have observed that it is in the External part without the Scull and so it will flow under the Skin all over the Head at times but usually it doth fix on the upper part of the Head where it doth sometimes continue for a long time very painful But when the Gout floweth from other parts of the Body into the Head it is in the Internal part of the Head within the Skull this is not painful but causeth a lightness and doth often deprive a Man of his Senses and indeed it is so dangerous that few escape Death it must be extaordinary Means that recover this There is Help to be had in this Case but if Men through unbelief are regardless of their Lives they may for want of Means at hand in such a time be cast away I cannot but pity such as I hear do die of the Gout for I know so much of the Nature of the Disease that when the Gout thus cometh from other parts into the Head they are not sensible of their Danger because they seem to be at ease and will have a conceit of their doing well when they are near their End If the Danger do appear by their being in a raving Condition it 's dagerous I know not where any have been recovered in that Condition but what I have recovered my self let such know that have the Gout that are in fear or danger of their Lives by it that it hath pleased God to provide Means to give help for the preservation of your Lives in that dangerous Condition for of all the parts that are afflicted with this Disease there is no such danger of Life as when it is thus got into the Head so let this be a sufficient Caution for you to take help in time The next thing to inquire further is to know the Cause of the Pains of the Gout Q. 3. What causeth the Pains of the Gout As there are differing Pains so there are differing Causes I shall give an account first of the immediate Causes 1. In some the immediate Cause is Wind being fixed in the part and not having vent This doth sometimes cause an Inflammation or a Swelling that will be very sore and tender for a long time 2. In some the immediate Cause is a thin and cold whitish Water fixed in the Joints that looseneth the Ligaments and other parts binding the Joints together that causeth a pain and great weakness in the parts afflicted 3. In some the immediate Cause is a slimy Matter that is without the Joints This Humour being cold and thickish causeth a hard swelling that pitteth like a Dropsy and the part is cold and stiff but the pain is more moderate than the Humours that are thin But this sort of Dropsy-like Gout usually continues long and causeth a great weakness except timely prevented 4. In some the immediate Cause is a hot Vapour or Steam driven into the parts by the heat of the Blood and when the Pores are opened where the pain is this Vapour doth come out like the Smoak of a Chimney that shall be seen to fill a Room almost with Smoak and when this Smoak is come out the pain is presently gone and the Party walketh about though helpless just before 5. In some the immediate Cause of the pain is a windy and frothy Blood that stoppeth in its Circulation this swelleth in Knobs like the Cramp is very painful but quickly over This is a kind of a scurvey sort of a Gout and usually runneth over all parts of the Limbs and Joints 6. In some the immediate Cause of the Pain is a black and settled Blood occasioned by great cold This causeth universal pains in all parts of the Body yet in this Case â—t is not good to part with your Blood but rather to cleanse it by using that Medicine that openeth the Pores then a sweating Pill is proper to carry off the Cause 7. In some the immediate Cause is a thick and matter-like Humour that being fixed long in a place groweth to a hard kind of a Kernel that when it is dry it cracketh the Skin and crumbleth out like little Stones but the pain is most before it cometh to a hardness The best time to help this sort of Gout is when it first beginneth to be painful for then the Humour is thin and will easily come forth when the Pores are open 8. In some the immediate Cause is for want of the Blood circulating into all parts And if the stoppage be about the Joints it eauseth the Sinews to be stiff and dry and sometimes to shrink and sometimes draweth the Joints together This will cause the Knuckles to be hard and knotty for by clinching of the Hands together they are deprived of the Nourishment that should come to them by the free circulation of the Blood In this Case it is dangerous to give way but to prevent the shrinking of the Sinews endeavour to keep the Joints in exercise 9. In some the immediate Cause of the pains in the inward parts proceedeth from a foul and slimy Matter that gathereth in the Bowels that by the stoppage of the offending Matter doth cause the Wind that gathereth in those parts unnatural to break its way upwards and sometimes it breaketh its Course and torments both Back and Sides and runneth about the lower parts like Stiches or Spleen-like pains and sometimes like Gripes in the Bowels And oftentime these kind of Humours do turn to Convulsions And many in this Case have been lost for want of help for commonly it floweth to the Head and then the Case is desperate But now there is a Remedy that will carry off the Cause better and quicker than if it were in other parts of the Body This may be sufficient to set forth the Nature of this Disease by shewing the immediate Cause of the Pains The next Queries will