Midrif is for the most part drawn into consent to make an Hicket by the Stomach first affected and especially by Sharp Vapors or Wind or Humors whencesoever procedeing and piercing what way soever to the Membraneous Centre of the Midrif and provoking it by pricking or corroding to perform that Convulsive Motion 11. Therefore I judg the true Cause of the Hicket to be whatsoever is apt to compel the Midrif to a violent but not continu'd and presently interrupted or ceasing and again often a repeating Contraction of it self whether it be found in the Stomach to which hurtful and sharp Medicins or Food rather to be call'd Poison are to be referrd or the same rise up out of the small Gut by the Vitious Effervescency of the Humors meeting raisd in the form of an Humor Vapor or Wind and so affect the upper Orifice of the Stomach especially by corroding that the Midrif encompassing it is also affected or the same being shut up in the Cavity of the Thorax or Belly immediately frets the Midrif or is carri'd to it through its Vessels and sticking in its Substance corrodes its sensible parts or compells it any other way to that troublesome and convulsive solitary and moreover continually repeating contraction of it self 12. If any shall observe both the external and internal evident Causes of Sneezing he will find it is raisd one while by the brightness of the Sun shining either immediately or from the Snow Ice Water a Looking-Glass c. by means of reflection othertimes by sharp things to wit Onions Mustard Radish c. or by things mov'd or drawn to the Nostrils or taken in at the Mouth other-times also by sharp Humors falling down from the Head to the Nostrils in a Stuffing of the Head or Snuffle of the Nose or from Vapors or Rifts likewise sharp ascending out of the Stomach or Small Gut and provoking the Nostrils so that there is always felt a pulling of the Nostrils of what kind soever Whence all these divers Causes do deservedly seem so far to produce a Sneezing in as much as they move the Nostrils those parts ascrib'd to Expiration by provoking and pulling them to expel that trouble the Air together being potently expir'd through the Nostrils with which vehement Excussion of the Air a vehement Shaking also of the Universal Body uses to concur 13. The Cause of a Cough is whatsoever can pull the Sharp Arterie of the Lungs or any way provoke and molest it 14. And indeed the Cause of a Moist Cough is observd to be manifold for somtimes certain things coming from without or taken in at the Mouth and being wrong carri'd into the Sharp Arterie do soon raise a troublesome Cough At other-times the Humors and for the most part Phlegmatic of several kinds either Sharp and Salt or Sowr or Mild and Insipid other-whiles thin and fluid or thick and viscous somtimes Blood pure or mixt with other Humors and somtimes Purulent Matter falling down from the Head and piercing into the same Sharp Arterie do compel the Lungs to Cough Again Humors likewise Various Blood Purulent Matter and perhaps Phlegm or a Serous Humor carri'd out of the Substance or Vessels of the Lungs into the same Arterie do breed a Cough 15. As often as Blood coming out of the Lungs is sent forth with a Cough so often this Disease is call'd a Spitting of Blood and Haemoptoic Passion 16. A Dry Cough has for its External Causes both cold Air and Drink receivd largely and troubling the Sharp Arterie but for Internals somtimes a very viscous or very thin and sharp Catarrh scarce yielding to the Air that is vehemently expir'd somtimes Vapors or Wind elevated from the small Gut and Ventricle through the Gullet and suckt into the Lungs together with the Air or insinuating themselves from the same Gut through the Lacteal Veins into the Heart Vessels of the Lungs yea their Substance even to the Sharp Arterie and provoking it continually to Cough without excluding it self 17. The manifold Diseases noted in Expiration Deprav'd may be Cur'd 1. By taking away or correcting their External Cause 2. By curing any Internal Diseases of the Solid Parts 3. By Amending any Harms of the Parts Containd and also by diminishing their Abundance and by Correcting their vitious Qualities and by removing out of place or moving out those that are peccant in place c. 18. And that we may begin at the Hicket as often as hurtful and sharp Food or Medicins or rather Poison are in the Stomach unless they can be temperd and corrected by those that Alter they are to be Expelld either by a Vomit upward the shorter way or by a Purge downward the longer way which is also to be understood of any Humors found in the Stomach or Small Gut and causing the Hicket 19. We have often before proposd Medicins that Alter and Correct the Humors as also any thing taken in what way soever peccant so that it seems not necessary to repete them here again we only admonish you this one thing That Opiats do conduce before all other things in curing any Hicket not only in as much as they temper any sharp Humors but moreover in as much as they blunt the Sense of the Stomach and perhaps also make the Animal Spirits more slow of Motion if they be us'd by times in a small quantity and so long till the Hicket either ceases or is notably diminisht 20. Among Vomits I here prefer Antimonials before all others both because they do most happily empty any Humors promiscuously and because they are most friendly to Mans Nature by degrees bringing all the Humors in Man after a peculiar manner to a most laudable state which power I doubt whether it be in other things likewise but know it is in Antimonie whatsoever Men blinded with their Prejudices prate to the contrary both otherwise Learned and Unlearned 21. But beware lest they be together taken in too great quantity seeing indeed every Excess is an Enemy to Nature and it is always safer that they be given in a less than in a greater Dose for no harm will at any time follow the first though often the latter for notwithstanding the Opinion of many Pretenders as well as Unskilful Physicians neither do other Purgers and especially Antimonials rightly prepar'd and us'd in a less quantity and emptying no Humor upward or downward hurt any which I having very many times experienc'd do testifie but they always then are profitable either by amending the hurtful Humors in the Body or by preparing them farther for the following Purge which I would chiefly have noted by Younger Physicians for whose sakes this my little Treatise is publishd and not for the Elder who are verst in the Works of Art and therefore need not my Information much less for the obstinate rejecting any thing of an other Man 's by Prejudice or Envy and no less unskilfully than wickedly carping at them 22. When therefore
and more or less temperd in them by the Air Inspir'd 4. The Nourishment of the Lungs is Deprav'd 1. When it is Diminisht or Abolisht and they pine more or less 2. When it is Ill-nourisht and the Lungs get a Substance and Consistency harder or more compact than is naturally or on the contrary softer or more flaccid or also unequal c. For 3. I scarce think and that very seldom that the Nourishment of the Lungs may be Encreasd if we speak properly as long as their Substance is laudable 5. The Lungs Pine more or less somtimes in both sides somtimes in either and in this or that Lobe by the fault of either It self or the Blood or Matter 6. By the fault of the Blood when it is Purulent especially in a Pleurisie tending to an Aposteme and communicating its Matter to the Lungs either immediatly or by means of the Blood whence Leanness not only of the Lungs but of the Universal Body is wont to follow 7. Leanness may hap by fault of the Lungs when by an External or Internal Cause they become unfit to assimilate to themselves the Blood duly flowing in which I have oft observd happens Internally by an Vleer Externally by a Suppuration in both places by Matter Corrupting not only the Blood of what sort soever carri'd to them but also the very Substance of Them so that they cannot longer be nourisht by any Blood 8. In the Year 1662. we found in the Academic Hâ—spital the Right Lung wrinkled wan and Lank and in my judgment Consum'd in a Watry Suppuration of the right side consisting of Matter and Serous Liquor Whitish collected together which evil I thought was to be ascrib'd to the Purulent Water about it 9. In Tisical People for certain the Lungs are not only corrupted and therefore also moreover pine but besides the Vniversal Body consumes because of Blood in like manner corrupted by Matter adjoind and by â—egrees so corrupting all the Parts that they become â—nfit to perfect natural Nourishment 10. The Nourishment of the Lungs is Deprav'd â—y either or both kinds of Blood vitious at least having Vitious Humors mixt with it whence seldom the Lungs only but also the other parts of the Body â—re together affected and ill-nourisht 11. To these Causes depending sometimes on Choâ—er somtimes on the Juice of the Pancreas somtimes on Spittle somtimes on the Liquor rising from this Ternarie somtimes on Chyle somtimes on Lympha â—ny way vitiated somtimes on Serous Liquor not seâ—arated in the Kidneys but remaining in the Blood contrary to Nature and if there be more things which may and are wont to vitiat the Blood is ascribd the rising of Tubercl's oft observd here and there in the Lungs and the change of their soft and spongie Substance into a Fleshy Tumorous and harder and more solid many ways than is wont or otherwise declining from their Natural Consistency 12. The Nourishment of the Lungs is to be believd Encreasd when they keep their natural consistency and manner of substance and yet grow out too much and do so fill the Cavity of the Brest that thereby Inspiration is rather hindred than made difficult An Example whereof I have several times had in Dissection after Death 13. I judg the Cause of this encreasd Nourishment of the Lungs to be partly Their best Constitution partly the Vse of Food most apt to nourish the Lungs and perhaps the Lungs taken out of younger Living Creatures 14. The Signs of all these kinds of deprav'd Nourishment of the Lungs may be sought out of other Functions together Deprav'd and 1. The Sign of it more or less Deficient must be enquir'd after from Respiration variously deprav'd together with some kind at least of Leanness of the rest of the Body coming upon it and especially after a Suppuration or Vlcer bred in the Lungs and so a Tisic 15. II. The Ill Nourishment of the Lungs may partly be known by Respiration Deprav'd partly by any kind of a Cachexie of the rest of the Body whose diversity will manifest one only Humor or together with others peccant 16. III. Respiration hindred without an evident Cause there being a laudable Constitution of the rest of the Body will signifie the Nourishment of the Lungs Encreasd 17. By such Conjectures I think several Kinds hitherto noted by few of Deprav'd Nourishment of the Lungs may be distinguisht and manifest from one another 18. The Nourishment of the Lungs Deficient because of Purulent Blood or Matter it self in a Pleurisie or other Inflammations degenerating into an Aposteme carri'd to them any way may be Cur'd partly by conveniently Curing the foresaid Diseases partly by freeing the Blood from Matter partly by taking out of the Lungs the entred harm by Matter 19. We will propose the Doctrine and Cure of a Pleurisie and other Inflammations in Chap. 40. 20. Any Antimonial Medicins will free the Blood from Matter perhaps before all others whether they be Diaphoretic or Purgers and Vomiters which I have often observd even in a Tisic and an inveterat great Ulcer of the Lungs have brought away a good quantity of Matter by Stool and Urine so that then for many days no Matter was cast forth by a Cough And that there had been a great Ulcer in the Lungs and moreover manifold the Dissection I made of the Body after Death did manifest 21. The Harm ascrib'd to Matter may be taken out of the Lungs whether it be a deep Vlcer or only a superficiary Exulceration both by Vulnerary Decoctions so call'd and also by any Balsam of Sulphur and especially that of Anise-Oil more grateful 22. Let this or one like it be a form of an accomodated Vulnerary Decoction for the Lungs in this Case which â„ž The Root of Licorish slic'd â„¥ i. of Aristolochie â„¥ ss The Leaves of Speedwel Seabious Saracens-Comfrey Ladies-Mantle Winter-Green of each Man i. Raisins of the Sun ston'd â„¥ iv Boil them in Barley-Water in â„¥ xxx of what is Straind dissolve Syr. of Hyssop of Oak of Jerusalem of each â„¥ i. M. Let the Sick drink â„¥ i. or ii of this Decoction oft in a day to which one Drop of the mentiond Balsam of Sulphur may be added or us'd apart in another grateful Liquor twice or thrice daily 23. I still account the Balsam prepar'd in like manner of the truly Sulphureous and Infameable Flowers of Antimony to be the more excellent whose great Vertues I have oft experienc'd 24. The Harm of the Lungs that follows a Suppuration may be Cur'd either by carrying Matter out of the Cavity of the Brest by a Paracenthesis made in the Brest or by emptying it out by Stool or Vomit which I remember was some years since done by a Chirurgion and Empiric living in the Country by a singular Decoction by the help whereof though the Sick being grievously affected in his Brest and by degrees pining was esteem'd incurable by several Physicians and famous Chirurgions yet was he cur'd
somtimes at that time and even uncertainly which therfore who might not fitly name them Inordinat and Wandring 21. But although the most Fevers are wont to invade the Sick with a greater or less Sense of Cold Heat somtimes lighter other-times more grievous succeding it yet are there not wanting such as only Cold or only Heat or neither accompanies manifest to the Sense as well of the Sick as of Physicians or by-Standers Let none think as is commonly said That the essence of every Fever Consists in Heat encreasd beside Nature in the Heart hence disperst through the Vniversal Body 22. None who hath weighd accuratly with an attentive Mind both the Fabric and Ways or Vessels of the Containing Body and the natural Motion of the Containd Body that is of the Blood and other Humors will deny that the Cause of Continual Fevers is requir'd Continual that is continually carri'd to the Heart As on the contrary the Cause of Intermitting Fevers is not continually but only by Intervals carri'd thither and therefore apt to be hindred in its motion to the Heart 23. Seeing Cold and Heat are deservedly numbred as the chief and more frequent Symptoms among the most of manifold Fevers we must diligently enquire into the most probable Causes of both and hence into the Causes of the Continual Heat after the first Cold overcomd or both of Cold and Heat returning by Intervals or of Heat stird up only in a divers and determinate time For those things being lookd into and determind it will not perhaps be very difficult to explain the Fevers though most divers and to extricate the Mind desirous of Truth from almost infinite difficulties to be mov'd by any 24. That therefore omitting the Opinions of others for I think it behoovs every Man to prove his own I may in a few words relate That that seems true even to me I judg I. That the Cause fâ— every Continual Fever is Choler or Lympha under which I comprehend the Juice of the Pancreas and so Spittle it Self in as much as they are carri'd to the Heart or Both vitious and raising such an Effervescency in the Right Ventricle of the Heart whence the Pulse is continually produc'd more freauent 25. But I deduce Cold observable about the first bâ—ginning if a Continual Fever depend on Choler alone primarily vitiated from the same vitious Choler together with the Juice of the Pancreas raiâ—ing an Effervescency vitious in the small Gut and that such as somwhat sowr Vapors are carri'd up by the said Juice and being anon driven every way breed a light Cold every where which yet a little after gives place to Heat bred by the same Choler carri'd to the Heart 26. But if a Continual Fever depend on Lympha alone primarily vitiated seeing it follows both the Conglobated Glandul's and also in part the Conglomerated Glandul's and so the Pancreas it selt ill-affected what wonder if the Juice of this being made somwhat more Sowr breed a vitious Efferveseency with Choler in the small Gut and together send form somwhat sowr Vapors which being disperst through the Universal Body every where stir up a Sense of Cold divers according to its greater or less Harm 27. But if a Continual Fever depend both on Choler and on Lympha together vitiated Cold troubling the Sick about its beginning is produc'd from the mentiond Causes conjoind 28. After the preceding Cold somtimes more grievous somtimes lighter Heat is wont to follow in the most of Continual Fevers and much greater and more troublesom from Choler alone primarily peccant whence therfore Burning Fevers do arise but much less and more mild and somtimes None from Lympha alone primarily peccant chiefly when much Phlegm together abounds in the Sick to which Chill Fevers are to be ascrib'd Lastly Heat being mean from both together vitiated and separating it self again after a certain manner 29. When the Lympha is vitiated and the Glandul's that are in the Brain are together much affected First A Stoppage of the Head that is a Burthensom Pain in the Head if we follow the proper signification of Words is wont to be raisd and a little after both somtimes Coryza when the Liquor falling down from the Brain distils to the Nostrils and somtimes an Hoarsness or Cough when it distils to the Jaws or Lungs known by the name of a Catarrh whence the Fevers then accompanying are wont to be nam'd Catarrhal Fevers 30. II. I judg the Cause of all Intermitting Fevers to be the Juice of the Pancreas in some part of it standing still in one â—r more lateral Passages of the Pancreas obstructed and made sharper by its stay there and piercing through Phlegm more or less viscous the Cause of the noted Obstruction a way being prepar'd by force by that sowr Acrimony and effus'd into the small Gut and there raising a vitious Esservescency with Choler and Phlegm and indeed producing different Cold in the beginning of the Fit somtimes more grievous somtimes lighter somtimes longer somtimes shorter till at length when no more of it retaind against Nature and so vitiated flows out the same is overcom'd again which is usually by Choler partly before comprest and as it were supprest now again being returnd to it sâ—lf partly sliding down continually whence the Mixture rising from both and Phlegm and being carri'd to the Right Ventricle of the Heart is the Cause of the Heat following somtimes greater somtimes less somtimes none as Choler and Phlegm are variously affected to the Juice of the Pancreas always at least then in part vitiated 31. III. I judg the Cause of Fevers compounded of Continual and Intermitting Fevers and not quite Intermitting but Remitting only and again stird up both Causes of each newly mentiond together concurring 32. IV. I judg the Cause of Continual and Mild Fevers in the mean time stird up about Two Hours after any Food taken in commonly call'd Hectic Fevers to be chiefly Spittle vitious and giving occasion for vitious Chyle because of more Glandul's together affected by which Chyle so carri'd to the Heart the Esservescency being deprav'd the Pulse is still stird up more frequent then before 33. In like manner as I judg all Cold in any Fevers to be deriv'd partly and chiefly from the Juice of the Panereas as sâ—wr and perhaps somtimes also from Lympha in like manner being more sowr partly from Phlegm either Insipid or Acid So I think all Heat is to be attributed to Choler upon the account both of its Lixivial Salt and Oil for Oil is apt to take the force of Fire and keep it on the contrary a Sowr Liquor is apt to extinguish it and again to condense the Oil that was rarefi'd by the Fire but a Lixivial Salt especially joind with an Oil as oft as it causes an Esservescency with a Sowr Liquor produces a notable Heat And so when all are moderat and keep their requisite proportion and due manner the vital Fire is preservd in
Drink to wit Rhenish-Wine c. that thereby a Synochal Fever be bred no wonder if Heat not only sharper but together greater be then stird up by over-sharp and together over-fat Choler concurring and a most frequent Pulse be joind with one greater but not the greatest 22. But V. when Spittle is peccant with such a Viscousness whence not only the Fermentation of Food is less commodious but moreover usually two hours after they are taken in the Pulse being now frequent becoms still for some space more frequent with Heat seldom indeed manifest or troublesom to the Sick yet somtimes notable to By-standers and Physicians beside the encreasd redness of the Cheeks I judg that that Change haps both as to the Pulse over-frequent both continually and yet more after Food taken in and as to any kind of Heat then together observable in as much as Spittle tending to the small Gut the Stomach being empty doth so vitiate the Effervescency of Choler and the Juice of the Pancreas that a Liquor proceding from these three is not only dull'd but moreover Vapors somwhat flatulent arise from it and indeed more plenteous and more volatil when the most fluid Part of Food slides down to the Guts usually two hours after it is taken in Which Vapors being carri'd to the Heart both provoke it to a more frequent Contraction of it self and being carri'd every way together with the Blood breed an Heat not so great indeed or very sharp or grievous and troublesom to the Sick yet coupled with driness of the Skin enough manifest had for a sign of Heat encreasd and with redness of the Cheeks according to their notable oft encreasd plenty and volatility whilst in the mean time a more frequent Pulse indeed and little and weak enough is observd the Leanness of the whole Body concurring and daily encreasd by reason of the Blood made daily over-viscous and unfit to nourish the Body 23. And now we have reduc'd all Synochal Fevers upon the account of their Causes that are wont to be notably peccant in Mans Body to the four primary Differences we think fit to consider and here weigh in a few words also some of their Differences taken from the more grievous Symptoms eft accompanying them after the Example of Famous Practitioners and chiefly Great Platerus not mentioning farther a Catarrhal Fever of which we spake in Sect. 11. 24. And the first place will we give to a Burning Fever among the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 so call'd from its exceding heat and burning most urging Which exceding Heat because it is observd not only in Continuals Synechals that have a Fit returning every other day but also in Containing Synochal Fevers we deservedly mention here a Burning Fever To which no wonder if a dry Thirst which you can scarce quench be a present Companion 25. Some give the second place to a Fever call'd Leipyrias in which all the time of the Disease the External Parts are cold while the Internal Parts burn 26. These Fevers challenge the third place that chiefly are troublesom with Heat and an obscure redness of the Jaws whence the Tongue also is not only Dry by ting'd with a blackish red Colour This Disease by reason of the said Colour is call'd Breune as well among the Dutch as Germans and is oft Epidemical 27. The Fourth place we give to Raving Fevers so call'd because of a grievous Raving such as is oft observd in many Fevers somtimes inclining to raging which happens to the Sick in a few days space and doth not a little trouble the By-standers chiefly when such Fevers are Epidemical and at length kill the Sick Convulsions coming upon them Constant Watchings use to accompany them and a great Pain in the Head is wont to precede a Raving 28. Wasting Fevers so call'd may take the Fifth Place in which the Body is wont in a short time to be consum'd and grow lean 29. In the Sixth Place we will mention Malign Fevers suddenly dejecting the Vital Strength without manifest Causes and Reasons and unexpectedly killing the Sick which for the most part are also wont to be epidemical They also have the other Symptoms more mild usually then is wont beside a weaker Pulse But of these we intend particularly to treat in Chap. 33. 30. I. Choler both primarily and only peccant not only in a Salt Acrimony but moreover in a very inflameable Oiliness is the Cause of a Burning Synochal Fever Wherefore the greatest Pulse is wont to concur beside one over-frequent and in the beginning at least strong enough together with troublesom Watchings and an obstinate Thirst 31. II. Because I do not remember that I ever observd the Leipyrian Fever therfore I the more hesitate in assigning its true Cause especially seeing those things do not satisfie which others bring rather from their Prejudices I my self have once lately observd such a Fever then from those things that ought to be observd in the Sick and so be propos'd 32. Yet if ever of which I much doubt a Leipyrian Fever be Synochal and I may conjecture somthing of its Cause I think that it then consists of a Double Fever Choleric and Pancreatical and so indeed that such-like Vapors may be continually raisd in the small Gut by the Juice of the Pancreas universally over-sowr which may be confus'd only with the Mass of Blood and breed a Sense of Cold in the habit of the Body whilst a burning Heat is stird up in the Internal Parts by a Fever due to Choler more oily then sharp 33. III. The Cause of a Fever having an obscure red Colour of the Tongue and Jaws accompanying seems to be Choler both over-sharp and fat chiefly hurtful to Spittle and the Glandulous Liquor of the Jaws and more closely adhering to them where it is expir'd in the form of a Vapor together with the Air wherefore beside the troublesom heat of the Universal Body the Lips also somtimes are cloven and exulcerated yea loaden with filthy Scabs 34. But wherein that peculiar Constitution of vitiated Choler consists by which it is more adverse to the Mouth and Humors carried thither then to others hitherto I cannot determine unless it come by the Oiliness of Choler 35. IV. The Cause of Raving Fevers so to be call'd from a notable and grievous Raving accompanying at least for some days is Choler peccant both in a Salt Acrimony more and an encreasd Oiliness less that so diminishes the viscousness of the Juice of the Pancreas which therfore causing a vitious Effervescency with it being made sharper makes an Humor not much unlike black Choler from which together with Watchings the Head-Ake hence Raving at length a Convulsion and lastly Death it self is produc'd 36. V. The Cause of a speedily Wasting Fever is Choler quickly bringing such a Constitution to the Blood by which the same becoms unfit what way soever to nourish the Body and yet needing more plenty of Food because of the Feverish
the Jaws through the Arteries together with the Blood I altogether think the Arthritics are to be distinguisht from the Catarrhals As often as I had opportunity to observ very exactly the Rise and Progress of the Gout by my Patients faithful narration even so oft I have minded that it has risen together with a Continual or Intermitting Fever Whence the Gout was not a little augmented by the return of the new Fits of the Intermitting Fever till it was either chang'd into a Continual Fever or ceased of its own accord or was Cur'd by Art the Pains of the Joints persevering nevertheless 37. XV. As Continual so Intermitting Fevers are oft attended with Mad and Raving Fevers call'd by the Dutch Rasende Koortsen from their Raving seldom indeed during Cold but oft when Heat does follow the Head-ach and Pulsing of the Temples and then ceasing by degrees with the Fit again and that after Sleep either pleasant or troublesom with wakings 38. XVI The Emetic or Vomiting Intermitting Fevers are so call'd from the Vomiting that somtimes continually other-times by intervals are very troublesom either when the Cold begins or in its continuance or in the appearance or encrease of Heat so much the more grievous that the Sick are not thereby eased but more griev'd Whence that Vomiting is deservedly judg'd Symptomatical and not Critical 39. XVII So Intermitting Fevers also are observâ—d from a great and frequent Purging and somtimes also with Gripes much troubling and weakening the Sick at divers times of their Continuance therefore to be call'd Emptying or Cleansing Fevers 40. XVIII The Fits of most Intermitting Fevers use not only to end with a Sweat good for the Sick and therfore then to be esteem'd Critical but oft for the most part of the Fit a great Sweat hurtful to the Sick and therefore Symptomatical most commonly hot seldom cold Breaths out of the whole Body or a particular part as the Head Breast Abdomen or Lims which makes the Sweating Fevers Such also are Continual Fevers observd to be that are known by the Name of The English Sweat 41. XIX But Intermitting Fevers are also observd with almost a continual Urining and that Symptomatical weakening the Sick not Critical and easing them which therfore may fitly be call'd Vretic Fevers 42. XX. Lastly that I may put an end to these partly new names Intermitting Fevers are observd to be accompanied with a grievous and troublesom Spitting and therfore to be nam'd Spitting Fevers 43. Without doubt there are yet many more Kinds and Differences of Intermitting Fevers to be nam'd from their grievous and molesting Symptoms but let it suffice to have mentiond the most notable ones which I being much hurried could call to Mind 44. If any ask me the Causes of Intermitting Fevers differing so many ways among themselvs I answer That one cause makes an Intermitting Fever as Intermitting and another makes it of this or that Kind in as much as it returns in this or that day or is accompanied with these or other grievous Symptoms 45. If any where certainly in assigning the true Cause of all and every Intermitting Fever the great difference of Doctors of Physic is observd lastly mine also perhaps varies not a little from the Opinion of the rest I now intend more deeply to enquire more accuratly to examin and explain more exquisitly then ever I did before all this hard and intricat business chiefly upon their account who never heard or are like to hear me publicly or ever have hall or may have conference with me about this Matter Which I will do as much as I may for my Concerns and Distractions daily encreasing rather then decreasing and therfore perpetually withdrawing my Mind from an attentive Meditation wholly requisite here my privat Auditory tarrying for the same and the Printer daily urging 46. There is therfore requir'd to produce an Intermitting Fever that is which returning somtimes in certain other-times uncertain now in shorter othertimes in longer Intervals and indeed after a total Cessation and that also somtimes longer othertimes shorter by new Fits longer and shorter likewise both on the account of Cold and Heat which seeing it is not in the Blood otherwise it would be a Continual Fever is mixt with it and carri'd to the Right Ventricle of the Heart and truly 1. From such a part of the Body which should communicate it self by its Vessels with the Heart either immediatly or mediatly For here we suppose as our Foundation the Circular Motion of Blood both prov'd abundantly by others and Us also elswhere 47. 2. From such a part and by such Vessels in which it may by an External Cause consisting almost in the Non-natural Things so be infected and afflicted that it may be suddenly stopt in some part in its Motion and that for some time and hindred now longer other-whiles shorter lest it should constantly come to the Heart 48. 3. It should be such a thing as either for its stopping alone and standing still in its Place or Vessels of its own accord or for any other Internal Cause concurring to be nam'd or demonstrated should acquire such a vitiation from which where after that an open passage to the Heart is restor'd to it by what way soever either alone or joind to others also to be determind all the Symptoms though never so divers and observable in the manifold Kinds of Intermitting Fevers describ'd may commodiously be deduc'd and confirmd by a rational and certain Cure For We command all Hearty and Worthy Students of Physic the Queen of Arts once and always to bid farewel to the Commentations and vain Fictions contrary to the Practice of Physic 49. 4. It should be such an Impediment which for a time may bind up such an Humor stopt before and after it has got an Out-let by what cause soever at last it should return to its former Nature and therfore should likewise stop the like Humor to the former so long in the same place till the same as the former pour'd out by away prepar'd after what manner soever should produce a new Fit and that should be so long continu'd by course til at length unless the sick perish first either of its own accord or by chance or by art the noted Impediment should be corrected or taken away and the Intermitting Fever be Cur'd by the same 50. If therfore we should attentively consider that all the Humors of the Body of Man for we leave the oeconomy of Brutes to Ferriers to be weighed and explaind are prepar'd in their proper Places or be kept there and after that be carri'd through their Vessels to the Right Ventricle of the Heart we shall observe that beside the Blood returning to the Heart by the Veins from all the Containing Parts 1. Choler mixes as well immediatly by its Passage through the Liver with the Blood Ascending as mediatly with the Blood Descending through its Passage to the Gut in the Guts the Lacteal Veins and
the Lymphatic Passage of the Brest 2. The Lympha mixes it self immediatly with the Blood Descending by its Lymphatic Vessels and their Trunk 3. The Juice of the Pancreas is only mediatly mixt with the same Blood Descending through its proper Passage the Guts the Lacteal Veins and Passage of the Brest 4. Lastly The Spittle in like manner mediatly only mixes with the Blood Descending through its Passages the Mouth Throat Ventricle Guts Lacteal Veins and Passage of the Brest and together with it is drawn forward to the Right Ventricle of the Heart 51. Beside which four Humors seeing hitherto none are known to be carri'd to the Right Ventricle of the Heart of necessity we must judg the Cause of Intermitting Fevers as Intermitting to be deduc'd from One or More of them since all may see that the Blood when ill-affected causes a Continual and not an Intermitting Fever because of its perpetual Motion to the Heart 52. If the Blood stand still any where presently there arises an Inflammation which if communicated to the rest of the Blood in like manner produces not an Intermitting but Continual Fever To which somtimes is coupled an Intermitting Fever and especially a Tertian and then from both for a Continual Tertian to arise is no new thing nor wonder for reasons manifest enough by what is said beneath 53. The Blood therfore herein being laid aside I. None will judg that Intermitting Fevers as Intermitting can be deduc'd from Choler who hath diligently considerd that it cannot be so infected and afflicted in its Passages suddenly by any External Cause so as to be stopt either wholly or in part in its motion for a time and again either of its own accord or for any other demonstrable Internal Cause should find a way by which it may produce the Symptoms above noted by what way soever it 's brought to the Heart and that either alone or joind with others 54. I do not deny that Choler is turnd into smaller or bigger Stones and also into a Stony Crust in its Passages through the Liver But as neither coms suddenly so neither is it observd that either of them were dissolv'd by any Internal but only External Cause nor yet so that any thing like to Intermitting Fevers can thence be deduc'd 55. In like manner somtimes Choler is judgd not to be carri'd down to the Small Gut from what cause soever when the Excrements are obscurly white and thicker then usual But an Intermitting Fever is not always observd to accompany the Jaundies although often it doth which therfore cannot be taken thence for an impediment of Choler 56. II. Neither from the Lympha can Intermitting Fevers as Intermitting be deriv'd For besides that the most Symptoms accompanying them for the most part and observable chiefly in the Abdomen cannot be expected even in a Dream from the Lympha besides if Intermitting Fevers did depend of and were produc'd by the Lympha then either all or but part of the Lympha were faulty as though it were hindred and farthered again reciprocally in its Motion to the Heart If all where and what kind of Impediment could that be whether or no in all the Conglobated Glandula's Muscles and Bowels or in all the Lymphatic Vessels or their Trunk about their insertion into the Jugular or Axillar left Vein But if only a part thereof then which and where Whether that which goes only to the Heart from all or some only of the Conglobated Glandules Or whether it be hindred in all the Glandules But these Glandules are rarely found to swell or be hard and that only when the Head is stuft or in Catarrhal Fevers of which we spake in the former Chapter scarce ever though the Intermitting Fever be very troublesom the Causes whereof we search so that by how much the more diligently any searches the Rise and Motion of the Lympha as also its Supply and Vessels so much the less will he encline to ascribe the Cause of Intermitting Fevers as such to the Lympha 57. III. Intermitting Fevers as Intermitting in no wise seem to be deduc'd from Spittle For that we transfer not hither more Arguments from what is now said of Lympha although somtimes for that is not perpetual a little before the Feverish Fit or together with its Beginning the Spittle is observd to flow more plentifully or slowly unto the Mouth notwithstanding the same Spittle is not noted to be such that the molesting Symptoms of every Intermitting Fever I say not all but even the most frequent may folidly be ascribed to it The Spittle is not always I say carri'd which if so should wholly be carri'd in the time of Intermission more slowly to the Mouth and more plenteously while the Fit begins or molests and somtimes the contrary somtimes neither happens But the Vitiations which are found in the Spittle do nothing less then testifie the primary but rather the secondary Vitiation of Spittle as it will more evidently appear from what is to be said hereafter 58. IV. Any Man may easily think that Intermitting Fevers as Intermitting are to be deduc'd from the Juice of the Pancreas who shall observe with an attentive Mind all and every of the Requisites noted in Sect. 46 c. to produce them to concur here and only here 59. For 1. This Juice is carri'd from the very Pancreas in such a Part which by its Vessels and proper Passages as it is said in Sect. 50. mediatly communicates with the Right Ventricle of the Heart 60. 2. The same Juice is carri'd by such Vessels to wit the Lateral or Side Passages in one or more wherof it may be so infected and afflicted by an External Cause that it may suddenly be stopt in some part in its motion and hindred for a certain time least it should continually go to the Heart 61. And that falls out as oft as Phlegm which uses to be much gatherd and accumulated in the Small Gut is dissolvd either by Heat of Air or a vehement Motion of Body or Watchings prolongd or Care of Mind or Anger continu'd or Meats Sauces or sharp Medicins or else by any other Cause and then being mixt with the Blood is carri'd together with it all over to all parts of the Body and being joind more or less every where with all the Humors is carri'd with the same in their Vessels Whence as in other places so in the Lateral Passages of the Pancreas I mean the strait ones the same Phlegm thickens stops the same Passages and hinders that the Juice standing still there cannot go into the Middle and Greater Passage and so forward for some sudden External Cause which is apt to Coagulate Phlegm as Air frozen or blown with chill Winds or with any Blast causing cold Rain or any Water touching the Body and afflicting it with its coldness Drink of any cold Liquor especially when taken in a large quantity A sudden and especially unexpected Terror and great Grief of Mind c. 62.
