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
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
remove_v the_o disease_n or_o retard_v its_o course_n to_o set_v forth_o and_o make_v evident_a the_o truth_n of_o our_o first_o position_n you_o must_v know_v that_o pain_n be_v common_o the_o first_o symptom_n of_o most_o disease_n and_o if_o it_o do_v not_o appear_v as_o a_o leader_n yet_o very_o frequent_o it_o come_v in_o early_a or_o soon_o after_o the_o disease_n have_v discover_v itself_o and_o few_o that_o complain_v of_o sickness_n but_o complain_v of_o some_o pain_n that_o attend_v it_o and_o this_o our_o practice_n must_v own_v and_o confirm_v and_o take_v a_o survey_n of_o the_o catalogue_n of_o disease_n belong_v to_o man_n body_n you_o will_v find_v no_o symptom_n so_o frequent_o adjoin_v and_o appertain_v to_o they_o as_o that_o of_o pain_n and_o the_o reason_n hereof_o in_o part_n may_v be_v this_o that_o all_o the_o symptom_n of_o disease_n be_v the_o object_n of_o sense_n that_o be_v they_o do_v come_v under_o or_o be_v discernible_a by_o some_o of_o the_o sense_n which_o be_v compare_v among_o themselves_o be_v of_o great_a and_o lesser_a latitude_n now_o pain_n belong_v to_o and_o be_v adjudge_v by_o the_o sense_n of_o feel_v only_o which_o sense_n be_v of_o the_o large_a capacity_n of_o all_o the_o rest_n be_v extend_v throughout_o the_o body_n even_o through_o the_o organ_n of_o all_o the_o other_o sense_n whereas_o the_o rest_n be_v confine_v to_o particular_a part_n the_o eye_n the_o ear_n etc._n etc._n and_o have_v no_o large_a extent_n or_o place_n of_o residence_n as_o hereafter_o we_o shall_v have_v further_a occasion_n to_o discourse_n for_o instance_n see_v may_v discover_v what_o be_v amiss_o upon_o the_o external_a part_n or_o superficies_n of_o the_o body_n and_o discern_v what_o come_v forth_o that_o it_o may_v be_v adjudge_v but_o feeling_n take_v cognisance_n of_o inside_n and_o outside_n and_o what_o we_o can_v see_v we_o feel_v and_o be_v sensible_a of_o by_o pain_n even_o among_o the_o most_o secret_a and_o hide_a part_n of_o the_o body_n so_o that_o pain_n be_v know_v to_o be_v and_o do_v manifest_v itself_o whether_o it_o be_v within_o or_o without_o hence_o it_o be_v that_o pain_n be_v the_o most_o usual_a and_o most_o frequent_a symptom_n among_o disease_n pain_n therefore_o belong_v to_o this_o capacious_a sense_n and_o be_v a_o appertain_a thereto_o and_o have_v admission_n into_o all_o its_o quarter_n and_o confine_n no_o wonder_n then_o if_o pain_n so_o frequent_o occur_v and_o be_v the_o most_o usual_a attendant_n or_o most_o troublesome_a intruder_n upon_o the_o sick_a have_v thus_o prove_v and_o may_v far_o confirm_v it_o if_o needful_a that_o pain_n be_v the_o most_o general_a and_o frequent_a complaint_n of_o the_o disease_a we_o shall_v proceed_v and_o inquire_v far_o how_o tumour_n inflammation_n etc._n etc._n do_v follow_v thereupon_o and_o how_o pain_n introduce_v and_o usher_v in_o the_o rest_n of_o its_o fellow_n and_o how_o pain_n be_v introduce_v sometime_o by_o they_o and_o how_o they_o appear_v very_o often_o with_o their_o consort_n have_v relation_n to_o and_o dependence_n upon_o each_o other_o by_o way_n of_o causation_n that_o some_o of_o they_o and_o sometime_o all_o be_v principal_a actor_n in_o the_o tragedy_n of_o most_o mortal_a disease_n though_o seldom_o discern_v mortal_a disease_n i_o say_v because_o where_o disease_n be_v stop_v in_o their_o progress_n and_o have_v not_o their_o full_a course_n but_o be_v take_v off_o by_o effectual_a mean_n or_o great_a providence_n the_o link_n of_o this_o chain_n be_v break_v and_o then_o perhaps_o pain_n may_v exercise_v its_o power_n single_o and_o alone_o for_o a_o time_n and_o by_o interval_n or_o pain_n may_v contract_v or_o associate_v a_o tumour_n and_o sometime_o a_o inflammation_n and_o yet_o all_o end_n well_o these_o may_v go_v off_o or_o be_v send_v off_o by_o medicine_n and_o proceed_v no_o far_o and_o the_o patient_n recover_v or_o return_v to_o a_o good_a and_o sound_a state_n of_o health_n but_o too_o often_o it_o prove_v otherwise_o either_o by_o neglect_n and_o delay_n by_o improper_a method_n and_o erroneous_a proceed_n or_o for_o want_n of_o exquisite_a mean_n the_o progress_n go_v on_o gradual_o to_o the_o last_o and_o end_n with_o death_n in_o this_o train_n of_o disease_n pain_n for_o the_o most_o part_n be_v a_o leader_n and_o sometime_o a_o follower_n but_o seldom_o miss_v to_o be_v the_o discoverer_n pain_n begin_v and_o give_v the_o alarm_n discover_v a_o disorder_n or_o disease_n in_o this_o or_o that_o internal_a and_o hide_a part_n of_o the_o body_n give_v warning_n betimes_o and_o implore_v aid_v but_o none_o come_v at_o least_o not_o sufficient_a and_o effectual_a the_o pain_n continue_v as_o the_o cause_n be_v yet_o remain_v if_o the_o help_n of_o art_n be_v want_v yet_o nature_n be_v not_o want_v to_o herself_o but_o summon_v all_o her_o power_n and_o endeavour_n to_o dislodge_v and_o expel_v this_o morbific_a cause_n and_o raise_v all_o her_o spirit_n though_o in_o a_o febrile_a disturbance_n and_o confusion_n against_o this_o common_a enemy_n to_o the_o part_n grieve_v these_o spirit_n resort_v plentiful_o and_o with_o they_o the_o blood_n be_v convey_v which_o flow_v in_o and_o remain_v there_o a_o tumour_n be_v generate_v and_o by_o this_o concourse_n of_o spirit_n the_o part_n grow_v fiery_a and_o a_o inflammation_n be_v plant_v here_o and_o superad_v the_o case_n remain_v thus_o for_o a_o while_n and_o this_o confluence_n not_o disperse_v discuss_v or_o draw_v off_o the_o tumour_n perhaps_o grow_v cancerous_a afterward_o gangrene_n and_o mortify_v than_o death_n immediate_o ensue_v and_o conclude_v all_o but_o sometime_o the_o tumour_n suppurate_v or_o apostemate_n and_o then_o the_o contain_v purulent_a matter_n break_v forth_o and_o beget_v a_o ulcer_n if_o the_o patient_n survive_v and_o hold_v it_o out_o and_o with_o this_o the_o disease_a may_v continue_v a_o long_o or_o short_a time_n according_a to_o the_o nature_n of_o the_o ulcer_n and_o as_o it_o be_v more_o or_o less_o dangerous_o seat_v for_o if_o it_o be_v a_o principal_a part_n or_o adjacent_a or_o this_o ulcerous_a matter_n issue_v fall_v into_o some_o inconvenient_a cavity_n where_o it_o be_v lodge_v again_o and_o find_v no_o emunctory_a or_o passage_n out_o or_o erode_n and_o rot_v some_o choice_a vessel_n of_o great_a use_n the_o case_n be_v deplorable_a and_o scarce_o remediable_a now_o to_o comment_v a_o little_a upon_o this_o series_n and_o progress_n consider_v that_o where_o there_o be_v pain_n and_o it_o continue_v especial_o in_o a_o high_a degree_n you_o may_v rational_o expect_v a_o tumour_n or_o flux_n of_o humour_n congregat_v to_o be_v the_o consequent_a if_o not_o prevent_v which_o be_v bring_v to_o pass_v and_o effect_v after_o this_o manner_n or_o upon_o a_o threefold_a account_n first_o because_o nature_n in_o a_o time_n of_o exigence_n and_o need_n do_v endeavour_n to_o help_v herself_o and_o exert_v her_o power_n to_o the_o utmost_a and_o therefore_o when_o pain_n afflict_v a_o member_n the_o spirit_n resort_v thither_o and_o with_o they_o the_o blood_n also_o to_o relieve_v it_o second_o the_o part_n pain_v by_o reason_n of_o this_o plenitude_n of_o blood_n and_o confluence_n of_o spirit_n do_v wax_n hot_a and_o this_o heat_n beget_v a_o attraction_n and_o draw_v more_o humour_n to_o the_o part_n three_o pain_n debilitates_fw-la and_o disable_v the_o part_n whereby_o it_o be_v become_v uncapable_a to_o defend_v itself_o but_o lie_v obnoxious_a to_o this_o flux_n of_o humour_n which_o be_v out_o of_o their_o proper_a place_n and_o remain_v in_o a_o distemper_a part_n they_o degenerate_a various_o now_o upon_o a_o survey_n of_o the_o whole_a matter_n although_o nature_n intend_v well_o in_o this_o hurry_n and_o bustle_v be_v rouse_v up_o and_o prick_v by_o pain_n and_o success_n sometime_o happen_v upon_o it_o or_o no_o damage_n yet_o common_o it_o fall_v out_o otherwise_o and_o there_o be_v a_o oppression_n and_o over-charge_n bring_v upon_o the_o part_n the_o confluence_n of_o spirit_n together_o with_o the_o innate_a tumultuate_a and_o inflame_v the_o grieve_a member_n which_o be_v thus_o discompose_v and_o out_o of_o order_n can_v moderate_v and_o check_v the_o flux_n and_o attraction_n of_o humour_n but_o be_v overload_v crowd_v therewith_o and_o distend_v and_o unless_o the_o help_n of_o physic_n direct_v by_o a_o prudent_a hand_n steps_z in_o to_o appease_v and_o allay_v this_o disturbance_n by_o cast_v out_o the_o morbific_a seminary_n or_o matter_n and_o reduce_v this_o disorder_n it_o go_v on_o from_o bad_a to_o worse_o frequent_o and_o from_o thence_o to_o extremity_n and_o perhaps_o to_o a_o irrecoverable_a state_n in_o manner_n and_o by_o such_o gradation_n as_o before_o relate_v and_o beside_o what_o pain_n do_v thus_o effect_v as_o a_o leader_n tumour_n sometime_o do_v take_v their_o
error_n and_o folly_n of_o the_o rest_n for_o by_o insist_v so_o much_o upon_o this_o heat_n the_o suppose_a obstacle_n of_o cure_n or_o the_o thing_n to_o be_v cure_v the_o opportunity_n perhaps_o may_v be_v lose_v but_o the_o patient_n certain_o injure_v by_o the_o vain_a use_n of_o medicine_n level_v at_o this_o mark_n few_o disease_n there_o be_v among_o the_o chronic_n or_o slow_a of_o motion_n but_o some_o febrile_a or_o preternatural_a heat_n more_o than_o the_o ordinary_a and_o natural_a temper_n do_v attend_v they_o especial_o at_o such_o time_n if_o the_o disease_n have_v any_o manifest_a intention_n of_o degree_n or_o paroxysm_n of_o pain_n and_o scarce_o any_o among_o the_o acute_a or_o swift_a but_o a_o brisk_a and_o high_a fever_n do_v always_o accompany_v for_o in_o all_o case_n where_o pain_n be_v continue_v especial_o if_o severe_a a_o fever_n be_v adjoin_v and_o they_o become_v fratres_fw-la in_o malo_fw-la or_o rather_o a_o branch_n from_o that_o stock_n and_o the_o order_n of_o causation_n run_v thus_o first_o there_o be_v the_o morbific_a cause_n plant_v in_o this_o or_o that_o part_n or_o transient_a which_o be_v either_o some_o degenerate_a or_o peccant_a humour_n there_o infest_v or_o corruptive_a seminary_n the_o fundamental_a matter_n of_o pain_n tumour_n etc._n etc._n or_o some_o extraordinary_a production_n as_o stone_n worm_n etc._n etc._n these_o preternatural_a cause_n do_v seldom_o lie_v dormant_a but_o raise_v pain_n by_o obstruction_n by_o oppression_n or_o compression_n by_o convulsion_n distension_n corrosion_n putrefaction_n etc._n etc._n the_o part_n be_v thus_o affect_v and_o grieve_v the_o vital_a principle_n reside_v as_o governor_n there_o be_v hereby_o excite_v and_o irritate_v to_o remove_v expel_v and_o cast_v off_o the_o offend_a cause_n this_o struggle_a and_o irritation_n of_o the_o life_n be_v the_o very_a pain_n and_o anguish_n that_o be_v feel_v in_o the_o part_n for_o the_o organ_n be_v not_o capable_a of_o pain_n of_o itself_o but_o the_o life_n inhabit_v and_o enable_v the_o part_n to_o perform_v vital_a office_n that_o do_v dolere_fw-la and_o aestuare_fw-la now_o a_o fever_n which_o be_v pain_n diffuse_v arise_v from_o particular_a pain_n thus_o as_o the_o member_n or_o part_n of_o the_o body_n be_v many_o do_v consent_n with_o one_o another_o some_o more_o immediate_o and_o peculiar_o than_o with_o the_o rest_n by_o vessel_n of_o communication_n partnership_n in_o office_n or_o vicinity_n yet_o the_o life_n be_v one_o entity_n or_o common_a be_v extend_v and_o expanded_a throughout_o the_o whole_a fabric_n of_o the_o body_n can_v suffer_v here_o or_o there_o but_o the_o whole_a be_v injure_v disturb_a and_o draw_v into_o consent_n more_o or_o less_o manifest_o or_o secret_o and_o the_o spirit_n upon_o great_a occasision_n be_v raise_v up_o in_o commotion_n throughout_o the_o body_n as_o instrument_n to_o vindicate_v the_o public_a from_o a_o enemy_n invade_v and_o far_o take_v notice_n that_o particular_a pain_n beget_v the_o general_a a_o fever_n great_a or_o less_o soon_o for_o flower_n upon_o a_o double_a account_n 1._o from_o the_o nature_n and_o quality_n of_o the_o part_n in_o formation_n and_o office_n 2._o from_o the_o greatness_n or_o inconsider_v ableness_n fierceness_n or_o mildness_n of_o the_o morbific_a cause_n for_o example_n sickness_n which_o be_v pain_n at_o the_o heart_n or_o stomach_n raise_v a_o fever_n