Back in a manner that it 's a Thousand wonders they are not broken or dislocated turning their eyes e'en round within their heads deluding their Phansies with strange frightful visions speaking strange languages c. an emblem of the first we have in the relation of King Iames the 4. or 5. of Scotland who falling away in his flesh more and more every day without the precedence of any Procatarctick cause that should occasion it as Melancholy ill Dyet c. and notwithstanding the helps of Physick against any intern cause or Disease that might be rationally conjectured at last was suddenly cured by decharming the Witchcraft that that had long been suspected and at length discovered in Danemark which was an Image of Wax exactly resembling the said King whereby it was also known and pierced through in several parts of the body with pins and particularly in those parts where the the King felt his pains which as they were taken out of such parts so his pains ceased likewise at the same instant in the same parts and being all drawn out felt himself intirely cured and suddenly grew fat again In reference to the decision of this instance there can be only this objected that had the King taken no Physick his Disease might more probably have been suspected fascinous but since he had made use of the best Medical helps the Art of man could afford which continued for a long space do oft at last perform marvailous cures the Kings subitous recovery ought rather to be attributed to the Skill of his Physicians Likewise Children are very apt to fall suddenly into a wasting of their flesh which happening as the other instance without any visible cause is frequently termed a Bewitch'd Disease but questionless that Symptom must depend upon some obstruction of the Entrails or Verminous disposition of body and therefore a meet hallucination errour of the Vulgar The second particular is exemplifyed in Hysterick troubled with Fits of the Mother Women especially Maids the rarity of whose Symptoms doth oft strike such an attonement into Spectators that they confidently report them possessed with the Devil In the year 1661. there lived one Mary Waite of the Society of Free-willing Baptists at Horly in the County of Oxon who was frequently troubled with miserable gripes in her Guts pinchings at her heart choaking at her throat suppression of her breath blows on her head ejaculations from her seat and sometimes off of the Horses back whereon she rid now and then was struck dumb deaf and blind oft entertained with Angelick Visions and reduced to a very low ebb of Strength c. all which extravagant Symptoms her Visiters were pleased to term Sufferings and Buffetings of Satan and accordingly to the intent of turning this evil one out of possession they spent near upon a Twelvemonth with her in Prayer but to little purpose until such time that one of her Visions revealed to her that she should feed upon bread and water boild to a Panada and drink nothing but Spring water whereby she soon grew rid of her Devil and intirely recovered Now observe to this day cannot that people be perswaded but that the foresaid Mary was possessed with the Devil and ascribe her deliverance to their implorations prayers so that judging the nature of the Disease by the remedy à juvantibus if we believe she was delivered from those Fits by Prayers of the Godly we cannot deny the Disease to be Diabolical of the Devil But since the case appears quite in another dress to the eye of a Physician who can soon produce parallel Symptoms if not worse issuing from ordinary Diseases we may justly doubt of the rise of this It 's not rare to see young Amorous Girls through the fury of an Hysterick Fit of the Mother Paroxysme cast into a Trance for an hour or two and all that while under a resemblance to the features of death and possibly diverted with some merry Phansies or rare Visions of their Sweet-hearts or of Kings Princes c. and it may be some a Courting or Embracing of them which makes 'em now and then burst out into a strange Fit of laughing to the amazement of their Visiters Others again of a more zealous frame during their Trance seem to converse with nothing but Angels or Devils as this foresaid Mary who according to the Narrative seems to have had several interviews and discourses with Angels and Devils the contents whereof she afterwards recited to her Brethren who faithfully recorded them upon Parchment as some new Revelations But those of a more trist sad and melancholique composure their Hysterick Trances proving Tragick perspectives to them perhaps of beholding the murder or execution of some of their dearest Relations or those they bear an affection to are incident into sudden cryes and howling tears And lastly the Fits of others seems most Energick in their tongues in occasioning them to speak strange Languages and Sentences like Oracles to which latter some of this age have given an equal credit with that of the Ancients to the Oracles of Delph It 's inserted in Histories that a Maid of Liege whilest detained with one of her Uterin Passions expressed her self very fluently in the Greek Tongue although when released of her Fit she was utterly ignorant of the said Language Another Italian Lass Peter Messias 〈◊〉 Camerarius makes mention of in his Ho◠Succ. who proving Phrentick through the extremity of a Feaver spake very good French without ever having been known to be experienced in that Tongue But to return to Mary wherein I do willingly retard my self somewhat the longer since a◠intire tract has been published by her Brethren to delude the world with their miraculous casting out of a Devil which all the while proved to be no other than an Hysterick Passion and if that may be termed Devil then many an Hysterick Woman has a Devil more in her than she had before To render the point more clear 〈◊〉 choaking in her Throat griping and pinching of the heart Cardiaca passio he◠trancing imaginary beating of her head which is no other than a sudden Convulsion of the Dura mater her being cast off her Seat or Horses back an effect of a strong Convulsion violently and swiftly retracting all the Muscels of the body one way which must needs be forcible enough to cast the body to a great distance for a man voluntarily can cast his body a great way by leaping through the natural impulse of some of his Muscels much more when they are all violently moved one way by a strong Convulsive motion her strange visions and imaginations c. are all genuine Symptoms of an Hysterick Passion or Fit of the Mother fuming up in malign and poisonous clowds to her Guts and there causing a griping thence to the mouth of the Stomach and there occasions that seeming pinching at her heart thence to her Heart where it caused a Deliquium fainting and Syncope sowning so
man viz. ordinary Gut Worms Lumbrici sive vermes teretes of a long and slender shape like ordinary Earth Worms being generated out of a slimy matter colliquated from the Mesaraick Glandules and adhering to the intern tumicks skins of the thin Guts which as soon as vivifyed grown live through a vital spirit inclosed within that slimy matter as it were in a bag and so shaped into Worms loosen and slide off from the intern tunick coat of the Guts and frequently creep into the Stomach for nutriment being attracted thither by the sweet chyle the white juice of the Stomach whence they are called Stomach or Maw-worms These being most usually engender'd in Children do commonly cause them to look hollow-eyed with a lived of a lead Colour Circle about the under eye-lids sharp nosed thin jawed and incommoded with a slimy mattery Cough stink of Breath and an Erratick Feaver all Symptoms very near a kin to those of a True Consumption and if not prevented in time render their Subjects incurable The cause of the foresaid extenuation of body and hollow-look is imputed to the defect of nutriment arriving through the chyle's the white juice of the Stomach being absorbed by the Worms and the bloods vitiation alteration by malign putrid vapors smoaking throughout the Vessels out of a putrefyed slime of the Guts and so consequently rendred unapt of being apposed joyned to the parts The said putrid vapors through exciting a Feaver do colliquate the Phlegmatick humours of the body and brain which transuding sweating through or distilling to the Lungs cause their mattery Cough The stink of breath is caused through steems rising from the corrupted chyle of the Stomach There is a second sort of Worms commonly resembled to a Womans hair-lace or fillet thence called Taenia or Tinea generated likewise in the Guts The shape of these Worms is flat small and round like to Gourd Seeds which being link'd together to the breadth and length of an ordinary hair-lace seem to be united into one intire Worm which sometime is found to be of an incredible length it may be of five or six yards as Tulpius records in his observations Iacobus Oethaeus lib. Observ. Med. attests to have seen three Worms evacuated by a Woman the longest whereof did equal Eighteen yards Alexander Camerarius recites one of twenty yards long Platerus reports a view of several Worms that were at least forty foot long The breadth of this Verment is sometime an inch othertimes half an inch broad It appears usually of an Ash colour mark'd with black spots or cross lines going a thwart dividing it into thousands of small bodies like Gourds Motion it hath none so that it can scarce be termed a moving creature neither doth it live because it doth not increase internally like living creatures but by apposition So that it 's called a Worm only from it's external shape and appearance the head is small and long and the tail short Persons thus vermifyed troubled with Worms seldome go to stool without avoiding a great quantity of those verminous wormy seeds and are oft incommoded with gnawing griping pains round about the Navil oftimes extending to the Hip-bone which gnawing pains are apt to increase upon the least emptiness of Stomach so that the patient is ever obliged to fill his Gut with an immoderate proportion of food not only for to nourish his body but also to appease that ravenous Verment which notwithstanding doth defraude the body of its nutriment and infects the spirits with malign steems which in some space of time must necessarily produce a very sensible extenuation of the parts The material cause of this Worm is a vitious slimy chyle adured by a strong heat that dryes it up into such numerous bodies Ascarides are a small sort of Worms like Magots bred in the intestinum rectum or Gut of the Fundament exciting an incommodious itching of the Fundament with frequent desires of going to Stool They are usually discovered by the excrements being perfused with them This sort of verment immitting putrid fumes into the Vessels doth sometimes cause faints and Convulsion Fits as Iessenus witnesses to have seen such accidents in several They may also by the same malign smoaks occasion a decay of the parts though more rarely than Maw-worms or a Tinea These Ascarides do now and then creep into the Thighs and other parts Worms are likewise generated in most other parts of the body though very infrequently Bauhinus if I mistake not speaks of a Worm generated in one of the Ventricles of the Heart the patient dying of a Consumption Hollerius reports a Worm discovered in a mans Brain Duretus remarks another generated in the Kidneys and evacuated by Urin. Several make mention of Worms engendred in the Lungs Liver Spleen c. all perducing their subjects into Consumptions CHAP. XVIII Of a Pockie Consumption THe ordinary back dore the Pox goeth out at when it commits its subject to the custody of its first Mother Earth is a Pockie Consumption occasioned through the dispersion of virulent steems out of the hearth of those Phagedenick Ulcers by immanous outragious arthritick of the joynts pains and continual vigilies intermission from sleep But since I have discoursed of this in my Venereal discovery fol. 167. and 168. I shall insist no farther upon it CHAP. XIX Of a Bewitched Consumption I Shall not here undertake the task of discussing the possibility of fascinous bewitch'd Diseases farther than refer your censures to such experimental instances as are produced for it But whether those experimental remarques may be credited and if so whether to be imputed to Witch-craft therein lyes the point of controversie Now these three Specifick notes will easily resolve the query 1. The Symptoms of Witchcraft must transcend the dependance on natural causes as Vomiting Pins pieces of Nails c. 2. There must be several credible witness that assert the sight of those supernatural Symptoms 3. The said Symptoms as they are supernatural so they must be only curable by supernatural means namely by Devout Prayers or Diabolical imprecations cursings and exorcisms by the same or other Witches Several there have been that attested the sight of persons that vomited Pins Hair Pieces of Nails Feathers c. these certainly are supernatural Symptoms if true but those witnesses being such as their testimonies might well be doubted of infer no conclusion 3. it 's certain some there have been that have vomited up the foresaid bodies but they were such as to get mony from the Spectators had swallowed up thick short blunt Pins or Feathers and vomited them up again voluntarily as having a power to force themselves a vomiting at their pleasures by straining or by other means in taking Vomitories privately These two Symptoms are generally asserted fascinous bewitcht viz. 1. A Lingring Consumption without a sensible internal or external cause and yielding to no kind of Physical Cure 2. Effrayable and supervulgar Convulsion Fits distorting the patients Neck and
