v more_o putrid_a stink_a and_o venenous_a and_o do_v threaten_v a_o gangrene_n or_o mortification_n of_o the_o part_n and_o therefore_o such_o internal_a collection_n of_o matter_n in_o pestilential_a and_o malignant_a fever_n venereal_a pox_n small_a pox_n and_o such_o like_a be_v common_o mortal_a scirrhous_n tumour_n be_v such_o as_o when_o the_o continent_n matter_n do_v not_o maturate_a and_o become_v soft_a fit_a to_o break_v and_o discharge_v but_o grow_v hard_a and_o fine_v in_o the_o part_n not_o apt_a to_o be_v discharge_v or_o remove_v by_o discussion_n or_o suppuration_n and_o this_o the_o word_n scirrhus_n import_v from_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d induro_fw-la tumour_n in_o some_o part_n of_o the_o body_n be_v apt_a to_o suppurate_n as_o in_o the_o carnous_a or_o fleshy_a in_o other_o part_n as_o the_o joint_n tendon_n and_o ligament_n more_o incline_v to_o indurate_a and_o become_v scirrhous_a and_o the_o reason_n may_v be_v this_o that_o those_o part_n which_o take_v their_o origine_fw-la from_o blood_n be_v more_o prompt_a and_o ready_a to_o suppurate_a as_o the_o flesh_n but_o those_o which_o take_v their_o rise_n from_o seminal_a matter_n as_o the_o tendon_n ligament_n nerve_n &c_n &c_n they_o be_v more_o inclinable_a to_o scirrhosity_n or_o hardness_n but_o beside_o this_o disposition_n of_o the_o part_n affect_v there_o be_v also_o and_o chief_o a_o propension_n in_o the_o congest_a or_o influx_v matter_n of_o these_o tumour_n for_o by_o the_o different_a nature_n of_o humoral_a matter_n some_o be_v more_o fluxible_a and_o thin_a participate_v much_o of_o serosity_n and_o apt_a to_o transpire_v or_o be_v discuss_v other_o more_o yield_v to_o a_o preternatural_a digestion_n and_o suppuration_n as_o the_o blood_n that_o be_v pure_a and_o good_a other_o incline_v to_o be_v viscous_a coagulate_v and_o consequent_o to_o indurate_a as_o a_o feculent_a grumou_n or_o gross_a blood_n deprive_v of_o its_o serosity_n and_o far_o beside_o the_o disposition_n of_o part_n and_o that_o of_o the_o material_a cause_n incline_v to_o this_o scirrhosity_n there_o may_v also_o come_v in_o and_o be_v join_v with_o these_o a_o three_o promoter_n which_o in_o some_o case_n may_v be_v the_o chief_a cause_n and_o that_o be_v a_o ill_a method_n and_o injurious_a medicine_n so_o endeavour_v to_o remove_v may_v thereby_o fix_v and_o fasten_v the_o matter_n for_o thus_o a_o tumour_n which_o may_v probable_o be_v disperse_v may_v be_v change_v from_o its_o own_o capacity_n and_o tendency_n and_o become_v scirrhous_a and_o indurate_a as_o when_o constant_a or_o great_a cooler_n be_v administer_v to_o abate_v the_o symptomatical_a or_o concomitant_a fever_n the_o matter_n of_o the_o tumour_n be_v thereby_o fix_v and_o impact_v which_o otherwise_o may_v have_v surrender_v unto_o proper_a and_o powerful_a medicine_n due_o use_v and_o e_fw-la contrà _fw-la by_o too_o great_a dryer_n and_o heater_n the_o thin_a part_n be_v evaporate_v and_o the_o grosser_n remains_o therefore_o medio_fw-la tutissimus_fw-la ibis_fw-la good_a resolutive_a transpire_a medicine_n take_v their_o turn_n with_o the_o use_n of_o proper_a cathartic_n be_v the_o safe_a and_o bed_n way_n these_o scirrhous_a tumour_n although_o they_o be_v not_o so_o dangerous_a for_o the_o present_a except_o they_o be_v very_o great_a or_o cancerous_a yet_o they_o be_v the_o foundation_n of_o some_o chronic_n or_o linger_a disease_n which_o prove_v very_o contumacious_a and_o sometime_o incurable_a especial_o if_o the_o tumour_n be_v latent_fw-la and_o conceal_v and_o hectic_a fever_n sometime_o take_v its_o rise_n from_o hence_o which_o if_o you_o think_v to_o cure_v by_o emulsion_n restaurative_n and_o cool_a drink_n you_o will_v be_v much_o mistake_v in_o your_o purpose_n and_o endeavour_n these_o scirrhous_a tumour_n some_o be_v with_o pain_n some_o without_o those_o that_o have_v pain_n be_v more_o hopeful_a except_o they_o be_v cancerous_a but_o those_o which_o be_v insensible_a upon_o pressure_n be_v more_o difficult_a or_o incurable_a now_o according_a to_o the_o nature_n and_o degree_n of_o depravedness_n in_o the_o continent_n matter_n and_o from_o the_o part_n affect_v so_o be_v these_o tumour_n better_a or_o worse_o to_o be_v deal_v with_o and_o because_o these_o tumour_n be_v internal_a and_o hide_v from_o the_o eye_n therefore_o judgement_n be_v to_o be_v give_v of_o they_o from_o their_o situation_n and_o from_o the_o constitution_n with_o other_o circumstance_n of_o the_o patient_n body_n but_o although_o these_o scirrhous_a tumour_n be_v thus_o difficult_a to_o be_v undertake_v and_o manage_v yet_o these_o be_v not_o the_o worst_a and_o they_o may_v arrive_v far_o and_o to_o a_o more_o dangerous_a state_n as_o when_o tumour_n in_o their_o variation_n and_o degeneration_n do_v turn_v cancerous_a and_o this_o be_v apt_a to_o be_v in_o such_o body_n as_o abound_v with_o a_o black_a feculent_a blood_n or_o a_o thick_a blood_n adust_a by_o intemperate_a heat_n and_o by_o how_o much_o the_o blood_n thus_o exceed_v in_o this_o preternatural_a condition_n by_o so_o much_o the_o cancer_n be_v complete_v confirm_v and_o the_o worse_o and_o this_o supervene_v a_o scirrhus_n common_o as_o be_v a_o apt_a previous_a disposition_n but_o may_v happen_v also_o without_o a_o scirrhus_n precede_v from_o other_o tumour_n degenerate_v into_o cancer_n and_o therefore_o in_o the_o cure_n of_o scirrhous_a tumour_n great_a circumspection_n and_o diligence_n be_v to_o be_v use_v lest_o by_o their_o delay_n add_v continuance_n or_o improper_a usage_n of_o medicine_n these_o tumour_n do_v not_o become_v cancerous_a and_o desperate_a as_o sometime_o it_o fall_v out_o so_o now_o a_o tumour_n be_v say_v to_o be_v cancerous_a when_o it_o turn_v into_o a_o dark_a radish_n or_o livid_n and_o blackish_a colour_n declare_v this_o transmutation_n and_o degenerate_a state_n the_o beginning_n of_o these_o cancer_n be_v very_o small_a in_o compass_n as_o those_o that_o present_a outward_n do_v manifest_v their_o gradual_a enlargement_n but_o by_o time_n they_o increase_v and_o grow_v big_a with_o tumified_a vein_n round_o about_o these_o cancerous_a tumour_n may_v happen_v to_o any_o part_n of_o the_o body_n but_o chief_o and_o moult_v frequent_o in_o the_o upper_a part_n about_o the_o face_n as_o nose_n lip_n etc._n etc._n or_o the_o dug_n and_o other_o glandulous_a part_n also_o the_o womb_n be_v thus_o affect_v sometime_o from_o tumour_n there_o breed_v venereal_a or_o other_o degenerate_v cancerous_a these_o tumour_n sometime_o be_v occasion_v from_o the_o menstrual_a suppression_n in_o woman_n and_o heamorrhoidal_a in_o man_n and_o when_o it_o happen_v so_o those_o cause_n be_v to_o be_v remove_v with_o speed_n great_a skill_n and_o circumspection_n be_v to_o be_v use_v in_o tumour_n of_o this_o nature_n lest_o provoke_v the_o continent_n matter_n it_o grow_v more_o fierce_a eat_v and_o ulcerate_v and_o from_o a_o cancerous_a tumour_n it_o become_v a_o cancerous_a preside_a ulcer_n which_o be_v worse_o now_o the_o sign_n of_o this_o tumour_n incline_v to_o break_v and_o ulcerate_v be_v great_a heat_n and_o pulsation_n in_o the_o part_n the_o difficulty_n or_o incurability_n of_o cancer_n lie_v here_o for_o that_o the_o cancerous_a matter_n will_v not_o yield_v to_o digestion_n or_o discussion_n and_o this_o because_o the_o
be_v no_o passage_n or_o vent_n it_o corrupt_v the_o contain_v part_n and_o be_v mortal_a except_o a_o passage_n can_v be_v make_v by_o section_n ulcer_n from_o their_o cause_n their_o aptness_n and_o inaptness_n for_o heal_v some_o be_v benign_a mild_a and_o tractable_a other_o be_v malign_v very_o difficult_a or_o incurable_a the_o benign_a and_o mild_a be_v such_o as_o arise_v in_o sanguine_a sound_a body_n and_o the_o young_a people_n have_v no_o ill_a symptom_n or_o adjunct_n of_o impediment_n the_o matter_n of_o such_o ulcer_n be_v a_o laudable_a pus_fw-la or_o otherwise_o apt_a for_o digestion_n more_o yield_v and_o ready_o command_v by_o medicine_n malign_v ulcer_n and_o contumacious_a difficult_a or_o intractable_a be_v such_o as_o be_v sordid_a fetid_v ichorous_a unctuous_a dolorous_a corrode_a and_o depascent_fw-la of_o long_a continuance_n virulent_a cancerous_a fistulous_a cavernous_a the_o product_n or_o effect_n of_o malignant_a disease_n as_o venereal_a lues_fw-la leprosy_n pestilence_n etc._n etc._n in_o cachectic_a habit_n of_o body_n hydropic_a hectic_a age_a consumptive_a and_o decay_a person_n in_o principal_a and_o difficult_a part_n of_o the_o body_n as_o the_o brain_n lung_n liver_n spleen_n etc._n etc._n the_o spondyl_n of_o the_o back_n and_o great_a juncture_n since_o ulcer_n be_v thus_o various_a in_o their_o nature_n from_o the_o several_a condition_n of_o body_n and_o disease_n that_o they_o arise_v from_o or_o depend_v