out and know by the Medicins that help or hurt 22. Take diligent heed in rightly governing and directing Diet that I. the Air be most temperat either naturally or by Art 23. II. Let Food be of easie Fermentation as Milk and that either Womans or Asses or Goats or as now the custom is Cows taken whilst it is warm sundry Broths Yolks of Egs Flesh of younger Creatures Wheat Bread rightly leavend and bak'd Beer not too strong and yet fermented Wine of good age and small and diluted in a little Water c. 24. III. Let the Motions of the Mind be Moderat especially shunning those things from which the Hectic Fever arose 25. IV. Let the Motion of the Body be gentle and chiefly when an Hectic Fever is raisd by its excess 26. V. Let Sleep and Watchings keep a mediocrity seeing here all excess is very hurtful 27. VI. The wonted Emptyings and especially those that are natural and serve the Individual if they do not weaken the Sick and procede too slowly ought to be promoted and all the other to be shund as all Effusions of Blood or in Women the Monthly Courses of Seed and of Milk as sucking 28. When an Hectic com's with or succedes Fevers Without or With Fits then upon their account the Cure may be vari'd according to the divers harm of divers Humors differently peccant all which may be seen in the former Chapters 29. None can ever cure an Hectic following Inflammations Apostem's Vlcers and Fistula's who beside the Remedies newly mentiond doth not also use Medicins that potently cleanse and hence consolidate Vlcers and Fistula's Among which the Balsam of Sulphur with Anise or any other Aromatic Oil is not the least effectual as also all Medicins made of Antimony that are more fixt and therfore neither promote Vomiting or Purging Among common things all those are famous which have the name of Vulnerary Plants and are us'd in Decoctions being appropriated to the Cure of Ulcers as well as Fistula's 30. And now having exactly observd all in which according to the manner of treating the divers Causes of Hectic Fevers agree or differ the Physician will far more easily obtain his desired end in their Cure whil'st he has both obedient and patient Sick People which is seldom and the Evil be not delaid to the last CHAP. XXXIII Of Malign Fevers 1. AS otherwise any Disease or Sickness so a Fever takes the name Malign as often as the Strength of the Sick is suddenly and unexpectedly dejected or far more grievous Symptoms occur then are wont to be observd in such a-like Disease 2. The Strength that is wont to be dejected in Malign Fevers are call'd Vital to be manifested and discernd by the Pulse even from its beginning too Weak or suddenly much Weakned and by unexpected Death overwhelming the Sick 3. Malign Fevers are either Epidemical raging among many in the same time having a common Cause as the Air or Food vitiated or Privat affecting this or that Man only and that for a singular Cause and then for the most part known by the name of Poison 4. Again they are either Contagious infecting others or in no wise Contagious not harming the By-standers 5. Again they are either more Acute tending to an end in a few days or Longer continuing more days 6. In Malign Fevers there is for the most part observd a light Shivering to precede and Heat soon to follow it seldom great commonly more gentle so that the Sick scarce use to complain thereof Their Vrin for the most part differs little or nothing from healthy peoples Urin. The Pulse is indeed Frequent but withal Little and Weak and always unequal somtimes Intermitting or Deficient Often Drowsiness or a kind of Lethargie seldom Watchings urge The Sick are often vext with Turbulent Dreams and unquietness of Body They have often Gripes in the Stomach troublesom enough and somtimes Lothing yea moreover Vomiting also and the Head-Ake and somtimes Raving or Giddiness A greater Thirst often then Heat of Body and of the Jaws All the Members seem somtimes weari'd with much Labour and as it were afflicted by weariness Somtimes there happens Choleric and Foerid Loosnesses A Drooping or plenteous flux of Blood out of the Nostrils or Womb doth often concur and the Blood that drops or runs out of its own accord most commonly will not clotter Spots and little Pimples divers both in colour and greatness somtimes break forth in the outside of the Body and Tumors in the Glandul's Somtimes the extream parts soon wax hot and again are presently cold Sweats either none or very plenteous come forth by which unless the Sick get ease especially when they are promoted by Art there is no hopes 7. From all which Symptoms rightly consider'd and compar'd with those which are known by Experience both to resist Malignity and overcome it I judg the Cause of Malign Fevers if not always yet at least is most commonly a Salt that is both volatil and sharp which will weaken the somwhat sowr Liquor of the Glandul's and make it sluggish and of little force whence the natural Consistency of the Blood is diminishd and therfore its Rarefaction deceivd and often the separation of the Animal Spirits hindred and hence the other Symptoms above-mentiond are produc'd according as that Sharp Volatil Salt is drawn with the Air by Inspiration into the Lungs and thence into the Blood also or is