disease_n do_v an._n not_o that_o the_o organ_n of_o motion_n be_v attack_v hurt_v or_o torment_v but_o only_o that_o the_o periostium_fw-la be_v put_v out_o of_o its_o natural_a posture_n which_o be_v manifest_a from_o hence_o that_o as_o soon_o as_o this_o membrane_n be_v restore_v to_o its_o natural_a state_n you_o can_v perceive_v the_o least_o defect_n in_o those_o organ_n qu._n why_o then_o do_v the_o pain_n increase_n and_o grow_v more_o violent_a upon_o touch_v or_o move_v the_o part_n affect_v an._n this_o come_v not_o to_o pass_v because_o that_o the_o organ_n of_o motion_n or_o their_o membrane_n do_v suffer_v but_o because_o that_o the_o membrane_n be_v already_o distend_v by_o the_o touch_n or_o motion_n thereof_o it_o come_v to_o suffer_v and_o to_o stretch_v a_o new_a whereupon_o new_a pain_n must_v follow_v chap._n x._o of_o the_o symptom_n of_o the_o gout_n qu._n forasmuch_o as_o there_o be_v find_v many_o and_o different_a symptom_n in_o the_o gout_n will_v it_o not_o be_v proper_a to_o make_v a_o distinction_n between_o they_o thereby_o to_o come_v to_o the_o true_a knowledge_n of_o they_o an._n you_o will_v do_v very_o well_o to_o distinguish_v first_o the_o symptom_n in_o general_a from_o the_o disease_n itself_o and_o then_o to_o make_v a_o distinction_n between_o the_o symptom_n themselves_o qu._n what_o distinction_n be_v there_o to_o be_v make_v between_o the_o symptom_n of_o the_o gout_n an._n this_o that_o the_o symptom_n that_o arise_v and_o vanish_v with_o the_o disease_n be_v to_o be_v distinguish_v from_o those_o that_o be_v breed_v not_o from_o the_o gout_n but_o from_o the_o symptom_n of_o the_o gout_n qu._n which_o be_v the_o symptom_n that_o do_v immediate_o accompany_v the_o gout_n and_o be_v bear_v and_o die_v with_o it_o an._n of_o these_o there_o be_v but_o two_o already_o speak_v of_o viz._n the_o vitiate_a motion_n and_o the_o violent_a pain_n these_o come_v and_o go_v away_o with_o the_o disease_n follow_v the_o gout_n as_o a_o shadow_n do_v a_o body_n qu._n which_o of_o these_o two_o symptom_n be_v the_o chief_a and_o most_o grievous_a an._n the_o pain_n which_o be_v not_o the_o disease_n itself_o or_o the_o cause_n of_o the_o gout_n as_o have_v be_v already_o say_v nor_o yet_o be_v it_o a_o simple_a symptom_n in_o regard_n it_o be_v a_o cause_n of_o other_o symptom_n especial_o when_o it_o be_v violent_a qu._n what_o symptom_n be_v occasion_v or_o rather_o cause_v thereby_o an._n inflammation_n fever_n faint_n sleepiness_n loss_n of_o strength_n afflux_n of_o humour_n qu._n be_v it_o certain_a that_o all_o these_o six_o accident_n be_v cause_v by_o the_o rage_a pain_n of_o the_o gout_n an._n dr._n paul_n barbette_v reckon_v they_o all_o among_o the_o effect_n of_o the_o gouty_a pain_n when_o he_o treat_v of_o the_o symptom_n of_o wound_n in_o his_o chirurgery_n p._n 165._o of_o his_o dutch_a edition_n beside_o that_o it_o be_v manifest_a that_o most_o of_o these_o do_v then_o first_o appear_v when_o the_o pain_n grow_v violent_a and_o disappear_v with_o the_o diminution_n and_o cease_v of_o the_o pain_n qu._n whence_o come_v it_o that_o these_o symptom_n that_o be_v cause_v by_o the_o gout_n not_o only_o in_o divers_a patient_n but_o also_o in_o the_o same_o show_v themselves_o at_o one_o time_n more_o than_o another_o and_o differ_v so_o much_o from_o one_o another_o an._n it_o come_v from_o the_o great_a or_o lesser_a intenseness_n of_o the_o efficient_a cause_n the_o pain_n which_o receive_v its_o degree_n from_o the_o quality_n and_o quantity_n of_o the_o gouty_a matter_n for_o the_o more_o malign_a and_o abound_a the_o damp_n be_v the_o more_o grievous_a also_o be_v not_o only_o the_o proper_a symptom_n but_o also_o these_o accident_n of_o the_o gout_n qu._n do_v the_o rage_a pain_n excite_v in_o all_o gouty_a person_n these_o symptom_n all_o together_o and_o at_o once_o an._n not_o so_o for_o in_o body_n that_o have_v but_o little_a serosity_n in_o the_o blood_n the_o first_o five_o symptom_n do_v appear_v but_o not_o at_o all_o or_o very_o seldom_o the_o six_o and_o last_o which_o be_v the_o afflux_n of_o humour_n in_o other_o who_o abound_v in_o that_o serosity_n the_o afflux_n of_o moisture_n will_v be_v perceive_v first_o of_o all_o and_o often_o without_o inflammation_n again_o when_o the_o gouty_a matter_n lurk_v deep_a as_o in_o the_o sciatica_n and_o in_o the_o gout_n of_o the_o shoulder_n you_o be_v not_o then_o to_o reckon_v upon_o the_o change_n of_o colour_n and_o the_o afflux_n qu._n that_o rage_a pain_n do_v cause_n inflammation_n be_v easy_o understand_v but_o how_o do_v they_o produce_v fever_n faint_n sleepiness_n and_o loss_n of_o strength_n an._n the_o intolerable_a pain_n draw_v to_o the_o heart_n cause_v there_o a_o fever_n and_o faint_v and_o pass_v to_o the_o brain_n produce_v there_o wake_v whence_o must_v necessary_o follow_v loss_n of_o strength_n chap._n xi_o of_o the_o external_a serous_a tumour_n which_o often_o manifest_v itself_o in_o the_o gout_n qu._n be_v it_o worth_a while_n to_o treat_v somewhat_o more_o large_o of_o this_o tumour_n than_o of_o the_o other_o symptom_n cause_v by_o the_o pain_n an._n it_o be_v very_o necessary_a because_o by_o this_o symptom_n many_o learned_a man_n have_v be_v so_o mislead_v as_o to_o take_v it_o for_o the_o gout-breeding_a matter_n itself_o or_o at_o least_o not_o to_o distinguish_v it_o from_o the_o sickness_n itself_o whence_o as_o from_o a_o fruitful_a soil_n have_v spring_v so_o many_o error_n about_o the_o gout_n and_o especial_o about_o the_o proxime_fw-la cause_n thereof_o yea_o this_o be_v the_o only_a cause_n that_o so_o many_o physician_n and_o chirurgeon_n be_v so_o much_o wed_v to_o the_o notion_n of_o humour_n that_o they_o dare_v almost_o take_v it_o for_o grant_v that_o the_o gout_n can_v be_v without_o this_o swell_a and_o afflux_n of_o humour_n insomuch_o that_o if_o they_o meet_v with_o any_o gouty_a person_n in_o who_o they_o can_v find_v this_o swell_a or_o change_n of_o colour_n although_o they_o find_v great_a pain_n they_o will_v rather_o discard_v they_o out_o of_o the_o number_n of_o the_o gouty_a than_o acknowledge_v that_o sometime_o there_o be_v no_o humour_n at_o all_o accompany_v the_o gout_n qu._n but_o since_o the_o affluxed_a humour_n which_o breed_v the_o external_a swell_n be_v neither_o in_o whole_a nor_o in_o part_n the_o cause_n of_o the_o gout_n what_o shall_v we_o make_v of_o that_o tumour_n and_o its_o matter_n an._n it_o be_v a_o symptom_n which_o be_v no_o inseparable_a companion_n of_o the_o gout_n yea_o never_a begin_v and_o seldom_o end_v with_o that_o disease_n which_o i_o think_v i_o can_v so_o plain_o make_v out_o as_o that_o the_o most_o ordinary_a capacity_n shall_v understand_v it_o to_o be_v so_o qu._n do_v then_o this_o serous_a swell_v not_o always_o accompany_v the_o gout_n as_o a_o inseparable_a symptom_n an._n no_o for_o beside_o that_o some_o gouty_a person_n seldom_o or_o never_o perceive_v this_o tumour_n cause_v by_o affluxed_a humour_n as_o i_o have_v experience_v and_o many_o writer_n must_v witness_v common_o there_o be_v no_o affluxed_a humour_n find_v in_o the_o sciatica_n qu._n but_o do_v this_o swell_v never_o begin_v with_o the_o gout_n an._n it_o be_v never_o perceive_v in_o the_o begin_n of_o the_o gout_n for_o though_o in_o many_o patient_n this_o tumour_n very_o soon_o follow_v upon_o the_o gout_n yet_o if_o it_o be_v well_o observe_v it_o be_v never_o of_o the_o same_o age_n with_o the_o gouty_a tumour_n which_o in_o order_n of_o time_n always_o precede_v it_o yea_o if_o care_n be_v have_v its_o birth_n may_v sometime_o be_v altogether_o prevent_v by_o be_v timely_a ready_a to_o evaporate_v this_o dolorifick_a damp_n by_o a_o speedy_a application_n of_o my_o matchless_a discharge_n remedy_n as_o i_o have_v often_o experiment_v on_o myself_o and_o shall_v further_o teach_v in_o the_o second_o part_n treat_v of_o the_o cure_n of_o the_o gout_n qu._n but_o as_o this_o symptom_n never_o begin_v with_o the_o disease_n do_v it_o neither_o end_n always_o with_o it_o as_o other_o symptom_n do_v an._n no_o this_o symptom_n alone_o survive_v the_o gout_n yea_o the_o cause_n whence_o it_o rise_v end_v not_o with_o it_o for_o as_o for_o the_o most_o part_n it_o first_o appear_v when_o the_o sickness_n be_v at_o its_o height_n and_o the_o pain_n rage_v so_o it_o be_v often_o see_v a_o good_a while_n after_o the_o gouty_a pain_n and_o then_o by_o good_a mean_n and_o some_o patience_n dispel_v qu._n it_o seem_v then_o that_o the_o pain_n which_o be_v the_o cause_n of_o this_o symptom_n cease_v the_o outward_a tumour_n do_v not_o vanish_v at_o the_o same_o time_n an._n no_o for_o very_o often_o the_o limb_n remain_v swell_v as_o before_o and_o it_o require_v some_o day_n