discover something of the foundation-Foundation-Cause Q. 4. From whence do these Humours come that flow to the Joints There is a great difference in the Judgments of Physicians about this Point One saith they flow from the Head the external part without the Skull and so flow under the Skin to the Joints Others say they flow from the inward parts of the Head from the Brain Others from the Bowels Some name other parts so that if we put the Judgments of all together the gouty Humours flow from all parts of the Body I shall give you my Judgment and that is that the Fault lieth chiefly in the Digestion and yet Nature may have sufficient vent in the lower parts but the Digestion doth not so speedily do its Office by conveying a part of the Sustenance when 't is received so speedily as it ought into the lower Vessels but when Meat and Drink is received in the Stomach it usually seemeth to oppress with a Fulness for some time after eating or drinking and tho Nature doth carry it off after in little time yet the Food perisheth in the Stomach before it
passeth and this doth hinder natural Nourishment and turneth to ill Humours which disperse about the Body but especially to the parts afflicted but yet every one that hath a bad Digestion is not troubled with the Gout but wheresoever it is the Body is much out of order in some it causeth Head-pains in others Fevers and many other Distempers which are destructive to the Body the Humours are not in all alike But the Humours causing the Gout do commonly proceed from a disorderly Government of the Body as sometimes by immoderate Exercise or ill Diet or too much Drinking or Passion or any other vehement Motion and Colds and Heats These and other such-like disordering the Body breed ill Humours and open the secret Passages of the Body and for the most part fixeth at the Joints And this is one part of the foundation-Foundation-Causes of the Gout Next thing is to know Q. 5. Which way do these Humours flow into the Joints We cannot be unsensible that the Branches do receive their Nourishment from the Root so the Limbs do receive their Nourishment and Moisture from the Body and as before I say the Food perisheth in the Stomach breeds ill Humours and not natural Blood So I conceive that by the same way that the Blood passeth into the Limbs so do these Humours circulate through the Veins and Arteries into the Joints And the Humours being thin and cold as they flow from the Stomach sometimes may be sensibly felt to run through the circulating Passages and to settle in the Joints the Joints being more loose and open than other parts do receive the greater Quantity And this is the way as I conceive that the Humours flow from the Stomach into the Joints And thus I have given some short account concerning the Gout what it is and what parts are afflicted with it with the immediate Causes with some part of the foundation-Foundation-Cause 6. A Remedy or Cure But if I should write never so much in a long and large Account â—bout the Nature of the Disease this will not be any help to them that are â—fflicted with it without the knowâ—edg of a Remedy for it What would it signify if a Man see his House on Fire for him to spend his â—ime about inquiring how it came and what was the Cause and while â—e is busy about that the House is â—onsumed when Means was at hand â—o extinguish it Shall this be counâ—ed Wisdom No most will say â—hat Man is a Fool. So it is concerning the Body there â—re some Diseases that no Man can know the Causes but yet the principal part may be known and that is how to cure such Diseases Yet some are so foolish that except a Man will tell the Cause they will not have the Cure I could tell of some but in the Year 1693 that in the Gout when their Case was seen to be dangerous and they were foretold of it and the Means was at hand but yet refused now they are in their Graves whereas many others in the like Case did imbrace the Opportunity and are all living and well in health And this I can say that of the great Numbers that I have for several Years had in hand concerning the Gout I do noâ— know of any one but is yet living This I do declare that the Medicines I have to carry off the Gout have prevented other Sickness and cured other dangerous Diseases by clearing away the Causes And 〈◊〉 can prove many great Cures havâ— been done with the Gout-Medicines that no Man living hath done the like in our Nation with such speed for lame and helpless Persons to be cured in one Hour's time Also Children in Convulsions if they have but any Life in them by the same Means they are recovered speedily and cured of that Disease In my giving you the Virtue and Use of these Medicines you will understand the common Success I have in the Applications and will know the better how to make use of them for your Advantage And though the Parties afflicted may be many Miles distance and thereby may be deprived of my Assistance yet observing the Rules I give I hope with the Blessing of God the Lives and Limbs of many may be preserved It hath pleased God to bless the same Means under my Hands with great Success for I have had great Experience for many Years past in Practice and do keep a Catalogue of Cures done given under the Hands of the Persons cured that any Person afflicted with the same Disease may read for their own satisfaction the Persons Names and Dwelling-places that have been cured