the former discourse CHAP. XXIV Of an Ulcerous Pulmonique Consumption HEre I must make my Reader familiar with the Traditional notions young Students in Physick derive from their Hackney Authors upon an Ulcerous Consumption of the Lungs And to be more methodical it 's not unnecessary to digest their documents into several classes 1. Let 's make a disquisition of what they make of it Pulverinus Godofred Steeghius fol. 447. and Sennert 305. define it a Disease of a diminish'd bulk diminuta magnitudo Hollerius Duretus Forest. Nic. Piso c. state it a Disease of a discontinuated Unity Soluta Unitas because it sourceth from an Ulcer in the Lungs Platerus passes it by though Mercurial subtly spyes three sorts of Diseases in it viz. a diminish'd quantity a discontinuated unity and a hot distemper But Capivao comments it chiefly to be an hot distemper there being a continual heat of the parts and an inflammation of the Lungs alwayes conspicuous in that Disease What to assert among these once great Rabbies seems at first sight difficult but upon a little pausing upon the matter you 'l find it a clear case Those that infer a discontinuated Unity namely the Ulcer in the Lungs for the Disease mistake the Disease for its cause the Ulcer being the chief cause of the Consumption Neither can they be thought orthodox that fling in their verdits for a diminuted magnitude that rather appearing to be an effect or symptom of the Ulcer in the Lungs and so is the heat of the parts so that none of 'em can hit one another in the teeth that they are in the wrong But should I insist longer upon these triffles I am like to make my self a participant of their ridiculous discourses and therefore shall step over to give you a brief of the causes they allow to the foresaid Consumption though indeed I ought to have touch't what part they generally conclude the place affected which some will have the Lungs others the heart and many the whole body The Authour of that Treatise intituled De Definit Medic. brings in likewise the breast thorax throat and aspera arteria wind-pipe being affected with a malign Ulcer for seats of an Ulcerous Consumption Touching the internal causes of this sort of Consumption Dogmatists do universally state an Ulcer of the Lungs to be the immediate cause which happens sometime in the Parenchyma or flesh of the Lobes of the Lungs othertimes in their pipes bronchia This Ulcer in the Lungs may be occasioned by several mediate causes viz. 1. Sharp bilious cholerick corrosive gnawing humours issuing out at the pores or lips of the veins into the spongy substance of the Lungs whose flesh they afterwards devour corrupt soon making a putrid hole or cavern which is then termed an Ulcer of the Lungs 2. Hippocrates assigns a ferin wild and taring Catarrh falling into the Lungs for another antecedent cause of a Pulmonique Ulcer a ferin Catarrh is an hot thin and sharp distillation of Rheum which streaming to the Lungs gnaws their veins and flesh and so effects an Ulcer 3. Gross Phlegm stagnating lying still in the Lungs in process of time putrefies and acquires a gnawing quality thereby making prey of the substance of the Lungs 4. The rupture breaking of a vein in the Lungs effusing blood into their pores where it immediately putrefies and Ulcerates The Ulcer these causes produce in the Lungs Hippocrates calls a ferin wild Ulcer because the Nails of those whose Lungs are Ulcerated are recurvated or turn'd back like the claws of wild beasts that is when they begin to draw near to their long home Moreover this sort of Ulcer is ever cirrounded with an inflammation which being digested into matter renders the Ulcer so much the more sordid To these wee 'l add two more namely a Pleurisie which by expectorating spitting out humors by coughing sharp putrid matter through the Lungs may now and then occasion an Ulcer Lastly an Empyema or a collection of purulent matter in the capacity hallow of the breast if not suddenly cured doth undoubtedly impel the Patient into a Phthisical Consumption Chymists impute the cause to a corrosive salt that 's divorced from the Sulphur and Mercury of the blood and afterwards dissolved in those liquors that distill into the Lungs CHAP. XXV Containing a disquisition upon the causes praecited THe indexterity and worse success of the most famous of our Consumption Curers do evidently demonstrate their dimness in beholding its causes and upon that account we may justly prye into the mysteries they involve them in and unravel what is so strongly knit in every Physicians pericranium To this purpose we are to gaze each limb of that Doctrine by it self under the aspect of these ensuing Queries 1. What kind of Choler this is that proveâ— so ravenous upon the Lungs So careless are Authours in this particular that they imagine the cause of a Consumption sufficiently delared in their scripts by imputing it to excrementitious choler but whether they denote the ordinary yellow gall bilis flava vitellin green red or adust black choler is left as a bone for every Readers discretion to knabble at if we should commit the first of these namely yellow or vitellin choler to the test common observation in yellow Jaundises and other Diseases excuses them from such an Ulcerous acrimony sharpness wherein though very copious and rampant injure the body no other way than by deforming it with a citrinous yellowish discoloration In the next place yellow gall is so familiar with the substance of the Lungs that they seem to thirst chiefly after the more yellowish or cholerick part of the blood for their nutriture Green gall the Institutists would persuade us to be an effect of an over-hot Stomach produced out of the hotter proportion of the chyle the white juice of the Stomach which varies in deepness of colour according to the intenseness of the heat of the Stomach some being of a lighter green like Verdegrease thence called Aeruginous gall Bilis Aeruginosa other of a deeper stain or of a dark brownish green like boyl'd Calwort leaves or woad thence termed Bilis Glastea another of a green different from both like to a leek therefore denominated Bilis Porracea i. e. Leeky gall Neither is' t their judgment that any of these greens should be capacitated of damnifying the Lungs because of the remoteness of their harth and was their Spring of a nearer situation they cannot well tell how from a corrosive gall to derive the other Symptoms that usually attend Pulmonique Consumptives as moist Phlegmatique coughs frequent spittings drowsiness and dulness of the senses which rather declare their dependance on a cold Phlegmatick humour than a sharp cholerick one Whence we may deduct a second and third Query viz. 2. How chance such cold Symptoms in Consumptions to issue from an hot cause 3. Upon surmisal that Aeruginous gall should gnaw Ulcers in the Lungs is it transmitted to them from the brain
whether it may be supposed to be sublimed from the Stomach by distillation or through the Vena arteriosa If either way why should it pass through the principal parts as the Heart or the Brain without annoying either which seem of a more tender disposition than the Lungs that are hardned with the weather or extern air they inspire 4. It 's wonder Authors never summon'd blew gall for the cause of Consumptions which the expectorated spit out by Cough matter oft appears tincted with and beyond that the Lungs of expired Consumptives do not seldome appear full of those blew kind of Spots which instance together with the eruption of blew spots exant hemata livida in malign Feaver are a certain attest of blew gall This the Institutists have so little noted that they never thought of putting it in their Institutes However not questioning whether Green Blew or Black be the mischief supposing it to be any of them and situated near or about the Stomach why should it prove more Anarrhopous flowing upwards so as to attaque the Lungs than Catarrhapous flowing downwards as it doth in a Dysentery bloody flux pains of the Haemorrhoids inflammation of any of the lower parts Diabetes a continual pissing or a hot Dysury difficulty of making water 5. In what part of the body is the true spring or source where this corrosive choler is engendred 6. Whether a Pulmonique Consumption never happeneth but upon spitting or coughing up blood 7. By what power or quality doth fleam stagnating in the Lungs cause a Consumption 8. Whether that consuming fleam is harbour'd in the Pipes or substance of the Lungs within their Pores 9. Whether the foreinstanced fleam distils from the head or be imported through the Vessels 10. Whether an Hectick Feaver be a cause of a Consumption or a symptom of the cause of a Consumption or symptom of the Consumption it self 11. Whether a Pulmonique Consumption cannot happen without the concomitance of an Hectick Feaver 12. Whether there be no other sort of true perfect or proper Consumptions than a Pulmonique of the Lungs Consumption These and many other problems being passed by not only for stating of them but resolving do impeach Physicians of their sloth and absolute insufficiency of curing Consumptions which unless determined is a pregnant testimony they manage their office in that Disease with as little Skill as Conscience Neither is the reader to behave himself so strict and precise as to be contented with no less clear a solution than a demonstration our notions in Physick being of that scantness as seldom reach beyond a rational conjecture which if I ingaged to remonstrate here in this Chapter should in order of discourse be obliged to make use of the terms and principles inserted in this and the preceeding Chapter and that with the same disadvantage other assertions have hitherto so obscurely been proved Wherefore I shall refer you to the next ensuing Chapter where I do expect a grain's or two allowance which all men have granted them in attempting a solution of doubts by themselves stated CHAP. XXVI Of a more apparent cause of a Pulmonique Consumption THe passage to this abstuse hidden speculation is like a Labyrinth maze divided into several stops turnings or windings where at each division we must halt to advise what way lyes most direct whither we are design'd for the truth of causes steps so lightly through mens imaginations that they must use great subtility to track its vestiges footsteps which we find now adayes so obliterated blotted out with their course searches that it seems almost barricado'd from