imply_v that_o the_o gout_n be_v a_o disease_n wherein_o violence_n be_v do_v to_o nature_n in_o some_o part_n or_o other_o of_o the_o body_n but_o this_o be_v a_o novelty_n to_o i_o that_o you_o add_v viz._n that_o it_o be_v a_o inward_a deep-lurking_a and_o for_o the_o most_o part_n invisible_a little_a swell_a and_o that_o that_o swell_a be_v cause_v by_o a_o damp_n etc._n etc._n entreat_v you_o that_o you_o will_v vouchsafe_v to_o express_v this_o more_o plain_a and_o to_o render_v reason_n thereof_o and_o first_o why_o you_o call_v it_o a_o internal_a and_o deep-lurking_a tumour_n an._n the_o better_a to_o distinguish_v it_o from_o other_o windy_a swell_n in_o respect_n of_o its_o seat_n for_o whereas_o those_o other_o lie_n between_o the_o flesh_n and_o skin_n this_o lie_v deep_a underneath_o the_o membrane_n that_o cover_v the_o bone_n as_o hereafter_o shall_v be_v more_o large_o prove_v qu._n but_o why_o do_v you_o add_v that_o it_o be_v a_o little_a and_o most_o invisible_a swell_n an._n because_o it_o be_v so_o indeed_o qu._n but_o pray_v sir_n take_v care_n that_o you_o run_v not_o against_o sense_n out_o of_o a_o blind_a zeal_n of_o produce_v a_o novelty_n for_o be_v not_o the_o tumour_n which_o manifest_v itself_o in_o the_o gout_n big_a and_o conspicuous_a enough_o an._n you_o do_v not_o distinguish_v between_o the_o disease_n itself_o and_o the_o symtom_n which_o be_v the_o stumble_a stone_n of_o many_o even_o learned_a man_n and_o the_o want_n of_o this_o very_a distinction_n seem_v to_o i_o to_o have_v be_v the_o main_a if_o not_o the_o only_a obstacle_n why_o they_o have_v not_o light_v upon_o the_o true_a cause_n of_o the_o gout_n and_o why_o they_o have_v take_v quid_fw-la pro_fw-la quo_fw-la qu._n what_o then_o be_v to_o be_v do_v not_o to_o mistake_v herein_o an._n you_o must_v ever_o make_v a_o difference_n between_o the_o swell_a which_o be_v cause_v by_o the_o morbific_a gouty_a matter_n and_o that_o which_o be_v consequent_a to_o the_o gout_n and_o this_o be_v to_o be_v lay_v as_o a_o fundamental_a truth_n never_o to_o be_v remove_v viz._n that_o the_o humour_n which_o make_v the_o external_a palpable_a and_o visible_a swell_n in_o the_o gout_n be_v not_o the_o gout_n or_o dolorifique_a matter_n which_o be_v not_o so_o much_o my_o word_n as_o the_o word_n of_o that_o famous_a physician_n of_o dort_n call_v john_n van_n beverwyck_n deliver_v by_o he_o in_o his_o book_n of_o the_o gout_n and_o which_o he_o have_v borrow_a out_o of_o the_o description_n of_o that_o disease_n which_o that_o learned_a and_o experience_a professor_n of_o physic_n at_o wittenberg_n daniel_n sennertus_n leave_v behind_o he_o which_o also_o be_v the_o reason_n that_o i_o shall_v place_v that_o aqueous_a and_o serous_a tumour_n among_o the_o symptom_n of_o the_o gout_n where_o also_o it_o be_v to_o be_v handle_v and_o not_o here_o where_o we_o speak_v of_o the_o disease_n itself_o qu._n what_o be_v not_o the_o humour_n that_o cause_v the_o outward_a and_o visible_a swell_n the_o gout_n or_o dolorific_a matter_n a._n no_o they_o differ_v very_o much_o from_o one_o another_o and_o may_v be_v sufficient_o distinguish_v by_o those_o that_o will_v attentive_o consider_v qu._n wherein_o consist_v this_o difference_n ans_fw-fr in_o this_o that_o the_o one_o be_v the_o cause_n of_o the_o disease_n the_o other_o a_o symptom_n which_o will_v be_v make_v very_o clear_a when_o we_o shall_v come_v to_o treat_v of_o this_o symptom_n but_o in_o part_n to_o satisfy_v your_o curiosity_n pray_v mark_v the_o ratiocination_n of_o the_o late_o name_v beverwyck_n say_v in_o the_o quote_v book_n that_o the_o humour_n which_o make_v the_o swell_a be_v not_o proper_o the_o peccant_a matter_n be_v from_o hence_o evident_a because_o that_o in_o the_o beginning_n before_o the_o part_n swell_v the_o great_a pain_n be_v feel_v and_o the_o same_o grow_v less_o when_o the_o swell_a appear_v it_o be_v true_a that_o that_o learned_a man_n adher_v still_o to_o the_o opinion_n of_o the_o saltish_a serum_fw-la affirm_v that_o it_o be_v a_o serous_a humour_n pervade_v by_o a_o salin_a acrimony_n that_o cause_v the_o gout_n but_o herein_o he_o as_o well_o as_o the_o great_a sennertus_n have_v mistake_v mean_a time_n it_o be_v certain_a that_o the_o external_a tumour_n be_v not_o the_o morbid_v matter_n itself_o for_o the_o reason_n give_v and_o which_o be_v more_o some_o podagrical_a person_n endure_v great_a pain_n without_o the_o appearance_n of_o any_o visible_a swell_n chap._n ii_o of_o the_o inward_a tumour_n of_o the_o gout_n and_o how_o it_o be_v most_o invisible_a qu._n i_o shall_v for_o the_o present_a rest_n content_v with_o the_o proof_n allege_v until_o we_o come_v to_o the_o symptom_n but_o when_o this_o symptomatical_a or_o accidental_a swell_n of_o the_o gout_n be_v present_a do_v you_o then_o observe_v two_o sort_n of_o swell_a in_o this_o disease_n one_o inward_a the_o other_o outward_a an._n i_o do_v so_o of_o which_o two_o the_o first_o be_v that_o which_o i_o say_v in_o the_o description_n to_o be_v a_o swell_a that_o be_v little_a and_o for_o the_o most_o part_n invisible_a qu._n why_o do_v you_o say_v so_o an._n because_o it_o be_v indeed_o small_a and_o for_o the_o most_o part_n can_v be_v see_v by_o the_o sharp_a eye_n of_o the_o body_n though_o it_o be_v see_v by_o the_o eye_n of_o reason_n for_o although_o you_o outward_o perceive_v no_o swell_a you_o may_v not_o thence_o infer_v that_o there_o lurk_v none_o within_o forasmuch_o as_o the_o contrary_n be_v true_a in_o these_o and_o other_o swell_n see_v the_o proof_n hereof_o in_o a_o couple_n of_o observation_n of_o the_o skilful_a physician_n and_o chirurgeon_n hildanus_n in_o his_o second_o part_n the_o 37_o and_o 38_o concern_v dangerous_a and_o desperate_a tumour_n in_o the_o muscle_n of_o the_o stomach_n in_o which_o nothing_o preternatural_a of_o swell_a or_o other_o disorder_n can_v be_v see_v outward_o qu._n if_o this_o tumour_n can_v be_v perceive_v by_o the_o eye_n whence_o do_v you_o then_o know_v that_o there_o be_v a_o inward_a one_o an._n from_o the_o violent_a pungent_a beat_v distend_v and_o continual_a pain_n to_o be_v easy_o perceive_v by_o one_o finger_n qu._n but_o it_o seem_v by_o what_o you_o intimate_v in_o the_o description_n of_o the_o gout_n that_o sometime_o this_o tumour_n may_v be_v see_v an._n yes_o it_o may_v for_o at_o time_n it_o appear_v plain_o enough_o though_o few_o artist_n take_v it_o for_o a_o gouty_a swell_n mislead_v by_o the_o external_a appearance_n of_o it_o which_o be_v