And in order to do good for the Publick because I am taken up in my new Business and have not that time as formerly I had to give out Medicines with Directions in many other Cases therefore being willing that People should have the Advantage of some good Medicines of great Use I order my Wife to sell them with Directions She is also able to help and give Advice in Womens Cases but in difficult Matters I shall give my assistance But my chief Business will be to follow my studying about Remedies for the Gout and all other painful Diseases in the Limbs or inward Parts and I hope to obtain great things in that kind of way for in my studious Thoughts I find great Encouragement I have lately corrected and amended my Gout-Balsam and have also discovered another choice Secret being a Pouder for the removing of the inward Causes of the Diseases of the Limbs and have already had great Success in the use of it And as God hath given me understanding to know the Nature of Diseases and hath helped me to find out Remedies for the Cure of them I shall make it one part of my Business to write them down to be left for others to make use of when I am dead and I have already taken that care that they shall not die with me This I mention to satisfy many who are much concerned for fear they should be lost when I die And in order to do all the good I can while I live I shall give a large Account of the Nature Virtue and Use of these Gout-Medicines for every particular Disease wherein they have been proved to be useful and have wrought very great Cures I shall begin with the Gout-Balsam The Virtue of the Gout-Balsam It bringeth away the offending Matter by opening the Pores and doth thereby prevent the danger of Repelling for the immediate Cause is seen to come away from the part afflicted and this bringeth down the swelling of the Gout and for the most part the pain goeth away immediately after it is applied and it doth strengthen weak Limbs and is very comfortable to cold and nummed Parts In many Cases it is a Medicine of great Use as will further appear by the Directions for the Use of it Next follows the Use of it for the Gout The Vse of the Balsam in the Gout Take a
there is speedy Help given and the Danger is quickly over This doth certainly reeover when in the greatest Extremity therefore 't is needful for such as are afflicted with the Gout to keep it by them in a readiness to prevent all Danger it will keep many Years With this Glister and the Balsam I cure Convulsions in young Children and though some have had most of their Children die of that Disease yet with the use of this Means their other Children are speedily recovered It is also good for such as are afflicted with the Cholick or other inward painful Diseases and also for Vapours and Lightness or Swimmings in the Head it bringeth the Vapours downwards so giveth great Relief in many Cases too large to mention here The eighth Help for the Gout is a Plaister When after all hath been done if yet there should remain a Weakness in the Joints then 't is proper to lay on this Plaister round the Joint and bind it on so long as it will stick This Plaister is good to recover strength in some sort of Gouts when other things will not do 'T is good also to bring down Swellings and will take away great Pain therefore in some there may be occasion for this Plaister The ninth Remedy for the Gout in the Head is a Snuff-Pouder When the Gout is in the Head then put up a little of this Pouder in the Nostrils and though the Party thus afflicted be raving mad it will quickly compose the Head by purging the Brain a waterish Humour that is very cold will run down the Nostrils But as there are differing Gouts so there are differing Causes in the Head as well as in other Parts for all are not seen to be light-headed but seem to be heavy to sleep still observe to use this Pouder if the Head be out of order so as you fear the Gout is the occasion of it When I find the Gout dangerous in the inward Parts or in the Head I do apply the Balsam to the Temples and use the Snuff-Pouder also the Glister and the Cordial and with the use of these things I have recovered them as have been so far gone that they have not known any thing that hath been done to them Thus I have given you the Virtue with Directions for the Use of these Gout-Medicines to the end that all such as are at a great distance from me may have the benefit of them They are only prepared by me and sold at my House in Sir Frederick's Court in the Old-Jewry where I give Advice and Directions according as the Case brought before me doth require It will be most for the Advantage of those that are afflicted with any painful Disease that cometh within the reach of the Gout-Medicines to apply themselves to him who is the Author who hath skill in applying them and likewise to advise to what other Means he may think needful but such who cannot have my help may observe the Directions here given and looking to him who giveth us all things for a Blessing I hope you may have good Success in curing your selves Directions for the ordering your Body When you have the Gout on you or such-like painful Disease whereby you are under Confinement observe these Cautions 1. Caution Bleeding is certainly hurtful tho at the present it may seem to give a little ease yet afterwards you will find the ill Effects by the Pains returning and the next Fit will