any intellectual approach In pursuit of this precept wee 'l advert you of several stops or windings being necessary positions whose light will lead you to that so obscure cause of a Consumption of the Lungs Thesis 1. Symptoms impressed by corrosion point at corrosive bodies for their causes In Pulmonique Consumptions the preternatural concomitants attendants viz. an universal heat of the body an Hectick Feaver a torminous diarrhé griping looseness acre sharp and hot distillations c. have all a stamp of a Corrosive gnawing quality and consequently are introduced by a corrosive humour Thesis 2. There are but two sorts of corrosive humours engendred within the body of man namely Choler and Melancholy And between these the impute of a Consumptive cause will lye Touching Fleam and that they single for pure blood neither can be imagined participant of acrimony but rather demulcers and qualifyers of it Which of the two abovementioned corrosives is the chief actor here the following positions will resolve you Thesis 3. Choler is the lightest and most inflammable part of the blood Whence namely from its inflammability it s resembled to and called a Sulphur This position informs us of a vulgar errour terming the gall bitter as their proverb more peremptorily implyes it 's as bitter as Gall whereas in effect there 's nothing gustable sweeter for what is most inflammable must be most unctuous fat and oyly nothing being apter to take flame than Oyl Fat Butter and other unctuous bodies and what is most oyly and unctuous must needs partake of a sweet savour namely of a fat sweetness which Physicians term Pingue dulce or a fat sweet and of that gust is the Gall or Choler being the flower and butter of the Blood This appears more evident in milk which is nothing but blood turned white by being diluted water'd with a greater quantity of Serum or whey that is a certain waterish liquor floating in the Vessels in the Glandules Kernels of the breast now milk being charned in a Tub vomits up it's butter which is that light and inflammable part reduced to its native colour and above termed Gall. Thesis 4. Choler is in it self resistent of having any kind of bitterness extracted or produced out of it no not by any kind of inflammation If any force will impress such a bitterness as is thought to be in choler it must be by adustion burning or putting it into a flame which is so far from admitting an Empyreume burning or conceiving any bitter ashes that consisting of a pure oyly nature when set in flame it burns clear away without leaving any cindars or adust matter to attest its latent hidden bitterness as doth more plainly appear in Butter Tallow or Oyl burning away in a Lamp without leaving any thing bitter behind them Thesis 5. What amaritude bitterness or acrimony sharpness is deprehended in Choler it acquires from a commixture of Melancholy or extern malign bodies imported with the air This Thesis is a necessary consequence of the next preceding for if gall cannot be rendred acrimonious sharp or bitter of it self nor by inflammation than necessarily whatever acrimony or amaritude at any time redounds in it must be derived from the admixture of another sharp bitter substance which among the humours can be no other than Melancholy Phlegm and pure blood being reputed allayers of acrimony and upon that
register of Consumptions will be much enlarged Now so it is that the common intendment states a proper Consumption a dissolution or corruption of the Balsamick principles and consequently if differencing perfect Consumptions by the variety of their causes and seats of those said causes we must infer many more as an Hypochondriack Amorous Ulcerous Cancerous Renal Dorsal and many other sorts of Consumptions before commented upon If probably I have not proposed resolves to these Queries that are enough seasoned for every Readers palat I must beg his excuse upon pretence it 's but the first rough draft which upon a second attempt may be rendred better polish't However such as they be they 'l prove a more luminous and soveraign Directory for the Conservative Preservative and Curative part of a Consumption than any hitherto offer'd to view CHAP. XXVII Of some less frequent and rarer causes of a Pulmonique and other sorts of Consumptions TO decline confusion of causes we have reserved these being of a more rare emergency for a particular remarque This distinction of Consumptions is universally observed that some are moist others dry A moist Consumption receives its nomenclature name from a moist sputation spitting or expectoration that attends it a dry one is known by its dry Cough This latter besides the ordinary praecited causes is sometimes occasioned by various accidents of the Heart as Wounds Ulcers Bones Stones and Worms that are bred in it and particularly by a Marcour or a Hectick of the Heart which together with the Lungs as Melangthon witnesses lib. 1 de Anima were found to be as dry as a Baked Pear in the expired body of Casimir Marquéss of Brandenburgh Thus likewise Telesius reports the heart and consequently the Lungs of a noble Roman dryed away by an immoderate heat to nothing but the skin Fernelius in his Pathol. lib. 5. cap. 12. tells us of one that dyed Consumptive whose heart was afterwards discovered to be corroded into three large Ulcers the steems of whose matter must needs have infected the Lungs Bauhinus among his observations registers this following that he dissected a Corps wherein he found the Lungs consumed the capacity of the breast to be full of putrid and concreased blood the Pericardium a skin wherein the heart lyes inclosed as in a bag to contain above a quart of white matter pus and the heart extremely extenuated and consumed about the surface The symptoms that molested the party were a Cough a pain in his Breast difficulty of respiration and an Hectick Feaver The Pericardium is likewise summon'd by Petr. Salius de our Morb. c. 7. for an apparent cause of a Tabes or Marcour if anywise affected as suppose inflammed or pustulated This may seem strange that an ignoble part should bring the whole body in danger but then considering its near situation to the heart the cause is obvious enough whence to derive its Consumptive symptoms Some might rather imagine that the drying up of the waterish humours contained in the Pericardium supposed by most modern Anatomists to be distined for to moisten and cool the heart may now and then impell a man into a Consumption for want of which water the heart dryes away and shrinks whereunto the other parts are obliged to sympathize But in my opinion it 's questionable whether any such waterish liquor be floating in the Pericardium whilst a man is yet living for in Beasts as Dogs or Cats whose breast hath been pierced alive to discover whether the said Membrane the heart is wrapt up in be moistned with that kind of serosity no such thing was deprehended in whom notwithstanding there appeared the same necessity for a cooler as in men whose languishing heart probably whilst a dying may seem faintly to sweat such kind of moist drops into its bag 2. There have been some that were born destitute of a Pericardium witness Columbus lib. 15. Anat. where he recites the Anatomy of a Scholar at Rome whom he found wanting of a Pericardium so Galen lib. 7. cap. 13. Administ Anat. doth likewise instance a Boy whose heart lay visible because the breast bone was part cut out and the Pericardium partly putrefyed A dry Consumption may likewise chance upon a Vomica or a tumor of humours turn'd into matter and inclosed in a bag whereby Authors would have it differenced from an Apostem in the Lungs which before it breaks causes a stertour or noise in the Throat in breathing and a very troublesome Asthma A Pulmonique Consumption doth sometimes happen upon a Varix or vein swelled in the Lungs which in length of time doth burst whence an effusion of blood and soon after a congestion of purulent matter Hippocrates in coac praed makes mention of a kind of suppuration that survenes Lethargies which doth commonly terminate into a Consumption viz. quicunque vero servantur ex Lethargicis ut plurimum suppurati fiunt those that recover of a Lethargy for the most part become suppurated But lib. 1. de Morb. he relates five kinds of Pectoral suppurations more that tend to the same period unless according to 15. Aphor. lib. 5. they expectorate the matter in 40. dayes viz. First there is a suppuration of fleam distilling from the head into the hallow of the breast The second follows a Pleurisie not expectorated The third happens upon the bursting of a vein in the breast The fourth upon a Phlegmatique Pleurisie The fifth succeeds a varix in the breast bursted or sweating out per Diapedesin blood But those that are curious to be further satisfied touching the manner of Pectoral or Pulmonique suppurations let them peruse Hipp. lib. 1. de Morb. where he doth most incomparably illustrate that subject Here may be questioned Whether Phleam according to Hippocrates his dictate is suppurable or disposed to be converted into matter Pure Phleam certainly is not but being mixed with other humours is experienced to be suppurable Hippocrates lib. de Glandul describes a Sciatique Consumption Tabes coxendica Alius morbus oritur ex desluxione capit is per venas in Spinalem Medullam inde autem in Sacrum os impetum facit in coxendicum acetabula sive juncturas deponit si tabem fecerit homo marceseit atque hoc modo contabescit vivere non expetit i. e. Another Disease takes its beginning from a defluxion of the head through the Veins into the Marrow of the Back thence forceth to the os sacrum and expels to wit the distilled humour into the Hip joynts The Lungs do sometimes though very rarely grow fast to the Pleura the skin that lines the breast within whence such as are detained with that accident are Lung-grown The symptoms attending are a heavy pain in the breast a difficulty of respiration breathing faintness c. which continuing do advance their subjects to a Consumption This sort of Consumption might be annumerated to an Asthmatick Consumption as Mercatus and others are pleased to term it since the symptoms appear
cure than one in the wind-pipe and that in the vessels of the Lungs worse than it but an Ulcer in the substance of the Lungs is the most deplorable of any which the University of Physicians declare absolutely incurable though Hippocrates seems to assert some curable namely in whom the seven forementioned conditions are deprehended Which sentiment we find likewise confirm'd by the experience of several reputed Authours Cardan in his Treatise de Cur. Admirand No. 2. 4. 5. 6. 7. 10. recites many Consumptives by his care and skill perfectly restored among which number were several of the second and third degree but I doubt he quack't a little sometimes however Erastus exceeds him in asserting cures much more incredible Saith he in his Disp. Paracels part 1. pag. 210. I 'le tell you some thing that 's hard to be believed God hath restored some Consumptives that made use of my help who it was clearly apparent scarce beheld the half of their Lungs And in another place he vaunts to have cured many Consumptives in the beginning and some that were absolutely desperate Ingrassias in Consil. pro fist pect Franc. Arcaeus de febr cap. 8. Valleriola lib. 2. Observ. 3. lib. 3. Obs. 6. lib. 5. Obs. 5. 