in_o the_o form_n of_o a_o small_a hard_a pimple_n on_o the_o place_n of_o the_o part_n affect_v of_o which_o you_o have_v a_o manifest_a proof_n in_o pareus_n the_o french_a chirurgeon_n treat_v of_o a_o distemper_n in_o a_o young_a woman_n at_o bourdeaux_n that_o have_v such_o a_o tumour_n on_o her_o thigh_n though_o pareus_n do_v not_o record_v it_o for_o such_o qu._n when_o may_v this_o tumour_n be_v perceive_v by_o the_o eye_n an._n then_o chief_o when_o the_o gouty_a cause_n attack_n the_o patient_n not_o about_o the_o joint_n of_o the_o limb_n but_o in_o or_o about_o the_o middle_n of_o those_o place_n with_o a_o boil_a pain_n wherein_o nature_n labour_v as_o much_o as_o she_o can_v though_o she_o be_v not_o strong_a enough_o to_o expel_v the_o peccant_a matter_n at_o which_o time_n if_o you_o observe_v it_o careful_o some_o tumour_n appear_v as_o be_v say_v above_o this_o i_o have_v find_v not_o only_o in_o myself_o but_o very_o notable_o in_o another_o that_o be_v a_o young_a man_n employ_v here_o in_o the_o foundery_a of_o batavia_n call_v martin_n smith_n of_o breslaw_n who_o have_v the_o gout_n in_o his_o right_a foot_n without_o a_o considerable_a afflux_n of_o humour_n the_o evil_a settle_a on_o the_o midst_n of_o his_o foot_n in_o the_o form_n of_o a_o protuberant_a hard_a pimple_n or_o button_n which_o i_o also_o by_o the_o help_n of_o god_n do_v present_o cure_v so_o that_o he_o the_o same_o hour_n without_o any_o pain_n go_v out_o of_o the_o house_n to_o his_o workhouse_n which_o can_v be_v attest_v by_o the_o physician_n thomas_n flory_n and_o the_o chief_a chirurgeon_n warner_n leuretius_n as_o eye-witness_n that_o see_v it_o with_o great_a admiration_n chap._n iii_o of_o the_o next_o and_o always_o concomitant_a cause_n of_o the_o gout_n qu._n a_o after_o you_o have_v sufficient_o make_v out_o that_o the_o gouty_a matter_n cause_v a_o swell_a for_o the_o most_o part_n invisible_a be_v please_v to_o explain_v to_o we_o what_o be_v the_o next_o and_o always_o accompany_v cause_n of_o this_o tumour_n which_o to_o know_v i_o think_v to_o be_v of_o great_a importance_n an._n you_o judge_v aright_o forasmuch_o as_o the_o cure_n have_v always_o a_o respect_n to_o the_o
cause_n of_o the_o disease_n and_o since_o it_o be_v in_o vain_a to_o hope_v for_o a_o recovery_n as_o long_o as_o there_o be_v a_o error_n or_o mistake_n about_o the_o peccant_a or_o gouty_a matter_n qu._n have_v physician_n be_v of_o one_o opinion_n herein_o an._n no_o for_o some_o have_v assign_v the_o cause_n to_o be_v a_o slimy_a and_o cold_a humour_n some_o a_o mixture_n of_o gall_n and_o slime_n some_o a_o crude_a indigested_a and_o impure_a blood_n other_o a_o serous_a humidity_n mix_v with_o a_o acrimonious_a saltness_n other_o wind_n with_o a_o mixture_n of_o the_o four_o know_a humour_n other_o ill-conditioned_n wind_n alone_o qu._n whence_o i_o pray_v arise_v this_o great_a diversity_n of_o opinion_n an._n from_o thence_o only_a that_o as_o have_v be_v already_o intimate_v they_o have_v not_o distinguish_v the_o gout_n from_o its_o symptom_n which_o have_v so_o abuse_v they_o with_o the_o notion_n of_o the_o humour_n that_o they_o have_v put_v those_o out_o of_o the_o list_n of_o gouty_a person_n who_o in_o their_o gout_n perceive_v no_o afflux_n of_o humour_n absolute_o require_v the_o same_o in_o this_o disease_n notwithstanding_o that_o such_o as_o find_v no_o serous_a swell_n in_o their_o gouty_a distemper_n do_v feel_v full_a as_o much_o pain_n as_o other_o that_o be_v wont_a to_o find_v that_o afflux_n who_o grievous_a pain_n also_o be_v considerable_o abate_v upon_o the_o swell_a qu._n which_o then_o be_v in_o your_o judgement_n the_o next_o and_o immediate_a cause_n an._n we_o have_v express_v it_o in_o our_o above-recited_n description_n of_o the_o gout_n to_o wit_n that_o it_o be_v a_o vapour_n or_o damp_n dry_a and_o cold_a and_o mix_v with_o malignity_n qu._n but_o many_o will_v look_v upon_o this_o as_o a_o airy_a and_o windy_a fancy_n and_o no_o solid_a truth_n an._n if_o man_n shall_v divest_v themselves_o of_o prejudice_n and_o mature_o consider_v all_o what_o have_v be_v say_v and_o be_v yet_o to_o follow_v i_o shall_v then_o expect_v a_o more_o favourable_a judgement_n and_o a_o unanimous_a consent_n to_o my_o doctrine_n qu._n according_a to_o your_o theory_n the_o gout_n be_v to_o be_v reckon_v among_o windy_a swell_n an._n so_o it_o must_v be_v because_o ground_v upon_o experience_n the_o mistress_n of_o fool_n qu._n but_o be_v not_o this_o a_o quite_o new_a opinion_n or_o have_v there_o ever_o be_v any_o learned_a man_n that_o have_v deliver_v the_o same_o an._n when_o i_o late_o enumerate_v unto_o you_o the_o various_a opinion_n concern_v the_o cause_n of_o the_o gout_n you_o may_v remember_v that_o the_o last_o of_o they_o be_v that_o which_o place_v it_o in_o mere_a wind_n now_o among_o those_o doctor_n sennertus_n reckon_v guainerius_n and_o matthaeus_n de_fw-fr gradibus_fw-la two_o eminent_a physician_n and_o as_o far_o as_o i_o can_v find_v the_o chinese_n doctor_n be_v all_o of_o that_o mind_n beside_o that_o ancient_a physician_n guido_n de_fw-fr culiaca_n though_o in_o the_o gout_n he_o follow_v the_o humorist_n relate_v that_o he_o have_v read_v in_o some_o prescription_n of_o health_n give_v to_o the_o pope_n of_o rome_n that_o this_o disease_n do_v arise_v from_o wind_n and_o the_o royal_a chirurgeon_n pareus_n p._n 534._o assign_v for_o the_o certain_a cause_n of_o the_o run_a gout_n a_o very_a thin_a fuliginous_a matter_n which_o be_v nothing_o else_o but_o a_o subtle_a smoky_a damp_n or_o spirituous_a substance_n qu._n but_o pareus_n do_v not_o speak_v so_o of_o the_o other_o kind_n of_o gout_n ans_fw-fr it_o be_v true_a that_o he_o affirm_v it_o of_o the_o run_a gout_n but_o then_o i_o must_v say_v that_o that_o kind_n do_v not_o at_o all_o in_o its_o essence_n or_o next_o cause_n differ_v from_o the_o other_o gout_n but_o only_o in_o some_o quality_n relate_v to_o the_o thinness_n and_o thickness_n of_o damp_n those_o from_o whence_o proceed_v the_o run_a gout_n thin_a and_o subtle_a and_o those_o which_o cause_n the_o other_o gout_n courser_n and_o thick_a and_o it_o be_v notorious_a that_o almost_o all_o intelligent_a physician_n assign_v damp_n for_o the_o next_o cause_n of_o tooth-aches_a headache_n pleurisy_n at_o least_o bastard_n pleurisy_n colick_n and_o epilepsy_n disease_n which_o in_o name_n indeed_o place_n and_o some_o symptom_n differ_v from_o the_o gout_n but_o not_o in_o their_o true_a essence_n they_o be_v so_o near_o akin_a to_o one_o another_o that_o they_o acknowledge_v but_o one_o and_o same_o cause_n qu._n it_o be_v true_a that_o some_o learned_a man_n have_v affirm_v wind_n or_o damp_n to_o be_v the_o next_o cause_n of_o the_o gout_n but_o other_o have_v reject_v that_o opinion_n and_o for_o their_o ground_n of_o do_v so_o i_o shall_v produce_v but_o one_o argument_n for_o all_o which_o m._n beverwyck_n allege_v out_o of_o sennertus_n in_o his_o treatise_n of_o the_o gout_n say_v all_o sickness_n which_o arise_v from_o wind_n do_v not_o last_v so_o long_o as_o the_o gout_n and_o make_v use_n of_o this_o reason_n for_o his_o deny_v the_o flatus_fw-la or_o wind_n to_o be_v the_o true_a cause_n of_o the_o gout_n and_o further_o in_o his_o medicina_fw-la p._n 62._o treat_v of_o tumour_n in_o general_a he_o declare_v that_o the_o windy_a swell_n do_v vanish_v easy_a of_o all_o what_o you_o can_v say_v to_o this_o objection_n i_o long_o to_o hear_v ans_fw-fr those_o great_a man_n speak_v here_o only_o in_o general_n of_o windy_a tumour_n and_o what_o they_o say_v be_v only_o true_a of_o such_o windy_a