on_o and_o the_o difference_n of_o part_n wherein_o they_o be_v seat_v a_o general_a method_n of_o heal_a and_o course_n of_o medicine_n can_v be_v institute_v and_o appoint_v but_o every_o case_n have_v its_o peculiar_a complication_n of_o circumstance_n as_o directory_n indication_n to_o be_v remark_v from_o whence_o a_o designment_n method_n and_o adaptation_n of_o medicine_n be_v form_v suitable_a to_o the_o particularity_n and_o different_a case_n of_o every_o individual_a patient_n and_o therefore_o i_o have_v not_o proceed_v to_o the_o rule_n and_o medicine_n for_o curation_n only_o thus_o much_o i_o shall_v note_v to_o you_o as_o a_o grand_a observable_a in_o the_o cure_n of_o these_o ulcer_n that_o such_o as_o arise_v from_o some_o remarkable_a disease_n as_o dropsy_n scorbute_n venereal_a lues_fw-la or_o other_o malign_a and_o cacochymical_a habit_n of_o body_n that_o these_o ulcer_n be_v not_o to_o be_v cure_v until_o the_o disease_n and_o evil_a state_n of_o the_o body_n on_o which_o they_o do_v depend_v be_v reduce_v to_o a_o good_a condition_n or_o mediocrity_n of_o constitution_n for_o the_o antecedent_n cause_n which_o first_o produce_v the_o ulcer_n must_v be_v remove_v before_o the_o ulcer_n be_v capable_a of_o heal_v because_o of_o the_o continual_a supply_n of_o peccant_a matter_n bring_v to_o the_o ulcerate_v part_n and_o therefore_o application_n be_v first_o to_o be_v make_v there_o else_o all_o endeavour_n will_v be_v frustrate_a and_o further_o the_o designment_n of_o these_o cure_n be_v not_o to_o be_v parallel_v with_o nor_o level_v by_o the_o method_n and_o intention_n that_o the_o common_a rule_n in_o chirurgery_n have_v lay_v down_o for_o as_o much_o as_o many_o of_o they_o be_v erroneous_o ground_v and_o deserve_v great_a correction_n and_o amendment_n which_o hereafter_o will_v be_v point_v out_o and_o discuss_v for_o we_o have_v not_o room_n here_o nor_o time_n now_o to_o engage_v in_o that_o cantroversie_n and_o must_v refer_v it_o to_o the_o next_o opportunity_n gangrene_n and_o mortification_n the_o last_o and_o worst_a transition_n of_o this_o dangerous_a train_n of_o disease_n and_o the_o ne_fw-fr plus_fw-fr ultrà _fw-la in_o vitality_n be_v a_o gangrene_n be_v a_o borderer_n upon_o or_o next_o adjoin_v unto_o mortification_n or_o the_o begin_n thereof_o and_o although_o gangrene_n be_v thus_o rank_v next_o to_o ulcer_n and_o it_o fall_v out_o so_o sometime_o in_o the_o preternatural_a course_n of_o nature_n if_o i_o may_v so_o speak_v yet_o it_o be_v not_o always_o so_o but_o a_o part_n may_v and_o do_v gangrene_n sometime_o before_o it_o be_v ulcerate_v for_o inflammation_n and_o tumour_n do_v gangrene_n as_o oft_o as_o ulcer_n but_o gangrene_n be_v place_v in_o this_o order_n after_o ulcer_n as_o be_v the_o worst_a and_o last_o morbous_a state_n that_o can_v come_v and_o beyond_o this_o there_o be_v no_o disease_n for_o although_o mortification_n be_v set_v down_o after_o gangrene_n yet_o this_o be_v no_o disease_n vita_fw-la extincta_fw-la non_fw-la est_fw-la morbus_fw-la for_o disease_n be_v seat_v in_o the_o life_n corpus_fw-la vivens_fw-la est_fw-la domicilium_fw-la morborum_fw-la and_o where_o no_o life_n be_v there_o be_v no_o disease_n but_o mortification_n be_v posit_v here_o as_o the_o centre_n to_o which_o disease_n move_v and_o as_o bound_n to_o stop_v all_o far_a disquisition_n a_o gangrene_n be_v a_o corruption_n and_o change_n of_o a_o part_n or_o member_n into_o such_o a_o degree_n or_o state_n as_o beginning_z to_o mortify_v or_o be_v mortify_v but_o sphacelus_n with_o the_o greek_n syderatio_n in_o the_o latin_a which_o we_o call_v mortification_n in_o english_a be_v when_o a_o part_n be_v perfect_o mortify_v and_o dead_a and_o therefore_o a_o gangrene_n be_v capable_a of_o cure_n but_o a_o sphacelus_n not_o because_o the_o part_n be_v dead_a a_o privatione_fw-la ad_fw-la habitum_fw-la non_fw-la datur_fw-la regressus_fw-la the_o external_a and_o primitive_a cause_n of_o gangrene_n be_v contusion_n vulneration_n congelation_n combustion_n constriction_n poison_n contusion_n sometime_o introduce_v a_o gangrene_n by_o coagulate_v and_o fix_v the_o blood_n so_o firm_o in_o the_o part_n contuse_v that_o thereby_o the_o life_n be_v suppress_v and_o overcome_v for_o communication_n and_o intercourse_n with_o other_o part_n of_o the_o body_n which_o be_v requisite_a be_v thus_o deny_v the_o life_n extinguish_v beside_o the_o coagulate_v bruise_a blood_n remain_v long_o undiscuss_v do_v putrify_v and_o gangrene_n vulneration_n or_o section_n sometime_o procure_v a_o gangrene_n when_o the_o vital_a principle_n be_v so_o debilitate_a or_o enormous_a by_o the_o wound_n that_o instead_o of_o a_o good_a suppuration_n and_o vigorous_a transmutation_n a_o deprave_a matter_n be_v generate_v which_o corrupt_v and_o gangrene_n the_o part_n and_o thus_o a_o small_a cut_n of_o a_o finger_n or_o toe_n have_v gangrene_v and_o kill_v the_o person_n but_o in_o great_a wound_n the_o danger_n be_v great_a as_o more_o frequent_o to_o happen_v congelation_n by_o extremity_n of_o cold_a hinder_v transpiration_n and_o condense_v the_o blood_n render_v it_o stagnant_a in_o the_o vessel_n suffocate_v the_o life_n and_o gangrene_n the_o member_n thus_o in_o extreme_a cold_a country_n people_n by_o casualty_n expose_v have_v their_o limb_n mortify_v sometime_o and_o thus_o a_o gangrene_n be_v bring_v upon_o a_o inflammation_n or_o erysipelas_n sometime_o by_o incautelous_a and_o pernicious_a application_n of_o great_a refrigerate_n or_o cool_a medicine_n thereby_o incrassate_v the_o blood_n and_o prohibit_v transpiration_n and_o this_o be_v very_o hazardous_a though_o advise_v and_o practise_v frequent_o by_o some_o surgeon_n in_o these_o case_n use_v cold_a astringent_a emplastic_a cataplasm_n ex_fw-la farin_fw-mi hoard_n bolo_fw-it armen_fw-la album_fw-la ovor_fw-la aceto_fw-la &c_n &c_n when_o a_o inflammation_n appear_v combustion_n sometime_o beget_v a_o gangrene_n and_o destroy_v the_o life_n of_o the_o part_n when_o by_o neglect_n thereupon_o or_o improper_a mean_n use_v relief_n be_v not_o due_o afford_v and_o thus_o by_o cautery_n and_o caustic_n sometime_o a_o member_n become_v mortify_v now_o vstion_n or_o great_a hurt_n by_o burn_v cause_v gangrene_n by_o corrugate_a shrink_a and_o sear_v up_o the_o vessel_n that_o they_o can_v bring_v supply_n of_o vital_a spirit_n and_o nutriment_n to_o the_o part_n constriction_n or_o compression_n procure_v a_o gangrene_n by_o intercept_n of_o vital_a communication_n so_o that_o the_o member_n thereby_o be_v as_o it_o be_v separate_v and_o cut_v off_o from_o the_o body_n and_o fountain_n of_o life_n for_o the_o part_n be_v maintain_v by_o influxed_a ray_n and_o stream_n of_o vital_a heat_n and_o moisture_n to_o the_o remote_a part_n of_o the_o body_n but_o be_v deprive_v thereof_o they_o die_v thus_o a_o ligature_n draw_v straight_o about_o the_o arm_n or_o leg_n and_o continue_v too_o long_o may_v gangrene_n and_o mortify_v the_o part_n by_o excommunicate_v it_o from_o commerce_n with_o and_o participation_n of_o the_o general_a life_n and_o thus_o sometime_o internal_a scirrhous_a tumour_n do_v compress_v the_o vessel_n and_o obstruct_v they_o of_o this_o fabricius_n hildanus_n give_v a_o example_n of_o one_o that_o a_o gangrene_n seize_v both_o his_o leg_n of_o which_o he_o die_v the_o cause_n be_v latent_fw-la until_o by_o dissection_n he_o find_v a_o scirrhous_a tumour_n about_o the_o vena_fw-la cava_fw-la descend_v between_o the_o reins_o where_o this_o great_a vein_n divide_v into_o two_o part_n to_o supply_v both_o leg_n poison_n some_o of_o