be much worse but many have not the least Ease by bleeding but are much more painful and by the weakness of the Body the Disease fixeth it self in several parts by drawing away the Blood for at that time the Blood is waterish and thin then the best cometh away but the ill Humour that is the Cause of the Pain lodgeth in the Body being too thick to be drawn away through the Veins but the best way to bring this Humour away is by that Medicine which opens the Pores where the Humour lodgeth then there is no danger of repelling but rather hopes that in time the Cause may be removed out of the Body 2. Caution Take heed of keeping the Body with low Diet to think thereby to starve the Gout for you may sooner starve your selves than cure your selves of the Gout by so doing you need not bar your selves from good Diet for you will find your Stomach will fail you too quick of it self 't is more dangerous than you are aware to bring down your Stomachs to low and weak diet for this doth not in the least ease the pain but by the bringing your Body weak your pain is greater and the Body more helpless and in so doing are in danger by your weakness and the continuance of the Disease of falling into a Fever and by the emptiness of the Body you are in danger of bringing the Gout in your inward parts 3. Caution Take heed that you do not indulge your self too much by confining your self from Exercise before your Disease force you to it especially under the use of the Means you had better strive than give way to it so soon as it beginneth to come on you but by your speedy applying the Means and by exercising your self you may prevent your being confined at all especially after you have been once recovered by the Means herein directed 4. Caution Take heed of over-much purging for if you think thereby to cure the Gout you will be greatly deceived for by this means you will rather endanger a Consumption or at least a long Confinement by reason of great weakness of Body My way is to order a Gouty Person as I do Consumptive Persons I cure them without Physick By keeping up Nature a Man may strive with a Disease till the Cause be removed but by using such Means as weaken the Body in this Case it is the contrary way for a Cure 5. Caution Take heed of being too busy with sleepy Potions some have been so stupified with such Potions that when the Gout hath been very dangerous they have not been able to give an Account of their Condition nor to tell where their Pains lay so the Disease is drawn into the Head and the Man goeth sleeping to his Grave 'T is better to hear the Man cry aloud for then some Help may come and though his pains may be great and continue long so that he want Rest and may endanger a Fever yet in all this there is more hopes of recovery than when the Man is stupified and thereby made unsensible of his Condition but since there is ease to be had by outward things these dangerous Means may be avoided and the Lives of many may be preserved Directions for Diet. First I shall tell you what is hurtful for the Bodies of such as are afflicted with the Gout Salt Meats are not good nor stale Beer nor no sharp or sowre Things nor mixed Wines nor Claret nor too much Spoon-meats but be sure to forbear Cyder these and
Directions for its use in Convulsions of the Nerves 28 Directions for the use of the Gout-Balsam in outward Convulsions 29 Directions for the use of the Gout-Balsam in Palsies or numness of Limbs Pag. 29 Directions for the use of Gout-Balsam in Dropsies 30 Directions for the Gout-Balsam in the Sciatica 31 Directions for the use of the Gout-Balsam for the Spleen or Pleurisy 32 Directions for the use of the Gout-Balsam for Kernels or Swellings ibid. Directions for the Vse of the Gout-Balsam in dangerous and painful Sores 33 The use of the Gout-Balsam in Giddiness and Apoplexy 34 An Observation that this Gout-Balsam is good to take inwardly ibid. Directions for the second Medicine for the Gout which is a red Balsam 35 Directions for the third Medicine c. 36 Directions for the fourth Medicine c. 37 The fifth Remedy for the Gout 38 The sixth Help to carry off the Gout ibid. The seventh Help for the Gout 39 The eighth Help for the Gout 40 The ninth Remedy for the Gout 41 Directions for ordering your Body 43 Cautions ibid. Direction for Diet 48 A Remedy to hinder or prevent the Gout returning again Pag. 63 A Vindication in my own Defence against my malicious Adversaries 72 Many are offended because I am not a College-Doctor c. 73 Another Reflection or Supposition is that some dangerous Matter is in the Medicine as Aquafortis c. 77 An Account of Cures done by Blisters drawn by the Gout-Balsam 79 Great and Remarkable Cures performed on Palsies and Convulsions in the Nerves 92 An Explanation or a Discovery of the Safety of the Ingredients of the Gout-Balsam 104 A Word to the Chirurgeons 106 My Apology to the Apothecaries 107 My Apology to the Doctors of the College 109 An Answer to some false Reports 115 The Conclusion 118 Receipts with Directions for the Cure of the King's-Evil c. 119 A Catalogue of Choice Medicines sold at the Author's House at reasonable Rates 127 A DISCOURSE OF THE GOUT MY Design is to speak something concerning the Gout but it being a Disease that of late Years is grown very common most do know what it â—s therefore I shall not need to make a long Discourse concerning it My Intent is rather to direct