swallowd down with Food or Spittle into the Stomach or creeps in through the Pores of the Body or infects weakens and spoils the Liquors of the Glandul's first or them together with the Blood And hence depends the variety of divers Symptoms observd several ways in Malign Fevers as also from the other Humors found in the Body of any 8. The Blood therfore being less consistent sustains a less rarefaction whence the Pulse becoms is it only Little but moâ—â—over Languishing yea bendes the Vital Fire kindled and sustaind in the Blood is more easily opprest and extinguisht and Death unexpected often overwhelms people unfit for it 9. I think the Cause of all Malign Fevers to come from without and never to be produc'd by it self in the Body from the Humors corrupted of their own accord for it procedes from a Fire exceding sharp which is not in Choler 10. Mans Body as well Containing as Containd is defended and preservd against all such Malignity in a Volatil Sharp Salt by the frequent and moderat use of Sowr things and especially a little Tart. 11. But this Volatil and Sharp Salt the Cause of the noted Malignity is Corrected and Amended with the same and also Oily things but especially mixt with a Sowr or Tart Earth To which appertain all Potters Clay and Seald Earths Bole Armeniac the Earth Lemnia c. and so every Mineral or Metallic Sulphur rightly prepar'd of Vitriol Antimony c. Hither reduce those that are commonly known Treacle Diascordium c. Yea to correct this Salt mild
living Creature we will rather begin at the taking of Food baing vitiâ—aed and then handle the wayes how breathing is hurt where Food carried out of the right Ventricle of the Heart in and by the Lungs hath need thereof The First Book of the Practice of PHYSICK OF Diseases either constituting or producing or following the Natural Functions hurt CHAP. I. Of Thirst Deprav'd 1. WE therefore assign the first place among Natural Functions to Thirst because the first Natural Passion of Man newly borâ— is to Thirst and by sucking Milk out of the Breast asswages his Thirst 2. This Thirst is vitiated chiefly when it is either augmented or depraved for seldom is it lessened or taken away with loss to Man neither can we believe that Thirst or its Cause is truly taken away in certain raving People with driness of Mouth and burning heat of Body because they are insensible and do not observ it 3. I take Thirst augmented to be deduced for the most part from too sharp Choler carried down into the small Gut and there so raising an effervescency with the Juice of the Pancreas or Sweet-Breads flowing thither that thence are elevated Salt Vapors but not bitter to the Ventricle or Scomach and Gullet and there produce a sense of Drought 4. This Choler being too sharp or its Salt Vapors if they pierce through the Lacteal Vessels to the Heart the like may be said of the same Choler carried thither by its passage through the Liver and infect the Blood too much with its saltness nothing hinders but that the Spittle then should turn more or less salt or sharp which will less temper Thirst and rather augment it 5. Another cause also of Thirst augmented is a Salt Humor distilling from the Head to the Gullet and there producing a perceivance of Drought and Thirst and then either falling thence also down to the Venâ—â—icle or drawing forth Matter for Salt Vapours in the small Gut by which in like manner a greater Thirst is stirred up 6. Besides the now-reâ—ited Internal Causes more External Causes of augmented Thirst may â—â—â—carâ— And 1. indeed the Aer heated by the Fire or Sâ—â—â— â— Food salted or aromatically sharp and dry 7. In like manner the Exercise of Body and vehement motion do encrease Thirst and among the Passions of the Mind Anger chiefly or a great terror and also prolong'd Watches and the Body both too costive and too loose much Sweating Vrine voided plentifully a notable evacuation of Blood Milk or Seed c. 8. And in like manner as the Lixivial Salt either abounding or too sharp in Choler augmmâ—nts Thirst so the other parts in Choler being vitiated seem to deprave it which seeing it may be manifold both on the account of the manifold parts of which Choler is composed wherein every one may be faulty it is difficult exactly and distinctly to prosecute and accurately to describe every one of those Kinds and the causes of its depravedness 9. Add that both the Juice of the Panereas and Phlegm of the Guts can not a little deprave Thirst by waxing vitiously fervent with Choler by a vitiousness peculiar to it self 10. The Cause of depraved Thirst can be attributed to none particularly of the six non-natural Things so called yet to a vitious effect of more things concurring togâ—ther with them by us as yet not to be explain'd 11. Thirst augmented is Cured chiesly with watry Liquors which dilute the lixiviat Salt of Choler and deduce it to the Bladder and with sowr things which potently destroy and change its Acrimony and with Oily Liquors asswaging its sharpness as Milk and Emulsions prepar'd of oâ—ly Seeds 12. So Watry Acid or Sowr and oily â—â—quors may fitly be om dâ— and then they will effect more For Example sake take this following Form â„ž Barley-water â„¥ xxx Flowers of Râ—d Roses â„¥ ss Spicit of Vitrol what suffices