more swiftly and potently to a certain and determind Part because of Blood effus'd out of the same yet not in too great or high a quantity because where this happens the rest of the Blood is carri'd thither yea is so carri'd out that by its defect the Vital Fire is diminisht in the Heart and the Blood deficient and little however rarefi'd there can less open the Ventricles of the Heart and therfore can less provoke its Musculous Substance to contract it self therfore the Blood is less driven every way and at last fails unless Life be speedily helpt after a Universal Languishing 12. The Blood effus'd flows into the Substance of the Parts or Cavities of the Body and is gatherd there out of the Arteries any way internally opend and lying open as the same flows out of the Body and Arteries hurt about the superficies of the Body 13. A Plethâ—ra at the Vessels for its Causes argues an healthy Constitution of the Body and a more liberal use of the best Food a Mind void of Cares little Exercise of Body much sleep and such-like 14. We have spoken of the Causes and Cure of Blood less apt to rarefie in Chap. 34. where you may see them which make hither 15. We must speak elswhere of the Rising Causes and Cure of several Tumors and of an Obstruction of the Vessels of Blood and its Causes Effects and manner of Curing it we intend to propose more in Chap. 40. 16. Of Fevers as also a Palpitation of the Heart we have professedly treated before but of the several Differences and Causes and Cure of Wounds perhaps we may comment elswhere God willing 17. We will therfor admonish only one thing among many that make for a Cure of the noted Diseases from the Flowing of Blood through the Arteries deprav'd of Curing a Plethora at the Vessels so call'd soon and safely to wit that it may be absolvd by a sufficient letting Blood out at an opend Vein where I would have you observe that according to the proper Constitution of every one to be Cur'd the Blood be let out at one or more times and that somtimes in a greater somtimes in a less plenty 18. The Encreasing of the same Plethora may be prevented 1. by diminishing the quantity of Food which is of much and laudable Juice and by substituting in its place Food of more difficult Fermentation and that which contains less of a nourishing Juice 19. 2. By daily exercising and wearying the Body more 20. 3. By withdrawing by little and little somthing from Sleep 21. 4. By calling into use and Encreasing Cares and serious Occupations of the Mind which ought not to be too much vexing 22. 5. When by these means the too great encrease of Blood cannot yet be enough hindred endeavour must be us'd that moreover the Blood nevertheless more encreasd should be diminisht in time by opening a Vein CHAP. XXXVII Of the Nourishment of all the Parts deprav'd and in especial of Atrophia or Pining 1. THe general Vse of Blood carri'd to all and every of the Parts is their Nourishment or repairing of the Particles by degrees departing from them and perishing as also in Youth their Encreasing to a decent bulk and bigness 2. This Nourishment and Eucreasing of all the Parts is deprav'd somtimes either Vniversally or Particularly and that often according to the Flesh of the Muscles and Fatness seldom according to the Substance of the Bowels and Bones 3. This Depravation happens when 1. that Nourishment is Deficient in an Atrophie or Pining 2. when it is too Much specially in Fleshiness or Fatness 3. When it is Vnequally or Evilly in a Cachexie Anasarca Leucophlegmatia Rickets c. 4. In this Chapter we will Treat of an Atrophia or Defect of Nourishment in the following of the rest 5. The Nourishment of the Body is wont to be Deficient manifestly as is said upon the account of Fatness and the Musculous Flesh and not upon the account of Gristles Bones or the Substance of Bowels 6. When Fatness only is consum'd and is not equally repaird 〈◊〉 may be call'd Leanness when the Flesh is together diminisht and is not restor'd Pining Neither is it a new thing to observe Men whose Fat only decays but somtimes also those whose Flesh perishes more then their Fatness 7. This double Atrophia is often Vniversal through the Universal Body but not so often Particular and in some determinate Parts only especially in the Lims 8. This Atrophia happens often by the Fault of Blood seldom by the fault of the Part affected 9. The Atrophia happens by the fault of Blood when it is either deficient in the Universal Body or some part or is unfit to repair the Parts that grow lean 10. Blood is Deficient in the Vniversal Body both because of a voluntary or forc'd Hunger by any kind of notable Effusion of Blood by the defect of convenient Food by too much Motion of Body by Watchings too long continu'd by permanent Cares by too much and too long heat of Air and because of a Loosness prolong'd 11. The Blood is usually Deficient in some Part because of its hindred Flowing unto or into It and so the Cutting or Compression whatsoever of the Arteries tending to it by the Vnjointing of the Bones hard Tumors Bonds c. 12. The Blood is unfit to nourish and repair the Body Containing and its Parts more or fewer because of a vitious Quality or Vitious Salt Viscous Purulent c. Humors mixt with it 13. The Blood oft retains a vitious quality after great Symptoms and Diseases gone before Burning Fevers the Dysenterie c. or as yet present an Hectic Fever either single or Tisical Wasting and slowly or suddenly consuming the Body Although I then think the vitious Humors are to be considerd which produce the noted Fevers and do moreover vitiate the Blood and make it unfit to nourish the Body especially Matter infecting and corrupting the Blood in a Tisic 14. We have in several places and still intend to propose in this Treatise the rising of Vitious Salt Viscous Purulent c. Humors whence they may be sought 15. Pining happens by the fault of the Parts to be Nourisht when they suffer some harm by what Cause soever and especially External and Accidental to wit by a Chance Contusion great Wound c. whence the Vessels carri'd through Them are not only burst or cut but the Flesh it self and the Membrans c. are wasted and vitiated wherfore the Blood is not only deficient but the Food also coming to them is corrupted 16. The Cause of Pining which some seek or place in the Defect of the Radical Moisture or Inbred Heat or the Inward Temperament chang'd into too hot and dry I think is to be sought and found in Choler Lympha and also Spittle and the Juice of the Pancreas not feignd and commented and so Chimaerical but actually existing observd by many and sensible Humors but after
divers manners chang'd and vitiated 17. In an extreme Pining beside the Hippocratical Face consisting in the Temples fall'n the hollowness of the Eyes the Nostrils sharp the Chops giving out and the Mouth gaping the Ribs in the Brest stands out and the Gristle call'd Ensiformis is seen crooked the Sholder blade and Collar bones appear like Bows the spine of the Back shows it self the Belly appears fall'n and contracted the Buttocs are lank or consum'd the Legs Arms Feet and Hands with Fingers are beheld dry and Swellings about the Joints seem to stand out the Nails are crookt the Hair falls off and the Skin becoms limber wrinkled swart and dry mean while the Veins swell out being conspicuous and wan every where and the Universal Body is observ'd in some almost transparent and pellucid 18. All Physicians testifie whom Experience favours that a Pining especially after it has continu'd for some time is hard to Cure and oft-times Incurable although the most think that it is not hard to cure in the beginning so that it be known 19. Pining may be Cur'd 1. by Repairing the Vniversal or Particular Defect of Blood and by using the best Food in a moderat quantity and by removing or amending every Cause of that Defect of which we have spoken or will elswhere 20. 2. The same Pining may be Cur'd by Correcting any kind of Fault in the Blood and by Removing from it every vitious Humor mixt with it by those that Evacuate most convenient for every one Vomits Purges by Stool and especially Diuretics or Sudorifics and moreover Salivating Medicins of which we have spoken elswhere whence they may be selected which are most profitable here 21. The Correction of Blood alterd and vitiated several ways may be vari'd according to the variety of their faultiness by using Medicins most fit for every Fault unless you have at hand Vniversal Correctors such as are made most efficacious of Minerals and Metals and other things less determinat to the parts of Living Creatures and therfore the best and in special of Antimony Gold Iron Vitriol Coral Pearl c. whence the Tinctures and Sulphurs c. to be made of these above-said are not undeservedly mentiond and commended 22. The same Pining may be Cur'd 3. by Repairing the harm of the Parts to be nourisht com'd by a mischance of which thing we intend to speak professedly in the Chirurgical part of Physic CHAP. XXXVIII Of an over-Fleshy and Fat Constitution of the Body 1. WE said in the former Chapter that Nourishment was too much notably both in the Fleshy Excrescency of the Muscles and in Fatness whence the whole Body is observd greater which is not equally when the Substance of the Bowels or Glandul's increase to too great a bulk by reason of which there are Tumors only thought to be every where produc'd 2. The Musculous Habit of the Body becoms more Fleshy by much and laudable Blood the Motion of Body and moderat Exercise concurring the Life void of anxious Cares a moderat or more prolongd Sleep a large taking in of Food of much Juice and easie to ferment 3. The Body becoms over-Fat in Habit and Superficies as within by Blood too Fat to produce which the healthy Constitution of the Body conduces yet an Acid Juice concurring plenteous enough but mild and temperd as Choler over-sparing and not very sharp the Motion of the Body little Life also without corroding Cares Sleep pleasant and too long continual and much taking in of fat Food 4. The Body is seldom loaden with much or too much Flesh but commonly with Fat 5. Too great an Encrease of the Musculous Flesh may be Cur'd 1. by speedily Diminishing Blood with opening a Vein 2. By Exercising the Body much and longer then is wonted to a Weariness notable enough 3. By Employing and Vexing the Mind with grievous and solicitous Cares 4. By Encreasing Wakings and by lessening Sleep 5. By Using more sparingly Food of much and the best Juice or in their stead taking those that less nourish or are more difficultly fermented 6. The same Fatness of Body may be Cur'd 1. By Using often and plenteously any sharp Sauces both Sowr and Aromatic that is salt or bitter which as well make the Glandulous Liquors more Acid as Choler more bitter and sharp Such are Vinegar Juice of Citrons Spirit of Salt c. Pepper Cloves Cinamon Mace Ginger Cresses Rocket Mustard â—ny Radish and chiefly Horse-Radish c. 2. By Moving the Body much 3. By vexing the Mind with Cares 4. By daily lessening Sleep 5. Wholly abstaining from Oily and Fat Food for so by little and little the superfluous Fat will not only be consum'd but its new encreasing hindred CHAP. XXXIX Of a Cachexie and in special Anasarca and Leucophlegmatia 1. THe Nourishment of the Body peccant in quality may and is wont to be call'd a Cachexie in which the Native Skin and especially Colour of the Face languisheth and is chang'd pale and somtimes yellow or livid and very wan as in some swart red or somwhat redish together with little Pimples rising up commonly in the Nose and Cheeks of several sorts 2. In the most kinds of a Cachexie a Dyspnaea concur's which is more encreas'd when the Body is mov'd especially over-much and in ascending an high place And then most usually a Palpitation of the Heart and a Pulsation of the Arteries about the Throat and Temples manifest to Sight is produc'd Commonly there is a Weariness of the Vniversal Body and Thighs especially Often a pressing and vexing pain of the Heart urges which uses to be encreasd after Food taken in Yea for the most part there is a lingring Fever and that either Continual or Intermitting or Compounded of both Vrin coms away often Crude or Watry seldom Thick or Troubled unless they be troubled or chang'd by another Disease accompanying or an External Cause At length the Universal Body waxes Lean and Pines in some as in others the same Swels and is Turgid And an Anasarca comes by a Serous Humor as a Leucophlegmatia by a Phlegmatic and more viscous Humor and an Ascites from both at least the former when the Belly with the Thighs only is troubled 3. A Cachexie spares none nor People of any Age although most frequently it siezes on Women because of their Monthly Courses Staying too long and hindred or any way Supprest it is also often enough wont to accompany the Hypochondriac Disease and its notable kind the Scurvy 4. The Cause of every Cachexie is the Blood endued with a vitious quality because of which although the parts of the Body be a little and for some time nourisht yet are they not nourisht as is requir'd but their nourishment is deprav'd several ways according to the variety of the quality peccant whence also more kinds of a Cachexie are observd to be distinguisht both according to the diversity of Heat chang'd and especially of the Symptoms conjoind 5. The Quality
come within the reach of that Motto in the Duke's Theatre Vniversus Mundus exercet Histrioniam And besides this it serves for divers purposes more Concerning which give me leave because it may be of use to make publick here what I not long since privately wrote upon an eminent occasion thus 'T is a common trick among the Tribe of Dissectors to open Bodies of their own or other Mens Patients in pretence to satisfie themselves and the deceased's Kindred touching the cause of Death and thence they always pick out enough before the admiring By-standers to justifie themselves and their own mistakes by reasons to prove that the Patient was incurable or else they will be sure to collect dirty matter enough to cast upon any Physician whom they envy whose hap it may have been to have given Physick before them to the same Patient especially if he be not of their Honorary number hundreds of able Practitioners and Learned have been thus artificially blasted So that it were well if this famous City of London would take Notice of such crafty Abuses for the future For though somtimes when upon opening of Bodies the internal parts appear decayed or corrupted in their Tone and Substance 't is manifest then what brought on Death yet not so at other times seeing most Diseases lying in the variations of Blood and Humors Spirits and Ferments of the Parts are in their Causes remote from such ocular inspection let none in these Matters be gull'd hereafter For that nothing certain can be concluded from the stagnation of Blood or other Humors found in any place or passage of the Body after Death is evident in this that Nature upon Death's approaches being driven to most violent motions doth extravasate intravasate throw Blood and Humors in and out here and there and every-where Cap-a-pe through the most abstruse and unperceivable Passages So that if stagnant or coagulated Blood or other Humour be found in any part by Anatomizing it cannot be concluded it was so before death For it was well said of old by Celsus the most prudent of all Physicians in his Preface Neque quicquam esse stultius quà m quale quid vivo homine est tale existimare esse moriente intò jam mortuo which is in plain English That nothing is more foolish than to imagine that things within a Man should be in the same state when he is dying as they were when he was living much more when he is actually dead From hence also observe what mistakes Physicians may be led into by blind supposals and conjectures of Blood or other matter lodged in this that or other secret Passage of the Vessels or Bowels to be causes of Diseases when they proceed thereupon to raise fanciful Doctrines whereby to manage practice in After-time and order Cures by Calculations secundùm ductus Hypotheses Anatomicos No Man can be against a due enquiry into Anatomy so far as concerns a being acquainted with the Structure Figure Scituation and Connexion of the Parts of the Body especially in Cases of Chirurgery wherein its greatest use doth lie and of this also it becomes a Physician not to be ignorant who ought also to be a Chirurgian though the sine-finger'd Academick Education of Physicians in England hath here unhappily divided the two Faculties the Professors of the one being brought up to Talk the other to Work the one in their youth to speculative Philosophy the other from their very first youth in practiceâ— Drudgery if I may so call it in comparison with the other from whence 't is observable we are always furnished with far more able Chirurgians than Physicians Consider what greater Men ever had we in the World for the old way of Physick formerly than those that were bred up Chirurgians Galen himself was bred a Chirurgian And where now will you find among the Galenists of our Nation Men for Physick to be named after those famous Persons bred Chirurgians such as were Pareus Chalmetaeus Pigraeus Guillemeau Ingrassias Felix Wurtzius Fallopius Vesalius Carcanus Severinus Marchetti Spigelius and the two Fabricii one an Italian the other a Swisse viz. Hildanus and ab Aquapendente whose Judicious Works and great Performances made them renowned through the world But now forsooth a Chirurgian with us is made so little a thing by our Doctoral Confederates that when he hath a Patient they expect he should not presume to prescribe any thing of Internal Physick for the promoting his Cure though none can judg so well what is fit to be done as himself so that if he gives way he remains liable to the possibility of having his Work spoiled either by the ignorance or sometimes the malice of another Person that knows little or nothing of the management of a Chirurgical Curation Besides if our Chirurgians were excluded as that 's the desire and aim of the others from the Practice of Physick I wonder where his Majesty for his Fleets and the Merchants for theirs â—â—n which the Wealth and Glory of this Kingdom doth depend would be supplyed with Able Practitioners for the Sick at Sea the greatest sicknesses both Acute and Chronick being there predominant Not from the fine breed of the Scholastick Family whose Learning so much as it is and that is in but a very sâ—w of them lies quite beside the way that leads to the more noble â—â—â—ally of Physicians insomuch that when they first come to Town with the Learned Cushion-Cap and Scarlet the very Apothecaries Boys are able to tutor them in Town-practice laugh at them and tell Tales behind their backs Wherefore seeing the Juniors are not fit to be trusted aboard with the Seamen and the Seniors never did serve nor mean to do it and nothing but another great Plague can send them out of London Which way can the Sea or our Armies be served with Physick and Chirurgery if Surgeons-Hall be not to be lookt on as a Colledge of Physicians and for which of their good Services to the Crown Kingdom and City will the other Society ever have the confidence to seek an Authority to tuck the Necks of all other Physicians Chirurgians and Apothecaries under the Girdle of their Jurisdiction But 't is to be hoped the Nation will ere long be convinced that the Laboratory the Work-house is the way to be traced before we enter the Library an Apprenticeship from our Youth to work and study under a Practiser is that only which can make one a Doctor all the rest is but flocci nauci nihili pili c. Whereupon 't is to be hoped also we shall one day think it high time that a Reformation be thought of that the present formal way which none of the Antients knew will be left and our Youth for Physick instead of being Academians be bred up more Mechanico instituted in the Operative before the bend themselves upon the Contemplative and Philosophizing part of Physick For Aristotle said well Nihil in intellectu quod
8. In the latter part of the Thick Gut known by the name of the Right Gut there is very often stirr'd up an hot and pulsing Pain and also somtimes tearing in the blind Hemorrhoids so call'd inflam'd as in the Tenesmus a corroding pain perpetually provoking to Siege of which in the former Chapter somtimes very troublesom gnawing with more or less itching 9. In all the other part of the Thick Gut call'd Colon whatsoever Pain is rais'd it 's call'd the Colic 10. The Iliac Passion and the Colic are distinguisht from one another chiesly by the situation of either Gut 11. For the Gut Colon beginning from the right Groin rises toward the Liver about the right Kidney and is thence for the most part carri'd cross-ways to the left Hypochondrium under the Gristles of the short Ribs a great part whereof it possesses and presently being writh'd to the left Kindney and the left Groin where being writh'd in the mannner of an S it is roll'd down to the Os Sacrum that it may go and end in the Right Gut Whence the Pain rising in the circuit and circumference of the Belly newly describ'd is truly to be call'd Colical although some only vouchsafe it the name which vexes and molests the upper and fore-part of the Belly like a Girdle being ignorant and unmindful how often the Colon is roll'd to the Navil and somtimes to the Bladder with a remarkable winding through the middle of the Belly 12. But the small Gut gives back more and more from the Centre of the Mâ—senterie under which we said it lay hid in the Region of the Loins where appearing again in the left Hypâ—châ—ndre although jâ—in'd unto the Mesenterie is contorted up and down about the Region of the Navel and so is â—â—ing for the most parâ— gathered together in the middle of the Boly sustains there the â—â—iâ—e Passion very variously 13. The Guts are affected in all Pains either in their Tunicles or Internal Membrans according to their Cavity or in the External Membrans according to their Superficies 14. The Internal Causes of Internal Pains â—â—â—â—icting any Guts are to be drawn from what is conâ—â—in'd in them one while râ—maining as yet in their Form yet â—â—â—sistent other-times chang'd firâ—â— into Vapâ—â—s and Wind. 15. The External and also Immediate or next Causes of Pains ariling to the Guts as a Nâ—â—dle Swâ—rd c. we do not here mind but only thoâ—e which b ing admitted into the Body may and ought to be esâ—â—mned Internal in as much as they mix themselves with things contain'd therein and together with them for the most part being more or lâ—â—s corrupt brâ—â—d Pains and other things 16. That we may assign to every kind their Causes 〈◊〉 Pains We judg 1. that a Burning Pain for the most part rises from Choler too fat powerfully and vitiously raising an Effervescency with the Juice of the Pancreas too Acid as it is known that Spirit of Vitriol pour'd to Oil of Turpentine raises an Effervescency join'd with a notable Heat and Burning 17. Somtimes we judg this same burning Pain is produc'd by the Blood either standing still in the Capillary Vessels of the Guts or by the same burst after a great distension Blood being Essus'd and breeding an Instammation there happening a manifest pulsation about the part affected by reason of which it is distinguish'd from the former kind 18. 2. We take it that a Chill Pain troublesom with grievous Coldness takes its Original from the Juice of the Pancreas very acid and sharp raising an Effervâ—scency with Châ—ler less fat or little or also overwhelm'd with Phlegmatic Humors as we observe that Spirit of Vitriol mixt with any Volatil Salt but not oily raises an Effervescency coupled with a notable chilness and coldness only sensible 19. That the Operation of the Acid Spirit in prâ—ducing Cold is much promoted by Phlegm Experience the Mistress both of Learned and Unskilful People reachâ—th 20. â—â—eaâ— depending of the aforesaid vitious Effervescency is chiefly and commonly only felt in the Region of the Lâ—ins where there is a conflux of Choler and the Juâ—ce of the Pancreas and coldness commonly urgeth only in a place remote from thence chiefly to wit when the upper part of the Gut is stopt with much viscous Phlegm which defends the part that it touches against the feeling of troublesom coldness but doth not break or hinder the action of the Joice of the Pancreas of it self breeding câ—ldnâ—ss although it enervats and blunts the oiliness and Acrimonie of Choler to which Heat is indebted as to its Primary Cause as often as this Phlegm meets Choler in its Out-let plentifully or viscously 21. As therefore the small Gut is more or less stopt with plentiful or viscous Phlegm so Heat or Câ—ld that rises from their vitious Effervescency is felt in a place more remote or nearer the Conflux of the aforesaid Humors Choler and the Juice of the Pancreas 22. 3. The Pain that does as it were Bare and is Fixt I ascribe to the Juice of the Pancreas mixt with much sharp and viscous Phlegm then known by the name of Vitreous or Glassie Phlegm And farther I assign its Boring to an Acid Acrimony and its Fixtness to viscousness accompanying 23. 4. Where the Juice of the Pancreas hath not only a very sharp Acidity but also Harshness then there is a wonderful sâ—â—se of Contortion in the part affected such as often urges and writhes in the Colic 24. 5. A Pain with the sense of Weight is wâ—nt to be rais'd by plentiful and viscous Phlegm peccant before other Humors 25. 6. From the same Phlegm viscous and rarâ—â—iâ—â— into Wind distending the Guts alone or also the Belly arises a Diâ—tending Pain 26. From this same Wind arises a Tympanie one while remaining and shut up in the Câ—vity of the Guts at another time piercing oâ—t 〈◊〉 them into the Cavity of the Belly and there expanding the Inner sâ—im of the Belly 27. The material cause of Wind is visous Phlegm but the Efficiâ—nt Choler peccant both in its saltish Aâ—immie and its volatil oiliness which anâ— Aromaâ—e Oils do prove prepar'd especially of Seâ—ds a sâ—w drops thereof being taken resolvs viscous Phlegm that is in the Stomach or Guts into Wind and farther discusses the same 28. 7. The charp Vapors stirr'd up by the over-Acid Juice of the Pancreaâ— over-ruling in its vitious Effâ—rvescency with Choler pricking the Guts here and there do produce Griping and Wandring Pains therein 29. 8. From Châ—ler peccant in its saltish Acrimonie and constiâ—â—ting with the Juice of the Pancreas a Salt corroding Humor I dare say the Pain obscurely burning and corroding is bred which a Snuffling in the Head conâ—â—ms wherein a sowrly salt Humor distilling from the Brain by the Nostrils uses to make the 〈◊〉 corroding Pain 30. From the same Choler too sharp constituting a Salt Humor and at length carri'd down to the Fundament and Itching Pain is rais'd very troublesom to
said about the Rise and Cure of several Pains to find the true Cause and Manner of Curing of others as yet more obscure or complicated and perhaps not explain'd here CHAP. XV. Of the Vomiting of what is contain'd in the Guts and namely of the Disease Cholera and Ileos 1. THat which is contain'd in the Guts according to Nature is either driven forward into the Lacteal Veins in as much as it is useful to nourish the Body or is expell'd by Stool in as much as it is unuseful to nourish it But against Nature the same is either too much excluded bâ— Stool with the Humors flowing together in a loosness thence call'd of which we spoke in Chap. 13. or in the contracted motion of the Guts inverted it is repell'd upward into the Ventricle and thence vomited out in a consistent form or exhal'd or belch'd in the form of a Vapor or Wind somtimes it is voided either into the Cavity of the Belly or out of the Body by Wounds or Vleers of the Guts of which elsewhere 2. Wind therefore breaks out in Belches and Vapors in Yawning and the Hypochondriac Suffocation wherein oftentimes Wind also is rais'd of which we have in part spoken Chap. 9. there is no Disease comes to my mind in which Vapors are observ'd to rise 3. A Vomiting proceeding from the Guts differs according to the diversity of what is voided for somtimes Food is repell'd being first driven down to the Guts other-times Humors carri'd down to the Guts and voided either single and pure Choleric Phlegmatic Serous or Bitter Sowr Harsh Salt Sweet Insipid c. or Yellow Green Ceruleous Black White Watry Clear c. or variously mix'd one while Excrements other whiles Blood or moreover Matter or other things rising from the Guts 4. The primary Cause of all this manifold Vomiting is the contracted Motion of the Guts inverted and drawing yea compelling the Stomach to a consent thereto and like change of motion 5. This change of Motion begins frequently from the place where the Passage both of Choler and the Pancreas is inserted seldom from the Seige often from this or that part of the small Gut troubled with a Gangrene or any other grievous Disease 6. From the place of the Insertion of this double Passage the motion of the Guts haps to be inverted by reason of the potent and violent effervescency of sharp Humors then in the Body or corrupted or irritated by what is newly taken in 7. The sharp Humors that are in the Body are Choler and the Juice of the Pancreas gone from their natural state as somtimes also Spittle swallow'd either Acid or Salt and carri'd down to the Guts 8. The things taken in that corrupt the aforenam'd Humors and provoke them to raise a vitious effervescency are either Summer-Fruits Cheries Plums Melons Peaches Grapes c. also new Wine or any sharp Medicins making either of the mention'd Humors sharper as also Vomits or certain Poisons Arsenic Orpiment c. whither corrosive sublim'd Mercury may yea ought to be referr'd seeing that if it be taken pure uncorrected though in the least quantity it disturbs and corrupts all 9. As often as Choleric Humors are voided out as well upward as downward with great force and plentifully together with the troublesom anxieties of the Midrif accompanying either of their own accord by Humors before in the Body or because of an external error committed in Diet this Disease is wont to be call'd Cholera 10. In the Hypochondriac Disease and Suffocation and the Scurvy it self there are somtimes rais'd freely Vomitings of various Humors thinner or thicker too Viscous or Fluid Bitter or Acid or Salt or Harsh or Sweet or Insipid Yellow or Green or Ceruleous or Black or White or Watry or Crystal-like or of divers Colours so that all the differences occurring in several or the same Sick People are very difficult to be numbred or reduc'd into a certain order 11. Somtimes Blood also is by force poured out by Vomit Which I suspect if not always at least most commonly comes out of the Pancreas by reason of some Vessel open'd by its over-sharp Juice and it is driven up to the Stomach to be vomited out there being then also a vitious Effervescency with Choler whilst for the most part some of it descends downward to be voided by Stool 12. I Cur'd the Widow of a Mariner about 20 years since at Cullen fallen through great grief of Mind contracted by her Husbands Death if my memory fail me not into a grievous and daily Pain of the Loins and hence into a spontaneous Vomiting and Dejection of Matter left for incurable by Physicians call'd to see her yet restor'd by degrees with the help of Sugar'd Wine warm'd and taken by turns And seven years after by a grievous sorrow of Mind brought into such a like vehement Pain of the Loins I therefore guessing by the relation of her former Disease that Matter lay hid in the part griev'd by a former Inflammation produc'd and collected gave her twice an Antimonial Vomit and if I remember right my Sapa Vomitoria by the help whereof she vomited the first day more than a pint or â„¥ xx of Matter well ripen'd and by Stool a good quantity of the same also by the benefit of the Vomit iterated one or two days being interpos'd she empti'd again some Matter upward and downward though less than before and was restor'd to perfect health in a short while some few Cordial Medicins and such as resist Putrefaction being given 13. I judg that Matter therefore procedes out of the Pancreas because the place affected answer'd its Situation and because I have often found Matter collected in greater or less plenty in the Pancreas after Death but not in any other part from which there was a way to the Guts 14. The sâ—â—ne reason makes me conjecture and think that the Vâ—â—iting of Blood is not to be deduc'd from the Spleen of Liver nor yet the Mensenterie but from the Pancreas alone saving the judgment or observation of others 15. When the contracted Metion of the Guts begins to be inverted from the Siege then I judg an exceeding sharp Humor adhers to it seeing it is wont to be Cur'd with such as only asswage and temper sharp things For I never had such a Patient to Cure that I could make an exact examination of all his Symptoms and hence give a solid Judgment of every one 16. Often its contracted Motion begins to be inverted in this or that part of the small Gut with the Vomiting up of the Excrements following from the Gut affected call'd by Physicians Ileos and Ileos by Practitioners 17. I have observ'd in Dissecting dead Bodies a twofold Cause of this Evil the one was a Gangrene of the Gut such a wrinkling and pressure together of the corrupted Gut accompanying it that all passage downward was deni'd the Excrements and were forc'd to a miserable return upward and so an
Whether such an Aromatic Oil fitly call'd Balsam of Life or any other like it whose stupendious force in such a case is not unknown as well to them that are Expert in the Art of Chymistry as Skilful in the Practice of Physick be join'd to the Blood almost condenst to Death by Phlegm Viscously-Acid in the Right Ventricle of the Heart or elsewhere 22. As much as I am able to attain by the best of my Understanding that I may study to satisfie this Question saving to every Man his particular Judgment I judg it no wise absurd to think that this Conjunction of the Aromatic and then truly Vital Oil with Phlegm Viscously-Acid too much thickning Blood happens in the Vessels of the Lungs seeing that nothing offers to hinder that some part of the over-thick Blood may be driven forward into the Arterie of the Lungs before either the Pulse or Respiration be taken away to Sense This being asserted it will not be difficult to explain how the strength of the Aromatic and Vital Oil should pierce easily to the Right Ventricle of the Heart as I conjectur'd then more or less open'd and also by the Blood it self not less coagulated in the Arterie of the Lungs then too much in the aforesaid Ventricle and therefore less fluid 23. These things being inserted as it were by a Parenthesis to incite Wits note that the wonted Effervescency and hence the Rarefaction of both sorts of Blood flowing together to the right Ear of the Heart and therefore both the reciprocal Expansion and Contraction of the Heart and the Pulse it self is more or less hindred and stopt by both the mention'd Causes to wit Phlegm and a Vapor Viscously Acid which is observ'd therefore not to be in the Syncope and certain kinds of Hypochondriac Suffocation hitherto to be reduc'd altogether to Swounings 24. Among the six Non-natural Things an Vnexpected grievous Sorrow of Mind or Terror and somtimes the biting Cold of Air or Water makes that Cessation of the Vital Effervescency somtimes and oftner in Persons dispos'd to it because of the Viscous and Flatulent also and Acid Humors now already in the Body in Women especially and others of a more fearful Nature 25. II. This Effervescency of the Blood Descending and Ascending to the Heart is Diminish'd and so becoms Less or Weaker by the fault of either the Choleric or Lymphatic Blood 26. Of the Choleric when Choler is not sharp enough or is too little in the Ascending Blood 27. Choler is produced in the Body not sharp enough 1. Because of the over-cold and moist Air. 2. Because of Phlegmatic Watry Oily Acid but not Sharp and Aromatic Food and Sauces over-long us'd 3. Because of much and deep Sleep 4. Because of Rest and sluggishness of Body 5. Because of the Mind void of Care fearful and sad 6. Because of the Monthly Courses or wonted Sweats supprest 28. Choler is found too little in the Ascending Blood for the same Causes newly mention'd and chiefly by a Choleric Loosness or over-great emptyings of Choler wrong done whence the natural quantity of Choler is diminish'd 29. By the fault of the Lymphatic Blood the aforesaid Effervescency is Diminish'd when the Lympha of the Glandules in the Blood is not Sowr enough or too Little or over-Viscous 30. This Lympha is found in the Blood not Sowr enough 1. Because of Hot or Rainy Air. 2. Because of Phlegmatic Watry Oily or Aromatic but not Acid Food and Sauces 3. Because of much and deep Sleep 4. Because of sluggishness and too much Rest of Body 5. Because of the Mind void of Care or Angry 6. Because of the Monthly Courses or a wonted Loosness supprest 31. The Lympha comes too Little to the Blood for the same Causes newly recited and especially because the Lympha stands still or is carri'd another way by reason of the Glandules ill affected in the Stuffing of the Head and other such-like Diseases 32. The Lympha is too Viscous in the Blood 1. By such-like Food long us'd 2. By the Cold and Sharp Air. 3. By a grievous and long-continuing Sorrow of Mind 33. III. The same Effervescency of both sorts of Blood flowing together in the Heart is Encreas'd and becoms Greater or more Potent by the fault of either or of both 34. Of the Choleric when Choler is too Sharp or Plenteous in the Blood Ascending 35. We nam'd the Causes of over-Sharp Choler in Chap. 1. Sect. 6 7. And Chap. 11. Sect. 18. And Chap. 18. Sect. 14. 36. Choler is too Plenteous in that Blood both when it is found more than naturally Plenteous in its Bag and when its Descent to the Gut is hindred and also when it abounds that is is provok'd by an External or Internal Cause to Pour it self out any way as is wont to be in the Disease Cholera and several Burning Fevers 37. The Gall is too plenteous in its Bag chiefly by the frequent use of Bitter especially Aromatic and Sharp Sauces and Medicins 38. The Descent of Choler to the Gut is hindred by reason of any Narrowness whatsoever that is in its Passage to the Gut 39. Summer-Fruits frequently stir up the Disease Cholera of which in Chap. 15. Sect. 8. Chap. 29 c. 40. We intend to give you the Causes and Manner of the rise of Burning Fevers below in Chap. 29 c. 41. Let it suffice that we have here noted Choler may abound by an inward Cause that is be provok'd and compell'd to pour it self out of its Bag as often as some of a Volatil Acid Liquor pierces thither together with the Blood and forces Choler to raise an Effervescency whence no wonder if it runs out at any Passage given and now being carri'd to the Guts stirs up Vomitings or Choleric Loosnesses or being carri'd to the Liver and thence rushing to the Heart breeds Burning Fevers 42. The Vital Effervescency in the Heart is encreas'd by the fault of the Lymphatic Blood when the Lympha is not so Plenteous as Volatil and Sharp though too Little flowing to the Heart with the Descending Blood 43. And such is the Lympha by the abuse of Sauces or such like Medicins such as are Wine of the Maise and Rhenish a little Sowr and also Spiritous strong Wine Vinegar Citron Juice us'd with Spiritous Wine Spirit of Nitre c. 44. But if Choler together with Lympha be peccant after the aforesaid manner who sees not that this Effervescency of both sorts of Blood must yet be hurt and encreast of necessity 45. IV. The same Effervescency is perfected more Quickly because of too little Phlegm in the Blood and Choler and Lympha therefore too sharp and less temperd 46. Phlegm is too Little in the Blood 1. Because of Summer and subtil hot Air. 2. Because of Food or Sauces and Medicins very sharp and Aromatic too plenteously us'd and others neglected which are wont to breed Phlegm 3. Because of a vehement long continu'd motion of the