6. Haelidaeus lib. 3. Cons. 7. Beniven de Abd. c. 44. Forest. lib. 16. Obs. 58. Crato Cons. 152. Poterius cent 3. cap. 19 20 21. and among the Ancients Avicen lib. 3. Sen. 10. Tract 5. cap. 5. Rases 4. cont Valesc de taranta lib. 3. cap. 2. Abynzoar lib. 1. Theysir tract 11. cap. 2. Mesues cap. de Phthisi besides many others do bring in perfect cures of Consumptives of all degrees but questionless performed with great difficulty because of the continual motion and coughing of the Lungs thereby taring the Ulcer wider and their remote distance and at last the Ulcer is only covered with a limber callus that easily falls off upon any commotion of body cough or cold taken in the breast and so forceth patients into an incurable state An Hereditary Consumption likewise one that 's engendred by malign arsenical fumes under ground whereunto those that dig in Mines and Coal pits are much subjected are incapable of any sort of cure A spitting of blood that happens upon the bursting of a Lung-Vein unless it be stopped or conglutinated in three or four dayes at farthest either occasions a Phlegmone or inflammation of the Lungs which suppurating turns to an incurable Ulcer and a Proper Consumption or by evacuating an insupportable measure of blood kills the Patient by inducing a Syncope Swoun or suffocates him by coagulating in the Lung-pipes An Ulcer in the left lobes is more perilous than in the right because it 's nearer to the heart The same reason makes a suppuration contained on the right side of the Mediastinum more dangerous than on the left A Consumption ensuing upon a spitting of blood is of quicker termination than one that 's occasioned by an Ulcerous disposition of the Lungs and fomented by salin distillations from the brain which may be protracted to some years Avicen and Erotian write of a Woman that was Consumptive three and twenty years together Iul. Alexandrinus and Mat. de Grad cap. 54. com in 9. lib. Rasis speak of another woman that lived Consumptive eight and twenty years Forestus knew another woman that strove eight years with a Consumption Neither is this case very rare in this City there being many I can attest of that have been lingring for many years though affected with a Chronical cough difficulty of respiration and an extreme lean habit of body The reason of this prorogation is imputed to a certain absorbing salin distillation which being imbibed by the Lungs is not so corrosive as to gnaw Ulcers into the Lungs but doth only absorb their nutriment and insensibly diminish their Parenchyma whereunto the whole body sympathizing is also insensibly emaciated But that which is far rarer is that Ulcerous Consumptions of the Lungs should extend to so long space as Arculanus reports of two that spitted matter four years together We have reserved this insertion touching the Prognosticks of this Disease by the Urin for the Epilogue of the Chapter which usually is various throughout the whole course of the Disease in the first degree it's thick and turbid with a pretty deal of setling at the second it appears thin and obscure without any sediment or very little and of a pale straw colour and a greenish circle a top though in some I have observed it bloody and obscure like water where raw flesh hath been washed in in others it 's thin and blackish At last it 's evacuated clear like water and in a small quantity yet this is not Universal CHAP. XXXIII The Therapeutick for Consumptions IT 's a double misery to be pursued by a lingring Disease whose nature and cause are disguised under a cloud of various symptoms which if otherwise appeared in a more visible dress would it self betray what remedies were most likely to remove it since therefore Consumptions assault us in that obscure manner I have engaged my study and industry to procure you in the preceding discourse a most ample Narrative of that malady comprizing the total of all observations thereunto relating that so that intestine enemy being discovered might with more certainty be aggressed according to the implicit meaning of that trite saying a Disease once known is half cured So that the greater pains I have taken in the speculative will very much alleviate me in describing the Practick or Therapeutick whose office is distributed into three parts viz. the Conservative Preservative and Curative The Conservative part in this Treatise is chiefly concerned in preserving a healthful body in the same state against all external causes that may dispose or force it into a Consumption Such are the six non naturals viz. a Consumptive Air and emaciating Dyet Motion and Rest the Excretions and Retentions Sleep and Restlesseness and the Passions of the mind If you find your self obliged to live in a Consumptive Air as this of London make choice of the more open high dry and gravelly part of it where the houses are built East and West shunning those close low nasty dirty and stinking Allies and Lanes near the Thames side where the Air being damp and replenish'd with putrid and stinking vapours is pen'd up and obstructed from being ventilated by the winds or its one free motion 2. Once a day at least take a walk in the Fields to refresh your self with the open Air which inspired fresh doth exceedingly recreate the Lungs Heart and the Vital spirits and through its tenuity opens the Lung-pipes and purges them from all those thick sooty steems Moreover opens all the pores of the body and gives vent to those excrementious evaporations 3. Retreat some times into the Country for a day three or four to feast your Lungs with that pure clear air and to purge them from the smoak of London
proposes two kinds of Tabes or Consumptions the one being a wasting of the body occasioned by any internal cause the other happening through some Ulcer in the Lungs Morbus tabisicus is a term expressed by Hippocrates denoting any kind of Extenuation or Consumption Marcor five ex aegritudine Senectus seu ex Morbo Senium is an extreme diminution or Consumption of the body following the extinction quenching of the Innate born and bred in us heat much like to a tree that 's withered or dryed away by excess of heat or length of time The said Marcour may likewise be caused by Famine or over abstinence from food Read Galen lib. de Marcore A Marasmus imports three significations viz. 1. A Consumption following a Feaver 2. A Consumption or withering of the body by reason of a natural extinction of the native heat which commonly happens in those that dye of old Age. 3. An extenuation of the body caused through an immoderate heat and driness of the parts which sort is common to young and old folks A Marasmus is otherwise distinguish'd into true and false The former is an equal diminution of all the parts of the body the latter is an extenuation shrinking of a single part only as the Stomach and Liver are oft observed to be consumed or withered in those that dye of an Hectick Feaver the like extenuation doth frequently happen to the breast Mesentery a thick Skin of the Belly that tyes the Guts Colon Iejunum both names of Guts and Kidnesy but the Diaphragma the Midriffe being a thick Musculous Skin that separates the breast from the Belly is only exempted from a Marasmus or withering because that would necessarily intercept the breath or occasion a Phrensie before it could arrive to such a dryness Lastly a Marcour is either imperfect tending to a greater withering which is cureable or perfect that is an entire wasting of the body excluding all means of Cure Febris Marasmodes seu febris marcida according to Galen lib. de Marcore cap. 5. is an equal withering or drying up of all the parts of the body it 's ordinarily a consequent of a burning colliquative melting Feaver whereby the humours grease fat and flesh of the body are melted and afterwards slow into the capacity hollow of the Belly The softer and moister parts being thus melted away the Febril Feaverish heat continuing its adustion burning upon the dryer fleshy parts changes into a Marcid Feaver which said parts wasting gradually through an insensible evaporation of their subtiler particles are at length dryed up into the hardness and toughness of Leather An Hectick Feaver implyes a twofold sense 1. It 's taken for any confirm'd fix'd and durable Feaver admitting of no easie cure or rather a Feaver that 's grown habitual in opposition to a Schetical superficial or moveable Feaver which being but lately arrived is easily expelled as a Diary or Putrid Feaver 2. It 's more generally understood for a Feaver in the solid parts into whose Penetrails depth and essential principles insinuating is there as it were planted or rooted and consequently proves the most stubborn to Cure of all other Diseases What is meant by the solid parts and the Essential principles you may know in the next Chapter An Atrophy is by some taken for a diminution of the body for want of good and laudable nutriment food which being rejected by the parts must necessarily shrink for want of better nutriture By others it 's understood for a Consumption of the parts of the body weakly or depravately wrongly or not at all attracting nutriment whether it be good or bad or insufficient in quantity Lastly it implyes a diminution of the body happening by reason of some fault in the Excretive expelling faculty of the parts excerning or evacuating more than necessary Peruse Galen de Sympt differ cap. 4. The said Consumption may also be supposed to arrive through fault of the Retentive retaining faculty of the parts not retaining the nutritive nourishing humours long enough Thus much for differencing those terms which otherwise might erroneously be taken for one and the same kind of Consumption CHAP. III. Of the Fundamental Principles or Balsamick Mixture BEfore we make a further inroad into this Treatise it will be material to acquaint my Reader with the sense of these terms which we have familiarly made use of throughout this discourse namely Fundamental or Essential Principles Essential or Balsamick mixture Innate heat and Radical or Balsamick moisture all these though differing in words import the same signification as we shall now discover to you In order to this you are to take notice that an Infant in the Womb principally receives its first constitution or generation from the Sperm or Seed of its Father injected cast into into the Womb of its Mother which to wit the Womb contributes little else to it than the earth to the Seed that 's shed or sown in her namely keeps the Seed close together that the Spirits may not evaporate fly out in vapours cherishes it by her own Innate rooted and fix'd and Influent sent from the heart heat and spirits thereby stirring strengthening and assisting the spirits of the Seed in the Womb in forming the parts of the Infant intended and lastly transmits blood to the Seed to give the parts so formed an increase The Seed consisting of a glutinous glewy or Balsamick thick and cleaving like to a Balsam moisture and a turgency fulness of Spirits displays it self being now thus inclosed and stirred in the Womb into several parts of various different figures and shapes as into a Heart Brain Liver Spleen Arms Legs c. These parts being of a very small proportion as formed out of a small quantity of Seed are no more than Foundation Piles of the ensuing body which are afterwards to be increased and raised to a greater bulk by the affluent flowing to blood that 's transmitted sent down out of the Mothers body through proper Veins and Arteries into the Womb where it 's glewed fast to those said foundation rather fundamental parts and soon after assimilated or converted into flesh and other similar substances whereby I say every part grows bigger The Ihfant being thus arrived to a competent Mole bigness makes its sally out of the Womb that 's now grown too little to give it any longer harbour and having thus passed the Streights it 's tossed into the wide world where it has got room enough to grow into its full dimension measure which is performed by the daily ingestion swallowing down of milk and other food that 's in a short time after digested into blood which being diffused spread abroad through the Arteries and Veins to all the parts of the body is as we instanced before agglutinated glewed to those upper parts that were immediately agglutinated to the foundation parts in the Womb and thus you see the Infant grows bigger out of the Womb by agglutinating one affllux of blood to another Upon this premitted
