many sick People such as Worms there call'd Ascarides somtimes sticking in the Seige do produce 31. 9. A Beating Pain seems to me to arise from much Phlegm join'd to a little Acid Juice 32. 10. A Fain Tearing and Corroding the affected Pâ—â—â— without Heat is caus'd by a more pure Sowr Juice neither temper'd nor broken by Choler or Phlegm 33. As the now mention'd Causes are more pure and â—â—litarty or join'd to others variously and more 〈…〉 by them so thâ—â— breed some diverâ—â—◠〈…〉 abâ—ve sâ—id Pains scarce explâ—nable with 〈◊〉 34. 1. 〈…〉 â—lain may be Cur'd by temperâ—◠〈…〉 with â—â—iâ—s and chiefy Spirit â—f 〈…〉 and Spiriâ—â—us and moreâ—â—◠〈…〉 â—â—eâ—â—iâ—lly Opiaâ—s using them in a various Form For example let these following Forms be â„ž Succorie Sorrel-water of each â„¥ iii. Syr. of Diacodium or White-Poppies â„¥ i. Sp. of Nitre 8 drops M. Let the Sick take this Mixture at three or four times after some hours space 35. If any like an Emulsion better let them use the following or one like it â„ž Barley cleans'd and boil'd till it crack â„¥ i. ss White Poppy-SeedsÊ’ iii. Cucumer Mâ—lon-Seeds of eachÊ’ ii With the Decoction of the same Barley Make an Emulsion of â„¥ xv adding Juâ—â—p of Roses â„¥ i. M. You may add Ê’ ss of Lapis Prunclâ—ae and let tâ—â—-Sick use two or three ounces of this by spaces 36. Where Pain is more urgent or yields not to these mild ones prepare the following Mixture â„ž Fumitorie-Water â„¥ ii Fenel or Cinâ—mon-Water â„¥ ss distill'd VinegarÊ’ vi Sp. of Nitre 6 dropâ— Laudanum 3 Gr. simple Syr. of Viâ—â—â—â—â— â„¥ i. 〈◊〉 M. Let the Sick often take a Spoonful of this Mixture till both the Heat and Pain be diminish'd or Sleep by degrees come on 37. If Choler be also observ'd to be peccant in Plenty nothing hinders but that it may be â—duâ—'d with a mild Purge to which end the following â—â—â—â—serve very grateful and also altering may â—viâ—â—l â„ž Pulp of Tamarinds â„¥ ii Câ—nâ—â—râ—◠〈…〉 Ê’ x. Elecluarie of the Juice of 〈◊〉 â„¥ i. Salt of Tartar vitriolatedÊ’ i. M. 〈◊〉 Câ—nsâ—â—â— Let the Sick take the quantity 〈◊〉 a Nâ—â—â—â—g or some more for the diveâ—le constitution of the Sick â—ither at bed-time and hour â—â—ter a moderate Suppâ—r or in the morning fasting It may also be dissolv'd in a convenient Liquor and us'd in the form of a Draught Our Cholagogue Electuarie also describ'd in Chap. 2. Sect. 46. as is there taught may be us'd 38. We intend largely to prosecute the Generation and Cure of an Inslammation in Chap. 40. 39. 2. A Pain Chill and urging with troublesom câ—ldaâ—ss may bâ— Cur'd by tempering the over-sharp Aâ—i lity of the Juice of the Pancreas with a Lixivial Salt as well fiâ—t as volatil and so with a volatil Spirit it sâ—lf as also oily and wâ—try Liquors Which if mâ—re were mixt they would perform more 40. Therefore any Aromatical Spirit of Wine may conduce as having a volatil and oily Salt moreover any Treacle-water prepar'd with Spirit of Wine as receiving much power from Opium of tempering the viâ—ious Juice Hither may Coral Pearl Crabs-Eyâ—s Diaphocetic Anâ—imâ—tie c. be reduc'd All which will perform more if the Body be compos'd to swâ—â—t and morâ— yet if an actual Sweat be mildly â—hâ—ven forward 41. To this end the following Form may be presâ—â—â—â—â—d â„ž â—â—â—el simple Treacle-water of each â„¥ ss Salt of Wormwood ℈ i. Crabs-Eyes ℈ ss Syr. 〈◊〉 Carduus Benâ—dicâ—us â„¥ ss M. for a Draught to be taken at once To which it pain urge much may be added â—â—â—â—â—â—um i Cr. and when it is taken let the Sick either fit by the Fire or let him be fitly covered in Bâ—d waiting for a Sweat 42. If to Sweat be troublesom let him often take a spoonful of the following Mixture till as well Pain as Coldness do remit or cease â„ž Mint-water â„¥ ii Aqua Vitae of Matthiolus or Tincture of Cinamon â„¥ ss Laudanum ii Gr. Oil of Cloves 3 drops Syr. of the five Roots â„¥ i. M. 43. Among emptying Medicins none are proper here while Pain molests unless Sudorifies already commended or Diureties and to abstain from Vomits unless vomiting come of its own accord and easie enough and then always add these things which temper sowrness as fat Broths and such-like Neither are Purgers to be given unless first the Acid Humor be temper'd or Choler and much Phlegm also concur but not very viscous 44. The Medicins which then conduce are partly noted above Chap. 7. Sect. 54 55. 45.3 A Boaring and Fixt Pain may be Cur'd by correcting and tempering both the Acid Acrimonie of the Juice of the Pancreas and also the viscousness of Phlegm accompanying which is chiefly performed by Aromatic Gums Galbanum Sagapen Bdellium Ammoniac Opoponax Mastich Myrrh c. as also by any volatil Salt and chiefly oily Yea how much the more any thing abounds with Volatil Salt Oily so much the more potently and effectually will it correct glassy Phlegm so call'd the worst Humor Whence the Oil of Harts-Horn is no less potent than ungrateful Remedy in this Discase 46. Also the Balsam of Sulphur made with Oil â—f Anise Amber or Juniper or any other Aromatic Oil may be convenient in vanquishing this râ—bâ—llâ— as and redoubl'd Humor 47. In finishing this Work also any Aromatic Sp. of Wine more or less compounded adâ—ing if 〈◊〉 please an Aromatic Oil and sâ—mtimes Opium it 〈◊〉 â—r Laudanum and others will condace 48. The following Mixture taken often by spoonfulâ— will much profit â„ž Miâ—t Fâ—nâ—l water of each â„¥ i. Scurvygrass-Wâ—ter Aquâ— Vitae of Matthiolus or any Aromatiâ— Sp. â—f each â„¥ ss distillâ—d Oil of Mace 4 drops Laudanum 3 Gr. Syr. of Fenel â„¥ i. M. 49. If the form of a Dâ—â—â—câ—iâ—n please any better the fâ—llâ—wing may be prepar'd and three or more ounces tâ—ken somâ—â—mes in a day â„ž The Bark of Lovage RootÊ’ ii of the Wood Guaâ—â—â—um â„¥ ss The shavings of the same Wood â„¥ iii. of Sassafras â„¥ i. Bâ—y-berries â„¥ ss the Seeds of Mâ—â—â—â—ane Silâ—r of sweet Fenel of eachÊ’ iii. â—â—il them according to Art in clean Water in â„¥ XL Of what is strain'd dissâ—lve Syr. of Bizaâ—â—ium â„¥ iv Sp of Wâ—ne recâ—â—â—â— d i. M. Iâ— any will have â—â—is Dâ—coction also to Purge mildly the Hâ—mâ—r â—irst corrceted in part boâ—l in it the Pulp of â—â—â—â—â—â—isÊ’ i. 50. â—â—â—se following Pills will be useful to correct more and milâ—ly â—â—â—ce the sâ—me glassy Phlegm in pâ—â—â—corrected â„ž 〈◊〉 Gâ—th â—â—um prepar'd with Vinegar of Squills ℈ ii Vâ—â—â—â—â—f Mars â—â—lâ—in'd white slowly in a 〈…〉 â—â—iâ—â—k â—f â—ach ℈ i. best Caâ—â—â—â— Red Myâ—th of â—ach 15 Gr. Oriental Safâ—â—◠℈ 〈…〉 Trâ—ches Alhâ—â—dalÊ’ i. Rosin of Jaâ—â—p â—f Sâ—â—mm â—y of each ℈ i. Oil of the Rind 〈…〉 M. t◠〈◊〉 〈◊〉 Pills to be guiâ—dâ—◠〈◊〉 â—â—â—dred â—â—r with â—â—ouder of Licoâ—ish 〈…〉 Sick take 〈◊〉 or more of these Pills after Supper at Bâ—d-time or â—vâ— or
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