they_o do_v gangrene_n by_o concrete_v and_o condense_v the_o blood_n stop_v the_o canal_n and_o suffocate_a the_o life_n as_o the_o venom_n of_o a_o scorpion_n and_o asp_n other_o by_o putrify_v and_o corrupt_v the_o blood_n or_o some_o other_o part_n where_o they_o chief_o discharge_v their_o venom_n internal_a and_o conjunct_a cause_n of_o gangrene_n be_v inflammation_n corrupt_a venenous_a or_o malignant_a matter_n that_o prey_v upon_o and_o destroy_v the_o vital_a principle_n stagnation_n of_o the_o blood_n or_o what_o else_o may_v intercept_v commerce_n and_o supply_n from_o the_o fountain_n of_o life_n the_o character_n or_o sign_n declare_v a_o gangrene_n be_v these_o the_o sense_n of_o feel_a decay_n the_o colour_n change_v and_o incline_v to_o be_v livid_v or_o blackish_a the_o flesh_n grow_v flaccid_a and_o frigid_a but_o when_o the_o gangrene_n proceed_v on_o to_o a_o sphacelus_n or_o perfect_a mortification_n these_o symptom_n than_o be_v aggravate_v and_o appear_v more_o eminent_a sense_n be_v quite_o abolish_v and_o the_o part_n become_v fetid_v and_o cadaverous_a gangrene_n be_v very_o seldom_o mention_v in_o practice_n and_o you_o shall_v rare_o hear_v of_o any_o person_n to_o die_v of_o a_o gangrene_n yet_o i_o must_v believe_v and_o not_o without_o good_a ground_n that_o many_o thousand_o dye_n by_o a_o internal_a gangrene_n not_o take_v notice_n of_o for_o if_o the_o major_a part_n at_o least_o a_o great_a part_n do_v die_v with_o a_o high_a fever_n or_o phlogosis_n we_o may_v rational_o then_o conclude_v that_o a_o gangrene_n be_v frequent_o conjoin_v as_o the_o last_o actor_n in_o the_o tragedy_n and_o immediate_a cause_n of_o death_n for_o gangrene_n do_v common_o supervene_v inflammation_n where_o they_o be_v mortal_a and_o thus_o also_o inflammation_n from_o fracture_n and_o dislocation_n often_o bring_v on_o a_o gangrene_n and_o in_o malignant_a high_a fever_n there_o be_v sometime_o such_o vibices_fw-la mark_n of_o mortify_a blood_n and_o black_a mouth_n which_o do_v strong_o suggest_v a_o gangrene_n within_o the_o body_n and_o for_o those_o that_o perish_v by_o the_o plague_n in_o so_o short_a a_o time_n who_o venomous_a matter_n show_v itself_o by_o spot_n vesicles_n bubo_n and_o carbuncle_n most_o of_o these_o die_v gangrene_v and_o many_o of_o those_o that_o expire_v by_o the_o small_a pox_n have_v a_o gangrene_n in_o some_o part_n the_o putrid_a matter_n be_v lodge_v there_o nature_n not_o able_a to_o protrude_v and_o bring_v it_o forth_o and_o it_o be_v very_o reasonable_a to_o assert_v this_o for_o if_o a_o gangrene_n will_v arise_v out_o of_o a_o very_a small_a portion_n of_o matter_n extravasated_a deflux_v or_o congest_v in_o a_o part_n then_o where_o the_o whole_a body_n abound_v with_o malign_a putrefaction_n and_o overflow_v with_o it_o any_o part_n thereof_o remain_v within_o the_o body_n may_v and_o do_v very_o often_o corrupt_a and_o gangrene_n that_o part_n that_o our_o opinion_n be_v not_o so_o extravagant_a and_o excentric_a from_o the_o judgement_n of_o all_o learned_a man_n as_o some_o perhaps_o inconsiderate_o may_v censure_v take_v notice_n what_o arnisaeus_n a_o eminent_a physician_n in_o germany_n professor_n in_o the_o university_n of_o julia_n write_v to_o gregor_n horstius_n about_o a_o person_n of_o quality_n that_o die_v of_o the_o small_a pox_n queried_a or_o rather_o conclude_v that_o the_o liver_n be_v gangrene_v and_o far_o say_v verisimile_fw-la est_fw-la multis_fw-la idem_fw-la accidere_fw-la qui_fw-la ex_fw-la variolis_fw-la moriuntur_fw-la to_o which_o horstius_n answer_v by_o letter_n and_o consent_n with_o his_o determination_n in_o these_o word_n cùm_fw-la autem_fw-la necessariò_fw-la febris_fw-la sanguinea_fw-la cum_fw-la putredine_fw-la majori_fw-la concurrunt_fw-la in_fw-la tali_fw-la casu_fw-la facillimè_fw-la fieri_fw-la poterit_fw-la ut_fw-la praevalente_fw-la calore_fw-la febrili_fw-la 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d in_o viscere_fw-la sanguificationis_fw-la prae_fw-la caeteris_fw-la corrumpatur_fw-la inprimis_fw-la cùm_fw-la propter_fw-la cutem_fw-la undique_fw-la pustulis_fw-la exulceratam_fw-la &_o incrustatam_fw-la transpiratio_fw-la &_o eventilatio_fw-la difficilior_fw-la fit_n si_fw-mi enim_fw-la inflammationes_fw-la internae_fw-la ipsiusque_fw-la jecoris_fw-la juxta_fw-la communem_fw-la nostrum_fw-la amicum_fw-la guil_n fabr._n non_fw-la rarò_fw-la desinunt_fw-la in_o gangraenam_fw-la non_fw-la video_fw-la cur_n non_fw-la idipsum_fw-la saepiùs_fw-la etiam_fw-la fieri_fw-la possit_fw-la tunc_fw-la temporis_fw-la ubi_fw-la variolis_fw-la undique_fw-la satìs_fw-la quidem_fw-la expulsis_fw-la gravissima_fw-la symptomata_fw-la partium_fw-la internarum_fw-la inflammatarum_fw-la nihilominus_fw-la perdurant_fw-la eo_fw-la usque_fw-la donec_fw-la aegrum_fw-la penitùs_fw-la jugulent_fw-la horst_n institut_fw-la med._n disp_n 3._o coron_n 1._o additament_n and_o in_o many_o other_o acute_a malign_a disease_n either_o the_o morbific_a matter_n be_v not_o discuss_v and_o discharge_v from_o the_o seat_n of_o the_o disease_n or_o else_o be_v expulse_v thence_o into_o some_o other_o perhaps_o a_o remote_a part_n where_o it_o corrupt_v the_o member_n and_o extinguish_v the_o vital_a principle_n call_v by_o some_o the_o innate_a spirit_n now_o concern_v the_o curability_n and_o incurability_n of_o gangrene_n take_v these_o instruction_n before_o the_o disease_n be_v undertake_v or_o leave_v for_o desperate_a and_o hopeless_a first_o consider_v the_o duration_n or_o time_n of_o the_o disease_n the_o age_n and_o strength_n of_o the_o patient_n for_o a_o gangrene_n in_o the_o beginning_n be_v more_o easy_a and_o hopeful_a than_o after_o continuance_n because_o it_o proceed_v on_o common_o and_o draw_v near_a to_o a_o sphacelus_n which_o be_v incurable_a also_o young_a person_n vegete_a and_o vigorous_a in_o spirit_n be_v more_o hopeful_a than_o other_o age_a or_o wear_v out_o by_o long_a or_o enervate_v by_o acute_a sickness_n second_o examine_v into_o the_o essence_n nature_n and_o rise_v of_o the_o disease_n which_o will_v lay_v open_a much_o of_o the_o difficulty_n thereof_o for_o gangrene_n from_o a_o primitive_a cause_n as_o contusion_n fracture_n section_n vstion_n caustic_n or_o other_o erosion_n etc._n etc._n be_v more_o curable_a and_o less_o dangerous_a than_o those_o that_o arise_v and_o depend_v upon_o antecedent_n internal_a cause_n for_o gangrene_n of_o this_o sort_n do_v declare_v a_o cachectic_a deprave_a habit_n of_o body_n and_o that_o some_o of_o the_o internal_a viscera_n be_v damnify_v and_o vitiate_a from_o whence_o a_o supply_n of_o ill_a matter_n and_o therefore_o in_o hydropic_a scorbatic_a and_o hectic_a febrile_a body_n also_o in_o malign_a and_o contagious_a disease_n small_a pox_n venereal_a lues_fw-la plague_n etc._n etc._n gangrene_n be_v more_o desperate_a three_o the_o part_n affect_v or_o seat_n of_o the_o disease_n be_v to_o be_v note_v for_o if_o a_o principal_a part_n be_v gangrene_v recovery_n be_v very_o rare_a also_o in_o the_o gut_n a_o gangrene_n be_v mortal_a by_o reason_n of_o continual_a moisture_n there_o and_o imbecility_n of_o these_o also_o in_o the_o vagina_n vteri_fw-la and_o glandule_n of_o the_o body_n a_o cure_n be_v seldom_o perform_v now_o as_o touch_v the_o cure_n of_o gangrene_n there_o be_v not_o any_o one_o method_n or_o particular_a medicine_n for_o gangrene_n but_o they_o require_v such_o variation_n of_o cure_n according_a to_o the_o difference_n of_o their_o cause_n from_o whence_o they_o do_v arise_v with_o respect_n to_o the_o part_n affect_v and_o therefore_o we_o can_v point_v out_o any_o general_a course_n that_o may_v be_v applicable_a to_o this_o great_a disease_n but_o indication_n of_o particular_a and_o special_a case_n must_v vary_v and_o will_v make_v exception_n against_o it_o so_o that_o the_o rational_a physician_n perpend_v and_o due_o consider_v the_o nature_n of_o the_o disease_n and_o variation_n thereof_o as_o aforesaid_a with_o the_o symptom_n and_o circumstance_n attend_v must_v design_n such_o a_o method_n and_o adapt_v such_o medicine_n pro_fw-la re_fw-la nata_fw-la as_o may_v best_a suit_n with_o the_o urgency_n of_o this_o dangerous_a and_o threaten_a malady_n the_o mean_v require_v and_o useful_a in_o these_o emergency_n be_v take_v some_o from_o pharmacy_n and_o some_o from_o chirurgery_n pharmaceutic_a remedy_n be_v both_o internal_a and_o external_a internal_a be_v select_a and_o choice_a purgative_n diaphoretic_n and_o cardiac_n elaborate_v and_o prepare_v according_a to_o latter_a invention_n and_o the_o best_a rule_n of_o art_n topical_a and_o external_a be_v fomentation_n liniment_n and_o cataplasm_n specificate_v and_o appropriate_v to_o these_o purpose_n chirurgical_a help_n be_v phlebotomy_n cup_v scarification_n cantery_n etc._n etc._n and_o therefore_o a_o expert_a chirurgeon_n must_v here_o be_v assist_v to_o perform_v these_o operation_n now_o all_o these_o various_a mean_n be_v not_o to_o be_v use_v to_o every_o person_n gangrene_v but_o each_o case_n will_v require_v some_o of_o these_o more_o or_o less_o as_o the_o judgement_n of_o a_o skilful_a physician_n in_o this_o disease_n shall_v determine_v and_o appoint_v but_o if_o the_o gangrene_n by_o continuance_n and_o neglect_n or_o from_o acuteness_n by_o great_a
