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A31621 A few queries relating to the practice of physick with remarks upon some of them : modestly proposed to the serious consideration of mankind, in order to their information how their lives and healths (which are so necessary, and therefore ought to be dear to them) may be better preserved / by H. Chamberlen ... Chamberlen, Hugh. 1694 (1694) Wing C1873; ESTC R39949 30,349 136

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Page 27. never so bad as the disease Page 25 must ripe or it does no good Page 55 Eruptions rarely kill c. Page 27 Excess is poison Page 9 Evil things have charming aspects c. Page 51 F Fever fit is not the Disease but the cure Page 34 how cured Page 35. 81 quieted sometimes tho not cured Page 36 begins oftenest in the primae viae Page 80 Fluids good preserve Health Page 44 bad destroy it Page 45 good or bad furnish Spirits accordingly Page 45 supplied by Six Non-Naturals Page 45 Fancy is a Disease Page 47 Feeding must agree with labour Page 55 Flux is not the Disease but the effect Page 57 cause must be removed Page 57 Ferments helps purging Page 6 the effect of purges Page 19 is a prepared matter lodged in the body Page 44 G Gripes proceed from the Disease not the Medicine Page 30. 54 Gentle medicines ineffectual Page 30. 73 Good things no inviting outside Page 51 made bad by our folly Page 9 23 Government fit judge of Physicians and Physick Page 69 70 H Humours changed to bad cause Diseases Page 2 bad must not be kept Page 58 good must not be wasted Page 48 Health preserved Page 44 51 53 52 recovered without art Page 4 17 58 upon any terms Page 50 30 needs no Physick Page 48. 49 is a jewel Page 52 must run no hazards Page 16. 55. 88. 91 Hazard nothing in Physick if possible Page 15 17 Hopes lasts with life Page 46. 47. 49 Hurtful things have inviting appearances Page 51 I Judging Physicians all are not fit for Page 11 12 88 wrong is dangerous Page 11 12 88 Jesuits Powder bad Page 34 35 36 80 Intervals long bad Page 30 L Life is a constant Flux Page 4 V. health must run no hazard without hope saved Page 46 47 Ladys kind make bad Doctors Page 23 Labour must answer Feeding Page 54 M Medicines for need not delight Page 50 dangerous seldom or never Page 25 29 powerful ever better than gentle Page 52 53 55 violent Page 22 52. 56 wrong or too late succeed ill Page 66 never blessed by God Page 67 gentle ineffectual Page 22 30 73 must continue as long as the disease Page 33 not for the healthy Page 48 beneficial better than pleasant Page 49 gripes not but the disease Page 54 55 food for the sick Page 58 furnished by God Page 58 59 N Non-Naturals cause of Diseases Page 2 of health Page 45 Nurse-keepers hurt with their kindness Page 23 Nature soon recovers if not hindred Page 17 soon disturbed Page 43 never cures so soon and well as art Page 92 therefore not to be relyed on Page 17 Nourishment strong bad for the weak Page 23 P Poison never cured by Alteratives Page 8 whether any Page 8 what it is Page 9 bred in the body Page 9 the same with diseases Page 9 must be expell'd Page 9 Physicians skill Page 10. 59 64 Education Page 60 59. 65 77 faults and artifices Page 29 62 63 66 67 71. 78 blamed without a cause Page 10 12 68 88 to be judged by the Government Page 69 70 best who cures most Page 61 not to be lightly censured Page 11 12 not to be easily discouraged Page 11 Physical Art Page 49 59 60 65 68 practice to be learnt before the Theory Page 60 Practice to be gain'd by cunning tho without skill Page 62. 71 Plague Page 37 38 39 40 Purging V. Evacuation strengthens more than Cordials Page 18 19 not dangerous Page 14 19 28 with long intervals hath small success Page 30 Patients hast makes wast Page 33 must take Physick Page 58 strength must be duly considered Page 73 dies more of Diseases than their cure Page 79 strong kill'd by small Diseases Page 15 Primae viae first to be cleansed Page 32 Pox small Page 7 R Reports false mischievous to the Reporter Page 12 Regions first V. primae viae S Strength wasted by Diseases Page 16 20 according to the quantity of Animal Spirits Page 45 of Food pernicious to the sick Page 19 20 22 which cannot bear a less evil can never a greater Page 14 Stomach affected in most cases Page 31 32 Spirits Page 19 21 45 81 82 Soldiers and Seamen Page 56 Success not sufficient to judge by Page 11 constant may guide Page 12 attends right means Page 66 nev●r given by God to wrong means Page 67 Sweating ought to follow purging Page 32 V Vomits Page 16 23 24 25 26 27 28 29 31 32 35 82. if not best of Medicines ought not to be used Page 23 Violent Medicines Page 15 30 52 53 56 Vrine Page 90 W Weakness Page 17 21 no objection to purging Page 13 14 16 comes from want of Spirits Page 21 increase by the Disease which made it Page 14 Weak Patients Page 15 17 18 21 22 the same Medicines as strong but not the dose Page 16 wants strongest medicines Page 15 Weak Diseases have kill'd strong Patients Page 15 Women with child may take Vomits Page 26 29 63.