swell_n as_o lurk_v under_o the_o skin_n or_o in_o fleshy_a part_n not_o in_o those_o that_o lie_v in_o deep_a part_n and_o under_o firm_a and_o thick_a membrane_n as_o in_o the_o gout_n and_o other_o hide_a or_o manifest_a swell_n raise_v from_o latent_fw-la wind_n see_v the_o proof_n hereof_o in_o hildanus_n p._n 6._o ob_n 40._o in_o a_o tympanite_n that_o be_v refractory_a to_o all_o remedy_n qu._n what_o then_o be_v the_o true_a cause_n why_o the_o gout_n be_v so_o long_a a_o cure_n be_v the_o gouty_a cause_n the_o damp_n so_o difficult_a to_o be_v with_o speed_n remove_v and_o evaporate_v ans_fw-fr the_o gouty_a damp_n be_v easy_a enough_o to_o be_v evacuate_v and_o it_o be_v even_o forward_o to_o be_v exhale_v but_o there_o be_v a_o notable_a obstacle_n which_o hinder_v the_o speedy_a performance_n of_o it_o and_o that_o be_v this_o the_o impacted_a and_o enclose_a damp_n which_o cause_v the_o windy_a tumour_n in_o the_o gout_n seek_v a_o passage_n to_o issue_v out_o at_o but_o find_v none_o partly_o because_o of_o the_o grossness_n of_o the_o damp_n partly_o and_o chief_o by_o reason_n of_o the_o close_a and_o firm_a membrane_n of_o the_o bone_n under_o which_o it_o lurk_v especial_o since_o the_o place_n in_o which_o this_o cold_a damp_n lodge_v enjoy_v but_o little_a warmth_n for_o the_o attenuate_a of_o this_o gross_a damp_n and_o expel_v it_o through_o the_o small_a pore_n of_o that_o membrane_n qu._n but_o i_o pray_v sir_n let_v i_o know_v what_o be_v the_o chief_a motive_n that_o have_v induce_v you_o to_o make_v damp_n the_o only_a next_o cause_n of_o the_o gout_n ans_fw-fr first_o this_o remedy_n which_o i_o here_o offer_v as_o that_o which_o sudden_o cure_v this_o disease_n for_o if_o it_o be_v true_a that_o the_o medicine_n declare_v the_o disease_n as_o physician_n afirm_v with_o their_o master_n hypocrates_n i_o must_v then_o conclude_v that_o no_o humour_n but_o only_o a_o spirituous_a thing_n be_v the_o cause_n of_o this_o disease_n second_o observe_v the_o sudden_a motion_n of_o the_o gouty_a matter_n sometime_o dislodging_n in_o a_o very_a short_a time_n from_o one_o limb_n to_o another_o from_o the_o hand_n to_o the_o foot_n from_o one_o foot_n to_o the_o other_o etc._n etc._n fly_v as_o it_o be_v with_o swift_a wing_n from_o above_o to_o beneath_o and_o back_o again_o i_o find_v myself_o oblige_v to_o judge_n that_o these_o be_v not_o humour_n but_o some_o spirituous_a matter_n able_a to_o do_v such_o thing_n chap._n iu._n of_o the_o quality_n of_o the_o damp_n that_o cause_v the_o gout_n qu._n of_o what_o quality_n i_o pray_v be_v these_o gouty_a damp_n ans_fw-fr the_o above-recited_n description_n say_v that_o they_o be_v dry_a cold_a and_o ill-conditioned_n qu._n why_o do_v you_o say_v they_o be_v dry_a ans_fw-fr the_o better_a to_o distinguish_v these_o damp_n from_o windy_a humour_n qu._n why_o cold_a be_v there_o not_o a_o hot_a as_o well_o as_o a_o cold_a gout_n ans_fw-fr as_o there_o be_v but_o one_o next_o cause_n which_o for_o quality_n be_v always_o cold_a so_o be_v the_o distinction_n of_o a_o hot_a and_o cold_a gout_n vain_a my_o opinion_n agree_v with_o that_o of_o fernelius_n that_o all_o gout_n arise_v from_o a_o cold_a cause_n qu._n but_o with_o what_o reason_n can_v you_o maintain_v this_o opinion_n ans_fw-fr irrefragable_o by_o the_o
part_n of_o these_o humour_n may_v be_v cause_v by_o the_o natural_a and_o innate_a warmth_n of_o the_o suffer_a part_n assist_v by_o the_o adjacent_a part_n as_o also_o by_o the_o preternatural_a heat_n of_o the_o inflammation_n of_o the_o same_o without_o any_o other_o external_a cause_n whereupon_o the_o gross_a thick_a saltish_a and_o carthy_a part_n as_o the_o sediment_n and_o relic_n remain_v in_o the_o limb_n be_v coagulate_v and_o concrete_v qu._n i._o understand_v you_o very_o well_o but_o i_o pray_v tell_v i_o also_o how_o may_v this_o come_v to_o pass_v by_o the_o unskilfulness_n of_o practitioner_n an._n when_o they_o apply_v too_o strong_o repel_v or_o dry_v or_o too_o much_o cool_a remedy_n which_o drive_v the_o thin_a part_n inward_a or_o dispel_v they_o and_o so_o harden_v and_o render_v incurable_a the_o thick_a stuff_n whereas_o they_o shall_v use_v moderate_o warm_a mollify_a remedy_n thereby_o to_o expel_v and_o consume_v the_o whole_a matter_n qu._n do_v these_o nodes_fw-la when_o they_o be_v cause_v without_o the_o application_n of_o perverse_a remedy_n grow_v on_o leisurely_o an._n they_o do_v so_o when_o they_o be_v breed_v of_o themselves_o for_o the_o foundation_n of_o this_o chalky_a matter_n be_v once_o lay_v it_o be_v raise_v and_o increase_v more_o and_o more_o upon_o every_o new_a afflux_n and_o from_o time_n to_o time_n scale_v over_o until_o it_o come_v to_o that_o bigness_n that_o it_o only_o hinder_v the_o motion_n of_o the_o limb_n and_o render_v it_o crooked_a but_o can_v also_o stay_v or_o have_v room_n no_o long_o under_o the_o skin_n but_o make_v it_o first_o protuberant_a burst_v it_o at_o length_n in_o piece_n qu._n sure_o a_o ignorant_a practitioner_n can_v bring_v this_o to_o pass_v much_o soon_o an._n so_o he_o can_v and_o to_o such_o a_o degree_n that_o the_o poor_a patient_n in_o the_o very_a first_o fit_n of_o the_o gout_n be_v for_o ever_o deprive_v of_o the_o motion_n of_o the_o suffer_a limb_n of_o which_o we_o have_v in_o banda_n a_o example_n of_o a_o lieutenant_n of_o we_o now_o lie_v here_o in_o garrison_n call_v jan_n van_fw-mi haerlem_n qu._n but_o may_v not_o this_o grow_a of_o tophe_n or_o nodes_fw-la be_v prevent_v and_o hinder_v an._n very_o well_o as_o shall_v be_v teach_v in_o the_o cure_n of_o the_o symptom_n of_o the_o gout_n qu._n will_v you_o proceed_v now_o to_o the_o second_o principal_a you_o intend_v viz_o the_o cure_n of_o the_o gout_n an._n i_o will_v after_o you_o have_v hear_v what_o i_o have_v to_o say_v of_o the_o nature_n and_o cause_n of_o the_o gout_n its_o seat_n and_o part_v affect_v its_o diagnostick_n symptom_n and_o the_o necessity_n of_o distinguish_v these_o latter_a not_o only_o from_o the_o disease_n itself_o but_o also_o from_o one_o another_o all_o which_o have_v make_v way_n to_o judge_v the_o better_a of_o a_o fit_a remedy_n to_o cure_v the_o same_o see_v we_o can_v hope_v for_o cure_n before_o the_o malady_n be_v thorough_o understand_v the_o second_o part_n of_o the_o cure_v of_o the_o gout_n chap._n i._n treat_v of_o the_o cure_n of_o the_o gout_n in_o general_n qu._n have_v there_o not_o be_v at_o all_o time_n man_n that_o have_v pretend_v to_o the_o skill_n of_o cure_v the_o gout_n ans_fw-fr yes_o indeed_o but_o experience_n have_v put_v they_o to_o shame_n for_o whereas_o they_o have_v promise_v cheap_a and_o sure_a remedy_n against_o this_o painful_a disease_n their_o promise_n have_v notorious_o fail_v and_o their_o patient_n have_v be_v at_o last_o abandon_v remediless_a see_v hereof_o among_o other_o fabritius_n hildanus_n his_o second_o part_n p._n 174._o where_o he_o speak_v of_o one_o who_o he_o call_v a_o monster_n that_o high_o brag_v he_o can_v conquer_v that_o great_a enemy_n of_o mankind_n the_o arthritis_fw-la or_o gout_n but_o be_v confute_v by_o very_o sad_a experience_n qu._n why_o do_v he_o call_v he_o a_o monster_n ans_fw-fr because_o of_o that_o monstrous_a and_o mischievous_a mean_n by_o he_o use_v whereby_o he_o kill_v his_o gouty_a patient_n see_v in_o the_o same_o hildanus_n his_o second_o part_n p._n 87_o that_o unhappy_a preparation_n of_o quicksilver_n for_o the_o gout_n qu._n but_o have_v none_o of_o the_o best_a physician_n of_o europe_n in_o so_o many_o age_n find_v any_o sure_a remedy_n against_o this_o disease_n ans_fw-fr none_o that_o i_o know_v