Phlegmatic Humor is cut and especially by those that do easily vomit Otherwise it may be evacuated downward by gentle Purgation with Phlegmagogues powerful and effectual such as are all Mercurials Colocynthis Hermodactyls c. 154. As for Phlegmatic Humors somtimes then also sliding down from the Head and filling the Sharp Artery the same Phlegmagogues are convenient to be taken oft in a small quantity together with such as cut and correct Phlegm and chiefly in form of Pills such as we have oft prescrib'd before 155. As for Windy Vapors so commonly producing the Asthma either wholly or at least much encreasing it all things will conduce which both amend their matter and efficient cause and hinder their rise and discuss and dissipate them when bred concerning which see Chap. 14. in which the most are containd that respect hither 156. XII The Feverish Cough is Cur'd by such things as both temper and discuss the over-sharp Vapors Which Opiats do being join'd to Volatil and Oily Salts and often us'd in the Fits in a little quantity whereby they will perform it the happier sooner safer and surer To that end I commend this following Form â„ž Mint-Water â„¥ iii. Our Carminative Spirit â„¥ i. Sp. of Salt Armoniac 20 drops Landanum 3 gr Syr. of Fenel â„¥ i. ss M. 157. XIII Catarrhs stird up together with the Feverish Fit require divers Medicins to cure them as they consist of a different Matter and afflict divers Parts In general their vitious quality is to be corrected their plenty diminisht and the Parts usually afflicted strengthned 158. Moreover thick and viscous Catarrhs are to be attenuated and cut with Aromatics before mentiond Serous and Salt Catarrhs are to be temperd with Oily and Opiat Things as Pills of Hounds-Tongue of Styrax c. 159. The Thick are to be evacuated with Phlegmagogues the Serous with Hydragogues 160. The Parts afflicted or that may be afflicted are to be strengthned against viscous and thick Phlegm by grateful Aromatics on the contrary Salt Serous Matter by Glutinous Things externally us'd in the form of a Plaster Unguent or Liniment and internally in the form of Pills Tablets or Conserv's c. 161. The Cure of the Gout accompanying Intermitting Fevers will consist I. in the Vniversal Amendment of the Juice of the Pancreas proposâ—d before II. In the Correction or Emptying of Choler vitious either by it self or accidentally mentiond before III. In the Altering or Diminishing of Phlegm peccant any way often exhibited in this Tractate IV. Lastly Defending the Joints Afflicted as well against future Pain as freeing them when Pain is present and molests 162. The Joints are defended against future Pain with extâ—rnâ—l Medicins to be vari'd according to the various Humors breeding a different Pain Which seeing lâ—ss effâ—ctual ones are requir'd then they which should overcome Pains molesting they may easily be selected from those which are to be propos'd in order 163. That therfore Gouty Persons may be freed Dogmatically that is as well by Reason as Experience from Pains present and molesting seeing they are not freed always with the same Medicins no not in the same Fit much less all that are Gouty we must consider it comes in as much as the Causes of Pains are often different not only in divers Sick People but also in the same at another time of the Fit 164. The Causes are Different in Divers Sick People in as much as Choler and that divers or Phlegm also divers is coupled to the primary Cause of the Gout the Juice of the Pancreas also much differing 165. The Causes of Pains of the Gout are divers in the same Sick Party but in a divers time of the Fit in as much as the Juice of the Pancreas in the beginning hurts chiefly and that by its Sowr Acrimony breeds pain and after that Choler is coupled to it and either overcomes or changes its Acrimony breeding 〈◊〉 divers pain according to the diversity of its faultiness and chiefly troublesom with exceding Heat seeing that rather a Corroding then Burning Pain is rais'd by the Juice of the Pancreas which is accuratly to be observd in potently correcting both kind of Pains chiefly with special Medicins for either Acrimony may easily and happily be mitigated and so the Pain asswag'd with more gentle ones and chiefly with Oily things 166. Hence it is that Poultisses prepared of Mealy Things and Cows Milk do conduce almost to all Gouty People grieved with any Pain For Example â„ž The Meal of Marsh Mallow-Roots Line-Seeds Barley of each â„¥ i. Boil them in Cows Milk to the consistency of a Pultis for a Poultise Which let be applied indifferent warm 167. Where exceding Heat concurs and the Body abounds with sharp Choler instead of sweet Milk you may substitute Butter-Milk 168. In a Phlegmatic Constitution the Meal of Beans Flowers of Camomile Elder and other things gently Cutting may commodiously be added 169. A Poultise of the best Wheat-Bread that is the Crumb prepar'd of the Flower only of the Meal Saffron and Cows Milk boil'd is deservedly commended of many seeing it asswages any Pains 170. Where Fermentations please better I commend this following in excessive Heat to be appli'd warm and to be renewd as soon as it is dri'd â„ž Elder and Fumitory-Water of each â„¥ iv Marigold-Vinegar â„¥ ii Opium of Thebes Ê’ ss M. 171. When the Pain is more Corroding then Burning I commend the following Fomen ation in like manner to be us'd â„ž Parsley-Water â„¥ v. Simple Treacle-Water â„¥ i. Opium of Thebes ℈ i. M. for a Fomentation 172. When Impotency of Motion does molest the Sick â—ore then Pain in a very Phlegmatic Body then things more Aromatical may commodiously be us'd both in Poultises and in Fomentations and in Plasters Unguents or Liniments Opiats being then usually omitted as being less requisite or profitable For Example â„ž Thâ— Root of Flower de Luce poudred â„¥ i. Mint-Leavs Wormwood Tops Camomile-Flowers of each 2 handfuls Cumin-Seeds poudred â„¥ i. ss Beans-Meal â„¥ ii Boil them in clean Water to the consistency of a Pouâ—tise adding about the end Simple Treacle-Water â„¥ ii M. to be a Poultise and appli'd hot 173. They whose Skin can bear fat things to them apply Unguents and Oils such as are when Heat molests of Poplar the White Camphorated of Roses the Cooling of Galens and such-like In a Corroding Pain Aregon and Martiatum Somtimes it is better to mix these and make them more temperate 174. Not long since I experienc'd the stupendious power of Balsam of Sulphur Ambred in a Goutish Pain very Corroding with great admiration some few drops being anointed on the part griev'd whence forthwith there was rais'd an hot Effervescency in the place afflicted yea burning and presently ceasing again together with the exceding Pain remov'd in a momâ—nt But I question and not without ground the like success in all seeing all cannot bear Oily things â—nd chiâ—fly such as are prepar'd by distillation and Cholâ—r is sharper
none such is to be expected of perfectly healthy People 20. Therefore the Cause of every Efflux of Blood is any kind of Opening of the Vessels whether it be by too much Distension of the Vessels by plenteous much rarefi'd or retarded Blood or Wind or by the corroding Pain of an Humor stopping either in or out of the Vessels or by an hard and sharp thing wounding or by a blunt thing bruising or if the same happen any other way 21. We intend to speak elswhere of the most Causes and the Cure of Blood Effus'd beside nature out of its Vessels in this Chapter we will prosecute the Essence and Cure of an Inflammation 22. It is requir'd to the Cure of an Inflammation and Aposteme following that 1. The Compression or Obstruction of the Vessels be taken away 2. That the Motion of Blood Stopt and standing still be restor'd 3. That the Blood effus'd out of its Vessels if it can be be removd thence before it turn to Matter 4. That if the Suppuration cannot be removd and so hindred it should be ripend and promoted 5. That the letting out of Matter bred be hastned 6. That the cleansing and consolidation of the Vlcer be most spedily absolv'd 23. I. The Compression of the Vessels by Bonds straitly cast about the parts may be taken away when they are taken away or by an hard Tumor when it is cur'd of which elswhere 24. An Obstruction of the Vessels by Viscous Phlegm or Blood Coagulated in them may be Cur'd by using Medicins that as well internally as externally loosen the Humor peccant and again make it fluid 25. Among Internals Volatil Salts prepar'd