great_a and_o soon_o and_o this_o by_o reason_n of_o the_o excellency_n and_o necessity_n of_o their_o office_n whereby_o the_o whole_a body_n consent_v forthwith_o that_o what_o afflict_v these_o be_v a_o general_a complaint_n more_o immediate_o but_o other_o part_n in_o a_o low_a station_n subservient_fw-fr and_o ministerial_a who_o function_n be_v not_o so_o general_a but_o of_o particular_a and_o private_a use_n do_v not_o communicate_v their_o disease_n so_o soon_o nor_o the_o whole_a body_n so_o high_o resent_v their_o ill_a affect_n because_o the_o public_a can_v spare_v their_o office_n and_o be_v without_o their_o exquisite_a or_o complete_a assistance_n for_o a_o time_n without_o great_a complaint_n or_o manifest_a want_n second_o the_o cause_n or_o morbific_a mat_a be_v great_a or_o less_o in_o any_o part_n do_v thereby_o affect_v more_o or_o less_o soon_o or_o late_a and_o therefore_o sand_n or_o small_a gravel_n in_o the_o kidney_n do_v not_o afflict_v the_o part_n nor_o raise_v so_o great_a a_o disturbance_n in_o the_o body_n as_o a_o stone_n there_o that_o obstruct_v the_o ducture_n and_o stop_v the_o current_n of_o the_o urine_n and_o be_v much_o more_o difficult_a to_o be_v remove_v and_o sickness_n or_o pain_n at_o the_o stomach_n by_o little_a over-drinking_a of_o good_a liquor_n wine_n or_o beer_n etc._n etc._n be_v not_o so_o lasting_a nor_o molest_v nor_o pread_v in_o the_o effect_n over_o the_o whole_a body_n â—s_v a_o surfeit_n of_o meat_n fruit_n or_o a_o over-charge_n of_o bad_a liquor_n these_o shall_v produce_v not_o only_a sickness_n or_o pain_n in_o the_o stomach_n but_o sickness_n or_o a_o hot_a pain_n in_o the_o whole_a body_n which_o be_v call_v a_o fever_n and_o this_o sickness_n may_v be_v dangerous_a as_o sometime_o it_o prove_v mortal_a pain_n be_v fix_v in_o one_o part_n but_o the_o fever_n be_v universal_a spread_v throughout_o the_o body_n for_o from_o this_o pain_n of_o a_o particular_a part_n the_o whole_a life_n estuate_v be_v incense_v and_o disquiet_v as_o if_o a_o cord_n be_v tie_v or_o fasten_v at_o both_o end_n of_o great_a length_n and_o strait_n strike_v it_o hard_o in_o one_o place_n and_o it_o jar_n the_o whole_a length_n but_o at_o the_o place_n strike_v the_o vibration_n be_v great_a and_o more_o manifest_a so_o where_o the_o disease_n be_v seat_v the_o pain_n be_v more_o apparent_a and_o that_o part_v most_o sensible_a where_o the_o wound_n be_v give_v where_o the_o oppression_n lie_v where_o the_o obstruction_n be_v where_o the_o humour_n be_v corrode_a putrify_a etc._n etc._n there_o pain_n be_v eminenter_fw-la limit_v or_o bound_v and_o to_o be_v point_v at_o particular_o here_o and_o not_o there_o eminent_o but_o from_o hence_o arise_v the_o fever_n which_o be_v pain_n diffuse_v in_o a_o remiss_a degree_n and_o seem_o of_o another_o nature_n or_o quality_n a_o different_a thing_n suppose_v by_o some_o therefore_o denominate_v a_o fever_n this_o fever_n although_o it_o be_v a_o pain_n yet_o it_o be_v not_o so_o feel_v by_o the_o patient_n nor_o so_o understand_v by_o other_o because_o of_o the_o great_a particular_a pain_n that_o drown_v it_o and_o because_o of_o its_o expansion_n and_o latitude_n all_o part_n bear_v their_o proportion_n and_o share_v so_o that_o where_o a_o fever_n stand_v alone_o without_o a_o particular_a pain_n in_o this_o or_o that_o part_n yet_o the_o fever_n the_o general_a pain_n be_v not_o so_o manifest_a to_o the_o sense_n of_o the_o patient_n because_o every_o part_n have_v its_o portion_n and_o therefore_o be_v not_o so_o discernible_a and_o uneasy_a for_o a_o fever_n be_v pain_n expatiate_v through_o the_o body_n and_o you_o be_v not_o so_o sensible_a of_o it_o as_o when_o pain_n be_v contract_v into_o a_o narrow_a compass_n the_o rest_n be_v free_a and_o at_o ease_n that_o all_o fever_n be_v pain_n great_a or_o less_o examine_v but_o the_o definition_n of_o febris_n and_o that_o of_o dolour_n fever_n and_o pain_n you_o will_v be_v full_o inform_v how_o they_o agree_v a_o fever_n be_v comprise_v under_o pain_n as_o a_o species_n of_o that_o genus_fw-la be_v a_o hot_a pain_n or_o the_o pain_n of_o heat_n dolour_n est_fw-la tristis_fw-la sensatio_fw-la in_o tactu_fw-la gal._n febris_n est_fw-la calor_fw-la contra_fw-la naturam_fw-la in_o cord_n accensus_fw-la &_o ex_fw-la eo_fw-la in_o totum_fw-la corpus_fw-la diffusus_fw-la which_o be_v hippocratic_n and_o galenic_n doctrine_n now_o where_o there_o be_v heat_n high_a or_o exceed_v that_o which_o be_v natural_a it_o must_v affect_v the_o sense_n of_o feeling_n and_o cause_n pain_n and_o although_o i_o do_v not_o like_o the_o definition_n of_o febris_n yet_o it_o will_v serve_v my_o turn_n here_o be_v right_a in_o the_o opinion_n of_o those_o galenist_n with_o who_o i_o now_o contend_v from_o hence_o we_o must_v understand_v and_o be_v untaught_a again_o that_o dolour_n and_o febris_n do_v differ_v as_o genus_fw-la and_o species_n a_o fever_n be_v contain_v under_o and_o be_v one_o sort_n of_o pain_n viz._n a_o hot_a scorch_a pain_n and_o sometime_o a_o fever_n be_v a_o cold_a pain_n as_o the_o rigour_n of_o intermit_a fever_n call_v ague_n do_v testify_v and_o since_o that_o all_o fever_n we_o pain_n little_a or_o great_a we_o shall_v not_o need_v to_o institute_v a_o method_n of_o cure_n different_a upon_o the_o notion_n of_o a_o fever_n but_o only_o have_v respect_n unto_o the_o cause_n that_o raise_v this_o feverish_a or_o hot_a pain_n and_o therefore_o
hand_n again_o and_o the_o same_o especial_o that_o cure_v he_o of_o the_o dangerous_a fever_n and_o thus_o the_o suppose_a good_a physician_n drive_v on_o and_o be_v think_v a_o very_a necessary_a advisor_n and_o a_o able_a assistant_n upon_o all_o occasion_n emerge_v true_o this_o be_v according_a to_o the_o homely_a proverb_n but_o tinkerly_a do_n stop_v a_o fever_n if_o it_o can_v be_v this_o way_n and_o introduce_v what_o be_v more_o contumacious_a difficult_a and_o worse_a to_o be_v deal_v with_o but_o some_o may_v object_v and_o say_v that_o lemon_n and_o orange_n be_v use_v in_o fever_n and_o with_o good_a effect_n from_o their_o cool_n i_o answer_v that_o lemon_n orange_n barberry_n and_o such_o like_a be_v allowable_a and_o what_o good_a arise_v from_o thence_o be_v not_o to_o be_v ascribe_v to_o their_o cool_a virtue_n if_o any_o but_o to_o their_o acidity_n which_o acuate_v and_o sharpen_v the_o ferment_n of_o the_o stomach_n by_o who_o reinforcement_n and_o strength_n regain_v by_o this_o mean_n the_o whole_a body_n be_v refresh_v fare_v the_o better_a and_o some_o allay_n at_o least_o more_o ability_n to_o bear_v the_o febrile_a heat_n and_o therefore_o likewise_o such_o liquor_n be_v to_o be_v grant_v the_o patient_n for_o refreshment_n and_o support_n as_o be_v most_o agreeable_a to_o the_o stomach_n and_o desire_v and_o the_o dictate_v of_o nature_n in_o these_o case_n be_v to_o be_v mark_v who_o prompt_v for_o she_o own_o help_n and_o satisfaction_n and_o general_o the_o drink_v so_o desire_v by_o they_o be_v ferment_v liquor_n no_o julep_n beer_n ale_n cider_n wine_n etc._n etc._n and_o such_o be_v most_o agreeable_a to_o the_o stomach_n which_o discreet_o use_v be_v no_o promoter_n nor_o continuer_n of_o the_o fever_n but_o beneficial_a in_o their_o kind_n and_o a_o relief_n to_o the_o sick_a but_o always_o to_o impose_v medical_a drink_n upon_o a_o weak_a sick_a man_n as_o if_o he_o be_v to_o be_v nourish_v and_o live_v by_o physic_n be_v very_o absurd_a and_o irrational_a and_o here_o pertinent_a to_o our_o discourse_n i_o must_v recite_v what_o i_o have_v former_o note_v elsewhere_o but_o by_o the_o way_n i_o must_v tell_v you_o wherein_o i_o differ_v from_o other_o physician_n when_o i_o grant_v my_o patient_n cool_v drink_n as_o whey_n cider_n or_o such_o like_a when_o desire_v in_o fever_n or_o hot_a body_n they_o lay_v a_o stress_n upon_o cooler_n as_o principal_a mean_n against_o the_o disease_n and_o to_o reduce_v the_o distemper_n i_o allow_v they_o not_o as_o physic_v against_o the_o disease_n but_o as_o refreshment_n to_o nature_n be_v delight_v therewith_o and_o covet_v so_o that_o i_o do_v not_o impose_v they_o as_o of_o necessity_n because_o the_o disease_n do_v not_o require_v it_o but_o observe_v the_o propriety_n of_o the_o body_n be_v comfort_v and_o refresh_v with_o such_o of_o such_o cool_a liquor_n so_o that_o these_o be_v not_o give_v as_o medicine_n for_o they_o cure_v not_o nor_o be_v heat_n to_o be_v regard_v otherwise_o than_o as_o signal_n but_o they_o may_v be_v allow_v as_o refreshment_n a_o labour_a man_n that_o toil_n and_o heat_n himself_o must_v have_v drink_v to_o refresh_v he_o even_o so_o it_o be_v with_o a_o man_n in_o a_o fever_n his_o spirit_n labour_v more_o than_o at_o another_o time_n and_o more_o thirsty_a he_o be_v require_v drink_n more_o than_o at_o another_o time_n and_o it_o must_v be_v such_o as_o delight_v he_o that_o nature_n do_v desire_v not_o barley_n water_n julep_n and_o such_o slop_n that_o the_o patient_a nauseat_n and_o give_v he_o no_o satisfaction_n tract_n of_o the_o scurvy_a chap._n 11._o edition_n 4._o and_o in_o the_o same_o chapter_n controvert_v with_o dr._n willis_n about_o antiscorbutic_a remedy_n there_o be_v much_o more_o to_o this_o purpose_n show_v the_o indirect_a proceed_n against_o fever_n with_o repeat_v phlebotomy_n and_o cool_a medicine_n whither_o i_o refer_v the_o reader_n and_o here_o i_o may_v animadvert_v and_o take_v notice_n of_o the_o strange_a invention_n and_o irrational_a use_n of_o epispastic_a or_o blister_a plaster_n to_o draw_v away_o a_o fever_n show_v thereby_o also_o that_o fever_n be_v whole_o mistake_v in_o the_o notion_n of_o they_o but_o i_o must_v wave_v the_o argument_n as_o collateral_a which_o otherwise_o will_v interrupt_v our_o present_a occasion_n and_o divert_v i_o from_o the_o direct_a prosecution_n of_o the_o business_n in_o hand_n now_o in_o tlje_fw-fr close_a to_o observe_v the_o order_n and_o dependence_n of_o this_o discourse_n and_o to_o take_v a_o review_n of_o the_o whole_a matter_n compendious_o draw_v up_o you_o will_v find_v we_o have_v not_o deviate_v from_o the_o subject_n propose_v but_o prosecute_v direct_o the_o scope_n of_o this_o designment_n which_o in_o short_a be_v thus_o that_o this_o latent_fw-la internal_a series_n of_o disease_n more_o frequent_a than_o discern_v their_o dangerous_a transition_n and_o complication_n be_v mask_v and_o cover_v with_o a_o apparent_a or_o outside_n garb_n of_o a_o fever_n or_o febrile_a preternatural_a heat_n which_o signature_n and_o external_a character_n have_v so_o ingross_v the_o physician_n endeavour_n and_o take_v up_o the_o practice_n of_o this_o art_n that_o little_o have_v be_v do_v in_o search_v out_o the_o radix_fw-la of_o disease_n and_o opportunity_n neglect_v for_o prosecution_n against_o the_o morbific_a cause_n and_o for_o as_o much_o as_o this_o fever_n be_v only_o the_o estuation_n of_o the_o vital_a principle_n throughout_o the_o body_n general_o attend_v these_o and_o most_o other_o disease_n be_v no_o far_a to_o be_v take_v notice_n of_o than_o as_o signal_n show_v the_o cause_n to_o be_v great_a or_o less_o in_o provocation_n as_o the_o heat_n be_v more_o intense_a or_o remiss_a and_o do_v in_o no_o wise_n divert_v the_o physician_n intention_n and_o design_n of_o cure_n nor_o aught_o to_o be_v apply_v unto_o since_o it_o be_v only_o a_o consequent_a and_o dependent_a occasional_o from_o the_o morbific_a cause_n which_o febrile_a heat_n rise_v and_o fall_v as_o the_o say_a cause_n do_v more_o or_o less_o provoke_v and_o irritate_fw-la and_o vanish_v quite_o away_o when_o that_o cause_n be_v remove_v or_o cease_v to_o disturb_v it_o necessary_o then_o follow_v that_o these_o cooler_n general_o use_v and_o main_o insist_v on_o be_v general_o noxious_a often_o mortal_a give_v great_a advantage_n to_o the_o train_n of_o disease_n our_o subject_n towards_o a_o cure_n whereof_o they_o contribute_v nothing_o but_o è_fw-la contrà _fw-la promote_v the_o progress_n i_o may_v have_v amplify_v and_o enlarge_v thisdiscourse_n in_o several_a part_n thereof_o but_o this_o will_v suffice_v at_o present_a for_o a_o dawn_n and_o discover_v light_n which_o hereafter_o may_v appear_v with_o great_a lustre_n as_o occasion_n shall_v be_v offer_v by_o any_o opponent_n to_o these_o truth_n and_o thus_o much_o in_o general_a touch_v this_o series_n