common_o call_v stitch_n pain_n be_v incident_a to_o these_o muscle_n from_o external_a injury_n as_o contusion_n and_o impression_n of_o cold_a or_o else_o internal_a cause_n and_o these_o be_v either_o by_o defluxion_n of_o humour_n that_o may_v flow_v in_o as_o most_o frequent_o from_o a_o abound_a serosity_n be_v thin_a sharp_a and_o extravasated_a fall_v in_o among_o these_o muscle_n or_o else_o by_o congestion_n matter_n be_v accumulate_v which_o nature_n not_o be_v able_a to_o discharge_v lie_v there_o as_o a_o burden_n impede_v the_o muscular_a motion_n and_o cause_v pain_n sometime_o from_o flatulency_n and_o wind_n get_v into_o the_o interstitia_fw-la of_o the_o muscle_n thereby_o cause_v intercurrent_a and_o fleet_a pain_n and_o for_o remedy_n in_o such_o case_n fomentation_n and_o hot_a bag_n apply_v be_v advantageous_a evacuation_n be_v premit_v according_a to_o the_o condition_n of_o the_o body_n require_v we_o come_v now_o to_o consider_v of_o pleurisy_n or_o pain_n in_o the_o pleura_fw-la that_o inward_a membrane_n that_o do_v invest_v or_o line_v the_o breast_n a_o disease_n very_o eminent_a and_o frequent_o occur_v that_o both_o hippoc._n and_o galen_n often_o mention_v it_o by_o way_n of_o example_n these_o pain_n be_v acute_a and_o sharp_a like_o puncture_n and_o have_v no_o constant_a place_n but_o in_o some_o person_n they_o seize_v the_o right_a side_n in_o other_o the_o left_a in_o some_o the_o pain_n be_v high_a in_o other_o low_o towards_o the_o hypochonder_n sometime_o more_o backward_o and_o sometime_o forward_o and_o although_o chief_o and_o more_o manifest_o the_o pain_n be_v here_o or_o there_o to_o be_v point_v at_o yet_o the_o whole_a membrane_n by_o reason_n of_o continuity_n be_v thereby_o affect_v and_o the_o part_n adjacent_a do_v suffer_v by_o consent_n from_o whence_o various_a symptom_n as_o concomitant_n and_o attendant_n do_v inseparable_o accompany_v and_o consort_v with_o this_o pleuritic_n pain_n hence_o it_o be_v that_o difficult_a and_o short_a breathe_n be_v constant_o annex_v to_o it_o and_o this_o because_o the_o part_n for_o respiration_n be_v hereby_o impede_v and_o have_v not_o their_o due_a motion_n and_o liberty_n of_o extension_n but_o be_v restrain_v and_o curb_v which_o be_v do_v in_o favour_n to_o avoid_v compress_v the_o grieve_a part_n otherwise_o will_v exasperate_v and_o increase_v the_o pain_n and_o therefore_o the_o sick_a fetch_v their_o breath_n short_a and_o quick_a because_o they_o can_v take_v it_o full_o and_o large_o and_o do_v repeat_v it_o the_o often_o by_o way_n of_o recompense_n to_o this_o and_o by_o consent_n of_o part_n be_v adjoin_v a_o short_a and_o dry_a cough_n which_o irritate_v and_o provoke_v the_o pain_n by_o move_v and_o strain_v those_o part_n and_o therefore_o be_v very_o troublesome_a and_o grievous_a to_o the_o patient_n here_o also_o a_o continual_a acute_a fever_n do_v necessary_o follow_v as_o inseparable_a for_o the_o archaeus_n or_o vital_a principle_n be_v invade_v in_o those_o part_n by_o something_o hostile_a do_v therefore_o insurge_v become_v enrage_v grow_v hot_a and_o fiery_a raise_v a_o burn_a distemper_n throughout_o the_o body_n to_o these_o we_o may_v add_v another_o constant_a character_n namely_o a_o hard_a swift_a but_o small_a pulse_n and_o these_o be_v the_o pathognomonical_a signal_n that_o be_v always_o attend_v upon_o and_o do_v distinguish_v pleurisy_n from_o other_o disease_n of_o adjacency_n or_o affinity_n and_o likeness_n with_o they_o for_o when_o pain_n fall_v in_o among_o the_o intercostal_a muscle_n although_o there_o may_v be_v some_o puncture_n or_o pricking_n because_o of_o the_o membrane_n there_o yet_o not_o so_o great_a the_o fever_n not_o so_o high_a nor_o the_o breath_n so_o short_a nor_o the_o cough_n so_o troublesome_a if_o any_o if_o the_o lung_n be_v inflame_v only_o the_o pain_n be_v but_o little_a not_o pung_v but_o obtuse_a not_o in_o the_o circumference_n or_o side_n but_o in_o the_o cavity_n or_o middle_n of_o the_o breast_n yet_o the_o difficulty_n of_o breathe_v be_v great_a here_o than_o in_o pleurisy_n from_o angustness_n that_o seize_v the_o part_n of_o respiration_n pleurisy_n differ_v from_o inflammation_n of_o the_o diaphragma_n because_o in_o this_o there_o be_v no_o pain_n in_o the_o side_n but_o only_o at_o the_o end_n of_o the_o short_a rib_n and_o the_o upper_a part_n of_o the_o belly_n be_v extend_v and_o with_o it_o a_o delirium_fw-la pleurisy_n also_o be_v distinguish_v from_o inflammation_n of_o the_o liver_n in_o the_o seat_n or_o place_n of_o pain_n which_o always_o be_v in_o the_o right_a side_n under_o the_o short_a rib_n the_o pain_n not_o pung_v but_o heavy_a and_o obtuse_a the_o cough_n less_o difficulty_n of_o breathe_v less_o but_o the_o urine_n higher-coloured_n or_o tinged_a red_a and_o now_o i_o see_v the_o reason_n though_o very_o weak_a why_o some_o author_n have_v distinguish_v pleurisy_n or_o difference_v they_o into_o legitimate_a and_o spurious_a which_o indeed_o be_v a_o division_n of_o pleurisy_n into_o pleurisy_n and_o no_o pleurisy_n for_o i_o account_v no_o disease_n to_o challenge_v that_o denomination_n but_o such_o as_o have_v their_o foundation_n in_o the_o pleura_fw-la else_o by_o the_o same_o reason_n all_o disease_n may_v admit_v of_o the_o same_o distinction_n of_o legitimate_a and_o spurious_a for_o as_o much_o as_o every_o disease_n have_v some_o symptom_n which_o be_v common_a to_o other_o disease_n that_o may_v give_v they_o some_o resemblance_n or_o affinity_n with_o each_o other_o or_o be_v affect_v by_o consent_n from_o another_o but_o i_o pass_v it_o over_o and_o come_v to_o examine_v the_o cause_n from_o whence_o pleuritic_n pain_n do_v arise_v these_o cause_n be_v external_a and_o internal_a external_n cause_n be_v such_o as_o remote_o prepare_v and_o dispose_v the_o body_n to_o a_o likely_a capacity_n of_o reception_n or_o aptness_n to_o this_o disease_n lay_v the_o foundation_n for_o internal_a cause_n and_o they_o do_v arise_v out_o of_o or_o from_o the_o irregular_a unfit_a or_o improper_a use_n of_o the_o diaetetic_n which_o lead_v to_o a_o morbific_a or_o unsound_a state_n for_o example_n violent_a exercise_n or_o otherwise_o raise_v great_a heat_n in_o the_o body_n and_o open_v the_o pore_n by_o neglect_n upon_o it_o as_o not_o to_o preserve_v that_o warmth_n for_o some_o time_n and_o suffer_v it_o gradual_o to_o abate_v and_o go_v off_o by_o keep_v on_o clothes_n and_o forbear_v cool_a drink_n this_o may_v introduce_v a_o pleurisy_n so_o likewise_o in_o the_o heat_n of_o summer_n to_o throw_v off_o clothes_n and_o be_v expose_v to_o the_o wind_n at_o a_o casement_n or_o the_o cool_a air_n in_o the_o evening_n to_o overheat_v the_o body_n with_o strong_a liquor_n and_o sudden_o endeavour_v to_o cool_v it_o again_o with_o small_a beer_n may_v effect_v the_o like_a cold_a north-wind_n after_o southerly_a and_o hot_a weather_n do_v alter_v the_o texture_n of_o the_o blood_n and_o be_v previous_a to_o pleuritic_n or_o similar_v pain_n but_o here_o you_o must_v take_v notice_n and_o know_v that_o quicquid_fw-la recipitur_fw-la recipitur_fw-la per_fw-la modum_fw-la recipientis_fw-la all_o body_n be_v not_o alike_o nor_o equal_o dispose_v for_o reception_n for_o in_o some_o these_o cause_n produce_v pleurisy_n in_o other_o angina_n in_o some_o dysentery_n in_o other_o arthritic_n pain_n etc._n etc._n according_a to_o the_o aptitude_n and_o disposition_n of_o body_n in_o fabrication_n or_o organization_n and_o peculiar_a property_n have_v the_o same_o general_a external_a cause_n various_a and_o divers_a effect_n be_v determine_v and_o specificate_v by_o different_a state_n of_o body_n more_o liable_a and_o apt_a to_o this_o or_o that_o disease_n rather_o than_o another_o hence_o it_o be_v that_o external_a cause_n as_o diaetetic_n error_n have_v heterogeneous_a effect_n and_o procure_v dissimilar_v disease_n according_a to_o various_a constitution_n purity_n and_o impurity_n stability_n or_o debility_n concur_v with_o or_o resist_v their_o influence_n which_o consideration_n bring_v i_o direct_o to_o the_o next_o stage_n be_v the_o latter_a part_n of_o the_o precede_a division_n internal_a cause_n be_v antecedent_n or_o conjunct_a antecedent_n as_o plethory_n be_v fullness_n of_o blood_n or_o cacochymy_n a_o deprave_a or_o degenerate_a blood_n both_o which_o be_v previous_a state_n or_o condition_n of_o body_n dispose_v or_o render_v more_o liable_a to_o this_o disease_n for_o the_o great_a vessel_n be_v full_a and_o distend_v upon_o any_o effervescence_n and_o superfermentation_n of_o the_o blood_n this_o impetuous_o like_o a_o torrent_n be_v impel_v into_o the_o small_a pipe_n as_o those_o of_o the_o pleura_fw-la where_o not_o have_v a_o free_a passage_n it_o do_v cause_n pain_n by_o distension_n and_o inflammation_n now_o this_o plenitude_n be_v bring_v on_o or_o aggravate_v and_o increase_v sometime_o by_o a_o suppression_n of_o some_o accustom_a evacuation_n as_o those_o that_o be_v wont_a