disgrace of being deposed of all his Offices and Dignities Fates not much differing from this befell also Cardinal Woolsey and many other Grandees upon the like occasions In fine it 's a common observation among the Spanish Polititians that the surest Stratagem to be quite rid of a Statesman that stands in the way and besides to avoid popular clamours and censures is to depose him of all his dignities and imprison him where without question the apprehension of his disgrace or the pernicious air of a Prison will soon set a period to the course of his days or at least put him upon some revengeful attempt whereby he may be rendred a riper object for a publick Scene This by the way to illustrate to you the danger of a pain in the Soul and the near sympathy there is between her and the body Touching the manner of causality whereby grief effects such fierce symptoms viz. a sudden Death and a lingring Consumption may be collected out of the preceding discourse upon an Amorous Consumption to wit the former is caused through a full and sudden irruption breaking in of thick Melancholique blood into the Ventricles narrow rooms of the heart thereby choaking the vital spirits and putting a stop to the hearts pulsation which if intermitted but three or four Pulses portends a certain death The latter is atchieved by a gradual suppression of the vital spirits through heavy tartarous dreggish blood which namely the spirits defecting must necessarily cause an extinction of the innate heat and spirits for whose nutrition they are designed and so consequently a perfect Consumption must be the ultimate issue Add hereto the restlesness and intermission from sleep grieved persons are molested with whereby the blood is much dryed the spirits consumed and melancholy increased Moreover as melancholick blood doth so much suppress the vital spirits so it 's very unapt for ministring matter for new spirits or being converted into flesh because of its grosseness and crudity Neither doth that blood continue long so as I said before but acquires an acrimony whereby it 's much intended heightned in its devouring and consuming quality CHAP. X. Of a Studious Consumption MOderate labour of the body is universally experienced to conduce to the preservation of health and curing many initial beginning Diseases but on the contrary the toyle of the mind to destroy health and generate Maladies by attracting the spirits out of the entire body from their task of Concoction Distribution and Excretion to the brain whither they carry along with them clouds of vapours and excrementitious humours of the whole thereby excessively annoying the brain and its faculties impelling it into various Diseases as Catarrhs defluxions of humours stupors numness imminution lessening of the memory and imagination impairs of the external senses as dulness of hearing or seeing imbecillity weakness in stirring or walking c. Likewise the other parts of the body being deprived of their spirits sustain very considerable damages as the Stomach happeneth to be weakned in its Concoction whence crudities and loss of appetit the Spleen and Liver in their Offices of defaecation whence vitious melancholick dreggish sulphurous blood and obstructions of the Bowels and Vessels the Heart in its distributing the blood to all the parts of the body and strength of pulsation whence an Atrophia or want of nutriment in the parts the immediate cause of a Studious Fastard Consumption Add hereto a sedentary sitting life appropriate to all Students crushing the bowels and for want of stirring the body suffers the spirits to lye dormant and dull whence costiveness dispersing malign putrid fumes out of the Guts and Mesentery a thick double skin that tyes the Guts together into all parts of the body occasioning head-ach flushing of the blood to the head feavers loss of appetit and disturbance of Concoction It is beyond imagination to conceive the sudden destructive effects of a Studious life some eight or ten years since there dyed at Abington one Pendarves an incomparable hard Student and Minister of that Town who being dissected his Lungs were found to be withered and dryed up into an exact resemblance of an ordinary Spunge in point of substance and bigness The like Emblems we find frequently in Universities where Scholars daily drop away of Consumptions Neither is it an extraordinary observation to see Consumptions in the Faces of hundreds of the late Preaching Divines witness else their thin Jaws and number of Caps CHAP. XI Of an Apostematick Consumption APostems although internal do rarely cause Consumptions before they break unless seated amongst the Glandules in the Mesentery where I have observed them to occasion a very discernable extenuation which Symptom seems very strange in that case since a Physician can scarce find any sensible cause of so visible an evil the principal intrails giving no sign of the least distemper and the appetit consisting as formerly In such a case many would impute the foresaid Consumption to obstructions no other cause disease or part appearing suspicious for a deep latent Apostem in the Mesentery if of no great mole bigness cannot be sensibly discovered but by conjecture only since the touch cannot penetrate so deep as to reach it because of its deep situation neither can the relation be expected from the Patient because the part affected is inseusible In the Hospital at Leiden some twelve or fourteen years ago I observed the like accident in a boy who perceiving his flesh to shrink every day more and more although without the least sense of any disease that should cause it applyed himself to a Physician of the Town where he then lived who imputed the cause of his Consumption to obstructions of the Liver and Spleen a trodden Sanctuary for hidden diseases and prescribed him a Deoppilative opening and Purgative Apozem not questioning his Cure The youth finding no benefit doubted his Doctor had mistaken the Disease upon this resolves to go to the University to see what the Professors could make of it who all cryed out against Hypochondriack Obstructions except Prof. Lindanus who conjectured it might be some hidden abscess in the Mesentery which breaking some few days after was discovered to be an Apostem of the Mesentery by the evacuation of the matter by stool How an Apostem in the Mesentery breaking causes a Consumption of the parts is apparent viz. by immitting purulent fumes into the Arteries and Veins corrupting and affecting the blood with a malign quality which proving very offensive to the parts in subverting and poysoning their innate temperature is rejected by 'em whereby they are forced to wither for want of nutriment The said purulent vapours crowding into the substances of the principal and sub-principal parts viz. the Heart Brain Spleen and Liver do likewise so infect poison and destroy their Innate temperaments that they immediately begin to languish in their offices to the great prejudice of all the body But it 's not so manifest by what means an Apostem
in the Mesentery should occasion a Consumption before its maturation or breaking since no purulent fumes can be supposed to be transmitted throughout the body before a maturation nor after unless the humour break because the said fumes cannot transude sweat through the bag of an Imposthum In my opinion the parts happen to be consumed for want of nourishment that 's intercepted from them through the Apostems tumid compression and coarctation of the Mesaraick and Lacteal milky veins whereby the transmission of Chyle a white juice all our Victuals is turn'd into in the Stomach and blood is obstructed CHAP. XI Of a Scirrous Consumption IT 's requisite I should first tell you what a Scirrus is namely a hard tumour without pain feeling to the touch like a stone caused through a concretion of melancholick extravasate shed out of the veins or arteries Blood Setting aside the enumeration of compound Scirrous tumors viz. Scirrous and Oedematique Scirrous and Phlegmonique Scirrous and Erysipelous I shall only insert the kinds of generation of a simple Scirrus either it 's primarly generated out of the effusion of melancholick blood or secundarily out of the dregs and remainder of a Phlegmonous or Oedematick tumour Either of these befalling the Liver Spleen Stomach Mesentery or any other important entrail may cause an extenuation of the Flesh by compressing the vital and nutritive Channals and so intercepting the course of the blood and vital spirits in their afflux flowing to to the parts 2. By vitiating altering to worse the substance and temperament of the said Entrails whereby the blood is not justly prepared for nourishing of the parts CHAP. XII Of a Cancerous Consumption CAncers invading any internal part of the body do in some space of time through an Arsenical Sulphur and Armoniack Salt Ven. read unmaskt fol. 65. 67. their constituent causes corrode the flesh and soon after corrupt the Essential mixture which done renders them absolutely incurable unless extirpated rooted out by exection or amputation cutting off which within the body takes no place Hereupon the blood is soon vitiated with a malign quality and its Course obstructed which proves the immediate cause of an improper Consumption CHAP. XIII Of an Ulcerous Consumption IT 's needless to premit the description of an Ulcer since it s generally known I shall only observe their difference some to be external others internal and some to depend upon the intemperament of the part Ulcerated others upon the continual afflux of lacerative taring humours and lastly some to be irrigated moistned with a more malign pus matter than others Of these its certain both extern and intern do oft cause a gradual maceration wasting of the Flesh but of externals only such whose pus matter is virulent venomous and malign the steems whereof regurgitating flowing back into the Vessels do sensibly infect the blood and the temperament of the chief intern members where the parts happen to be extenuated in such manner as we have once or twice illustrated to you already 2. Extern Ulcers depending upon the transmission of vitiate foul humours out from within the body do occasion an extenuation of the parts by attracting and depriving them of their nutriment as I once observed in a youth in the Charitè Hospital at Paris who through the daily and copious efflux evacuation of matter through the Orifice mouth of a deep Ulcer in his Thigh was reduced to a Skeleton skin and bones and so within a while after dyed of a perfect Consumption Intern Ulcers impell the parts into Consumptions through their purulent fumes thereby poysoning and infecting the blood that should nourish them CHAP. XIV Of a Dolorous Consumption VIolent pains are only apt to cause inflamations and acute Feavers which terminating to a good or evil Crisis are not likely to occasion Consumptions so that it 's only lingring soft durable pains do dispose patients to them by oft attracting the spirits from other parts and spending them for nothing doth wast the spirits swifter than pains so that pains for spending of the spirits of all other accidents comes nearest to the copious and swift loss of spirits by Phlebotomy opening of a Vein Now how the diminution of spirits causes a Consumption we have set down before in the preceding Chapters Add hereto the interception of sleep that pains occasion which doth very much increase the dispersing and depopulating of the said spirits Next to these lingring durable pains short intermittent or swift recurrent pains do precipitate patients into Consumptions as lingring pains of the Stone recurrent pains of the Stomach Meagrims and other sorts of recurrent headaches do frequently macerate make lean the parts and render their looks Consumptive and pining CHAP. XV. Of an Aguish Consumption AGues if deeply radicated rooted do frequently impell force bodies into Consumptions by vitiating altering the Liver and Spleen and perverting their Offices Among these Quartans and Tertians of a long continuance do most menace threaten this Symptom the former as depending upon a corrupt incinerated burn'd melancholy and the latter upon an adust burn'd Stibial or Aeruginous Sulphur both these being very active in devouring the fleshy parts and intrenching upon the fundamental mixture A true and simple Tertian terminating according to the ordinary observation in seven returns or Paroxysms is now and then succeeded by an Hectick Feaver a fellow Symptom to a true Consumption by reason of its swift termination leaving some deep relicks of its cause viz. Stibial Sulphur in some of the chief parts where it lyeth closely impacted propt in and is not easily extermined removed Now had the said Tertian been of a more slow and gradual pace it would gradually have expelled those Relicks so that you may know how dangerous it proves for an Ague to disappear without taking Physick for it CHAP. XVI Of a Febril Consumption WE have oft observed that malign continual peracute very sharp and violent Feavers do after most dangerous and doubtful attaques suddenly remit into a sensible abatement of the ardent burning heat insufferable thirsts immanous raging Head-aches and Phrensies besides a change of their low quick inequal Pulles into more ordinate ones and a mutation of their red fiery Urin into a thick milky colour and curdle setling by all which appearances hundreds of young Physicians have been deceived and thereupon confidently asserted their Patients free from all danger but much to their shame for these be certain signs of an Hectick Feaver and a true or perfect Consumption as appears by their weak and languishing condition without any sense of pain or heat or perversion of their reason which may continnue so with them for two or three weeks and then they expire like a wasted candle Moreover it 's attested by many Physicians that a Continent Feaver or a Synochos imputris doth sometimes migrate change into an Hectick Feaver CHAP. XVII Of a Uerminous Consumption PHysicians do ordinarily observe three sorts of Worms engendred within the body of