the Universal Blood by that friendly fight but it is encreasd as oft as Choler being very Salt and Oily has Dominion on the contrary it is diminisht as oft as the power of the Sowr Liquor is greater Lastly The same is extinguisht where the extreme excess is in either or both of those somwhat Contrary 34. A Fever may in general be Cur'd Either I. By Condensing the Blood too much rarefi'd and by allaying the over Esservescency of the Blood 35. Or II. By Tempering any Sharp or Sowr or Lixivial Salt thing found in the Humors and carrid to the Heart 36. Or III. By Discussing every Vaporous Windy thing or by preventing its rising 37. Or IV. By taking away every Sharp thing pulling the Heart on the out-side 38. Among the Symptoms of Fevers that are more frequent and primary Cold is Corrected by Medicins that temper the Sowr Humor and amend Insipid Phlegm and Heat by Medicins that mitigate the Lixivial Salt and condense the Oil. 39. An Obstruction of the Passages of the Pancreas may be Cur'd by loosering at least by removing viscous Phlegm out of its preternatural place and by carrying it out by Vomit Stool Vrin or Sweat 40. And by what Means and Remedies all these may be performed will not be difficult from what is above-said and will yet be more evident from the peculiar Cure of the several kinds of Fevers to be propos'd hereafter CHAP. XXVIII Of a Fever of One Day 1. THat we may not seem rather to confound Students busied in the reading of Classic Authors than help we will treat in order the Kinds of Several Fevers as they are commonly distinguisht and propos'd 2. Therefore let us begin at the Diarian Fever which is either of one day and scarce continues the space of 24 hours call'd Ephemera or continues two three or four days call'd by certain Diaria of More days and a single pure or not putrid Synochus 3. A Diaria is wont somtimes to begin with a light shivering testifying a little Cold accompanying or preceding somtimes without it and chiefly when the Universal Body by degrees is so far heated by some Non-natural Thing that at length a little Fever is stird up wherein Heat in the Heart and Blood doth not so much begin to be encreasd as to degenerate out of a more encreasd Non-natural Heat into a Preternatural Heat which besides may deprave other Functions and produce a Pulse more Frequent then is Natural and although its Cause bâ— taken away or moderated yet remaining longer than is wont with greater or less trouble of him that is Sick 4. Heat in a Diarian Fever following a Shivering or stird up without it any way is wont neither to intermit nor to be made more intense by any new Fits but uses to persist continual to the end and remain in an Ephemera as also a Synochal Homotonus or Aemastic so call'd usually in the same degree as gradually to decrese in a Paraemastic and in an Epaemastic perpetually to increase till at length it again câ—ase by degrees 5. The same Heat is gentle mild and vaporous in an Ephemera the Skin remaining soft and moist In a Synochus somwhat greater yet not sharper when the Blood and other Humors are temperat but sharper when the Blood is more sharp by Choler or Lympha a little sharper than is natural declining a little to the nature and manner of those call'd Putrid 6. The Causes of all Diarian Fevers are the Six Non-natural Things so call'd vitiously us'd and therefore soon manifest 7. The observable Symptoms in Diarian Fevers beside the over-frequent Pulse are divers according to the diversity of the noted Causes either Alone or Adjoind 8. For when a Diarian Fever is rais'd by the alone Heat of Air to be ascrib'd either to the Sun or Fire or Bath no Shivering is observ'd but Heat alone and that by degrees more and more encreasd in the Body till at length being made Preternatural testifies the presence of a Fever not only by the Pulse greater and more frequent then is wont but also by the Pain and Pulsation of the Head and such like Symptoms anon to be recited 9. If Cold of Air or any other thing come upon the Body hot what way soever whence a Diarian Fever is raisd a light Shivering will precede the greater Heat soon after following and then in the beginning indeed the Pulse will be little but anon greater and conjoind to both more frequent other Symptoms also happening 10. So when a Diarian Fever is raisd by strong that is very Spiritous and especially Aromatic Drink taken in too much quantity a Shivering will scarce ever precede the Heat continually encreasd and at length made Preternatural and Feverish and not only manifest by a greater and more frequent Pulse but by a Heat moreover troublâ—som and by other Symptoms 11. When a Diarian Fever is bred by an over-agitation weariness and more vehement Motion the Pulse is observd not only more frequent but moreover weak beside a universal and troublesom weariness of the whole Body 12. But when a Diarian Fever is caus'd by the Passions or Motions of the Mind it owns Anger for its Cause and then the Pulse is not only more frequent and greater but moreover unequal and troubled as when it is bred by a sudden Sorrow it is Little Weak and Vnequal and about the beginning of its approach Rare and a little after more Frequent in both Cases with a more sharp Heat and a light driness of the Skin 13. When a Diarian Fever arises from Watchings prolongd and Cares a Frequent Little and Weak Pulse is wont to be a present Companion with a dryer Heat of Body and Pain of the Head carrying before it the Sense somtimes of Weight other-times of being Void or of Emptiness 14. All the Symptoms of Diarian Fevers use not a little to vary according to the various Constitution of the mentiond Causes and of the Body both Continent and especially Containd that is of manifold Humors 15. But the most Frequent Symptoms in the Diaan Fevers are a light Shivering preceding Heat somwhat more grievous following Thirst somtimes greater somtimes less Somtimes a manifest Bitterness of the Mouth somtimes none Vnquietness and Weariness of the Vniversal Body especially the Lims more or less troublesom A grievous Head-Ach with a notable Pulsation Watchings prolongd or an over deep Sleep A more stird Respiration An over-frequent and together somtimes greater and strong enough Pulse somtimes Less and Weak seldom Vnequal The Veins turgid The Skin for the most part foft and moist seldom harder and dryer The Face red and tumid Vrine in the Ephemera scarce chang'd from its natural state in the Diaria of more days more of a reddish colour Sweat breaking forth somtimes sooner somtimes later not ill smeld nor troublesom to the Sick seldom none 16. A Diarian Fever is not dangerous of its own nature whence it is terminated somtimes of its own accord
And perhaps this happens easier and ofter in the Pancreas then in all the Parts of the Body because Phlegm is easier and more plentifully joind and transported to the Acid Matter of the Juice of the Pancreas exceding all the other Humors in Acidity and again it separates easily when Coagulated by any Cause wherby the Separation between that Acid though not very sharp Juice and Phlegm though Clammy being only confus'd in no wise wholly mixt is promoted 63 Nor have we only Concluded that the Obstruction of the Pancreas in the Lateral Passages may be in probability by the now mentiond Causes in part contrary to it and mutually receiving one another but we have evidently cleard by ocular inspection more then once that it is actually done in our Dissections of Bodies 64. For somtimes among our Dissections even publicly several being then present in our Academic Hospital of the Sick besides other grievous Diseases we had the Bodies of those that died of Intermitting Fevers and indeed often manifold and of long continuance we forc'd in a liquid Volatil Salt coloured blew into the Passage of the Pancreas where it opens into the small Gut by a Syringe fit for this matter Which Salt because it pierced only into some and not into all the Glandules at first though the next day it opend all whilest it entred into both those that were near and remote and indeed some near as well as remote were not colourd and dy'd them of its colour there must needs be some obstacle which hindred the infus'd Liquor from passing through all the Lateral Passages of the Pancreas into the adjoining Glandules which all the Spectators beheld and without doubt could not but acknowledg the same 65. And that that hindrance was an Obstruction by a thick and viscous Humor stuffing up the Lateral Passages I therfore affirm because beside which none not the least sign of Compression or of any other kind of Straitness to which this can be ascrib'd did present it self all the Antecedent Causes as oft as they come to be known and the Symptoms wonted to accompany Intermitting Fevers and so also the most rational and certain Manner of curing them are found to agree and exactly to square with an Obstruction 66. 3. Such is the Juice of the Pancreas as that it may of its own accord get such a vitiation by its delay and standing still alone in its Lateral Passages as that then all the Symptoms of Intermitting Fevers though never so different may commodiously and without difficulty be reduc'd to it partly alone and partly joind to others hereafter to be determind and confirmd by a rational and certain Cure 67. For the Juice of the Pancreas is naturally sowrish which is cleard by several Arguments propos'd by Me in My second Disquisition of Fevers Sect. 32 c. and also by Experience in the happy success of that Ingenious Dr. Regnerus de Graaf tried often here and elswhere in Dogs and also once at Anjâ—u in a Man unhappily opprest and kill'd with a Beam falling on him and in a peculiar Exercise here expos'd to public examination at the end of the year 1664. I being Praeses 68. This Juice because it is sowrish therefore is such also which by its delay and standing still is vitiated of its own accord in any of its Passages and indeed so that first of all it becoms more Acid then usual and hence dissolvs the Phlegm obstructing its Passages either wholly and then carrying it out or at least pieces and passes through and at length both Alone and joind with other Humors afterward to be explaind is not only like to produce but indeed produces ill the Symptoms that happen in all Intermitting Fevers 69. For daily Experience testifies that any Acids become always of their own accord more Acid. So Vinegar the older so much the sowr The Reason wherof I take to be this to wit that the Acrimony of Acids is then encreasd because the Volatil Spirits that temper that Acidity do at least in part vanish away whence no wonder if any Acid Liquor being kept grows sensibly more Acid. By the same means the making of Vinegar may be promoted though unknown to many in a common place warmd with Fire or expos'd to the Sun on an House top for by these means a way is prepar'd for the more easie and speedy efflux of the Volatil Spirits 70. And as any Acid Liquors not within our Bodies do of their own accord and more encrease in Acidity so within the same the Symptoms both in Melancholic Diseases so call'd and which here is more requisite those that are observable in the beginnings of Intermitting Fevers and as they oft rise without the wrong use of any Acids so are they to be referd to an Acid Liquor these I say do prove that the Juice of the Pancreas by being stopt does grow more Acid which therfore we intend strait way to search more accuratly 71. The Jaice of the Pancreas grows Acid with standing still in its Passages because the Volatil Spirit which is naturally conjoind to it and so tempers it departs then gradually more and more 72. This Juice of the Pancreas by standing still as aforesaid becoming more Sharp and Acid begins to use its force and to Cut the Phlegm that stops its Passages which if it prevail with so much toughness and thickness that it cannot be wholly cleansd loosed and thence remov'd it pierces it then and opens a way for it self by force to pass through 73. We intend to deduce the rise of all the observable Symptoms in Intermitting Fevers from the too much Acidity of the Juice of the Pancreas and other Humors joind to it after we have premis'd in a word the fourth Requisite Sect. 49. also here to concur to wit that the Phlegm that obstructs the Lateral Passages of the Pancreas which not only compels the Juice for a time to stand still there but moreover when it has yielded it an Out-let causd by its Acrimony does presently again come together grow in one and so repairs and renues the Obstruction that was in part opend and hence stops likewise that Juice so long in the same place till being let out also as the former in an open way it produces a new Fit and that so long continu'd till the Fever and Obstruction be wholly cur d any way or the Sick himself destroy'd 74. That the nature of Viscous Phlegm is such that though it be pierc'd through yet runs together and unites again is sufficiently evinc'd by the liâ—â— change of all viscous things and also the eradicaâ—â—ng and choaking Medicins of Intermitting Fâ—vers 〈◊〉 whether they be of an inciding or cutting naâ—â—â—â— and Diuretics or Sudorifics or whether Vâ—â—â—â—â—â— or Purgers For all these seem to my appr 〈◊〉 〈◊〉 to cure Intermitting Fevers in as much as they â—â—â—cide loosen cleanse and carry down to the Gâ—ts aâ—â— somtimes totally educe out of the Body though iâ— a divers way the
any way troublesom and lastly Purging by Stool or Vomit when Choler swells or molests being plenteous CHAP. XXXII Of an Hectic Fever 1. AN Hectic Fever is much spoken of among Physicians in which an Heat a little troublesom to the Sick is perceivd beside an over-frequent as also Little and Weak and after a certain manner Hard Pulse which notwithstanding is a little sharpned and encreasd one or two hours after Meat and again returns a little after to its former equality and is perceivd to be greater about the Arteries then the other parts of the Body A continual and lingring Leanness of Body following wherby this Fever being reduc'd to its extremity is call'd Marasmodes 2. Seeing that always a little after the taking in of any Food and so the sending down of their more fluid part to the Guts this Fever is more or less sharpned any may believe and not without cause that a notable faultiness of Spittle always concurr's to produce it or that it depends on it 3. Hectic Fevers are observd somtimes to arise immediatly from the Non-natural Things too much exercise of Body or continu'd labor somtimes from most vehement Anger and especially from an immoderat Sorrow and Sadness of Mind somtimes from Watchings long continu'd often from too much Hunger as also Food of little or bad Juice and such-like 4. Yea Hectic Fevers are observd to follow other Diseases and especially Fevers of one day proceding from a great error in Diet and also Continual and Intermitting Fevers very dangerous or vehement and most frequently the Inflammations of most of the Bowels especially of the Lungs and Apostem's and Vlcers following them 5. And seeing Heat is little in an Hectic Fever and therfore rarely troublesom to the Sick and the Pulse Little and Weak I judg that then the Liquor of the Conglomerated Glandul's is chiefly peccant and not only Spittle but the Juice of the Pancreas also with an encreasd Viscousness and not a molesting Sowr or Harsh Acrimony although I have somtimes found this also grievous Whence who can wonder or deny that Choler is also too sluggish and all may see that Lympha is likewise too much blunted 6. And therfore I judg the Cause of a troublesom Pining in an Hectic Fever to be too much Viscousness of all the Humors and so of the Blood because of which the Nourishment of the Parts is daily diminishd and the cause of the Sharpness happening one or two hours after Food is taken to be Spittle in like manner too Glutinous by reason of which the more fluid part of Food descending sooner to the Guts and meeting with Choler is at least in part opend into such-like Vapors and carri'd to the Heart and there more rarefi'd stirs up the Pulse more frequent then is wonted and being soon driven all over causes a little Redness in the face and a mild Heart in the rest of the Skin and elswhere stirs up other Symptoms according to the divers Constitution of the other Humors and Parts 7. The Appetite of all Food is diminishd and at last dejected by the noted viscous Toughness of all the Humors to wit without an external Cause as too much Meat c. the Loathing of them also attending and moreover their Fermentation Separation of Vseful Parts from Vnuseful ones Sanguification Generation of the Animal Spirits c. is hindred and destroyd Whence the Toughness and Sluggishness of Choler Spittle the Juice of the Pancreas and Lympha is daily augmented and so the Evil becom's by degrees greater and at length incurable 8. When an Hectic Fever is produc'd by too much Motion and over-long Weariness of the Body then I think that not only the Animal Spirits but also the Watry part of Blood is too much exhausted and therfore both Sharpness more inwardly united being made sharper all the Humors are made too Viscous and all the Natural Functions as was above said are destroyd 9. When an Hectic Fever arises from most vehement Anger then I affirm a Sowrness is drawn to consent by Choler then having an exceding Acrimony and the same being made in like manner sharper promotes the noted inward Union of both being Sharp 10. When an Hectic Fever is stird up by Sorrow and an immoderat Sadness of Mind then I think all the Humors become more Glutinous by the Juice of the Pancreas too Tart. 11. When an Hectic Fever is made by prolongd Watchings then I think the Animal Spirits being too much consum'd the Acrimony in either Sharpness being encreasd their Vnion becoms more narrow and all the Humors are bred too sluggish and tough 12. When an Hectic Fever follows over-long Hunger then I judg that the Acrimony of both is encreasd by want of Food asswaging both kinds of Sharpness and furthermore a more compleat Vnion being made the Humors become more viscous 13. When the same Hectic Fever happens by Food containing little mild nourishing Juice then that coms to pass that was newly mentiond but slowlier 14. When an Hectic Fever arises from the defect of better Food or because of Pica from the neglect of Food of an evil to wit Glutinous or otherwise Fat or Sharp Juice over-long us'd then the Humors will be over-glutinous sooner or more slowly either of themselvs or by chance as we have already explaind at large 15. When an Hectic Fever succedes Those of One Day then its Original is to be requir'd according to the divers Errors of Diet producing them as is newly explaind 16. When an Hectic follows Fevers without Fits then when they take their rising from vitious Choler it is to be ascrib'd partly to the Acrimony of Choler according to Sect. 9. partly to Medicins that alter it if long and plenteously us'd and so corrupting and thickning the other Humors together 17. When Intermitting Fevers turn to an Hectic then the Humors breed it that are most peccant be they more or fewer according to what has been said 18. Lastly when an Inflammation gone into an Aposteme of the principal Bowels and especially of the Lungs breeds an Hectic Fever then the whole Mâ—ss of Blood is infected by Matter and gets a singular Glutinousness which being communicated to the other Humors spoils them with the same fault and renders them unfit to perform the Natural Functions rightly 19. Although in Leanness of Body all the kinds of an Hectic Fever do agree yet will the Cure of Every of them differ not a little according to the diversity of Causes so diversly producing it 20. Yet in General because of the hurtful Toughness and Glutinousness of all the Humors those Medicins may be us'd which mildly amend and correct it to wit all gentle Aromatics and Oily Volatil Salts as they that cut and alter every Viscous Thing and reduce it into its natural state 21. And such are to be selected as do most conduce to and agree with the Constitution both natural and present of Every Sick Person which the Physician may easily find
and Oily Votatil Salts conduce as moderating and asswaging its hurtful Acrimony 12. Sudorifics drive forward and expel most safely and commodiously out of the Body the same Sharp Volatil Salt more or less temperd or at least to be temperd by it For it is known by manifold Experience that the Cure of Malign Fevers is most happily instituted by this manner and way 13. Simple Sudorifics are not only approv'd but those compounded also Treacle Mithridate Diascordium and infinite other Opiat Confections devis'd of several to imitate the former and so us'd Where â—â—ke this Note from me that they are always to be preferd which can also temper the Acrimony of the Volatil Salt which will therfore be commodious to be added to the rest For Example â„ž Old TreacleÊ’ ii Diaphoretic AntimonyÊ’ i. Syr. of Carduus Benedictus â„¥ ii Our Preservative Water â„¥ i. Cinamon Water â„¥ ss Scabious-Water â„¥ ii M. Let the Sick take a fourth or fifth part of this Mixture and dispose his Body to Sweat and after half an hour let him again take one or two Spoonfuls and so let him go on till a profitable Sweat follow Mean while if he be very thirsty and the Tongue be dry let him moreover drink upon it a little Broth first temperd to a gratefulness with some sowr thing the Juice of Citrons Oranges Verjuice Vinegar c. whereby the breaking forth of the Sweat will not only be promoted but moreover the hurtful Acrimony of the peccant Salt will be corrected 14. This Poison is seldom to be sent out by a Vomit nor at all unless when part of the hurtful Salt sticks in the Stomach or Guts and a Loathing also urgeth and then I prefer before all others Antimonial Vomits but mild and fixt because they have an admirable Sulphur in them whereby any sharpness is wonderfully temperd 15. By vertue of this Sulphur I commonly add to the other Sudorifics or Altering Mixtures Diaphoretic Antimony or Mineral Bezoard either single or variously compounded and other Sudorifics rightly prepar'd of Antimony 16. After that Malign Poison that is found in the Volatil and Sharp Salt is carri'd out of the Body by Sudorifics sufficiently and rightly us'd they must persist for some time in a moderat use of Sowr things a little Harsh mixt with Drink whereby the former Consistencie may by degrees be restor'd to the Blood Therfore Verjuice Pome-Granats Quinces Oranges Berberies c. conduce here 17. We intend to speak farther of the Nature Harms and Cure of the Volatil and Sharp Salt when we publish our Thoughts and Observations in a peculiar Treatise of the Pest mean while these may give an occasion to the diligent Searchers of the Works of Nature to search and find out more CHAP. XXXIV Of an Universal Languishing as also of Swouning and Syncope 1. SEeing that Chyle is made of Food taken in Blood of Chyle of Blood both all the other things containd in the Body and all the Containing parts of the Universal Body are nourisht and encreasd with good cause respect is had to the Blood wherein both the Strength and the Reasons thereof are examind weigh'd and determind 2. Therfore seeing the generation and first preparing of Blood of Chyle begins in the Right Ventricle of the Heart and is finisht in the Left and the repairing and renewing therof more or less decaid and here and there depriv'd of several parts and therfore flowing back to the Heart many Evils do necessarily befal Man even here by the intricate ill-affected Change which happens to the Blood in the Ventricles of the Heart which among the first manifest themselves to every one and especially to Physicians by the Pulse being variously chang'd 3. We deriv'd Fevers hitherto from the Pulse being beside Nature too frequent as the only common and proper and so Prognostic Sign of all Fevers there being other Symptoms distinguishing every one of their kinds and degrees from one another The next thing now is that we may draw and in a few words explain other Diseases from a Little and Languishing Pulse 4. These Diseases which are observd various both by reason of the accompanying Symptoms and distinct in degrees are signifi'd in general by the names of Imbecillity or Debility in special by the name of Swouning Eclusis Leipothymie Leipopsychie Apopsychie Asphyxie Syncope and others 5. We will not curiously inquire here into the Original of all these Words seeing that words are as they are us'd however many vex themselvs and others but into the Nature Essence and true Causes of those Diseases denoted in those names and in Practice giving trouble to Physicians attent on the Cure of the Disease 6. A Universal Languishing of all the Parts and Functions and Strength is somtimes observd either bred from the Nativity or rising after it by degrees and insensibly or coming or remaining after some Disease preceding This they call Infirmity Imbecillity or Debility which has for its Companion both a Little Pulse less then it ought to be and Weak and more Languishing then should be and oftner more Rare and somtimes Intermitting once or ofter by certain or uncertain Intervals and somtimes more and more deficient call'd Miurus according to the Passage of the Artery and often Creeping or Wrigling 7. Dulness of the Internal and External Senses and Defect of the Animal Motion of Body known by the name of Weariness do usually concur in this Disease when more grievous 8. Weakness is also observd somtimes not permanent or continually persevering but orderly or disorderly and so repeting somtimes at certain othertimes uncertain Intervals one while lightly another while grievously afflicting the Sick the same returning one while sooner another while more slowly unless it take away and kill the Sick 9. If any would constitute two kinds only most different in degrees and not unfit to the method of Curing this Imbecillity and Debility he may point out the lighter kind by the name of Swouning and Leipothymie the more grievous kind by the name of Syncope Leipopsychie or Asphyxie 10. In all Swouning the Pulse is Less and Weaker so that in its lighter kind it can scarcely be perceivd and not at all in its more grievous kind The External and Internal Senses commonly are both darkned or also cease to act The Animal or Voluntary Motion also is weak or none And so Respiration it self is found to be either obscure or quite deficient 11. For the most part a Cardialgie or Tickling in the upper Orifice of the Ventricle or a compression of the Heart and Yawning uses to precede and foretel a Swouning and somtimes a Distension of the Belly a Croking or Gripes Dimness or Darkness are before the Eyes with a Giddiness and a Tinkling in the Ears accompanying or suddenly following them Stretchings and often Convulsive Motions For it is to be noted seeing that Swounings do not only differ in degrees but also in number and vehemency of Symptoms that it does not seize on all always
so the Blood has its Motion Restor'd yea it becoms more stird and disturbd that is there is a Palpitation of the Heart of which in the next following Chapter we intend to say more 80. Nor is Motion restor'd to the Heart only when a Swouning is ended which most commonly is inordinate and with palpitation but the Pulse by degrees gets its lost Greatness and former Strength although in the beginning it is also more Frequent the Cause and Manner of all which is newly given 81. When the Cause of so many Evils is corrected and destroy'd by degrees as was said no wonder if the other Symptoms also be easd by degrees and taken away seeing that when the Cause is taken away the Effect ceases 82. The Functions which were last weakned seem to return also more slowly although all these vary not a little according to the divers heat and fomenting of the evil which any meanly verst in Practice and attent to all may easily observe and attain them by what has been said 83. The Symptoms always joind to a Syncope also here to be weighd in a few words we shewd you was Coldness and Paleness of all the Parts of the Body but especially a Cold as well as Glutinous Sweat to which is joind perpetually an extreme Anxiety of the Heart troubling the Sick no less then if Death were at hand and no wonder seeing it is often a certain Messenger of Death hasting 84. If any can by solid and consequent reasoning deduce that chill Coldness both in the Body and in a Sweat from any thing else then from a Sowr Humor in Man he will not a little make me admire him seeing that my continual and solicitous Practice of near forty years and laborious observation of all external Causes I found nothing yet in rerum Naturâ that can manifestly breed Coldness in Man beside a Sowr Humor and whatsoever partakes therof as I have testifi'd it in several Exampl's in this Treatise and elswhere 85. Seeing I am certainly perswaded that Coldness may and is wont to be produc'd in Man by a Sowr and only Sowr Humor I may on good grounds think that a Sowr Humor or Vapor is the Cause of a Cold Sweat and Body in a Syncope mixt from some other place with the Blood and carri'd to the Heart and driven forward together with the Blood every way and sticking in the outside of the Body and there affording a Sense therof both to the Sick and By-standers and Physicians themselvs And this will I think and suppose so long till an other demonstrate another Cause hereof evident enough 86. The same Sweat is Gluâ—inous by reason of 〈◊〉 Phlegmanic Humor dissâ—lâ—d by the noted Sowr Humor and together with is expeld out and of its own accord again congealing and coagulated without the Body 87. Paleness happens to the Vniversal Body bâ— reâ—son of the same Soâ—r Humâ—r every where bred espâ—cially when there is Glutinous Phlegm an Imitator and Companion of the Sowr Humâ—r 88. An extrâ—me Anâ—iâ—ty of the Heart and Midâ—if unâ—xplainablâ—â—y the Sick doth manifest partly the hot Original or the Evil that is to say the Belly and the Parts disâ—â—nâ—â—â—ing themselvs into the Guts and especially the Pancreas partly the Fomenting of that Evil a Humor not only Sowr which may breed Pricking or Corroding or Boring Pains but moreover Glutinous which firmly adhering to all the Parts goes more slowly and difficultly from the same and therfore urges more stubbornly and being deduc'd by Choler opprest into Viscous and Tough Vapors and Wind encreases the noted Anxiety 89. And so I seem to my self clearly enough to have deriv'd the rising of an Vniversal Languishing and of Swouning and of the Syncope from slow and glutinous Phlegm partly from an Acid and somtimes also Tart Juice mixt with it it remains that we subjoin the Method and Reason of Curing those Diseases by abridging prolixity with brevity For it doth not seem necessary here to repete many things afore-said with a vain and unprofitable Labour seeing that when the Disease is rightly describ'd and known its Cure is easily understood and done 90. The Cure of an Vniversal Languishing may be always in that respect instituted alike which cannot be said of the Cure of Swouning or a Syncope because these Diseases return by Fits and then they sorely molest the Sick out of which they give them respit which to the Physicians is the best opportunity of preventing new ones in no wise to be neglected seeing they are wont to be perilous 91. There ought always to be a continual and slow Correcting and Amendment of a Glutinous and Phlegmatic Humor for an Vniversal Languishing and also for a Swouning and Syncope feard and an Emptying therof by Stool and Vrin chiefly with repeted turns where it do's together abound or cannot be wholly amended 92. Because we have often before treated of the Correcting and Emptying of a Phlegmatic Humor whither we send the studious Reader we only intend to annex here some forms of the more select Medicins for the sake of Younger Physicians 93. Therfore to Amend the Phlegmatic Glutinous Humor abounding both in the Universal Body and Blood a Medicinal Wine or Beer prepar'd with several Aromatic parts of several Plants daily to be us'd both at Dinner and Supper time and at other times in a small quantity according to the diversity of the Age Sex and Languishing it self may conduce For Example from Roots only â„ž The Roots of Angelica Galangal Acorus of eachÊ’ i. of Smallage Alicampane Fenel of eachÊ’ ii of LovidgeÊ’ i. Cut and grosly Beat them then sew them into a Bag somwhat long and put them into a Stone or Glass Vessel of a strait Mouth then pour on of laudable Wine â„¥ xxx or thereabout and let it be in a Cellar all Night in which time the Aromatic Strength of the Roots will be communicated to the Wine a draught wherof as is said may be taken twice or thrice a day and another Wine may be pourd on instead of what was drunk so long till near all the Aromatic Strength is extracted for then new Roots may be taken but first dried in the Shade which is always to be observd in all the Aromatic parts of Plants to be us'd by Infusion 94. If any please to use Medicinal Beer then instead of Wine let them pour upon the aforesaid Roots their usual Beer although then I prefer that which is Bitter before the Sweet and Observe it is safer every Night to pour upon the Roots so much Beer as will be drunk the next day because the sirâ—ngth of Beer soon fades unless shut up in an Hogshead whence somtimes whole Hogsheads somtime greater somtimes less not only of Beer but Wine also so Medicind are prepar'd for daily use whether they be Roots only or if other parts also of Plants be pâ—â— into them in more plenty 95. If Aromatic Leavs be preferd you may use the following Form or one like
will depart slowly yea in the use of any Medicin profiting so long as the Sick doâ—s not only amend by it but can â—â—e it withouâ— loathing and dislike As soon therfore as it câ—ases to please or benefit though the most grateful oâ— also best Medicin prescribe an other or the same to be given in another form 25. In a long continued Cachexie the Medicins are always convenient that Correct and Evacuate tough and glutinous Phlegm seeing that all Prolongd Diseases depend on it either wholly or at least in part 26. If a Humor Sowr or like Salt Pickle be coupled with Glutinous Phlegm which commonly happens or a Lixivial or Choleric Salt which seldom happens Medicins that satisfie both Indications are to be joind together which are oft propos'd and mentiond by the help whereof the gaining of Health lost may somtimes be expected sooner other-times flower CHAP. XL. Of the Reflux of Blood through the Veins from all the Parts to the Right Ventricle of the Heart deprav'd and in special of an Inflammation 1. AS the Universal Blood is carri'd through the Arteries from the Heart to all and every Containing Part of the Body both to Enliven Nourish and Encrease them and also to separate all the Humors or useful and unuseful things Containd any way fâ—om the remaining Mass so the same Blood remainiâ—g after this manifold benefit many ways bestowed on both Bodies yea many ways despoild of sâ—â—e part of it self and decaid is again carri'd from all the same Containing Parts through the Veins to the Heart there to be renewd by the mutual Mixture and after that the Effervescency and Vital Rarefaction of several Parts concurring 2. This Flowing of the Blood and reciprocal and altering Reflux is now known and made known by the name of the Circular Motion 3. The Blood is somtimes hindred in its Reflux when it either Stands still and stops in its Vessels and Ways or is effus'd out of them whether it be within the Substance of the parts beside it or Cavities of the Body or it hap out of the Body 4. The Blood stands still in its Vessels either because of a great Plethora and that call'd at the Vessels or by a straitness one while by Their Compression another time by their Obstruction made 5. We sufficiently mentiond the Plethora at the Vessels in Chap. 36. which may be seen there 6. The Veins are Prest to hinder the Reflux of Blood somtimes by hard Tumors near other-times by Bands about the parts straitly binding the Veins as well as Arteries 7. The Veins somtimes are obstructed by the Blood it self or Phlegm Coagulated and compacted in them other-times though seldom by a Stone bred in them and by degrees more encreasd 8. I would have the Hollow Substance of every part referd to the Veins through which I think with many that the Blood for the most part goes out of the Arteries into the Veins 9. The Blood is Coagulated both by the great Coldness of the Air or Water very much affecting the parts and by Medicins potently Astringent or Tart communicated to the Blood from without or within and Congealing it 10. Phlegm is Coagulated in the aforesaid Vessels by the same Causes most frequently by the Cold of the Air Water Drink or other things suddenly invading the Parts before warm either Externally or Internally and again there curdling and thickning the Phlegm specially Viscous by what Cause soever dissolvd especially in the small Gut and hence carri'd to the Blood and together with it driven forward every way 11. Phlegm in the small Gut is wont to be Loosend 1. By the hot Air of the Sun Fire Bath c. 2. By Food as also Medicins both Spiritous and Aromatic or abounding with a Volatil Salt 3. By a vehement Motion of Body whither Frictions and Coverings may be referd 4. By immoderat Anger 5. By prolongd Watchings 12. Where note how much the more causes do concur and are peccant in a greater excess so much the easier sooner and more plenteously the nam'd Phlegm is loos'd and transferd toward the Blood 13. The Blood standing and by little and little collected in its nam'd Vessels distends them more and more and so that somtimes they burst or any other way give it an Out-let whence there then happens an Effusion of Blood out of its Vessels whether it stick in the Substance of the adjacent Parts or be collected in a near Cavity of the Body or be wholly pourd out of the Body 14. The Blood Inclos'd as yet and standing in the Capillarie Vessels and perhaps in the middle sinuous substance of any of the Parts or Effus'd amâ—â—◠〈◊〉 mean plenty at least gatherd without those its wonted ways but opend and patent into any kind of porous and especially fleshy or membranous substance of their parts that are near or their spaces between presently of its own accord waxes hot and produces a troublesom Sense of Heat in a sensible part and being by degrees corrupted is wont to turn into Purulent Matter Whence the first Change is call'd an Inflammation as the latter and Abscess or Aposteme 15. I judge the Blood is kindled and breeds an Inflammation in as much as out of it being in Vessels very much distended or standing in any other Parts the Spiritous and more Volatil and Subtil parts that are wont to temper both the Acid and Salt Parts do afterward begin to vanish whence both being made Sharper do more sharply rise up one against another and stir up an Hot Effervescency because of the Oily Parts of the Blood present yea by degrees do so corrupt the Blood as to turn it into Matter different according to the variousness of the Blood corrupted 16. Blood Effus'd into some Cavity naturally void of Humors as of the Brest or Belly and there Collected and Corrupted into Matter constitutes a Suppuration 17. The same Blood Effus'd into the hollow Parts of the Body the Stomach Guts or Vrinary Bladder makes a various change because of the several Humors then mixt with it unless it be soon sent out of them 18. The Effusion of the same Blood out of the Body is call'd in general an Haemorrhagie although in particular this name is given to Blood bursting out at the Nostrils as the same when it flows out of the Vessels of the Fundament is call'd Haemorrhois and Blood distilling every Month out of Womens Wombs is known by the name of Monthly Courses and that which uses to be evacuated plenteously after Birth that way the Lochia 19. Where it is to be noted that there is no natural Efflux of Blood beside both newly mentiond proper to Women of which variously deprav'd we intend to speak at large if God permit in the Third Book of this Work For every other Haemorrhagie whether coming of its own accord or by chance or if it be procur'd by Art or whether it be hurtful or useful always happens beside the ordinary course of Nature seeing that