you â—o that as may help you speedily and though this is hard to be believed by many yet by what I shall write you may be convinced that there is one that doth perform great Things and gives present Help in the greatest Extremity and such as use to be confined many Months are set at liberty in less than one Week but the Pain is taken away in less than one Hour This is the common Success of the Gout-Balsam if rightly applied to which I shall give here large and full Directions in all Cases wherein this Balsam is useful But before I come to that I shall lay open something of the Nature of the Gout by several Inquiries discovering the Nature of this Disease with the Signs and Causes Quest 1. What is the Gout In general all may know so much of it as to tell 't is a sore painful tormenting Disease but those that are afflicted with it are more sensible to know what it is and when they may be said to have it especially after two or three Fits for usually it cometh after one and the same manner as aâ— the first and about the same time of the Year and for the most part it cometh to the same Joint or Part where it first beginneth and usually it giveth some warning before it cometh all which doth signify to us the Nature of this Disease Now the common Signs that do foretel that the Gout is coming are these following Tokens Sometimes an extraordinary Itching in the Blood or by sudden Heat Flushings all about the Body or sick Fits or a Fulness after moderate Eating or a great Heaviness or Melancholy or a Weariness after moderate Exercise or subject to Dreams and disquiet Sleeping or ill Taste or Flemical or Feverish or a Tenderness of the Joints or a Change of the Urine pale and these are some of the common Signs that the Gout is coming but I do not mean that all these Signs are in one Body But as there are differing Pains of the Gout so there are differing Causes and differing Signs My Intent is but to touch on these Things but if you observe you will have some Sign to foretel that the Gout is coming as aforesaid and in a short time after any of these Signs the Pain cometh and is commonly violent at the first The Extremity of the Pain causeth a Soreness and the Settlement of the Humours causeth a Weakness Those that are afflicted with this Disease are for a long time disabled and though it be a Disease that cometh by Fits yet for the most part every Fit groweth longer and weakneth the Parts afflicted after the Extremity of the Pain is gone off so the Disease groweth more powerful as the Party groweth in Age. Many of late have died of the Gout and 't is observed that it is more dangerous than formerly Thus in short I have set before you the Nature of this Disease and after what manner it cometh so I shall come to the second Query which will shew some of the immediate Causes the differing Sorts of Pains in nine parts Q. 2. What Parts are afflicted For the most part the Pain cometh in the Joints for the Joints being more loose and open than other parts do receive the greater quantity of Humours that causeth the Pain and for the most part the pain cometh to the same part again as if there were the Seat or Settlement of the Humours Which for some Reasons may be concluded to be true for the Cavity of the Joints being hollow and loose may be full and yet nothing seen when the pain is greatest But after the pain is gone 't is common to have a Weakness in the Joints which remaineth on some always till the Gout cometh again for because of the Relicks that do remain in the Joints it more readily enters in But when the Joints are full and the parts swelled then the Humours do sometimes flow to other parts of the Body so by the increase of the Humours all parts may be afflicted together both in the Limbs and inward parts But some have it not in the Joints at all but in the inward Parts only and usually when it is in the inward Parts the Pain is exceeding great for a short time and runneth about like a Cholick or Spleen sometimes like the Pain of the Stone and sometimes like the Gripes in the Bowels and sometimes like Plurisies Thus many are afflicted with the Gout in the inward Parts only Others there are that have the Gout in the Head and in no other part at all and the Pain is great by sits but doth not continue painful so long as it doth in other parts When the Gout is in the Head only I
with great Success I have found it profitable in the Gout it helpeth the Digestion and causeth Nature to carry off any offending Matter cleanseth the Stomach procureth an Appetite causeth the Body to be in good natural order and doth by purifying the Body prevent ill Humours circulating to the Limbs and is proper to take at any time if the Body be any ways disordered either by eating or drinking Then take so much as will lie on a new Groat in a Spoonful of Ale last at Night and first in the Morning this observed may prevent Sickness But if you fear that by any Disorder of the Body or by any Signs appearing that do foretel the Gout is coming then take the same Quantity as before directed and at the same time and also an hour before every Meal Or if you find when you are drinking of Wines or other Liquors your Taste is bad then take of this Pouder such a quantity as before-mentioned in the same Liquor you may be drinking and it will recover your Taste It is profitable in many other Cases but if you observe this order it will be a means to