to make a gratefu s we taste Let hese stand in warm Water of and for three hours or till the Water be reddish called Tincâ—ur of Râ—ses to which when strain'd add Syrup of Jâ—jubs â„¥ iii. M. and let it be a most grateful Julep 13. If any cannot take Acids let him use this following â„ž Barley-water â„¥ xx Cinamon-water â„¥ i. Syrup of Violets â„¥ ii ss Lapis Prunellae or Nitre â—urified by Solution and CoagulationÊ’ i. M. 14. The party thirsting may use either of these Juleps by spaces taking â—a moderate Draught thereof till Thirst be restrain'd 15. If a milky Emulsion do please better take this following Form â„ž Barlâ—y clearsâ—d and boiled till it burst â„¥ i. Sweet Almâ—nds cleansedÊ’ ii with Barlâ—y-water make an Emuâ—siâ—n to â„¥ xii adding Julep of Roses â„¥ i. M. 16. To make this Emulsion more grateful and to strâ—ngtheâ— the Sick and Wâ—â—k add sâ—me Cinaâ—â—â—-water or to discuss Wâ—â—â— a little Fenel-water and use it by turns 17. But where Rest cannot be obtain'd and is dâ—â—â—â—◠〈…〉 tâ—â—◠〈…〉 of White-Poppy Seâ—ds with the other things â—â—d make an Emulsiâ—â— of these so two things are done by one laâ—our 18. Sometimes to deceive Thirst especially where the Sick are not pleas'd with much Water some of the aforesaid Lapis Prunellae or Niter purified may be kept in the Mouth in which case also grateful Pellets of Sugar and Juice of Citrons or Barberies are proper 19. Mutton or Veal-Broth also asswage Thirst being boiled with much Water and without Salt 20. As often as a Salt Catarrh or the like Spittle is the cause of Thirst augmented so often administer such Physick for it as will temperate that saltness by Pills of Hounds-Tongue and such like and then if Salt serous Matter abound in the Blood purge it by Stool or Vrine of which hereafter 21. Depraved Thirst is cured by those things which correct the Constitution of Vitious Choler the Juice of the Pancreas and Phlegm in the Guts or of other Humours which because they are not now so manifest all universal Things which do amend any Humors what-ever may with profit be us'd and chiefly volatil oily Salts but somewhat moderate ones and indeed joyn'd to watry Liquors and by turns given in Wine not too strong CHAP. II. Of Hunger dâ—prav'd 1. HVnger is call'd the Appetite of Mâ—ats as Thirst is of Drinâ—s 2. The chief kinds of Hanger vitiated are when it is Augmented Diminish'd Abolish'd and many wayes Deprav'd 3. I judg the chief Cause of Natural Hunger to be the remainders of Food fermented in the Ventricle and there staying and still more and more fermented by part of the Spittle adhering to them being continually swallow'd down and at length raising a some-what sowr and grateful Vapour which pleasingly affects the upper Orifice of the Ventricle and so produces Hunger 4. This Natural Hunger especially where Food is with-held somwhat longer than ordinary is encreas'd even in healthy People by the Juice of the Pancreas carri'd down to the small Gut and after the separation and farther descending of Food
said about the Rise and Cure of several Pains to find the true Cause and Manner of Curing of others as yet more obscure or complicated and perhaps not explain'd here CHAP. XV. Of the Vomiting of what is contain'd in the Guts and namely of the Disease Cholera and Ileos 1. THat which is contain'd in the Guts according to Nature is either driven forward into the Lacteal Veins in as much as it is useful to nourish the Body or is expell'd by Stool in as much as it is unuseful to nourish it But against Nature the same is either too much excluded bâ— Stool with the Humors flowing together in a loosness thence call'd of which we spoke in Chap. 13. or in the contracted motion of the Guts inverted it is repell'd upward into the Ventricle and thence vomited out in a consistent form or exhal'd or belch'd in the form of a Vapor or Wind somtimes it is voided either into the Cavity of the Belly or out of the Body by Wounds or Vleers of the Guts of which elsewhere 2. Wind therefore breaks out in Belches and Vapors in Yawning and the Hypochondriac Suffocation wherein oftentimes Wind also is rais'd of which we have in part spoken Chap. 9. there is no Disease comes to my mind in which Vapors are observ'd to rise 3. A Vomiting proceeding from the Guts differs according to the diversity of what is voided for somtimes Food is repell'd being first driven down to the Guts other-times Humors carri'd down to the Guts and voided either single and pure Choleric Phlegmatic Serous or Bitter Sowr Harsh Salt Sweet Insipid c. or Yellow Green Ceruleous Black White Watry Clear c. or variously mix'd one while Excrements other whiles Blood or moreover Matter or other things rising from the Guts 4. The primary Cause of all this manifold Vomiting is the contracted Motion of the Guts inverted and drawing yea compelling the Stomach to a consent thereto and like change of motion 5. This change of Motion begins frequently from the place where the Passage both of Choler and the Pancreas is inserted seldom from the Seige often from this or that part of the small Gut troubled with a Gangrene or any other grievous Disease 6. From the place of the Insertion of this double Passage the motion of the Guts haps to be inverted by reason of the potent