of immoderate evacuation of Sperm viz. by over-frequent converses with Women and by a Running of the Reins CHAP. XXI Of a Consumption of the Kidneys THe bare words of a Consumption of the Kidneys do plainly declare their proper intendment and therefore shall spare my pains of proposing a Description that which falls most in consideration is the causes thereof which may be conceived to work that Symptom various ways viz. by starving of the Kidneys by colliquation melting by devoration or corrosion gnawing of their substance or by dissolving of their fundamental mixture In reference to the first they may be starved through obstruction of the Emulgent Vessels that should transport their nutriment to them or through a compression and coarctation shrinking of their substrance by reason of some compressing tumour within their slesh as a Scirrus Oedema or an Apostem or quantity of Gravel generated within their Parenchyma substance or from a compressing cause from without yet within their capacity or Pelvis as a Stone c. 2. The humours and Fat of the Kidneys are apt to be colliquated melted through a great heat from within as an Ardent burning colliquative melting Feaver or an inflammation of their flesh or through an excessive heat from without as through over-riding running going sitting with the back against a Fire or against the hot Sun 3. Mordicant excrementitions Gall and Armoniack tartar ablegated sent thither with the Urine do inflame corrode and Ulcerate their flesh whereby it 's converted into matter or Gravel and Stone generated within their capacity do oft grind away their flesh and effuse their blood apparent in a Sanguine Emiction making water 4. Sometimes a malign humour insinuates into their substance causing an immediate dissolution of their Balsamick principles which happens now and then in malign Feavers and by taking of poisons as Cantharides the Herb Dipsacus c. Through these kinds of Consumptions the Kidneys have been observed some to be eaten away by an Ulcer to the ambient cirrounding Skin others to be dryed into a friable brittle substance Each sort of these Consumptions is detected by its proper Signs viz. a colliquative Consumption by a great heat in the upper part of the Loins a high coloured Urin with a number of small streeks of fat swimming a top in the form of a Cobweb An Ulcer of the Kidneys is known by a grating pain in the Loins and excretion of matter descending to the bottom of the Urinal The other sorts are likewise distinguish'd by particular signs CHAP. XXII Of a Consumption of the Lungs A Consumption of the Lungs may import two significations the one a considerable wasting of the Lungs themselves the other their occasioning the intire body to consume without any great loss of their own substance We shall relate our discourse to both Reflecting upon the particular substance of the Lungs their situation and connexion fastning we shall discover them to be very much exposed to extern and intern injuries and no less capable of injuring the Noble parts whereby the whole by reason of its absolute dependance on them must likewise receive a great prejudice Anatomy exhibits the Lungs to be of a laxe porous light or spungy texture of substance which wise Nature hath so formed for to answer her scope in a continual motion of inspiring and expiring the Air whereunto a weighty body would otherwise prove very disobedient and unless porous and pervious full of holes like to a Spunge unfit to imbibe and transcolate strain the Air for in effect the office of the Lungs is only to serve the heart in the capacity of Aereal strainers to strain the air and seperate it from gross or other offensive inherents it may carry with it Wherefore since the Lungs by reason of their office are obliged to a perpetual commerce with the Air which is subject to momentary alterations now cold hot dry or moist then thick thin foggy rymy stinking poisonous they must necessarily lye open to great yea irreparable dammages especially where their bodies are so unapt to resist or sustain them because of their thin and lacerable easily to be tared composure To these inspirable hurts we may annumerate those they sustain from their expiration of all sort of noxious offensive and fuliginous sooty steems and stinking putrid breaths and besides all that being constantly imployed in motion without acquiring a moments rest Their situation is within the breast hung perpendicular under the Brain and near to the heart whose wings they represent whereunto they are connected by the Arteria Venosa and Vena Arteriosa by means of which situation they are exposed to receive all the droppings from the Brain whence Coughs Ptisicks Ulcers besides the ill humours the Vena Arteriosa conveighs thither which together with those distillations from the Brain finding them a very fit Cistern because of their Sponginess do oft force them into such a swelling as may justly be termed a Dropsie of the Lungs Next considering their coherence with the heart are thereby rendred more capable of doing the greatest mischiefs By the precedence you may now observe how facil it is to drop into a Consumption of the Lungs a Disease that is so fatal to Londons Inhabitants and no wonder but a greater wonder any can steal away into their Graves without a Consumption considering the pernicious air of the City the weaknesses of Lungs people inherit from their Parents and their exposal to those injuries we have just now instanced CHAP. XXIII Of the kinds of Pulmonique Consumptions A Consumption of the Lungs is either without or with an Ulceration That without arrives through a Scirrosity Apostem Putrefaction of humours within its pores or a Crude tubercle a small hard swelling 1. The Lungs oft imbibing Phlegmatique and Melancholique humours that are distilled from the Brain or conveighed thither through its pores and chanals are now and then deprehended Scirrous of a stony hardness by dissipation dispersion of the subtiler parts and lapidification conversion into a stony substance of the grosser that remain or they may be left indurated hardned through the gross reliques of a Peripneumonia or inflammation of the Lungs 2. By Disfection of expired Pulmonicks diseased in their Lungs their Lungs have oft appeared full of small hard Imposthums 3. Excrementitious humours such as are expectorated by a Cough after a Cold or in an Asthma Ptisick Peripneumonia or Pleurisie are very apt to putrefie and corrupt in the Lungs as appears by the stinking breath of such that are so indisposed whereby their accessory nutriment being vitiated rendred faulty and rejected by the Lungs they are occasioned to wast 4. A Crude Tubercle obstructing the inspiration of fresh air and expiration of the fuliginous steems of the heart doth thereby extremely inflame and dry the Lungs the continuation whereof doth at last reduce them to an absolute withering How these kinds of Consumptions propagate their evil to the whole body may easily be collected from
account Avicen countermands letting blood in cholerick bodies because he esteems the blood which he chiefly here intends pure blood and Phlegm a fraenum bilis or a bridle of the Gall obtunding dulling its acrimony and fierceness Thesis 6. Choler being set in fire and acting upon Melancholy or rather calcining it into small acuated sharp pointed minimal bodies is by their incorporation with it self rendred acrimonious and bitter whence I conclude Choler accidentaly bitter and acrimonious but not in it self This bitterness and acrimony varies in intenseness and remisness according to the degree of calcination of Melancholy and proportion of Choler it is admixt to Thesis 7. Choler by the premisses is evidenced of being capable only of flaming and kindling a Feaver in the body and consequently Melancholy calcined by the flames of Choler must remain the sole cause of acrimony and corrosion and inclusively of occasioning Ulcers both within and without the body Thesis 8. The heart beating vigorously and strong doth together with its Sulphurous flames expell the foresaid calcined melancholy to the circumference especially if the said humour be but diluted water'd with the serosity waterish liquor of the blood Neither is this sole vital faculty sufficient to exterminate turn out noxious humours to the periphery or outward parts unless the animal faculty be concurrent with it to supply the Fibres with Animal Spirits which do not only render them strong to expel but sensible of feeling the least sting of any offensive humour whence they are immediately prick'd or spurred to contract themselves and by means of that contraction to expell If on the contrary the heart beats weak and the animal faculty be found faintish the foresaid acrimonious humour remains within and causes internal erosions Moreover notwithstanding the strength of both faculties the humours expelled to the circumference are apt now and then to regurgitate flow back by reason of obstructions in the capillar very small like hairs veins terminating in the extremeties Hitherto we have discoursed of the same causes how they happen to engender several Diseases though in the same bodies but at different times That which falls next in consideration is an answer to the fourth Query of the Chapter preceding viz. Why the same corrosive humour should sometimes prove Anarrhopous flowing upwards and generate Diseases in the upper parts and otherwhiles Catarrhopous flowing downwards impressing maladies upon the lower The occasion of the various diversion of the foresaid humour is situate partly in the disposition of the part Mandant the strength and weakness of the vital and animal faculty the parts transmitting or giving passage the disposition of the part recipient receiving and the qualification of the humour transmitted The part Mandant sending or expelling is here chiefly intended for the place where this acrimonous humour is generated and harth or spring whence it sourceth and crupts The place is where the acrimonious nourishing humours are primarly first concocted or receive the form of humours and where they are afterwards further wrought purifyed and clarifyed This assertion probably will accuse many parts more than what ordinarily Physicians have their eye upon The Stomach is a part that primarly digests and converts Victuals transmitted thither into a whitish or cineritious like ashes humour called the Chyle which if it be not exactly dissolved into an even thorough