of_o disease_n their_o latency_n their_o frequency_n the_o danger_n by_o in_o advertency_n and_o improper_a mistake_v mean_n and_o too_o late_a discovery_n our_o next_o undertake_n be_v to_o view_v more_o particular_o the_o gradation_n of_o this_o progress_n trace_v from_o stage_n to_o stage_n and_o remark_v the_o capital_a occurrence_n the_o chief_a cause_n antecedent_n and_o conjunct_a beginning_n with_o pain_n the_o common_a leader_n or_o warning_n sympton_n pain_n afflict_v humane_a body_n the_o different_a nature_n and_o cause_n thereof_o of_o all_o symptom_n that_o attend_v or_o be_v the_o consequent_n of_o disease_n pain_n be_v the_o most_o troublesome_a and_o irksome_a to_o bear_v weakness_n and_o languish_a be_v tolerable_a evil_n but_o pain_n be_v restless_a torment_v and_o full_a of_o complaint_n and_o although_o this_o be_v the_o worst_a in_o extremity_n to_o abide_v and_o the_o most_o mournful_a accident_n that_o befall_v man_n body_n yet_o no_o part_n thereof_o have_v a_o privilege_n by_o nature_n to_o be_v exempt_a or_o protection_n from_o this_o calamity_n the_o reason_n whereof_o we_o will_v inquire_v into_o all_o part_n of_o the_o body_n wherein_o be_v the_o sense_n of_o feeling_n be_v liable_a to_o pain_n and_o by_o virtue_n of_o this_o sense_n pain_n be_v communicate_v to_o this_o or_o that_o part_n and_o therefore_o dead_a body_n part_n paralytic_a benumb_a or_o mortify_v be_v not_o capable_a of_o pain_n because_o in_o they_o there_o be_v not_o that_o sense_n of_o feeling_n and_o although_o the_o organ_n of_o the_o other_o sense_n be_v subject_a to_o pain_n as_o the_o eye_n ear_n etc._n etc._n yet_o pain_n be_v not_o proper_a to_o they_o quatenus_fw-la as_o they_o belong_v to_o those_o sense_n but_o as_o the_o sense_n of_o feeling_n be_v seat_v there_o also_o have_v a_o great_a latitude_n than_o the_o other_o and_o be_v extend_v through_o the_o organ_n of_o all_o those_o sense_n true_a it_o be_v the_o other_o sense_n have_v
their_o inconvenient_a and_o disturb_a object_n as_o the_o philosopher_n say_v excellens_fw-la sensibile_fw-la laedit_fw-la sen_fw-la sum_fw-la as_o the_o light_n of_o the_o sun_n or_o flame_n be_v troublesome_a to_o the_o eye_n and_o great_a noise_n as_o of_o a_o bell_n or_o gun_n if_o near_o especial_o sudden_a and_o unexpected_a do_v offend_v the_o ear_n and_o a_o strong_a or_o stink_a scent_n be_v offensive_a to_o the_o nose_n and_o a_o ungrateful_a taste_n as_o too_o salt_n too_o sour_a or_o bitter_a be_v unpleasant_a to_o the_o palate_n but_o pain_n affect_v the_o sense_n of_o feeling_n part_n therefore_o that_o be_v capable_a of_o pain_n be_v endow_v with_o the_o sense_n of_o feeling_n and_o those_o part_n be_v membranous_a that_o be_v they_o be_v invest_v with_o or_o line_v with_o some_o membrane_n by_o which_o the_o sense_n of_o feeling_n be_v communicate_v and_o hence_o the_o bone_n be_v capable_a of_o pain_n by_o the_o periosteum_n that_o membrane_n which_o cover_v they_o and_o this_o sense_n as_o it_o be_v more_o general_a extend_v through_o all_o part_n and_o more_o useful_a than_o the_o rest_n of_o the_o sense_n so_o the_o disturbance_n arise_v thence_o be_v more_o insufferable_a and_o grievous_a to_o be_v endure_v and_o better_o it_o be_v to_o want_v any_o other_o sense_n than_o this_o yea_o all_o for_o where_o feeling_n be_v depart_v the_o life_n be_v cease_v in_o that_o part_n this_o sense_n therefore_o be_v supreme_a the_o defection_n and_o disturbance_n thereof_o must_v be_v of_o great_a importance_n and_o concernment_n than_o the_o rest_n the_o other_o sense_n be_v confine_v to_o and_o exercise_v their_o function_n in_o one_o organ_n or_o part_n of_o the_o body_n the_o eye_n the_o ear_n etc._n etc._n but_o feeling_n be_v not_o restrain_v to_o so_o narrow_a a_o compass_n but_o be_v seat_v in_o all_o part_n of_o the_o body_n even_o in_o the_o organ_n of_o those_o other_o sense_n the_o great_a prerogative_n of_o this_o sense_n above_o the_o rest_n have_v no_o limit_n but_o reach_v through_o the_o whole_a body_n and_o exercise_v its_o power_n among_o the_o other_o sense_n and_o a_o inseparable_a consort_n with_o the_o life_n be_v worth_a inquire_v into_o the_o reason_n thereof_o if_o time_n will_v give_v leave_n for_o that_o diversion_n what_o pain_n be_v scarce_o any_o one_o but_o can_v tell_v and_o some_o by_o woeful_a experience_n whereby_o they_o will_v consent_v with_o the_o definition_n thereof_o dolour_n est_fw-la tristis_fw-la sensatio_fw-la in_o tactu_fw-la pain_n be_v a_o trouble_n arise_v in_o the_o sense_n of_o feeling_n but_o that_o which_o be_v so_o plain_o feel_v be_v not_o very_o easy_a to_o be_v understand_v from_o whence_o it_o do_v arise_v the_o cause_n of_o pain_n be_v as_o various_a as_o the_o object_n of_o the_o sense_n of_o feel_v for_o whatever_o object_n assault_v that_o sense_n violent_o or_o extreme_o as_o too_o hot_a cold_a hard_a sharp_a heavy_a etc._n etc._n be_v offensive_a to_o the_o organ_n of_o feel_v and_o do_v raise_v pain_n concern_v the_o approximate_a cause_n of_o pain_n there_o be_v several_a opinion_n i_o wave_v the_o more_o extravagant_a and_o improbable_a and_o shall_v recite_v those_o in_o which_o the_o most_o philosopher_n and_o eminent_a physician_n do_v consent_n and_o pitch_n upon_o as_o most_o agreeable_a to_o reason_n one_o party_n assert_n that_o a_o sudden_a and_o violent_a mutation_n of_o the_o active_a quality_n or_o the_o tactil_a quality_n sudden_o and_o violent_o act_v upon_o the_o sense_n of_o feeling_n be_v the_o approximate_a cause_n of_o pain_n the_o other_o party_n determine_v that_o solutio_fw-la continui_fw-la a_o solution_n or_o disjunction_n of_o continuity_n be_v the_o immediate_a cause_n of_o all_o pain_n the_o three_o opinion_n join_v these_o two_o together_o and_o will_v have_v pain_n to_o arise_v from_o they_o both_o according_a to_o the_o definition_n of_o plato_n est_fw-la itaque_fw-la dolour_n tristis_fw-la in_o sensu_fw-la tactûs_fw-la affectio_fw-la à _fw-la membri_fw-la intemperie_n &_o continuitatis_fw-la divortio_fw-la subitò_fw-la facta_fw-la and_o hippoc._n before_o he_o teach_v the_o same_o doctrine_n quae_fw-la naturam_fw-la inquit_fw-la mutant_fw-la ac_fw-la corrumpunt_fw-la dolores_fw-la excitant_fw-la to_o which_o galen_n do_v subscribe_v now_o to_o comment_v a_o little_a upon_o these_o different_a judgement_n i_o can_v but_o observe_v and_o do_v own_o that_o there_o be_v something_o of_o probability_n and_o reason_n in_o these_o several_a sentiment_n but_o not_o a_o full_a satisfaction_n to_o the_o matter_n query_v nor_o the_o whole_a truth_n right_o state_v and_o for_o this_o reason_n i_o be_o the_o more_o nice_a and_o strict_a in_o this_o inquiry_n because_o from_o hence_o the_o nature_n of_o anodynes_n or_o assuager_n of_o pain_n be_v discover_v and_o this_o be_v the_o groundwork_n upon_o which_o they_o be_v form_v and_o right_o adapt_v i_o allow_v that_o unity_n be_v the_o perfection_n of_o body_n and_o be_v necessary_a to_o perfect_a sanity_n disjunction_n or_o separation_n dissolve_v the_o harmony_n and_o lead_v or_o be_v the_o progress_n to_o destruction_n for_o whatever_o tend_v to_o disjoin_v or_o make_v a_o separation_n of_o part_n do_v threaten_v to_o ruin_v the_o whole_a and_o true_a it_o be_v that_o the_o active_a quality_n or_o tactil_a object_n do_v cause_n pain_n as_o they_o do_v make_v their_o impulsion_n violent_o upon_o the_o organ_n of_o feel_v which_o when_o they_o do_v it_o moderate_o placid_o and_o amicable_o they_o cause_v pleasure_n or_o no_o pain_n but_o whether_o the_o impetuous_a and_o vehement_a act_n of_o those_o agent_n raise_v pain_n do_v always_o cause_v a_o solution_n of_o continuity_n approximate_o and_o immediate_o be_v much_o to_o be_v doubt_v i_o yield_v that_o the_o vehemency_n of_o these_o tactil_a object_n may_v procure_v a_o solution_n of_o continuity_n sometime_o as_o we_o see_v from_o pain_n that_o imposthume_n ulcer_n gangrene_n and_o mortification_n do_v follow_v but_o these_o be_v not_o inseparable_a and_o necessary_a consequent_n for_o they_o happen_v but_o sometime_o pain_n may_v continue_v for_o a_o time_n cease_v again_o and_o no_o breach_n of_o continuity_n remain_v aâ—_n a_o effect_n thereof_o to_o which_o our_o adversary_n have_v this_o evasion_n by_o way_n of_o reply_n that_o pain_n be_v cause_v à _fw-la continui_fw-la solutione_n non_fw-la à _fw-la soluta_fw-la unitate_fw-la which_o as_o i_o conceive_v the_o meaning_n be_v as_o much_o as_o to_o say_v solution_n of_o continuity_n in_o fieri_fw-la be_v sufficient_a though_o it_o be_v not_o in_o facto_fw-la esse_fw-la but_o to_o pass_v over_o this_o sophistry_n as_o not_o worth_a the_o expense_n of_o time_n to_o lay_v it_o open_a and_o if_o we_o make_v appear_v that_o the_o whole_a matter_n or_o controversy_n be_v bottom_v upon_o this_o error_n mistake_v the_o cause_n for_o the_o effect_n and_o the_o effect_n for_o the_o cause_n cujus_fw-la contrarium_fw-la then_o the_o plead_n of_o our_o antagonist_n will_v be_v put_v to_o silence_n as_o absurd_a the_o doctrine_n lay_v aside_o and_o practice_n ground_v upon_o better_a principle_n they_o affirm_v solution_n of_o continuity_n to_o be_v the_o approximate_a cause_n of_o pain_n the_o contrary_a whereof_o we_o will_v set_v forth_o and_o prove_v that_o pain_n be_v the_o cause_n of_o solution_n of_o continuity_n and_o here_o we_o must_v first_o distinguish_v between_o violent_a external_a agent_n as_o sword_n staff_z bullet_n fire_n etc._n etc._n cause_v wound_n contusion_n fracture_n combustion_n etc._n etc._n and_o internal_a cause_n gradual_o arise_v in_o the_o body_n as_o product_n of_o a_o degenerate_a state_n in_o the_o first_o case_n solution_n of_o continuity_n cause_v pain_n as_o when_o the_o wound_n be_v give_v pain_n follow_v as_o a_o effect_n so_o likewise_o upon_o a_o sudden_a fracture_n or_o rapture_n in_o the_o latter_a pain_n precede_v as_o the_o approximate_a cause_n solution_n of_o continuity_n come_v after_o as_o the_o product_n or_o consequent_a for_o example_n some_o indigested_a or_o degenerate_a matter_n lodge_v or_o fix_v in_o this_o or_o that_o part_n of_o the_o body_n nature_n not_o able_a to_o subdue_v or_o transmit_v it_o away_o this_o like_a a_o thorn_n irritate_v and_o provoke_v the_o vital_a principle_n to_o a_o disquietness_n and_o disturbance_n which_o be_v pain_n this_o pain_n draw_v a_o confluence_n of_o humour_n to_o the_o part_n grieve_v and_o increase_v the_o first_o offend_v matter_n cause_v inflammation_n and_o tumour_n this_o apostemate_n and_o then_o break_v forth_o into_o a_o ulcer_n observe_v the_o series_n first_o here_o be_v peccant_a matter_n as_o the_o occasional_a cause_n raise_v pain_n this_o pain_n attract_v humour_n from_o other_o part_n which_o be_v transplant_v out_o of_o their_o proper_a place_n they_o degenerate_a corrupt_a and_o then_o produce_v a_o imposthume_n and_o ulcer_n thus_o you_o see_v pain_n go_v before_o solution_n of_o continuity_n follow_v after_o and_o therefore_o it_o be_v plain_a as_o in_o