taken that more intirely unites the Spirits with the Blood such as I judg every sharp and tart thing is whither also 3. among evident Causes great and especially permanent Sorrow and Fear of Mind 4. Sluggishness and Slothfulness and rest of Body 5. A loose Mind and not busied with any thing 6. An over-long and deep Sleep c. seem to contribute 8. If we could attain and conceiv clearly and distinctly how and by what means the Brain and Cerebellum are affected rightly to finish the Separation of the Animal Spirits perhaps we could with less difficulty determin what â—aild it when this Separation is deprav'd and lessned by the fault of it 9. Certainly he that granted that the utmost Substance of the Brain and Cerebellum was requir'd to be open and open enough whereby the most spirituous part of Blood might pierce and be as it were straind through it as I judge will grant that the same being more compact then is wonted is unfit for the mentioned percolation 10. The Coldness of Air Water or Snow vehemently affecting the head seems to confirm yea to prove this Cause from which not only a Stuffing in the Head but also a more sparing production of the Animal Spirits uses to follow And as we observ the Glandules of the Brain are affected and thickned in a Stuffing of the Head by Coldness not always very great so I think the Brain and Cerebellum are ill affected when the Separation of the Animal Spirits is diminisht by very great Cold compacting its soft substance and thickning and straitning it in its perous passages 11. And although I deny not that the Blood also tending to the Brain may be ill affected by an external great Cold yea that it is somtimes clotterd then in its Vessels yet in such a Clottering of Blood there will not only follow a diminisht Separation of the Animal Spirits but most of all the motion of the Blood hindred and after that an Inflammation and whatsoever very grievous thing uses to accompany such an Inflammation in the Head which yet is not always observd when the Separation of the Animal Spirits is hindred by cold whence it appears that the Head and Brain or Blood found in the Head is not always affected after the same manner by cold 12. And as External Cold that is that which produces cold in us and is found in the Air Water and Snow hinders the Separation of the Animal Spirits so Internal Cold that is whatsoever being in us breeds the Sense of Cold there to wit in the beginning of Intermitting Fevers seems in like manner to hinder the Separation of the Animal Spirits whence they that are taken with vehement feverish cold are for the most part unfit to perform the Animal Motion yea or any of the Animal Functions which I judg is by vapors carrid together with the Blood to the Head breeding cold and partly making the Blood unfit by its Tartnes to yield its Spiritous parts partly compacting the external substance of the Brain or straitning its hollow pores and so at least in part denying passage to the most Spiritous part of Blood 13. II. The Animal Spirits seem to be Separated more Plenteously from the Blood in Men vehemently mov'd in Body and Mind especially with Joy and Anger 14. The Cause of this Separation of the Animal Spirits increasd is to be sought and found somtimes in the Blood it self othertimes in the hollow Pores of the Brain and Cerebellum 15. When the same abounds in the Blood without Spiritous parts especially incident to strong Drink turgid with a volatil spirit being too liberally us'd and by serene and meanly hot Air it is made more fit for the separation of the spiritous parts especially when an over-swift motion of Body or grievous Passion of Mind happens driving all things in the Body out too vehemently such as are Joy and Anger before others exceeding mediocritie 16. By which the Blood is made not only most fit for a plenteous separation of the Spiritous part but the porous Hollowness or sinuous Pores become more open and therefore more convenient the easier to transmit a larger plenty of the Animal Spirits 17. III. The Animal Spirits are to be thought ill Affected or Deprav'd when 1. they are too much Stupid or Stirr'd or also wrong Mov'd when 2. they are Impure and Defil'd by any thing mixt with them beside nature 18. The Sleepiness or too much Agitation or Inordinat Motion of the Animal Spirits is most easily observ'd when the Animal Motion is together deprav'd as their Impurity and Defilement when the Internal aswel as External Senses are thence deprav'd 19. The Animal Spirits are Sleepy and unfit for Motion by a Narcotic Force mixt with them or by degrees bred in the Body or entred in from without somtimes by the Air inspir'd defil'd with the smoak of Coles othertimes by Medicinal Food especially spiritous wine making drunk or Medicins themselvs to wit Opium and all Opiats wrong that is immoderatly taken or apply'd in any respect 20. The Animal Spirits are too much Agitated and mov'd both by the very hot Air and Food very Spiritous us'd too plenteously but not in the greatest excess and by a continu'd Weariness of Body Watchings too long Protracted a persevering solicitude of Mind and over-vehement Anger 21. The Animal Spirits are Wrong Mov'd in Giddy people when oft Objects themselves oft the Place in which the Sick stands sits or lies oft the Sick himself oft all these together are believd to turn round and to go in a circuit about Hither also is the Disease to be referrd wherein the Sick not only Insants but also People of Years think that they are either actually tumbling down headlong and fall or at least are in danger of falling and tumbling headlong and ask that they may be taken hold on and kept against the feard tumbling headlong and fall 22. The Cause of the Giddy-Motion is somtimes External to wit an attent looking at any Object turnd round or also an attent looking at things very remote or high or deep othertimes Internal a dayly Turning about of the Body it self all which Causes are manifest beside which somtimes several are more hidden as the ascent of Vapors and Wind to the Head by which joynd to the Spiritous part of Blood and carri'd together with the Animal Spirits into the Passages of the Brain and Cerebellum the Motion of wheeling about by which they are mov'd is communicated to the Animal Spirits and so a Giddiness seems to be produc'd 23. Somtimes also the Animal Spirits are troubled the Mind being vehemently troubled and smitten especially with a panic and vane terror and being too much agitated they make the Body stagger and breed that fear of a Fall of which anon not yielding to any reason or reasoning 24. The Animal Spirits become Impure both by Air impure cloudy and defil'd by several exhalations of Plants ill smelld of themselvs or by burning
of mans and brutes Carcases of Minerals kindled or otherwise stirrd by force of fire and more or less partaking of the nature of sulphur and by hurtful and corrupt Food in the time of dearth sieges far voyages c. and also by the Mind together and potently stirrd up by several and often contrary Passions whence divers vapors are necessarily rais'd in the Belly by several Humors ill affected and anon carri'd thence to the Heart and thence to the Brain to infect the Animal Spirits 25. I. An over little Separation of the Animal Spirits may be Cur'd 1. by using Food abounding with much and loosend Volatil Spirit Strong Wine rightly fermented and somtimes Spirit of Wine rectifi'd either single or aromatic 26. II. By Promoting or Restoring the deficient Fermentation of Food in the Stomach by Medicins propos'd in Chap. 7. Sect. 26. and 33. among which the newly mentioned Spirit of Wine is nam'd as also any Volatil Salt taking a few drops with a little Wine or any other ordinary drink once or twice at dinner and supper seeing that it also corrects all tartnes of what is taken in or otherwise corrupted in the body 27. III By Freeing the Mind from Sorrow and Fear and that by reasons whence soever taken that will stirr up and recreate the mind afflicted 28. IV. By Driving away Sloathfulness and moderatly exercising the body 29. V. By busying the Mind in serious matters but also grateful 30. VI. By diminishing Sleep by little and little daily 31. When the head is ill affected by the external Cold of Air Water or Snow or a Stoppage of the Head be also bred or the Defect of the Animal Spirits chiefly urge then I have observd the Sick to be happily and soon cur'd if whatsoever has pierc'd into the Head or any other parts of the body bringing harm to them be driven out again as soon as can be and that by Sudorifics both spiritous and volatil taken at once or which I like better often and at times as being such that not only alter and correct the Cause of Cold and other evils accompanying it but do also amend the harm entred into the Body Containing and Containd 32. To this end I commend this following Form â„ž Fumitorie Fennel-Water of each â„¥ ii Simple Treacle-Water or any other Aromatic â„¥ i. Sp. of Salt Armoniac xx drops Oil of Cloves iii. drops Mineral BezoardÊ’ ss Laudanum ii granes Syr. of red Poppies â„¥ i. M. Let the Sick take two spoonfuls of this Medicin and expect a Sweat being meanly coverd which he may facilitate and get what he desires if he always take a little of it in half an hours space till the sweat break forth for then he may use it more seldom and sparingly using moreover a little of pure broth or mixt with a little wine whereby his Strength may be recreated and made fitter to bear a Sweat longer For nothing so much helps the Sick as a Sweat continued mildly a while which Experience hath oft taught me 33. When the natural and sufficient Separation of the Animal Spirits is hindred by an Internal or Feverish Cold or any other without a feverish fit often seizing on Men then the desired Separation of the Animal Spirits so useful and necessary to mans felicity is restored sooner or more slowly by such a Sudorific as is newly mentiond rightly us'd the Sweat coming forth one while sooner another while latter 34. For by the help of this Spiritous and volatil and also Aromatic medicin or one like it the Vapors and Wind that produce the hurt and troublesom Cold in man and Srupidness of all the Senses and Dulness of Motion are discust 35. They who let Blood while such an external or internal Cold urges or think they can carry out the cause of the evil either by vomit or siege put the Sick into danger of life or at least of more grievous evils as I have seen done oft by Men more verst in reading Books then in observing the Symptoms befalling the Sick and therefore often hurting themselvs as well as others So much can the Mind anticipated do by false prejudices and therefore unfit to weigh and discern things equally 36. II. An over-Plenteous Separation and Breeding of the Animal Spirits may be Diminisht 1. by Laying aside very Spirituous Drink and in its stead substituting more Watry 37. 2. By enjoying by degrees more cold Air such as the mountain or marine especially Northern and Subterraneal 38. 3. By less stirring and exercising the Body and so giving it to quiet and sleep 39. 4. By freeing the Mind from all vehement commotion of Joy especially or Anger and keeping it appeasd quiet and almost idle 40. And because all sudden change is wont to be together dangerous there ought to be careful endeavour that the noted changes by degrees may happen in the noted non-natural things 41. And as the more open Cavities of the Brain and Cerebellum destind and ordaind to strain through the Animal Spirits do follow the mentiond errors of Diet we need not doubt but likewise a Diet somwhat contrary to the former may bring again and reduce them to a natural and laudable straitness 42. III. The Animal Spirits Drowsy and unfit for Motion may be stirra up and freed from the narcotic force mingled with them by Volatil Salts but such as are very sharp and all medicins endued with an aromatic biting Pepper Cloves Castor Garlic Horse-Radish Mustard Scurvie-grass Hedge-Mustard and such-like often us'd in a small quantity for example â„ž Scurvie-grass Hedge-Mustard Water of each â„¥ i. Tincture of CastorÊ’ i. Oil of Cloves 2. drops Syr. of Scurvie-grassÊ’ vi M. Let the Sick often take a spoonful of this mixture 43. If any pretending Physician disdain the name of a Mixture prepare a Decoction after this following form â„ž Galangal-RootÊ’ ii Horse-Radish Root â„¥ ii the leavs of Hedge-mustard M ii ClovesÊ’ ss Boil them in Water and White Wine of each alike the vessel being shut in â„¥ xx of what is straind dissolv Syr. of Scurvie-Grass â„¥ iii Tincture of Cinamon â„¥ i. M. for a Decoction Let the Sick lying in bed meanly coverd use often in a day 5. or six Spoonfuls of this Decoction wherby if possible a light Sweat may break forth to ease the Sick 44. By the help of these medicins the Animal Spirits will not only be freed from their Drowsiness but even the narcotic force bred in the Body either in length of time or receivd in from without may also be corrected and at length overcomd 45. The Sick will be raisd from Sleepiness and Stupidness usually the companion of Drowsiness by potent external Objects sharply moving the External Senses and mean while not hurting their organs So a great Light should be set before the Eyes a strong Sound should be raisd near the Ears sharp Smels applyd to the Nostrils Spirit of Salt Armoniac of Harts-Horn and such-like also sharp Spices or Salts should be put
into the Mouth his Skin should be rubd with rough cloaths his Body should be expos'd to the Fire and heat of the Air but not to Cold seeing it is known that Numness is caus'd by External Cold. Yet does it not follow thence that Opium likewise producing Drowsiness ought to be esteem'd cold because the same effect may procede from several Causes diversly acting add that Opium is bitter being of a fat nature which they would have to be signs of Heat which thing is properly to be treated in Physics of the possession wherof although many glory hitherto have I found none who after the manner of the Mathematics compeld the assent of those that differd 46. The Animal Spirits being too much stird and mov'd may be compos'd and reduc'd to their natural and mild motion by amending or removing the Non-Natural Things occasioning too much motion that is by Changing the hot Air into a little cold by Diminishing the use of Spiritous Food and in their stead using those that may breed Phlegm a little tough by Granting rest to the weari'd Body and by Causing a mild Sleep by Anodins and when the Matter requires Narcotics by freeing the Mind from all anxious and biting solicitude and especially by resisting bitter Anger and by gaining to the Mind a pleasing tranquillity 47. Musical Sounds will mildly reduce the Spirits too much agitated to a decent and compos'd motion but Anodyns more potently and at length Narcotics us'd prudently that is by times and in a small quantity 48. The Animal Spirits turning round may be reduc'd into their order the External Causes being remov'd and Internal Causes being corrected lastly the Spirits themselvs being brought to some rest 49. Let the Sick therfore cease to look at Objects turnd round more Remote High and very Low let them cease to turn round their Body but rather let them do all their endeavour to get Sleep by Medicins often mentiond in this Chapter and elswhere prescrib'd in convenient forms 50. When the turning round and Giddiness of the Animal Spirits depends on occult Internal Causes without the noted manifest Causes then the Producing and Ascent of Vapors and Wind are to be hindred or suffocated or discussd 51. Their Production is hindred by Medicins that correct and lessen the Humors peccant in Acrimony and Glutinousness often propos'd before 52. Their Ascent is hindred chiefly by Anodyns and Narcotics often mentiond and commended 53. They may be suffocated by a liberal taking Decoctions prepar'd of more mild and grateful Aromatics 54. The same may be Discussd by Oils made by distillation of the Seeds especially that are commonly call'd and by Tinctures drawn by Infusion only of any parts of Aromatic Plants with the Rectifi'd Spirit of Wine or by a distillation following adding both Syrups and common Waters in a convenient quantity to make a more grateful tast Many of which Forms we have all over in this Book for Beginners sake 55. When the Animal Spirits with the Mind are troubled by a vain and panic Terror then as long as he is in his Senses endeavour that that Lymphatic fear so often deadly to many be turnd away by the weight of potent Reasons and Sleep anon banishing it be speedily brought by any helps and so by Narcotics themselvs for unless this be very speedily in a little time Physic will be late in preparing 56. The Animal Spirits made impure by External things will not be purifi'd unless they be remov'd seeing that the cause remaining the effect remains Remove therfore the Air any way defil'd and corrupted Food at least let the Man shun them who moreover should use Medicins amending and expessing the harm that is more or less entred into the Body 57. Where note 1. Harm receivd with the Air is more commodiously driven out by Sudorifics those taken with Food by Vomits and Purges 58. 2. Medicins that Amend may then also be profitably us'd when the mentiond Evacuations are instituted which also ought to be continu'd after these Evacuations are begun as not seldom before they are begun 59. Seeing that Volatil Salts are drawn from all the parts of Man by a light Art of which therfore I conclude they consist let it seem strange to none if I so often commend and praise Volatil mild Salts among the Medicins that Alter and Amend the deprav'd Humors of Man to which also I now deservedly attribute the first place in correcting and amending the harms by Air any way defil'd or bad Food communicated especially to the Body containd Nor doubt I but as many as now through unjust prejudice or mere petulancy blame or laugh at me so oft extolling Volatil Salts if any time they would experience how much those hâ—â—ed Salts may do to preserv and restore Mans Health that art now so hated or ridiculous to them being confus'd with shame they would blush not so much because of my words as the Gitts of God the Avenger despis'd and contemnd 60. Lastly When several Humors are ill affected by several Passions of Mind somwhat contrary together and potently agitating Man which very oft has place and so that manifold Vapors rais'd by their conflux and vitious Effervescency in the small Gut are carri'd to the Heart and Brain also and defile and make the Animal Spirits impure then 1. the immoderat Passions of Mind are to be Compos'd 2. The vitiated Humors are to be Corrected 3. The hurtful Vapors are to be Amended or Discuss'd 4. The Animal Spirits are to be Cleansd from their acquir'd Impurities And how all these ought to be obtaind is often told before where mild Volatil Salts may do very much whatsoever many Physicians noise and talk in this Belgia being ignorant of most natural things although puft up with an empty Title of Doctors and the practice of some years CHAP. XLII Of the Motion of the Animal Spirits through the Nervs Deprav'd 1. THe Animal Spirits being severd from the Blood in the Brain and Cerebellum are every whither carri'd by their continu'd Marrow as it were in a Pipe into the Nervs not only to exercise the External Senses and Animal Motion but moreover at least in my conjecture yea Opinion to temper any Humors Choler Spittle the Pancreatical or Melancholic Juice or Lympha of the Conglobated Glandul's and perhaps to afford the primary Matter to generate Seed 2. This Motion of the Animal Spirits through the Nervs according to Nature if I may be Judg is Continual and Equal but Changeable and Vnequal according to the divers Diseases of the Mind 3. This Motion of the Animal Spirits is deprav'd 1. when None or Fewer Spirits are mov'd through the Nervs then is wont 2. When More then ought or was expedient 3. When they move Vnequally Inordinatly or beside and against the Will to certain or all the parts 4. I. When No Animal Spirits are carri'd to the Organs of the External Senses or Animal Motion the mentiond Functions of Seeing Smelling Hearing Tasting Touching
of Nitre some drops of it being for some time oft in a day taken in Wine Beer or any other Liquor 11. Choler too salt and sharp may be Cur'd somtimes by Oily somtimes by Viscous somtimes by Spiritous somtimes by Acid Things but more mild which seeing they differ much among themselvs the Physician will need prudence that according to the diversity of the other Humors then being together in the Body the most convenient Medicins be selected and us'd Whence it is no wonder if all Physicians have not always the same success although they use the same Medicins but not at the same time as neither in the same Diseases or Causes whose determination depends on a Practical Judgment rightly administring every Remedy for every Discase in its own time place and measure 12. Choler peccant in Fatness encreasd may be Cur'd both by more temperd Acid and by a more pure Lixivial Salt of Wormwood Carduus c. and a more earthy Crabs-Eyes Coral Shels c. and so by Aromatic but chiefly bitter Plants and by them that are mixt of both Salt of Tartar Vitriolated Salt of Tartar remaining in the Retort after the Spirit of Salt Armoniac is drawn off and getting an excellent Vertue by the conjoind Spirit of that-Salt and such-like 13. III. If the Sick be urg'd in short Intervals by different Symptoms to be deduc'd from Choler and it only and therfore it be very probably conjecturd that Choler is Heterogeneal and Turgid with different parts great endeavour must be made in an auxious and dubious Case that the parts of Choler which harm Man being most declind from their natural state be correcied and amended potently and mildly which is chiefly to be requir'd from the then most urgent Symptoms and somtimes bringing sudden Death in its first second or third access 14. I wish therfore that as many as profess the Divine Name of a Physician that truly Devilish Envy and therfore reproachful to Physicians although in 〈◊〉 manner proper to them being laid aside and supprest would bestow profitable pains in searching out and proposing the true Causes of the more obscure Disscuses daily occurring in Practice for the commen◠good of Mortals For I doubt not but that then many things as yet unknown perhaps to any of the Nature and Usefulness of Choler may by degrees come to light God prospering liberal and ingenious Spirits I at least do here sacredly profess and testifie before God that I have for many years taken pains incredible to the most of Men wherby I might attain to the Nature and Benefits of Choler in Man's Body and most profit both the Sick and then afterwards mine Auditors according to those things which are given me from Above in which my Heart void and free from desiring any vain glory and so quiet and assured of a good event even now rejoyceth in the midst of the many unjust Slanders Contradictions and Calumnies of several CHAP. XLIX Of the Preparation of the Glandulous Lympha in the Conglobated Glandul's deprav'd 1. EXperience confirms that Lymphatic Vessels come from every Conglobated but not so from the Conglomerated Glandul's Wherfore I think that Lympha is prepar'd in them and that partly from the more Acid part of Blood severd in the mentiond Glandul's from the rest of the Mass partly from the Animal Spirits carri'd through the Nervs to Them and mixt with it 2. But although I think the more Acid part of Blood is the chief Matter of Lympha yet do I not think that purely of it self but diluted with Water servs for this use which then I at length call Impure when moreover another part of Blood being mixt meets the same and renders Lympha less Acid or Viscous and somtimes perhaps somwhat Salt 3. For as the Serous part of Blood is naturally Insipid yet in Belgia it is found somwhat Salt in the half perhaps of Men at least as much as I could conceive by tasting the Blood let out of healthy or Sick People so it should not seem a wonder to any if in the same place also different Lympha be prepar'd For an Acid Spirit is very hardly severd from a Lixivial Fixt but more easily from a Volatil Salt such a Volatil Salt I indeed incline to believe is containd in the laudable serous part of Blood out of laudable Choler In which same serous part of Blood I suppose an Acid Spirit occurs to afford Matter for Lympha 4. As therfore the laudable serous part of Blood may be in the Body or the same may be variously chang'd by External Causes Air Food c. or Internal as the Motion of the Mind or Body Watchings c. so also Lympha may be bred out of it somtimes more Sowr somtimes a little Salt somtimes more Diluted and more Watry somtimes more Viscous c. 5. As again the Animal Spirits may be Plenteous o◠Few Pure or Impure in the Body and Their Motion to the Conglobated Glandul's may be Free or Hindred so Lympha may thus far be bred not a little different 6. As lastly the Conglobated Glandul's themselvs may occur in the Body either Whole or several ways ill-affecied even so by the fault of them the Separation both of an Acid Spirit from the Blood or from its Serous part and the Mixing of the same with the Volatil and Animal Spirit may be divers 7. Whence any may see how many ways various kinds of Lympha Vitiated may arise all which to prosecute and reckon in order in a new Matter would be tedious and perhaps impossible 8. Let it therfore suffice for the present that we noted the Fountains of Lympha Vitiated and handle the kinds observd in practice and to have designd the manner of Curing them 9. The Preparation therfore of Glandulous Lympha may be Deprav'd 1. When it is bred more Sparing 2. When more Plenteous 3. When several ways bred with a vitiated quality more or less Sowr then is naturally and somtimes a little Salt or Glutinous and if any more Depravations of Lympha shall be observd at any time 10. Seeing that all Lympha is carri'd through its proper Vessels therfore call'd Lymphatic to wit its Thoracic Trunc so call'd to the Descending Blood and with it to the Right Ventricle of the Heart wherby it may there stir up a Vital Effervescency with the Blood Ascending and died with Choler I even now suppose that Lympha is requir'd to be in a notable quantity and somwhat sowr 11. This Quantity of Lympha ought to answer in due proportion to its opposite wherby a laudable Effervescency may arise whence if the quantity of Lympha be greater Choler will be opprest and a less and weak Effervescency will arise and the Pulse will thus far be felt less but if otherwise the quantity of Lympha be less Choler will then be more essicacious and the Effervescency of Blood greater and the Pulse will thus far be felt greater 12. That which the greater natural quantity
is finish'd only by being oppos'd by Choler and Phlegm of the Guts thither flowing there also in like manner sends unto the Ventricle sowr and grateful Vapours which seems to be manifest even by Hunger proceeding to fainting â—its by reason of Food seldom taken 5. But in the Sick I take the cause of Hunger augmented to be fâ—tch'd from the over-sowrness of this Juice abounding in the Body and chiefly carri'd out of the Pancreas to the Gut and thence sending Vapourâ— more sowr than usual to the Ventricâ—e which increases the Sense of Hunger and aftâ—r the Food is thrust down they presently renew the same and urge if more potently 6. This Acid Juice iâ— encreas'd in the whole Body 1. Bâ— Acid Food or things season'd with Acâ—ds By tâ—â— Acid â—iâ—uâ—rs and Wine as Rheniâ—h and of the Mâ—use especially exprest out of Gâ—â—pâ—s unripe 2. By cold Air but clear 3. By moderate Sâ—rrow if long continu'd whose strength will be encreas'd 4. By a more vehement Motion of Body 5. By too long Watches And 6. by the Bodies being too costive 7. The most frequent and grievous Cause of Hunger diminished although it proceed slowly I judg is the Spittle too viscous and too fat and so unfit to promote the fermentation of Food and their Remainders yet breeding Phlegm in the small Gut like to it whereby the moderate acidity of the Juice of the Pancreas is dull'd and at length all the acidity in the Body becoms less sharp and dull 8. I likewise judg the Choler being too fat causes seldomâ—r lighter and often suddenly the same Hunger to be diminish'd arising from the small Gut to the Ventricle and then corrupting both the remainders of Food and Spittle and prostrating their grateful acidity by dulling the Appetite 9. Of the six Non-natural Things so call'd 1. Too much Food taken and especially fat and tough will diminish Hunger And 2. hot and rainy Weather 3. Too much Sleep 4. Rest and slothfulness of Body 5. Extream Cares 6. Loâ—snesses 10. The Causes of Hunger diminish'd if they be most grievous will quite take away and abolish Hunger 11. Hunger deprav'd or Longing generally call'd Pica in Women with Child Malacia is wont to vex men rarely but Women more frequently and chiefly either before their Monthly Courses or when they are stop'd whence they become almost together Cachectic or of ill habit of Body 12. In Pica unwonted and unfit Food is desir'd or things that are not Food as Chalk Coals Ashes Pitch Clay Turfs ragg'd Linnen Leather and I know not what 13. Hither we refer Spices which are indeed Medicins or Seasoners but not Food it self 14. Most commonly the Cause of Hunger deprav'd that rages among Women is to be drawn from the suppression of their Monthly Courses for these standing about the Womb and so more or less corrupted and then after being mixt with the whole Mass of Blood and infecting it all the Mass thereof is vitiated and deprav'd From which as the Cachexy is produc'd so both Spittle the Juice of the Pancreas and the other Humors in the Body are bred vitious and together with the most and sometimes all the Functions Hunger is also deprav'd 15. We altogether judg that the like corruption and depravation of the Blood and the rest of the Humors let it arise whence it will somtimes has place in Men as well as Women as often as they are troubled with a Longing As in like manner the same Men suffer both the Sense and Disease of Suffocation to Women indeed more familiar and which is thought to arise from the Womb and therefore called an Vterine Disease yea and is cur'd with the same Medicins that Women are cured with wherfore for Reasons following in Chap. 22. we judg this Suffocation is not to be call'd Hyderical but Hypochondriacal 16. Hunger Encreas'd is to be cur'd by giving those which temperate destroy and amend the Acid Juice in the Body and do prevent its increase 17. Lixiviat Salts both fix'd and volatil do destroy most powerfully this Acid Juice as also other things abounding with either of them Coral Pearls Crabs-Eyes Chalk Blood-Stone Amber the filings of Steel and such like 18. All fat and oily things do dull this same Acid Juice 19. A Volatil Spirit also made of Wine or other things as well more pure as divers wayes aromatiz'd temperates this Acid Juice 20. Lastly Any watry things also plentifully taken do dilute and enervate the sowr Juice 21. Which if more things were join'd together as the Disease calls for they will perform more For Example take these following where first be advis'd That the augmentation and rising of the Acid juice is to be prevented chiefly by abstaining from the use of Acids 22. If the form of a Pouder before others be desir'd to please such â„ž Red Coral prepar'd Pearl prepar'd of each ℈ i. while Chalk ℈ ss whi e SugarÊ’ iii. M. to be a Poudâ—r diâ—idâ—d into 6 Doses and twice a day at least three or fâ—ur hours after Meals to bâ— taken in a spoonfâ—l of strong Wine 23. Where a Liquid Form is more acceptable let a spoonful of this foâ—lowing mixture be taken â„ž Mint water â„¥ ii Sâ—urâ—ygrass Water Tincture of Cinamâ—n mâ—de with Spirit of Wine rectiâ—â—â—d by Iâ—â—â—usiâ—n of each â„¥ ss Syrup of Wâ—â—râ—woâ—d â„¥ i. M. 24. Or â„ž Diâ—till'd Oil of Mace and of Junipâ—r B râ—iâ—â— of each ℈ i. M. in a Glass Let the Sick tâ—kâ— sâ—metiâ—â—s in a day 2 or 3 drops of this Oil in a spoonful of Malago or any other Spiritous Wine or in the aforesaid mixture 25. Or when Hunger encreas'd does oppress use Broths both fat and also such as come near to the consistency of a Gelly and not sâ—ason'd with any sowr thing 26. I prescribe no Purgers in Hunger encreas'd because hitherto I know none which will kindly purge sowr Humours and furthermore I am taught by large Experience that the sowr Humors in the Body may be stirr'd up indeed but not purg'd unless with very great Gripes and more hurt than good and chiefly by the Physicians that are little solicitous of the grief or trouble of their Sick or are blockish or at least ignorant of this thing 27. Hunger gradually Diminish'd or Abolish'd will be cur'd by Medicins that correct and carry out the Viscous Phlegmatic Humor 28. Both sowr Things and all that have a lixivial Salt either fix'd or volatil and all Aromaties do correct and by cutting amend the Viscous Phlegmatic Humors 29. Which Phlegmatic Viscous Humor also abounding when corrected after a manner is evacuated by Colocynthis Turpith Hermodactyls Mercury as well precipitated as sublim'd both corrosive and sweet c. 30. Let these following Forms serve Students for an Example â„ž Mint-water â„¥ ii Cinamon-water â„¥ ss Syrup of Fâ—nâ—l â„¥ i. Spirit of Salt what suffices to a gratâ—ful sowâ—ness M. Or â„ž Salt of Tartar vitriolatedÊ’ ss Cream of TartarÊ’ i. white Sugar-CandyÊ’ ii M. pouder it to
are Coral Pearl c. And also by much the longer concoction do by little and little wax sweet and more or less lose its acidity 13. A Lixivial and Aromatic Acrimony such as is in Peper Cloves Rocket and such-like is temper'd by the aforesaid oily and sweet things and then it 's safer to abstain from them things wholly or for the most part 14. The salt sharpness such as is in Sea and digg'd Salt and most salted things is wonderfully corrected with unslak't-Lime made of burnt Flints or Shells not to be fear'd any more by any prudent Physician and to be most happily us'd in most Discases in the form of a Lie 15. As Meat and Sauces so the vitious and sharp Humors may be corrected with oily and spirituous things and that with their contraries but first temper'd already mention'd and hereafter still to be mention'd 16. The same Humors too sharp but first more or less corrected and temper'd as often as they also abound or are more slow or difficult to be corrected and restor'd are to be empti'd by Medicins prescrib'd before and hereafter to be prescrib'd 17. Chiefly then to temper the urgent Acrimony of Humors and to dull the sense of the Stomach and to settle its troublesom contraction Opium avails and any Medicin nam'd of Opium Treacle Mithridate Diâ—scordium Roman Philonium Laudanum c. if us'd often in a small quantity other Medicins being added which kindly temper the most peccant Humors whose Forms are extant in several places of this Treatise 18. We intend to Treat distinctly of Vomiting and the Lientery in which the Excretion or Expulsion of the Stomach and somtimes and perhaps always of the Guts is withal hurt CHAP. VII Of the Fermentation of Food in the Ventricle hindred 1. THat change which happens according to nature to Food taken into the Stomach commonly call'd turning of Food into Chyle we incline to call Fermentation 2. The chief kinds of this Fermentation of Food hindred are 1. when it is abolish't or diminish't 2. when Increas'd 3. Deprav'd which being known both that which is too slowly and that which is too speedily perform'd may easily be deduc't 3. Fermentation of Food is thought to be Abolish't when though it be retain'd a sufficient time in the Stomach yet is cast out again raw and unaltred either upward or downward as it is Diminish't when it comes forth a little or less chang'd than should be Whence the Sick get none or little nourishment and strength from what they eat 4. The Fermentation of Food is said to be Increast when it 's done quicker than ought whence if Food stay longer than its natural and wonted time it is too much chang'd that neither so can it afford convenient matter to nourish the Body as dough when too much or too long fermented makes the Bread too sowr and therefore less laudable For all good consists in a Mediocrity evil in extreams 5. Where it is to be noted that the Fermentation of Food Encreast is not very hurtful to Man unless it persist too long because most commonly Food sufficiently Fermented makes no long stay in the Stomach but is forthwith driven forward to the Guts and there is sever'd into profitable Chyle and Excrements c. 6. But where Fermentation encreast persists for a space there is too much Food desir'd and when all succeeds well gradually there follows a Plethoric and hence an Athletic Habit which except it be loos'd in time it 's known out of Hippocrates to whom Experience subscribes into how great danger it casts Men. 7. The Fermentation of Food is Deprav'd when it is so chang'd in the Stomach that it affords not a convenient but hurtful nourishment for the Body as well containing as contain'd whence arise infinite evils seeing that the Faults of the first Concoction are not corrected easily in the second which is always true of a Deprav'd Concoction 8. Among the divers kinds of Deprav'd Fermentation of Food two are commonly reckoned the chief known by the name of Loathsom and Sowr Crudity 9. The Fermentation of Food is Abolish't or Diminish't somtimes by the fault of Food othertimes of that which Ferments or because of the vitious Humors brought to the Stomach 10. It happens by fault of Food when it is taken in either in too great a quantity or does more or less hinder or stay the Fermentation by its own vitious quality 11. The vitious quality of Food consists frequently in its Fatness abounding somtimes in a Volatil Spirit preposterously and too much taken somtimes in a lixiviat Salt either fixt or volatil too plentifully also us'd in one word in those things which potently break the Acid Spirit and its Operation whence the thicker parts of Food cannot be sufficiently cut and separated from one another so much can a certain proportion and harmony of many things every-where requisite concurring do to produce the same effect Any Beer also especially watry does this if swill'd too plentifully and then it dilutes and washes away the Ferment and overwhelms the Meat hindring it in its Fermentation 12. The Fermentation of Food is Diminish't or Abolish't by fault of the Ferment both because of its Defect and also Slowness 13. The Ferment of the Stomach is Deficient when there is not enough of it in the defect of Spittle or in a continual spitting or it 's carri'd another way by a continual drinking whereby it is driven forward to the Guts 14. This Ferment is sluggish because it is produc't Fatter more viscous or more watry than it ought because of such-like Spittle arising from such-like Food too long us'd and somtimes to be deduc't from the heat of external Air or from a vehement exercise of Body or Mind spending the Animal Spirits and chiefly where the Animal Spirits are not refresh't with Food abounding with volatil Spirit or repair'd being consum'd and deficient in the Body seeing they are very useful to promote the Fermentation of Food 15. Where more Causes do concur the aforesaid Fermentation or Food is hindred and on the contrary 16. Some things may Diminish and somtimes Abolish the same Fermentation when they are us'd ill either for Food or Medicins and because they weaken the Ferment or render the Food unfit for Fermentation are to be esteem'd Poison such as are all which are endued with an excelling power of fixing 17. The Fermentation of Food may be Diminish't and after that Abolish't by the vitious and especially Choleric Humors over-oily rising up to the Ventricle and either corrupting or weakning the Ferment or mixing themselves with the Food do trouble hinder or stop their Fermentation 18. On the contrary the Fermentation of Food is Encreast either 1. by the fault of Ferment being more acid and volatil than is wont Or 2. by the fault of Food long continu'd which according to the natural Constitution of the Eater is easily fermented Or 3. because of the Humors having a volatil acidity and sliding down