of_o they_o rather_o call_v the_o gout_n ludibrium_fw-la medicorum_fw-la and_o the_o disease_n of_o rich-man_n though_o it_o seize_v also_o on_o the_o poor_a who_o if_o they_o can_v be_v help_v will_v soon_o lose_v that_o name_n hence_o it_o be_v become_v a_o proverbial_a say_n viz._n that_o he_o who_o undertake_v to_o perform_v something_o extraordinary_a be_v like_o he_o that_o pretend_v to_o cure_v the_o gout_n which_o pretender_n be_v usual_o send_v to_o the_o court_n of_o king_n and_o prince_n to_o practice_v their_o skill_n on_o they_o who_o will_v not_o sail_v to_o make_v such_o man_n rich_a as_o shall_v perform_v such_o undertake_n qu._n what_o be_v the_o matter_n then_o that_o the_o true_a remedy_n have_v not_o be_v find_v hitherto_o be_v the_o fault_n in_o the_o physician_n or_o in_o the_o gouty_a patient_n ans_fw-fr in_o both_o but_o most_o in_o the_o former_a as_o not_o know_v the_o true_a nature_n of_o this_o disease_n notwithstanding_o all_o their_o dispute_n and_o discourse_n about_o it_o qu._n what_o do_v you_o think_v of_o cardanus_n his_o say_n in_o the_o praise_n of_o the_o gout_n viz._n that_o whosoever_o will_v stop_v the_o source_n of_o the_o gout_n stop_v withal_o the_o source_n of_o life_n do_v not_o this_o imply_v that_o the_o gout_n be_v incurable_a ans_fw-fr he_o will_v say_v that_o the_o root_n of_o the_o gout_n can_v be_v total_o pull_v out_o though_o you_o may_v strip_v off_o the_o leave_n that_o be_v remove_v the_o outward_a accident_n thereof_o chap._n ii_o that_o the_o gout_n be_v curable_a by_o burn_v with_o moxa_n q._n but_o pray_v let_v i_o know_v your_o opinion_n in_o this_o matter_n be_v the_o gout_n a_o incurable_a evil_n and_o cardanus_n his_o say_n true_a a._n i_o or_o the_o comfort_n of_o all_o the_o gouty_a i_o here_o open_o and_o joyful_o declare_v that_o it_o be_v curable_a q._n but_o be_v not_o this_o a_o presumptuous_a arrogance_n a._n no_o for_o the_o good_a god_n in_o compassion_n to_o mankind_n have_v be_v please_v not_o only_o to_o bring_v i_o to_o the_o true_a knowledge_n of_o the_o nature_n and_o condition_n of_o this_o disease_n but_o also_o to_o direct_v i_o to_o a_o specific_a and_o proper_a remedy_n thereof_o which_o remove_v this_o sore_a evil_n it_o be_v now_o through_o the_o divine_a goodness_n in_o our_o power_n to_o quell_v and_o tame_v this_o giant_n without_o make_v ourselves_o guilty_a of_o any_o vanity_n q._n what_o mean_n be_v this_o i_o pray_v a._n it_o be_v the_o harmless_a burn_v with_o moxa_n which_o be_v three_o or_o four_o or_o more_o time_n repeat_v according_a to_o the_o condition_n of_o the_o place_n which_o the_o gout_n have_v seize_v on_o pull_v the_o enemy_n out_o of_o his_o fastness_n mark_v it_o the_o rage_a gout_n in_o the_o height_n of_o its_o rage_n be_v first_o stop_v in_o its_o carrier_n and_o soon_o after_o force_v to_o pack_v away_o q._n be_v this_o possible_a a._n it_o be_v for_o i_o have_v successful_o experience_v it_o on_o myself_o and_o many_o other_o chap._n iii_o how_o and_o for_o what_o this_o remedy_n be_v use_v q._n but_o to_o speak_v with_o order_n of_o the_o cure_n of_o the_o gout_n what_o be_v above_o all_o to_o be_v consider_v in_o this_o disease_n a._n the_o suffer_a part_n and_o labour_a nature_n be_v to_o be_v succour_v without_o delay_n and_o the_o part_n affect_v to_o be_v deliver_v of_o the_o enclose_a damp_n the_o cure_n principal_o consist_v herein_o viz._n in_o give_v a_o outlet_a to_o the_o gout-breeding_a or_o peccant_a matter_n and_o even_o in_o force_v it_o to_o evaporate_v q._n which_o then_o be_v the_o remedy_n that_o perform_v so_o great_a a_o effect_n be_v it_o not_o know_v in_o europe_n where_o have_v it_o be_v find_v out_o a._n it_o be_v moxa_n best_a know_v among_o those_o of_o china_n and_o japan_n so_o celebrate_v value_v and_o commend_v there_o that_o no_o other_o remedy_n be_v to_o be_v compare_v therewith_o upon_o the_o account_n of_o its_o excellent_a performance_n consider_v that_o there_o be_v few_o pain_n in_o the_o body_n for_o which_o they_o do_v not_o use_v it_o with_o great_a benefit_n chap._n iu._n what_o moxa_n be_v and_o where_o to_o be_v have_v q._n but_o what_o be_v this_o moxa_n ans_fw-fr it_o be_v a_o very_a soft_a and_o woolly_a substance_n make_v by_o a_o very_a skilful_a preparation_n out_o of_o a_o certain_a dry_a herb._n q._n what_o name_n have_v that_o herb_n out_o of_o which_o
here_o deliver_v be_v embrace_v and_o this_o small_a work_n encourage_v and_o the_o remedy_n here_o recommend_v put_v in_o practice_n which_o i_o hearty_o wish_v may_v be_v do_v according_a to_o my_o prescript_n before_o it_o be_v prejudge_v and_o reject_v the_o table_n of_o the_o first_o part_n treat_v of_o the_o description_n of_o the_o gout_n chap._n 1._o of_o the_o gout_n and_o its_o nature_n ch._n 2._o of_o the_o internal_a swell_n of_o the_o gout_n and_o that_o for_o the_o most_o part_n invisible_a ch._n 3._o of_o the_o next_o and_o always_o accompany_v cause_n of_o the_o gout_n ch._n 4._o of_o the_o quality_n of_o the_o damp_n which_o cause_n the_o gout_n ch._n 5._o of_o the_o part_n affect_v and_o the_o seat_n of_o the_o gout-making_a matter_n ch._n 6._o that_o the_o gout_n be_v a_o common_a disease_n of_o the_o limb_n take_v its_o denomination_n from_o the_o limb_n it_o seize_v on_o together_o with_o the_o place_n in_o which_o the_o peccant_a matter_n of_o the_o gout_n be_v breed_v ch._n 7._o how_o and_o by_o what_o way_n the_o peccant_a matter_n of_o the_o gout_n come_v to_o the_o several_a limb_n ch._n 8._o of_o the_o expelling_a part_n ch._n 9_o of_o the_o mark_n or_o sign_n of_o the_o gout_n ch._n 10._o of_o the_o symptom_n of_o the_o gout_n ch._n 11._o of_o the_o external_a serous_a swell_a which_o often_o manifest_v itself_o in_o the_o gout_n ch._n 12._o of_o the_o dislocation_n cause_v by_o the_o gout_n ch._n 13._o of_o schirrus_n and_o nodes_fw-la the_o table_n of_o the_o second_o part_n treat_v of_o the_o cure_n of_o the_o gout_n chap._n 1._o of_o the_o cure_n of_o the_o gout_n in_o general_n ch._n 2._o that_o the_o gout_n be_v curable_a by_o burn_v with_o moxa_n ch._n 3._o how_o this_o remedy_n be_v to_o be_v use_v ch._n 4._o what_o moxa_n be_v and_o where_o to_o be_v have_v ch._n 5._o more_o particular_o of_o the_o manner_n of_o the_o application_n of_o this_o remedy_n ch._n 6._o what_o be_v to_o be_v do_v after_o the_o burn_a be_v over_o ch._n 7._o of_o the_o admirable_a effect_n of_o this_o burn_a ch._n 8._o that_o this_o way_n of_o burn_a go_v beyond_o all_o remedy_n of_o europe_n against_o the_o gout_n ch._n 9_o that_o this_o kind_n of_o brune_v be_v very_o tolerable_a ch._n 10._o of_o the_o qualification_n requisite_a in_o the_o person_n that_o shall_v perform_v this_o operation_n ch._n 11._o of_o the_o aromatic_a stick_n to_o be_v use_v in_o this_o operation_n ch._n 12._o of_o the_o place_n where_o this_o burn_a be_v to_o be_v make_v ch._n 13._o of_o the_o inconvenience_n and_o danger_n attend_v a_o faultive_a operation_n ch._n 14._o of_o the_o serous_a swell_n of_o the_o gout_n and_o their_o cure_n ch._n 15._o of_o the_o nodes_fw-la and_o stony_a tumour_n and_o their_o cure_n ch._n 16._o whether_o there_o be_v divers_a sort_n of_o the_o gout_n and_o whether_o there_o be_v a_o essential_a difference_n betwixt_o they_o ch._n 17._o of_o the_o mean_n conducive_a to_o prevent_v the_o gout_n ch._n 18._o of_o the_o gout_n of_o the_o tooth_n and_o its_o cure_n a_o appendix_n of_o three_o very_a remarkable_a case_n the_o gout_n more_o narrow_o search_v and_o find_v out_o together_o with_o the_o certain_a cure_v thereof_o chap._n i._n of_o the_o gout_n and_o what_o it_o be_v theoph._n i_o have_v understand_v with_o