of several parts of Living Creatures conduce before all others as having an egregious power of dissolving all things Coagulated and Conglutinated in mans body and of reducing the same to their wonted fluidity and moreover to move sweat which together being mildly promoted that desired and amiable Dissolution of those Gathered together is obtaind much easier sooner and more happily 26. Hence it is that often by one Sweat prepar'd of these mentioned Volatil Salts or such-like given in season a Pleurisy that is an inflammation of the Side has been most happily cur'd without opening a Vein and letting Blood 27. Hence it is that Mixtures prepar'd of such like and us'd by spoonfuls by short intervals in time have cur'd both a Pleurisie and Peripneumonie and Inflammations of other parts soon safely and pleasantly 28. I here set down an example of such a Sudorific Mixture for Younger Physicians sake which â„ž Parsley Hyssop Fennel-water of each â„¥ i. Simple Treacle-water â„¥ ss Sp. of Salt ArmoniacÊ’ ss Laudanum Gr. iv Syr. of white Poppies â„¥ i. M. 29. Instead of Sp. of Salt Armoniac you may add Volatil Salt of Harts-Horn or any other and according to its greater or less Acrimonie add more or less of it to the Mixture which may be taken in a greater or less quantity at every time and the body be kept in a warm place especially in bed to promote the power of the Medicin every way and after that to facilitate a Sweat although there is scarce need to raise a sweat continually seeing it profits not unless in asmuch as the volatil and Salt force of the Medicin pierces easier and sooner to the place affected and Obstructed 30. Crabs Eyes the Jaws of a Pike the Bone of the Heart of an Hart c. may and ought to be referrd to a Volatil Salt seeing they abound with it 31. In this case likewise All fixt Metallic and Mineral Sulphurs conduce wherefore Diaphoretic Antimonie is hither referrd being broucht to some fixtnes although these are here convenient for many causes 32. Nor do the Volatil Salts of Living Creatures alone conduce here but all made of several parts of Scorbutic Plants so calld being sharp emulating their strength such as are the Juices of Hedge-Mustard Scurvie-grass Garden and Water Cresses Dandeleon c. Treacle-Waters c. So that they have power to loosen and dissolv Phlegm Coagulated or Blood Clotterd 33. Among the Externals the compound Oyntment Martiatum and of Marsh-Mallows are convenient c. the Oil of white Lilies Camomile Dill Bay Bricks commonly call'd Philosophers c. which may commodiously be mixt together and be anointed on the external affected part using before or adding often the rectifi'd Spirit of Wine aswel simple as compound and several ways aromatiz'd 34. In this Case also Cataplasms more Dissolving than Mollifying or Ripening may be outwardly apply'd which may Cut and Loosen the Humor Blood or Phlegm Coagulated being prepar'd of the parts of Sharp and Aromatic Plants For example take this following â„ž Onions roasted under the Ashes or in an earthen Vessel and beaten â„¥ ii the Leaves of Hegde-Mustard Chervil Garden-Crâ—sses Elder of each M. ss Meal of Beans Lupins of each â„¥ i. One Swallows Nest Album Grae um â„¥ i. Make it a Decoction in Butter-Milk to the Consistencie of a Cataplasm Apply this Cataplasm meanly warm to the affected part Externally by the help whereof internal Obstructions also may be loosned and Observ as soon as it begins to be dri'd it must be renewd 35. II. Motion is restord to Blood Standing still and stopt in its Vessels for the most part and most happily by Sudorifics sometimes by opening a Vein and Letting Blood 36. By Sudorifics in as much as by their help the Blood becomes not only more fluid and moveable but moreover is mov'd actually being more and more rarefi'd by the Volatil Salt that is in them and again loosens puls asunder and therefore mov's the Blood by degrees more or less clottering only by its stoppage because of it's Acid Spirit 37. Hence it is that the Pulse so continually more Frequent as often together Greater and Stronger is wont to accompany Sweat unless an extreme dejection of Strength concur for then both a Less and more Languishing Pulse is joynd to one more Frequent 38. For when the Volatil Salt of the Sudorifics coms to the right Ventricle of the Heart there the Blood rarefies more and more potently and does not only seek an out-let for it self of its own accord but provokes and forces the Ventricle of the Heart by diâ—ating it more both to a more Frequent and more Valid Contraction of it self and so to the expelling and driving the Blood forward and therefore raises moves and every way puts forward from the Heart the Blood first by degrees deficient in its Motion 39. When that mentioned Power of Sudorifics coms to the place of Obstruction it attempts the Matter obstructing be it what it will and cuts attenuates loosens and makes it fluid whence it is farther driven forward together with it more easily and happily the assault of the Blood coming more potently mov'd and forc'd to it 40. By opening a Vein and letting Blood its Motion is restor'd to the Blood standing still in as much as that which was next is carri'd into the place
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
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
6. The Primary Differences of the Pulse felt in the Wrist may be reduc'd to three chief Heads the Strength Greatness and Frequency of the Pulse For the Swiftness ascrib'd to the Pulse may indeed be conceivd by the Mind but not toucht and felt with the Fingers And Hardness is but seldom found in the Pulse and always in a Praeternatural State when as those aforementiond are observd both in a Natural and Non natural Pulse 7. A Pulse is call'd Strong when the Artery smites forcibly the Fingers of him that Touches but Weak when it happens only gently and lightly 8. The Pulse is said to be Great when the Artery is unfolded much and with a large space but Little when little and in a narrow space 9. The Pulse is call'd Frequent when the expansion and smiting of the Arterie is observd in the same space of Time ofter then otherwise or in others and Rare when it is less oft then is wont or ought to be 10. The Pulse is call'd Moderat or Mean which is the middle between the extrem's of the three foresaid Differences 11. A Strong or Potent and Valid Pulse is causd by the Animal Spirits plenteously carri'd to the Musculous Substance of the Heart strongly contracting it whence it is never preternatural upon its own account yet somtimes upon the account of the Cause provoking 12. A Weak Pulse oft follows a Vniversal Defect of the Animal Spirits in the Universal Body at least partly in the Heart it self somtimes a Sluggishness and Drowsiness or Unmovableness of the Universal Body 13. A Vniversal Defect of the Animal Spirits is both because of Defect of the Blood by a notable Effusion and Haemorrhagie of it somtimes by prolonged Hunger and because of the Effervescency and Rarefaction of Blood hindred in a Syncope Hypochondriac Suffocation c. whence a Weak Pulse always concurs with one Little And because of the Spirits exhausted with Cares Hunger Watchings or too much Motion or Agitation of the Body and because of the ill affected Brain being averse to the separation and preparation of the Spirits 14. The Animal Spirits will be Deficient in the Heart peculiarly if the Nervs tending to it be wounded â—â—r I seareâ— think that they alone the others being well can become unfit to let the Spirits pass through by any moisture 15. The Animal Motion of those that walk in Sleep testifies that Sluggishness and Drowsiness