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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A42181 Arthritology, or, A discourse of the gout written by John Groenevelt. Groeneveld, Joannes, 1647-1710? 1691 (1691) Wing G2059; ESTC R8006 7,348 40

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plenty of serum is bred The necessary evacuation of the serum is hindred when some vitious matter is impacted in the very glands whence it comes to pass that either the sensible or insensible transpiration of our body is insufficient as it happens in idleness melancholy stopping of sweat and over-cooling the body Moreover the necessary evacaution of this serum is hindred when people are costive and make but a little urine and thin such as contains not in itself enough of salt and sediment For the alimentary and sweet portion of what we eat and drink cannot be wholly converted into the substance of our body but even this has some excrements So that the Succus 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 the imperfect and violent juice which is the other part of our aliment according to Hippocrates ought not to be wholly mixt with the blood but the greatest share of it should be purged out by stool and urine whence it may be drawn by destillation Now if for the causes aforesaid the evacuation of the sharp serum be checked as it increases first in plenty and then in power it is separated from the other parts and so it affords matter for the Gout Now we proceed to the second that is to the more plentiful generation of serum here we do not mean the supply of the watry part but of the acrid and salt or a certain hereditary inclination to the Gout derived from the seed and maternal blood which seems to consist in a weakness of the joynts and especially in some innate fault of the blood Then there is an adscititious disposition of the body induced partly by the frequent invasion of the fit partly by the manner of living such as is in them who though they use their utmost diligence cannot guard themselves from the return of this grief Which indeed happens for divers causes hereafter to be mentioned namely through the weakness of the parts about the joynts through pains whereby many fibres of the nervous parts are broke from a frequent influx of humors whereby the parts are relaxed and softned through unreasonable heat or cold from violent motion as it happens in Venery and finally when a vitious sanguification is contracted whereby the acrid matter is continually bred in the blood Such meats and drink should be taken notice of as have in them a sharp matter in such plenty and power as not being to be conquered with the other juices in our body it can neither be sufficiently separated nor discharged nor can it be exactly mixt or tempered with the other juyces Such as are generous Wines which have much Tartar in them for not only that Tartar but the spirit also breeds the Gout which consists of an oyl an acid and a volatil salt from whence the Wine receives all its strength Moreover gluttony and drunkenness contribute much to the breeding of this humor all intemperance likewise in dainty meat and drink over hard study especially in the night which in this case is the most dangerous and afflicting cares all these hinder sanguification so that the sharp part in the aliment is either not well mixt or not well separated and above all immoderate Venus is the most dangerous and hurtful But if any doubt arise and the question be what way it hurts it may properly be replied that Hippocrates his assertion is of undoubted truth there is in us a salt and a sharp Now I think this is rendred more efficacious by the use of Venery so that at first it is augmented not so much in plenty as in power for what is sweet or fat in the blood is consumed partly with the spirits partly with the seed and what remains is more and more exasperated and so existing more apart it acquires strength and does harm This matter being augmented and gathered by the foresaid causes is moved not always by the proper impulse of nature but often as it is stimulated by several evident causes such as are able either to impress an impulse on the blood or to quicken its internal motion or fermentation violent passions of the mind especially anger and fear sudden cold and heat retention of accustomed sweat some seasons of the year especially Spring and Autumn and as we said before gluttony and Venery The causes of this disease being now explained we lay down this definition of the Gout The Gout is a violent pain of the parts about the joynts caused by a serous and sharp humor suddenly coming out of the Vessels Sometimes wandring pains foretell the Gout to be coming especially in the joynts of the feet or hands that it is at hand stretching yawning painful weariness catarrhs wandring pains in the limbs and joynts and sometimes a heaviness in the head do shew a kind of feverish heat a pricking pain in the joynt with inability to move and after that a swelling usually red which are attended by divers other things as watching loss of strength and several other complaints familiar to gouty persons shew it to be present The Gout ends either in the translation of the matter to a more ignoble part or in the discussion of it or when being changed into corruption it breaks through the skin or when tarrying long there it turns knotty All which come to pass sometimes by the assistance of nature sometimes of art For there is a twofold design in the artificial cure First to remove that which aggravates the paroxysm Secondly to preserve the patient from the return of it In the fit three things are urgent pain the swelling and inability to move of all which since an humor is the cause partly still coming in partly got in already so the whole method of cure consists in two things first in hindring the influx of the humor secondly in expelling the humor that is got in Which method of cure is often interrupted by some grievous pain or by some other urgent symptome The influx may be checked by repelling the humor from the joynt or by stopping its motion or by expelling it out of the Body Repulsion whereby the humor is driven from the part affected may be made either by strong ligatures or by application of coolers and astringents The Repulsion of this humor in the beginning is very dangerous because the repulsed humor may run either into another joynt or into some more noble part or being impacted into the inner recesses of the parts about the joynt it may increase the pain The motion of the humor which depends upon a certain inevitable agitation of the heterogenous humors cannot of itself be stopt yet it may be abated by evacuating some part of the mass of blood if nothing hinder by venaesection whereupon the quantity of the humors being lessened the heat of the blood and the violence of the peccant matter may both be stopt in some measure The evacuation of the humor which does offend if this humor could altogether be evacuated would prove a most effectual remedy