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A14264 Enchiridion medicum containing an epitome of the whole course of physicke: with the examination of a chirurgion, by way of dialogue betweene the doctor and the students. With a treatise contaning a definition of all those difenses that do chiefly affect the body of a man, and an antidotary of many excelllent and approued remedies for all diseases. Published for the benefit of young students in physicke, chirurgian, and apothecaries. Pomarius, Petrus.; Hobbes, Stephen. 1609 (1609) STC 24577; ESTC S101306 91,960 299

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a disease that is the Akmin or state And wee must obserue that there are 4. Tempora morborum foure times of diseases that is the beginning the encrease the Akmin or state and the declination The which times are so distributed of Hip. that if the increase bee in the fourth day the change hapneth in the seuenth but if the increase be in the fi lt and seeuenth the Crisis happeneth in the ninth or the eleuenth day but if the disease doe increase in the tenth day the deliuerance hapneth in the foureteenth day In like manner saith the same Hip. the Physition should not be ignorant of the day that the Patient fell sicke nor of the houre in the which the body fell into an heate or to waxe cold c. From whence it doth manifestly appeare that other times also are not to bee neglected for a little after he sayth For this cause sayth he shalt thou recken the daies vnto thee in which thou shalt expect eruptions or apostums in those times prescribed 3. Prog. 3. 4. Aphor. There is also a quaternall number of dayes to bee obserued in all diseases which doth promise an end either to life or death as the same Author witnesseth Moreouer euery disease is either in the superiour or inferiour venter or in the veines whose Crisis hapneth by spittle by vomit by flux of bloud at the nose by Apostūs by seege by haemorrhods by menstrous and by vrin And sometimes also a Crisis doth happen by sweate and many diseases doe transpire by insensible euaporation 1. Of the knowledge of the disease 1 Doct. How shall wee come to the knowledge of the disease Stud. Euery disease is knowne either from things substantially inhering as in the composition of members what doth abound or what doth want or whether it bee not sited in his right place 2. From the operation of the member being hurt 3. From the qualitie changed 4. From things going out of the body 5. From the times of the yeare Wee must know also that euery disease is either by essence or by colligance and consent Morous per essentiam per consensum It is by essence if the disease be of it selfe in some member It is by consent if it be deriued from some member into another by reason of the vicinitie and colligance of the same as the affect of the head from some vapour arising from the stomack neither must we be ignorant that sometimes a disease is not only essential but accidental also a companiō of other diseases so sometimes a feuer is an accident of A feuer an accidens of a disease many diseases and of it selfe no disease and so often times there hapneth Apostums and Tumors Doct. How shall we know the cause of the disease Stud. Hip. affirmeth that there are three causes and beginnings of all diseases for euery disease springeth either from repleton or from the intemperature of the heanens or through some externe violence happening vnto the body Doct. What must we doe when wee know the cause of the disease Stud. The cause being knowne we must proceed to medicines and diet and if need be to topicall meanes and chirurgery prouiding alwaies a contrary medicine to the cause of the discase Wee must therefore at the beginning vse vniuersall remedies then wee must proceed to particular as the discase shall require and the Physitian must remember that contraria contrarijs curantur similia similibus sibi Contraria contrarijs carantur praebere adiumentum so any kind of disease that doth proceede of repletion will require emptines and so on the contrary and a disease that doth proceed of drinesse will require humectation and moystning euen as that same which doth proceed of heate will require refrigeration and cooling c. Notwithstanding we must take heed Repercussiua vitanda that we doe not apply any thing that is extreame contrary especially Repercioussius lest we cause hurt to some principall member PARS 4. Doct. WHen we haue found out a fit remedie for the disease how must we proceed to the cure Stud. It is to no end to find out a remedie vnles the same bee vsed and applied wisely for wee may find some Physitians that are furnished with a world of remedies and yet apply them without either wit or reason there be others that bee of good iudgement and yet notwithstanding are very barraine of helpes but those which they haue are very choice and good and truly I know not how it doth happen that there are so few sound and iudiciall Physitions in this our age But to let that passe in the administration of physicke these three circumstances are to be considered viz. Quantum Quando Quomodo For suppose Quanto Quando Quomodo the remedie be hotte or cold a purger of flegme melancholy or choler it is the worke of inuention the cause and kind of the disease being considered to dispose the remedy in a iust quantity to prescribe the same in a conuenient form and when it becommeth to offer the same according to iudgement and reason And surely there is nothing so hard or so obscure in the practise of physick as to deliuer a iust dose of medicine neither can the quantity of a remedy be defined except wee take the indication from things natural as from the strēgth nature and temperature of the sicke the habit of the body as fatnesse leanenesse thinnes fleshines age sexe and custome Consuetudo altera Natura for that is another nature In like maner from things not naturall as the time the aire the region from things auoyded and from things retained and those things which are praeter naturam against nature as sickenes the cause and the symptoms For what wise man will giue one the same medicine to a weak man to a strong to a woman and to a man to a child and to a yong man to an Englishman and to a Moore The time of the yeare is also to be regarded the month the disease the Paroxisme the cause also is to be considered besides the vehemency and violence of the symptoms and according to the same the dose of the remedy is to be increased or diminished for great diseases require remedies in a greater dose But commonly vnto an Infant ij drag of Cassia is sufficient of Manna iij. drag of Rhubarbe infused ij scruples but to those that be of strength may be giuen j ounce of Cassia and of Manna an ounce and a halfe of Rhubarb ij dra wil scarcely suffice But as I haue said these things can hardly be defined by art but must be referred to the iudgement and discretion of the learned Physition Doct. Let me now know your medicins that you haue to purge choler Chologogon Stud. I haue to purge choler Rhubarb Cassia Manna Myrabalans Citrine Aloes and such like Doct. These are simple medicines let me know your compounds Stud. Then I