of the Animal Spirits is not always to be found in Sleep or Drowsiness it self and the Pulse it self in a grievous Sleepiness oft very Strong Whence it is manifest that Narcotics as such do not so affect the Animal Spirits perhaps or all the Nerves equally as the Organs of the external Senses or the Nerves tending to them 16. But Sluggishness and Drowsiness is always found in the Animal Motion by Frost and any vehement cold of Air Water and other things although we may doubt whether the Animal Spirits Themselves or rather the Maseles be then indeed and by themselves affected by cold seeing unless its Cause be extremâ— that Drowsiness of the Parts according to Motion may be prevented or also overcomd by a vehâ—ment agitation of the Body which could not be if Drowsiness had seiâ—d on the Spirits which bâ—ing moâ—â—ble and subject to the Government of the â—â—ad the Museles may the easier be freed from Drowsiness by their more plenteous afflux to them 〈◊〉 is wâ—nt 17. A Great Pulse follows an ample and full Rareâ—â—◠〈…〉 the Sâ—â—tness of the Arteries concurâ—â—â—â— 18. A 〈◊〉 Pulse happens both by a small Rarâ—â—◠〈…〉 and by the Hardness of the Arterie 〈…〉 cannot be much displaid 〈…〉 â—â—s for its Cause either the 〈…〉 so that it cannot be enough receivd by the Greatness of the Pulse only or the Hardness of the Arterie in a mean Rarefaction of Blâ—nd whâ—◠〈◊〉 Greâ—â— Pulse is conjoind there to Oâ—â— Frâ—queâ—â— hâ—re Onâ— Little or any thing else oft pulling the Heart 〈◊〉 Coâ—tract it sâ—lf 20. Lastly A â—â—â—re Pulse haps by a small and slow Rarefaction oâ— Blood 21. The â—â—â—nty of Animal Spirits follows a due Vse of Foâ—d abounding with a Volatil Spirit and their Fermentation in the Stomâ—ch and Separation in the Gats and Effervescency in the Heart and especially beside the laudable Productions of all the other Humors the Separation of the most Spiritous Part compleat in the Brain and Cerebellum As Their Defect beside those we mentiond in Sect. 13 14. all contrary â—o these fore mentiond as is manifest by treating of the nam'd Functions Deprâ—v'd 22. The Blood Rarefies much when it is laudable â—nd a potent Fire is stird up in the Heart when the â—ffervescency is which yet when it is too Great â—â—e Blood Rarefies more than enough and thereupon â—â—l as is wont to be in Burning Fevers 23. The Blood Rarefies less or Little when it is â—â—ess fit to rarefie and more fluid or viscous then is usuâ—â—l or a more Sparing Fire is stird up in the Heart â—nd not enough to rarefie the Blood suffiâ—iâ—ntly 24. The Natural Hardness of the Arteries is to be scrib'd to the Thickness of their Coats as the Praeâ—ernatural is commonly wont to be ascrib'd to the Inâ—ammation of the Membrans 25. The Blood Rarefies very much and suddenly when both it is more fit to rarefie and a sharper Fire 〈◊〉 kindled in it and the Heart 26. The Heart is Oft or continually pulld to Câ—â—â—ract it Self both by and Sharp thing carri'd together with the Blood to it be it a Sowr or a Lixiviaâ— Salt or mixt of both as is Salt Brine and by any Vaporous or Windy Thing piercing into the Ventricles of 〈◊〉 Heart and a little but not too much unfolding its Sides and so indeed that they may again be contracted and by any Thing without the Heart tâ— wit containd in its Pericardium that corrodes and pâ—iâ—ks it So we found a Salt and Sharp Humor thrâ—â— years agoe in the Pericardium by which as well theâ— Memorane of the Pericardium as of the Heart was corroded and fretted 27. A Small and Slow Rarefaction of Blood procedes either from Its exceding Viscousness or from thâ— Fire more sparingly breaking forth in the conflux 〈◊〉 both Bloods or from Both concurring together Foâ— it can scarce ever be that Choler or Lympha shoulâ— be very sharp the Universal Blood being for somtime too Viscous unless in regard of Diet and espâ—cially of Food somtimes holer more Sharp somtimes Lympha and the Juice of the Pancreas mâ—â—â— Sowr somtimes Spittle and Phlegm be bred mâ—â— Visâ—â—us which easily haps when Men use Food 〈◊〉 many soâ—ts apt to breed one while one another tiâ—â— another ill Humor and moreover use now hot anâ— cold Air and besides are immoderat in the Motiâ— of their Bâ—dy and Mind c. 28. How the mentiâ—nd kinds of a deprav'd Pulâ—â— ought to be Help'd is not difficult to conclude 〈◊〉 what is propos'd here and there 29. So the other Differences and
Causes of 〈◊〉 Deprav'd to wiâ— Vâ—tequal Intermitting c. Puâ—â—â— may without difficulty be searcht out from what 〈◊〉 bâ—en said 30. Otherwise God willing in the Second Editiâ—â— of â—â—is â—â—rk wâ—â—â—tend more accuratly to examine and explain all these and enrich them with a notable Addition And now let us hasten to the Diseases consectary or accompanying the Pulse Deprav'd several ways CHAP. XXVII Of Fevers in General 1. IF we observe the manner of Practâ—tioners and their Signs which wholly ought to be in searching out the Nature of hidden or controverted Diseases from which They and Others are wont to conclude of the presence of a Fever it will easily be manifest that They argue a Fever from the Only over-Frequent Pulse not natural But when the certain kind of the Fever is to be determind and distinguisht from others Then who but a mere stranger in Practice knows not that they do attend to more Signs at once 2. But least we repete here unprofitably those â—hings which we have already publisht in our Two Disputes of Fevers and may annex them to this or another Book we will sâ—ek out the various Kinds and Differences of manifold Fevers from several Causes of the Pulse over-Frequent otherwise then naturally effecting diversly as sought from daily practice so again directed to the same 3. Therefore the Cause of the Pulse beside nature â—oo Frequent to wit having the conjoind or soon â—pproaching trouble of the Body or notable Pain and so the Weakning of some Function requir'd â—o the happiness of Natural Life is either I. A permanent and over-Rarefaction of the Blood made by an over-potent Fire bursting out from the Effervescency of both Bloods 4. Or II. Any thing that is Sharp somtimes Sowr somtimes Lixivial Salt somtimes Briny Salt driven forward through the Veins together with the Blood to the Heart and Internally gnawing the Substance of the Heart 5. Or III. Any Vapor like Windy thing in like manner carri'd to the Heart or stird up by the Effervescency of the same in the Heart and encreasing the Opening of the Ventricles of the Heart 6. Or IV. Any Sharp or Hard thing being either in the Pâ—ricar liâ—â—n or elswhere and externally coâ—â—â—â—ing or pricking the Heart 7. You may further Observe That the Causes of the Pulse more-Frequent beside Nature doth somtimes affect the Heart by Intervals only and those somtimes â—â—dâ—â—â—â— and certain somtimes inordinat and uncertain Whence depends the most notable Distinction and Diâ—â—siâ—n of Fevers into Continual and Intermittinâ— 8. A Fever is call'd Continual which remains from the first moment of its Invasion to the last Moment of its Duration and its whole Cessation 9. A Câ—ntinual Fever when more mild continues only onâ— day and is call'd Diaria and Ephemera as that which is call'd Diaria of more days or a Synoâ—â—â—us not putrid when it also being more mild is continu'd a few three or four days 10. An Intermitting Fever is that which returns after Intervals somtimes longer somtimes shorter in divers Fits 11. Whence according to the divers Space of every Access or Fit the same gets also divers Names For if a new Fit return daily answering the precedent in proportion it is call'd a Quotidian But if it only hap every other day it is call'd