and Opium in too large Doses surfeit and kill when Arsenick and Precipitate if justly dosed or under dosed do no hurt but many times much good Now that hath only been esteem'd Poison which can kill in small quantities and not that which can only kill in great though they were equally injurious to the Persons kill'd by them nor is there any great difference betwixt Poison bred in or received into the Body when equally hurtful both being preternatural and to be expell'd before the Patient can be safe 7. Whether it is not absolutely necessary for a Physician to be able to determine skillfully with respect to Patients Disease Age Strength and Sex what Evacuation is most suitable as to Manner Season Quantity and Number Hipocrates say Quo natura tendit tinde dum Natura movet move and if Evacuation only cures 't is fit it should be well understood 8. Whether a Physician who treats his Patient with as much Art and Diligence as any other could omitting nothing requisite nor directing any thing hurtful or unnecessary may justly be blamed should such a Patient miscarry by some unexpected dangerous accident lurking in secret beyond any Mans discovery Whenever the like happens the Physician ought not to be blamed because it was not his Fault but his Misfortune and not within the power of any known Art to be prevented for no Man blames a skillful and industrious Husbandman because after he hath cultivated his Land with all the Care and Art imaginable his Hopes are blasted and his Crop destroyed by an unexpected ill Season Hence may be observed that good or ill success alone is not sufficient to guide our Judgments but that we must suspend our Censures till well instructed in every minute circumstance for the interposition of sundry Accidents not always to be foreseen may much alter the Case nor must a Physician by such accidents be frightned into too strict caution which may be as prejudicial as too forward Rashness He that regardeth the Wind saith Solomon shall never Sow and though all that may happen deserves mature consideration yet if that should hinder Action Physicians must resolve to sit still or do no good General success in like difficult cases may direct our judgment though 't is not advisable to be too forward to censure the success of Physicians or their Methods without being very well acquainted with both least it prove not only injurious to them but very prejudicial to such as might have received benefit from them had it not been for such Scandalous Foolish or false Reports which may sometimes unintended injure the reporters Friends as well as others No Physician is to be blamed when his Patient dies unless his own greater care or anothers better skill could have prevented it 9. Whether any Patient who is likely to live without purging can be too weak to be relieved by Evacuation Since as before proved no relief can be reasonably expected without it And whether the sooner 'tis submitted to it is not the better If they are able to live without artificial Relief and removing their Disease they will certainly be much more so if part of or all their Disease shall be removed obsta principijs sero medicina paratur is a known rule and very fit to be followed 10. Whether Patients too weak to be relieved by proper Evacuation can be strong enough to recover Health without it It is not likely because that Disease which hath reduced them from full strength to so low a degree of weakness must certainly if it continues increase the weakness if not destroy the Patient but if Purging carries off most part of the Disease which weakens the Patient Nature hath the less to contend with and consequently may master the remainder and recover strength Therefore a Patient's weakness can be no sufficient argument against Evacuation unless the Disease be already quite expelled by Nature and then there may be no need of it For a thinking Soldier will hardly ever judge his condition the worse for having the numbers of his Enemies lessened let the success be good or bad 11. Whether the most powerful and effectual Evacuations by some called violent are not when discreetly used the most proper for the weakest Patients and to be persisted in with the smallest Intervals of rest Certainly they are and to be continued if weak Patients have little or no time to triflle away The Fatal consequences of timorous and needless delays ought by all means to be prevented and Diseases not suffer'd to increase again by long respits as they as certainly do as Hair and Nails grow after cutting If