will_v receive_v some_o ease_n and_o benefit_n by_o that_o which_o be_v good_a soon_o after_o it_o be_v receive_v into_o the_o stomach_n long_o before_o it_o can_v make_v a_o progress_n the_o common_a way_n out_o of_o the_o stomach_n and_o this_o consent_n likewise_o be_v between_o the_o oesophagus_n the_o mouth_n of_o the_o stomach_n and_o the_o heart_n and_o thus_o it_o be_v between_o the_o bladder_n and_o the_o intestinum_fw-la rectum_fw-la the_o last_o gut_n and_o from_o hence_o pain_n of_o the_o bladder_n be_v mitigate_v and_o ease_v by_o clyster_n through_o insensible_a passage_n and_o not_o by_o any_o manifest_a ducture_n or_o vessel_n of_o communication_n from_o hence_o we_o may_v learn_v by_o such_o example_n that_o sympathy_n and_o consent_n of_o part_n be_v strict_o to_o be_v mark_v else_o it_o be_v not_o possible_a to_o know_v where_o the_o root_n of_o a_o disease_n be_v and_o from_o whence_o pain_n or_o other_o symptom_n do_v arise_v for_o one_o part_n may_v be_v pain_v and_o the_o disease_n lie_v in_o another_o and_o if_o this_o be_v not_o right_o distinguish_v there_o can_v be_v a_o true_a adaptation_n of_o medicine_n nor_o due_a application_n make_v where_o it_o ought_v to_o be_v which_o render_v all_o endeavour_n frustraneous_a but_o to_o descend_v from_o general_n and_o to_o make_v our_o discourse_n more_o profitable_a and_o satisfactory_a to_o the_o particular_a case_n of_o the_o reader_n inquire_v after_o his_o own_o peculiar_a concern_n and_o present_a complaint_n we_o will_v take_v notice_n of_o some_o pain_n incident_a to_o particular_a and_o principal_a part_n of_o the_o body_n remarkable_a and_o frequent_o occur_v examine_v their_o cause_n pain_n of_o the_o head_n that_o the_o head_n ache_v every_o one_o can_v tell_v that_o suffer_v under_o it_o but_o the_o cause_n and_o the_o part_n affect_v distinct_o be_v know_v only_o to_o the_o physician_n and_o he_o by_o question_v and_o examine_v the_o patient_n draw_v his_o conclusion_n by_o collate_v the_o several_a answer_n and_o make_v judgement_n thereupon_o all_o which_o depend_v upon_o a_o due_a observance_n of_o these_o four_o particular_n right_o to_o determine_v the_o case_n first_o inquiry_n be_v to_o be_v make_v of_o the_o patient_n concern_v his_o course_n of_o life_n for_o some_o time_n before_o whether_o regular_a or_o irregular_a in_o labour_n exercise_n or_o ease_v if_o thereby_o any_o thing_n have_v be_v do_v to_o procure_v or_o introduce_v the_o present_a complaint_n and_o of_o his_o former_a state_n of_o health_n and_o sickness_n second_o of_o his_o state_n and_o condition_n of_o body_n as_o it_o now_o be_v three_o the_o place_n or_o seat_n of_o pain_n the_o compass_n and_o extent_n of_o it_o four_o the_o quality_n or_o condition_n of_o the_o pain_n vehement_a or_o moderate_a continual_a or_o intermit_a acute_a or_o obtuse_a etc._n etc._n have_v make_v disquisition_n by_o these_o topic_n and_o trace_v the_o patient_n through_o these_o grand_a inquiry_n you_o will_v then_o understand_v something_o of_o the_o rise_n and_o progress_n of_o the_o pain_n seek_v after_o give_v you_o then_o occasion_n to_o take_v a_o far_a prospect_n and_o consideration_n of_o the_o various_a difference_n of_o pain_n in_o the_o head_n wherein_o your_o present_a case_n will_v be_v find_v and_o exhibit_v to_o your_o view_n as_o follow_v headache_n be_v either_o more_o general_a and_o dilate_a affect_v the_o whole_a or_o else_o one_o side_n of_o the_o head_n or_o some_o particular_a part_n as_o forehead_n temple_n etc._n etc._n 2._o head-pain_n be_v either_o internal_a or_o external_a 3._o idiopathical_a or_o sympathical_a 4._o recent_a and_o of_o late_a stand_n or_o inveterate_a and_o of_o long_a continuance_n pain_n of_o the_o whole_a head_n or_o major_a part_n do_v denote_v the_o cause_n to_o be_v more_o general_a and_o of_o large_a extent_n as_o in_o fever_n and_o plethoric_n person_n wherein_o the_o whole_a body_n be_v distemper_v and_o from_o thence_o the_o whole_a head_n or_o most_o part_n therewith_o affect_v pain_n in_o particular_a place_n as_o of_o the_o right_n or_o left_a side_n forepart_n or_o hind-part_n the_o top_n or_o the_o crown_n signify_v the_o cause_n to_o be_v or_o act_v there_o only_o and_o do_v arise_v from_o some_o defect_n or_o trouble_n in_o the_o part_n itself_o by_o some_o peccant_a humour_n there_o breed_v or_o by_o transmission_n of_o morbific_a matter_n from_o or_o by_o consent_n with_o some_o other_o part_n disease_v adjacent_a or_o remote_a as_o more_o particular_o hereafter_o now_o you_o must_v understand_v that_o although_o every_o person_n seem_v to_o be_v equal_o dispose_v alike_o and_o liable_a to_o these_o pain_n yet_o it_o be_v much_o otherwise_o for_o some_o be_v often_o complain_v of_o headache_n some_o rare_o or_o never_o and_o this_o by_o reason_n of_o the_o different_a fabrication_n and_o formation_n of_o part_n as_o well_o within_o as_o without_o the_o man_n and_o also_o by_o reason_n of_o the_o soundness_n and_o strength_n of_o part_n that_o some_o have_v above_o another_o by_o which_o they_o endure_v long_o and_o free_a from_o pain_n or_o other_o infirmity_n internal_a pain_n be_v seat_v within_o the_o cranium_fw-la or_o skull_n and_o signify_v the_o brain_n itself_o or_o membrane_n invest_v the_o brain_n or_o some_o vessel_n vein_n artery_n or_o nerve_n to_o be_v affect_v if_o the_o brain_n ache_v the_o pain_n be_v obtuse_a and_o heavy_a the_o patient_n be_v much_o incline_n to_o sleep_n or_o drowsiness_n so_o likewise_o when_o the_o vein_n be_v molest_v the_o pain_n be_v remiss_a but_o if_o the_o membrane_n or_o nerve_n be_v the_o complain_v part_n the_o pain_n be_v more_o acute_a and_o pung_a and_o than_o it_o reach_v common_o to_o the_o root_n of_o the_o eye_n because_o these_o membrane_n do_v cover_v the_o optic_a nerve_n which_o lead_v to_o the_o eye_n and_o it_o may_v be_v know_v what_o nerve_n be_v affect_v by_o the_o part_n consent_v which_o that_o nerve_n do_v supply_v and_o serve_v and_o thus_o sometime_o the_o ear_n or_o tongue_n sometime_o the_o shoulder_n or_o breast_n complain_v by_o that_o nerve_n insert_v into_o they_o for_o their_o use_n but_o if_o a_o artery_n be_v the_o place_n than_o the_o pain_n be_v beat_v pulse-like_a external_n pain_n be_v superficial_a and_o without_o the_o skull_n show_v that_o the_o pericranium_n or_o membrane_n cover_v the_o skull_n be_v the_o part_n grieve_v and_o sometime_o the_o cutis_fw-la or_o outward_a skin_n only_o and_o then_o the_o pain_n be_v more_o remiss_a but_o both_o be_v know_v and_o aggravate_v by_o compress_v the_o part_n or_o place_n and_o if_o the_o pain_n be_v in_o the_o forepart_n of_o the_o head_n and_o extend_v to_o the_o eyebrow_n the_o periosteum_n be_v affect_v pain_n of_o the_o head_n per_fw-la essentiam_fw-la or_o idiopathical_a be_v when_o the_o cause_n of_o pain_n be_v seat_v in_o the_o part_n pain_v by_o reason_n of_o debility_n or_o dyscrasie_n and_o infirm_a state_n thereof_o from_o whence_o ill_a matter_n be_v congest_v and_o accumulate_v cause_v a_o disturbance_n or_o distemper_n and_o sometime_o pain_n fix_v from_o extraordinary_a production_n there_o engender_v and_o breed_v as_o worm_n stone_n etc._n etc._n as_o have_v be_v note_v by_o author_n of_o repute_n and_o credit_n hollerius_n schenkius_n kentman_n and_o other_o pain_n of_o the_o head_n sympathical_a be_v when_o the_o cause_n lie_v remote_a and_o the_o part_n pain_v suffer_v by_o sympathy_n transmission_n or_o consent_n from_o other_o member_n and_o not_o by_o any_o proper_a defect_n or_o disability_n of_o its_o own_o and_o thus_o the_o head_n be_v very_o apt_a compati_fw-la to_o suffer_v and_o condole_v with_o most_o part_n of_o the_o body_n by_o reason_n the_o nerve_n be_v branch_v forth_o and_o disperse_v in_o all_o part_n of_o the_o body_n from_o the_o brain_n and_o spinal_a marrow_n which_o be_v of_o exquisite_a sense_n do_v affect_v their_o original_n and_o fountain_n by_o this_o communication_n and_o intercourse_n with_o other_o part_n and_o not_o only_o by_o the_o nerve_n come_v from_o the_o head_n be_v this_o consent_n maintain_v but_o also_o by_o the_o vein_n and_o artery_n go_v from_o other_o part_n up_o to_o the_o head_n convey_v good_a or_o ill_n hence_o it_o be_v that_o very_o frequent_o the_o head_n be_v pain_v from_o distemper_n of_o the_o stomach_n sometime_o from_o the_o spleen_n womb_n intestine_n etc._n etc._n have_v give_v you_o the_o various_a difference_n of_o head-pain_n as_o to_o the_o quality_n or_o condition_n of_o they_o and_o also_o point_v at_o the_o several_a part_n affect_v per_fw-la se_fw-la &_o per_fw-la consensum_fw-la i_o come_v now_o to_o set_v forth_o the_o cause_n or_o rise_v of_o these_o pain_n from_o whence_o they_o spring_v whether_o generate_v in_o the_o head_n or_o communicate_v to_o it_o from_o other_o part_n cause_n of_o headache_n or_o pain_n be_v external_a and_o internal_a external_n
pressure_n here_o raise_v a_o faint_a pain_n the_o cartilege_n yield_v and_o give_v way_n to_o any_o force_n but_o sometime_o a_o pain_n be_v plant_v here_o not_o always_o by_o any_o external_a manifest_a cause_n but_o from_o internal_a and_o preternatural_a state_n of_o the_o part_n and_o this_o pain_n be_v rare_o take_v notice_n of_o by_o physician_n and_o mention_v but_o by_o a_o few_o practical_a author_n now_o to_o examine_v into_o the_o cause_n of_o pain_n you_o must_v know_v that_o this_o cartilege_n be_v flexible_a and_o yield_a in_o its_o natural_a condition_n be_v of_o a_o middle_a nature_n between_o a_o bone_n and_o a_o ligament_n and_o therefore_o may_v be_v curvate_v and_o bend_v inward_a upon_o a_o threefold_a account_n by_o laxation_n exsiccation_n and_o external_a depression_n 1._o by_o laxation_n as_o when_o too_o much_o moisture_n reside_v here_o mollify_a and_o loosen_v the_o part_n from_o any_o small_a occasion_n the_o cartilege_n may_v be_v inflex_v and_o turn_v inward_a change_v its_o due_a position_n and_o rectitude_n and_o from_o the_o like_a cause_n ligament_n be_v sometime_o relax_v which_o render_v juncture_n ready_a and_o apt_a for_o dislocation_n and_o disjuncture_n and_o upon_o this_o score_n the_o vertebra_n of_o the_o spine_n have_v be_v displace_v also_o the_o hip_n and_o ankle_n 2._o by_o exsiccation_n this_o cartilege_n may_v be_v distort_v and_o wrest_v from_o its_o posture_n as_o sometime_o that_o which_o be_v straight_o green_a and_o pliable_a by_o dry_v and_o shrink_v become_v crooked_a bend_v and_o draw_v aside_o so_o this_o cartilege_n that_o be_v a_o gristle_n tender_a and_o pliable_a sometime_o become_v dry_a hard_a and_o bony_a and_o fix_v upon_o distortion_n or_o writhe_n as_o not_o return_v to_o its_o rectitude_n or_o straightness_n and_o distance_n from_o the_o subjacent_a part_n over_o which_o and_o for_o who_o guard_n it_o be_v place_v 3._o by_o external_a depression_n as_o from_o a_o blow_n or_o fall_v any_o thing_n too_o much_o or_o too_o long_o press_v upon_o that_o part_n may_v pervert_v and_o alter_v the_o situation_n and_o due_a posture_n and_o those_o who_o business_n or_o employ_v keep_v they_o bend_v or_o press_v forward_o too_o much_o and_o constant_a render_v they_o liable_a to_o this_o inconvenience_n and_o therefore_o student_n and_o clerk_n that_o write_v much_o press_v upon_o this_o part_n be_v injure_v thereby_o and_o find_v it_o upon_o age_n though_o youth_n bear_v it_o off_o for_o a_o time_n now_o since_o this_o cartilege_n be_v thus_o expose_v to_o depression_n and_o bend_v inward_a and_o thereby_o the_o tender_a part_n subjacent_a to_o be_v press_v upon_o and_o molest_v the_o cause_n of_o pain_n and_o manner_n how_o be_v make_v evident_a and_o which_o most_o common_o be_v feel_v after_o eat_v and_o upon_o a_o full_a stomach_n when_o the_o part_n be_v dilate_v and_o swell_a up_o to_o this_o cartilege_n and_o far_o as_o all_o part_n of_o the_o body_n in_o several_a person_n do_v vary_v and_o differ_v much_o in_o figure_n position_n magnitude_n and_o distance_n so_o thereby_o some_o be_v more_o liable_a and_o apt_a for_o this_o pain_n than_o other_o although_o subject_n to_o the_o same_o external_a procure_n or_o internal_a antecedent_n cause_n and_o so_o i_o dismiss_v this_o particular_a pain_n and_o pressure_n and_o must_v take_v cognizance_n brief_o of_o that_o which_o be_v more_o general_a upon_o the_o whole_a breast_n the_o thorax_n or_o breast_n suffer_v by_o compression_n or_o constriction_n whereby_o a_o general_a obtuse_a pain_n of_o angustness_n be_v perceive_v and_o that_o chief_o upon_o inspiration_n and_o draw_v in_o of_o the_o breath_n and_o why_o now_o more_o than_o at_o another_o time_n be_v because_o the_o inspire_a air_n fill_v and_o distend_v the_o breast_n which_o make_v opposition_n to_o or_o resist_v the_o compress_a cause_n now_o the_o cause_n of_o angustness_n or_o coarctation_n be_v from_o the_o genus_fw-la nervosum_fw-la that_o give_v motion_n to_o the_o muscle_n and_o other_o part_n of_o the_o breast_n which_o nerve_n sometime_o be_v impedit_v and_o contract_v that_o their_o function_n be_v not_o free_o execute_v and_o therefore_o to_o this_o symptom_n of_o compression_n be_v common_o adjoin_v shortness_n or_o difficulty_n of_o breathe_v upon_o the_o same_o score_n and_o sometime_o spasm_n or_o convulsive_a motion_n and_o this_o complaint_n of_o straitness_n or_o contraction_n of_o the_o breast_n do_v frequent_o happen_v to_o scorbutic_a person_n who_o nervous_a juice_n be_v degenerate_a and_o taint_a their_o organ_n or_o vessel_n perform_v not_o their_o office_n due_o as_o they_o ought_v in_o give_v the_o full_a motion_n and_o extension_n or_o every_o part_n for_o this_o nervous_a liquor_n be_v feed_v and_o supply_v from_o the_o mass_n of_o blood_n which_o be_v scorbutic_a feculent_a and_o depauperate_v in_o spirit_n