constriction_n obstruction_n inflammation_n or_o intemperate_a heat_n imposthumation_n by_o erosion_n by_o exotic_a generation_n 1._o the_o heart_n be_v pain_v by_o extension_n from_o a_o sudden_a ebullition_n and_o turgid_a fermentation_n of_o the_o blood_n raise_v by_o passion_n or_o otherwise_o whereby_o the_o vessel_n be_v sudden_o force_v upon_o distension_n to_o receive_v and_o transmit_v the_o inundation_n and_o swell_a current_n of_o the_o blood_n and_o from_o hence_o pain_n and_o trouble_n arise_v at_o the_o heart_n 2._o by_o constriction_n the_o heart_n be_v pain_v and_o that_o from_o external_a and_o internal_a cause_n external_o from_o the_o pericardium_n compress_v whereby_o the_o heart_n be_v deny_v the_o full_a liberty_n of_o its_o diastole_n or_o expansion_n and_o this_o may_v arise_v upon_o a_o double_a account_n either_o from_o the_o pericardium_n be_v too_o replete_a and_o full_a or_o too_o much_o exhaust_v and_o empty_a you_o must_v understand_v therefore_o that_o this_o pericardium_n or_o capsula_fw-la cordis_fw-la be_v a_o membrane_n design_v by_o nature_n to_o involve_v and_o enclose_v the_o heart_n for_o its_o defence_n as_o also_o be_v a_o moist_a bath_n to_o irrigate_n and_o keep_v it_o supple_n contain_v a_o serum_n or_o water_n and_o this_o membrane_n shall_v extend_v and_o be_v enlarge_v according_a to_o the_o motion_n of_o the_o heart_n be_v great_a or_o less_o now_o when_o this_o water_n do_v abound_v fill_v the_o cavity_n of_o this_o enclosure_n the_o heart_n thereby_o be_v prohibit_v its_o full_a expansion_n and_o è_fw-la contrà _fw-la when_o this_o water_n be_v too_o much_o waste_v and_o dry_v up_o the_o pericardium_n cleave_v to_o the_o heart_n and_o impede_v its_o pulsific_a motion_n thus_o either_o plenitude_n or_o vacuity_n beget_v anxiety_n and_o trouble_n at_o the_o heart_n internal_a cause_n of_o constriction_n be_v when_o the_o heart_n itself_o be_v seize_v with_o a_o tabes_fw-la or_o vehement_a exsiccation_n and_o the_o fibre_n so_o contract_v that_o it_o have_v no_o capacity_n or_o less_o for_o dilatation_n and_o permission_n of_o the_o transient_a blood_n 3._o obstruction_n cause_v pain_n and_o trouble_v at_o heart_n when_o the_o free_a current_n of_o the_o blood_n be_v impede_v from_o within_o due_a vessel_n and_o this_o be_v procure_v sometime_o from_o a_o perturbation_n of_o the_o movent_fw-la spirit_n and_o sometime_o from_o a_o indisposition_n of_o the_o impulsed_a blood_n first_o from_o a_o sudden_a and_o violent_a recurrence_n of_o spirit_n from_o other_o part_n and_o tumultuous_a confluence_n at_o the_o heart_n whereby_o the_o circulation_n be_v check_v and_o the_o blood_n stop_v in_o the_o ventricles_n cause_v a_o suffocation_n for_o a_o time_n and_o this_o happen_v upon_o vehement_a passion_n and_o consternation_n of_o the_o mind_n second_o from_o a_o inhability_n and_o incapacity_n of_o the_o blood_n be_v gross_a concrete_v or_o grumou_n that_o it_o hardly_o or_o with_o difficulty_n pass_v through_o this_o organ_n cause_v thereby_o a_o obtuse_a pain_n oppression_n or_o heaviness_n at_o the_o region_n of_o the_o heart_n and_o sometime_o a_o lipothymy_n or_o syncope_n faint_v or_o swoon_v 4._o by_o inflammation_n or_o intemperate_a heat_n the_o heart_n be_v pain_v as_o in_o most_o fever_n where_o intenseness_n of_o heat_n be_v accompany_v and_o this_o heat_n continue_v do_v exsiccate_a and_o contract_v the_o heart_n and_o bring_v a_o tabes_fw-la or_o consumption_n upon_o the_o whole_a body_n 5._o by_o imposthumation_n the_o heart_n be_v pain_v sometime_o as_o also_o by_o other_o tumour_n there_o breed_v which_o by_o dissection_n have_v appear_v after_o death_n 6._o by_o erosion_n or_o vlceration_n sometime_o the_o heart_n be_v pain_v and_o suffer_v by_o continual_a palpitation_n 7._o by_o exotic_a generation_n and_o strange_a production_n the_o heart_n sometime_o be_v pain_v as_o when_o worm_n stone_n or_o bony_a substance_n be_v breed_v in_o the_o parenchyma_n of_o '_o the_o heart_n which_o have_v be_v find_v there_o upon_o dissection_n after_o death_n and_o to_o these_o disease_n and_o such_o as_o most_o of_o the_o forementioned_a the_o symptom_n of_o palpitation_n do_v necessary_o belong_v show_v the_o continual_a molestation_n and_o trouble_v the_o heart_n lie_v under_o who_o endeavour_v to_o acquit_v and_o extricate_v itself_o by_o laborious_a lofty_a and_o strong_a pulsation_n pain_n in_o the_o abdomen_fw-la or_o low_a region_n of_o the_o body_n now_o we_o have_v do_v with_o those_o pain_n incident_a to_o the_o middle_a cavity_n namely_o the_o thorax_n or_o breast_n i_o come_v in_o the_o next_o place_n and_o by_o the_o order_n propose_v to_o the_o low_a region_n call_v the_o abdomen_fw-la or_o belly_n contain_v the_o stomach_n liver_n spleen_n kidney_n etc._n etc._n and_o here_o first_o as_o the_o principal_a member_n we_o shall_v inquire_v into_o pain_n belong_v to_o the_o stomach_n or_o ventricle_n be_v the_o great_a office_n and_o laboratory_n to_o prepare_v aliment_n to_o supply_v and_o maintain_v the_o whole_a body_n therefore_o if_o this_o part_n be_v pain_v and_o out_o of_o order_n all_o the_o rest_n must_v needs_o fare_v the_o worse_a for_o it_o every_o part_n have_v a_o concern_n from_o hence_o pain_n of_o the_o stomach_n be_v various_a both_o in_o respect_n of_o their_o cause_n and_o also_o from_o the_o different_a part_n of_o the_o ventricle_n where_o they_o do_v infest_v and_o those_o be_v three_o the_o upper_a orifice_n call_v os_fw-la ventriculi_fw-la the_o low_a orifice_n call_v pylorus_n and_o the_o whole_a cavity_n of_o the_o stomach_n the_o upper_a orifice_n or_o mouth_n of_o the_o stomach_n be_v subject_a to_o great_a pain_n as_o be_v very_o tender_a and_o sensible_a in_o regard_n it_o be_v very_o nervous_a and_o this_o pain_n be_v the_o more_o eminent_a and_o remarkable_a for_o that_o common_o two_o principal_a part_n be_v hereby_o affect_v and_o draw_v into_o consent_n the_o brain_n and_o the_o heart_n the_o former_a by_o the_o nerve_n of_o the_o six_o conjugation_n derive_v from_o the_o brain_n who_o ramification_n be_v wreathe_v or_o twine_v about_o this_o orifice_n and_o therefore_o from_o hence_o headache_n vertigo_n and_o epilepsy_n do_v often_o arise_v the_o heart_n also_o be_v affect_v both_o in_o respect_n of_o vicinity_n as_o near_o adjoin_v to_o this_o orifice_n and_o also_o for_o that_o the_o same_o pair_n of_o nerve_n do_v serve_v both_o the_o heart_n and_o stomach_n whereby_o of_o necessity_n there_o must_v be_v a_o communication_n of_o pain_n and_o therefore_o it_o be_v that_o this_o pain_n in_o extremity_n cause_v faint_v and_o swoon_a and_o hence_o it_o be_v that_o this_o pain_n by_o a_o peculiar_a distinguish_a title_n be_v call_v cardialgia_n and_o also_o for_o that_o the_o ancient_a greek_n call_v the_o mouth_n of_o the_o stomach_n 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d as_o for_o the_o cause_n of_o this_o cardialgia_n or_o stomach-pain_n sometime_o they_o be_v sharp_a acrid_a and_o hot_a bite_a humour_n fluctuate_a and_o rise_v up_o to_o the_o orifice_n of_o the_o stomach_n where_o they_o cause_v a_o erode_a or_o gnaw_a pain_n and_o sometime_o a_o scald_a or_o heat_n there_o and_o this_o vulgar_o be_v call_v the_o heart_n burn_v sometime_o flatulency_n and_o wind_n cause_v this_o pain_n by_o way_n of_o distension_n and_o a_o swell_a fullness_n and_o the_o orifice_n be_v constringe_v and_o shut_v up_o so_o as_o deny_v vent_n in_o this_o case_n the_o patient_a labour_n and_o strain_n to_o belch_v but_o can_v unlock_v or_o loosen_v the_o orifice_n of_o the_o stomach_n but_o so_o soon_o as_o the_o orifice_n do_v slacken_v and_o give_v way_n the_o wind_n break_v forth_o and_o ease_n follow_v sometime_o worm_n do_v cause_n this_o pain_n have_v get_v up_o to_o the_o mouth_n of_o the_o ventricle_n where_o they_o gnaw_v and_o bite_v sometime_o churlish_a and_o deleterious_a or_o ill_o prepare_v physic_n or_o discordant_a food_n have_v such_o property_n as_o may_v irritate_fw-la and_o provoke_v this_o tender_a part_n or_o food_n receive_v in_o too_o great_a a_o quantity_n above_o what_o the_o stomach_n be_v able_a to_o master_n and_o digest_v than_o it_o rise_v up_o to_o the_o mouth_n of_o the_o stomach_n cause_v oppression_n and_o pain_n there_o until_o it_o be_v discharge_v upward_o or_o downward_o by_o the_o strength_n of_o nature_n or_o the_o assistance_n of_o art_n beside_o this_o cardialgia_n there_o be_v also_o another_o sort_n of_o pain_n that_o afflict_v the_o mouth_n of_o the_o stomach_n and_o that_o be_v singultus_fw-la a_o hicket_n or_o hickop_n and_o although_o the_o whole_a ventricle_n be_v molest_v therewith_o yet_o the_o chief_a pain_n or_o trouble_n be_v at_o the_o orifice_n or_o mouth_n of_o the_o stomach_n this_o hickop_n be_v a_o convulsive_a motion_n of_o the_o stomach_n thereby_o cause_v pain_n the_o general_a cause_n assign_v by_o hypocrates_n be_v two_o repletion_n and_o inanition_n under_o repletion_n be_v comprehend_v whatever_o humour_n or_o vapour_n be_v in_o the_o