melted juice must necessarily abound with thick and gross admixtures Now it 's a current saying among us that the fault of the first concoction or digesture is not amended in the second vitium primae coctionis non corrigitur in secunda wherefore the chyle being transmitted crude and gross into the Vessels and arriving in the Spleen and Liver sticks in the capillar veins and keeps in the heat or hot steems that should arise out of their Parenchymae or fleshy substance to ferment attenuate and defaecate clarify the blood The heat of those entrails being thus inclosed and pend up redoubles and gradually after it hath extremely dryed and scorched burns and calcines them into a kind of fixt Salt which according to the nature of the Victuals whence they received their constitution and the intension of heat proves a Nitrous Vitriolat or Armoniack Salt The Spleen in this case is found to contain a Mine more frequently producing an Armoniack and Vitriolat Salt with a small admixture of a coagulated Sulphur The Liver is the more fertil parturient of Nitrous and sometimes of a Vitriolat and Armoniack tartar but with so copious a commixture of coagulated thickned choler or Sulphur that it ought rather to be named a Cinnabrin or Aeruginous Sulphur from the greater proportion of Sulphur to a far smaller of Salt The heart we conceive to be the sole mine of Arsenical Sulphur whose pernicious steems insulting upon the Vital Spirits produce malign and spotted Feavers The Stomach is likewise oft stuff'd between its tunicks coats and in the smaller branches of Vessels that are inserted into its body with the dregs of obstructive crude chyle whereout such Salts and Sulphurs are calcined and extracted as in acrimony and corrosion prove no wise inferiour to those engendred in the Spleen or Liver since produced with so intense a heat as is required for the first solution of the hardest food and probably a stronger heat being raised to a higher pitch by obstructions and the ebullition of some of those acrimonious bodies already engendred That the Stomach is so common a spring of Consumptive sublimations and distillations needs no other proof than the sense of the Patient attesting a great clog and oppression at his Stomach oft crying out if that were removed he should be well besides his nauseousness vomiting and difficulty of digesture he finds his gullet all along very sore rough and stuffed with humours subliming upwards which sometimes may not reach so high as his brain but are imbibed by the tonsils and other Glanduls about the Throat where in like manner aforesaid they are dissolved into an oyl and so distill between the Membranes of the Aspera arteria into the Lungs To this the remedies argumentum à juvantibus add an unquestionable verdit Vomitives being twice or thrice exhibited in the beginning or augment do oft eradicate the mineral cause of a Consumption Likewise Lohocks and Syrups that are so usually prescribed do immediately seem to abate and demulce the hoarseness and violence of a Cough by mollifying the ruggedness of the intern tunick of the Gullet and thickning or rendring the matter of the Cough that ascends upwards between the tunicks of the foresaid Oesophogus more glib or slippery So that we must not imagine that Syrups or other expectoratives do ad-advantage in Coughs by slipping down between the Epiglottis for as I instanced before that must necessarily occasion a greater Cough and difficulty of respiration Neither is' t probable they circulate about to the heart and Vena arteriosa to arrive to the Lungs for before that time their sweetness whereby they are
Galen and his Cotemporaries did commonly observe Pulmonique Consumptions to follow a spitting of blood whence many of his Sectators do still persist in the same tenent not considering that what was usual in Galen's time may be less common now for Pulmonique Consumptions do as frequently appear among us here that are molested only with an acrimonious moist kind of Cough as those that have fallen into that evil upon spitting of blood hapning upon a rupture or corrosion of a vein in the Lungs Besides my own sentiment I 'le insert the observations of Argenterius and Fernelius The former in his Comment 3. in Art Medic. Gal. gives a relation of four women that dyed all of exquisite Ulcerous Pulmonique Consumptions none whereof coughed up blood And Fernelius writes thus Some upon the spitting only of a liquid and yellowish humour being taken with a small Feaver have begun to consume and a long time after did spit a little blood mix'd with matter but I have likewise observed a many that dyed Consumptive in whom there was not not the least appearance of blood throughout their whole sickness Moreover observe there is an Ulcerous disposition of the Lungs and an Ulcer of the Lungs And both these may be appositely termed causes of a Pulmonique Consumption or Consumption of the Lungs By an Ulcerous disposition of the Lungs I intend a perfusion of acrimonious salin liquors such as I instanced before throughout the body of the Lungs insensibly drying gnawing and absorbing their flesh and likewise insensibly dissipating it into vapours and exhalations through the pores of the Parenchyma and ambient Membrane which latter though Galen denyes to be pervious with a number of small holes is found to be so by Aristotle's and others experience Thus the Lungs of many deceased Consumptives have been discovered quite consumed nothing remaining but the ambient cirrounding Membrane skin and a number of withered veins and filaments threds without the precedence of spitting of blood or matter Moreover as I observed in Chap. 23. a Consumption of the Lungs may also arrive upon a scirrosity hard Apostems as At heroms Steotoms c. putrefaction of humours within its pores and a crude tubercle or drying scorching fuliginous steems continually fuming from the heart without the least appearance of expectorated blood In this particular I remember one of our elderly Oxford Physicians proved disappointed of his Prognosticks or rather Diagnosticks A Scholar applying himself to him for information whether he were in a Consumption was answered with a question whether he spitted blood whereat the Scholar replyed negatively than said he 't is but a Ptisick Cough and I 'le warrant you from a Consumption though three months after he left a Skeleton behind him to witness what he dyed of The Seventh Eighth and Ninth Query you 'l find solved by what is declared already The Tenth is Whether an Hectick Feaver be a cause of a Consumption or a symptom of the cause Symptoma causae of a Consumption or a Symptom of the Consumption it self symptoma symptomatis Certainly it 's a symptom of the cause and a fellow symptom with the Consumption of the intire body The Eleventh demand is Whether a Pulmonique Consumption may not happen without the concomitance of an Hectick Feaver This I may safely conclude there is many a Pulmonique Consumption without the evident signs of an Hectick Feaver viz. a sharp equall heat over the whole body a glowing of the extremities an hour or two after meat a quick low pulse c. without which I can attest I have found several Consumptives though for what I knew there might very probably have been a latent hidden Hectick However for the most part there is a sensible Hectick attending Consumptives But out of this discourse there may be a very important question started Whether that Hectick Feaver be a Morbus in esse a Disease already generated or a Morbus in fieri a Disease in engendring If we suppose it a Morbus in esse than though the Ulcer were dryed up and cured the Hectick would remain as being a Fire kindled out of the Innate heat and Radical moisture into an actual flame and depending upon no fewel but its self which would continue burning until the radical moisture were burn'd away On the other hand if we consider it as a Morbus in fieri than it must have its dependance upon putulent steems dispersed from the heart together with the blood to the parts where arriving they cause a kind of heat and glowing in the substantial principles whereby they are set in fire until the purulent acrimonious steems are dissipated The symptoms make this appear very probable viz. a glowing heat being a new fermentation two hours after victuals excited through the appelling purulent corrosive steems transported thither with the blood 2. The Pulses confirm the same inference changing quick hot and acre biting to the touch at the advent coming of the foresaid steems and after a while when they are consumed and expelled by transpiration they return to a more moderate motion until the next flood of fermenting matter 3. Were this assertion not admitted that the foresaid Pulmonick Hectick is a Morbus in fleri than necessarily an Hectick once kindled would impell the patient into a Marcour though the Ulcer in the Lungs were cicatrized the contrary whereof hath been discovered in several so that you may rest certain that the Ulcer being cured the Hectick vanishes with it Hence you may extract what I intend by an Hectick Feaver namely the Innate heat kindled into a destructive fire violently absorbing the oyly Radical moisture through the appulse of salin steems which through their contrariety to the Balsamick mixture excite a fervent fermentation in this latter like oyl of Vitriol powred upon oyl of tartar or water upon lime Lastly wee 'l conclude Ulcers that succeed the bursting of a Vein in the Lungs and some others induced by other causes to depend for a considerable time before they can attain to that height of exciting an Hectick Feaver for we cannot suppose the Heart to consist of so small a force as not to be able to resist those purulent fumes for a while and divert them from the other parts into whose Penetrails depth to insinuate some proportion of time must be allowed The Twelfth and last Interrogatory is Whether there be any other sort of true perfect exquisite or proper for those terms are reciprocately used by Authors Consumptions besides a Pulmonique Consumption This Query implyes rather a controversie about words than the thing it self for if they resolve to term no other an exquisite or proper Consumption but a Consumption of the Lungs words being to be understood ex intentione imponent is from the intention of him that imposes the word then the case needs no debate but if the words are to be taken ex apprehensione intelligent is from the apprehension of those that understand or whom they are spoken to then the