indeed strong Patients squander away some time they have still enough left with strength to recover such loss though such hazards are never commendable for seeming weak Diseases have by delays at length kill'd the strongest Patients and where Life and Health are concern'd nothing ought to be put to an Adventure The Doses are to be proportioned to the weakness of Patients but the Indication is still the same For Example if nothing besides a Vomit can cure some Diseases the Vomit must be taken in a smaller Dose than robust Patients do or the Sick Person must die 12. Whether the loss of Strength occasioned by Diseases can be ever restored whilst the Disease continues in the same Vigour And whether weakness proceeding from the Operations of Evacuating Remedies doth not usually cease soon after the Operation is over Effects alwaies wait upon their Causes ablata causa tollitur effectus and where no impediment hinders Nature soon recovers Strength 13. Whether simple weakness being only an impotency or incapacity of Nature to perform the necessary duties of Body and Mind and alwaies free from any sort of Sickness Fever or Pains else it must be more than simple weakness may not be removed by good Diet only Probably it may 14. Whether a weak Patient may not as well hope to recover his perfect Health without Evacuation as that he shall grow stronger under his Disease without it Neither is very probable and therefore t is imprudent to venture it That some recover without Art 't is certain but very many do die for want of it who might very well have been saved by it if they had timely applied themselves to Artists 15. Whether the benefit a Patient afterwards receives by expelling with artificial Evacuation the morbifique matter doth not abundantly compensate his present loss of Strength and Spirits This is daily confirmed in Patients that though they are weakned for the present by every sort of artificial Evacuation soon after find sensible relief and great ease Ex conferentibus laedentibus sumuntur indicationes 16. Whether Patients are not more strengthened by a purge which expells the Disease which weakens than by Cordials which do not That which removes the weakness is more likely to strengthen than that which cannot Impura Corpora quo magis nutrieris eo magis laeseris The most which can be
safe and generally so effectual that many pretenders to Physick cherish these terrible apprehensions of them in their Patients to discourage them from their use that so they may keep them the longer in hand before they will be cured 28. Whether Purging Vomiting or other Evacuations usually called Violent can be ever so dangerous and uneasie as Diseases are first and last or as ineffectual gentle Medicines and Methods are That is no Physick judiciously given can be so dangerous as the Disease which gentle and ineffectual Remedies can never lessen nor vanquish and that which makes them esteemed violent is the Uneasiness Sickness and Gripings in their Operation which is effected by only moving the vitious humours cause of the Sickness and therefore ought to be courted and not avoided since Health cannot be purchased at a cheaper Rate or without more uncertainty and longer time 29. Whether too long intervals of time betwixt the repeating Evacuations loseth not many lives Most likely for the Disease recovers in those spaces as much or more strength and vigour than it lost by the preceeding Evacuations but if indeed Diseases could have their Progress stopt the while there might be some pretence for a delay till the Patient recovered strength but they having once gotten an existence do daily draw to themselves Humours for their support Thus we plainly see Corns and Warts to continue and increase many years and so do several other Diseases for their time though not so apparently 30. Whether the Stomach is not originally or by Sympathy with some other part of the Body affected in most Distempers And whether therefore all cures ought not to be begun there Whilst the offending matter is in the Stomach and primae viae 't is much the better and shorter way to expell it by Vomits or Purges than to drive it through all the Meanders of the Body out by the Pores Indeed where it hath left the primae vivae wholly and is entred or past the Blood the safest way may be to protrude it by sweat though as long as there are any remains in the Stomach notwithstanding part is already past beyond Vomits and Purges are most proper and beneficial and ought to precede Bleeding and Sweating because if the first