ows it rise 1. to such-like Food especially Sea-Fish 2. To moist cloudy soaking Air. 3. To an idle Life and without cares with much Sleep 4. To rest and sluggishness of Body 5. To a fearful and sluggish Mind 6. To the slow voiding of most Excrements 23. Every mention'd vitious Effervescency of the three-fold Humors may be Cur'd by correcting or purging out its Internal Cause and shunning or amending the External Cause diligently considering whether one only or more together be peccant 24. Those things which correct over-sharp Choler are propos'd in Chap. 1. Sect. 11 c. Those things that evacuate it Chap. 2. Sect. 41 c. 25. Choler fatter than ought is Corrected both by abstaining from the use of Fat things and by often using Acids but more temperate chiefly to season Food to wit the Juice of Citrons Oranges sowr Pomegranates Barberies Currans Verjuice or by mixing some of them with Ordinary Drink and especially the Spirit of Salt or Nitre dulcifi'd c. 26. Those things that diminish and temper the over-acid Juice of the Pancreas may be requir'd from Chap. 2. Sect. 17 c. of this Book 27. I have found hitherto that when it is too tart it is Corrected with Spirit of Salt Armoniac and any other Volatil Salt especially if Oily before any other things often us'd at any time in Wine or any other convenient Liquor 28. The same being Corrected and Temper'd is Evacuated commodiously with Hydragogues of which we have spoken Chap. 7. Sect. 53 c. 29. Several things do amend viscous Phlegm of which we have spoken Chap. 2. Sect. 28 c. 30. Phlegmagogues educe the same which we have noted there Sect. 29 33 c. 31. The Physician sooner forbids than the Sick shuns the External Causes and is to be admonisht of the Physician that he blame not him afterward for the continuance of the Disease 32. Those Non-natural Things not naturally enough occurring which cannot be shun'd wholly ought to be Corrected as much as can be Food especially by convenient Sauces and such as do amend its Hurt often mention'd here and else-where 33. The Air if it be hot should be temper'd with clean Water cooling Plants so call'd or their Decoctions Vinegar and such-like if moist and cloudy it should be Corrected with a clear Fire and Aromatic Plants 34. Let Watches be moderate according to every one's Constitution 35. So let the Motion of the Body be mean 36. Let the Mind be free from all grievous Passions at least let it be freed from it as much as can be which is never obtain'd by Medicins always by the power and weight of Reasons whencesoever drawn for which therfore a prudent and skilful Physician is no less us'd than a Divine a Counsellor of Law or an Orator as the Instruments not only useful but even necessary to restore the lost Health of Man 37. The Body as much as can conveniently be should be kept or made Lax both by Food agreeing most to every one's peculiar Constitution and also somtimes by Medicins that are call'd Looseners Prunes Currans Creme of Tartar the solutive Sirup of Roses and such like 38. The Body also may be kept open both by soliciting it by a Suppositorie of boild Hony and Sea-Salt or Salt-Gem or of a piece of Roch-Alume being out into a long piece and anointed with some Oil also by an Emollient Clyster given which more-over discusses Wind The form whereof let this or such like be â„ž Marsh-mallow RootÊ’ ii Mallow-Leaves Melilot-Tops of each M. i. Boil them in Barley-Water strain â„¥ viii in which dissolve the Catholic-Electuary or solutive Diaprunus or Laxative Benedictus â„¥ i. Oil of Roses or of white Lilies â„¥ ss M. for a Clyster to be given at any time and kept in the Body half an hour or thereabout CHAP. XII Of the Propulsion and Expulsion through the Guts of what is contain'd in them deprav'd and in particular of a Costive-Body 1. BOth Food prepar'd in the Stomach and Spittle continually swallow'd down and hence carri'd through the Stomach to the Guts and Choler out of its Bag by its passage into the Gut and the Juice of the Pancreas through its proper Passage hasting to the Gut and the Mixture made of all these are to be driven forward yet through the long Fistula of the Guts till the useful Parts being sent all over through the Lacteal Vessels to nourish each Body the unuseful Parts known by the name of Excrements are at length Expell'd and Voided by Stool 2. This Propulsion and Expulsion of the various things contain'd in the Guts as well according to as against Nature is deprav'd many ways whilst 1. it happens too slowly or sparingly or 2. when it is too quick often or plentiful or 3. when it is finisht with Pain or Vexings or 4. done an unusual way 3. It haps too slowly or sparingly when the Body is more or less Costive 4. It happens too quickly often or plentifully in any Loosness 5. It is done with Pain in Gripes of the Belly the Colie Dysenterie Tenesinus c. 6. It is perform'd by an unusual way in the Disease Cholera Ileos and other Vomitings caus'd by the Guts as also in Wounds and Vlcers piercing through the Tunicles of the Guts 7. We reduce as well an over-slow Propulsion of what is contain'd as the too seldom and sparing Expulsion thereof through the Fundament to an over-costive Body of which we intend to speak in this Chapter 8. The Propulsion of what is contain'd proceeds too slâ—wly and hence is their Expulsion through the Guts too seldom when the Excrements are voided in the second third or fourth day or slower which should be daily at least once 9. Which falls out because what is contain'd and driven forward is too viscous or too much hardned or dry'd 10. The things contain'd owe their viscousness tâ— the Non natural Things mention'd in the former Chapter 11. But their hardness both to such-like Food Bone-like and Grâ—slish and also too tart Wind yielding a firmer Consistency to what is contain'd 12. They have their driness because of Chyle over-plentifully made and somtimes by reason of too little Drink us'd with much Bread 13. The Excrements move too sparingly because some part of them is separated and driven forward into the Lacteal Veins together with Chyle of which fault we spoke in Chap. 10. or they are excluded by another and undecent way as well in a Vomiting preternatural having its rise from the Guts as in a W und or notable Vlcer of the Guts 14. The most things that conduce to cure this Disease are propos'd before especially such things as agree to â—â—â—â—nd the visâ—â—usnâ—ss of Humors and Vapors 15. Besides a Clyster of warm Cows Milk and a little Honey given and retain'd for some space conduces much to soften the hard Excrements and to dissolve those that are too viscous for so the Excrements that are softned are not only carri'd out but Wind
because of its different yea somwhat contrary disposition of both in certain parts of it 5. The same Chyle obtains its Last Perfection of Blood by the continu'd and contemper'd Effervescency newly mention'd more accurately to be explain'd in certain Circumstances in the next following Chapters because of the Breathing Air in the Lungs the Left Ear and Ventricle of the Heart and the greatest Branches of the Great Arterie 6. By the power and benefit of this Effervescency we conceive the Vital Fire breaks out and rises which no less changes the fat of Chyle coming than of Blood returning from what place soever and by rarefying the Oily Parts and also loosly uniting all the other reduces it into one Mass Heterogeneally-Homogeneal and so Chyle it self into true Blood by the same labour 7. This Sanguification of Chyle is deprav'd especially when the Blood is bred least laudable and vitious by it Serous Phlegmatic or peccant in any other Proper or Common Sensible Quality which somtimes manifests it self with a Cachexie other-times Anasarca or Leucophlegmatia or else with Leanness or any other apparent fault in Nourishment 8. Every Cause of Sanguification Vitiated is either in Chyle it self or in the Choleric Blood Ascending or in the Descending Lymphatic Blood or in some External Cause or in more concurring together 9. The Cause of Sanguification Deprav'd is to be sought in Chyle it self and to be found as often as it is produc'd Vitious because either Food or Spittle c. is Vitious of which formerly 10. The Cause of Sanguification deprav'd is in the Choleric Blood Ascending to the Heart which abounds with Choler as often as vitious Choler is mixt in the Liver in a greater or less quantity or otherwise 11. Choler is mixt with the Blood in a greater quantity when it is bred more plenteously in its Bag by Aromatic Food plenteously us'd and abounding with a Volatil Salt or it is over-plentifully effus'd out of its Bag because of the greater fluidity given it either by Heat of Air or Food both too Sharp and also Spiritous or by a strong Motion of Body or by vehement Anger or by Watchings and such-like 12. Choler is mixt in less quantity with the Blood when it is bred more sparingly by Food destitute of an Aromatic strength which is wont to produce Phlegm such as is Sea-Fish and such-like continually us'd or it is more slowly effus'd out of its Bag because of its fluidity diminish'd and thickness encreas'd one while by cold and sharp Air other-times by Food newly mention'd and Cold Drink too frequently us'd other-whiles by a grievous Sorrow of Mind or Great Terrors coming unexpectedly as also by much and long continu'd Sleep and daily Rest of Body c. 13. Choler is mixt with the Blood not only in too great or too little quantity but somtimes over-Sharp or over-Fat and so far also it vitiates it 14. Choler is made too Sharp by the Heat of Air the abounding Acrimonie of Food or rather of its Sauces such as is in Pepper Cloves Ginger Mastard c. by Watchings too much and protracted Exercise of Body continu'd Anger especially when join'd with Solicitude 15. Choler becoms Fatter especially by too much Use of fat Food at least drest with much Fatness Butter Oil c. whither may be referr'd distill'd Oils often us'd 16. The Cause of Sanguification Deprav'd is in the Blood descending to the Heart and because the Lympha is mixt with it it 's call'd Lymphatic Blood as often as the Lympha is found either over Acid or Salt or Phlegmatic or Watry 17. The Lympha becoms over-Acid because of Food both Sowr and season'd with very Acid things us'd too plenteously and long or because of Northern Air and Solicitude of Mind Sorrow or Terror somtimes by Waking and too much Wearying the Body c. happening 18. The Lympha is made over-Salt easily and as frequently by cold and sharp Air piercing the Vniversal Body and especially the Head warm'd and running down with a Sweat begetting the Stuffing of the Head that is a troublesom Sense of Heaviness not only in the Head but in the Joints also whence as a Salt Liquor distills afterward through the Nostrils in a following Snuffle of the Nose so likewise then it seems even consentaneous not only to Reason but also to the Affliction of the Sick then oft urging and so to daily Experience that there is produc'd all over a Salt Humor in the Conglobated Glandules and after that effus'd into the Habit of the Body and the Muscles as also driven forward through the Lymâ—hatic Vessels toward the Heart 19. The Lympha is over-Phlegmatic by reason of â—he prolong'd Use of over-moist and cold Air the too â—uch eating of such-like Food especially Fishes â—ulse Potherbs c. Beer not enough boil'd or fermented Well-Water c. an heavy Life and Void of Care much and long Sleep and many such-like things 20. The Lympha becoms over Watry by the overâ—se of Rain-Water or any other too thin and overâ—oist Air mean while neglecting as well Spiritous as â—ucculent and Acid Food 21. Sanguification is immediately vitiated by an exâ—rnal Cause when there is an Error committed in â—e or more Non-natural things so call'd in that time when laudable Chyle and Blood is carri'd to the Heart by the Air first hot and suddenly cold by Drink very piercing Spiritous or mixt with Ice especially abundantly Us'd by vehement Agitation of the Body by a grievous Passion of Mind Wrath Sorrow Fear Amazement or Solicitude vexing c. whence either over-sharp Choler or the Juice of the Pancreas over-Acid or over-Sharp or the Phlegm of the Guts over-Viscous is carri'd all over and especially towards the Heart in which it so corrupts either the Chyle or the Blood before well constituted that the Blood cannot but be bred bad of the Chyle flowing to it 22. The Sanguification of Chyle deprav'd according to the diversity of the Cause may be diversly Cur'd For 1. as often as it depends of Choler too Plentiful mixt with the Ascending Blood it ought to be diminisht by Cholagogues often mention'd 23. The new Rise of the same Choler is to be stopt by shunning or at least moderating the Non-natural Things so call'd that produce it which were newly mention'd as also by using more liberally those things which we said bred less Choler 24. 2. When Sanguification is deprav'd by too little Choler tending to the Heart it ought to be encreas'd by using somwhat more plentifully those things which we have asserted do breed Choler more plentifully and also by Shunning those things which we have taught according to Experience to be contrary to its breeding 25. 3. As often as Choler too Sharp depraves the Sanguification of Chyle so often it is to be Temper'd by Medicins often propos'd before and especially in Chap. 1. Sect. 11 c. and in Chap. 10. Sect. 42. besides by shunning all things in Sect. 14. of this Chapter which make
it too sharp 26. 4. If over-Fat Choler deprave the Sanguification of Chyle it ought to be Corrected with Acid Medicins but the more temperate ones such as are prescrib'd in Chap. 2. Sect. 38 c. and in Chap. 11. Sect. 25. farther Bewaring of the abuse of Oily and Fat things of which in Sect. 15. of this Chapter 27. 5. If the over-Acid Lympha deprave the Sanguification of Chyle it is to be corrected and amended by Medicins prescrib'd in Chap. 2. Sect. 17 c. and else-where 28. Mean while diligently Abstain from farther use of Acids and the other things mention'd in Sect. 17. of this Chapter 29. 6. When over-Salt Lympha depraves the Sanguification of Chyle then Medicins approv'd in Chap. 13. Sect. 41 42. may be convenient as also Aromatic mild Sweats by the help whereof the Saltness of the Lympha is by degrees corrected 30. In this case Hydragogues also conduce often us'd in a small Dose after some contemperation of the Salt Acrimonie 31. 7. When over Phlegmatic Lympha depraves the Sanguification of Chyle then are Medicins to be given that Cut and Correct Phlegmatic Humors in the Body prescrib'd in Chap. 2. Sect. 28 c. and such as Purge them so prepar'd for being Empti'd therein Sect. 33 c. also shunning those things that we have said here and else-where do breed Phlegm 32. 8. As often as over-Watry Lympha depraves the Sanguification of Chyle so often abstain from the over-Use of any Water and if it abound in the Body it is to be expell'd both by Exercises enough Potent and by the Bath c. with Sweats not very great but often repeted to which end Spiritous and Aromatic Sudorifics may also be us'd whereby the Animal Spirits almost deficient may be repair'd and the Animal Strength preserv'd yea encreas'd by the same means 33.9 As often as the Sanguification of the same is deprav'd all the Humors and so Chyle it self being rightly constituted in an Healthy Body in the time of the Distribution of Chyle by one or more External Causes either inevitable or unexpected numbred in Sect. 21. so often those things that cannot be shun'd ought to be as much as may be corrected and temper'd at least the Harms that come by them to every one should speedily be amended and taken away 34. So if any have been in the cold Air as soon as may be let them come to a clear Fire or go into a warm'd Bed at least let them cover their Bodies well with Bed clothes whereby they again expel out of the Body the cold receiv'd 35. So if any have abus'd piercing and spiritous Drink if good part of it yet remain in the Stomach let them send it out again by a Vomit rais'd by putting one Finger into the Jaws or a Feather moistned with Oil unless they can of their own accord promote it which is easie yea familiar to many 36. But if the Drink be already gone more into the Body like a Surfet its breathing out is to be patiently expected if then Thirst still urge by using Sowr Drink no way Spiritous or Watry such as is Mineral Wells always taking heed of any excess 37. But if Drink with Ice or otherwise very cold shall have been taken Aromattes and such as abound with a Volatil Oily Salt us'd by tums may conduce which naturally are fit to overcome the harm of drinking with Ice soonest safest and most pleasantly They will perform this the more happily if by their help a Sweat be also mov'd or promoted 38. So as many as vehemently move their Body either by Running Leaping or otherwise whence Sweat also came forth they should carefully take heed of the cold Air and rather betake themselves to a Warm'd Bed to compose themselves to Rest and that they may shun a greater harm 39. So as many as have been mov'd with a Vehement Passion of Mind should endeavour to asswage â—t by themselves or others and to reduce the Mind to former tranquillity which Reason and Discourse can do by mildly composing the Rational Soul with soâ—id Reasons whencesoever taken yea by confirmâ—ng and hardning it against any things that cannot be chang'd to bear them patiently and stoutâ—y 40. The manifold Harms following those Vitious â—xternal Causes ought to be Corrected variously and as soon as can be seeing that by the Functions â—urt or other proper Signs they are known to the â—hysicianâ— of which all over in this Treatise CHAP. XIX Of the Continual and Vital Effervescency of Blood in the Right Ventricle of the Heart hurt 1. CHyle is not only carri'd to the Right Ventricle of the Heart some hours after the Food is taken in whereby it may be chang'd into Blood but continually by the Blood returning from every Part and that partly being furnish'd with bitter Gall partly by having Acid Lympha there is rais'd in the same place a mild yea Vital Effervescency 2. We call it a Lively Effervescency that is rais'd in the Right Ventricle of the Heart because the natural Preservation of our Life depends upon it 3. For by the Conflux of the Volatil Oily Salt ruling in the Gall and constituting the chief part of the Sowrish Sweet Spirit of these I say being somwhat contrary there is rais'd a gentle and to Nature friendly Fight describ'd by Us with the Name of an Effervesceney in and by which the Fiery Parts lying hid and shut up in both are loos'd from their Fetters and being free'd infinuate themselves into the Oily and Fat obvious Parts both of the Blood and also of Chyle as the proper Subject of their Action rarefying the same and moreover do so change and alter the other parts more or less mixt with them that Life may be continu'd and Blood mov'd any whither and the necessary Reparation of all the containing and contain'd Parts perpetually more or less Consum'd may be perfected and absolv'd 4. It haps that this Effervescency very necessary for Life and Nourishment is Hurt 1. When it is either wholly Abolisht or Ceases at least for a time 2. When it is Diminisht and is Lesser or Weaker 3. When it is Encreas'd and is Greater or more Potent 4. When it is Hastned and is too Swift 5. When it is Retarded and perform'd too Slowly 6. When it is Deprav'd and observ'd to be Unequal or Inordinate 5. I. Where this Vital Effervescency is wholly Abolisht Death is at hand because the Vital Fire of the Heart or rather of the Blood which by its help us'd to be continu'd in the Heart is presently extinguish'd by the same 6. This Vital Effervescency is Abolisht 1. By the fault of the Choleric Blood Ascending and that either for Want of Choler as oft as it is effus'd with great force into the Small Gut and hence Choler is excluded out of the Body as well upward by Vomit as downward by Stool in the Disease Cholera whence no wonder if the Sick perish somtimes then in a few
Body 4. By prolong'd Wakings 5. By grievous and persevering Cares and Solicitudes of Mind 6. By a Phlegmatic Diarrhaea or any other preternatural Defluxion or Flux of a Phlegmatic Humor in a Distillation of Rheum Cough Dropsie c. 47. V. On the contrary the same Effervescency proceeds over-slowly by reason of the abundance of Viscous Phlegm especially in the Blood and some kind of sluggishness of Choler and Lympha following it 48. We related the Causes of over-Viscous Phlegm in Chap. 2. Sect. 7 and 9. 49. VI. The self-same Effervescency is Deprav'd and becoms Vitious several ways when it is observ'd either Vnequal somtimes Greater again presently Lesser one while too Quick presently over-slow or is Inordinate and again ceases a little or is interrupted again presently repetes and becoms more Potent no order being observ'd as it happens somtimes in several kinds of Hypochondriac Suffocation in which the Pulse is felt somtimes weak rare little comprest yea somtimes none at all again it is perceiv'd strong frequent great or wonderfully troubled with a notable Palpitation of the Heart 50. The Cause of this Unequal Effervescency is the Unequal Quantity of Choler or Lympha or the Liquor arising from the foremention'd three-fold prevailence in the Guts or of other Humors that as yet perhaps are wont to be mixt with the Blood and not as yet enough perceiv'd by any join'd to either Blood 51. For where More of Choler enters into the Heart with the Ascending Blood the Effervescency will be Greater and Quicker whence also a Greater and more Frequent Pulse where on the contrary Less of it comes there will be a Lesser and also Slower Effervescency rais'd and also the Pulse Lesser and more Rare 52. But where more of Lympha shall come with the Descending Blood to the Heart there will procede a Less and Slower Effervescency together with a Less and more Rare Pulse contrarily where Less of it shall flow out there will be a Greater and Quicker Effervescency produc'd and a Greater and more Frequent Pulse 53. When the Nature and Strength of the Liquor rising out of the Three-fold Humors that Flow together to the Small Gut shall be more clearly discern'd by us we can more solidly and certainly determine of the Harms that follow their vitious Constitution Which also is to be understood of other Humors if as we suspect there may yet be more which are mixt either immediately or mediatly with the Blood flowing back to the Heart 54. We therefore note this here that so we may stir up others to search the Truth with us that as yet lies hid to Physicians in many things intending to rejoice and congratulate as we have done to others already their greater felicity perhaps in searching out the same thing before us and always to return due thanks to God the Giver of all Good for the benefit bestowed on Man-kind by any not intending to envy any ones pains diligence invention and other things thereto appertaining or to blame with Reproaches after the manner of certain sluggish lazy Men and ill-employing their leisure 55. We judg the Cause of the Inordinate Effervescency of Blood to be the Vnequal Flowing to the Heart not only either of Choler or Lympha c. only or together but of both or of more Whence there is a greater Confusion and Disturbance in it one while with a notable Palpitation of the Heart presently with its Motion and Pulse taken away to Sense in the Hypochondriac Suffocation so often observable 56. Although the Palpitation of the Heart and grievous Swouning arises somtimes from Humors carri'd with the Blood to the Heart producing a vitious Effervescency yet we think that it is oftner produc'd by Sharp Vapors elevated from the Small Gut because of a vitious Effervescency there also rais'd and then carri'd to the upper Orifice of the Ventricle and Gullet and also to the Heart through the Lacteal Veins and Passage of the Thorax disturbing the Effervescency of the Blood and irritating the Heart 57. I. Seeing the Effervescency of Blood wholly Abolisht is Incurable diligent heed must be taken that it as often as may should be Shund and Prevented in time which will be 1. where the Defect of Choler is to be feard by the Disease Cholera after the hurtful Effervescency of Choler then raging and it s too great Effusion into the Guts is ally'd of which see Chap. 15. Sect. 26 29 and 34. by Repairing and Renewing Choler by the use of any Sharp and Oily Aromatics as the Distill'd Oils of the Leaves and Flowers of Rosmary Majoran c. of the Seeds of Anise Fenel Carua c. of the Rinds of Citron Oranges c. of Cinamon Nutmegs Mace Cloves c. 58. These Aromatic Oils if they be united artificially with the Spirit of Wine are call'd by some Balsams or Elixirs of Life whereof one or two drops being given in a convenient Liquor especially Wine do restore the Vital Strength Languishing for the defect of Choler and seem to snatch those out of the Jaws of Death that otherwise were dying do somtimes raise again those that were esteem'd for dead 59. Hither also do appertain all Volatil Salts though they that are Oily are more effectual than the rest and therefore to be preferd 60. The Abolisht Effervescency of Blood may be Prevented 2. Where there is fear thereof both in the Pest and also in Malign Feavers by reason of the High Volatility and Acrimony of Choler then peccant by Fixing and Coagulating and Tempering it by very Tart Acids Verjuice crude Alum Acacia or in place thereof the thickned Juice of Hypocistis or Wild Plums c. Among Chymical things the Spirit of Nitre Salt Vitriol Sulphur Alum and such-like are deservedly approv'd and commended especially often distill'd and made more mild with the rectifi'd Spirit of Wine 61. By all these Choler will not only be corrected but the diminisht consistency of the Blood will be restor'd and the sluggishness of the Lympha also amended and so the Vital Effervescency of Blood for diverse Causes almost Abolisht will be preserv'd and restor'd 62. The same Abolishment of Blood vitally Effervescent in the Right Ventricle of the Heart where by reason of too much Acidity of Lympha there is fear lest the Vital Fire be opprest and suffocated together with Choler at least the Blood too much coagulated by it cannot conveniently be rarefi'd may 3. be prevented by Correcting and Breaking the faulty Acidity of Lympha by the foremention'd Oily Volatil Salts and Aromatic Oils as well pure as farther elaborated into the foremention'd Balsams of Life Which seeing they hitherto conduce may deservedly be us'd almost in all danger of Life that happens without great heat manifest both to the External Senses and lying hid in Malign Fevers and especially burning and vexing the Midrif 63. Not only the excedeing Acidity of Lympha may be diminish'd by the same Oily Volatil Salts but Choler also prest and almost
Sect. 43. and by Taking by fits sowr Things more Tart and diluted in a sufficient quantity of Water 107. IV. This Effervescency of Blood perfected more speedily because of over-Little Phlegm in it and Choler and Lympha therefore over-sharp and too little Temperd may be Cur'd 1. By Repairing and Encreasing the desir'd Phlegm with Food that breed much Phlegm Broths prepar'd of the extreme parts of Living Creatures the Heads and Feet of Calvs Sheep c. Fishes especially Sea-Fish Cows and Goats Milk c. By Abstaining in the mean while at least sparingly using very Sharp and Aromatic Sauces or Medicins 108. 2. By changing the Air any way Hot or Subtil into Cold and Thicker 109. 3. By composing the Body from vehement and persevering Motion to Rest 110. 4. By changing prolongd Watches with longer and deeper Sleep 111. 5. By freeing the Mind from grievous and molesting Cares and Solicitudes 112. 6. By stopping and curing a Phlegmatic Diarrhaea or any other preternatural Deflux or Efflux of a Phlegmatic Humor as is explaind in its proper place 113. V. The Effervescency of Blood proceding too slowly by the Abundance of Phlegm especially Viscous and therefore the Sluggishness of Choler and Lympha may be Cur'd with the Diet and Medicins propos'd both in Chap. 2. Sect. 28 c. and also in this Chap. Sect. 96 c. and elsewhere 114. The Deprav'd and Vnequal or Inordinate Effervescency of Blood by the Vnequal Flux made to the Heart either of Choler or of Lympha or of the Liquor arising from the Ternarie of Humors Flowing together to the Small Gut or of any other Humor only as not enough observd or of More together whether in the form of a Liquor or Vapor may be Cur'd both 1. by Correcting the Fault of every Humor any way peccant And 2. by Restraining the vitious Effervescency of more flowing together And 3. by Amending or Discussing vitious Vapors or Wind then raisd And 4. by Composing the Mind troubl'd with any grievous Passion the most frequent and potent Cause of divers Humors confusedly mov'd And 5. by Shunning or Tempering the Air or hurtful Food the more rare and lâ—ss potent Cause of the aforesaid agitation of the Hamors 115. 1. How and by what means the â—auâ—â— of every Humor in Mans Body hitherto known ougâ—â—â—â—e Corrected is often said afore 116. And because I made mention in Sect. 50 and 53 of this Chapter of other Humors that to my knowledg as yet are not known and seen by any which I said I suspected not without cause were in Man and also were mixt with the Blood returning to the Heart either immediately or mediately and being vitiated did wonderfully somtimes disturb the Effervescency of the Blood nor yet have I nam'd or shown them this deservedly movd a famous Physician who was pleasd to peruse these precedent things being Printed to advise me that I would at least in a word or two explain what I had said lest I should seem to have deceivd any one and lay open some of those Humors that were conjectur'd by me To whose acute and exact judgment as I always attributed much so I judg'd his Counsel in this Matter to be follow'd by me 117. Many things somtimes testifie both in Healthy and Sick Persons that somthing from the Testicles or other parts ministring to the generation of Seed especially in those that are vigorous and produce much of potent Seed goes through and passes into the Universal Body which may much and strongly affect it To which saying not only Effeminate Gelded Persons give assurance but both Men and Women more chearful to Venery and somtimes stirrd up by an unexplicable fury of natural Lust and especially at meeting the Object potently moving the Senses and wonderfully making commotion in the Fancy whence when they cannot obtain their Wishes or it is not convenient the infinite Histories full of commiseration noted by Physicians do teach and evince with how many Evils those miserable People are therefore thence vex'd and opprest 118. This same is confirmd by sweet and grateful Flesh of Gelded Brutes Oxen Weathers Capons c. much differing from the Flesh of Ungelded Brutes Bulls Rams Dunghil-Cocks c. rank and ungrateful in taste 119. Add that Brutes no less than Men are wont very much to fatten after Gelding and Men made Eunuchs before ripeness of Years do seldom send forth much of a manly Beard or get a Man-like Voice 120. That all these things are to be deduc'd from a Spermatic Vapor disperst through the parts of the Universal Body as well containing as contain'd many things evince which to set forth in many words cannot be done here 121. Beside the Testicles there are observd up and down in Mans Body Glandules more or less differing from the rest as those of the Kidneys and those other call'd Tracheales in which that a Singular Humor is produc'd and immediately or mediately to be communicated to the Blood their singular Fabric proves 122. Among these deservedly may the Glandule Thymus be numbred of the kind of those that are Conglomerated whose proper Voiding Vessels as they are hitherto unfound out by all Anatomists at least to my knowledg so the Liquor whatsoever carri'd through them and so its true Vse is even now unknown to all 123. And because I being detaind perpetually with manifold Businesses could not be at leisure hitherto to search according to my wish what I desir'd of these and other things I have often exhorted many of mine Auditors ingenious and industrious in Anatomy to search these and such-like parts more diligently whereby if it may be they might search out these and many more things that as yet lie hid from us and manifest to the Studious with the praise and commendation of their name which lastly I here make public again and wish happy success to every one 124. Therefore until the Mentiond Humors or Vapors be seen by Us we will be silent a while concerning their various Vices and convenient Remedies whereby returning into the way we may teach As often as more Humors together and that divers ways are judg'd to be peccant and therefore more intricatly to vitiate the Effervescency of Blood so often those things are to be sought out by and premis'd before others which do chiefly help the more urgent Humor or distemperature or else the general Remedies so to be temper'd that they may together amend the Harms of every one and cherish or encrease none Where there is â—â—ed of an experienc'd Judgment by the long use â—â—â—â—hings and of an accurate Observation of those â—â—ing's that Help and Hurt which things being â—â—gâ—cted a Physician very Careless cannot but ofâ—â—â—h deceiv'd to the detriment of the Sick 125. 2. Opiats restrain any Effervescency of Huaâ—â—â—s before many others and universally to which otâ—â—â—â—â—hings may be added that also temper Them as 〈◊〉 â—â—â—er requires and according to the diversiâ—â—◠〈◊〉 â—â—â—rs most peccant whose forms we have ofâ—â—â—