of_o urine_n this_o disease_n be_v always_o accompany_v with_o a_o acute_a fever_n great_a thirst_n astriction_n of_o the_o belly_n heat_n of_o urine_n and_o great_a pain_n about_o the_o loin_n and_o if_o the_o artery_n be_v affect_v the_o pain_n will_v be_v with_o pulsation_n sometime_o a_o delirium_fw-la attend_v with_o long_o watch_v and_o if_o the_o inflammation_n be_v in_o the_o membrane_n the_o patient_n be_v scarce_o able_a to_o sit_v upright_o because_o the_o pain_n thereby_o be_v exasperate_v if_o the_o right_a kidney_n be_v affect_v pain_n extend_v upward_o to_o the_o liver_n and_o short_a rib_n and_o downward_o to_o the_o genitals_o also_o a_o stupor_n seize_v the_o right_a thigh_n by_o consent_n the_o nerve_n be_v compress_v that_o pass_v thence_o down_o to_o the_o thigh_n but_o if_o the_o left_a kidney_n be_v the_o part_n affect_v that_o side_n be_v most_o grieve_a and_o in_o like_a manner_n but_o if_o both_o the_o kidney_n be_v attack_v than_o the_o symptom_n on_o both_o side_n be_v equal_a the_o termination_n of_o these_o inflammation_n be_v either_o by_o a_o apostem_fw-la or_o abscess_n by_o induration_n and_o a_o scirrhous_a hardness_n or_o by_o transpiration_n and_o resolution_n which_o last_o be_v the_o only_a safe_a and_o secure_a way_n and_o this_o the_o physician_n ought_v to_o design_n for_o and_o aim_v at_o in_o his_o administration_n but_o if_o contrary_a to_o his_o endeavour_n the_o inflammation_n apostemate_n suppurate_n and_o break_v evacuate_v the_o purulent_a matter_n by_o the_o vreter_n into_o the_o bladder_n there_o be_v good_a hope_n of_o safety_n but_o if_o it_o be_v discharge_v inward_o by_o the_o emulgent_a vein_n the_o case_n be_v desperate_a scirrhous_n tumour_n in_o the_o next_o place_n come_v to_o be_v view_v and_o these_o be_v hard_a tumour_n very_o difficult_a to_o be_v remove_v be_v the_o relict_n of_o a_o inflammation_n or_o other_o tumour_n precede_v and_o not_o well_o cure_v or_o form_v by_o gross_a matter_n congest_v and_o accumulate_v there_o cause_v contumacious_a obstruction_n for_o humoral_a matter_n flow_v thither_o and_o be_v obstruct_v in_o the_o transition_n the_o heat_n of_o the_o part_n do_v exsiccate_a and_o harden_v it_o by_o time_n more_o and_o more_o and_o then_o by_o accumulation_n and_o addition_n form_v a_o tumour_n this_o cause_v heaviness_n about_o the_o loin_n but_o little_a pain_n the_o urine_n be_v but_o little_a also_o and_o that_o pale_a and_o watery_a in_o regard_n the_o office_n of_o the_o kidney_n be_v debilitate_a and_o by_o reason_n of_o the_o angustness_n of_o the_o passage_n let_v pass_v the_o thin_a but_o retain_v the_o thick_a part_n of_o the_o urine_n the_o long_a this_o tumour_n continue_v the_o more_o difficult_a and_o incurable_a it_o become_v and_o withal_o it_o bring_v on_o hydropic_a cachexy_n for_o the_o superfluous_a serosity_n not_o be_v drain_v away_o regurgitate_v back_o into_o the_o body_n the_o cure_n be_v to_o be_v set_v upon_o with_o internal_a and_o external_a medicine_n aperitives_n resolvent_n discussive_n and_o emollient_n apertion_n of_o the_o vessel_n contrary_a to_o nature_n sometime_o do_v threaten_v danger_n by_o the_o appearance_n of_o blood_n stain_v the_o urine_n and_o this_o proceed_v from_o a_o weakness_n of_o the_o vessel_n be_v relax_v in_o their_o retentive_a faculty_n or_o by_o a_o plenitude_n and_o fullness_n of_o blood_n or_o because_o the_o blood_n be_v thin_a and_o sharp_a which_o cause_v the_o mouth_n of_o the_o vessel_n to_o open_v on_o the_o contrary_a angustness_n or_o straitness_n sometime_o do_v incommode_v the_o vessel_n appertain_v to_o the_o reins_o which_o hinder_v the_o free_a ransmission_n of_o the_o urine_n now_o this_o angustness_n of_o the_o vessel_n do_v arise_v either_o by_o compression_n from_o some_o tumour_n or_o distend_v part_n that_o press_v upon_o the_o vessel_n and_o straiten_n they_o from_o without_o or_o by_o contraction_n or_o constriction_n of_o the_o vessel_n that_o be_v shrink_v as_o by_o great_a heat_n in_o long_a fever_n or_o a_o tabes_fw-la that_o seize_v the_o kidney_n or_o last_o by_o obstruction_n within_o from_o some_o viscous_a matter_n grumou_n or_o clot_a blood_n sand_n gravel_n stone_n etc._n etc._n the_o sign_n declare_v these_o obstruction_n be_v a_o suppression_n of_o urine_n with_o pain_n or_o a_o abatement_n of_o the_o usual_a quantity_n not_o answerable_a to_o the_o drink_n receive_v the_o place_n or_o part_v affect_v whether_o in_o the_o kidney_n or_o vreter_n be_v know_v by_o the_o seat_n of_o pain_n the_o cause_n that_o obstruct_v be_v know_v by_o their_o proper_a signal_n and_o by_o examine_v into_o the_o precede_a state_n of_o the_o patient_n the_o place_n or_o part_v grieve_v with_o these_o obstruction_n whether_o in_o the_o kidney_n or_o vreter_n pain_n discover_v and_o the_o dislodging_n or_o shift_v thereof_o of_o all_o the_o obstruction_n that_o infest_v the_o kidney_n the_o most_o frequent_a and_o sad_a complaint_n be_v from_o the_o stone_n this_o be_v the_o most_o contumacious_a obstruction_n the_o most_o painful_a be_v a_o hard_a solid_a body_n and_o the_o most_o uncertain_a remedy_n for_o relief_n concern_v the_o generation_n of_o these_o stone_n there_o have_v be_v various_a opinion_n among_o learned_a man_n in_o short_a the_o difference_n and_o contest_v hereupon_o may_v be_v reduce_v to_o these_o two_o head_n what_o the_o material_a cause_n of_o the_o stone_n be_v and_o what_o the_o efficient_a for_o the_o material_a cause_n or_o matter_n whereof_o the_o stone_n be_v breed_v galen_n and_o most_o of_o his_o disciple_n will_v have_v it_o to_o be_v a_o phlegmatic_a gross_a or_o viscous_a humour_n apt_a for_o condensation_n and_o induration_n and_o the_o efficient_a to_o be_v heat_n exsiccate_v this_o matter_n and_o bring_v it_o to_o a_o stony_a hardness_n but_o other_o of_o they_o will_v have_v this_o to_o proceed_v from_o cold_a by_o way_n of_o congelation_n but_o this_o doctrine_n can_v hold_v as_o rational_a nor_o do_v it_o answer_v experience_n as_o for_o the_o matter_n we_o can_v allow_v it_o to_o be_v such_o for_o as_o much_o as_o many_o that_o abound_v with_o a_o viscous_a tough_a phlegm_n and_o slimy_a matter_n as_o most_o ancient_a people_n do_v yet_o many_o of_o they_o be_v never_o trouble_v with_o stone_n or_o gravel_n and_o for_o a_o concurrence_n of_o both_o the_o cause_n material_a and_o efficient_a we_o have_v example_n of_o the_o age_a who_o be_v most_o cold_a and_o phlegmatic_a and_o for_o abound_a heat_n with_o the_o like_a matter_n we_o may_v produce_v fever_n yet_o no_o stony_a concretion_n or_o sign_n thereof_o to_o be_v find_v from_o such_o sickness_n so_o that_o we_o be_v now_o to_o seek_v for_o other_o cause_v both_o material_a and_o efficient_a whereon_o to_o ground_v our_o endeavour_n for_o the_o relief_n of_o such_o as_o be_v afflict_v with_o this_o disease_n the_o matter_n therefore_o and_o substance_n of_o the_o stone_n be_v from_o a_o tartarous_a and_o saline_a succus_fw-la with_o the_o addition_n of_o a_o terrestrial_a feculency_n concrete_v or_o petrify_v by_o a_o lapidifactory_a spirit_n or_o disposition_n of_o the_o reins_o which_o be_v the_o efficient_a and_o seminal_a be_v of_o that_o production_n the_o concurrence_n of_o both_o these_o cause_n do_v much_o produce_v the_o stone_n and_o afflict_v the_o patient_n in_o a_o high_a degree_n but_o one_o of_o they_o be_v sufficient_a viz._n this_o petrify_a power_n of_o the_o reins_o to_o coagulate_v any_o laudable_a good_a matter_n import_v there_o into_o a_o stony_a substance_n to_o confirm_v this_o fernelius_n relate_v upon_o his_o own_o knowledge_n of_o one_o that_o for_o three_o or_o four_o month_n together_o above_o a_o dozen_o small_a stone_n come_v from_o he_o every_o day_n all_o which_o time_n notwithstanding_o he_o eat_v nothing_o but_o broth_n and_o panadoe_n be_v confine_v to_o his_o bed_n by_o weakness_n and_o pain_n but_o allow_v this_o to_o be_v true_a from_o the_o credit_n of_o the_o author_n yet_o we_o must_v own_v and_o acknowledge_v that_o beside_o this_o principal_a cause_n of_o a_o petrify_a spirit_n in_o the_o reins_o there_o be_v also_o antecedent_n and_o procatarctic_a cause_n adjuvant_fw-la and_o promote_a as_o some_o sort_n of_o meat_n and_o drink_n and_o other_o error_n in_o the_o diaetetic_n that_o increase_n and_o set_v forward_o this_o disease_n which_o otherwise_o may_v be_v much_o slow_a in_o generation_n nor_o yet_o arrive_v to_o so_o high_a a_o degree_n of_o torture_n also_o the_o stomach_n spleen_n or_o liver_n not_o perform_v their_o function_n right_o may_v contribute_v matter_n to_o the_o promotion_n hereof_o for_o relief_n of_o the_o disease_a in_o this_o case_n there_o be_v two_o grand_a intention_n to_o be_v prosecute_v and_o aim_v at_o a_o dissolution_n of_o the_o body_n of_o the_o stone_n already_o generate_v and_o second_o the_o take_v away_o of_o the_o petrify_a disposition_n of_o the_o reins_o and_o abolition_n of_o