and violent effervescency of sharp Humors then in the Body or corrupted or irritated by what is newly taken in 7. The sharp Humors that are in the Body are Choler and the Juice of the Pancreas gone from their natural state as somtimes also Spittle swallow'd either Acid or Salt and carri'd down to the Guts 8. The things taken in that corrupt the aforenam'd Humors and provoke them to raise a vitious effervescency are either Summer-Fruits Cheries Plums Melons Peaches Grapes c. also new Wine or any sharp Medicins making either of the mention'd Humors sharper as also Vomits or certain Poisons Arsenic Orpiment c. whither corrosive sublim'd Mercury may yea ought to be referr'd seeing that if it be taken pure uncorrected though in the least quantity it disturbs and corrupts all 9. As often as Choleric Humors are voided out as well upward as downward with great force and plentifully together with the troublesom anxieties of the Midrif accompanying either of their own accord by Humors before in the Body or because of an external error committed in Diet this Disease is wont to be call'd Cholera 10. In the Hypochondriac Disease and Suffocation and the Scurvy it self there are somtimes rais'd freely Vomitings of various Humors thinner or thicker too Viscous or Fluid Bitter or Acid or Salt or Harsh or Sweet or Insipid Yellow or Green or Ceruleous or Black or White or Watry or Crystal-like or of divers Colours so that all the differences occurring in several or the same Sick People are very difficult to be numbred or reduc'd into a certain order 11. Somtimes Blood also is by force poured out by Vomit Which I suspect if not always at least most commonly comes out of the Pancreas by reason of some Vessel open'd by its over-sharp Juice and it is driven up to the Stomach to be vomited out there being then also a vitious Effervescency with Choler whilst for the most part some of it descends downward to be voided by Stool 12. I Cur'd the Widow of a Mariner about 20 years since at Cullen fallen through great grief of Mind contracted by her Husbands Death if my memory fail me not into a grievous and daily Pain of the Loins and hence into a spontaneous Vomiting and Dejection of Matter left for incurable by Physicians call'd to see her yet restor'd by degrees with the help of Sugar'd Wine warm'd and taken by turns And seven years after by a grievous sorrow of Mind brought into such a like vehement Pain of the Loins I therefore guessing by the relation of her former Disease that Matter lay hid in the part griev'd by a former Inflammation produc'd and collected gave her twice an Antimonial Vomit and if I remember right my Sapa Vomitoria by the help whereof she vomited the first day more than a pint or â„¥ xx of Matter well ripen'd and by Stool a good quantity of the same also by the benefit of the Vomit iterated one or two days being interpos'd she empti'd again some Matter upward and downward though less than before and was restor'd to perfect health in a short while some few Cordial Medicins and such as resist Putrefaction being given 13. I judg that Matter therefore procedes out of the Pancreas because the place affected answer'd its Situation and because I have often found Matter collected in greater or less plenty in the Pancreas after Death but not in any other part from which there was a way to the Guts 14. The sâ—â—ne reason makes me conjecture and think that the Vâ—â—iting of Blood is not to be deduc'd from the Spleen of Liver nor yet the Mensenterie but from the Pancreas alone saving the judgment or observation of others 15. When the contracted Metion of the Guts begins to be inverted from the Siege then I judg an exceeding sharp Humor adhers to it seeing it is wont to be Cur'd with such as only asswage and temper sharp things For I never had such a Patient to Cure that I could make an exact examination of all his Symptoms and hence give a solid Judgment of every one 16. Often its contracted Motion begins to be inverted in this or that part of the small Gut with the Vomiting up of the Excrements following from the Gut affected call'd by Physicians Ileos and Ileos by Practitioners 17. I have observ'd in Dissecting dead Bodies a twofold Cause of this Evil the one was a Gangrene of the Gut such a wrinkling and pressure together of the corrupted Gut accompanying it that all passage downward was deni'd the Excrements and were forc'd to a miserable return upward and so an
egress by Vomiting 18. The other Cause of this evil noted after Death in the Dead by me was the entrance of the small Gut in any part straitned into the next part which was more opened by wonted Wind Whence likewise all passage through for the Excrements by Siege was stopt and anon their regress and ascent to the Stomach follow'd with a miserable Vomiting of them 19. I judg'd that Ingress of the small Gut into the next part happen'd after the aforesaid manner and indeed one while of the upper part into the next inferiour other-whiles of the inferior into the upper part because I had often observ'd 1. That the small Gut was in many places distended with Wind and most narrowly contracted for a notable length in the next parts as well upper as lower 2. That the same Sick being press'd with Gripes wonderfully mov'd their