deservedly mentiond being dissolvd in Wine a little Sowr or in a little distild Vinegar whereby they may the easier mix with the Acid Humor peccant in the Body For Example ℞ Hyssop Fenel-Water of each ℥ i. ss Matthiolus his Aqua Vitae ℥ i. distild Vinegarʒ ii Crabs-Eyes pouderdʒ ss Syr. of Scurvy-grass ℥ i. M. Or ℞ Mint-Water ℥ ii ss Simple Treacle-Waterʒ vi Tincture of Castorʒ ii Sp. of Salt Armoniac ℈ i. Oil of Orange-Peel 6 drops Syr. of Fenel ℥ i. M. The first Mixture will be less effectual but more grateful the latter less grateful but more efficacious both us'd by Spoonfuls will conduce to temper the too sharp Acid Humor although the latter is to be preferd when any thing of Tartness shall be observd to concur whose chief sign is any Straitness tending to the Hypochondriac Suffocation whether it rise up to the Jaws or stick about the Midrif and beget inexplicable anxieties to the Sick continually threatning a present Swouning 26. The Contraction of the Heart ceasing in a vehement Apoplexie will never be Cur'd nor easily prevented unless by very Spiritous and Aromatic Liquors often us'd Matthiolus his Aqua Vitae Apoplectic Waters and such-like mean while not neglecting other things that correct and educe the Antecedent Causes of the Apoplexie to be propos'd elsewhere 27. A Plethora of Blood is soon and safely Cur'd by a sufficient Emptying of it by opening a Vein whether it be together and at once or by repeted turns according to the peculiar nature and strength of the Sick For there are many who cannot bear to have much taken away together but soon fall into a Swouning by which seeing none can at any time receive any good I had rather that it should be prevented as often as may be and every Cure be done securely rather than rashly seeing it often happens to those rash Blood-Letters that they educe Life together with the Blood Whereof there is no danger if the Blood be taken in a smaller quantity by short spaces to be stopt as soon as the least sign appears of a present Swouning and after that if the Disease still require again to be taken away with more benefit to the Sick 28. The Reason Generation and Cure of an Obstruction and Inflammation following it shall particularly be treated anon in Chap. 40. 29. II. The over-slow Motion of Blood through the Lungs may be Cur'd 1. By Correcting its Phlegmatic Viscousness by Medicins that Cut and Attenuate whether Spiritous or Salt or Oily or somtimes Acid us'd either alone or prudently mixt often propos'd 30. 2. By taking away the present Straitness of the Vessels diversly according to the diversity of the Causes peccant but of these things elsewhere 31. 3. By Repairing the want of the Animal Spirits contracting the Heart too weakly both by taking often Food very Spiritous strong Wine and especially its Spirit as well simple as many ways Aromatiz'd with the addition of divers things seldom alone and pure often broken and diluted with the mixture of grateful watry Liquors and also by shunning and moderating Cares and Watchings night Studies prolongd Weariness of Body c. 32. III. The over-swift Motion of Blood through the Lungs may be Cur'd 1. By diminishing its Fluidity by Thickning Food or Medicins 33. Of Food use Feet and other extreme parts of Brutes abounding with Gelie and so Fishes and especially Sea-Fish 34. Let the Drink be Red Wine and a little harsh or Steeld Beer or made Medicinal with any more grateful Astringents 35. Among Medicins we mention Diascordium new Treacle and every kind of Sealed Earth Harts-Horn c. 36. The Pills of Hounds-Tongue correct the Salt Serous Humor before all other things taken daily once or twice to two or three Grains instead whereof these of Styrax following may be prepar'd and us'd in like quantity ℞ Styrax Calamita Juice of Licorice thickned or extracted Olibanum red Myrrh Opium of Thebes of eachʒ ss Oriental Saffron ℈ i. with Syr. of white Poppies as much as is sufficient Make it a Mass of Pills 37. If Troches please better use the following form or one like it ℞ White Henbane white Poppie-Seeds of each ʒ ss Male Frankincense red Myrrh of each ℈ i. best Saffron ℈ ss Juice of Licorice thickend ʒ i. Sugar of Marsh-malows ℥ ss Gum-Dragon dissolvd in Rose-Water ʒ i. M. to be small Troches according to Art Let the Sick keep one of these often in his Mouth and swallow it by degrees Also Opium of Thebesʒ ss may be mixt with Them whence any Acrimony of Humors may more powerfully be corrected 38. 2. The over-quick Motion of Blood through the Lungs may be Cur'd by tempering its Heat encreasd in the Heart by Sowr and Watry things of which consists Sempervivum Majus Plantane Nightshade Sorrel c. that allay the heat of Blood more mildly or more potently 39. 3. The same over-quick Motion of Blood through the Lungs may be Cur'd by Tempering the sharp Humor carri'd to the Heart by those that are Spiritous Oily and especially Opiats and others often mentiond and also when it abounds Educing it by Hydragogues often mentiond 40. Sharp Vapors also carri'd to the Heart are to be Temperd with the same and Discussd by Spiritous Diaphoreties having both a Simple and Oily Volatil Salt Their new Production ought to he hindred especially by Opiats and Anodyns most convenient to the Constitution and Accompanying Symptoms 41. IV. The Blood Essus'd through the Lungs Mov'd another way than whither it ought may be Cur'd 1. In the Spitting of Blood the burst or corroded Vessels being speedily Consolidated by the Mixture describ'd in Chap. 9. Sect. 20. or one like it being oft taken by Spoonfuls presently Turning the Blood from the Lungs that flowd too plenteously in a Plethora by a Vein opend in the Arm or in either or both Feet Lastly The Sharp Salt or Sowr Humors that descend from the Head being Corrected by those before mentiond in Sect. 35 c. Opiats and mild Aromatics Also by Curing or Shunning Coughing Shouting Leaping or any other too vehement Motion of the Body 42. When the Vessels of the Lungs are distended near breaking by the Blood Kindled and waxing too thin the Blood is to be let out speedily by Opening a Vein and temperd moreover taking cooling Julaps in a sufficient quantity especially prepar'd of those that are Watry and Sowr For Example ℞ Barley-Water ℥ xx Julap of Roses ℥ iii. Oil of Sulphur prepar'd by a Glass-Bell as much as suffices for an Acidity grateful to the Sick M. Let the Sick often drink a moderat Draught till the Heat be observd to be moderat 43. The Cure of a Peripneumonie is to be seen in Chap. 40. 44. The most Wounds of the Great Vessels of the Lungs are wont to be deadly but the Cure of the Lesser and also of Spitting of Matter shall be given elsewhere CHAP. XXI Of the Alteration of Blood by Air Inspired and Expired Deprav'd
Asthma Incubus and Hypochondriac Suffocation joind with the Fear or Sense of Strangling To which we may add an Interrupted and Hindred Inspiration in the Hicket Sighing and pricking pains of the Pleurisie 22. In a simple Hard Breathing the Inspiration is wont to be little and also quick but in an Orthopnaea less quick and much greater and indeed with the Neck streight and stretcht forth as in an Asthma there is observd besides a more difficult Inspiration proceding with Labour a Wheazing or Snoaring in the Brest together with a Cough in which often somthing is spitted out often nothing with the Night-Mare to them only that sleep and especially on their Backs a Dream of weight pressing the Midrif and threatning a Suffocation is join'd whence Melancholic People are often wont to dote wonderful things to themselves of a certain or uncertain Person hated The Jaws are so streind in the Hypochondriac Suffocation depraving Inspiration more commonly befalling People awake than asleep that the Sick think themselves in danger of Strangulation 23. In an Hicket Inspiration is interrupted by uncertain and unequal Intervals by reason of the Convulsive Motion of the Midrif somtimes more othertimes less which suffers a continued though lesser Interruption joind with oftness whilst Sighs do urge as in a Pleurisie it is chiefly interrupted as often as the Feverish Heat urging more there is an endeavour of more Breath 24. Every Dyspnaea is stirrd up both for the most part by Wind or Vapors produc'd in the Small Gut by Phlegm rarefi'd by Choler and rising up partly through the Stomach and Gullet to the Mouth hence perhaps piercing farther into the Pipes of the Lungs with the inspired Air and partly being carrid plenteously through the Lacteal Veins and Passage of the Thorax to the upper Hollow Vein hence the Right Ventricle of the Heart lastly the Vessels of the Lungs and their spungie Substance it self stick there and so hindring their explication no less requisite than complication thence strangely and sorely vexing the Sick and somtimes by viscous Phlegm falling down out of the Head and seizing on the Pipes of the Lungs and producing a divers narrowness in them Whence according to the simplicity or complication of these Causes and so a greater or less harm sundry kinds of the Dyspnaea do arise and somtimes less other-times greater 25. In the Asthma and Orthopnaea for the most part both Causes concur although in the Asthma which is call'd Hidden Vapors or Wind only seems in my thoughts to molest and that the same do effect all in the Hard Breathing and Hypochondriac Strangulation whosoever attentivly examins and weighs all the Symptoms then befalling the Sick will easily acknowledg 26. We intend to give you the Breeding and Cure of the Hicket Sighs and the Pleurisie in the next and 40th Chapter 27. I. We have related somthing of the Cure of the Syncope and the most grievous kinds of Hypochondriac Suffocation in Chap. 19. Sect. 70 c. which may there be seen 28. The Inspiration of Air Abolisht the Brest and Midrif being deficient together in their Motion by the defect of the Animal Spirits in the most grievous Apoplexie is Incurable because any impediment cannot be soon enough taken away by which the rising of the Nerves is so comprest that Passage for the Animal Spirits through Them to the lower parts is deni'd 29. The Inspiration of Air Abolisht because the Sharp Arterie is much straitned may be estemed for Incurable unless the Blood Matter Phlegm or any other thing which fills it be soon expelld with strong Expiration or the Band that straitens it in its Strangulation be taken away 30. The same Inspiration Abolisht the Mouth and Nostrils being both stopt may be Cur'd by taking away forth-with the Causes stopping lest otherwise Death follow in a short while 31. So the Inspiration of Air Abolisht by an Obstruction of the Jaws and chiefly of the Throat may be Cur'd by speedily removing any Cause of an Obstruction either by drawing it out or by forcing it into the Gullet and hence to the Stomach 32. The same may be Cur'd there being an extreme Straitness of the Throat because of the Squinsie molesting by curing the Squinsie any way by letting of Blood in the Limbs to turn it away and under the Tongue to draw it forth and by Cataplasms and Gargarisms both of a potently Cutting Ripening Faculty and such-like 33. If the Inspiration of Air be Abolisht by the compression of the Throat by an Halter it may be Cur'd if the Halter be loosd or cut in time 34. II. The over-Frequent Inspiration of Air 1. Because of the encreasd Kindling and Rarefaction of Blood in the Heart may be Cur'd that Heat being allaid as well by Letting Blood as by temperat Acids or Salt Nitre either pure or after it has been fir'd by the help of Sulphur into the Salt or Stone call'd Prunellae 35. 2. The Inspiration of Air not sufficient and therefore ton Frequent arising by the hindred due explication of the Brest the Gristles being of a bony hardness and so inflexible cannot be Cur'd unless by softning the Gristles which what Medicins can perform is known as yet but to a few although there have been some who have even softned any Bones bow'd them variously and again have hardned them according to their pleasure which is admirable 36. The Cure of an Hindred and over-Frequent Inspiration because of the Pain of the Pleurisie follows the Cure of the Pleurisie to be had in the general Method of Curing any Inflammation of which see Chap. 40. 37. 3. The Inspiration of Air two Frequent and hindred following an Inflammation of the Midrif may be Cur'd that being cur'd according to the forecited general Method 38. The same Inspiration hindred because the Midrif is hindred in its expansion may be Cur'd in the Dropsie call'd Ascites by emptying Water out of the Cavity of the Belly any way when the Woman is with Child by sending out the Birth in the Tympanie when the Stomach or Guts are distended with Wind by thrusting them forth or by their own ceasing 39. 4. The Inspiration of Air not Sufficient and too frequent following the Substance of the Lungs either made too Fleshy and Solid or Wrinkled is by me esteem'd Incurable 40. The same caus'd by a Peripneumonie may be Cur'd it being Cur'd after the manner of other Inflammations 41. The same when to be ascrib'd to a mean straitness of the notable Branches of the Sharp Arterie may be Cur'd the Cause of that Straitness being taken away somtimes Internal filling its Branches more or less somtimes External and sticking in the substance of the Lungs and compressing them of which in general we must speak elsewhere 42. Here you may observe as often as the Sharp Arterie is stopt with Phlegm whether fluid or viscous or sharp or mild or with Blood clotterd or dissolvd or with Putresi'd Matter thick or thin or somtimes in those that are
every where by Physicians and Chirurgeons 30. When Choler is plenteous in the Body let it be diminisht safely by a mild Cholagogue and especially in the form of a Loosening Decoction or Juâ—â—p adding together those things that may temper the Feverish Heat For Example â„ž The Root of Succory â„¥ i. the Root and Herb of Dandeleon M. ii the Leaves of Sorrel M. i. Tamarinds â„¥ i. ss Bâ—il them in Barley-Water adding to â„¥ xx of what is Straind Syr. of Succory with Rhubarb â„¥ ii ss M. Or â„ž Barley-Water â„¥ xii Fenel or Cinamon-Water â„¥ ss Syr. of Succory with Rhubarb â„¥ ii Sp. of Vitriol what suffices for a grateful Acidity M. Let the Sick take oft a Draught of this prescrib'd Decoction or Julap till the Body be made more soluble and then cease from farther using it unless it become over-costive for then some of either of them may be taken again 31. When Choler is not so Much as it is Sharp Altering Medicins and especially Sowr Things are to be taken in Drink and chiesly those that are wont also to promote Sweat Distild Vinegar either single or compounded together with others added to it before distillation whither I refer the Alexipharmio Water of Amsterdam and the Preservative Water much more grateful for Anno. 1655. to escape the Plague we together with Dr. Franciscus vander Schagen and Dr. Paul Barbette famous Physicians took care that beside other things prepar'd by common Counsil at Amsterdam it should be made for the sake and good of the Sick whose Form therefore I think fit to add here An Excellent Preservative Water â„ž Angelica Zedoary-Root of each â„¥ i. Butter-Bur-Root â„¥ ii The Leaves of Garden-Rue â„¥ iv Of Balm of Scabious Marigold-Flowers of each â„¥ ii Vnripe Walnuts cut lb ii New Pome-Citrons cut lb i. Beat them all together then pour on lb xii of the best Wine-Vinegar distild by it self to three fourth parts in Sand in a Glass Cucurbit Digest them all Night in the Morning distil them with a slow Fire of Ashes almost dry and that without burning This Vinegar of great strength and most grateful is to be kept for Use 32. It may be mixt with ordinary Drink Beer a Decoction Broth c. to a grateful acidity for any that is Sick often us'd in a small quantity to take away Thirst and to promote a mild Sweat 33. When there is a rational fear or some more manifest signs appear that Lympha and the Juice of the Pancreas is over-Sowr in the Body for preceding Causes a sharp Cold of Air sufferd many Sowr things long us'd a continu'd Sorrow of Mind and such-like it may be commodious to use the Volatil Salts of Harts-Horn Salt Armoniac or others more benign that both temper Sowrness and mildly dispose the Body to Sweat together with Food in Wine or any other ordinary Drink 34. When a Diarian Fever siezes on a Man in whom Phlegm is found peccant either in plenty or viscousness or saltness then should endeavour be made that when it is over-much it be diminisht being viscous it be cut being salt it should be temperd and so many Evils feard that otherwise would follow may be shund and that by Medicins oft propos'd and mentiond before 35. Medicins that are more mild and more temperd are to be us'd among Delicate People and such as have a more tender Constitution of Body Among Stronger People stronger Medicins 36. A more mild Thirst and only following Heat may be remov'd especially by watry and somwhat sowr things as the same when more grievous and owning the Acrimony of Choler encreasd or such a like cause will need more sowr things of which see Sect. 18 20 22 31. 37. When Bitterness of the Mouth urgeth they will avail that mildly carry out Choler by Stool of which we spake in Sect. 30. 38. Those things that Cure Vnquietness or Weariness of Body are propos'd in Sect. 21. 39. They will take away the Head-Ake and its Pulsation and Watches which are had in Sect. 22. and 25. To which may be added among External Things Epithems or the following Liniment â„ž Betony-Water â„¥ ii Rose-Water â„¥ i. Marigold-VinegarÊ’ vi Opium of Thebes ℈ ss M. for an Epitheme Which being warm with a Cloth dipt in it cover both all the Forehead and especially the Region of the Temples and as oft as the Cloaths are found dry presently moisten them in like manner with the same till Pain be lessend and Sleep follow 40. Prepare a Liniment of these or such-like â„ž Ointment of PoplarsÊ’ ii Opium of Thebes dissolvd in Oil of Roses ℈ i. M. for a Liniment Wherewith anoint each Region of the Temples and spread it on a brown Paper and apply it thither 41. Those things that are containd in Sect. 21. and especially 24. will diminish deep Sleep if you omit Laudanum 42. When more Symptoms concur it will not be very hard from what is aforesaid to frame or joyn such helps as may conduce to the same CHAP. XXIX Of Synochal commonly call'd Containing Fevers 1. THe Fevers that some call Putrid to distinguish Diarian and Synochal Fevers not putrid so call'd by them of which we have treated in the former Chapter the most distinguish into Continual and Intermitting Fevers as again them into Containing or Synechals and Continuals in special so call'd or Synechals 2. It matters little that Synochos is an unknown word to the Antient Greeks and Hippocrates and Continual and Containing is among the Latins us'd for the same because where divers Things occur or are feign'd which are destitute of distinct names we may yea it becoms us moreover to distinguish from one another the terms of their Origination and Signification for a more distinct Doctrin's sake and use every one enough explaind before in a diverse Sense 3. Therfore they call those Synochȣ̂s or Containing Fevers which continue without any Fit to their last and compleat ceasing but Synechὲιs or Continuals have the general name of Fevers which although they always persist to the end yet do they daily or every third or fourth day undergoe some Fit I will examine them in this these in Chap. 31. as Intermitting Fevers in the next following 4. I said the Cause of Containing Fevers in Chap. 27. Sect. 24. was in my judgment somtimes Choler somtimes Lympha and they that flow together with Lympha somtimes both together ill affected raising such an Effervescency in the Right Ventricle of the Heart whence continually the Pulse is bred more frequent against Nature 5. Who therefore could not unfitly distinguish these Containing or Synochal Fevers upon the account of their diverse Cause into Choleric and Lymphatic Fevers 6. And because under the general name of Lympha we do not only comprehend that Lympha which goes from the Conglobated Glandules and also from other Parts to the Heart but moreover the Juice of the Pancreas and Spittle it self proceding from the Conglomerated Glandules and so the Liquor that is to
tough enough mean-while Choler being very slow 98. II. Burning Fevers arise from Choler then Sharp and Oily and Plentiful the Juice of the Pancreas being less sharp and Phlegm but little and less tough 99. III. The Fevers call'd Epialae I judg to be two-fold Intermitting Fevers but both caus'd by the Juice of the Pancreas too sharp and Choler also sharp and so indeed that continually the Coldness of the one concur's with the Heat of the other and the new Fit of the first and Coldness return when the Heat of the latter begins to be augmented and molest the Sick 100. IV. I ascribe Thirsty Fevers to the over-sharp Salt in Choler which if much Oiliness also accompany Thirst is troublesom chiefly in Heat but if it be more gentle then even while Cold molests and its hurtful quality is more manifested at the meeting and vitious Effervescency of the Juice of the Pancreas forcing out after its feverish obstruction 101. V. I derive Hungry Fevers from the Juice of the Pancreas obtaining a more grateful Acidity but pâ—tent by its obstruction when it ascends to the Ventricle breeds both that cruel Hunger and somtimes Fainting and other Symptoms except Meat be given 202. VI. The Juice of the Pancreas breeds Heart-aking Fevers by getting a Corroding quality chiefly when Choler is also sharp and their concourse make a potent Effervescency whence exceding sharp Vapors rising to the upper Orifice of the Ventricle do sharply bite and gnaw it 203. VII Griping Fevers arise from the same Juice of the Pancreas both too sharp and too tart by its obstruction and putting forth its Acrimony one while into the Small other times into the Thick Guts With which if Viscous Phlegm and Choler at least moderatly Sharp do concur they raise Wind which distend the Belly together with the Guts and beget the Colic pain an importunate Companion of this Fever 104. VIII Swouning Fevers have their rise also from the Juice of the Pancreas but more Volatil then Sharp in Acidity by its obstruction Choler being little and slow then whence the same breaks forward without delay through the Lacteal Veins piercing towards the Heart not only all over and raising a cold Sweat but forthwith does so coagulate the Blood also that for a season it cannot be rarefi'd sensibly nor yet the Pulse observd till Choler get some strength when this hurtful Juice begins to cease and the Sick seems then to return from the Dead to Life 105. IX I attribute Strangling Fevers to Sowr Vapors of the Juice of the Pancreas growing more sowr by its obstruction stird up in its Effervescency with Choler and not only rising to the Ventricle and Throat but also to the Thoracic Passage by the Lacteal Veins to the Heart and Lungs and causing somtimes a Sense of Suffocation in the Gullet and a true Suffocation in the Lungs 106. X. I also ascribe Difficulty-Breathing Fevers to Vapors after the same manner but less Sowr of the Juice of the Pancreas less Sowr join'd to Viscous Phlegm in the Small Gut and so more Flatulent from which all the Symptoms reckoned Sect. 32. may be easily and only deduc'd and commodiously enough explain'd 107. XI Asthmatic Fevers have their rise in my Judgment from Viscous Phlegm found in the Small Gut which being dissolvd by the Juice of the Pancreas raise a Feverish Fit and being carri'd with it together to the Heart and Lungs and sticking there causes a Breathing with Snorting whil'st many or few Belches come forth by the same and make a more grievous or lighter longer or shorter Fit 108. XII Coughing Fevers are caus'd by Vapors most commonly seldom Wind and not so Viscous as Sharp partly to be ascrib'd to the Juice of the Pancreas partly to Phlegm in the Guts but sharper and more biting so often as they come to the Lungs and provoke and compel Them to cough continually 109. XIII Catarrhal Fevers arise from Humors in the Head gradually gatherd and dissolvd by the Cause of an Intermitting Fever carri'd thither and mov'd every way according to its Distillation and Defluxion 110. XIV Gouty Fevers are to be found in the Juice of the Pancreas so corrupted that it chiefly assaults with it Choler with which it does vitiously effervesce and raise the most grievous Pain or less Sharp rising against Viscous Phlegm and not sharp Choler is much dulld of the same and hinders the Motion of the part with a Phlegmatic Tumor rather then an Acute Pain Where it is to be noted that often daily or every other day the Feverish Fits which return do not afflict the Sick with a notable or troublesom Coldness or Heat but rather with a light Pain of the Head and moreover a Thirst the Pulse also being too Frequent and too little at first and then somwhat Greater whereby a New Fit is observed the Gouty Pains also being imbitterd after some hours and so that although they remit again in part either slower or quicker yet do they not wholly intermit but though the Feverish Fit be ended yet notwithstanding the grievous or more light Pains of the Joints still continue till at length they depart either of their own accord or by art 111. XV. The Symptoms that attend Distrastracting Fevers do prove the new Feverish Fit to arise from Choler chiefly sharp enough of it self and sharper by meeting with the Juice of the Pancreas 112. XVI All may see that Vomiting Fevers arise from the same Choler very Volatil and somtimes also sharp meeting with the Juice of the Pancreas and so much stird up by its consequent Vitious Effervescency and rising up to the Ventricle which the excretion of Choler somtimes Yellow othertimes greenish doth confirm 113. XVII Fevers with a Loosness are wholly to be assign'd to Choler also but less Volatil and more sharp and still made sharper by meeting with the Juice of the Pancreas which by gnawing the Guts having dissolvd the Phlegm therof do provoke them to thrust forward what is containd in them 114. XVIII I take Sweating Fevers to arise from the Juice of the Pancreas more Volatil then sharp and therfore rather dissolving then coagulating the Mass of Blood 115. XIX I am perswaded that Vrining Fevers arise from the same Cause but less Volatil seeing that not only the Matter of Sweat is the same with that of Urin but where Sweat is hindred by external Coldness there Urin is voided more plentifully 116. XX. I deduce Spitting Fevers from the same Juice of the Pancreas being so vitiated by its Obstruction that when it produces a Feverish Fit it is carri'd more plentifully to the Salivary Glandul's and so affords the Spittle more plenteous and fluid matter 117. From what has been said I suppose that the Causes of many other Intermitting Fevers with most grievous Pain of the Head and Teeth and other parts or any other notable Symptom may easily be unfolded by those which are Ingenious wherfore before we come to the Cure of all
and every of the Fevers propos'd and explaind let us mention their diversity in returning according to the Intervals of their Fits now shorter other-times longer in Quotidians Tertians Quartans Quintans and others as also the Reason and Causes of their difference which I take to be most true and intend to apply them explaind to my Opinion 118. And although I do not wholly follow the divers manner of these Sorts commonly ascrib'd to divers yet do I not think that these divers Humors are here to be neglected seeing that as shall appear by what is to be said if they cause not that diversity immediatly they much contribute to do it mediatly 119. As therfor the new Fit of every Intermitting Fever is stird up according as we have taught so oft as the Juice of the Pancreas becoming sharper by its Obstruction bores through the Phlegm that obstructs its Lateral Passages and passes to the small Gut and hence having raised an Effervescency vitiated howsoever with Choler and other Symptoms in the same place and adjacent parts carri'd through the Lacteal Veins and Thoracic Passage and the hollow upper Vein into the Right Ventricle of the Heart and so forward so the same new Fit is raisd sooner or later as Phlegm obstructing the Lateral Passage of the Pancreas is pierc'd and bored through by the forementiond Juice 120. And this piercing and penetrating of Phlegm Obstructing is sooner or later both upon the account of the Phlegm it self obstructing the Passage and also of the Juice of the Pancreas piercing through it 121. For by how much the more viscous and plenteous Phlegm is by so much the more difficulty and so slowly will it be pierced through and on the contrary the lesser and less Glutinous it is the easier and so the sooner will it be pierc'd through 122. Again the more Acid this Juice of the Pancreas is of it self the sooner will it acquire by its obstruction a greater and sufficient Acrimony to penetrate the Phlegm obstructing easier and sooner and on the contrary the more obtuse or sowr and little this Juice is so much the slowlier can it acquire a sufficient Acrimony to cut through the Phlegm 123. Therfore by how much the less and less glutinous Phlegm obstructing is and the Juice of the Pancreas be more Acid and Plentiful so much the sooner will a new Fit of an Intermitting Fever arise and so a Quotidian that is one returning in the space of about 24 hours 124. Again how much the more viscous and plentiful Phlegm obstructing is and the Juice of the Pancreas more obtuse or tart and little so much the slower will the new Fit of the Intermitting Fever be a coming and so a Quartan or Quintan c. 125. But as oft as 1. Phlegm obstructing and Juice of the Pancreas are in a medium or 2. The Juice of the Pancreas is of it self too acid or plentiful and Phlegm obstructing too viscous or plentiful or 3. the Juice of the Pancreas is less and less Acid and Phlegm lesser and less Glutinous so oft new Fits of the Fevers will return almost every other day and then they will be Tertians much differing in their Symptoms beyond what other Intermitting Fevers do and indeed because of the newly mentiond possible threefold respect of Phlegm obstructing and the Juice of the Pancreas piercing through it 126. And here you may note that Intermitting Fevers do but seldom return in the exact Interval of natural days of 24 hours but return quicker or slower for the most part wherfore then they are said to anticipate the appointed and expected Time for some hours which is disliked or to come later which is commended although it matters not whether the Fits anticipate or come later if so be that their continuance and the grievousness of Symptoms daily accompanying be diminishd to which a Physician should chiefly give heed when he prognosticates by Art and would foretel a change certainly to come 127. From what hath already been said the Causes of Intermitting Fevers both manifold and compounded of divers may without much difficulty be found out and assignd to wit the Obstruction both various and in divers Lateral passages of the Pancreas 128. But there still remains a difficulty not to be despis'd which is more requisit in explaining the multiplication of any simple Intermitting Fevers to wit Quartan or Tertian that is its change into a double or triple which I judg to be so oft as new Phlegm is dissolvd in the Body and especially in the Small Gut by an Error committed in Diet or Medicins Poisons rather not rightly us'd and hence driven forward together with the Blood every whither therfore also to the Pancreas which being again coagulated in one or more of its passages formerly not afflicted by what cause soever breed an Obstruction different from the former more or less which breeds a Fever more or less grievous then the former And if daily Experience do not evince certainly it abundantly confirms this to be so 129. And seeing I cannot observe any more notable difficulty about the Causes of Intermitting Fevers which I judg could make any scrupling to the Ingenious and Judicious who attentively consider what is above-said and chiefly to those who do accurately observe natural things I betake my self directly to handle their Cure 130. As we have considerd Intermitting Fevers in searching and assigning their Causes both as they are Intermitting and as they are accompani'd with various Symptoms and as they return in divers Intervals so now we will keep our Method in their Dogmatical Cure propos'd and will attend to the same seeing that the Cure according to Art will be easier and more succesful when they are accurately and rightly observd 131. Because therfore the Juice of the Pancreas is the apparent and determind Cause of Intermitting Fevers as Intermitting when it is made more acid and sharp by reason of the Obstruction of its Lateral Passages caus'd by Phlegm coagulated in them and hence carri'd down into the Small Gut after the Phlegm Obstructing is opend and there raising an Effervescency vitiously with Choler and Phlegm of the Guts meeting after that creeps with them in what form soever to the Right Ventricle of the Heart and therein by stirring up the Heart causes a more frequent Pulse not only by its Acrimony or Flatulency but moreover alters and troubles divers ways the Vital Effervescency and Sanguification it self and produces all other Symptoms above noted and explaind in divers places the Cure wherof will be performd if I. Phlegm obstructing more or less glutinous and coagulated be cut and dissolvd and thence remov'd because peccant in place and carried down at least to the small Gut or wholly carri'd out of the Body II. If the Acidity and Acrimony encreas'd of the Juice of the Pancreas be Temperd and Corrected III. If its vitious Effervescency with Choler in the Small Gut be hindred or amended 131. I. Phlegm obstructing will be Cut most
â—n the Dogmatic and Rational Cure of Intermitting Fevers seeing they are the Cause why Phlegm Obstructing is more or less glutinous why the Juice of the Pancreas is more or less sharp and also why the Fit varies in all its Circumstances and Symptoms 195. For as oft as Choler has dominion in the Body Phlegm is less clammy and the Juice of the Pancreas not so sharp and therfore the Fever will be Cur'd easilier and quicker when rightly cur'd 196. But when Phlegm over-rules the other Humors in the Body the Juice of the Pancreas and Choler and Phlegm it self obstructing more slower in its Cure though easie enough having almost all the Symptoms lighter 197. When a Sowr Humor abounding in the Body excedes the other Humors Choler will be more broken and sluggish Phlegm being somtimes more glutimous and chiefly when the Sowr Humor inclines to tartness and joind more compleatly to the saltish part of Choler and making the serous part Salt like Brine together with Phlegm over-fluid and then the Fever is more slowly and more difficultly cur'd 198. And after what manner we must procede in the Dogmatical Cure of these Fevers so many ways different among themselvs no less confirmd by large Experience then apparent with solid Reason any excelling in Ingenuity as well as Judgment may easily collect from what is said For we bid all that are destitute of such endowments of Spirit to bid adieu to Dogmatical Physic 199. And as Simple so are multipli'd Intermitting Fevers to be cur'd unless the Physician have more need of circumspection here for the Interval of Intermission or Remission and the exact observation of fit Seasons seeing they are somtimes shorter other-times more seldom which being neglected the Cure it self is also commonly neglected or perverted 200. I said the Interval not only of the Intermission but also Remission is shorter as well in Multipli'd as Simple Intermitting Fevers because there is oft observd no full Intermission of a Fever but only a Remission by reason of the Duplication and Multiplication of new Fits in which time those things are chiefly to be done which are or ought be performd with some disturbance of both the containing and containd Body to which Purges and Vomits chiefly belong which unless they be taken in a convenient time they oft hurt much but profit nothing as many Sick do daily experience to their great loss He is therfore truly an Happy Physician whom other mens dangers make cautious CHAP. XXXI Of Synechal or Continual Fevers so especially call'd WE have before in Chap. 27. Sect. 12. taught that there were Fevers that were continually â—ermanent yet having new Fits daily or in the third â—urth or an other day which they commonly and well â—all Quotidian-Continual Tertian-Continual Quarâ—an-Continual c. Fevers seeing that they are comâ—ounded of Continual and Intermitting Fevers concurâ—ing although many Physicians judg and teach otherwise being more attent to the pleasure of their Authors then the Observation of the Sick whence they name them not compounded but singly Continuals 2. For the most part there is no Cold observd in any â—ew Fit because the continu'd Heat of Those without Fits is wont to break and overcome the lesser â—owrness of the Juice of the Pancreas the Acrimony and Oiliness of Choler exceding 3. Yet somtimes either a small Shivering or little Stiffness is perceivd in any Fit that is as often as the over-weak Acrimony of Choler cannot suppress the great Acidity of the Juice of the Pancreas whencesoever arising but it manifests it self at least after a certain manner by cold or a fretting of the membranous parts and a light concussion of the fleshy Pannicle following it 4. For the most part Intermitting Fevers so coupled with Continuals are Tertians seldom Quotidians much less Quartans 5. The notable and most grievous kind of these Tertian Fevers is call'd Causos or a Burning Fever in which a great Heat persevering to the end vexeth and molests the Sick though remitting a little by Intervals and hence again more grievously afflicting And beside that most troublesom Heat Thirst is then wont vehemently to molest the Sick as on the contrary Hunger is wont to be abated Driness and Blackness of the Tongue often attends these with Chops and a filthy Exulceration of the Lips horrible Scabs afterward growing upon them Neither is the grievous Head-Ake unusual in these Fevers together with a Raving vehement enough In some the chief Symptom is a difficult Gnawing of the Stomach very troublesom to the Sick with or without Vomiting The Hicket also grievous to many molests several A Loosness overtakes others or Bleeding at the Nose Also often large Sweats are sent forth together with an intensness of the Fit or Vrin is voided plenteously whence the Bodies of the Sick in a short while suffer a kind of wasting and that Fever is particularly call'd Colliquans 6. In Quotidian Continual Fevers a Bruising Pain doth often enough shake the Loins and Back and Lims of the Sick Yea somtimes with a new Fit of the Fever they also fall into a Swouning or Syncope whence it is then call'd a Syncopal Fever 7. As therfore as well Synochal as Intermitting Fevers so those Compounded of both have receivd a singular denomination from the grievous Symptoms accompanying both among the Common People and among Physicians that practice Physic and in the Cure not without cause attentive 8. The Primary Cause of these Synechal Fevers whereby they molest the Sick with a great and continual Heat is Choler peccant by too much Acrimony and Inflamedness whence it doth not only perpetually raise a vitious Effervescency in the Right Ventricle of the Heart but also in the small Gut and especially the Juice of the Pancreas coming by fits being made too sharp because of its stoppage and producing an obscure fit 9. The chief Cause of the troubles of those Fevers with an almost perpetual Coolness or Shivering is judg'd by me to be the Lympha and especially all the Juice of the Pancreas peccant with a Sowr Acrimony and then continually driving forward Vapors a little Sowr out of the small Gut every way especially at the producing of a new Fit and so stirring up a wandring sense of Cold. 10. The Cause and Reason of the other Symptoms usually accompanying these Fevers may be easily drawn from those things that are spoken in the preceding Chapters so that it is not needful to stay longer on this matter 11. So also the way of Curing Them is not hard to be taken from what is afore-said by following the Cure of Synochals in the most and using moreover those things in a convenient time which will mildly loosen an Obstruction in one or more of the Passages of the Pancreas and correct the Juice it self hitherto too sharp 12. The Opening of a Vein then chiefly conduces when there is exceding Heat and the provoking a Sweat by mild Aromatics and Volatil Salts when there are signs of a Sowr Humor