such_o a_o product_n for_o as_o much_o as_o pain_n be_v very_o frequent_a in_o most_o disease_n as_o before_o prove_v then_o also_o remember_v upon_o a_o cessation_n of_o pain_n there_o ought_v to_o be_v care_n take_v by_o proper_a mean_n for_o the_o recession_n and_o dissipation_n of_o confluxed_a matter_n and_o not_o imagine_v upon_o a_o presumption_n that_o when_o the_o pain_n be_v go_v all_o be_v go_v and_o the_o patient_a secure_a second_o transmission_n procure_v a_o tumour_n when_o the_o expulsive_a faculty_n of_o some_o part_n be_v vigorous_a and_o strong_a to_o send_v off_o any_o excrementitious_a matter_n and_o deposit_v it_o upon_o a_o weak_a which_o be_v not_o able_a to_o expel_v it_o lodge_v there_o and_o generate_v a_o tumour_n thus_o the_o principal_a and_o more_o noble_a part_n have_v a_o natural_a robor_fw-la and_o fortitude_n to_o send_v off_o their_o superfluous_a and_o noxious_a matter_n and_o transmit_v it_o to_o the_o inferior_a and_o ignoble_a now_o there_o be_v some_o part_n that_o be_v weak_a by_o nature_n and_o some_o by_o accident_n by_o nature_n those_o be_v weak_a that_o be_v design_v ministerial_a and_o subservient_fw-fr and_o therefore_o liable_a to_o transmited_a matter_n from_o their_o superior_n thus_o the_o glandule_n be_v all_o weak_a part_n lax_n and_o spongious_a apt_a to_o receive_v and_o imbibe_n hence_o it_o be_v that_o the_o heart_n transimt_v to_o the_o glandule_n in_o the_o armpit_n the_o brain_n behind_o the_o ear_n the_o liver_n to_o the_o groin_n and_o the_o glandule_n of_o the_o mesentery_n be_v very_o apt_a to_o tumifie_v and_o be_v the_o latent_fw-la cause_n of_o some_o difficult_a abstruse_a disease_n the_o skin_n also_o be_v a_o weak_a part_n and_o general_a emunctory_a for_o the_o whole_a body_n and_o therefore_o many_o eruption_n and_o tumour_n be_v there_o visible_a by_o accident_n some_o part_n be_v weak_a as_o when_o by_o a_o disease_n inordinate_a live_n or_o casual_a injury_n some_o particular_a part_n though_o strong_a by_o nature_n and_o original_a formation_n may_v be_v vitiate_a debilitate_a and_o make_v feeble_a three_o by_o congestion_n tumour_n be_v sometime_o breed_v as_o when_o a_o part_n or_o member_n do_v not_o transmute_v the_o alimentary_a supply_n into_o its_o own_o substance_n but_o suffer_v it_o to_o degenerate_v there_o and_o accumulate_v into_o a_o tumour_n or_o else_o the_o expulsive_a faculty_n may_v be_v weak_a and_o not_o able_a to_o send_v off_o the_o excrementitious_a part_n which_o remain_v there_o may_v produce_v the_o like_a or_o sometime_o the_o fault_n may_v be_v in_o the_o nutritious_a supply_n not_o be_v capable_a of_o a_o good_a transmutation_n as_o in_o cacochymical_a and_o foul_a body_n sometime_o the_o relic_n of_o a_o acute_a sickness_n not_o well_o cure_v by_o congestion_n in_o this_o of_o that_o part_n do_v afford_v matter_n to_o beget_v internal_a tumour_n and_o therefore_o after_o the_o small_a pox_n ague_n fever_n etc._n etc._n purgation_n and_o cleanse_v aught_o well_o to_o be_v perform_v else_o chronic_a disease_n common_o do_v succeed_v they_o from_o peccant_a matter_n lodge_v here_o or_o there_o and_o therefore_o upon_o such_o neglect_n or_o insufficient_a performance_n thereof_o we_o find_v common_o big_a and_o hard_a belly_n or_o swell_v leg_n some_o part_n or_o other_o pain_v tumify_v or_o hard_o and_o these_o be_v the_o effect_n of_o imperfect_a cure_n when_o the_o morbific_a matter_n be_v only_o abate_v and_o the_o storm_n lay_v but_o the_o remainder_n accumulate_v by_o collection_n and_o congestion_n to_o produce_v a_o disease_n of_o another_o nature_n four_o by_o obstruction_n tumour_n or_o extension_n be_v beget_v for_o when_o the_o current_n be_v stop_v in_o any_o vessel_n and_o by_o the_o law_n of_o circulation_n the_o continent_n succus_fw-la or_o humour_n be_v still_o move_v forward_o to_o this_o place_n obstruct_v the_o vessel_n or_o contain_v part_n must_v needs_o tumifie_v and_o swell_v as_o not_o able_a to_o receive_v and_o contain_v the_o additional_a flow_a matter_n in_o its_o former_a dimension_n and_o this_o be_v apparent_a to_o the_o eye_n in_o external_a part_n which_o must_v needs_o prove_v the_o internal_a for_o a_o strait_a ligature_n upon_o the_o arm_n or_o leg_n do_v cause_n the_o part_n below_o the_o bind_v to_o swell_v and_o for_o this_o reason_n because_o the_o vessel_n be_v obstruct_v by_o compression_n that_o the_o blood_n can_v circulate_v and_o move_v on_o and_o the_o case_n be_v the_o like_a in_o effect_n when_o obstruction_n of_o a_o vessel_n be_v make_v from_o coagulation_n incrassation_n or_o grossness_n or_o any_o concrete_v matter_n within_o the_o ducture_n or_o cavity_n to_o obstruct_v and_o stop_v the_o stream_n now_o obstruction_n be_v general_o acknowledge_v to_o be_v the_o frequent_a cause_n of_o many_o or_o most-disease_n and_o few_o case_n do_v present_a in_o practice_n but_o obstruction_n bear_v a_o part_n and_o sometime_o the_o solitary_a cause_n or_o else_o obstruction_n be_v very_o much_o wrong_v for_o nothing_o more_o frequent_a in_o physician_n mouth_n than_o obstruction_n and_o yet_o nothing_o more_o seldom_o mention_v than_o a_o internal_a tumour_n from_o whence_o we_o may_v well_o conclude_v it_o be_v rare_o think_v on_o or_o not_o at_o all_o suspect_v but_o obstruction_n be_v so_o familiar_a and_o frequent_a in_o discourse_n that_o they_o be_v little_o account_v of_o at_o least_o not_o think_v to_o be_v of_o any_o dangerous_a consequence_n not_o consider_v that_o this_o obstruction_n may_v and_o do_v often_o be_v contumacious_a beget_v a_o tumour_n and_o this_o tumour_n may_v cause_v a_o long_a and_o difficult_a or_o dangerous_a acute_a sickness_n if_o not_o mortal_a for_o the_o progress_n may_v go_v on_o still_o from_o tumour_n to_o apostem_fw-la or_o suppuration_n and_o then_o plant_v a_o ulcer_n there_o or_o this_o tumour_n may_v become_v scirrhous_a and_o hard_a then_o perhaps_o cancerous_a gangrene_v and_o then_o you_o know_v what_o follow_v next_o mortification_n from_o hence_o it_o be_v very_o reasonable_a to_o judge_v of_o the_o series_n and_o course_n of_o many_o chronic_n or_o long_a linger_a disease_n as_o also_o or_o the_o acute_a mortal_a sickness_n most_o of_o which_o do_v make_v their_o progress_n by_o these_o stage_n have_v these_o commutation_n and_o transition_n at_o last_o their_o fatal_a termination_n because_o this_o latent_fw-la train_n of_o disease_n be_v not_o suspect_v but_o all_o this_o while_n the_o fever_n be_v the_o disease_n fear_v and_o vain_o endeavour_v against_o and_o the_o patient_n be_v say_v to_o die_v of_o a_o fever_n because_o a_o fever_n do_v attend_v the_o life_n do_v estuate_a and_o be_v disquiet_v in_o the_o whole_a course_n and_o every_o transition_n of_o the_o sickness_n even_o to_o death_n five_o by_o extravasation_n a_o tumour_n be_v sometime_o generate_v as_o when_o the_o vessel_n be_v replete_a and_o full_a cause_v tension_n by_o thinness_n heat_n and_o sharpness_n of_o blood_n or_o a_o preternatural_a and_o turgid_a fermentation_n distend_v the_o vessel_n the_o mouth_n of_o the_o vein_n be_v hereby_o open_v sometime_o and_o a_o stillicidium_fw-la or_o effusion_n of_o the_o contain_v liquor_n procure_v which_o be_v lodge_v out_o of_o its_o proper_a place_n do_v corrupt_a inflame_v and_o produce_v a_o tumour_n now_o concern_v the_o sign_n of_o a_o internal_a tumour_n they_o be_v not_o only_a extension_n and_o increase_n of_o magnitude_n which_o be_v apparent_a when_o it_o make_v a_o protuberance_n upon_o the_o superficies_n but_o also_o a_o fix_a heaviness_n or_o hardness_n or_o pain_n upon_o pressure_n with_o the_o hand_n do_v give_v great_a suspicion_n and_o probable_a conjecture_n of_o a_o latent_fw-la internal_a tumour_n lie_v deep_a and_o obscure_a especial_o and_o by_o way_n of_o confirmation_n when_o the_o precede_a cause_n apt_a to_o generate_v tumour_n do_v concur_v to_o strengthen_v the_o probability_n but_o before_o we_o conclude_v this_o discourse_n of_o tumour_n something_o more_o be_v to_o be_v say_v and_o that_o touch_v a_o scirrhus_n and_o apostem_fw-la which_o be_v comprehend_v under_o tumour_n and_o do_v signify_v only_o the_o distict_n and_o special_a condition_n thereof_o and_o here_o we_o have_v occasion_n to_o take_v notice_n of_o the_o different_a state_n of_o tumour_n and_o their_o way_n of_o resolution_n fixation_n or_o translation_n tumour_n do_v either_o wear_v away_o and_o spend_v by_o discussion_n and_o transpiration_n or_o they_o recede_v by_o a_o translation_n of_o matter_n into_o another_o part_n or_o they_o apostemate_n and_o come_v to_o suppuration_n or_o they_o indurate_a and_o become_v scirrhous_a or_o they_o tabefie_v and_o corrupt_v the_o part_n where_o they_o be_v seat_v discussion_n of_o a_o tumour_n be_v the_o best_a that_o can_v be_v expect_v and_o this_o aught_o chief_o to_o be_v aim_v at_o in_o practice_n the_o next_o to_o be_v hope_v for_o and_o endeavour_v be_v dislodging_n of_o it_o and_o removal_n from_o a_o noble_a to_o a_o