Body and often bow'd it on a sudden And by that bowing often repeated it might hap that Wind prest farther by reason of the Gut relaxed in either end should yield to the opposite extreme part of the Gut as yet straitned to insinuate it self into the Cavity of the Gut sufficiently enough displai'd a straitness presently succeeding of the same Gut freed by Wind driven forward violent enough about the next part insinuated 20. As often as the under part of the Gut enters into the upper so often there is hope of Cure either of its own accord by Food taken in or by Art by Lead or Golden Pills swallow'd but not so when the upper part of the Gut enters into the under because the part included goes on by degrees farther whence the narrowness is more and more encreas'd and all descent of what is contain'd is stopt wherefore of necessity and surely Death is thence to be expected 21. There is also frequent mention among Practitioners of the Gut writh'd and wrap'd together no Example whereof after diligent search I could find and now scarce think it can be that the small Guts should be so intricately complicated as it were with a Knot 22. The Rupture of the Guts is a frequent Cause in Practice of the voiding Excrements by Vomit yet not every one but such and so great ones that the small and also thick Guts falling out through a narrow hole either by reason of their proper weight or for what is contain'd therein perpetually approaching and remaining there cannot be put back through the same Hole nor afford a passage downward to what is contain'd sliding thither whence the things contain'd being more and more hardned and such as somtimes cannot be dissolv'd breed an hard and unsuperable Tumor and moreover hindring also the reflux of Blood give occasion to an Inflammation and Gangrene of the Guts soon following and hence to vomit thâ— Excrements out at the Mouth 23. All these Evils are often encreas'd or bred by Fomentations evilly and too hot appli'd as also by a preposterous and strong rubbing of the swell'd part Lastly By Violence us'd to the swell'd Guts to repel them 24. The Cure of this manifold Vomiting may be perform d diversly according to the variety of each Cause 25. As often therefore as the Irritation of the Guts depends on the vitious Effervescency of sharp Humors flowing together to the inversion of their contracted Motion so often these over-sharp Humors are to be corrected and temper'd yea stupefi'd together with their Effervescency 26. The Medicins that temper both Choleric Humors and those of the Pancreas too sharp are often propos'd before to which Opiats also often nam'd are always to be added to asswage the vitious Effervescency and stupefie the sense of the Guts at least in part 27. The following Mâ—xture to be â—â—ken by Spoonfuls in little spaces may conduce in the faultiness of the Acrimony of any Humors whether Salt or Sowr â„ž DiascordiumÊ’ ii Confection of JacinthÊ’ i. Syr. of white Poppies â„¥ i. Plantane-Water â„¥ ii Fenel-Water â„¥ i. M. 28. When this Vomiting is stai'd if the aforesaid Humors seem to abound after they are sufficiently temper'd they may be empti'd out and diminisht by Stool giving Purging Cholagogues or Hydragogues often mention'd 29. If the Vomiting cannot be staid by reason of plentiful Humors in the Body endeavouring an Out-let upward strongly nothing hinders but that a gentle Vomit may be given moreover adding those things which also temper allay and vanquish their too great Effervescency after a certain manner and so necessity urging Opiats themselves in a small quantity For Example â„ž The Vomitive Vinegar and SugarÊ’ ii Laudanum half or a whole Gr. Mint-Water what suffices M. for a Draught 30. This Vomit being taken if a Loathing or Vomiting still continue after a good part of the Humors peccant is voided upward or downward use the Mixture before prescrib'd or others alike according to the diversitie of the Humor that is most peâ—cant 31. For if the Acid Juice abound then â„ž Mint Fend Water of each â„¥ i. Aqua Vitae of Matthiolus â„¥ ss Old TreacleÊ’ ii or Laudanum 2 Gr. Syr. of Myrtle â„¥ i. M. 32. If Choler abound in Acrimonie then â„ž Plantane Purslan-Water of each â„¥ i. Sp. of Salt duleisi'd ℈ ss DiascordiumÊ’ i. ss or Laudanum 2 Gr. Syr. of Purslan â„¥ i. M. 33. As the Juice of the Pancreas so also Spittle and the other over-sharp Humors sliding down from the Head are to be Corrected Temper'd and Empti'd out 34. When the Disease Cholera is rais'd by Summer-Fruit and usually soon corrupted then the too much Effervescency that 's rais'd in the small Gut is to be asswag'd with the best Opiats to which end one of the three newly prescrib'd Mixtures may be us'd as the Matter requires till that fierce Motion of the troubled Humors somtimes troubling all things in the Body to Death be stai'd and asswag'd 35. Vomiting Medicins wrong taken or in too much quantity causing a cruel Vomiting are asswag'd and overcome with Opiats only Whence I here again commend the former approv'd Mixtures or others like them seeing it is easie to form more such 36. Among Poisons producing enormous Vomits and for the most part deadly we mention'd Arsenie and Orpiment as also sublim'd corrosive Mercury All which because of their Latent or manifest Acrimony are most happily temper'd and prepar'd for a more mild voiding by oily things as fat Broths any exprest Oil Milk Butter and such-like among which Milk uses to be curded by them and then voided wherefore thus far it is profitable that Poisons curding it do more readily joyn themselves to it and thereby lose their strength Fat things are so long to be us'd as Pain Loathing or Vomiting remain 37. Opiats also often mention'd and approv'd may besides be profitably us'd as being such that do no less temper all Acrimonie and asswage the following Effervescency than stupefie the outward Sense 38. The Treatise and Cure of the Hypochondriac Disease and Suffocation as also of the Scurvie seeing they are Diseases complicated of several