out and know by the Medicins that help or hurt 22. Take diligent heed in rightly governing and directing Diet that I. the Air be most temperat either naturally or by Art 23. II. Let Food be of easie Fermentation as Milk and that either Womans or Asses or Goats or as now the custom is Cows taken whilst it is warm sundry Broths Yolks of Egs Flesh of younger Creatures Wheat Bread rightly leavend and bak'd Beer not too strong and yet fermented Wine of good age and small and diluted in a little Water c. 24. III. Let the Motions of the Mind be Moderat especially shunning those things from which the Hectic Fever arose 25. IV. Let the Motion of the Body be gentle and chiefly when an Hectic Fever is raisd by its excess 26. V. Let Sleep and Watchings keep a mediocrity seeing here all excess is very hurtful 27. VI. The wonted Emptyings and especially those that are natural and serve the Individual if they do not weaken the Sick and procede too slowly ought to be promoted and all the other to be shund as all Effusions of Blood or in Women the Monthly Courses of Seed and of Milk as sucking 28. When an Hectic com's with or succedes Fevers Without or With Fits then upon their account the Cure may be vari'd according to the divers harm of divers Humors differently peccant all which may be seen in the former Chapters 29. None can ever cure an Hectic following Inflammations Apostem's Vlcers and Fistula's who beside the Remedies newly mentiond doth not also use Medicins that potently cleanse and hence consolidate Vlcers and Fistula's Among which the Balsam of Sulphur with Anise or any other Aromatic Oil is not the least effectual as also all Medicins made of Antimony that are more fixt and therfore neither promote Vomiting or Purging Among common things all those are famous which have the name of Vulnerary Plants and are us'd in Decoctions being appropriated to the Cure of Ulcers as well as Fistula's 30. And now having exactly observd all in which according to the manner of treating the divers Causes of Hectic Fevers agree or differ the Physician will far more easily obtain his desired end in their Cure whil'st he has both obedient and patient Sick People which is seldom and the Evil be not delaid to the last CHAP. XXXIII Of Malign Fevers 1. AS otherwise any Disease or Sickness so a Fever takes the name Malign as often as the Strength of the Sick is suddenly and unexpectedly dejected or far more grievous Symptoms occur then are wont to be observd in such a-like Disease 2. The Strength that is wont to be dejected in Malign Fevers are call'd Vital to be manifested and discernd by the Pulse even from its beginning too Weak or suddenly much Weakned and by unexpected Death overwhelming the Sick 3. Malign Fevers are either Epidemical raging among many in the same time having a common Cause as the Air or Food vitiated or Privat affecting this or that Man only and that for a singular Cause and then for the most part known by the name of Poison 4. Again they are either Contagious infecting others or in no wise Contagious not harming the By-standers 5. Again they are either more Acute tending to an end in a few days or Longer continuing more days 6. In Malign Fevers there is for the most part observd a light Shivering to precede and Heat soon to follow it seldom great commonly more gentle so that the Sick scarce use to complain thereof Their Vrin for the most part differs little or nothing from healthy peoples Urin. The Pulse is indeed Frequent but withal Little and Weak and always unequal somtimes Intermitting or Deficient Often Drowsiness or a kind of Lethargie seldom Watchings urge The Sick are often vext with Turbulent Dreams and unquietness of Body They have often Gripes in the Stomach troublesom enough and somtimes Lothing yea moreover Vomiting also and the Head-Ake and somtimes Raving or Giddiness A greater Thirst often then Heat of Body and of the Jaws All the Members seem somtimes weari'd with much Labour and as it were afflicted by weariness Somtimes there happens Choleric and Foerid Loosnesses A Drooping or plenteous flux of Blood out of the Nostrils or Womb doth often concur and the Blood that drops or runs out of its own accord most commonly will not clotter Spots and little Pimples divers both in colour and greatness somtimes break forth in the outside of the Body and Tumors in the Glandul's Somtimes the extream parts soon wax hot and again are presently cold Sweats either none or very plenteous come forth by which unless the Sick get ease especially when they are promoted by Art there is no hopes 7. From all which Symptoms rightly consider'd and compar'd with those which are known by Experience both to resist Malignity and overcome it I judg the Cause of Malign Fevers if not always yet at least is most commonly a Salt that is both volatil and sharp which will weaken the somwhat sowr Liquor of the Glandul's and make it sluggish and of little force whence the natural Consistency of the Blood is diminishd and therfore its Rarefaction deceivd and often the separation of the Animal Spirits hindred and hence the other Symptoms above-mentiond are produc'd according as that Sharp Volatil Salt is drawn with the Air by Inspiration into the Lungs and thence into the Blood also or is swallowd down with Food or Spittle into the Stomach or creeps in through the Pores of the Body or infects weakens and spoils the Liquors of the Glandul's first or them together with the Blood And hence depends the variety of divers Symptoms observd several ways in Malign Fevers as also from the other Humors found in the Body of any 8. The Blood therfore being less consistent sustains a less rarefaction whence the Pulse becoms is it only Little but moâ—â—over Languishing yea bendes the Vital Fire kindled and sustaind in the Blood is more easily opprest and extinguisht and Death unexpected often overwhelms people unfit for it 9. I think the Cause of all Malign Fevers to come from without and never to be produc'd by it self in the Body from the Humors corrupted of their own accord for it procedes from a Fire exceding sharp which is not in Choler 10. Mans Body as well Containing as Containd is defended and preservd against all such Malignity in a Volatil Sharp Salt by the frequent and moderat use of Sowr things and especially a little Tart. 11. But this Volatil and Sharp Salt the Cause of the noted Malignity is Corrected and Amended with the same and also Oily things but especially mixt with a Sowr or Tart Earth To which appertain all Potters Clay and Seald Earths Bole Armeniac the Earth Lemnia c. and so every Mineral or Metallic Sulphur rightly prepar'd of Vitriol Antimony c. Hither reduce those that are commonly known Treacle Diascordium c. Yea to correct this Salt mild
wounded by Art or chance or mischance 33. 7. The same happens to too great an Effusion if Seed coming away either of its own accord or especially by immoderat Venery 34. 8. The same often is after an over-great Evacuation of the Humors by Vomit Stool Urin Sweats c. and especially when it com's with great Pains or a vehement Agitation of Body 35. 9. The same com's to pass when either the Water of Hydropical Persons or Matter in those that have putrefi'd Lungs is pour'd out excessivly 36. 10. The same is observd to come to pass by a Sting or Bite of certain Poisonous Creatures 37. 11. This same Evil accompanies the Fits of certain Intermitting Fevers either soon in the Beginning or often in the Encrease or in its Vigor seldom when it Declines unless perhaps by too large Sweats 38. 12. Somtimes a Swouning comes upon certain very vehement Pains of the Teeth the upper Orifice of the Stomach the Guts Bladder c. 39. 13. The same Swouning oppresses some after too much Motion and extreme Weariness of Body 40. 14. Somtimes a Swouning is produc'd by a great Heat either of the Sun or Fire or Bath or Fever 41. 15. Nor is it seldom that a Swouning happens by Hunger or Thirst too long and sorely vexing 42. 16. Yea somtimes Swouning happens to certain Women giving Suck by too great loss of Milk chiefly depending on the potent sucking of a strong Infant and somtimes by the very grievous Pain of the Clefts of the Paps or otherwise ill-affected 43. From the mention'd and such-like manifest Causes diligently considered and diligently compar'd with those which we have before propos'd we judg every Swouning is to be deriv'd next and immediatly from the Blood it self coming from both parts to the Heart and all those which are joind both according to and beside Nature and are carri'd together with it to the Heart and so disturb and change its natural Effervescency thâ—â— Râ—refaction of the Blood is not only diminisht but the Heart it self is not enough expanded and contracted and the Blood not sufficiently effus'd into the Arteries and therfore the Pulse is felt Less and more Languishing yea somtimes None 44. For if to make a laudable Pulse be requir'd as we think 1. Blood returning from every and both places to the Right Ventricle of the Heart 2. Choler Joind to the ascending Blood 3. Lympha returning from every place with the Descending Blood 4. A singular Lâ—quâ—r arising and soon after straind through the Lacteal Veins from the conflux of Choler and the Juice of the Pancreas and Spittle in the Small Gut and perhaps 5. Air attracted into the Lungs by Inspiration and nâ—xt in some part of it with the Blood circulating through them whil'st the rest is again thrust one in the Expiration next following and soâ—â—â—inâ— 6. 〈◊〉 although it be not always but 〈…〉 taken in driven to the Heart I say if all tâ—â—â— be requirâ—d to make a laudable Pulse as every on◠〈◊〉 be both present and rightly disppo'd but i◠〈…〉 reâ—f thâ—sâ— be wanting wholly or in part or 〈◊〉 thâ—re in tâ—â—rger â—loâ—ty or come thither endow'd with a â—raâ—gâ—â—â—â—lâ—ity or others go together also not râ—quir'd and therfore necessarily hurtful without dâ—â—â—â— there will bâ— some wrong to the Pulse beside the spâ—â—â—ng of the â—â—â—ctions wont to be in the Heart 45. And to remain in our present business 1. the Pulse will be deficient more or less in greatness and strength by an Universal Defect of Blood after a notable Haemorrhagie or Hunger much prolong'd whence the Blood will not only be deficient but other Humors also in the Body Choler the Juice of the Pancreas Lympha and the rest that are necessary to make the Vital Rarefaction of Blood and so the Pulse great 46. 2. The same Pulse will be deficient in Greatness and hence in Strength by the defect of Choler in a great Loosness and Vomiting and especially the Disease Cholera whence if Choler be carri'd to the Heart in a lesser quantity and at length perhaps none is it a wonder if a less or no Effervescency be sâ—ird up in It if there be a less or no Rarefaction of Blood if a less or no Expansion and Contraction of the Ventricles of the Heart follow and the Pulse be felt either Less or None 47. 3. The same Pulse will be Deficient in Greatness and hence in Strength by the Defect of Lympha with too Great a Sweat with which that the Lympha is also diminish beside the Animal Spirits Acids no less then Spiritous Volatil Medicins much recreating and restoring those that Sweat seem to evince By the defect of Lympha somwhat Sowr the Mean Consistency of Blood and its Effervescency will be deficient whence it will neither enough rarefie in the Heart nor will its Explication and Complication be great enough whence the Pulse will also be observd of necessity Less then is Naturally 48. 4. The same Pulse will be Deficient in Greatness and hence in Strength by the Defect of the Liquor arising from the Three-fold Sway in the Guts in a troublesom Vomiting and Loosness especially continual For this being in part or wholly excluded the Blood will necessarily want its benefit we judg in an other place that it conduc'd to procure the natural Coagulation of Blood if therfore the Blood be more or less destitute of it and is not repaird continually for want of this as is newly said the Blood will be less apt to rarefie and open the Ventricles of the Heart and the Pulse will necessarily follow a Less 49. 5. The same Pulse will be Deficient in Greatness and hence in Strength by the Defect of Air to be Inspir'd in any straitness of the Mouth and Nostrils or Jaws or sharp Artery for which the Air coming in less plenty cannot bestow the desired coolness on the Blood or any other Change wherfore the Blood being driven through the Lungs more slowly and not making a sufficient place for the new Blood following out of the Right Ventricle of the Heart hinders the Contraction of the Heart and is the Cause of the Pulse hitherto Less 50. 6. The same Pulse will be deficient in Greatness and hence in Strength by the Defect of Chyle both in a preposterous Hunger whether voluntary or compeld and in the Fermentation of Food or Separation or Transcolation or Conveyance any way hindred For unless Food be taken daily and especially in the accustomd time by which the Chyle drawn from it may be carri'd to the Heart the Blood continually lost will not only be unrepaird but the Humors flowing together in the Heart and Small Gut will act too much or amiss upon themselvs and the rest of the Blood and somtimes will make the Blood more or less consistent and hitherto unfit to the due or sufficient Rarefaction of it self and the Explication and Complication of the Ventricles of the Heart whence there will necessarily follow a Less
All which ought to be dissolvd in convenient Liquors and often given to the Sick For Example out of parts of Plants only â„ž Mint Fenel Water of each â„¥ i. Scurvygrass Water Aqua Vitae of Matthiolus of each â„¥ ss Laudanum 2 grains Syr. of Mint â„¥ i. distild Oil of Cloves and Mace of each 2 drops M. 115. Let none wonder that in the propos'd Mixture to be taken often by Spoonfuls I add Laudanum seeing we have often before assorted that Opium hath an exceding power to hinder and mitigate the vitious Effervescency of Sharp Humors both in the small Gut and in the Heart and elswhere without which Effervescency hurtful and somwhat Acid Vapors and such as cause the Diseases which are now to be Cur'd are not wont to be raisd 116. Several things prepar'd and very efficacious of the parts of Living Creatures may be added to the foresaid Mixture or one like it as the Tincture of Castor the Salt Spirit of Salt Armoniac or Vrin the Volatil Salt and Oil of Blood Bones Horns Hoofs c. the Ods should be rectin'd and not ony be freed in part from the smatch of the Fire but moreover be made more piercing and more potent Which Rectification is commodiously done with Spirit of Wine Tartarizâ—'d 117. The newly mentiond Volatil Salts and Oils may be given in a Spoonful of any Liquor Water Wine Beer Broth c. 118. None but he who has tri'd will be easily perswaded of the wonderful efficacy of the aforesaid Medicins and their exceding power not only in preventing but moreover in diminishing and soon curing Swounings and the Syncope For these Remedi's may be us'd not only before the Fit or when it coms but when it molests by warily pouring in a little of them into the Mouth and by applying or anointing the Nostrils with them For their volatil force is every way disperst and piercing to the inmost parts is easily joind to its like that is Volatil Vapors and alters changes tempers and corrects them so that they cease not only to provoke or pull the Sensible parts or affect them with a sense of Coldness but chiefly too much to condens the Blood and so far to cloud Life and almost blot it out with their Acidity 119. Others also may be us'd when a Swouning or Syncope urges as is usual which may stir up any External Senses such as are Frictions of the External Parts Shoutings Application of Sharp Things about the Nostrils and Mouth of Vinegar Rhenish-Wine Cinamon-Water Aqua Vitae of Matthiolus the Apoplectic Antepileptic Treacle c. Waters Manifold Fuming as well moist as dry Vinegar alone or joind with Cinamon Cloves or others Amber Partridg-Fethers and such-like well enough known by the common People 120. When the Fit is ended either of its own accord or by Art the Strength both Animal and Vital for the most part prostrated is to be recreated by Spiritous as well as Aromatic Medicins For the Animal Strength is wont not a little to languish afterward whether or no because the Spirits are not bred in the Brain during the Fit yet are they restor'd forth forth with strong Wine or its Spirit sparingly us'd 121. And Aromatics use to repair the Vital Strength so call'd whether or no because they do more agree with Choler which is not a little broken and weakned both in the small Gut and in the Heart by Acid Vapors If therfore some Aromatics be joind with Wine or the Aromatic Spirit of Wine be us'd both Faculties being Debilitated may be helpt by one and the same Work For Example â„ž Betony-Water â„¥ ii Aqua Vitae of Matthiolus â„¥ i. Confection of AlkermesÊ’ i. Syr. of Burrage â„¥ i. M. to be us'd often by Spoonfuls CHAP. XXXV Of the Palpitation of the Heart 1. THe Palpitation of the Heart is deservedly referd to its Motion and Pulse deprav'd against Nature which I think is to be estem'd its Convulsiv Motion seeing it is indeed an inordinate forct and often also vehement Motion of the Heart For there is not always a notable vehemency whence the Palpitation of the Heart uses to differ much in degrees 2. This inordinate Motion of the Heart may be manifested by the Pulse of the Arteries in part and after a certain manner yet not plainly and fully whence there is need that for the most part the Hand should feel under the left Pap although in a vehement Palpitation of the Heart the same Motion may be seen as also heard often at a notable distance 3. For it happens somtimes that there is such a vehement Palpitation of the Heart and such a smiting of the Ribs that they are broken by it or driven forth in younger and more tender People and remain sticking out 4. There are also as we hinted before some degrees in the Palpitation of the Heart upon the account of its greater or less vehemency whence somtimes it will not be manifest unless you apply your hand to the Brest somtimes it is soon manifest to Seeing and also Hearing 5. I take the Cause of the Palpitation of the Heart to be whatsoever is apt to stir it up to the inordinat and somtimes also vehement Contraction of it self without intermission whether it be containd within the Ventricles of the Heart or in its Substance or it be without the Heart yet continually pulls bites or pricks it for a time or always Whence a certain Palpitation of the Heart is noted perpetually troubling the Sick another urging for the time and again urging or wholly departing 6. Whatsoever is effus'd out of the Veins and Eâ—â—lets into the Ventricles of the Heart and is again soon expeld by its Contraction into the Arteries becoms somtimes the Cause of a Greater or more Potent Pulse but not of Palpitation to produce which there is need that its Cause should stick to or in the Heart and continually provoke it to Contract it self which therfore will be both inordinat and unequal and besides together vehement 7. Now having examind and weighed those things which I have both observd in the Sick troubled with a Palpitation of the Heart and also seen noted of other Physicians I judg this Palpitation of the Heart for the most part arises from Humors or Wind very Viscous and together Sharp carri'd to the Ventricles of the Heart and sticking in them and continually provoking the Heart to an inordinat and unequal Contraction of it self 8. These Humors and Wind may be more frequently carri'd out of the small Gut to the Heart whether they be driven forward of their own accord being mov'd by their vitious Effervescency or being stird up are carri'd by a more stird Motion of Body especially in their ascending a steep place or a grievous Passion of Mind Anger Fear Sorrow or Joy or be in like manner constraind or urg'd by an External Cause as the Heat or sharp coldness of Air by sweet or sowr Food by a potent and that somtimes sweet other times
of Blood is faulty both by the Natural Humors concurring to the Constitution of the Blood in the Heart but having a vitious quality and by the Non-Natural Things so call'd vitiating some of the nam'd Humors and Blood it self and so corrupting them that an ill Nourishment of the Body follows 6. The Natural Humors that are wont to be confus'd with the Blood and hitherto known are Choler and Lympha of the Conglobated Glandul's and the other Parts of the Body as also Spittle and the Juice of the Pancreas joind together with Choler in the Small Gut and compounding a singular Liquor to be mixt with Lympha and so the Animal Spirits returnd any way to the Blood all which I scarce think that any verst though but a little in the Art of Physic and addicted to the Truth can deny to be affected with a vitious quality and to communicate it self with the Blood 7. We have noted several Depravations of these before and shall yet relate more whence they may be requir'd that make hither 8. As several Depravations of Humors are somtimes by degrees insensibly produc'd in the Body so the same are somtimes bred suddenly and sensibly by the Non-Natural Things or others to be noted with the name of Poison peccant in a notable excess and very much troubling or corrupting all things in the Body 9. The Depravations most frequent and manifest are Acrimony both Acid and Salt-like Pickle and somtimes a Lixivial Salt and too much Viscousness or Fluidity the Causes of which and manner of breeding we have often propos'd and explaind before whither we remit the Studious Reader lest being too oft spoken it be tedious to the Nice 10. The reason of the mentiond Symptoms will easily be known to any that thinks oft and weighs that as oft as the Blood whence-soever hath been made Vitious and producing a Cachexie so often all the nam'd Humors seeing they arise from the Blood are also bred faulty whence likewise not only both the Appetite of Food is deprav'd but moreover their Fermentation wherfore Anxieties about the Midrif and a pressing Pain of the Heart follow as well before as after its being taken in 11. But when part or the whole Mass of Food ill Fermented is driven forward through the small Gut the Juice of the Pancreas and Choler which are confus'd with it being alike vitious do not only corrupt the expected Separation of useful and unuseful parts but also here happens a vitious Effervescency of these Humors yea often manifold Vapors or Wind being raisd out of that vitious Mixture do not only encrease the fore-describ'd Anxiety but carri'd to the Heart do breed its Palpitation and carri'd to the Lungs make a difficult Breathing and driven every way breed the noted Weariness 12. From the same Vitiousness of all the Humors a Continual and Slow Fever depends in as much as they raise a vitious Effervescency in the Right Ventricle of the Heart among many other Symptoms they likewise make the Pulse more Frequent then is wont and so preternatural 13. And seeing the Sick through unquietness often lay their Bodies bare that were coverd with Cloaths it easily happens that Phlegm being carri'd through the Vessels of the Pancreas is coagulated there and breeds an Obstruction by which the Juice standing still may be the Cause of a manifold Intermitting Fever and it will be sooner and easier if the Body run down with Sweat and the Pores of the Skin are open or the Air be colder and sharper 14. Vrin comes away Crude and less Colourd or Thick because of the Humors mentiond over-sharp incorporating with the Blood or Watry abounding which diminish the desired Effervescency so that the Separation much less Excretion of the Excrementitous Parts to be voided together with Urin being requir'd and useful doth not follow And as then all the Parts are ill Nourisht so the Skin of the Face expos'd to the Air and Sight before all others gives signs of its harm by Heat according to the variety of several Humors most peccant 15. When the Acrimony of the Humors concurs then is it manifested internally with Pains or externally with Pimples 17. When the vitious Humors abound together in Plenty then several kinds of the Dropsie at length succede if not the Universal Body grows Lean by degrees 18. The Cachexie which in special happens to Women because of their Monthy Courses flowing less commodiously or in due season God willing we intend to give the Reason and Generation therof in the Third Chapter of the Third Book 19. From wâ—at has been said here and elswhere the pâ—â—â—â—ction of every Hypochondriac and Scorbutic Cachâ—â—ie may â—â—sily be deduc'd by a Judicious and 〈◊〉 â—â—â—us Physician â—â— And that we may pass on to the Cure of the 〈…〉 kâ—ow that if any where then for certain 〈◊〉 his Gâ—lden Precept is to be observd accuratly propos'd in the following Distich Principiis obsta sero Medicina paratur Cum mala per longas invaluere moras Resist beginnings late is Physic us'd When the Disease delaid is deep infus'd For unless the Cachexie be helpt in time it becoms oft by degrees so stubborn and rebellious that it can be cur'd only late or never Therfore are the Sick and their Parents or Kindred or Friends to be admonisht by their ordinary Physicians though unaskt so soon as the â—â—gns of a Cachexie beginning manifest themselves in the Colour of the Face chang'd that that Evil as it is in the Proverb be not neglected in the Blade seeing that it is soon wont to take deep root and hard to be rooted out which afterward cannot be overcome unless by an Herculean Labour 21. The Cure of every Cachexie will consist in the Correction and Amendment of the Blood any way vitious Where the kind of the Vitiâ—usness and true Canse is to be observd whether it be one or manifold 22. As therfore this or that Humor is primarily and most peccant after this or that manner and depending on this or that Error committed in the Non-natural Things hath vitiated the Blood and produc'd a Cachexie so are the Medicins to be selected which may mildly and by degrees alter and reduce both the noted Humor and the Blood it self to their natural constitution or if they cannot be clearly and wholly amended yet do they empty out by dâ—grees the same at least corrected after a certain manner mean while not neglecting the Non-natural Things or others producing or cherishing these Evils which unless they be corrected or shund the happy wisht for Cure and laudable Success of what is to be done will be expected in vain 23. You have often told you before by what Medicins and Forms the mentiond Corrections and Emptyings of several Humors may and ought to be perfected where they may be seen 24. We must therfore persevere a while in the Vse of convenient Medicins and especially when the Cachexie has continu'd for a space and fixâ— its growth which
Motion no wonder if Sense and Motion oft-times remain in any part one or more Nervs being cut asunder in it although not a little Diminisht with some Stupidness and Numness of the Part. 30. Motion may be Restor'd to the Animal Spirits through the Nervs comprest 1. the Bands straitning them being loosned or remov'd 31. The over-Hard Tumors being Cur'd by Inciding Mollifying and Resolving or Ripening Medicins of which we intend to speak elswhere 32. 3. The tough and compact Humors being Cut Mollifi'd and Resolv'd or Deduc'd and drawn forth in the manner of imperfect Matter by Medicins describ'd in Chap. 40. Sect. 33 34 35 c. 50 c. Where I mind one thing to be added that Volatil Salts may be here externally us'd with great success if in the time of using them they be joind to Fomentations and Cataplasms or be mixt with Ointments in a small quantity whose incredible benefit such as are honest and fearing God will wonder and celebrate 33. If the Nervs may be Obstructed and be indeed noted Obstructed Volatil Salts will conduce before all others both Internally and Externally us'd and oft mentiond and prescrib'd by me in this Book 34. Both Internal Sudorifics chiefly Aromatic and External Inciders and Discussers among which I again mention Volatil Salts will Correct and Remove the Phlegmatic and Watry Humors sticking about the Nervs and too much moistning and loosening their Membran's and Marrow and if the same abound much in the Body Phlegmagogues and Hydragogues may conduce us'd by turns whose forms we have oft set down before 35. II. When the Animal Spirits are carri'd through the Nervs in greater plenty then ought and should be 1. By a vehement Passion of the Mind then it is to be compos'd at least to be reduc'd to Mediocrity and Sleep is to be had for the Body even by Narcotics when the Matter requires but us'd in a small quantity by turns 36. When the same happens 2. by a continual and grievous Irritation about the Head of the Spinal Marrow in a Universal Convulsion and indeed by 〈◊〉 Acid and Sharp Spirit carri'd thither from the small Gut then 1. the sowr Humors are to be amended 2. The rising of Vapors is to be hindred and 3. Their Acrimony is to be diminisht and temperd and 4. Their Expulsion by Sweat or Insensible Transpiration is to be procur'd then 5. The Part affected by them is to be restor'd and freed from Pain and 6. The over-Motion of the Animal Spirits is to be restraind and brought to tranquillity that is a more quieted Motion All which how they may be obtaind is oft mentiond before convenient Forms of Medicins being added 37. But when the noted Irritation in a Particular Convulsion is made in a sensible part or its Nerve of the Place affected by the same sowr and sharp Humor or Vapor then the fore-mentiond Remedies conduce unless that then Externals prepar'd with Aromatics and Volatil Salts may be together us'd with great success which likewise are oft propos'd 38. But when the same Particular Convulsion arises from a Prick of the Nerve or Tendon as it is known to be somtimes by the unskilfulness precipitancy or accident or troubled Mind of the Chirurgeon in opening a Vein then most speedily pour into the Wound the Oil of Turpentine hot with the rectifi'd Spirit of Wine as Ambrose Pare in the Ninth Book Chap. 38. wrote was done by his counsel with good success in Charles the Ninth King of France 39. If this be done too late or the Wound of the Nerve or Tendon yield not to this Medicin the same is to be cut asunder cross-ways seeing it is safer for some part that its action should perish then that the Sick should be expos'd to the danger of a deadly Convulsion 40. So when the Nervs or Tendons of the Muscles are prickt by sharp Splinters of Bones soon after a Particular and at length Vniversal Convulsion with grievous Pains succeding then if possible the extreme and sharp fragments of Bones are to be cut away or if this have been neglected or could not been done and all incline to a Universal Convulsion you must hasten to cut off the part affected in the most commodious place about the Fracture of the Bone seeing otherwise the Sick must die of necessity by a Universal Convulsion 41. When a sharp Pain raisd by an Inflammation or St. Anthonies Fire c. in a more sensible part of the Muscle occasions a Particular Convulsion then diligently Labour that that Pain be diminisht as well by Internal as External Anodyns or Narcotics also and their Cause whether Inflammation or St. Anthonies Fire c. be most speedily and pleasingly Cur'd not omitting in the mean time Medicins already mentiond useful to diminish and allay the over-encreasd Motion of the Animal Spirits 44. III. Seeing the more remote Cause in the Body of a Convulsive Motion and so of the Epilepsie it self differs not from the more remote Cause of a Convulsion unless in the manner of acting here continually there by turns fretting and irritating the beginning of the Nervs no wonder if for the most part these Diseases follow and are cur'd with the same Remedies mentiond in Sect. 36. 45. But a Convulsive Motion is wont for the most part to return by Intervals somtimes longer somtimes shorter and but seldom constantly to afflict and then to kill sooner not otherwise then a Convulsion which is wont for the most part to continue long 46. A Rational and Dogmatical Cure of a Forc'd Trembling depending on an Inordinate Perpetual Motion of the Animal Spirits made with force to the trembling parts ascrib'd to Wind and Vapors mixing with them and evilly stirring them up so may be orderd if 1. the Material and Efficient Cause both of Wind and Vapors be corrected by a convenient Alteration and if it be together peccant in quantity encreasd be diminisht by a Purge and somtimes Vomit Vrin or Sweat to which ends useful Medicins and their Forms may be found here and there 47. If 2. the production of the same Wind and Vapors be hindred by Medicins oft propos'd 48. If 3. the Wind and Vapors already bred and every-where occurring be discussd or compeld to fall by Medicins in like manner oft mentiond 49. If 4. The Animal Spirits forcâ—d to an Inordinate Involuntary and Impetuous Motion by them be by little and little freed from them and reduc'd to a calm ordinat and voluntary Motion Whereof the first may be by the most subtil volatil and spiritous Medicins promoting Sweat at least Insensible Transpiration and so expelling them forth but the latter by both Anodyn and Narcotic Medicins usâ—d in a small quantity and at times which two will not be inconvenient but expedient to be given together seeing that so these commended Medicins do the easier come to the place of the Animal Spirits and hurtful Vapors and Wind and the more happily absolv both Works wherof you may find many Forms
sides of the noted Passages and also by the same growing together into a stone-like Matter and in like manner adhering by degrees to the noted Sides For it seems not impossible that that may befal Men somtimes which is observd so oft to happen to Cattel and Beasts in the Winter Season 3. The descent of Choler to the Gut may be wholly taken away by an Obstruction of the Passage of Choler â—nto the Gut risen either by Choler it self most glutiâ—ous overlaying and at length wholly filling that Passage by degrees more and more or by the same Choler lapidescent and likewise stopping the whole Passage 4. It is commonly receivd that Choler wholly hindred in its natural Descent ascends with force to the Liver because of the noted Obstruction of the Passage to the Gut and is so carri'd to the Blood and anon transferd with it to the habit and superficies of the Body and there breeds the Jaundice 5. And although I suppose the Jaundice may somtimes be raisd by the foresaid Obstruction yet do I not judg that that Obstruction suffices to breed it unless Choler then abiding in its Bag especially get a new change 6. And that I should be so perswaded very many both Anatomical and Practical Experiments move and in a manner constrain me which I desire may be always conjoind as oft as may be by those who desire to do any thing profitable to Mortals and so to Physic it self in the Illustration of the more obscure Natural and Physical things For it oft falls out that some Anatomical Experiments seem to contradict Practicals whence by their long comparison together and an accurat weighing of all the Circumstances Truth the more happily and profitably appears But if this be neglected our Knowledg is rather obscur'd and things now occurring to us less distinctly of themselvs are the more confus'd 7. I have Observd 1. in diffecting Icterical People that the Passage to the Gut or that call'd Cystic was not always obstructed 8. 2. I have Observd that the Excrements are not always pale in the Jaundice although less dyed then usual 9. 3. I have Observd the Jaundice oft sooner bred not only by a peculiar Poison but by a grievous and unexpected sorrow of Mind then that any can perswade either themselves or others that an Obstruction could be bred so suddenly from what Cause soever at length then present and acting in the Passages of Choler 10. 4. I have Observd the Jaundice Cur'd by Medicins and that soon enough by the help whereof any unless prepossest with Prejudice can scarce believe an Obstruction could be opend or so soon opend To this number I refer Cows Milk boild with Hemp-Seeds by the help of which only benefit I have cur'd several and known many of the Common People cur'd Hither I refer Sope prepar'd both with the Oil of Olivs of Turneps or of Whales and in like manner dissolvd in Milk and taken 11. 5. I have Observd many Infants born with the Jaundice or the Jaundice soon break forth in them after Birth 12. Seeing from these Observations it is manifest that the Jaundice may be produc'd without an Obstruction of the Passage of Choler it is deservedly askt what is or may be its true Cause 13. That this may be the more happily and easily searchd out I will premise the commonly known Symptoms that indicate the Jaundice instant or present anon I will join some others noted perhaps by few 14. The Compressive Pain therfore of the Heart so call'd most troublesom about the Lower Region of the Stomach is wont more frequently to precede and also to accompany the Jaundice in the beginning Anxieties and obscure Gripes concurring in the Right Hypochondre where both the Bag of Choler and its Passage is 15. The Excrements are usually white or of an Ash colour and not diversly dyed by Choler as at other times yea the Sick have more seldom a motion to go to Stool 16. By and by the Vrin comes obscurely red and colouring a Linnen Cloath dipt in it of a Saffron Colour 17. At length there breaks forth in the Face and Neck and more evidently in the Coat of the Eyes call'd Adnata constituting their White hence through the universal Skin of the Body a Citrine and yellow Colour yea somtimes inclining to an obscure greenness whence it is somtimes call'd the yellow somtimes the black Jaundice 18. When the Jaundice inclines somtimes a great itching is felt in all the Superficies of the Body 19. Among the External Causes I have oft seen the Jaundice bred by the abuse of Spirit of Wine and of other strong Drinks and the Dropsie Ascites succeding for the most part deadly 20. All which being rightly weigh'd I think whether the Obstruction of any Passage of Choler have place or such an Obstruction cannot be feignd that then Choler suffers a notable change by reason of which it is mov'd and carri'd more fiercely and plenteously towards the Blood with which notwithstanding it is less mixt then is wont to be but only confus'd with it and therfore it the easier severs from it and not only joins it self to the Skin and External Parts but to the Muscles also and Bowels and infects and dies them of its own Colour 21. For Choler being as it is naturally is mixt and imbodied not only loosly but most intirely with the Humors occurring both in the small Gut and also in the Right Ventricle of the Heart and that so that it cannot be more separated by them which Union is by reason of its Effervescency instituted in both mentiond places with the Sowr Humor flowing there 22. Because therfore in the Jaundice that most intire conjunction of Choler with the other Humors and according to some parts thereof a Mixture as also that mentiond Effervescency seems to be requir'd if not wholly at least in part hindred let us see wherein the Cause of both these effects yea and the Cause also of the Jaundice may be known what is requir'd in Choler to perfect each Effervescency and what may befall it as to diminish or remove it 23. It is now known to all sorts of Persons that any Effervescency happens between an Acid and Lixivial Salt or that which partakes of a lixivial Salt and in as much as it partakes thereof 24. And whoever shall examine Choler and confuse it as well with Sowr Liquors as with Lixivial Salts of any kind will easily see that Choler concurs to stir up an Effervescency by reason of its Lixivial Salt but much temperd many ways in it least there should be a potent and vehement and so hurtful inslead of a mild and to Nature friendly Effervescency in the Body 25. And if Choler has the esteme of a Lixivial Salt in stirring up an Effervescency let us go farther and see how its Salt may be affected that it becoms less apt for an Effervescency 26. Again it is known by Experience that the purest and so sharpest Lixivial Salt is