a Tertian If the Fits return after two days of the intermission it is call'd a Quartan and so forward Although Quintans Sextans c. are seldom observd yet are they observd somtimes 12. Beside this double primary Kind of Fevers there is yet one mixt or compounded of both and indeed Continual yet having some Fits and again Remissions and that somtimes every day somtimes the third somtimes the fourth whence it is deservedly nam'd either a Quotidian-Continual or Tertitan-Continual or Quartan-Continual Fever 13. There are moreover Observd Fevers many ways compounded of more Intermitting Fevers Such are I. Double or Triple-Quotidians as oft as two or three Fits are produc'd in the same day successivly answering in a differing proportion 14. Such are II. Double or Triple Tertians consisting of two or three Tertians whether in a Double Tertian two Fits the same day or one each other day return or in a Triple Tertian two in one day one in the other day or somtimes Three in one day in the other day no Fit troubles 15. A Double Tertian returning in divers days is distinguisht from a Quotidian both upon the account of the time of its coming and by reason of its continuance and by reason of the Accompanying Symptoms For when because of all these the First Fit answers to the Third and this to the Fiâ—â—â— and the Second to the Fourth and this to the Sixtâ— and so on we conclude there is a Double Tertian and a Single Quotidian when the First Fit answers to the Second this to the Third and so on 16. A Double Tertian is also argued when a Single Tertian preceded returning every other day which if it afterward return daily it is wholly to be estem'd a Double Tertian but not a Single Quotidian 17. I know there are not wanting Great Physicians who deny all Quotidian Fevers and only admit of Double Tertians or Triple Quartans and indeed at least as much as I can judg more by Prejudice than certain Experience or Reason compelling Which if any consult with an attent Mind I see not by what right Quotidian Fevers should be excluded from the number of the Rest as it will be more evident where we shall propose our Thoughts of the Causes of Intermitting Fevers 18. Such III. Compounded of Intermitting Fevers are Doubled or Triple Quartans For it haps somtimes that the Sick is free from a Fever only one day and has new Fits the two following and then there is no doubt of a Double Tertian 19. But there also happens that a new Fit daily returns yet so that the First answers to the Fourth and â—ns to the Seventh the Second to the Fifth and this to the Eighth Lastly The Third to the Sixth and this â—o the Nieth and so forward or that of a Single Qâ—â—rtan one Double be bred and at length of one Dâ—uble a Triple one whence in like manner it is easily distinguisht from a Single Qâ—otidian or Double Tertian A Confirmation whereof is somtimes had from its Cure if to wit one Fit be first taken away and then the Fits still return both days following one day of intermission being interpos'd or if two Fits be taken away one only remaining and returning any fourth day That I may now â—onocal other Symptoms more proper to Quartan Fevers and but seldom observable in Tertians or Qâ—artans and that usually then when they incline to the nature and likeness of Quartans 20. Beside these Intermitting Fevers that are orderly and return for the most part at a certain time unless some Error be committed in Diet or some Medicin be us'd there are even others observ'd frequently enough returning and afflicting somtimes at this
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
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 Weaker Pulse 51. The Pulse will be Less and more Languishing not only by the Defect but somtimes also the Excess of the fore-nam'd Humors For 1. the abundance of Blood call'd a Plethora hinders that the Blood by the defect of space and place cannot be expeld plenteously into the Arteries nor therfore the same be much and enough rarefi'd in the Right Ventricle of the Heart nor that the sides of the Heart can be much unfolded and again folded 52. Yea 2. Choler being carri'd in a greater plenty to the Heart especially in Burning Fevers doth not only rarefie the Blood more then is wonted and too potently with an over-great and strong Pulse but after it has at length filld all the spaces of the Vessels in that too great rarefaction by distending them and constituting the Plethora at or in the Vessels so call'd or to be call'd however it keep the hurtful Heat yet it cannot for want of Space spread out the Blood as before and produce a Great and Strong Pulse which is rather observd Less and Weaker gradually by the deficient Rarefaction of the Blood and the Explication and Complication of the Ventricles of the Heart till by any effusion of Blood there is a new Place prepar'd to receive the rest more rarefi'd together with a greater and stronger Pulse soon concurring 53. 3. The Lympha somwhat sowr if it com's in too great plenty to the Heart will also make the Pulse Less and so more Languishing because it will give a more firm and solid Consistency to the Blood then that it can be duly and enough rarefi'd sufficiently to dilate the Ventricles of the Heart whither a notable constriction may succede altogether necessary to make a Great and Strong Pulse 54. 4. The same is to be said of that Three-fold Liquor of the Small Guts if especially its office be to give to the Blood a natural coagulation depending on a somwhat tart sowr Liquor For when this is encreasd the Coagulation also of the Blood will be encreasd on the contrary its fitness to rarefie will be diminisht the Pulse will be diminisht and will also become Weaker 55. Seeing that a great plenty of laudable Air drawn into the Lungs cannot but be useful a Lesser or more Languishing Pulse cannot be expected nor derived from it 56. Yet 5. may the Pulse become Less and Weaker by Chyle carri'd to the Heart after any manner in a greater plenty in as much as it fills the Vessels of blood too much both effects encreases a Plethora 57. If both the Blood and other mentiond Humors carri'd with it to the Heart could produce a Less and more Languishing Pulse the quantity being either deficient or exceding certainly they will no less perform the same when they are peccant in an hurtful quality For 1. the Blood either too fluid or solid is unfit for its laudable Rarefaction which being deficient we have often already shown you that a Less and more Languishing Pulse follows 58. So 2. Choler Glutinous and not sharp enough will less effervesce and more sparingly send forth fiery parts whence the Blood will less rarefie and at length the Pulse will be Less and Weaker 59. 3. Lympha either too Sowr or Tart will not only render the Blood more glutinous and so less fit to rarefie but moreover will not only blunt Choler and its fiery parts whencesoever breaking forth and so will give occasion both for a Less and more languishing Pulse 60. 4. You may think and speak the same of the fore-namâ—d Three-fold Liquor either too sowr or Tart. 61. 