joy_n theodidactus_n that_o you_o have_v a_o singular_a opinion_n of_o the_o gout_n its_o cause_n seat_n passage_n and_o way_n as_o also_o that_o you_o know_v the_o true_a and_o genuine_a remedy_n against_o this_o cruel_a disease_n which_o be_v also_o come_v to_o your_o door_n no_o less_o than_o it_o have_v assault_v your_o father_n and_o father-in-law_n who_o be_v so_o grievous_o torment_v therewith_o that_o they_o become_v altogether_o helpless_a and_o be_v so_o spend_v and_o consume_v thereby_o that_o before_o they_o arrive_v to_o any_o considerable_a old_a age_n they_o fall_v into_o their_o grave_n whereas_o i_o see_v you_o to_o admiration_n advance_v to_o so_o great_a a_o age_n and_o in_o so_o much_o vigour_n as_o if_o you_o have_v never_o know_v or_o have_v any_o podagrical_a person_n in_o your_o family_n or_o among_o your_o relation_n or_o have_v never_o be_v subject_n yourself_o to_o that_o merciless_a disease_n hence_o it_o be_v that_o i_o most_o hearty_o entreat_v you_o that_o you_o will_v be_v please_v to_o explain_v this_o matter_n to_o i_o according_a to_o the_o good_a inclination_n which_o i_o have_v always_o perceive_v in_o you_o of_o do_v good_a to_o your_o neighbour_n theodid_a my_o dear_a theophilus_n although_o in_o do_v this_o i_o step_v somewhat_o out_o of_o my_o vocation_n yet_o christian_n charity_n constrain_v i_o to_o comply_v with_o your_o desire_n herein_o and_o 10_o to_o confine_v this_o knowledge_n of_o i_o to_o my_o particular_a friend_n and_o relation_n on_o condition_n only_o that_o at_o this_o time_n you_o do_v ask_v i_o no_o more_o question_n than_o what_o shall_v be_v pertinent_a to_o make_v we_o come_v to_o the_o knowledge_n of_o the_o gout_n and_o the_o remedy_n thereof_o theoph._n i_o most_o kind_o thank_v you_o for_o your_o goodness_n and_o promise_v you_o to_o contain_v myself_o within_o the_o bound_n prescribe_v theodid_a very_o well_o be_v please_v therefore_o to_o propose_v your_o question_n in_o that_o order_n and_o i_o shall_v answer_v you_o to_o the_o best_a of_o my_o knowledge_n theoph._n to_o recover_v gouty_a person_n and_o to_o free_v they_o from_o their_o pain_n without_o which_o all_o the_o blessing_n of_o this_o life_n be_v insignificant_a what_o be_v above_o all_o thing_n necessary_a answ_n to_o have_v a_o thorough_a knowledge_n of_o the_o disease_n and_o of_o the_o true_a remedy_n thereof_o both_o which_o be_v equal_o necessary_a insomuch_o that_o the_o one_o without_o the_o other_o be_v not_o valuable_a quest_n why_o be_v it_o that_o for_o accomplish_v a_o happy_a cure_n there_o be_v first_o of_o all_o require_v a_o well-grounded_n knowledge_n of_o the_o disease_n an._n because_o it_o be_v impossible_a to_o cure_v a_o disease_n according_a to_o art_n if_o the_o nature_n thereof_o be_v hide_v from_o the_o artist_n and_o the_o want_n of_o this_o be_v the_o chief_a reason_n why_o the_o care_n and_o pain_n take_v by_o so_o many_o learned_a physician_n have_v prove_v so_o ineffectual_a in_o the_o gout_n qu._n what_o then_o be_v the_o requisite_n to_o attain_v to_o the_o true_a knowledge_n of_o this_o disease_n an._n there_o be_v require_v a_o solid_a knowledge_n of_o these_o follow_a particular_n 1._o of_o the_o next_o and_o ever-concomitant_a cause_n of_o the_o gout_n 2._o of_o the_o seat_n of_o this_o evil._n 3._o of_o the_o part_n affect_v 4._o of_o the_o way_n and_o passage_n through_o which_o this_o evil_a take_v its_o course_n 5._o what_o be_v the_o inseparable_a sign_n thereof_o 6._o what_o symptom_n common_o accompany_v it_o 7._o that_o the_o symptom_n of_o this_o disease_n be_v right_o distinguish_v if_o you_o err_v not_o in_o these_o main_a point_n you_o be_v in_o the_o right_a way_n of_o arrive_v to_o a_o happy_a cure_n of_o this_o malady_n qu._n do_v you_o understand_v by_o the_o name_n of_o gout_n all_o pain_n in_o the_o limb_n an._n no_o but_o that_o pain_n which_o in_o sharpness_n and_o fierceness_n exceed_v all_o other_o and_o that_o which_o i_o mean_v to_o describe_v qu._n to_o let_v pass_v the_o name_n of_o the_o gout_n pray_v give_v i_o a_o full_a and_o plain_a description_n of_o the_o disease_n itself_o an._n the_o gout_n be_v a_o preternatural_a inward_a deep-lurking_a and_o for_o the_o most_o part_n invisible_a little_a swell_v within_o in_o the_o periostium_fw-la that_o be_v the_o membrane_n that_o enwrap_v all_o bone_n cause_v from_o a_o dry_a and_o cold_a ill-natured_a damp_n or_o vapour_n which_o out_o of_o the_o artery_n by_o the_o expelling_a virtue_n of_o the_o heart_n be_v drive_v out_o into_o the_o place_n that_o be_v between_o the_o bone_n and_o the_o periostium_fw-la for_o the_o most_o part_n into_o such_o limb_n of_o the_o body_n as_o be_v about_o the_o joint_n in_o which_o this_o vapour_n be_v and_o remain_v impact_v and_o enclose_v and_o distend_v that_o most_o sensible_a membrane_n produce_v those_o violent_a and_o intolerable_a pain_n whereby_o the_o motion_n of_o those_o limb_n be_v encumber_v and_o despoil_v and_o many_o other_o grievous_a accident_n occasion_v qu._n do_v this_o description_n differ_v much_o from_o that_o which_o have_v be_v hitherto_o deliver_v of_o this_o disease_n an._n it_o do_v whence_o it_o be_v that_o i_o exceed_o apprehend_v i_o shall_v incur_v sharp_a censure_n from_o many_o qu._n but_o let_v this_o pass_v let_v we_o weigh_v rather_o your_o description_n in_o its_o principal_a part_n and_o first_o i_o do_v remember_v that_o you_o make_v the_o gout_n to_o be_v a_o preternatural_a swell_n whereby_o you_o doubtless_o
remedy_n itself_o as_o also_o by_o the_o pruriency_n and_o shiver_v which_o gouty_a person_n upon_o the_o motion_n of_o this_o cold_a damp_n do_v common_o feel_v especial_o in_o those_o part_n through_o which_o it_o take_v its_o course_n as_o also_o happen_v in_o epilepsy_n pleurisy_n colic_n and_o the_o like_a that_o come_v from_o cold_a damp_n qu._n but_o soft_a and_o fair_a your_o last_o proof_n take_v from_o shiver_a do_v not_o hold_v as_o beverwyck_n object_n for_o than_o shall_v the_o matter_n of_o hot_a fever_n be_v also_o cold_a which_o pass_v through_o part_n endow_v with_o the_o sense_n of_o feeling_n not_o only_a cause_n shiver_v but_o also_o clash_v of_o tooth_n ans_fw-fr this_o be_v not_o say_v from_o well-grounded_n knowledge_n since_o it_o have_v never_o yet_o that_o i_o know_v be_v satisfactory_o prove_v that_o hot_a fever_n as_o they_o be_v call_v must_v needs_o proc_v from_o a_o hot_a cause_n and_o upon_o a_o thorough_a disquisition_n it_o may_v perhaps_o be_v find_v that_o they_o have_v be_v produce_v from_o some_o cold_a matter_n or_o other_o which_o i_o think_v at_o least_o to_o be_v half_o prove_v because_o sometime_o a_o hot_a fever_n end_v in_o the_o gout_n as_o i_o have_v find_v not_o to_o go_v far_o in_o myself_o when_o i_o be_v in_o the_o 50_o the_o year_n of_o my_o age_n it_o sometime_o also_o come_v to_o pass_v that_o the_o gout_n determine_v in_o a_o hot_a fever_n as_o appear_v from_o what_o beverwyck_n say_v in_o his_o book_n of_o the_o gout_n p._n 110._o speak_v of_o the_o way_n through_o which_o the_o gouty_a matter_n take_v its_o course_n the_o damp_n say_v he_o turn_v back_o into_o the_o vein_n and_o ascend_v up_o again_o to_o the_o noble_a part_n mean_v the_o heart_n where_o it_o raise_v hot_a fever_n anguish_n and_o the_o like_a evil_n or_o shoot_v sudden_o into_o some_o other_o limb_n whereby_o the_o pain_n that_o be_v in_o the_o hand_n be_v soon_o after_o feel_v in_o the_o foot_n qu._n but_o be_v not_o that_o notable_a inflammation_n which_o be_v often_o see_v and_o feel_v in_o the_o gout_n sufficient_a proof_n that_o there_o be_v a_o sort_n of_o gout_n which_o come_v from_o heat_n