that_o also_o which_o be_v extract_v thence_o must_v be_v answerable_a and_o of_o a_o degenerate_a nature_n so_o than_o this_o nervous_a juice_n which_o shall_v be_v vegete_a noble_a and_o spirituous_a for_o put_v the_o motive_n faculty_n into_o action_n with_o vigour_n and_o briskness_n be_v become_v dispirited_a flat_a and_o deprave_a and_o the_o organ_n act_v thereby_o move_v heavy_o and_o irregular_o so_o that_o upon_o inspiration_n or_o fill_v the_o breast_n with_o air_n the_o part_n do_v not_o ready_o give_v way_n by_o expansion_n to_o let_v in_o hence_o the_o patient_n feel_v himself_o gird_v or_o straitlaced_n it_o remain_v now_o in_o the_o last_o place_n that_o we_o finish_v this_o second_o division_n in_o examine_v and_o search_v into_o the_o nature_n and_o cause_n of_o those_o pain_n that_o more_o peculiarly_a and_o eminent_o afflict_v the_o heart_n the_o heart_n be_v a_o noble_a or_o the_o noble_a and_o principal_a part_n be_v as_o the_o sun_n of_o the_o microcosm_n who_o irradiate_a lustre_n and_o beam_n of_o vital_a heat_n enlivens_fw-la and_o refresh_v all_o the_o region_n and_o part_n thereof_o the_o eclipse_n storm_n and_o cloud_n then_o that_o happen_v as_o the_o consequent_n of_o its_o distemper_n and_o suffering_n must_v needs_o be_v eminent_a and_o remarkable_a this_o supreme_a organ_n that_o bear_v the_o government_n of_o vitality_n be_v so_o general_o concern_v in_o all_o disease_n and_o discomposure_n of_o the_o body_n that_o few_o there_o be_v but_o the_o heart_n be_v make_v sensible_a thereby_o and_o give_v notice_n thereof_o by_o variation_n of_o the_o pulse_n as_o a_o sigrial_n from_o thence_o and_o not_o only_o distemper_n of_o the_o body_n or_o the_o defect_n and_o decay_n of_o some_o particular_a member_n or_o faculty_n do_v affect_v the_o heart_n but_o also_o the_o disorder_n and_o passion_n of_o the_o mind_n have_v influence_n thereon_o that_o from_o thence_o the_o heart_n ache_v beat_v or_o suffer_v pain_n and_o restless_a disturbance_n hence_o it_o be_v that_o grief_n anger_n fear_v desire_v etc._n etc._n change_v the_o regular_a motion_n of_o the_o heart_n and_o the_o pulse_n alter_v as_o a_o token_n and_o manifest_a character_n of_o its_o suffering_n now_o the_o heart_n be_v make_v thus_o sensible_a of_o the_o body_n infirmity_n and_o preternatural_a mutation_n from_o the_o vital_a government_n that_o be_v plant_v here_o have_v commerce_n and_o communication_n with_o every_o member_n from_o the_o circulate_v afflux_n and_o reflux_n of_o the_o crimson_a vital_a stream_n continual_o transmit_v through_o this_o organ_n which_o thereby_o be_v affect_v well_o or_o ill_o as_o the_o blood_n be_v better_a or_o worse_o in_o the_o current_n and_o quality_n thereof_o and_o the_o heart_n be_v also_o affect_v from_o the_o mind_n for_o as_o much_o as_o the_o soul_n exercise_v her_o power_n more_o eminent_o here_o and_o if_o a_o particular_a part_n may_v be_v assign_v this_o may_v be_v say_v to_o be_v the_o seat_n or_o throne_n of_o regality_n the_o heart_n be_v of_o a_o solid_a fibrous_a flesh_n the_o pain_n thereof_o be_v obtuse_a not_o so_o accurate_o perceptible_a so_o acute_a and_o sharp_a as_o those_o of_o the_o nervous_a part_n notwithstanding_o the_o effect_n and_o consequent_n thereof_o be_v impress_v upon_o the_o whole_a body_n and_o each_o member_n be_v impair_v in_o its_o vivacity_n and_o vigour_n and_o although_o this_o heart_n pain_n by_o the_o nature_n and_o substance_n of_o the_o organ_n be_v not_o so_o great_a common_o and_o perceptible_a as_o that_o of_o some_o other_o part_n yet_o when_o this_o pain_n do_v arise_v to_o some_o degree_n a_o syncope_n seize_v the_o patient_n a_o deprivation_n or_o cessation_n of_o life_n for_o a_o time_n that_o what_o it_o want_v as_o to_o sense_n be_v double_v in_o the_o consequent_n as_o threaten_v and_o endanger_v the_o life_n so_o that_o extremity_n of_o pain_n be_v not_o perceive_v here_o because_o sense_n decay_v as_o the_o cause_n of_o pain_n increase_v the_o heart_n be_v molest_v and_o suffer_v pain_n these_o several_a way_n by_o extension_n
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
choose_v as_o not_o to_o displace_v or_o put_v by_o a_o cure_n medicine_n for_o no_o opiate_n or_o anodyne_n be_v curative_fw-it but_o palliative_a and_o for_o allay_v the_o extremity_n of_o pain_n and_o to_o give_v rest_n only_o for_o pain_n keep_v the_o sick_a from_o natural_a and_o wont_a rest_n do_v bring_v great_a weakness_n and_o lassitude_n of_o spirit_n since_o pain_n therefore_o and_o long_o watch_v enervate_v and_o debilitates_fw-la nature_n great_o on_o the_o contrary_a sleep_n refresh_v and_o restore_v much_o that_o the_o enfeeble_a patient_n then_o may_v gain_v respite_n from_o pain_n and_o refreshment_n by_o rest_n when_o the_o sick_a be_v in_o danger_n as_o be_v tire_v out_o for_o want_n of_o ease_n and_o sleep_v than_o the_o case_n call_v for_o anodynes_n and_o aught_o to_o be_v make_v use_n of_o but_o because_o opiate_n and_o anodynes_n do_v not_o remove_v the_o morbific_a cause_n therefore_o they_o be_v not_o to_o be_v insist_v upon_o or_o rely_v on_o as_o cure_v mean_n but_o they_o be_v to_o be_v use_v in_o case_n of_o extremity_n for_o mitigation_n and_o ease_n and_o at_o such_o due_a time_n as_o not_o to_o hinder_v the_o operation_n of_o any_o curative_fw-it remedy_n tumour_n internal_a scirrhous_n apostemate_n and_o cancerous_a tvmor_n may_v fit_o be_v place_v next_o to_o inflammation_n because_o inflammation_n be_v the_o foundation_n or_o occasion_n of_o many_o tumour_n though_o tumour_n sometime_o arise_v not_o procure_v or_o cause_n by_o inflammation_n precede_v but_o most_o frequent_o tumour_n grow_v up_o and_o take_v their_o rise_n from_o pain_n and_o where_o pain_n be_v inflammation_n in_o our_o sense_n follow_v of_o course_n and_o there_o be_v much_o reason_n for_o it_o because_o pain_n and_o heat_n do_v arise_v from_o one_o and_o the_o same_o principle_n as_o already_o set_v forth_o and_o when_o this_o painful_a inflame_a heat_n continue_v you_o may_v rational_o expect_v a_o tumour_n by_o fluxion_n to_o follow_v if_o not_o prevent_v by_o good_a mean_n to_o pluck_v out_o the_o spina_fw-la morbifica_fw-la the_o thorn_n in_o the_o flesh_n or_o nature_n so_o powerful_a and_o prevalent_a to_o free_v her_o self_n tumour_n have_v their_o denomination_n à _fw-la tumeo_fw-la to_o swell_v and_o the_o greek_a word_n 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d signify_v protuberance_n or_o expansion_n so_o that_o by_o tumour_n you_o may_v understand_v a_o part_n enlarge_v and_o increase_v in_o bigness_n preternatural_o for_o natural_a extension_n be_v not_o to_o he_o call_v tumour_n as_o the_o dug_n or_o belly_n of_o a_o woman_n with_o child_n though_o they_o be_v extend_v big_a than_o ordinary_a yet_o it_o be_v natural_a or_o by_o the_o course_n of_o nature_n you_o be_v not_o to_o expect_v here_o a_o chirurgical_a treatise_n of_o tumour_n as_o if_o tire_n cure_v hereof_o be_v to_o be_v perform_v by_o manual_a operation_n but_o i_o shall_v show_v you_o some_o difference_n of_o external_a tumour_n that_o require_v such_o management_n only_o that_o you_o may_v the_o better_o apprehend_v and_o judge_v of_o internal_a for_o as_o external_a tumour_n do_v arise_v from_o internal_a matter_n and_o present_a outward_n so_o hide_v internal_a tumour_n be_v form_v of_o the_o like_a matter_n and_o from_o such_o occasion_n much_o what_o as_o the_o external_a save_v only_o some_o outward_a injury_n that_o may_v affect_v the_o superficial_a and_o hot_a the_o interior_a part_n as_o contusion_n scald_a cup_a vesicatories_n etc._n etc._n galen_n in_o his_o book_n de_fw-fr tumoribus_fw-la reckon_v up_o all_o sort_n of_o tumour_n as_o he_o suppose_v give_v in_o the_o account_n to_o be_v sixty_o one_o but_o ingrassias_n in_o his_o survey_n of_o tumour_n afterward_o add_v art_n hundred_o sixty_o five_o more_o to_o they_o and_o give_v particular_a name_n but_o examine_v the_o reason_n hereof_o we_o find_v the_o advance_v of_o number_n not_o any_o way_n to_o promote_v their_o cure_n but_o make_v confusion_n and_o perplexity_n in_o practice_n for_o this_o variety_n be_v not_o from_o any_o real_a difference_n in_o their_o nature_n but_o from_o some_o accidental_a difference_n between_o they_o in_o appearance_n as_o magnitude_n figure_n situation_n etc._n etc._n so_o that_o the_o same_o in_o kind_n be_v repeat_v by_o another_o name_n therefore_o this_o vast_a number_n will_v admit_v of_o a_o great_a abatement_n and_o the_o designment_n of_o their_o cure_n much_o easy_a and_o better_o manage_v when_o all_o be_v reduce_v under_o a_o few_o general_a head_n respect_v their_o continent_n matter_n and_o many_o join_v together_o under_o one_o name_n by_o the_o union_n and_o similitude_n of_o their_o nature_n the_o difference_n therefore_o of_o tumour_n arise_v from_o the_o variety_n their_o material_a cause_n and_o the_o modus_fw-la generandi_fw-la be_v chief_o to_o be_v look_v it_o for_o from_o thence_o be_v the_o designment_n of_o cure_n more_o especial_o bottom_v but_o with_o some_o respect_n to_o the_o seat_n or_o part_v affect_v the_o general_a division_n of_o tumour_n from_o their_o material_a cause_n in_o the_o common_a receive_v practice_n be_v sixfold_a first_o from_o blood_n which_o make_v a_o phlegmon_n second_o from_o choler_n which_o generate_v a_o erysipelas_n three_o from_o phlegm_n which_o beget_v a_o oedema_n four_o from_o melancholy_a which_o make_v a_o scirrbus_n five_o from_o serous_a or_o watery_a humour_n which_o generate_v watery_a tumour_n as_o hydrocephalus_n six_o from_o flatulency_n and_o this_o tumour_n be_v call_v emphysema_n inflatio_fw-la tumour_n flatulentus_fw-la under_o these_o six_o general_a head_n be_v comprise_v alfo_o several_a other_o subdivision_n as_o first_o such_o as_o arise_v from_o the_o degenerate_a and_o deprave_a condition_n of_o these_o simple_a and_o single_a humour_n second_o such_o as_o spring_v from_o the_o composition_n and_o mixture_n of_o the_o simple_a humour_n one_o with_o another_o how_o far_o i_o can_v comply_v with_o this_o specious_a doctrine_n whether_o it_o be_v not_o more_o notional_a than_o practical_a and_o my_o exception_n against_o it_o i_o shall_v not_o declare_v now_o in_o regard_n time_n and_o the_o intend_a conciseness_n of_o this_o work_n will_v not_o give_v i_o leave_v to_o establish_v my_o own_o opinion_n and_o judgement_n dissent_v in_o this_o matter_n nor_o be_v it_o necessary_a to_o lay_v open_a the_o intricacy_n of_o out_o design_n in_o hand_n by_o debate_v and_o controvert_v this_o doctrine_n which_o relate_v chief_o to_o external_a tumour_n and_o chirurgical_a practice_n and_o although_o internal_a tumour_n be_v generate_v of_o the_o same_o matter_n as_o external_a yet_o all_o these_o difference_n suppose_v to_o be_v true_a can_v so_o nice_o and_o certain_o be_v adjudge_v and_o determine_v but_o indication_n from_o thence_o must_v be_v more_o general_a and_o at_o large_a for_o dislodging_n cleanse_v and_o carry_v off_o any_o such_o material_a cause_n that_o infest_v and_o tumify_v a_o member_n or_o part_n since_o therefore_o internal_a tumour_n do_v not_o present_v themselves_o to_o the_o eye_n for_o a_o more_o certain_a and_o exact_a knowledge_n we_o be_v to_o make_v judgement_n of_o they_o and_o determine_v from_o the_o fabrication_n and_o office_n of_o the_o part_n affect_v and_o complain_v which_o give_v some_o intimation_n thereof_o what_o succus_fw-la or_o deprave_a and_o preternatural_a matter_n may_v reside_v there_o as_o also_o from_o the_o general_a constitution_n and_o disposition_n of_o the_o body_n antecedent_o dispose_v thereto_o for_o that_o cacochymy_n which_o be_v predominant_a in_o the_o body_n be_v most_o likely_a to_o be_v the_o cause_n or_o matter_n of_o the_o hide_a tumour_n except_o some_o other_o circumstance_n and_o probability_n do_v main_o suggest_v another_o morbous_a matter_n from_o the_o nature_n and_o condition_n of_o the_o part_n affect_v you_o may_v sometime_o conclude_v the_o tumour_n there_o to_o be_v of_o such_o a_o kind_n as_o when_o the_o left_a hypochonder_n be_v preternatural_o extend_v you_o may_v rational_o judge_v flatulency_n and_o melancholy_a feculency_n to_o be_v the_o matter_n and_o cause_n thereof_o from_o the_o signal_n of_o a_o serous_a cacochymy_n or_o abound_a serosity_n in_o the_o body_n you_o may_v conclude_v if_o swell_v leg_n or_o foot_n do_v happen_v hereupon_o the_o tumour_n be_v hydropic_a for_o the_o modus_fw-la generandi_fw-la and_o the_o occasional_a cause_n of_o internal_a tumour_n they_o may_v be_v reduce_v to_o these_o five_o 1._o attraction_n 2._o transmission_n 3._o congestion_n 4._o obstruction_n 5._o extravasation_n first_o by_o attraction_n humour_n be_v bring_v to_o any_o part_n and_o there_o accumulate_v and_o thus_o pain_n increase_v heat_n preternatural_o like_o a_o ventose_n or_o a_o vesicatory_a do_v attract_v from_o the_o adjacent_a part_n and_o procure_v a_o confluence_n of_o humour_n to_o the_o part_n pain_v and_o thereby_o form_v a_o tumour_n now_o if_o pain_n be_v so_o apt_a to_o beget_v a_o conflux_n and_o consequent_o a_o tumour_n than_o you_o ought_v to_o beware_v and_o often_o suspect_v