5. The North and sharper Air conduceth much to coagulate the Blood much and hinder its Rarefaction 62. If 6. Food too Sowr or Tart be taken in the Chyle will also be made like it from which the noted inconveniences may be expected with a Less and Weaker Pulse 63. A Less and Weaker Pulse is caus'd also by other Things carried to the Heart beyond the Laws of Nature when the Humors are either corrupt in the Body or Vapors or Wind raisd by them or Poison piercing in at the Mouth Nostrils or Pores of the Skin or any other way into the Body come to the Heart together with the Blood and either too much loosen or dissolve or too much coagulate or curdle the Blood or render it unfit any other way for its due Rarefaction as we have before explaind at large 64. And that we may more closely apply all that we have hitherto premis'd to a Swouning and Syncope and deduce more clearly the Nature and Generation of both Diseases because in both the Pulse is not only observd Less and Weaker or None but the Animal Functions also Sense and Motion are not a little weakned let us see if and how so divers Diseases can be produc'd of one and the same Cause 65. The Symptoms therfore which are wont to be common to each Disease are to be considerd and distinguishd from those which are peculiar to a Syncope for a cold and glutinous Sweat breaks forth in a Syncope but not in a Swouning in which not so much as Coldness of the Vniversal Body is always observd although it be constant with a Syncope but the other Symptoms are often wont to be noted in each Disease Whence it is manifest that these Diseases do partly differ in degrees partly somthing more grievous uses to accompany a Syncope continually 66. If any examin with an attentive Mind all the Symptoms fore-mentiond as also the External or Manifest Causes and compare them with those which we have now deduc'd largly of a Less as well as Weaker Pulse he may easily conclude that each Disease and especially a Syncope do's chiefly arise from a sowr Liquor carri'd in a more large plenty to the Heart which obtains rule in the Blood not neglecting in the mean while the Glutinousness of several Humors 67. That this may be more evident we are pleas'd to weigh both the noted Symptoms and the mentiond Causes in order and for Younger Physitians sake especially Learners build all things on a sowr and glutinous Humor abounding 68. We have said the Sign of a Swouning at hand is for the most part 1. a Cardialgie or Tickling in the upper Orifice of the Stomach And what is more apt to stir up each of these Diseases than a sowr Humor Which if it be milder and ascend to the upper Orifice of the Stomach in the form of a Vapor will only tickle and gnaw the said part but if it be too sharp will bite the same and cause a troublesom Pain known by the name of Cardialgie 69. We added 2. that somtimes a Compression and Gaping of the Heart precedes Although the Compression of the Heart is caus'd by a Phlegmatic Humor both plenteous and glutinous and gaping from Flatulent Vapors yet because these Diseases are observd not to urge the Sick so perpetually as to infest them before the Swouning suddenly to follow therfore we must acknowledg
another Cause also and that either deducing unactive Phlegm into act or producing Windy Vapors from the same it is very evident that a sowr Humor is requird both to stir up and encrease the force of Phlegm and to breed Vapors that cause Gaping because especially if it be a little Tart it will make the Phlegm more glutinous which may produce the Sense of Heaviness and Compression sooner and more potently and raising an Effervescency vitiously and victoriously with Choler as we taught you happend in the beginnings of the most of the Intermitting Fevers giv's occasion to Windy Vapors and so to Gaping it self 70. We said 3. that a Swouning did somtimes precede the Distension of the Belly Belches or Gripes all which seeing they arise from Wind either very mild or sharp deduc'd and deriv'd from Phlegm either viscous only or also sowr at a certain time and a little before a Swouning the Truth of our Sayings is abundantly manifest 71. We taught you 4. that Dimness and Darkness before the Eyes together with a Giddiness and Tinkling in the Ears did often precede a Swouning And who knows not that all these arise from Vapors rising from the lower parts to the Brain one time mild another time sharp having alwayes Viscous often also Sowr Phlegm for its Matter and troubling wonderfully the Motion of the Animal Spirits 72. 5. Lastly we have Observd that Retchings and Convulsive Motions do somtimes also precede Swouning And because the efficient Cause of Retching uses to be the same as that of Gaping and they only differ in the part affected hither you may transfer what we have told you before of Gaping And because that Convulsive Motions arise as we intend if God permit to shew you in the following Book from an Humor or Vapor sharp but withal sowr corroding and pulling the Beginnings of the Nerv's by course our Opinion is not a little so confirmd 73. And now we have declar'd the Symptoms that usually precede a Swouning let us also run over the others very notable which are wont to accompany It Among which although a Pulse Less and more Languid or None at least manifest to Sense cannot be reckond the last yet because for that end we have already mentiond more of its Causes lest we do one thing twice let us go on to the other Symptoms 74. In every Swouning therfore the Internal as well as External Senses are drawn into consent and are always darkned more or less yea somtimes they cease from all their Operation And that the reason of this wonderful Effect and Event may be more manifest I would have the Younger Physicians to consider for Old Men and such as are Compleat in the Art of Physic need not mine information That in every Giddiness which we told you did for the most part precede a Swouning and especially its more grievous kind the Internal as well as External Senses were troubled and after a manner darkned And seeing that it is known by manifest Experience that the swift Turning round of an External Thing seen or of the Body it self produces Giddiness the Animal Spirits in like manner being mov'd round at least confusedly stird why should we doubt when the same Spirits are in like manner mov'd disturb'd and perhaps turnd round by Vapors in the Body very much mov'd and rising up to the Brain that the Senses as well Internal as External are not only troubled and disturbd but also darkned so that they seem to cease for a time For if they then do any thing which is unknown to them yet the disturb'd and confus'd Mind not being in its power keeps no Remembrance therof 75. These things being thus laid no wonder if in a Swouning the Animal also or Voluntary Motion be Diminisht or Abolisht and Respiration it self either Obscur'd or Deficient For the Animal Motion follows the orderly and perpetual and also by the Will determind as the matter and the various Disease require Motion of the Animal Spirits through the Nervs to the Fibres of all the Muscles or those selected of which Motions seeing neither can consist intire with the disturâ—d and pervers Motion of the Animal Spirits it is necessary that in such a case the Animal Motion and Respiration also it self should be spraind and loosend 76. But the External and Internal Senses and Animal Motion will not only cease for a time because of the disturbd Motion of the Animal Spirits but also by reason of their Motion hindred or taken away which may be when they cease to be bred and separated from the Blood because the Mass of Blood is coagulated and made unmoveable by any sowr and chiefly tart thing For there is need to perform the Internal as well as External Senses and Animal Motion that the Animal Spirits should be freely and plenteously mov'd to all their Organs although it is easier to fancy according to pleasure then to point and demonstrate solidly what they are which peculiarly serve the Internal Senses Yet do we observe in any attent Function of the Mind that the Brain is intent and many Animal Spirits as it were to be spent and consumd which may so long suffice to assign some Organ to the