prevent the Gout coming on you These Medicines have been tried proved and experienced by Learned and Understanding Men and have been successful in the speedy and safe curing of many dangerous Diseases that have been counted uncureable God hath by their use wrought miraculous Cures and there are great numbers of Witnesses of the Truth of these Things of the Persons cured that have been in their Beds in a helpless Condition and the very Hour the Means have been applied their Strength hath been recovered and have got up and walked about immediately and many have been present who are Eye-witnesses of these things There is hardly one Week passeth but that there is some great and notable Cure performed by these Gout-Medicines being of great use in many other Diseases not mentioned in this Book and in most Cases the Cure is speedily done both in aged Men and Women and in young Children And though in aged People that have been many Years afflicted with painful Diseases yet such have been cured in one Hour's time and have continued well afterwards Such as are Inhabitants in or about the City of London may be informed by enquiring almost in any part of the City of Cures that are done or if they come to the Author of this Book they may be satisfied what Persons have been cured in their Condition and may have satisfaction in their own Cases whether curable or not He will also give his Advice and Directions to such whose Cases are uncurable to put them in a way to help themselves to do that good as can be done for them And as for such as are not capable to prepare Medicines for themselves if the Case be curable they shall have the Medicines bestowed on them and if ever they are in a Condition to be able to pay I will trust them till then but if they have not a Heart to do any thing then I shall not look after them but leave it to their own Consciences to do according to their Ability something towards the charge of Medicines that I may the better hold out to help them that can do nothing As for such as are able to pay for their Medicines they shall have them faithfully prepared and at reasonable Rates and I shall endeavour by my Advice to give them that Assistance that they may receive benefit by them and have no cause to complain that they have laid out their Money and are nothing the better But if I can see the Persons or have a right Account brought me that I may be able to give a true Judgment of their Condition I shall then deal plainly with them and shall not suffer them to be at any unnecessary Charge for it is against my Mind to take Money where I find there is no hopes of doing good I am so far from coveting Gain to my self by preparing Medicines for such whose Cases are doubtful that I had rather give them my Advice and Directions to make and prepare the Medicines themselves and then they will be the more willing to use the Means for their own Good when they know the Ingredients and in so doing they may cure themselves But if they have not their Cure they cannot blame me for by this you may see my Intention is to do all the Good I can and though God may deny his Blessing on the Means to some yet others by the same Means may be cured therefore let none despair of Help but rather wait upon God in the use of Means for his Blessing in hopes of Success in the End And though the Means I use my self is for the most part very successful in performing present Cures yet sometimes in some Distempers it doth require longer time There are some whose Diseases are uncurable but such are commonly proved after the Means I use is once applied and some there are that cannot be perfectly cured but yet do receive great help and by the use of Means do keep up their Bodies that they can walk abroad But Experience hath shewed that when they have not had the Means at hand the Disease hath got Advantage again By reason of the differing Causes of bodily Diseases it is impossible for Man to find such an infallible Medicine as to cure all Diseases But there are for natural Causes natural Helps and for differing sorts of Diseases there are many sorts of Medicines proper for their Cures And those that have Understanding will seek for help in time if they know where to have it for it is difficult to find out such as have good Skill and a good Conscience Many will say the World is a Cheat and the Scripture saith All Men are Liars and it may be you will say you have met with such ill usage that you know not who to trust especially in Matters that concern Life and Health in this you are at a loss and know not what to do and bodily Diseases come on a sudden and commonly in haste you run to the next that comes to hand for help but if it prove not a skilful Man it may be there is a Life lost or some Mischief done for want of a right understanding of the Disease and for want of a proper Remedy And such as seek only their own Interest will make Profit of them and make it no Matter of Conscience whether they live or die and if they know they can do no good they will not be so honest as to tell them so but will keep them in hand while it is too late for others to help them There are too many such Practitioners and this is a great Discouragement and makes many afraid to put themselves into the hands of Physicians but I would advise such that are in Health to get knowledg of an able Physician before Sickness comes and those who know their bodily