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
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
the_o frequent_a but_o unsuspected_a progress_n of_o pain_n inflammation_n tumour_n apostem_n ulcer_n cancer_n gangrene_n and_o mortification_n internal_a therein_o show_v the_o secret_a cause_n and_o course_n of_o many_o linger_a and_o acute_a mortal_a disease_n rare_o discern_v initia_fw-la morborum_fw-la quamuìs_fw-la levia_fw-la serpunt_fw-la with_o a_o tract_n of_o fontanels_n or_o issue_n and_o seton_n by_o everard_n maynwaringe_n m._n d._n london_n print_v by_o j._n m._n for_o henry_n bonwicke_n at_o the_o red_a lion_n in_o st._n paul_n churchyard_n 1679._o emmanuel_n collegium_fw-la emmanuelis_fw-la cantabrigiae_fw-la license_v roger_n l'estrange_n septemb_n 16._o 1678._o the_o designment_n and_o necessary_a use_n of_o this_o work_n few_o there_o be_v that_o think_v themselves_o concern_v in_o this_o train_n of_o dangerous_a disease_n because_o they_o judge_v themselves_o clear_a at_o present_a and_o do_v suppose_v these_o rare_o to_o happen_v for_o that_o they_o seldom_o hear_v of_o any_o to_o die_v upon_o these_o account_n and_o therefore_o do_v not_o imagine_v that_o such_o ill_a fate_n shall_v befall_v they_o but_o fever_n scurvy_a dropsy_n consumption_n or_o such_o like_a common_a disease_n they_o expect_v to_o be_v their_o lot_n but_o when_o you_o come_v to_o understand_v as_o by_o the_o discovery_n follow_v you_o will_v plain_o perceive_v that_o few_o sickness_n or_o infirmity_n you_o can_v fall_v into_o if_o they_o be_v not_o radicate_v in_o or_o ground_v upon_o some_o of_o these_o latent_fw-la or_o lurk_a destroyer_n yet_o there_o be_v a_o tendency_n towards_o they_o for_o a_o complication_n therewith_o and_o their_o termination_n therein_o as_o the_o last_o scene_n especial_o if_o the_o disease_n or_o sickness_n be_v contumacious_a and_o of_o long_a continuance_n or_o acute_a dangerous_a and_o mortal_a so_o that_o upon_o a_o true_a information_n you_o will_v find_v such_o probability_n to_o be_v engage_v here_o when_o any_o infirm_a or_o sickly_a state_n shall_v alter_v your_o present_a healthful_a condition_n of_o body_n and_o for_o such_o as_o have_v already_o some_o warning_n by_o pain_n and_o a_o valetudinary_a state_n may_v seasonable_o inquire_v and_o consult_v some_o sagacious_a and_o solid_a judgement_n from_o whence_o it_o do_v arise_v whither_o it_o tend_v what_o progress_n probable_o it_o will_v make_v if_o not_o prevent_v a_o resolve_n upon_o the_o question_n very_o likely_a will_v fix_v here_o if_o the_o case_n be_v thorough_o examine_v and_o due_o search_v into_o consider_v that_o pain_n most_o frequent_o either_o arise_v from_o some_o of_o these_o already_o begin_v to_o act_v their_o part_n or_o that_o some_o of_o they_o will_v most_o likely_a follow_v thereupon_o although_o veil_v under_o the_o cover_n of_o a_o more_o know_v and_o familiar_a disease_n as_o full_o declare_v in_o the_o subsequent_a discourse_n for_o whether_o the_o manifest_a disease_n afflict_v be_v the_o scurvy_a consumption_n dropsy_n ague_n spleen_n pox_n or_o other_o chronic_a disease_n very_o often_o it_o fall_v out_o though_o seldom_o take_v notice_n of_o that_o some_o of_o this_o train_n be_v complicate_v and_o join_v therewith_o if_o good_a medicine_n or_o great_a providence_n stop_v not_o the_o progress_n and_o if_o the_o sickness_n be_v acute_a malign_v pestilential_a or_o other_o as_o small_a pox_n spot_a fever_n plague_n or_o any_o general_a phlogosis_n and_o febrile_a scorch_a distemper_n they_o come_v on_o common_o by_o inflammation_n in_o some_o particular_a part_n and_o proceed_v on_o to_o tumifie_v apostemate_n and_o gangrene_n when_o such_o a_o disease_n be_v not_o check_v but_o grow_v desperate_a and_o become_v fatal_a to_o the_o sick_a and_o thus_o pleurisy_n angina_n peripneumonia_n inflammation_n of_o the_o brain_n ventricle_n liver_n spleen_n mesentery_n etc._n etc._n they_o go_v on_o in_o this_o road_n by_o these_o stage_n and_o transition_n from_o inflammation_n to_o tumour_n and_o so_o forward_o finish_v the_o course_n with_o a_o gangrene_n and_o mortification_n if_o good_a mean_n take_v not_o good_a effect_n to_o prevent_v and_o stop_v the_o progress_n observe_v therefore_o in_o constant_a practice_n the_o frequency_n latency_n and_o danger_n of_o this_o association_n and_o confederate_a train_n disguised_z and_o couch_v under_o some_o more_o appear_v and_o know_a disease_n i_o think_v it_o a_o work_n necessary_a and_o grateful_a to_o unmask_v and_o lay_v open_a such_o secret_a destroyer_n that_o in_o the_o designment_n and_o method_n of_o cure_n they_o may_v strict_o be_v seek_v after_o and_o aim_v at_o thereby_o prevent_v the_o danger_n threaten_v and_o secure_v the_o patient_n novemb_n 15_o 1678._o wine-office_n court_n in_o fleetstreet_n the_o principal_a occurrence_n and_o chief_a head_n treat_v of_o pain_n inflammation_n etc._n etc._n their_o order_n connexion_n commutation_n and_o transition_n the_o frequency_n and_o latency_n of_o this_o train_n in_o most_o sickness_n or_o disease_n the_o disguise_a progress_n thereof_o the_o danger_n and_o frequent_a mortality_n from_o not_o discern_v they_o fever_n mistake_v and_o the_o common_a course_n for_o cure_v erroneous_a pain_n in_o general_a their_o different_a nature_n cause_n and_o tendency_n to_o far_a mischief_n pain_n of_o the_o head_n the_o cause_n and_o various_a part_n affect_v pain_n in_o the_o breast_n and_o the_o several_a cause_n thereof_o pain_n of_o the_o dug_n of_o the_o intercostal_a muscle_n of_o the_o pleura_fw-la or_o pleurisy_n pain_n of_o the_o lung_n of_o the_o heart_n mediastinum_fw-la diaphragma_n and_o cartilago_n mucronata_fw-la pain_n in_o the_o abdomen_fw-la or_o belly_n and_o various_a cause_n thereof_o pain_n of_o the_o stomach_n of_o the_o gut_n colic-pain_n dysenteric_a and_o haemorrhoidal_a pain_n of_o the_o spleen_n a_o eminent_a cure_n and_o how_o perform_v pain_n of_o the_o liver_n pain_n of_o the_o reins_o and_o bladder_n gout-pain_n and_o rheumatism_n their_o cause_n and_o indication_n of_o cure_n inflammation_n internal_a what_o they_o be_v how_o they_o arise_v what_o part_n they_o possess_v the_o material_a and_o efficient_a cause_n thereof_o direction_n for_o cure_n tumour_n internal_a the_o occasional_a cause_n thereof_o the_o modus_fw-la generandi_fw-la how_o to_o know_v they_o their_o way_n of_o resolution_n fixation_n and_o translation_n their_o different_a state_n and_o condition_n scirrhous_a apostemate_n and_o cancerous_a caution_n in_o cure_n ulcer_n internal_a the_o essential_a difference_n their_o manner_n of_o generation_n the_o continent_n cause_n the_o manifest_v sign_n gangrene_n and_o mortification_n what_o they_o be_v the_o difference_n between_o they_o the_o external_a and_o primitive_a cause_n of_o gangrene_n the_o internal_a and_o conjunct_a cause_n the_o character_n declare_v a_o gangrene_n their_o state_n of_o curability_n and_o incurability_n many_o thousand_o die_v gangrene_v not_o take_v notice_n of_o instruction_n before_o cure_v amputation_n when_o and_o where_o to_o be_v make_v the_o result_n of_o the_o whole_a matter_n fontanel_n and_o seton_n what_o they_o be_v how_o make_v where_o to_o be_v place_v for_o who_o beneficial_a the_o due_a order_v they_o in_o several_a condition_n the_o time_n when_o to_o heal_v they_o safe_o the_o order_n and_o dependence_n of_o pain_n inflammation_n tumour_n etc._n etc._n internal_a caution_v their_o proceed_n and_o complication_n the_o natural_a oeconomy_n and_o government_n of_o humane_a body_n may_v well_o be_v compare_v to_o a_o body_n politic_a subject_v to_o state-discipline_n order_n and_o conformity_n the_o former_a have_v a_o regular_a course_n institute_v and_o implant_v by_o nature_n the_o latter_a have_v law_n impose_v and_o enjoin_v by_o humane_a authority_n to_o be_v observe_v in_o both_o these_o government_n so_o long_o as_o order_n and_o law_n be_v obey_v and_o keep_v the_o whole_a be_v preserve_v sound_n safe_a and_o in_o quietness_n but_o when_o the_o subject_v part_n of_o either_o do_v mutiny_n rebel_n and_o shake_v off_o the_o government_n refuse_v to_o act_v in_o their_o station_n and_o subserviency_n the_o whole_a then_o be_v put_v into_o disorder_n the_o union_n of_o community_n be_v break_v and_o the_o public_a safety_n endanger_v thereby_o if_o a_o part_n of_o the_o body_n decline_v its_o office_n and_o performance_n of_o duty_n act_v perverse_o and_o inordinate_o the_o mischief_n stop_v not_o there_o but_o other_o part_n also_o be_v pervert_v thereby_o and_o draw_v into_o consent_n likewise_o if_o one_o member_n of_o state_n be_v sick_a of_o tranquillity_n and_o peace_n be_v disturb_v at_o the_o government_n and_o begin_v to_o be_v dissent_v disobedient_a or_o mutinous_a ten_o to_o one_o but_o this_o infection_n beget_v another_o of_o the_o same_o mind_n and_o faction_n and_o the_o second_o make_v a_o three_o and_o thus_o the_o malignity_n spread_v when_o any_o part_n of_o the_o body_n begin_v to_o fail_v and_o be_v out_o of_o order_n it_o seldom_o stop_v at_o its_o first_o degree_n of_o declension_n but_o make_v a_o progress_n from_o bad_a to_o worse_o if_o not_o remedy_v and_o prevent_v so_o a_o member_n of_o state_n
this_o so_o in_o all_o other_o case_n where_o separation_n of_o unity_n do_v happen_v from_o a_o internal_a cause_n arise_v in_o the_o body_n that_o it_o be_v the_o consequent_a of_o pain_n and_o not_o as_o those_o learned_a man_n will_v have_v it_o the_o approximate_a cause_n of_o pain_n to_o illustrate_v this_o truth_n a_o little_a far_o and_o that_o you_o may_v the_o better_o understand_v and_o have_v a_o clear_a satisfaction_n herein_o practice_n depend_v upon_o it_o i_o mean_v the_o allay_n or_o remove_v of_o pain_n consider_v and_o know_v that_o the_o sense_n of_o feel_v be_v spread_v through_o the_o whole_a body_n be_v as_o the_o last_o or_o inmost_a cover_n that_o do_v inwrap_v or_o enfold_v the_o life_n and_o be_v as_o it_o be_v the_o watch_n or_o guard_v upon_o the_o confine_n thereof_o now_o any_o thing_n that_o do_v stir_v up_o feel_v that_o thus_o near_o and_o intimate_o approach_v the_o life_n if_o it_o exceed_v the_o bound_n of_o moderation_n and_o be_v violent_a if_o it_o be_v any_o way_n unnatural_a or_o injurious_a it_o raise_v a_o disturbance_n in_o the_o vital_a principle_n of_o that_o part_n which_o be_v pain_n so_o that_o the_o assault_n be_v first_o make_v upon_o the_o life_n which_o govern_v and_o preserve_v unity_n and_o continuity_n of_o part_n but_o that_o vital_a principle_n be_v fret_v distract_a and_o put_v by_o its_o placid_n regular_a oeconomy_n and_o government_n the_o organ_n perish_v as_o the_o life_n of_o the_o part_n decay_v or_o be_v out_o of_o course_n be_v then_o unable_a to_o protect_v and_o preserve_v it_o from_o hence_o i_o be_o persuade_v to_o believe_v and_o must_v assert_v that_o the_o approximate_a cause_n of_o pain_n be_v every_o thing_n that_o do_v intimate_o and_o approximate_o affect_v and_o disgust_v the_o vital_a principle_n in_o every_o part_n pain_v which_o pain_n be_v the_o estuation_n anguish_n and_o fury_n of_o the_o life_n or_o vital_a principle_n which_o do_v dolere_fw-la be_v exasperate_v and_o provoke_v by_o those_o cause_n and_o if_o solution_n of_o continuity_n do_v happen_v upon_o this_o disturbance_n it_o be_v wrought_v and_o cause_v by_o the_o exorbitance_n and_o enormity_n of_o the_o vital_a principle_n desert_v or_o be_v put_v by_o the_o charge_n and_o due_a management_n of_o the_o part_n moreover_o pain_n sometime_o continue_v