Internal Senses until all these can be more distinctly conceivd by the External Senses and be explaind to others and at last the Assent of every one be mildly compeld to have the same Opinion 77. But let us yet confirm the propos'd Cause by those things which are wont to be observd when a Swouning ends For we said that then the Heart was by little and little mov'd and did palpitate Therfore the Cause of Swouning was such as hindred the Motion of the Heart and which being overcome and conquerd Motion is restor'd unto it 78. If therfore we have given you the true Cause of the Motion of the Heart in short before in Chap. 26. Sect. 3. and in more words have explaind it in our first Disquisition of Fevers certainly then the Effervescency in the Heart Ceasing to Sense and the bursting forth of the Fiery Parts much Diminishd and the Rarefaction of the Universal Blood Deficient and therfore the Desir'd Motion and Pulse of the Heart will be attributed to the Glutinousnes or Acidity of Humors confusd with the Blood which is then actually renewd when at least in part the extreme force and harm of a Glutinous or sowr Humor is corrected or conquerd and that by Choler or any Aromatic Liquor mov'd to the Nostrils or rather pourd into the Mouth or lastly elswhere outwardly appli'd and piercing to the Heart or any other Fire or Fomentation of the Evil. 79. For then not only the Blood again rarefies more and more by Choler or Aromatics us'd successivly obtaining rule over a Glutinous and Sowr Humor but moreover Vapors or Wind are produc'd by all which the Ventricles of the Heart are again Open'd the drowfie and sluggish Animal Spirits are stird up and anon the same Veniricles are Foulded in and
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
and the Sense of Heat as also of Motion in the Apoplexie and Palsie cease all that time 5. When Fewer Animal Spirits then are wont are carri'd to the same Organs the same Functions are observd to be Imperfect and Weak in a trembling and infirm Motion not long continuing when the Sight is weak and soon weari'd c. 6. No Animal Spirits or Fewer then is wonted are carri'd through the Nervs somtimes by their own fault other-times by the fault of the Nervs 7. The same haps by the fault of the Animal Spirits when they are Deficient or Drowsie more or less of which we have spoken in the former Chapter 8. The Motion of the Animal Spirits to the Parts is Deficient wholly or in part by the fault of the Nervs when they are Cut in two Comprest Obstructed when they can be obstructed or Clos'd 9. The Nervs are Cut in two by any sharp things that are apt to wound the Body 10. The Nervs are Comprest by Bands hard Tumors or compacted Humors lying upon the Nervs 11. That the Nervs cannot be Obstructed I even therfore think because their Pipes seeing they are continu'd to the strait Pipes of the Brain and Cerebellum will receiv nothing into them that is not exceding small and hath first got into the Pipes of the Brain or Cerebellum Into which if any contend that Vapors or Wind may enter together with the Spirits and soon get into the Nervs I see not how and by what means the same can judg that the noted Vapors or Wind can congeal again that they may there breed an Obstruction 12. The Palsie arising by a cold Rain whence the Cloaths are wet so affecting this or that part seems to prove that Phlegmatic and Watry Humors abiding about the Nervs may moisten and perhaps so far loosen the Tunicles or Membrans and hence the Marrow that it slipping down by a closing renders its Pipes unfit to let the Animal Spirits pass through so that somtimes one somtimes more parts do more or less lose Motion and Sense 13. II. More Animal Spirits are mov'd through the Nervs then the External Senses or Animal Motion requir'd to their perfection 1. By reason of a vehement Motion of Mind much vexing and molesting Man especially immoderat Anger Fear or Joy 2. Because of a continual and grievous Irritation urging about the Head of the Spinal Marrow in an Universal Convulsion or in a sensible part of the place grievd or in its Nerve in a Particular Convulsion 14. This Irritation for the most part and perhaps always arises from an acid and sharp Spirit driven forward in the form of a Vapor into the rising of the Spinal Marrow primarily affecting in a Universal Convulsion and gnawing it somtimes without a notable somtimes with great pain to wit as it less or more offends the part likely to be affected 15. The concurring Symptoms considered and weighd with an attentive Mind will confirm that these Sowr Vapors rise either always or at least most commonly out of the small Gut 16. Which same Symptoms will evince that these Vapors are peccant in an Acid Acrimony as also the Cure performed by most simple and known things 17. The true Cause of a Universal Convulsion secondarily affecting and chiefly coming upon a Particular Convulsion seems to me the encreasd and fierce and by the continuance of the Cause provoking by degrees more encreasd and fierce at length the evil urging all over more obstinatly most fierce Motion of the Animal Spirits by reason of the Part primarily affected for which thing all the Muscles in the whole Body are most vehemently contracted and breed a Universal Convulsion 18. The same Irritation may be bred in a Particular Convulsion 1. By a Sharp and Acid Humor or Vapor fretting the Nerves or Membran's or Tendons carri'd to the Muscle labouring of a Convulsion 2. From any kind of Prick of the same Nerve Membrane or Tendon proceeding somtimes from an External other-times Internal Cause as by a sharp Splinter of a Bone 3. From any other Cause as an Inflammation St. Anthonies Fire c. producing a sharp Pain in a more sensible part of the Muscle affected and especially the Tendon 19. III. The Animal Spirits are mov'd Vnequally Inordinatly and beside or against the Will through the Nervs to the moveable Parts in a Convulsive Motion and forcd Trembling or Shaking of the Lims For this troublesom Trembling though the Body rest and lie down is to be distinguisht from the Trembling Motion of which we spake in Sect. 5. and which ceases when the Body is at rest and returns again the same being mov'd 20. The Convulsive Motion whether Vniversal or Particular procedes from the encreasd but alternat Motion of the Animal Spirits against the opposite Muscles 21. This Alternat Motion of the Animal Spirits gets an Alternat Irritation in the Nervs carrying the Animal Spirits to the opposite Muscles 22. The Irritation in a Vniversal Convulsive Motion such as oft occurs in the beginning of an Epileptic Fit for a Convulsion is wont at length to succede is to be appointed about the first spreading of the Nervs tending to several Muscles 23. The Irritation in a Particular Convulsive Motion such as is oft observd in either Arm or Leg or elswhere is to be plac'd about the rising of the Nervs carri'd to the opposite Muscles of the same Member 24. And this Irritation is altogether to be ascrib'd to a thing very moveable and apt to pull at the opposite Nervs and so to sharp and sowr Vapors most frequently rising up from the small Gut and piercing to the original of the Nervs 25. A forc'd Trembling arises from the Animal Spirits driven forward through the Nervs inordinatly and continually with some force to the Muscles of the trembling Members whether it be Vniversal or Particular whether the Body be yet strong or weak 26. But the Couse of that Inordinat and Continual Fierce Motion of the Animal Spirits is for the moâ—â— part to be sought in the Spirits themselvs inordinatly agitated and especially in a Universal Trembling somtimes also in the Nervs vext with a continual but less grievous Irritation otherwise it would be a Convulsive Motion which I judg has place chiefly in a particular Trembling 27. The Animal Spirits are inordinatly agitated by Wind and Vapors continually ascending to the Head with the Blood and together with the Spiritous Substance of the Blood going forward into the Pipes of the Brain and Cerebellum soon after into those of the Nervs and inordinatly and impetuously agitating the Animal Spirits 28. That a Trembling is somtimes produc'd by a lighter Irritation of the Nervs is manifest because that somtimes a Convulsive Motion follows it somtimes ends in it 29. I. Seeing the Nervs Dissected cannot be cur'd thus far the Defect of the Animal Spirits in any part cannot be repair'd Yet because for the most part several Nervs are carri'd to the same part both to give it Sense and