not different from those in an Asthma saving there is only a Cough wanting to make up the train The cause of this Lung-growth is imputed to a superficial sanious or ichorous exulceration whose matter being somewhat glutinous cleaves to the foresaid Pleura and dryes up to it whereby it 's fastned The truth hereof is evidenced in the dissected bodies of those that were Lung-grown whose Lungs are ever found ichorous and mattery near the place of adhaesion witness the dissected bodies of Ferdinand the Emperour and Francis the French King whose Lungs according to the Testimonies of Gesner and Holtzach were not only deprehended fastned to the sides of the breast but in a great part putrefied and sanious But whether those filaments threds that serve in lieu of ligaments to tye the Lungs to the Pleura being shortned by a strain or imbibition of humours may not produce a Consumption seems not improbable an Asthma it 's certain they do and consequently may attract humours to the Lungs and prove an accidental cause of overheating and overdrying the heart for not expiring the fuliginous steems that issue thence and not inspiring fresh air sufficient to cool and moisten it on the other hand these said filaments being overmuch relaxed or broken do induce that accident which may be properly stiled the Rising of the Lights Some other infrequent rare Consumptions may happen but such as scarce appear among ten thousand Consumptives and therefore shall forbear their insertion committing their narrow search to Physicians their proper industry CHAP. XXVIII Of the Procatarctick or external causes of Pulmonique Consumptions THose Procatarcticks that required a larger comment as love grief c. we have discoursed of in particular Chapt. others that are limitted in a narrower extent of speculation and particularly such as promote English Bodies beyond those of other Nations into Consumptions we intend to treat of here To begin with these latter it 's not improbable the causes must be inherent in those non naturals whose quality and our use of them differing from other Nations transport our bodies beyond theirs into extenuations and Marcours 1. We differ extremely from all others in our dyet Flemmings and Germans buy flesh meat by the pound and eat it by ounces we buy meat by whole joynts and eat it by pounds 2. They usually boyl and roast their meat until it falls almost off from the bones but we love it half raw with the blood trickling down from it delicately terming it the Gravy which in truth looks more like an ichorous or raw bloody matter 3. Flesh once a week is a variety to their great ones once a month a delicacy to their Burgers Citizen's and once a year a feast to the rabble and that at their Kermisses or Fairs only But their thriving dyet the hogs has taught 'em viz. Cabbage Turnips Salates Butter-milk Whey c. Which renders them alike not only in fatness but in manner of humour witness their Brawny Necks Fat Trype Guts and grunting hoggish deportments But here on the other hand great and small rabble and all must have their Bellyes stuffed with flesh meat every day and on Sundayes cramb their guts up to the crop with pudding 4. Neither is the difference only in the eating part but drinking they overwhelming their panch daily with a kind of flat Scarbier or Rotgut we with a bitter dreggish small liquor that savours of little else than hops and muddy water The wine they so much debauch themselves with is a kind of crude dull stumd Burdeaux we with Canary Thus we have parallel'd the dyets of two Nations in order to a further examination of their different effects rendring those of a squabbish lardy habit of body us of a thinner though more fleshy appearance and some who by their stronger natures exercise or labour are equally matcht to digest and subdue that mass of flesh they daily devour acquire a double strength to what those Hermits receive from their Herbage But since we experience that sort of feeding doth scarce improve our carcasses beyond a lean habit and the contrary dyet to stuff the hides of our Neighbours with a large proportion of Grease and Tallow gives us argument to impute to it a great part of the occasion that inclines us so much to Consumptions Wee 'l insist a little further upon the matter first touching our so greedy devouring of flesh especially Beef and Mutton whereof there is a greater quantity consumed in England than in all Spain France Holland Zealand and Flanders as I can demonstratively make appear to you by this sole instance you 'l grant there are more gloves worn here then in all Holland Zealand and Flanders besides for from the highest to the lowest they usually go with their hands in their Pockets in the Summer and in the Winter hold 'em to their Noses to blow 'em warm Next we wear out more Shooes here by two thirds than all France where it 's universally known the paysantry goes barefoot and the middle sort throughout all that Kingdome makes use of Wooden Clogs Now this considered that notwithstanding the great number of gloves and shooes worn out here besides millions of pairs that are transported hence to the Barbado's Virginia and many other Plantations we abound so much with Hides Gloves Sheeps and Neats Leather that we furnish the better part of all Christendom with them which is a certain sign there must be an incredible number of Sheep and Oxen killed whose flesh since we make no forreign Merchandize of saving only of their Skins and Hides must necessarily be all consumed among us But to declare to you the great mischiefs which is my chief business this flesh greediness heaps upon us a Plethory fulness of blood both ad vasa and vires is the first and immediate effect the next a Plethora ad vasa an over fulness of the Veins and Arteries with blood doth easily upon a small commotion or heat of body fall or other accidents burst a Vein in the Lungs whereupon commonly follows an Ulcer and soon after a Pulmonique Consumption Moreover note that a Plethory produced by immoderate eating of flesh is more impetuous and turgent and therefore so much disposed to burst a Vein whereas any other Plethory engendred of Fish Milk or Herbs being less turgent and diluted with waterish humours seldom swells to that height The Plethora ad vires a fulness of blood that oppresses the strength is the evident cause that renders us universally lean by suppressing our spirits and hebetating dulling their vigour whereby they are not only incapacitated of digesting the alimonious humours into flesh but of attracting blood to the parts to nourish them which defect reduces the body to a leanness and if continued to a Consumption Lastly know that flesh meat being so nutritive and likewise hard of digesture doth abound with the most and worst dregs of any other kind of meat especially if not totally digested as seldome it is
with small heats in the day but violent in the night and do spit nothing out that is worth taking notice of they sweat about the neck and shouldors and their eyes grow hollow and their cheeks are red but the extremities of their fingers are worse hot and rough Their Nails are turn'd crooked and grow cold and there arise tumours about their legs and pustules about their bodies they have an aversion from Victuals Besides these 1. there preceded a distillation of Rheum from their head or a Pleurisie Squinsie or Inflammation of the Lungs 2. A Feaver according to 2. Aphor. 47. Whilst matter is engendring pains and feavers arise c. 3. Beating or aking pains 4. Great shiverings and difficulty of breathing near the time of the tumour breaking which being broke the Feaver and pains abate and the matter if not expectorated is propell'd into the capacity of the breast where upon the Patients stirring or turning himself abed from one side to another it makes a fluctuating kind of noise like the â—umbling of water in a Cask After a while it corrodes the ambient membrane of the Lungs and is expectorated with a hard deep or hollow cough CHAP. XXXII Of the Prognosticks of a Pulmoniqne Consumption AS the kinds of Pulmonique Consumptions are various so are their Prognosticks wherefore we must instance these latter in the connumeration of the former First touching the Sex and Ages a Consumption is harbour'd in Children caeteris paribus are more frequently cured than those of riper years next Women who as they are less disposed to the surprize of Consumptions by reason of their courses carrying those acrimonious humours away before they can attain to make any head so for the same reason their cure when at any time illapsed into that Disease is easier performed than in men among whom old men that are Consumptive are the least capable of help because naturally they abound so much with salt fleam that heightens and irritates the continent cause of their malady Before we deviate from this particular of the Sex take in this observation that women whilst a breeding are now and then allarum'd at the second month with Consumptive symptoms that are caused through the return of their courses being intercepted to their Lungs Among these many dye tabefyed before the full expiration of their time others that have the good fortune of miscarrying or being delivered escape by means of their floods revelling the humours from their Lungs Some again through their straining pressing impatient cryes and commotion of their bodies at the time of their labour do sometimes break a vein in their Lungs or Breast or cause a varix or corrosion of a Vein whereupon a Consumption following speaks a very hazardous case or if a Consumption surprizes a Childbed woman that hath not been well laid or hath not been well purged after delivery foretells an equal danger The procatarctick causes render the Disease more or less curable a Consumption of grief as it moves more slowly than others so its malign effects are impressed with a more certain and irresistable force wherefore unless prevented in the bud takes an ineradicable root Next hereunto for obstinacy of cure are an Hypochondriack Amorous and a Studious Consumption As for a Cachectick and Aguish Consumption they admit usually of an easier cure than others A Poysonous Ulcerous Renal Dorsal Verminous Bewitch'd Dolorous Apostematick and Pockie Consumptions are more or less curable or incurable according to the Age Sex Climat Season of the year Habit Temperament Part affected Duration and other ill symptoms attending the Disease Having but cursorily proposed to you a declaration of the presages of Bastard Consumptions wee 'l imploy the more time and paper in relating the Prognostick signs of Pulmonique Consumptions according to the several degrees observed in the preceding Chapter A Consumption of the Lungs in the beginning is very curable but herein differs from all other curable Diseases that it 's not to be worn away by change of dyet or moderate exercise of body or a cheerful spirit whereby many other maladies have been dislodged but in stead of being demulced by counterpoising preservatives of the Patient goes on its way until it hath made an absolute conquest of the body and notwithstanding though remedies be used at its first appearance unless they are prescribed by a dexterous hand so as to hit the humour of the Disease and temperament of the Patient like a Cancer is rather irritated and eats deeper into the parts So that Consumptives though their case appears not with so discriminous an aspect ought not only to be sollicitous for remedies against their evil but to be assured of their skill that apply 'em for a fault committed in the cure at first admits of no appeal afterwards The first degree of a Pulmonique Consumption implyes a difficult and long cure and may easily upon neglect of the patient or usage of improper Medicines be render'd incurable The second degree is formidable and but few of this rank recover and many more are turn'd over into the Empiricks pit However wee 'l add some notes out of Hippocrates to discern the curables from the incurables 1. Their spittle must be tryed if it stinks being poured upon the coals or sinks as it 's cast into a Bason of salt water or being spit upon the ground if it shews with round clear specks like glass spectacles signifies a desperate and irrecoverable condition The like presage read in a gray blew yellow green black mixt and uneven spittle Take a survey of Aret. lib. de sig caus Morb. diut cap. 8. If on the other hand the spittle appears first sanious afterwards mattery white smooth even and without stink there 's some hopes 2. If the Patient be free from a putrid Feaver that increases in the night is another hopeful sign 3. They must be free from drought which confirms the absense of a putrid Feaver otherwayes frequently affecting Consumptives in the beginning and first degree 4. The flood of humours that used to distill into the Lungs must be diverted or rather derivated through the Nostrils 5. It 's also supposed the party be not reduced to the greatest extenuation 6. His ordure must be rather hard than soft for a looseness is generally very prejudicial 7. It 's required the Party should have a square fleshy and hairy breast and not very bony which signifies a competent strength of nature in the Patient If the contrary signs appear you must look for nothing but death The case is the same with those who feel a great oppression upon their breast speak hoarse and seem to have a stiff neck or at least is not very flexible and the joynts and knuckles of their Fingers shew big and their bones small Add hereunto the symptoms of the third degree which bring death along with them You are also to make distinction of the part affected for an Ulcer of the breast is of a less difficult