long_o by_o interval_n and_o remission_n to_o molest_v a_o part_n and_o no_o separation_n of_o unity_n to_o be_v cause_v thereby_o although_o it_o be_v a_o interruption_n and_o breach_n of_o harmony_n so_o that_o this_o ira_fw-la sive_fw-la dolour_n this_o pain_n of_o the_o vital_a principle_n do_v not_o always_o arise_v to_o the_o height_n of_o produce_v discontinuity_n and_o be_v so_o far_o from_o be_v the_o approximate_a cause_n of_o all_o pain_n that_o many_o time_n it_o never_o happen_v either_o before_o or_o after_o pain_n to_o be_v a_o cause_n or_o a_o effect_n now_o what_o this_o vital_a principle_n be_v reside_v in_o and_o govern_v every_o part_n in_o their_o several_a function_n of_o vitality_n whether_o it_o be_v anima_fw-la or_o archaeus_n according_a to_o helmont_n doctrine_n or_o spiritus_fw-la impetum_fw-la faciens_fw-la according_a to_o hypocrates_n i_o shall_v not_o enter_v into_o the_o controversy_n because_o it_o will_v require_v a_o large_a discourse_n or_o rather_o a_o peculiar_a tract_n to_o determine_v this_o problem_n and_o clear_v up_o the_o truth_n of_o our_o novel_a opinion_n disintangle_v it_o from_o the_o objection_n and_o prejudice_n of_o ancient_a receive_v doctrine_n which_o will_v disjoin_v and_o delay_v our_o matter_n chief_o intend_v therefore_o i_o forbear_v the_o digression_n and_o proceed_v pain_n be_v various_a or_o do_v affect_v the_o sense_n in_o a_o different_a manner_n and_o this_o either_o from_o the_o nature_n of_o the_o part_n grieve_v or_o from_o the_o variety_n of_o cause_n or_o both_o now_o the_o nature_n and_o condition_n of_o part_n be_v different_a and_o various_a these_o ten_o several_a way_n or_o may_v be_v reduce_v to_o these_o head_n ducture_n figure_n situation_n composition_n beginning_n progress_n substance_n temperature_n number_n and_o office_n and_o as_o part_n be_v vary_v by_o these_o difference_n so_o pain_n thereby_o be_v make_v various_a and_o not_o only_a pain_n but_o also_o all_o other_o symptom_n and_o disease_n have_v a_o specification_n from_o hence_o pain_n sometime_o be_v obtuse_a or_o heavy_a as_o if_o a_o weight_n be_v press_v upon_o the_o part_n pain_v as_o when_o the_o parenchyma_n of_o the_o liver_n spleen_n lung_n or_o kidney_n be_v grieve_v and_o this_o by_o reason_n they_o hang_v or_o depend_v on_o ligament_n and_o membrane_n pain_n sometime_o be_v acute_a sharp_a and_o pung_a as_o if_o the_o part_n be_v perforate_v or_o prick_v with_o a_o needle_n as_o in_o a_o pleurisy_n and_o this_o be_v cause_v from_o a_o thin_a acrid_a or_o acrimonious_a humour_n penetrate_v the_o pleura_fw-la for_o nothing_o but_o what_o be_v subtle_a and_o acute_a can_v procure_v this_o or_o the_o like_a puncture_n and_o invade_v the_o dense_a substance_n of_o a_o membrane_n pain_n sometime_o be_v with_o pulsation_n that_o be_v a_o beat_a pain_n like_o to_o the_o motion_n of_o the_o pulse_n and_o this_o pain_n happen_v common_o upon_o a_o inflammation_n and_o also_o where_o a_o artery_n be_v seat_v in_o the_o part_n for_o where_o there_o be_v no_o artery_n there_o be_v no_o pulsation_n it_o be_v the_o office_n of_o this_o vessel_n only_o to_o make_v a_o pulse_n from_o hence_o galen_n 2._o de_fw-fr loc_fw-la affect_v 3._o take_v notice_n that_o upon_o a_o inflammation_n of_o the_o lung_n or_o the_o pleura_fw-la there_o be_v no_o pulsation_n or_o beat_v pain_n because_o there_o be_v no_o artery_n in_o the_o part_n pain_n sometime_o be_v mordacious_a or_o bite_a from_o sharp_a humour_n vellicate_v the_o sensible_a part_n pain_n sometime_o be_v frangitive_a as_o if_o grind_v or_o bruise_v and_o this_o be_v proper_a only_o to_o the_o bone_n or_o rather_o the_o periosteum_n that_o cover_v the_o bone_n by_o which_o membrane_n the_o bone_n be_v make_v sensible_a and_o the_o pain_n lie_v deep_a pain_n sometime_o be_v tensive_a or_o stretch_v and_o this_o happen_v from_o a_o repletion_n or_o fullness_n of_o some_o humour_n wind_n or_o vapour_n fill_v and_o extend_v the_o part_n if_o this_o stretch_a pain_n be_v cum_fw-la gravitate_fw-la &_o pondere_fw-la with_o heaviness_n or_o weight_n than_o you_o may_v conclude_v it_o be_v humoral_a or_o something_o of_o more_o solid_a substance_n but_o if_o the_o extensive_a pain_n be_v without_o weight_n than_o it_o signify_v wind_n or_o vapour_n as_o very_o often_o such_o be_v colic_n pain_n from_o a_o collection_n of_o wind_n between_o the_o tunicle_n of_o the_o gut_n pain_n sometime_o be_v convulsive_a and_o this_o be_v proper_a to_o the_o nerve_n and_o tendon_n because_o the_o nervous_a filament_n be_v so_o unite_v that_o they_o can_v be_v tear_v but_o be_v contract_v to_o their_o original_n pain_n sometime_o be_v lacerate_v or_o tear_v and_o this_o be_v proper_a to_o the_o flesh_n because_o the_o flesh_n have_v fibres_n and_o small_a nerve_n not_o so_o unite_v as_o the_o membrane_n and_o therefore_o à _fw-la causa_fw-la solvente_fw-la continuum_fw-la be_v easy_o lacerate_v and_o thus_o much_o for_o the_o various_a kind_n or_o different_a sort_n of_o pain_n next_o the_o situation_n or_o extension_n and_o the_o duration_n be_v to_o be_v regard_v pain_n be_v either_o universal_a affect_v the_o whole_a body_n from_o some_o general_a cause_n as_o in_o fever_n ague_n etc._n etc._n or_o else_o pain_n be_v seat_v in_o some_o particular_a region_n or_o part_n of_o the_o body_n as_o the_o head_n breast_n stomach_n belly_n etc._n etc._n pain_n sometime_o be_v more_o outward_a ot_fw-mi external_a upon_o the_o superficies_n of_o the_o body_n who_o seat_n be_v more_o easy_o discover_v and_o know_v lay_v hand_n upon_o the_o place_n by_o the_o patient_n direction_n sometime_o pain_n be_v internal_a and_o deep_a with_o difficulty_n to_o be_v certain_o determine_v which_o part_n be_v grieve_v and_o require_v good_a anatomical_a judgement_n to_o assign_v the_o part_n or_o member_n from_o hence_o pain_n some_o may_v be_v say_v to_o be_v manifest_a other_o abstruse_a as_o also_o from_o their_o cause_n evident_a and_o latent_fw-la pain_n some_o be_v constant_a as_o to_o place_v or_o fix_v other_o erratic_a or_o shift_a from_o one_o place_n to_o another_o pain_n some_o be_v constant_a as_o to_o time_n or_o continual_a other_o intermit_a and_o by_o interval_n have_v cessation_n for_o a_o time_n and_o return_v again_o in_o all_o pain_n there_o ought_v to_o be_v consider_v these_o four_o thing_n the_o greatness_n the_o kind_a the_o property_n the_o place_n greatness_n and_o vehemency_n of_o pain_n do_v arise_v from_o the_o greatness_n of_o the_o offend_a cause_n and_o the_o sensibility_n call_v tenderness_n of_o the_o part_n all_o pain_n
cause_n may_v be_v such_o as_o these_o as_o when_o the_o head_n be_v expose_v to_o heat_n or_o cold_a a_o strong_a scent_n sweet_a or_o stink_a fume_n or_o smoke_n a_o blow_n or_o fall_v etc._n etc._n occasion_v disturbance_n of_o the_o spirit_n obstruction_n in_o the_o pore_n and_o vessel_n inflammation_n tumour_n or_o imposthume_n internal_a cause_n be_v sometime_o plenitude_n or_o fullness_n of_o blood_n which_o then_o upon_o small_a occasion_n be_v ready_a to_o estuate_v and_o ferment_n cause_v extension_n of_o the_o vessel_n and_o membrane_n or_o else_o depravation_n and_o foulness_n of_o the_o blood_n which_o may_v offend_v the_o brain_n or_o other_o part_n of_o the_o head_n by_o its_o noxious_a property_n now_o the_o degeneration_n of_o the_o blood_n from_o its_o due_a and_o laudable_a state_n to_o a_o evil_a and_o bad_a condition_n be_v various_a and_o do_v manifest_v itself_o by_o divers_a symptom_n in_o several_a part_n of_o the_o body_n and_o also_o when_o it_o be_v let_v out_o of_o the_o body_n by_o colour_n sapour_fw-la consistence_n heat_n etc._n etc._n either_o the_o blood_n be_v impoverish_v and_o deficient_a in_o vital_a spirit_n and_o heat_n slow_a in_o motion_n feculent_a gross_a or_o grumou_n and_o thereby_o apt_a to_o be_v stagnant_a or_o obstruct_v or_o else_o too_o hot_a and_o fiery_a cause_v inquietude_n of_o the_o spirit_n and_o irregular_a motion_n of_o that_o vital_a stream_n disturb_v the_o head_n with_o pain_n and_o watchfulness_n second_o the_o blood_n degenerate_v sometime_o from_o its_o balsamic_a quality_n into_o a_o acrid_a sharp_a or_o acrimonious_a condition_n and_o then_o most_o common_o there_o be_v a_o abound_a serosity_n or_o a_o superfluous_a latex_n or_o water_n which_o state_n of_o the_o blood_n as_o very_o remarkable_a cause_v many_o disease_n i_o shall_v set_v forth_o in_o another_o work_n deo_fw-la volente_fw-la to_o be_v make_v public_a three_o the_o blood_n may_v be_v contaminate_v with_o a_o contagious_a malignant_a or_o virulent_a miasm_n and_o taint_n as_o in_o the_o plague_n small_a pox_n high_o graduate_v scorbute_n venereal_a lues_fw-la as_o more_o full_o appear_v in_o my_o tract_n of_o the_o scurvy_a and_o that_o of_o the_o venereal_a lues_fw-la in_o all_o which_o case_n the_o head_n frequent_o be_v offend_v and_o suffer_v pain_n and_o here_o also_o we_o must_v account_v among_o the_o internal_a cause_n impotency_n and_o weakness_n of_o some_o organical_a part_n of_o the_o head_n not_o perform_v their_o office_n obstruction_n of_o some_o ducture_n or_o porosity_n by_o constriction_n compression_n or_o coagulation_n congest_v matter_n infest_v any_o part_n of_o the_o head_n raise_v pain_n wind_z or_o flatulent_a spirit_n rove_a here_n and_o there_o may_v produce_v the_o like_a watch_v unreasonable_o which_o tire_v the_o spirit_n cause_v disturbance_n in_o the_o head_n immoderate_a study_n or_o cogitation_n weaken_v the_o brain_n and_o render_v it_o liable_a to_o pain_n violent_a motion_n agitate_v the_o spirit_n furious_o and_o drive_v the_o humoral_a current_n out_o of_o their_o natural_a placid_a course_n discompose_v the_o head_n and_o may_v cause_v pain_n immoderate_a venus_n or_o long_a forbearance_n the_o first_o by_o too_o great_a exhaustion_n and_o drain_n the_o nerve_n the_o latter_a by_o plenitude_n overcharging_a the_o genital_a vessel_n reverberate_v back_o or_o by_o consent_n affect_v the_o head_n and_o now_o brief_o i_o shall_v show_v here_o what_o part_n chief_o and_o frequent_o the_o head_n consent_v with_o from_o whence_o internal_a cause_n of_o pain_n be_v communicate_v and_o as_o these_o part_n be_v well_o or_o ill_o by_o interval_n so_o the_o head_n be_v better_a or_o worse_a thereby_o the_o stomach_n in_o the_o first_o place_n as_o be_v the_o general_a and_o grand_a office_n of_o preparation_n to_o supply_v the_o whole_a body_n with_o nutriment_n so_o be_v it_o the_o part_n that_o most_o frequent_o afflict_v the_o head_n by_o communication_n through_o vessel_n of_o intercourse_n convey_v to_o each_o other_o the_o head_n complain_v from_o the_o stomach_n either_o before_o meat_n when_o suppose_a to_o be_v empty_a or_o after_o meat_n when_o replete_a and_o fill_v if_o the_o head_n complain_v before_o eat_v it_o argue_v the_o stomach_n to_o have_v some_o remainder_n or_o relic_n from_o former_a digestion_n not_o wrought_v off_o that_o do_v disturb_v the_o stomach_n and_o from_o thence_o the_o head_n if_o after_o meat_n the_o head_n ache_v it_o do_v declare_v the_o stomach_n indisposition_n to_o digest_v and_o imbecility_n to_o overcome_v what_o be_v receive_v and_o labour_v under_o the_o burden_n the_o head_n suffer_v also_o now_o to_o know_v that_o the_o stomach_n be_v not_o in_o good_a order_n or_o ability_n for_o the_o true_a performance_n of_o its_o office_n in_o digestion_n be_v manifest_a by_o these_o sign_n vomit_v or_o nauseat_v pain_n oppression_n or_o heaviness_n eructation_n or_o belch_a want_v of_o appetite_n or_o thirstiness_n but_o here_o by_o way_n of_o caution_n in_o this_o consent_n between_o the_o stomach_n and_o the_o head_n you_o must_v right_o distinguish_v lest_o it_o happen_v as_o sometime_o it_o do_v that_o the_o stomach_n suffer_v from_o the_o head_n and_o not_o the_o head_n from_o the_o stomach_n and_o since_o the_o consent_n be_v reciprocal_a and_o mutual_a you_o must_v nice_o observe_v which_o be_v the_o part_n primary_o affect_v and_o which_o the_o part_n by_o consent_n else_o endeavour_n of_o relief_n will_v be_v frustrate_a if_o you_o begin_v not_o with_o the_o part_n primariò_fw-la disease_v to_o free_a and_o set_v that_o right_n for_o then_o the_o other_o spontaneous_o and_o of_o course_n will_v be_v reduce_v the_o spleen_n be_v ill-affected_a draw_v the_o head_n into_o consent_n sometime_o and_o participate_v