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
44. To which difficulty that I may give satisfaction I Answer 1. that in every Jaundice the Excrements are not equally white and therfore less died with the yellow colour of Choler whence I judg somtimes more somtimes less of Choler is also mixt with the Excrements in the Jaundice by which they are More or less died 45. I Answer 2. that in every Jaundice Choler is not alike evilly affected whence thus far also it may be mixt more or less with the Excrements and die the same 46. I Answer 3. That the Excrements should be rightly died by Choler there is requir'd a previous and sufficient Effervescency of the same with the Juice of the Pancreas because of which its divers parts separate from each other and having a Tincture are joind to the Excrements 47. I Answer 4. If during the Jaundice Choler be more Spiritous and volatil and therfore more fluid and moveable the same may more easily pierce out of the glandulous kernels of the Liver through its smallest Passages to the roots of the Hollow Vein and with the Blood to the Heart chiefly if the Passage of Choler to the Gut being provok'd is more narrowly Contracted or somtimes also Obstructed by the same Choler more spiritous wherfore the assault being made to the Liver Choler may persist in the same its ordinary though great way towards the small Gut being neglected 48. For it may come to pass that if the Passage of Choler to the Gut be not wholly obstructed it may at least be straitned by Phlegm made more viscous chiefly after a grievous Sorrow covering it any way or the same Passage may be irritated to a more strait contraction of it self by Choler made more Spiritous and therfore turgid and effus'd out of its Bag because of which a free passage to the Gut is deni'd it and therefore almost all of it is carriâ—d upward to the Liver through the Passage of the Liver anon being carri'd with the Blood to the right Ventricle of the Heart may be effervescent less then usual with the Descending and Lymphatic Blood and therfore may be more confus'd then mixt with the whole mass of Blood anon every where departing from the Blood may infect all the Parts with its colour and render them less apt for a natural nourishment wherfore either a Pining or Dropsie may by degrees succede the Jaundice unless it be soon cur'd 49. And although I do not think that an Obstruction of the Passage of Choler is necessarily requir'd to breed the Jaundice yet do I not see why it may not somtimes occasion the Jaundice whilst it is its cause by stopping Choler in its natural efflux into the small Gut because Choler staying there may be alterd and if it be lawful to say so may grow spiritous both with a greater access of the Animal Spirit and farther exaltation and attenuation of the parts constituting it 50. This even thence seems to be evident because that an exceding Anxiety is wont to be felt by many in that right hypochondre before they have the Jaundice where the insertion of the Passage of Choler into the small Gut is observd to be somtimes a grievous Sorrow or the abuse of Phlegmatic Food preceeding 51. By Sorrow All the Humors are wont to become glutinous and viscous especially in the small Gut and indeed because of the Juice of the Pancreas thereby made more tart 52. But whence-soever Phlegm becoms glutious and viscous the same is apt to cover and obstruct the Orifice of the Passage of Choler into the small Gut and so hinder the descent and out-let of Choler wherefore a Narrowness will be stirrd up there by Choler putting forth its force against the noted Phlegm and producing Wind out of it whilst the remainder acting upon it self is attenuated becoms Spiritous and at length stirs up the Jaundice 53. From what I have already mentiond methinks I have found and describ'd no improbable manner and account of the breeding of the Jaundice without a necessary Obstruction of the Passage of Choler into the Gut to wit the encreas d Thinness and Spiritousness and therefore unaptness of Choler to be rightly and enough effervescent which I have therfore noted in Choler because it is observd then not so much to be mixt as confus'd with the Blood 54. Let us further see whether the usual and forenoted Symptoms of the Jaundice may be deduc'd from its fore-assign'd Cause lastly whether its noted Cure agree with the same 55. The Cause of a compressive Pain of the Heart is the same which I said in Sect. 52. was the cause of Anxieties raisd about the lower region of the Ventricle in the small Gut Glutinous Phlegm being there gatherd and in part rarefi'd into Wind stretching open vexing and pressing the Containing Parts 56. The Gripings in the right Hypochondre are to be ascrib'd to an Acid Humor of the Pancreas less broken and so more pure by Choler meeting it less and putting forth its harm more potently and pricking and griping the Sensible Parts 57. The Excrements are less died then is wont both by Choler more sparingly approaching it and by the same less effervescent and therfore carrying less of its dying parts to colour them 58. The Sick have less motion to Stool by reason of the same Cause and Choler less sharp 59. The Vrine is obscurely Red by reason of plenteous and deeply colourd Choler mixt with it 60. A different Yellow Colour arises in all but chiefly the most tender part of the Skin such as is that of the Face Neck Hands yea in the whole Flesh from the same Choler less effervescent also in the Heart by reason of its encreasd Spiritousness and more intire Union of its parts therfore less mixing it self with the Blood and rather only confus'd with it and therfore adhering every-where to the noted Parts while it flows through with it and colouring them with its Yellow colour somtimes more pale somtimes more obscure and somtimes inclining to greenness 61. When the Jaundice declines an Itching is felt in the Superficies of the Body by reason of an effervescency every-where raisd again and somwhat sharp vapors thence breaking forth and mildly gnawing the sensible Parts For it cannot be but that a more potent Effervescency then was before of Choler every-where at its meeting with the Juice of the Pancreas and Lympha yea with the Blood it self more sowr then is wont which I remember I have observd in the dissection of one dead of the Jaundice should be stird up after that it is corrected by the use of convenient Medicins not only that which is in its Bag in which much of it is Gatherd but also in the Universal mass of Blood with which it is consus'd as also with all the containing and solid Parts to which it adheres by which therefore Vapors somwhat sharp may be raisd which being carri'd to the sensible Parts and especially the Skin do there cause an Itching 62. What is