part_n affect_v be_v debilitate_a and_o overcome_v by_o this_o deprave_a malign_a matter_n that_o it_o can_v exercise_v its_o transmutative_a and_o digestive_a power_n nor_o will_v this_o cancerous_a matter_n obey_v discussive_n by_o reason_n of_o the_o viscidity_n and_o grossness_n thereof_o wherefore_o hypocrates_n give_v sentence_n that_o such_o be_v not_o cure_v but_o by_o section_n or_o ustion_n and_o yet_o this_o be_v not_o to_o be_v do_v except_o the_o cancer_n be_v small_a and_o in_o such_o a_o part_n as_o will_v admit_v of_o amputation_n if_o cancer_n external_a be_v thus_o difficult_a to_o be_v manage_v although_o they_o appear_v to_o the_o eye_n and_o be_v subject_a to_o manual_a operation_n and_o tractation_n the_o internal_a must_v be_v great_a and_o more_o hazardous_a where_o they_o can_v be_v apply_v unto_o after_o this_o manner_n with_o convenient_a topical_a medicine_n therefore_o prevention_n in_o time_n be_v main_o to_o be_v endeavour_v when_o a_o tumour_n be_v generate_v lest_o it_o change_v into_o this_o dangerous_a condition_n for_o i_o find_v by_o the_o design_n of_o practiser_n in_o the_o remedy_n appoint_v that_o palliation_n be_v seek_v for_o the_o cure_n not_o hope_v for_o the_o grand_a intention_n to_o be_v prosecute_v for_o cure_n be_v to_o change_v the_o condition_n of_o the_o blood_n which_o do_v feed_v and_o supply_v this_o cancer_n so_o that_o the_o antecedent_n cause_n be_v take_v away_o the_o continent_n will_v then_o more_o likely_a abate_v and_o until_o that_o be_v do_v this_o can_v be_v expect_v the_o mean_v indicate_v for_o cure_n of_o these_o cancerous_a tumour_n be_v branch_v into_o three_o part_n dieatetic_n pharmaceutic_a and_o chirurgical_a but_o i_o shall_v not_o enlarge_v upon_o the_o indication_n for_o cure_n for_o that_o these_o case_n be_v so_o nice_a and_o difficult_a as_o not_o to_o be_v handle_v with_o general_n but_o from_o a_o collation_n of_o all_o the_o circumstance_n attend_v the_o patient_n which_o vary_v every_o particular_a case_n and_o so_o i_o pass_v from_o tumour_n to_o remark_n their_o usual_a commutation_n and_o transition_n into_o ulcer_n the_o next_o considerable_a in_o order_n to_o be_v treat_v of_o ulcer_n internal_a the_o latin_a word_n vlcus_fw-la be_v derive_v of_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d signify_v a_o disjunction_n of_o part_n or_o solution_n of_o continuity_n but_o to_o distinguish_v this_o from_o other_o solution_n of_o continuity_n a_o ulcer_n do_v yield_v a_o sanies_fw-la or_o purulent_a matter_n so_o that_o a_o wound_v come_v to_o digestion_n and_o afford_v pus_fw-la may_v then_o be_v call_v a_o ulcer_n and_o any_o part_n that_o be_v gaul_v raw_a and_o tender_a the_o cover_a membrane_n be_v fret_v and_o eat_v away_o by_o some_o sharp_a humour_n or_o other_o cause_n it_o style_v excoriation_n only_o until_o it_o produce_v corrupt_a matter_n and_o than_o it_o be_v proper_o call_v a_o ulcer_n thus_o internal_a part_n be_v sometime_o excoriate_v raw_a and_o painful_a but_o cicatrize_v or_o skin_v again_o before_o it_o arrive_v to_o the_o degree_n of_o a_o ulcer_n and_o thus_o it_o be_v most_o frequent_o in_o the_o urinary_a ducture_n or_o passage_n and_o sometime_o in_o the_o gut_n but_o such_o excoriation_n be_v not_o to_o be_v slight_v or_o neglect_v lest_o they_o beget_v vlceration_n as_o sometime_o it_o fall_v out_o so_o by_o external_a or_o outward_a ulcer_n which_o be_v manifest_a to_o the_o eye_n you_o may_v conceive_v of_o internal_a ulcer_n for_o they_o arise_v from_o the_o same_o cause_n and_o have_v the_o same_o accident_n but_o i_o shall_v not_o enlarge_v upon_o all_o the_o accidental_a difference_n that_o attend_v upon_o and_o distinguish_v external_a ulcer_n as_o not_o so_o pertinent_a and_o necessary_a to_o our_o subject_n in_o hand_n the_o essential_a and_o most_o considerable_a difference_n of_o ulcer_n do_v arise_v from_o their_o cause_n and_o from_o the_o part_n affect_v which_o bear_v the_o great_a sway_n in_o cure_v and_o from_o whence_o the_o chief_a indication_n be_v take_v for_o although_o in_o external_a ulcer_n other_o accidental_a difference_n may_v be_v observe_v and_o note_v yet_o in_o internal_a ulcer_n such_o difference_n can_v be_v regard_v as_o be_v obscure_v or_o hide_v so_o that_o whether_o they_o be_v broad_a or_o narrow_a deep_a or_o shallow_a fistulous_a or_o otherwise_o be_v hot_a positive_o to_o be_v say_v and_o if_o it_o be_v know_v institution_n or_o method_n of_o cure_n can_v not_o be_v so_o vary_v as_o external_a be_v capable_a of_o by_o reason_n these_o be_v subject_a to_o manual_a tractation_n the_o continent_n cause_v of_o vler_n be_v such_o matter_n as_o emane_n and_o flow_v from_o thence_o and_o that_o be_v of_o three_o sort_n ichor_n pus_fw-la and_o sordes_fw-la the_o first_o be_v a_o ichorous_a or_o sanious_a matter_n be_v thin_a indigested_a and_o watery_a or_o dilute_v bloody_a the_o second_o be_v a_o pus_fw-la or_o purulent_a matter_n of_o a_o bet_v consistence_n and_o concoct_v thick_a the_o three_o be_v a_o sordid_a foul_a matter_n more_o thick_a and_o glutinous_a the_o ichorous_a thin_a matter_n usual_o issue_v in_o the_o begin_n of_o ulcer_n and_o denote_v indigestion_n and_o also_o at_o any_o time_n afterward_o do_v declare_v the_o same_o that_o the_o ulcer_n be_v not_o in_o a_o good_a heal_a condition_n the_o pus_fw-la or_o purulent_a matter_n signify_v the_o ulcer_n to_o be_v in_o a_o better_a state_n of_o heal_a and_o if_o it_o be_v white_a and_o sweet_a these_o be_v good_a sign_n the_o sordid_a gross_a matter_n do_v intimate_v a_o preternatural_a heat_n of_o the_o part_n strong_o exsiccate_v but_o not_o heal_v for_o as_o much_o as_o this_o matter_n be_v foul_a and_o stink_a ulcer_n for_o their_o manner_n of_o generation_n and_o rise_v may_v be_v cause_v these_o four_o way_n by_o erosion_n by_o frication_n apostemation_n and_o contagion_n 1._o by_o erosion_n ulcer_n be_v beget_v in_o any_o part_n of_o the_o body_n when_o a_o sharp_a corrosive_a humour_n do_v excoriate_v and_o eat_v into_o the_o substance_n of_o any_o part_n and_o be_v thus_o injure_v be_v thereby_o pervert_v in_o its_o office_n and_o self-preservation_n convert_v that_o nutritious_a succus_fw-la which_o come_v for_o its_o supply_n into_o a_o ulcerous_a degenerate_a matter_n no_o way_n useful_a but_o to_o be_v excrete_v and_o void_v and_o thus_o a_o phthisis_fw-la a_o ulcer_n of_o the_o lung_n be_v sometime_o generate_v from_o a_o sharp_a serum_n invade_v that_o tender_a part_n and_o thus_o a_o dysentery_n be_v sometime_o beget_v be_v a_o ulceration_n of_o the_o gut_n from_o sharp_a excoriate_a humour_n and_o thus_o a_o ulceration_n in_o the_o meatus_fw-la penis_n be_v breed_v from_o a_o sharp_a erode_a gonorrhaea_n and_o a_o ulcer_n in_o the_o neck_n of_o the_o bladder_n may_v be_v plant_v there_o by_o a_o sharp_a gall_v urine_n 2._o by_o frication_n or_o attrition_n as_o when_o any_o hard_a bony_a or_o stony_a substance_n do_v fret_v raze_v and_o excoriate_v a_o part_n and_o thus_o a_o stone_n beget_v a_o ulcer_n in_o the_o kidney_n or_o bladder_n and_o sometime_o in_o other_o part_n of_o the_o body_n 3._o by_o apostemation_n as_o when_o any_o apostem_fw-la break_v and_o discharge_v its_o matter_n a_o ulcer_n be_v leave_v behind_o though_o the_o apostem_fw-la be_v go_v and_o thus_o be_v ulcer_n generate_v sometime_o in_o the_o ear_n from_o a_o precede_a apostem_fw-la in_o the_o aspera_fw-la arteria_fw-la after_o a_o angina_n or_o squinance_n in_o the_o breast_n after_o a_o pleurisy_n in_o the_o lung_n from_o a_o tumour_n suppurate_v there_o also_o in_o the_o liver_n spleen_n womb_n or_o other_o part_n apostemate_v 4._o by_o contagion_n or_o infection_n and_o thus_o woman_n whole_a privity_n be_v infect_v do_v communicate_v this_o virulency_n or_o venom_n and_o seize_v the_o genitals_o of_o their_o partner_n from_o whence_o venereal_a ulcer_n do_v arise_v and_o thus_o man_n whole_a seed_n be_v taint_v do_v infect_v sound_a woman_n and_o cause_v virulent_a ulcer_n in_o their_o privity_n which_o malignity_n not_o be_v well_o manage_v and_o master_v by_o skill_n and_o efficacious_a medicine_n it_o spread_v break_v forth_o and_o beget_v ulcer_n in_o many_o other_o part_n of_o the_o body_n as_o at_o large_a i_o have_v set_v forth_o in_o another_o tract_n entitle_v the_o mystery_n of_o the_o venereal_a lues_fw-la internal_a ulcer_n though_o they_o disappear_v yet_o be_v know_v to_o be_v by_o these_o sign_n first_o pain_n which_o be_v more_o or_o less_o according_a to_o the_o nature_n and_o sensibility_n of_o the_o part_n second_o from_o precede_a cause_n as_o inflammation_n or_o tumour_n precede_v who_o symptom_n be_v allay_v and_o cease_v yet_o pain_n remain_v three_o and_o manifest_o from_o excretion_n of_o ulcerous_a matter_n where_o there_o be_v any_o ducture_n or_o outlet_n for_o discharge_v by_o the_o intestine_n by_o the_o privity_n the_o nose_n ear_n or_o mouth_n but_o where_o there_o