of_o its_o evil_n and_o this_o be_v to_o be_v know_v by_o examine_v the_o spleen_n whether_o any_o symptom_n of_o disorder_n or_o distemper_n be_v manifest_a there_o or_o from_o thence_o now_o the_o sign_n of_o a_o disease_a spleen_n be_v these_o pain_n hardness_n tumour_n or_o extension_n flatulent_a motion_n in_o the_o left_a hypochonder_n or_o side_n under_o the_o short_a rib_n and_o most_o common_o the_o head_n be_v affect_v or_o pain_v on_o the_o same_o side_n or_o else_o the_o forepart_n if_o the_o liver_n occasion_n the_o disturbance_n or_o pain_n in_o the_o head_n for_o the_o most_o part_n the_o pain_n be_v seat_v on_o the_o right_a side_n and_o then_o some_o symptom_n of_o a_o distemper_a liver_n will_v appear_v as_o heaviness_n or_o fullness_n in_o the_o right_a side_n hardness_n pain_n or_o heat_n affect_v also_o the_o stomach_n and_o cause_v thirst_n also_o dryness_n or_o heat_n in_o the_o palm_n of_o the_o hand_n and_o sole_n of_o the_o foot_n and_o as_o these_o sign_n have_v their_o intention_n or_o remission_n so_o the_o head_n be_v better_a or_o worse_o if_o the_o womb_n be_v in_o fault_n and_o cause_n pain_n of_o the_o head_n as_o frequent_o it_o do_v by_o the_o great_a communication_n and_o consent_n between_o these_o part_n then_o either_o there_o be_v a_o suppression_n of_o the_o menstrual_a purgation_n or_o irregular_a and_o out_o of_o due_a course_n not_o keep_v the_o due_a time_n or_o insufficient_a in_o quantity_n or_o abound_v or_o too_o long_a retension_n of_o seman_n or_o too_o great_a a_o profusion_n and_o waste_v some_o of_o these_o cause_n be_v sufficient_a not_o only_o to_o disturb_v the_o head_n but_o also_o divers_a other_o part_n of_o the_o body_n and_o these_o pain_n of_o the_o head_n arise_v by_o consent_n from_o the_o womb_n do_v most_o common_o affect_v the_o top_n or_o hind-part_n of_o the_o head_n if_o from_o the_o intestine_n pain_n of_o the_o head_n do_v proceed_v than_o either_o worm_n be_v breed_v there_o or_o the_o gut_n be_v trouble_v with_o sharp_a or_o corrupt_a humour_n or_o else_o there_o be_v costiveness_n and_o siccity_n of_o the_o bowel_n whereby_o the_o excrement_n be_v bake_v and_o harden_v cause_v too_o long_a retention_n and_o from_o hence_o by_o vessel_n of_o communication_n the_o head_n complain_v also_o if_o from_o the_o kidney_n the_o head_n be_v grieve_v then_o inquire_v into_o the_o condition_n of_o the_o kidney_n and_o you_o will_v find_v some_o signal_n of_o a_o disease_n there_o either_o stone_n or_o gravel_n or_o a_o sharp_a serum_n a_o inflammation_n or_o preternatural_a heat_n a_o ulcer_n or_o excoriation_n now_o as_o concern_v the_o cure_n of_o headache_n and_o likewise_o of_o all_o pain_n that_o arise_v by_o consent_n from_o other_o part_n take_v this_o general_a rule_n that_o in_o the_o first_o place_n application_n be_v make_v to_o the_o part_n primary_o affect_v to_o reduce_v that_o into_o a_o state_n of_o integrity_n then_o consider_v the_o part_n that_o suffer_v by_o communication_n and_o participation_n if_o by_o continuance_n or_o length_n of_o time_n any_o impression_n remain_v there_o or_o debility_n that_o may_v require_v help_n although_o
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
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
they_o be_v various_a and_o may_v be_v rank_v under_o these_o head_n 1._o obstruction_n of_o the_o meatus_fw-la felleus_fw-la 2._o wind_z and_o flatulent_a vapour_n 3._o acrid_a pung_v and_o sharp_a humour_n 4._o indurated_a excrement_n 5._o stone_n generate_v in_o the_o colon._n 6._o worm_n 7._o compression_n 8._o inflammation_n 9_o venenous_a and_o malignant_a matter_n 10._o apostem_n and_o other_o tumour_n by_o the_o first_o it_o appear_v that_o obstruction_n in_o the_o gut_n which_o produce_v colic_n pain_n do_v sometime_o arise_v from_o a_o antecedent_n obstruction_n in_o another_o part_n as_o when_o the_o meatus_fw-la cysticus_fw-la the_o passage_n of_o the_o gall_n into_o the_o jejunum_n be_v stop_v it_o cause_v also_o a_o stoppage_n in_o the_o gut_n for_o the_o gall_n be_v natural_o discharge_v into_o the_o gut_n do_v stimulate_v they_o to_o expulsion_n and_o move_v the_o excrement_n downward_o but_o for_o want_v of_o this_o exciting_a and_o provoke_a matter_n the_o gut_n fill_v up_o be_v obstruct_v and_o distend_v thereby_o raise_v pain_n wind_z and_o flatulency_n beget_v colic-pain_n sometime_o and_o these_o be_v not_o fix_v but_o rove_a here_n and_o there_o and_o common_o attend_v with_o a_o rumble_a and_o noise_n in_o the_o belly_n and_o this_o be_v a_o effect_n of_o crudity_n and_o weak_a digestion_n rise_v from_o a_o natural_a debility_n or_o occasion_v by_o intemperance_n and_o a_o bad_a diet_n and_o this_o flatus_fw-la be_v either_o in_o the_o cavity_n of_o the_o colon_n involve_v in_o a_o viscous_a tough_a phlegm_n enclose_v as_o in_o a_o bladder_n or_o sometime_o shut_v up_o within_o the_o tunicle_n of_o the_o intestine_a where_o force_v its_o way_n out_o do_v cause_n great_a pain_n in_o the_o part_n sharpness_n of_o a_o humour_n indigested_a or_o degenerate_a do_v sometime_o cause_n colic_n pain_n and_o this_o be_v either_o a_o mordant_a bite_a choler_n or_o a_o acid_a serosity_n dryness_n and_o hardness_n of_o excrement_n do_v cause_n colic-pain_n sometime_o for_o as_o much_o as_o they_o stop_v the_o passage_n and_o extend_v the_o intestine_n deny_v vent_n to_o any_o sudden_a ferment_a humour_n wind_n etc._n etc._n that_o shall_v free_o pace_v away_o this_o costiveness_n and_o constipation_n be_v acquire_v by_o ill_a diet_n in_o the_o use_n of_o hot_a dry_a astrictive_n by_o watch_v or_o sleep_v too_o much_o immoderate_a venus_n by_o heat_a the_o body_n and_o sweat_v much_o through_o exercise_n labour_n intemperate_a air_n etc._n etc._n these_o be_v great_a dryer_n and_o take_v off_o the_o lubricity_n of_o the_o gut_n that_o they_o perform_v not_o their_o office_n as_o they_o ought_v thus_o excrement_n not_o be_v transmit_v and_o send_v away_o due_o they_o accumulate_v fill_v up_o distend_v and_o obstruct_v the_o intestine_n and_o give_v great_a occasion_n to_o colic-pain_n stone_n sometime_o be_v generate_v in_o the_o colon_n and_o do_v cause_n colic-pain_n also_o a_o clot_n of_o worm_n gather_v and_o twist_v together_o obstruct_v the_o gut_n have_v raise_v colic_n pain_n compression_n and_o contraction_n by_o inflammation_n and_o tumour_n in_o the_o gut_n or_o part_n adjacent_a do_v sometime_o cause_v colic_n pain_n also_o malignant_a and_o venenate_a matter_n have_v procure_v the_o like_a as_o paulus_n aegineta_n relate_v of_o a_o pestilential_a colic_n that_o arise_v in_o italy_n and_o afflict_v many_o of_o the_o roman_a province_n flux_n of_o the_o belly_n have_v speak_v something_o concern_v pain_n of_o the_o gut_n iliac_n and_o colic_n attend_v with_o astriction_n of_o the_o belly_n and_o costiveness_n i_o shall_v brief_o set_v forth_o those_o pain_n that_o be_v accompany_v with_o a_o flux_n or_o looseness_n there_o be_v three_o sort_n of_o flux_n of_o the_o belly_n distinguish_v by_o several_a name_n lientery_n diarrhoea_n and_o dysentery_n the_o first_o be_v a_o flux_n of_o indigested_a or_o semidigested_a food_n pass_v away_o before_o its_o due_a time_n from_o a_o imbecility_n of_o the_o digestive_a faculty_n but_o this_o not_o be_v dolorous_a or_o painful_a we_o shall_v pass_v it_o by_o as_o not_o our_o subjeut_n in_o hand_n the_o diarrhoea_n be_v a_o flux_n of_o humour_n deprave_v and_o injurious_a which_o stimulate_v nature_n to_o expulsion_n and_o be_v for_o the_o most_o part_n painful_a and_o irksome_a to_o bear_v 1._o this_o kind_n of_o flux_n be_v various_a in_o the_o matter_n of_o 2._o different_a in_o the_o efficient_a cause_n as_o some_o be_v of_o opinion_n 3._o unlike_a in_o the_o manner_n and_o circumstance_n 4._o various_a in_o respect_n of_o place_n as_o issue_v from_o several_a part_n of_o the_o body_n touch_v the_o diversity_n of_o matter_n in_o this_o flux_n physician_n have_v distinguish_v it_o into_o phlegmatic_a choleric_a melancholic_a and_o serous_a or_o watery_a which_o distinction_n be_v not_o simple_o manifest_a but_o a_o complication_n and_o mixture_n of_o many_o sort_n whereof_o one_o may_v abound_v and_o be_v predominant_a yet_o the_o denomination_n and_o character_n of_o the_o whole_a be_v hard_o to_o be_v give_v the_o variety_n of_o deprave_a matter_n that_o happen_v in_o man_n body_n be_v not_o to_o be_v reduce_v to_o four_o head_n nor_o three_o time_n so_o many_o for_o this_o stimulate_a matter_n thus_o send_v forth_o by_o a_o flux_n be_v the_o manifold_a different_a material_a cause_n of_o hundred_o of_o disease_n which_o preternatural_a variation_n of_o humour_n or_o juice_n be_v not_o to_o be_v comprise_v within_o so_o narrow_a a_o compass_n nor_o reducible_a to_o four_o cardinal_n point_n for_o admit_v there_o be_v four_o natural_a constituent_a humour_n in_o man_n body_n as_o common_a doctrine_n teach_v yet_o these_o in_o their_o sundry_a variation_n and_o complicate_v degeneration_n will_v be_v so_o various_o change_v as_o not_o to_o retain_v any_o relict_n or_o smack_n of_o their_o original_a descent_n that_o a_o denomination_n from_o thence_o if_o possible_a to_o be_v distinct_o give_v will_v no_o way_n answer_v in_o the_o similitude_n or_o nature_n thereof_o and_o consequent_o of_o no_o use_n in_o practice_n in_o respect_n of_o the_o efficient_a cause_n author_n have_v distinguish_v these_o flux_n into_o critical_a and_o symptomatical_a by_o critical_a they_o understand_v when_o nature_n in_o due_a time_n and_o with_o good_a success_n throw_v off_o and_o expel_v any_o peccant_a matter_n and_o find_v relief_n by_o it_o in_o any_o case_n a_o symptomatical_a flux_n they_o mean_v when_o nature_n irritate_v untimely_a or_o immoderate_o be_v not_o benefit_v thereby_o but_o rather_o injure_v and_o endanger_v the_o 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d 〈◊〉_d of_o this_o be_v true_a and_o it_o often_o fall_v out_o thus_o but_o the_o distinction_n of_o critical_a and_o symptomatical_a relate_v to_o the_o efficient_a cause_n and_o the_o reason_n thereof_o i_o do_v not_o assent_v to_o nor_o comply_v with_o since_o every_o flux_n be_v symptomatical_a whether_o it_o produce_v good_a or_o evil_n for_o that_o which_o they_o call_v critical_a and_o be_v seasonable_a and_o due_o perform_v with_o good_a effect_n attend_v be_v but_o symptom_n morbi_fw-la the_o symptom_n of_o some_o disease_n as_o well_o as_o the_o other_o so_o that_o the_o difference_n be_v in_o the_o nature_n of_o the_o disease_n afflict_v the_o matter_n excrete_v or_o void_v the_o fortitude_n of_o nature_n the_o time_n where_o the_o way_n by_o which_o it_o ought_v or_o ought_v not_o to_o pass_v which_o do_v distinguish_v these_o flux_n in_o their_o effect_n to_o be_v good_a or_o ill_a but_o show_v no_o diversity_n in_o efficient_a cause_n which_o be_v one_o and_o the_o same_o for_o nature_n be_v efficient_a whether_o irritate_v unreasonable_o and_o frustrate_v of_o her_o end_n or_o perform_v these_o endeavour_n in_o due_a time_n and_o to_o good_a purpose_n but_o although_o the_o efficient_a cause_n of_o diarrhoea_n be_v simple_a and_o single_a yet_o the_o occasional_a cause_n be_v many_o for_o these_o flux_n be_v occasion_v sometime_o by_o change_n of_o air_n or_o place_n and_o variation_n of_o the_o season_n by_o some_o kind_n of_o meat_n or_o drink_n take_v cold_a or_o other_o casualty_n and_o accident_n which_o put_v nature_n upon_o some_o disorderly_a fermentation_n and_o excretion_n and_o this_o commotion_n occasion_n and_o stir_n up_o any_o morbific_a matter_n and_o noxious_a humour_n which_o before_o perhaps_o lay_v dormant_a and_o still_o now_o to_o grow_v turgid_a and_o active_a contribute_v to_o advance_v and_o promote_v the_o flux_n begin_v but_o this_o manage_v by_o a_o discreet_a hand_n may_v not_o prove_v injurious_a but_o some_o advantage_n gain_v which_o if_o neglect_v and_o nature_n not_o govern_v and_o guide_v in_o this_o prodigal_a expense_n much_o detriment_n may_v come_v thereby_o a_o exhaustion_n of_o nutritious_a juice_n with_o great_a debility_n and_o weakness_n as_o this_o flux_n diarrhoea_n be_v various_a in_o the_o matter_n discharge_v so_o likewise_o in_o the_o manner_n and_o circumstance_n as_o great_a and_o more_o violent_a or_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
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