with Sweat or Moistness for the most part other-times it is overcom'd by an easie Art But the danger to be feard is either because of the vitious Constitution of the Body especially Containd affected by reason whereof it may degenerate into others both call'd Putrid and the Hectic or because of a new Error committed in some part of Diet or in Medicins whilst it continues because of which it may in like manner be chang'd into the named kinds of other Fevers or other more grievous Diseases 17. The Cure of Diarian Fevers is not difficult seeing that the most go away of their own accord by a Sweat But when the Physician is call'd for a Cure as at other times always so also here the Cure is to be Vari'd according to the variety of the Causes the various Constitution of the Body as well Containing as especially Containd and the Symptoms most urging 18. When therfore the alone heat of Air hath produc'd it the same is to be chang'd with more temperat at least to be temperd with cold Water or Vinegar pourd on the Floor with Watry and Sowr Plants Lettice Sorrel Vine-Leaves c. disperst through the Chamber of the Sick And for him that is Feverish together Thirsting let the following Julap or one like it be taken by intervals â„ž Carduus-Water â„¥ vi Sorrel-Water â„¥ ii Syr. of Red Poppies â„¥ i. Sp. of Nitre vi drops M. Let the Sick be moderatly coverd to promote a Sweat mildly and together to remove the Fever 19. If Cold of Air or any other thing come upon the heated Body and by reason of this a lighter perhaps or more grievous Obstruction in the Vessels any where and the Standing still of what is Containd and hence other more grievous Evils be feard to follow you may profitably mix a Scruple of the Volatil Salt prepar'd of Harts-Horn of Salt Armoniac or of any such-like with the foresaid Julap and use it at several times 20. If a Diarian Fever be raisd by Strong Drink too plenteously us'd the Cure may be Instituted by Drink somwhat Sowr the Julap newly prescrib'd or the following Tincture of Roses which â„ž Barley-Water â„¥ xxx Rose-Water â„¥ â—i Flowers of dried Red-Roses â„¥ i. Oil of Sulphur made 〈◊〉 Campanam what suffices for a grateful aciâ—â—â—y Infuse them in a Glass Vessel clos'd and in a warm place tâ—â—â—traâ—t the Tincture of a pleasing Red Colour to what is Streind add Syr. of Jujubs â„¥ iii. M. By the moderat use of this most grateful Tincture the Heat bred against Nature in the Blood and Universal Body may by degrees be allayd and the Fever joind with it be removd soon safely and pleasingly 21. If a Diarian Fever be raisd by too much Motion and Weariness of the Body the Animal Spirits consum'd more than enough are to be repair'd with Spiritous Drink yet so that the Heat conjoind to the Body be not encreasd but rather together diminisht To this end I mention the following Mixture to be us'd by spoonfuls by short intervals â„ž Water of Line-Tree-Flowers of Betony of Fenel of each â„¥ ii Sp. of Wine reciifi'd or Aqua Vitae of Matthiolus â„¥ i. ss Sp. of Salt dulcifi'd ℈ i. Julap of Roses 〈◊〉 i. M. 22. When the Diarian Fever is raisd by over-vehement Anger beside those things which make the Mind chearful I commend the following Mixture which may correct Choler together mov'd and made over-sharp and may allay the Feverish Heat depending on it if moreover it be taken by spoonfuls â„ž The Water of Plantane Lettice Sorrel of each â„¥ i. Cinamm-Water â„¥ ss Sp. of Salt dulcifi'd ℈ ss Syr. of Diacodium â„¥ i. M. 23. If the Commotion of Mind remain vehement it will be profitable to add gr ii â—r iii. of Laudanum to the aforesaid Mixture whereby the Body may the sooner be reduc'd to Sleep and the Mind to Tranquillity 24. When on the contrary a Diarian Fever arises from a sudden and grievous Sorrow for its Cure together with wholsome counsel apt to comfort and raise the Mind I commend this following Mixture which is wont to amend the Tart Juice bred or encreasd in all grievous Sorrow and together renew the then Vitiated and Feverish Effervescency of Blood in the Heart â„ž Penny-royal Fenel-Water of each â„¥ ii Our Carminative Sp. or Matthiolus his Aqua Vitae â„¥ ss Laudanum 2 Gr. Sp. or Volatil Salt of Salt Armoniac ℈ i. Syr. of Fenel â„¥ i. M. Give a Spoonful of it oft till Sleep glently come at least the Sick be better and less molested about the Midrif where unspeakable anxieties are wont always to urge in a grievous Sorrow 25. When a Diarian Fever arises from prolongd Watchings for its Cure Sleep is to be mildly promoted both by removing