ans_fw-fr this_o be_v a_o symptom_n or_o accident_n in_o the_o gout_n which_o be_v not_o cause_v by_o the_o next_o and_o always_o accompany_v cause_n of_o it_o but_o by_o the_o violent_a pain_n as_o i_o shall_v more_o clear_o make_v out_o when_o i_o come_v to_o speak_v of_o this_o symptom_n but_o it_o be_v a_o symptom_n not_o to_o pass_v that_o by_o in_o this_o place_n which_o have_v strange_o mislead_v those_o who_o have_v mistake_v it_o for_o a_o mark_n of_o the_o gout_n as_o sennertus_n and_o other_o do_v ackuowledg_n qu._n be_v this_o damp_n also_o ill-conditioned_n and_o malignant_a ans_fw-fr so_o it_o be_v judge_v by_o considerable_a and_o experience_a man_n as_o well_o as_o by_o myself_o and_o that_o from_o the_o intolerable_a pain_n and_o other_o accident_n so_o do_v that_o old_a master_n guido_n de_fw-fr culiaco_n and_o pareus_n in_o his_o seven_o book_n ch_n 2._o prove_v it_o by_o two_o example_n and_o our_o new_a medicine_n confirm_v the_o same_o beside_o the_o foetid_v damp_n of_o the_o gout_n do_v plain_o speak_v this_o malignity_n which_o be_v perceive_v both_o at_o the_o time_n of_o the_o act_n of_o burn_a and_o after_o it_o that_o be_v such_o that_o sometime_o both_o the_o patient_n and_o the_o person_n that_o administer_v the_o caustick_a and_o dress_v the_o part_n be_v ready_a to_o fall_v away_o and_o this_o be_v most_o of_o all_o find_v at_o the_o dress_n of_o the_o little_a wound_n when_o they_o begin_v to_o omit_v good_a store_n of_o moisture_n for_o as_o soon_o as_o you_o shall_v in_o a_o morning_n open_v the_o little_a plaster_n you_o will_v be_v so_o strike_v with_o a_o strange_a stink_a smell_n that_o it_o will_v almost_o cast_v you_o into_o a_o swoon_n it_o be_v very_o probable_a that_o this_o stuff_n be_v already_o malign_v before_o it_o be_v cast_v out_o from_o the_o heart_n into_o the_o limb_n yet_o remain_v for_o a_o while_n wedge_v in_o the_o limb_n from_o the_o evaporation_n obstruct_v its_o malignity_n be_v heighten_v hence_o it_o be_v not_o advisable_v to_o serve_v this_o burn_a or_o dress_v upon_o any_o one_o that_o be_v fast_v but_o it_o be_v best_a that_o both_o the_o patient_n and_o the_o agent_n shall_v first_o breakfast_v and_o take_v a_o cordial_a qu._n but_o be_v it_o possible_a for_o wind_n to_o occasion_n so_o much_o mischief_n ans_fw-fr very_o possible_a and_o then_o especial_o when_o they_o be_v more_o peccant_a by_o their_o quality_n than_o quantity_n so_o hypocrates_n in_o his_o golden_a tract_n of_o flatus_n do_v not_o without_o cause_n judge_v of_o wind_n that_o most_o of_o all_o the_o grievous_a and_o dangerous_a disease_n owe_v their_o original_n to_o they_o qu._n but_o can_v wind_n breed_v such_o viclent_a pain_n ans_fw-fr they_o can_v chief_o when_o the_o membrane_n the_o main_a instrument_n of_o the_o sense_n of_o feel_v be_v by_o they_o attack_v and_o distend_v chap._n v._n of_o the_o part_n affect_v and_o seat_n of_o the_o gouty_a matter_n qu._n which_o then_o in_o this_o painful_a disease_n be_v the_o part_n that_o be_v attack_v and_o offend_v by_o these_o wind_n ans_fw-fr principal_o if_o not_o only_o that_o sensible_a membrane_n call_v the_o periostium_fw-la that_o be_v that_o membrane_n which_o immediate_o cover_v the_o bone_n qu._n do_v you_o not_o think_v that_o the_o membranous_a ligament_n do_v also_o suffer_v here_o or_o rather_o the_o membrane_n of_o the_o ligament_n ans_fw-fr no_o but_o i_o agree_v herein_o with_o galen_n that_o they_o have_v no_o feel_n the_o which_o be_v also_o confirm_v by_o the_o learned_a barbette_v in_o his_o praxis_fw-la chap._n 5._o p._n 30._o qu._n what_o do_v you_o understand_v by_o the_o periostium_a ans_fw-fr that_o single_a membrane_n or_o film_n whereby_o the_o author_n of_o nature_n have_v outward_o invest_v and_o cover_v all_o the_o bone_n of_o our_o body_n and_o which_o be_v a_o close_a and_o firm_a substance_n extendible_a and_o very_o sensible_a qu._n do_v the_o gouty_a matter_n fall_v from_o without_o upon_o this_o sensible_a periostium_fw-la fret_v and_o bite_v it_o by_o its_o acrimony_n ans_fw-fr not_o so_o for_o than_o it_o can_v not_o cause_v so_o intolerable_a a_o pain_n or_o the_o right_a gout_n qu._n where_o then_o be_v we_o to_o look_v for_o the_o true_a seat_n of_o the_o gouty_a matter_n ans_fw-fr nowhere_a else_o but_o between_o the_o membrane_n and_o the_o bone_n qu._n wherein_o then_o consist_v the_o genuine_a essence_n of_o this_o disease_n ans_fw-fr in_o the_o violent_a distension_n or_o stretch_v of_o this_o sensible_a membrane_n by_o the_o wind_n whereby_o this_o membrane_n be_v force_v out_o of_o its_o due_a and_o natural_a form_n and_o situation_n excite_v so_o violent_a a_o pain_n qu._n whence_o do_v you_o infer_v that_o the_o gouty_a matter_n lie_v so_o deep_a and_o particular_o between_o the_o membrane_n and_o the_o bone_n itself_o ans_fw-fr not_o only_o from_o the_o distend_a pain_n which_o be_v to_o i_o proof_n sufficient_a but_o also_o from_o the_o contumaciousness_n of_o the_o gout_n which_o make_v hypocrates_n say_v in_o his_o 6_o book_n aph_n 49._o that_o the_o gouty_a fit_n do_v not_o cease_v before_o the_o forty_o day_n and_o true_o whereas_o all_o other_o windy_a tumour_n that_o be_v not_o lodge_v so_o deep_a be_v in_o a_o short_a time_n make_v to_o evaporte_n this_o windy_a swell_n of_o the_o gout_n lie_v so_o deep_a and_o lurk_v under_o so_o firm_a and_o close_o a_o membrane_n and_o beside_o in_o a_o place_n of_o little_a warmth_n and_o itself_o come_v from_o a_o cold_a cause_n can_v be_v easy_o bring_v to_o a_o quick_a evaporation_n but_o by_o such_o a_o kind_n of_o remedy_n as_o we_o be_v qu._n have_v not_o the_o old_a and_o new_a master_n mistake_v the_o part_n affect_v and_o the_o true_a seat_n of_o the_o gout_n ans_fw-fr certain_o they_o have_v for_o to_o speak_v of_o the_o part_n affect_v and_o the_o seat_n together_o i_o must_v first_o allege_v the_o opinion_n of_o galen_n as_o it_o be_v cite_v by_o beverwyck_n he_o affirm_v that_o the_o gouty_a moisture_n do_v flow_v into_o the_o hollow_a of_o the_o joint_n and_o there_o force_v asunder_o the_o bone_n whereby_o the_o ligament_n and_o membrane_n that_o fasten_v they_o together_o be_v so_o violent_o expanded_a that_o they_o cause_v that_o excessive_a pain_n qu._n have_v this_o sentiment_n of_o the_o great_a galen_n be_v general_o judge_v and_o receive_v to_o be_v conform_v to_o truth_n ans_fw-fr it_o have_v be_v reject_v by_o many_o as_o by_o beverwyck_n and_o other_o and_o by_o other_o maintain_v qu._n where_o do_v those_o that_o contradict_v galen_n find_v the_o part_n affect_v and_o the_o seat_n ans_fw-fr in_o the_o