most apt for an Effervescency which same on the contrary howsoever dull'd becoms more or less unfit for an Effervescency 27. Many things Blunt the Acrimony of a Lixivial Salt and 1. indeed Oily and Fat things which any Sope testifies 2. Every Volatil Spiritous Liquor which the Salt of Tartar volatiz'd with the highlyest rectifi'd Spirit of Wine testifies 3. Every Earthy Thing which Coral Pearl Crabs-Eyes Chalk and many others testifie 28. Water promotes and facilitates the Effervescency of a Lixivial Salt if a little be joind to it and it abates and allays the same if much be poured to it 29. Fire alone sharpens and encreases the Acrimony of the same Lixivial Salt whence how much the longer it is urg'd by the force and flame of Fire so much the sharper it becoms and more convenient for a potent and vehement Effervescency 30. And that we may accomodate all these things to-our present Business and according to our Ability bring a clear Light to the Doctrine of the Jaundice enough obscure who ever shall attentively consider Choler will easily own that not a little of Oily and Fattish is mixt with it according to Nature because of which as the most potent and effectual and therefore that which doth primarily blunt a Salt Acrimony the Effervescency of Choler either in the Heart or in the small Gut is never observd sharp or great during Health 31. That somthing of a Volatil Spirit is mixt with the same Choler any will acknowledg who not only sees that Nervs great enough are carri'd to the Liver but moreover knows that it will be easily mixt with any thing which would not be unless a Volatil Spirit were mixt with it in a notable quantity for by reason of its Oiliness accompanying a Lixivial Salt it is more difficultly mixt with any thing to which as oft as a Volatil Spirit is joind it is more apt to mix with any And therby the Salt of Choler is rendred more temperat whence also hitherto its Effervescency is also more mild in a natural state 32. Somthing of Earth is found in Choler yet not so much as many evilly think because they either work ill or reason ill otherwise it would be leâ—â— movable and fluid and less joining it self with other things yea rendring the same movable as that is peculiarly manifest in the matter of Colours which is rendred more fluid and apt to cast a colour by Choler mixt with it By Earth although but little mixt with it the Effervescency of Choler is weakned least it should be potent and sharp in an healthy state 33. I cannot pass by here with silence the gross and hurtful error of certain Men in gaining knowledg of natural things by Chymistry For they think all things that are in natural things are manifested by Distillation only and that nothing is containd In them that coms not off by Distillation as though Fire alone as some wrongfully think were the Agent and that Universal which brings every change to Natural Things which they who assert do therâ—y fully testifie how little they are verst in taking up Chymical Experiments seeing that infinite changes occur which cannot be deduc'd from the Fire and not a few that are advers to the Fire Of which Matter I intend to mention more if at any time God give me leasure and other necessaries to perfect that Work whereby I may communicate in public the Science of Natural Things which I have ponderd in my Mind 36 years 34. Such and so great a Fire in mans Body by which the Lixivial Salt of the Choler may be burnt and become sharper cannot certainly be feignd by any of a sound mind no not in a stare most declin'd from that which is natural seeing that if any examin the matter rightly the primary Cause of a more intens Heat that is in the body it self in a non-natural or praeter-natural state is to be requir'd and deduc'd from Choler 35. I said the primary Cause of Heat in the body whether Internal whereby I may distinguish it from any External Cause which nothing hinders but that I may call it either common Fire kept in with any kind of fuel or by the Sun by which that all the Humors and especially Choler become more sharp is known to every one 36. Therefore as oft as Choler is renderd Sharper in mans body and that in its proper acrimony to wit consisting in a Lixivial Salt so oft that acrimony is to be sought and deduc'd from the External Heat somtimes of the Sun somtimes of common Fire 37. I said in its proper acrimony whereby it may be distinguisht from the Accidental which happens by an Acid sharp acrimony mixt with it which breeds Choler somtimes Green somtimes Black to wit as a sharp Sowr acrimony is more or less mixt with Choler and constitutes a compound Humor although known only by the name of Choler 38. Seing therefore among those things which are found in the Body and may and ought to be referd to the Internal Causes nothing occurs beside the Sowr Juice that may render Choler Sharper it is also very evident to what the Burning of Choler commonly more celebrated then understood or explaind ought to be ascrib'd 39. These being so premis'd we must further enquire To what especially the unfitness of Choler in mixing and intirely uniting it self with the other Humors in the Jaundice is to be ascrib'd 40. That this may be more easily and evidently manifest consider that the Jaundice is in a short while raisd by the biting of a Viper whose Poison because it is wont speedily to absolv its work is wholly to be judg'd very moveable and so subtil yea of a Volatil and Spiritous nature 41. The Jaundice oft enough coming upon drinkers of more strong wine and especially of its Spirit because of the neglect also of other more solid food and chiefly when any sorrow of Mind hath preceded and remains doth seem to confirm yea to prove that the Jaundice may be bred by a very Volatil Spirit too plenteously mixt with Choler and making it more Spiritous 42. So that it seems not absurd or improbable to me that Choler is rendred over-Spiritous when it causes the Jaundice somtimes by the most potent and spiritous Poison of Vipers in a short time somtimes stronger Drink daily us'd and for a longer time and less apt to effervesce with Acids conveniently and hence most intirely to join it self with the other Humors 43. But some attentive to this matter may say If Choler may be so chang'd by the Poison of a Viper or any other thing or too strong Drink that the Jaundice may be bred without an Obstruction in the Passages of Choler Choler will not cease at least to be carri'd to the small Gut from which although a less and weaker Effervescency with the Juice of the Pancreas happens there why are not the Excrements at least colourd by the same as it is wont to be in other causes
it seems to be evident wherein its chief Cure consists and from which or which kind of Medicins it may and ought to be hoped for and expected 81. For the confirmation of this mine Assertion I produce Saffron familiar in the Cure of the Jaundice and which seeing the Fat is commended upon that very account it favours mine Opinion for Saffron is easily joind to a Volatil Spirit by the help wherof there is made an excellent Tincture and Extract by which seeing that besides the Animal Spirits are wont to be brought to rest and tranquillity yea perhaps to sleepiness sleep succeding both mild and somtimes deep enough the whole Matter becoms so much the more manifest 82. Opium it self the most potent Drowsie Allayer of the Animal Spirits is Oily and Fat giving them a slow and difficult Motion yea almost taking it away 83. The Volatil Spirits therfore may be fore'd and bound by Fat and Oily things and brought to rest and tranquillity whence it seems to be evident if as oft as the Animal Spirits joind to Choler in too great quantity or exalted in it that is strengthned in their Power and Efficacy do breed the Jaundice by making it more Volatil and movable so oft the same Jaundice is to be Cur'd its noted volatilness and moveableness being overcom'd by Medicins that are Oily and do mildly procure Sleep 84. This same seem the fixt and Anodyn Sulphurs of Minerals and Metals mildly fixing and quieting the Volatil Spirits to confirm being not without cause much estem'd by the more Skilful Chymists 85. The same Choler more or less corrected is again to be deduc'd to the small Gut by Cholagogues chiefly by the most commonly us'd Rhubarb taken any way wherfore I again mention the Decoction prescrib'd in Sect. 68. 86. IV. The ill-favourd Colour of the Skin somtimes Yellow somtimes of an obscure Green in the Jaundice is of its own accord and by degrees lost and abolisht but is sooner remov'd by subtil Sudorifics having a Volatil Salt in them whether a mild Sweat or none follow For it matters little whether Sweat break forth then also or no seeing that this Choler abiding in any Parts against Nature may be cleans'd by the said Volatil Salts apt to promote a Sweat and may be driven forth with insensible transpiration 87. For Example Let the Party Sick of the Jaundice whose Excrements are of their wonted Colour whose Appetite is restor'd whose Urin is less dyed with a red Colour whose golden Colour in the Skin is no more encreasd but rather a little lessend let him I say use often in a day one Spoonful of this following Potion by which if a Sweat breath forth a perfect Cure may be the sooner expected but if more of a red Matter and a little after setling be rather sent forth by Urin the removing of the vitious Colour from the Skin must be expected more slow yet as good â„ž Water of Grass Wormwood of each â„¥ ii Tincture of SaffronÊ’ iii. Sp. of Salt Armoniac 30 drops Mineral BezoardÊ’ ss Laudanum 4 Gr. Syr. of Fenel â„¥ i. M. CHAP. XLVII Of the Motion of Choler to the Blood through the Liver Deprav'd 1. ACcording to the Ingenious Observations of that Famous Malpighius about the true place of the Separation of Choler which I approv'd of in Chap. 44. I judg'd in Sect. 16 c. of the same Chapter that Choler also was carri'd from the Glandulous Kernels up towards the Heart with the Blood tending thither from the Liver 2. I suppose this Motion of Choler towards the Heart is seldom deprav'd that is remov'd or turnd unless perhaps in the Disease Cholera and why not so often therfore deadly 3. This Rage or Violence downward of the Vniversal at least the most of Choler if ever it have place may be ascrib'd at least in my conjecture to the vitious Effervescency of the Choleric parts of Blood raisd in its Vessels by Summer-Fruits or other such-like hurtful things taken and carri'd to the Mass of Blood because of which if not all then sure the most parts will be hastned to the small Gut and thence expeld with great force partly upward partly downward without a convenient separation of it self in the glandulous Knobs of the Liver unspeakable Anxieties of the Stomach and Gut concurring by reason perhaps of a new Effervescency also vitious and most troublesom made with the Juice of the Pancreas in the small Gut 4. This perverse and partly turnd Motion of Choler cannot be Cur'd unless the vitious Effervescency of Choler both in the Mass of Blood and in the small Gut be allayd yielding to Opiats only as I have said in Chap. 15. Sect. 34. CHAP. XLVIII Of the Mixing of Choler with Blood in the Liver Deprav'd 1. THe same Choler which is thought by me to be sent out of the Glandulous Knobs of the Liver toward the Heart seems first to be mixt with the Blood returning to the Trunc of the Hollow Vein through its Branches implanted in the Liver wherby the Vical Effervescency between the ascending and descending Blood may so be more happily raisd in the Right Ventricle of the Heart 2. This mixing of Choler with Blood seems to be deprav'd 1. when it is more loose and less 2. When it is more intire and greater 3. When it is unequal 3. I scarce think that there can be at any time just no mixing of Choler with Blood 4. I. I judg that Choler is less and more loosly mixt and so rather confus'd with the Blood when it is very Spiritous as in the Jaundice of which we have abundantly spoken in Chap. 46. or very viscous or earthy whence it will be more difficultly slowly and so more imperfectly and less united to the Blood 5. II. I judg that Choler is more and closer mixt with the Blood when it is more salt and sharp and perhaps fatter which seems to be confirmd by Burning Fevers 6. III. Choler is Vnequally mixt with the Blood in the Liver when it is not Homogeneal but Heterogeneal consisting of divers parts some sharper some duller which I think has place in the beginning of the Jaundice and other cases as yet not enough observd for we get different Choler oft enough out of the same Bag. 7. Whilst we here describe Diseases as yet not enough observd and searchd out by Practitioners no wonder if their Signs be as yet uncertain and several other things therto belonging be even now obscure which somtime may be found and determind by the diligence of others mean while we communicate those things which we hope may serve the more happy Wits 8. I. We gave you the Cure of Choler peccant in spiritousness encreasd in Chap. 46. Sect. 73 c. 9. The Cure of Choler peccant in viscousness encreasd may be most happily instituted with a continu'd use of any more sharp Aromatics and Volatil Salts 10. Choler more Earthy and prone to be Lapidescent may be cur'd with the dulcifi'd Spirit
of Lympha doth the same doth its encreasd Acidity more potently effect as it s diminisht Acidity doth the contrary 13. Seeing these things are of great use in the practice of Physic they are worthy to be attentivly weighd by all Physicians and call'd into practical use For so by little and little many things in the Art as yet most obscure and confus'd may be illustrated and most commodiously explaind to bestow which benefit on their Friends Selvs and Relations I heartily exhort all Physicians of excelling Wit and Judgment 14. Good God! how oft are the most Learned and Experienc'd Physicians puzled when a true Reason is to be rendred of a little and weak Pulse so oft observd unexpectedly in the Sick how oft they fly to Nature opprest or deficient or to occult qualities or malignity wherby open Ignorance is hid among those that are ignorant of the Matter From which darkness of hurtful Ignorance that at length a Health-giving Light should arise to all Men I have not shund according to my power to take huge and envi'd pains even in this Business which forreign and succeding Physicians will own and mention more then my Contemporaries for Reasons enough known to their Consciences and not unknown to the Prudent 15. If a more sparing or plenteous more or less acid Lympha doth not a little change the vital Effervescency of Blood no small change likewise is to be expected from the same when a little Salt or Viscous for thus far it may be hindred whence a notable change may happen in the Pulse and the Life be oft in danger 16. The breeding of more sparing Lympha may procede especially from a more sparing use of more Liquid and somwhat Sowr Food and Sauces from which without doubt Lympha has its rising 17. The Generation of more plenteous Lympha may be ascrib'd to a more plenteous use of them 18. The Preparation of more sowr Lympha is to be requir'd from a frequent and oft using of sowr Sauces or Medicins yea Food For if Lympha according to Nature be somwhat sowr if the Juice of the Pancreas according to Nature be somwhat sowr each Humor is necessary and useful to an happy Life like as the consuming of each daily needs to be repair'd which is to be done by Food therfore Food also containing in it Sowr Particles and thus far more or less Acid should be requir'd let none expect all Acidity from Sauces or Medicins 19. Little Animal Spirit found either in the whole Body or at least carri'd to the Conglobated Glandul's and therfore less tempering Lympha and leaving it more Acid may be a cause why Lympha is more Acid. 20. The breeding of Lympha less Acid may be expected from the seldom and sparing use of sowr Food Sauces and Medicins as also by the Animal Spirits abounding in the Universal Body at least abundantly driven forward to the Conglobated Glandul's and there making the Lympha more mild and less acid 21. Lympha may be bred somwhat Salt by a more frequent and over-use of Salt Food or seasond with Salt or Pickle or dri'd in the Smoak as also of such-like Sauces with which many of the Dutch too much indulge themselvs being more negligent of laudable Health Which Evil they who make a long Voyage by Sea cannot shun being forc'd to use Flesh and such-like seasond with Salt 22. The extreme parts of Living Creatures to wit their Heads and Feet and the most of Sea-Fish if they be oft and much us'd breed Lympha more Viscous as also any Food devourd in too great quantity and therfore not enough fermented in the Stomach yea the rather therfore having an hurtful toughness and making such-like Chyle and hence Blood and anon the other Humors in like manner such 23. If any other Depravations of Lympha be at any time observd their Causes also may without great difficulty be sought out both from Food and from the other Non-Natural Things more or less peccant Of which those things which we have oft mentiond before may and also ought to be transferd hither wherby this Doctrine may become more evident 24. Seeing it is not yet enough known what Constitution of the Conglobated Glandul's is fitted to breed laudable Lympha I have nothing now to add of its Depravations 25. The Figure of Pores undetermind and yet very pleasing to its Authors doth not satisfie my Mind desirous of Truth not only not prov'd by forcible Reason but not so much as ever made probable by any by manifest Experience For that which is said by many of solid or dry things sent through a Sive having Holes of a different shape doth nothing urge as to liquid and moist things but neither is it true as to solid Corpuscles which are carri'd equally through round Holes if they be Spherical or Cylindrical or of any other oblong and round Form that I say not now any Corpuscles of whatsoever Figure they be may pass through the Holes of any Figure when they are less then them But take or say for granted according to pleasure I know not what Figures of Pores likewise feignd because determind by none in the Parts or Bowels of our Body through which Figures according to all the parts of Blood and Particles of the Parts of it fluid and continually flowing through insensible little Arteries and Veins some Particles may pass through more may be stopt in the Passage whether this be not to obtrude new Chimaeras instead of things sought out to be believ'd by credulous Men let Judicious and Ingenious Men judg 26. Wherfore they who in things obscure and hid from the External Senses do explain the changes made in our Body according to Chymical Operations evident to the Senses although even so they remove not all Difficulties seem to me whom I therfore follow to Philosophize more aptly and to the purpose in Natural Things yet do they bring more Light to our Darkness then the others who however they use sensible Similitudes yet do not use such as do enough square with those things which come to pass in our Body 27. And that I may candidly speak what I think and require in their Opinions they bind up Natural Changes into too strait Bounds whilst they adher to Affections of Qualities alone not enough weighing that the Affections of Qualities are far more and much different from the former according to which the mentiond changes come to pass in Natural Things Whose Nature Essence and Diversity yea manifold manner of acting of the Qualities although it be very hard to attain to with the Senses or Mind and to explain clearly and distinctly with other things yet should not Ingenious Persons despair of the good success but rather try with importunat Labour this Matter as yet hid in many things wherby true Glory may be given to the Inventor and the Public Good be promoted 28. Would God give me more leasure then I have hitherto had I my self would try my
endeavour heat and pain in Dysuria and Heat of Vrin so call'd or 3. though a continual provocation to make Water doth urge yet coms Vrin away only by drops and by little and little in the Dropping of Vrin or Strangury or 4. It is pourd somtimes into the Cavity of the Abdomen somtimes out of the Body not through the Passage but another way a Wound or Vlcer being in the Bladder or Passage 4. An Involuntary Voiding of Vrin owns oft for its Cause a Palsie or great Wound of the Sphincter whence the Sphincter ceases to be contracted and the Orifice of the Bladder to be shut wherfore Urin distils of its own accord or is driven forth by the Bladder contracted 5. The same coms to pass somtimes in grievous Distempers as the Epilepsie Apoplexie Syncope Astonishment as also Drunkennes in which al the Senses especially the Internal are so troubled or weakned that no Animal Spirits or those only troubled are carri'd to the Sphincter of the Bladder and its Fibrous Coat wherfore Urin is either not retaind or only confusedly and inordinatly and so involuntarily then retaind and again voided 6. Urin is wholly supprest in Ischuria 1. When the Orifice of the Bladder or Channel of the Passage is straitned by an Obstruction Compression or Growing together 7. Each is Obstructed oft by a Stone sticking in it seldom by Phlegm thickend or Clots of Blood or an excrescency of Flesh out of the bottom of the Bladder through the Passage and stopping it as several years ago I saw a stupendous example of that thing at Amsterdam in a Woman at length miserably deceas'd of this Disease by reason of a conjoind loss of Blood oft by a Fleshy part growing in the Chanel of the Passage and filling it 8. The Orifice of the Bladder or Chanel of the Passage is prest by a Tumor and that chiefly hard next it by an Inflammation or Scirrhus c. as also by bands binding the Yard more closely 9. As well the Orifice of the Bladder as Chanel of the Passage grow together where they have been wounded or fretted both by more sharp Stones and by more sharp Humors 10. 2. The Voiding of Vrin is Supprest when there can be no Contraction of the Bladder and because of the Palsie thereof and because it is extreamly Fild and Distended by Vrin too long held in which doth not only happen to such as Rave by Drunkenness or a grievous Disease but somtimes even to People of Reason or to an Infant for shame and to its harm so long stopping Urin preposterously till the Bladder being too much distended by it cannot be further contracted to Expel the Urin. 11. In the Dysurie Urin is voided in a quantity large enough by a great endeavour but with heat and pain accompanying by reason of the Orifice of the Bladder or the Vrinar way wounded or ulcerated but affected with burning pain at the Out-let of Urin and not letting it out unless with difficulty 12. Those parts are wont to be Corroded or Vlcerated both by sharp Humors joind to the Urin and corroding them and by more great sharp Stones cutting it in a difficult passage and occasioning an Ulcer anon to follow of its own accord 13. In the Strangury there is a perpetual irritation to extrude Urin scarce voided in the least quantity by the internal Superficies of the Bladder corroded or ulcerated and not enduring to be touchd of any thing coming to it unless with an exceding pain and notable trouble yea continually stirring up and forcing the whole Body of the Bladder to contract it self and anon expel what is receivd in though never so little by drops and slowly 14. The Internal Superficies of the Bladder is fretted and Vlcerated by sharp Humors carri'd thither and by Stones the sharp especially sticking there and by degrees cutting it upon a vehement motion agitation and concussion of the Body 15. Uriâ— flows out of its Bladder through unwonted ways when it is either burst asunder or otherwise wounded or perforated with an Vlcer 16. It is easily burst asunder by Chance into the Belly when the Bladder is turgid with Urin. 17. The same is Wounded by accident or endeavour and art By Accident by a Sword Knife Gun c. and that maliciously or by chance By Endeavour by a Lithotomists Knife 18. Vlcers either succede the preceding Wounds or procede from the corroding Acrimony of the Humors or a Stone cutting it or an opend Inflammation 19. As oft as Wounds or Vlcers pierce through the Bladder so oft Urin flows into the cavity of the Belly 20. So oft as Wounds or Ulcers are in the Neck of the Bladder and they are not open internally but externally so oft the same Urin is effus'd without the Body as also when there is a Wound or Vlcer in the Passage piercing through it 21. As for the Cure of the mentiond Evils it shall be taught elswhere when the Palsie or a Wound of the Sphincter ought to be cur'd 22. So also we will not in this place but elswhere set down the Cure of the Epilepsie Apoplexie Syncope Astonishment or Drunkenness 23. Stones stopping the Orifice of the Bladder are either to be repeld with a Squirt if more great or are to be expeld forth by Drink and that Diuretical being taken more freely 24. The same sticking in the Passage it being s ftned and enlarg'd by a convenient Fomentation they are to be movâ—d forward by Diuretic Drink largely taken or if the Stone be more great it is to be opend and the Stone drawn out the Wound thence arising being consolidated 25. Phlegm grown together and sticking to the Orifice of the Bladder ofter then to the Channel of the Passage is to be cut and attenuated by a convenient Liquor squirted in wherby it may be the easier voided together with the Urin. 26. To this end Aromatics boild in Water or Wine may conduce to which Volatil Salts may commodiously be mixt 27. Clots of Blood may be dissolvd by the same if endeavour be together us'd that new Blood be not continually effus'd which may be done by those Medicins that hinder the efflux of Blood and Consolidat Vessels harmd such as we oft prescribd before and in special in Chap. 55. Sect. 83. 28. An excrescency of Flesh out of the bottom of the Bladder is hard to be Cur'd unless by squirting a consolidating Decoction into the Bladder through a Syringe 29. A Compression as well of the Orifice of the Bladder as of the Chanel of the Vrethra by any Tumor will of its own accord be Cur'd the noted Tumor being Cur'd as also that compression made by bands by untying them 30. When the Chanel of the Passage call'd Vrethra or the Orifice of the Bladder is grown together it must be bored a fit Instrument being mildly thrust in and the same if hollow is to be left there so long coverd with a Consolidating Ointment or Plaster till the fear of
Consumption of several parts 37. But wherin that Vnfitness of the Blood to nourish consists whether it be bred of one sort only or manifold in several Men those things that hitherto are communicated to me or observd by me are not sufficient whence I may give the solution of this Doubt 38. And now having offerd the most Differences of Synochals both according to their various Causes and the more noted and grievous Symptoms accompanying them the next thing is that at length we subjoin to their Causes a Method of Curing every one of them agreeing both with Reason and Experience and therfore Dogmatical 39. I. Therfore a Synochal Choleric Fever may be Cur'd 1. By Correcting the Salt Sharpness of Choler chiefly by more temperd Acids the dulcifi'd Spirit of Salt c. 2. By Amending the Inflameable Oiliness of Choler by somwhat harsh Acids Sempervive the greater Plantane c. 3. By â—â—iminishing Choler if it be observd never so little to abound which is usual by Cholagogues but more mild and a little sowr or joind with Acids the Creme or Crystals of Tartar Salt of Tartar Vitriolated c. and that soon in the beginning or after that by the help of Altering Medicins Choler being over-intirely joind with the Blood begins to be again separated from the same and made fit to be totally voided which is chiefly to be expected from Acids oft mention'd but more mild or artificially temperd 40. Among Compound Medicins for correcting the salt sharpness of Choler the following Decoction oft to be us'd in a day in a small quantity and warm may conduce â„ž The Root and Leavs of Sorrel M. ii The Leavs of Strawberries Violets of each M. i. Boil them in Barley-Water adding to â„¥ xx of what is straind Syr. of the Juice of Citrons â„¥ iii. Sp. of Salt dulcifi'd ℈ ss M. 41. To Amend the Oily Inflameableness of Choler the following Decoction may be prescrib'd in like manner to be us'd â„ž Plantane Root â„¥ i. The Leavs of Sempervive the greater Purlan of each M. i. Boil them in pure Water adding to â„¥ xx of what is Streind Syr. of Purslan â„¥ iii. Oil of Sulphur prepar'd Per Campanam what suffices for a grateful Acidity M. 42. To separate Choler again from the Blood beâ—ng over-intirely mixt with it the following Decoction may conduce being us'd after the same manner as the former â„ž The Root of Dandeleon with its Leavs M. ii The Herb of Fumitory M. i. Boil them in pure Water adding to â„¥ xx of what is Straind simple Syr. of Succory â„¥ iii. Salt of Tartar VitriolatedÊ’ i. M. 43. Lastly To diminish or empty out Choler Loosned from the Blood by the preceding Decoction or a Medicin like to it and dispos'd to be voided out gradually and mildly together with the rest abounding or turgid in its Bag the following Decoction to be taken twice or thrice a day warm to â„¥ iii. or iv may serve beside others both single and compounded oft noted before â„ž Succory-Root â„¥ ii Endive-Leavs M. ii Damask-Rose-flowers M. i. Creme of Tartar or Crude Tartar Ê’ ii Boil them in a glaz'd Earthen Vessel in pure Water adding to â„¥ xx of what is straind Syr. of Succorie with Rhubarb â„¥ iii. M. 44. Yet because of the Cure of Fevers arising from Choler any way peccant it suffices not to direct their Cure to Choler it self Their Cause whereby a Fever will neither be encreasd nor fed but farther we should attend to all the Symptoms accompanying these Choleric Fevers and to all Changes therefore happening to both Bodies as well the Containing as Containd more things are to be us'd for their intire and perfect Cure 45. Wherfore by reason of an Exceding Heat stird up and of the Pulse encreasd in Greatness following a greater Rarefaction of Blood by the Fire encreasd in the Heart least the Vessels at length being by degrees more and more distended should burst or be opend any other way or over-Vital Fire be suffocated because of the hindred motion of Blood in the Heart or elswhere by its over-rarefaction filling its Vessels a Place is to be prepar'd for it by letting a sufficient quantity of Blood out at a Vein opend in the Arm Hand Foot or elswhere 46. And by this letting out Blood because it appears by daily experience that the heat of Blood is not a little diminisht thus far also an opening a Vein is to be â—â—â—â—â—nd whether that troublesom Heat be temperd 〈◊〉 of sharp and fat Vapors more plenteously â—â—us'd together with the Blood or it happen by any other Cause that may diversly be feignd according to any Bodies prejudice 47. Thirst then very importunate may be allayd by degrees by the Decoction prescrib'd in Sect. 40 41. or the Tincture of Roses describ'd in Sect. 20. of the preceding Chapter or the following Julap or any like it oft taking a little of it which I prefer before much Drink drunk at once because every sudden change is deservedly judg'd by Hippocrates hurtful to Nature and therfore dangerous â„ž Barley-Water â„¥ xx Syr. of Purslan â„¥ ii of the Juice of Citrons â„¥ i. Spirit of Salt dulcifi'dÊ’ ss M. 48. The thick Juice extracted out of certain Seeds by the help of any Water and the Mucilage such as we draw out of the Seeds of Quinces Flea-wort c. with Rose-Water or any other that is convenient will asswage the troublesomly Dry or also â—â—ven Tongue Some of this should be kept for a spâ—â—â— in the Mouth and again spit out which should 〈◊〉 be repeted 49. The same may be obtaind if the Leavs of Sempervive the Greater have their out Rind pâ—â—ld off and put into pure or Rose-Water hence oft laid upon the Tongue and be ever and anon renu'd 50. Pure Water will do the same if a little of it be kept in the Mouth and again spit out after gargling and oft repeted Instead also of pure Water a Decoction of Turneps or a mild Emulsion such as follows may be us'd â„ž Cleansd Barley boil'd till it crack â„¥ ii With its Decoction make an Emulsion of â„¥ xv adding Julap of Roses or simple Syr. of Violets â„¥ i. M. 51. To this end also the Yolk of an Egg beaten and mixt with â„¥ iii iv or v. of Rose-Water or any other grateful to the Sick and a little Sugar may in like manner be us'd a spoonful of it at a time being taken into the Mouth and afterward either swallowd or again spit out 52. II. A Glandular Synochal Lymphatic Fever may be Cur'd if 1. soon in the beginning whilst Shivering yet continues the following Mixture be taken by spoonfuls in short intervals â„ž Parsley-Water â„¥ i. ss Fenel simple Treacle-Water of eachÊ’ vi Syr. of Fenel â„¥ i. Sp. of Salt dulcifi'd ℈ i. M. For by the help of this the Shivering will not only be diminisht but moreover the sowr sharpness of Lympha temperd and the Heat that would afterward follow will at least in part
in many yet I judg they in whom Sowr Juice excedes and Phlegm abounds may more easily bear this Balsam and be helpt with it Mean while beware that its use be not too long continu'd but after the pain is over another gentler Medicin should then be us'd to comfort and by degrees restore again the membranous parts 175. To the same purpose may Unguents or Liniments be prepar'd of Volatil Salts in Hogs-Grease Butter or other Fat 176. Neither is Camphur undeservedly commended both in Plasters and Unguents and Liniments and Fomentations mixd with Spiritous things seeing it wonderfully conduces to temper any Sharpness 177. Many also approve of their own Spittle rubd in iâ— the morning to defend the part affected against new assaults which is to be granted to Spittle the most temperat humor of our Body and therfore most fit to temper either sharpness and to strengthen the Parts against them both 178. From these few Observations it will not be very difficult to select other things necessary out of the Writings of Practitioners and use them to cure the Gout 179. XV. Whatsoever do both powerfully and smoothly correct and temper the Acrimony of Choler will Cure Distracted Fevers such as are chiefly Oily Things Emulsions and Opiats internally us'd and the same appli'd any way outwardly to the Head 180. XVI All things that fix Choler and render it unfit to Effervesce powerfully will best Cure Vomiting Fevers as are all Tart Things that thicken and coagulate and also Opiats that blunt it 181. XVII The same things joind together and often us'd in a small quantity at several times will Cure Fevers attended with a Loosness For Example â„ž Conserve of Red-Roses â„¥ ii Diascord Ê’ ii Confection of Jacinth Ê’ i. Terra Sigillata ℈ i. Dragons-Blood ℈ ss M. to be a Conserve taken often in a day to the quantity of a Walnut 182. But Medicins prepard in a drier form are here to be preferd for use because Moist things too much dilute Choler and the Juice of the Pancreas and stir up and rather promote then stay their Effervescency Whence to tame a Vomiting or Loosness it is better to drink sparingly and chiefly Steeld or Guilded by red hot Gold whether it be Beer or Wine and chiefly Red Wine or Cows Milk c. 183. XVIII Sweating Fevers are not so easily Cur'd and yield not unless to Tart Things Which are to be us'd dissolvd in a little Liquor oft in a day and also in a small quantity wherby the volatility of the Juice of the Pancreas is gradually and continually amended and corrected For Example â„ž Plantane-Water â„¥ iii. Cinamon-Water Distild Vinegar of each â„¥ ss Syr. of Purslan â„¥ i. Red Coral pouderd Ê’ i. M. Take this Mixture by Spoonfuls which if any would have more potent let half or a whole Scruple of Acacia or the Juice of Cistis be added to it 184. XIX The same newly mentiond Medicins do conduce to Vrining Fevers seeing the Causes of both do only differ in degrees 185. XX. Spitting Fevers can scarce be Cur'd otherwise then by carrying down and educing the Juice of the Pancreas either by Stool or by Urin or to the Superficies of the Body with Hydragogues Diuretics or Sudorifics taken in time that is before the Fit coms or when it begins 186. Although I have not given the Description of Fevers with the Tooth-ake before yet I intend to annex here somthing of their Cure Which will consist beside general Remedies for the Intermitting Fever in tempering the over sowr Humor that stirs up the Tooth-ake by Mixtures often taken by Spoonfuls before the Fit yea during the Fit and by a gentle educing it when temperd in the time of intermission 187. To which end this following Mixture is fit â„ž Betony and Fenel-Water of each â„¥ ii Simple Treacle-Water â„¥ i. ss Laudanum 3 Gr. Oil of Cloves 4 drops Syr. of Arabian Staechas â„¥ i. M. 188. I have oft appli'd new Treacle on Leather spread like a Plaster to the place pain'd for seldom does one Tooth only ake to lessen the Pain repeating with Pries 189. Which Humor in part at least temperd with this or such a-like Mixture is educ'd by Hydragogues in the most acceptable form to the Sick and indeed in a little Dose but administred often For so Pains are more happily taken away then if Purgers were once taken in too large a dose 190. And by what has been offerd I judge every one may know how to succor and help Intermitting Fevers according to the more molesting Symptoms so much differing upon their account It remains that we should instruct you briefly in the Cure of Quotidians Tertians Quartans c. seeing we have ascrib'd them not so much to divers Humors Phlegm Choler or the Melancholy Juice as to Phlegm Obstructing and the Juice of the Pancreas so different 191. Therfore in Curing these we must not so much attend to the Interval of the Recourse of each as to the diversity of Symptoms accompanying and chiefly of Cold and Heat for according to these if you procede in the Cure as we have taught you before without doubt it will be happy as on the contrary we have oft observd it unhappy or none if the Cure be tri'd by the prejudice of every Humor then believd to be peccant no ways agreeing with the Humors then truly peccant 192. For although to illustrate the Matter with an Example Tertians chiefly come in Summer and indeed when the heat of the Sun molests in Youth and Manhood and chiefly to Choleric People whence in their Cure there is then had an exact account of Choler much peccant both of it self and by reason of the Feverâ—sh Fit Yet there are some Tertians which in Winter when it is Frost siez on Old Men or Children in whom Phlegm abounds in which case if any attend to temper or educe Choler chiefly he will wholly err For as in most Tertians the effâ—ct of great Heat Choler being then peccant is observd so in many there is none or little Heat molesting the Sick observd therfore a prudent Physician and fâ—â—â— from all prejudice will vary the Cure according to the variety hereof now being present at other times absent 193. What I have now said about â—â—tiens will also be found true in Quotidians Qâ—â—rtans c. by and Physician that more attends the complaints of the Sick and Observations of the more accurate Pâ—actitioners then the Fictions of Theoretic Authors and considers therin a great diversity both of Cold and Heat and of other Symptoms noted in order before according to which I have cur'd my Patients much more happily hitherto by Gods Blessing then many other Physicians blinded with their own or others prejudices so that I seriously exhort my Students to keep and follow the same Method yea any Readers addicted only to Truth and their Patients good 194. I say we must always attend to all Humors â—eccant together after what manner soever in the Body