region is not well cleansed the others must continue foul as no Cistern can run clear which comes from a muddy Spring nor can you clean an inner Room without fouling again the outward Room having imprudently cleaned the outward first for every part of the Body derives its Nourishment originally from the Stomach and an Errour committed there can never after be corrected in any other part but by sending forth those peccant Humours by the Pores though their gross parts can never pass them easily but may lodge by the way among the small Vessels and cause Obstructions 31. Whether if Patients refuse to continue under cure and to pursue Directions till the Disease shall be subdued it is not probable it will return again If so then Remedies are not to be neglected till Dise●●●● 〈…〉 shall be rooted out and 〈…〉 Health restored for 〈…〉 natural for Diseas●● 〈…〉 their force if you 〈…〉 ●●●ing before the● 〈…〉 for a Boat 〈…〉 Stream to 〈…〉 into it when you cease to row against it without fastning the Boat 32. Whether a Fever being only a greater heat than ordinary unnaturally kindled in the blood by the admission of bad humours ought not rather to be assisted in driving forth such humours than to be checkt by the Jesuit's Pouder or the like Most certainly if the Fever or Ague Fit is not the Disease nor ●●use of it as there is great rea●●● 〈…〉 believe but a strife only 〈…〉 ●e expulsive Faculty and 〈…〉 ●●●mours in order to 〈…〉 Sweat which is 〈…〉 by Nature only 〈…〉 ●ot true 't is 〈…〉 never re●●●● 〈…〉 by the strength of Nature without Art Now if all or part of those preternatural Juices had been carried off by Stool or Vomit whilst they continued in the primae viae the Fever had either been quite overcome or in a great measure so moderated that there would have been the less work for Nature The Jesuit's Pouder seems indeed to cure an Ague but oft-times it leaves the Patient in as bad or a worse condition of Health than before 33. Whether 't is not possible for the present to extinguish quiet or qualifie the heat of many Fevers long before the Patient recover his perfect Health or even without contributing the least towards it and whether there doth not then remain matter in the Body like embers raked together ready for a relapse or the production of seeming new distempers afterwards Most Fevers are without doubt daily so quieted by the Jesuits Pouder leaving the Patient many times in a worse condition without the Fever than before with it And the new Diseases which after appear are believed but by few to be the effect of the preceeding ill cured Fever tho a little patience and care to observe may convince them that there is scarce an Ague cured by the Jesuits Pouder without previous or subsequent Evacuation but is soon followed by a return of the same or by a seeming new Distemper especially Chronical which had its Original only from the foregoing Ague 34. Whether 't is not possible with God's blessing to prevent the Raging Spreading and Progress of the Plague and to save many thousands who in all probability must have else died in a Plague Year If it were not possible such Magistrates as have made reasonable provision against it and such Physicians who have by their advice incouraged the Magistrates to do so have been very ill employed but the possibility may be demonstrated almost to a certainty 35. Whether 't is not as much the Magistrates Duty as their Prudence to provide against the Plague as well as against an Enemy upon an approaching War Both the Plague and Sword are esteemed God's Judgments and if it were not lawfull to provide against the Plague because 't is a Judgment for the same reason we ought to make no provision against an Enemy but the last is allowed by most part of Mankind and the same reason justifies the former 36. Whether the many Persons murthered in Plague Years by Nurses or dying for want of Care Skill Food or Assistance could not have been saved alive by a suitable Provision The Truth of this will not be denied and though all infected with the Plague were under a necessity of dying as they are not yet if the above-mentioned might with care be saved they well deserve it 37. Whether most infected with the Plague receive it not from others If this is granted then a seasonable and timely separating the whole from the sick might save them from such infection so that though all infected were incurable all the whole by a prudent and skillful foresight may probably escape the infection and live 38. Whether most of the Cities infected in these Northern