the Causes of Watchings and by disposing the Body to Sleep by this Emulsion or one like it â„ž Cleansd Barley boiid till it crack â„¥ i. ss the Seeds of White PoppiesÊ’ ss With the Decoction of the same Barley Make it an Emulsion to â„¥ xv adding Syr. of White Popies â„¥ i. Fenel or Rose-Water â„¥ i. ss M. Let him that is Feverish often drink a Draught of this Emulsion till he get Sleep Which if it come not so ii or iii. Gr. of Laudanum may safely be added to the same Emulsion and then Sleep may be produc'd more easily and potently which coming they must abstain from farther use of the Emulsion unless the same being interrupted necessity of farther using it return 26. When a Diarian Fever is raisd by Cares enroding the Mind and beside Watchings making commonly all the Humars Sharper I commend the Mixtme which I gave in Sorrow of Mind producing a Diarian Fever for Young Beginners in curing this Fever also 27. We admonisht not without cause in Sect. 17. that its Cure is to be vari'd according to the variety of the Humors occurring in any Sick of a Diarian Fever 28. When therefore a Plethora of Blood is observd in such an one Feverish it will be advisedly done to let out so much of it by a Vein opend as can be taken out without harm or swouning For although Blood let even to Swouning doth not always ill saccede yet because somtimes and oft enough its great Evacuation made suddenly hath brought many Evils to several Sick People I always prefer its repeted less diminution as the matter and need requires somtimes instituted in the same day least when we would soon cure we cure not safely enough seeing it is soon enough if well enough and safely enough Which Observation I only commend to Younger Physicians 29. It matters little whether the Vein opend be in the Arm or Hand or in the Foot or in any other place unless perhaps one place be preserd by the Sick Or in Women one part is to be chosen before another because of the Monthly Couâ—ses either at hand or hindred and One Vein may be opend safâ—lyer or more easily than another All which I would have accuratly observd
Consumption of several parts 37. But wherin that Vnfitness of the Blood to nourish consists whether it be bred of one sort only or manifold in several Men those things that hitherto are communicated to me or observd by me are not sufficient whence I may give the solution of this Doubt 38. And now having offerd the most Differences of Synochals both according to their various Causes and the more noted and grievous Symptoms accompanying them the next thing is that at length we subjoin to their Causes a Method of Curing every one of them agreeing both with Reason and Experience and therfore Dogmatical 39. I. Therfore a Synochal Choleric Fever may be Cur'd 1. By Correcting the Salt Sharpness of Choler chiefly by more temperd Acids the dulcifi'd Spirit of Salt c. 2. By Amending the Inflameable Oiliness of Choler by somwhat harsh Acids Sempervive the greater Plantane c. 3. By â—â—iminishing Choler if it be observd never so little to abound which is usual by Cholagogues but more mild and a little sowr or joind with Acids the Creme or Crystals of Tartar Salt of Tartar Vitriolated c. and that soon in the beginning or after that by the help of Altering Medicins Choler being over-intirely joind with the Blood begins to be again separated from the same and made fit to be totally voided which is chiefly to be expected from Acids oft mention'd but more mild or artificially temperd 40. Among Compound Medicins for correcting the salt sharpness of Choler the following Decoction oft to be us'd in a day in a small quantity and warm may conduce â„ž The Root and Leavs of Sorrel M. ii The Leavs of Strawberries Violets of each M. i. Boil them in Barley-Water adding to â„¥ xx of what is straind Syr. of the Juice of Citrons â„¥ iii. Sp. of Salt dulcifi'd ℈ ss M. 41. To Amend the Oily Inflameableness of Choler the following Decoction may be prescrib'd in like manner to be us'd â„ž Plantane Root â„¥ i. The Leavs of Sempervive the greater Purlan of each M. i. Boil them in pure Water adding to â„¥ xx of what is Streind Syr. of Purslan â„¥ iii. Oil of Sulphur prepar'd Per Campanam what suffices for a grateful Acidity M. 42. To separate Choler again from the Blood beâ—ng over-intirely mixt with it the following Decoction may conduce being us'd after the same manner as the former â„ž The Root of Dandeleon with its Leavs M. ii The Herb of Fumitory M. i. Boil them in pure Water adding to â„¥ xx of what is Straind simple Syr. of Succory â„¥ iii. Salt of Tartar VitriolatedÊ’ i. M. 43. Lastly To diminish or empty out Choler Loosned from the Blood by the preceding Decoction or a Medicin like to it and dispos'd to be voided out gradually and mildly together with the rest abounding or turgid in its Bag the following Decoction to be taken twice or thrice a day warm to â„¥ iii. or iv may serve beside others both single and compounded oft noted before â„ž Succory-Root â„¥ ii Endive-Leavs M. ii Damask-Rose-flowers M. i. Creme of Tartar or Crude Tartar Ê’ ii Boil them in a glaz'd Earthen Vessel in pure Water adding to â„¥ xx of what is straind Syr. of Succorie with Rhubarb â„¥ iii. M. 44. Yet because of the Cure of Fevers arising from Choler any