then_o think_v you_o to_o be_v most_o advisable_a in_o this_o case_n a._n to_o open_a as_o often_o be_v do_v and_o must_v be_v do_v the_o skin_n and_o to_o take_v out_o the_o matter_n of_o the_o schirrus_n as_o far_o as_o be_v possible_a and_o that_o do_v to_o heal_v up_o with_o my_o coridon_n or_o leaf-plaister_n the_o skin_n as_o well_o as_o you_o can_v q._n but_o then_o if_o this_o shall_v succeed_v well_o can_v you_o preserve_v the_o place_n thus_o weaken_v from_o a_o new_a afflux_n of_o humour_n a._n i_o think_v i_o can_v and_o that_o after_o this_o manner_n if_o the_o schirrus_n be_v for_o example_n upon_o the_o knuckle_n of_o the_o forefinger_n i_o will_v then_o due_o burn_v the_o limb_n under_o it_o on_o the_o hand_n and_o thereby_o intercept_v all_o ill_a humour_n and_o so_o keep_v they_o from_o flow_v to_o the_o weak_a part_n q._n but_o what_o if_o that_o shall_v fail_v you_o and_o the_o gout_n surprise_v the_o limb_n with_o a_o new_a afflux_n of_o humour_n a._n then_o shall_v i_o resolve_v to_o hinder_v those_o humour_n from_o coagulation_n and_o induration_n by_o the_o advantage_n of_o our_o brune_a remedy_n by_o which_o mean_v you_o may_v at_o least_o take_v away_o the_o disfigurement_n which_o these_o nodes_fw-la cause_n in_o the_o limb_n if_o you_o can_v restore_v the_o use_n of_o the_o limb_n q._n it_o seem_v you_o have_v some_o hope_n even_o of_o the_o last_o a._n i_o have_v because_o i_o know_v that_o the_o nodes_fw-la do_v lodge_v not_o in_o the_o very_a joint_n but_o about_o they_o and_o be_v discharge_v one_o way_n or_o another_o it_o be_v find_v that_o the_o joint_n be_v free_a provide_v only_o that_o the_o vein_n and_o artery_n yea_o the_o nerve_n too_o be_v not_o so_o obstruct_v by_o the_o bigness_n hardness_n and_o diuturnity_n of_o this_o stony_a tumour_n that_o the_o pervasion_n of_o the_o blood_n and_o animal_n spirit_n can_v by_o fit_a mean_n be_v restore_v in_o which_o case_n the_o limb_n must_v needs_o remain_v stiff_a chap._n xvi_o whether_o there_o be_v different_a sort_n of_o the_o gout_n and_o a_o essential_a difference_n betwixt_o they_o q._n be_v not_o almost_o all_o physician_n of_o opinion_n that_o there_o be_v different_a kind_n of_o the_o gout_n essential_o dissering_a from_o one_o another_o or_o at_o least_o that_o there_o be_v the_o cold_a and_o the_o hot_a gout_n a._n they_o be_v but_o they_o mistake_v be_v mislead_v by_o the_o external_a symptom_n for_o all_o gout_n arise_v from_o cold_a dry_a and_o malign_v damp_n q._n but_o yet_o the_o gout_n may_v be_v distinguish_v a._n it_o may_v in_o divers_a respect_n and_o principal_o first_o in_o respect_n of_o the_o limb_n it_o seize_v on_o whence_o be_v the_o name_n of_o chiragra_fw-la sciatica_n podagra_fw-la etc._n etc._n second_o in_o respect_n of_o the_o quantity_n and_o quality_n grossness_n or_o subtlety_n of_o the_o gouty_a matter_n more_o or_o less_o malignity_n whence_o proceed_v the_o denomination_n of_o the_o run_v and_o fix_v young_a and_o old_a adventitious_a and_o hereditary_a gout_n three_o in_o respect_n of_o the_o great_a or_o less_o afflux_n of_o humour_n four_o the_o gout_n be_v either_o with_o nodes_fw-la or_o without_o nodes_fw-la five_o there_o be_v a_o gout_n which_o be_v seat_v in_o or_o about_o the_o joint_n and_o another_o though_o that_o be_v rare_o perceive_v which_o lodge_v itself_o in_o the_o midst_n of_o the_o limb_n and_o this_o be_v to_o be_v note_v against_o all_o those_o who_o will_v not_o acknowledge_v such_o a_o gout_n for_o any_o gout_n which_o be_v a_o great_a mistake_n and_o no_o long_o tolerable_a because_o experience_n teach_v we_o otherwise_o chap._n xvii_o mean_n useful_a to_o prevent_v the_o gout_n q._n what_o general_a mean_n do_v you_o think_v to_o be_v good_a to_o prevent_v the_o gout_n a._n these_o follow_v first_o you_o must_v beware_v of_o windy_a meat_n and_o drink_n second_o you_o must_v avoid_v great_a and_o violent_a commotion_n of_o the_o mind_n especial_o the_o passion_n of_o anger_n three_o neither_o must_v you_o put_v your_o body_n into_o too_o violent_a motion_n and_o exercise_n nor_o afflict_v it_o with_o night-wakes_a four_o you_o must_v take_v continual_a care_n to_o keep_v your_o body_n soluble_a and_o to_o prevent_v costiveness_n nor_o to_o remove_v the_o same_o too_o sudden_o five_o it_o be_v beneficial_a to_o take_v a_o gentle_a vomitive_a after_o your_o meal_n once_o a_o week_n six_o as_o soon_o as_o you_o perceive_v any_o sign_n of_o a_o fever_n the_o mother_n of_o the_o gout_n then_o be_v it_o proper_a to_o take_v a_o sudorific_a by_o the_o advice_n of_o some_o experience_a physician_n to_o open_v the_o pore_n and_o to_o promote_v evaporation_n eight_o since_o that_o many_o of_o the_o chief_a physician_n forbid_v wine_n to_o gouty_a person_n as_o if_o it_o be_v poison_n to_o they_o though_o sennertus_n be_v not_o so_o peremptory_a therein_o but_o that_o he_o allow_v even_o to_o those_o that_o actual_o be_v in_o a_o gouty_a fit_n a_o cup_n of_o good_a and_o sincere_a rhinish_a wine_n especial_o if_o the_o patient_n can_v forbear_v it_o i_o see_v no_o reason_n in_o the_o world_n why_o these_o patient_n shall_v be_v so_o quite_o debar_v this_o strengthen_n and_o cordial_a liquor_n wine_n as_o in_o and_o after_o the_o fit_a especial_o if_o it_o be_v a_o good_a condition_a wine_n and_o my_o opinion_n be_v that_o such_o a_o wine_n be_v so_o far_o from_o be_v noxious_a that_o it_o be_v beneficial_a to_o they_o for_o many_o reason_n which_o van_n helmont_n allege_v at_o large_a in_o his_o book_n of_o fever_n who_o judgement_n i_o can_v but_o subscribe_v to_o in_o this_o matter_n chap._n xviii_o of_o the_o toothache_n or_o the_o gout_n of_o the_o tooth_n and_o the_o cure_n thereof_o q._n be_v there_o also_o a_o gout_n of_o the_o tooth_n for_o i_o have_v be_v inform_v by_o dr._n wilhelmus_fw-la de_fw-fr ryne_n who_o late_o be_v arrive_v here_o that_o there_o be_v publish_v a_o treatise_n in_o europe_n entitle_v of_o the_o gout_n of_o the_o tooth_n a._n thus_o be_v very_o proper_o express_v that_o kind_n of_o toothache_n which_o have_v the_o same_o proximate_a cause_n with_o the_o gout_n and_o arise_v from_o cold_a damp_n as_o the_o gout_n do_v which_o otherwise_o according_a to_o the_o common_a opinion_n be_v breed_v from_o desluxion_n q._n but_o serious_o do_v you_o think_v that_o the_o gout_n and_o toothache_n come_v from_o the_o same_o cause_n a._n it_o be_v certain_a to_o i_o whatever_o some_o may_v allege_v to_o the_o contrary_a that_o the_o next_o cause_n the_o part_n afflect_v the_o seat_n the_o way_n the_o sign_n and_o symptom_n be_v the_o same_o in_o these_o distemper_n and_o do_v agree_v together_o q._n be_v then_o the_o cure_n of_o the_o toothache_n to_o be_v perform_v after_o the_o same_o manner_n as_o of_o the_o gout_n a._n by_o no_o mean_n the_o toothache_n be_v to_o be_v cure_v in_o another_o place_n because_o that_o the_o place_n where_o the_o pain_n have_v its_o seat_n here_o be_v within_o the_o mouth_n and_o the_o tooth_n where_o you_o can_v come_v to_o burn_v with_o our_o moxa_n q._n will_v you_o then_o have_v the_o temporal_a artery_n open_v with_o a_o lancet_n this_o seem_v to_o be_v the_o way_n by_o which_o the_o evil_a damp_n may_v be_v expel_v out_o of_o the_o tooth_n as_o some_o have_v venture_v to_o do_v to_o the_o great_a ease_n of_o the_o pain_n a._n this_o mean_n be_v too_o dangerous_a because_o it_o be_v very_o subject_a to_o occasion_v a_o aneurisma_n and_o spend_v too_o much_o of_o the_o vital_a spirit_n q._n what_o do_v you_o say_v then_o of_o scarification_n in_o the_o neck_n or_o upon_o the_o shoulder_n or_o of_o purge_v or_o of_o blood-letting_n a._n these_o and_o the_o like_a remedy_n seldom_o give_v ease_n q._n will_v you_o have_v then_o the_o ache_a tooth_n pull_v out_o a._n not_o at_o all_o that_o way_n be_v a_o desperate_a one_o and_o not_o only_o accompany_v with_o great_a pain_n &_o mischief_n to_o the_o poor_a patient_n but_o also_o occasion_v many_o evil_n and_o even_o death_n itself_o but_o take_v i_o right_n i_o pray_v for_o i_o here_o only_o speak_v of_o that_o kind_n of_o toothache_n which_o be_v above_o describe_v not_o of_o that_o which_o come_v from_o the_o rottenness_n of_o tooth_n q._n what_o then_o may_v we_o follow_v spigelius_n whole_a manual_a operation_n scultetus_n mention_n in_o the_o 18_o of_o his_o chirurgical_a observation_n who_o with_o his_o knife_n heated_z red-hot_a do_v cut_v off_o that_o little_a branch_n of_o the_o temporal_a artery_n which_o run_v through_o the_o ear_n to_o the_o tooth_n by_o which_o mean_v the_o pain_n present_o vanish_v and_o never_o return_v a._n it_o be_v true_a that_o scultetus_n speak_v with_o great_a commendation_n of_o this_o device_n call_v it_o a_o