way peccant it suffices not to direct their Cure to Choler it self Their Cause whereby a Fever will neither be encreasd nor fed but farther we should attend to all the Symptoms accompanying these Choleric Fevers and to all Changes therefore happening to both Bodies as well the Containing as Containd more things are to be us'd for their intire and perfect Cure 45. Wherfore by reason of an Exceding Heat stird up and of the Pulse encreasd in Greatness following a greater Rarefaction of Blood by the Fire encreasd in the Heart least the Vessels at length being by degrees more and more distended should burst or be opend any other way or over-Vital Fire be suffocated because of the hindred motion of Blood in the Heart or elswhere by its over-rarefaction filling its Vessels a Place is to be prepar'd for it by letting a sufficient quantity of Blood out at a Vein opend in the Arm Hand Foot or elswhere 46. And by this letting out Blood because it appears by daily experience that the heat of Blood is not a little diminisht thus far also an opening a Vein is to be â—â—â—â—â—nd whether that troublesom Heat be temperd 〈◊〉 of sharp and fat Vapors more plenteously â—â—us'd together with the Blood or it happen by any other Cause that may diversly be feignd according to any Bodies prejudice 47. Thirst then very importunate may be allayd by degrees by the Decoction prescrib'd in Sect. 40 41. or the Tincture of Roses describ'd in Sect. 20. of the preceding Chapter or the following Julap or any like it oft taking a little of it which I prefer before much Drink drunk at once because every sudden change is deservedly judg'd by Hippocrates hurtful to Nature and therfore dangerous â„ž Barley-Water â„¥ xx Syr. of Purslan â„¥ ii of the Juice of Citrons â„¥ i. Spirit of Salt dulcifi'dÊ’ ss M. 48. The thick Juice extracted out of certain Seeds by the help of any Water and the Mucilage such as we draw out of the Seeds of Quinces Flea-wort c. with Rose-Water or any other that is convenient will asswage the troublesomly Dry or also â—â—ven Tongue Some of this should be kept for a spâ—â—â— in the Mouth and again spit out which should 〈◊〉 be repeted 49. The same may be obtaind if the Leavs of Sempervive the Greater have their out Rind pâ—â—ld off and put into pure or Rose-Water hence oft laid upon the Tongue and be ever and anon renu'd 50. Pure Water will do the same if a little of it be kept in the Mouth and again spit out after gargling and oft repeted Instead also of pure Water a Decoction of Turneps or a mild Emulsion such as follows may be us'd â„ž Cleansd Barley boil'd till it crack â„¥ ii With its Decoction make an Emulsion of â„¥ xv adding Julap of Roses or simple Syr. of Violets â„¥ i. M. 51. To this end also the Yolk of an Egg beaten and mixt with â„¥ iii iv or v. of Rose-Water or any other grateful to the Sick and a little Sugar may in like manner be us'd a spoonful of it at a time being taken into the Mouth and afterward either swallowd or again spit out 52. II. A Glandular Synochal Lymphatic Fever may be Cur'd if 1. soon in the beginning whilst Shivering yet continues the following Mixture be taken by spoonfuls in short intervals â„ž Parsley-Water â„¥ i. ss Fenel simple Treacle-Water of eachÊ’ vi Syr. of Fenel â„¥ i. Sp. of Salt dulcifi'd ℈ i. M. For by the help of this the Shivering will not only be diminisht but moreover the sowr sharpness of Lympha temperd and the Heat that would afterward follow will at least in part
and every of the Fevers propos'd and explaind let us mention their diversity in returning according to the Intervals of their Fits now shorter other-times longer in Quotidians Tertians Quartans Quintans and others as also the Reason and Causes of their difference which I take to be most true and intend to apply them explaind to my Opinion 118. And although I do not wholly follow the divers manner of these Sorts commonly ascrib'd to divers yet do I not think that these divers Humors are here to be neglected seeing that as shall appear by what is to be said if they cause not that diversity immediatly they much contribute to do it mediatly 119. As therfor the new Fit of every Intermitting Fever is stird up according as we have taught so oft as the Juice of the Pancreas becoming sharper by its Obstruction bores through the Phlegm that obstructs its Lateral Passages and passes to the small Gut and hence having raised an Effervescency vitiated howsoever with Choler and other Symptoms in the same place and adjacent parts carri'd through the Lacteal Veins and Thoracic Passage and the hollow upper Vein into the Right Ventricle of the Heart and so forward so the same new Fit is raisd sooner or later as Phlegm obstructing the Lateral Passage of the Pancreas is pierc'd and bored through by the forementiond Juice 120. And this piercing and penetrating of Phlegm Obstructing is sooner or later both upon the account of the Phlegm it self obstructing the Passage and also of the Juice of the Pancreas piercing through it 121. For by how much the more viscous and plenteous Phlegm is by so much the more difficulty and so slowly will it be pierced through and on the contrary the lesser and less Glutinous it is the easier and so the sooner will it be pierc'd through 122. Again the more Acid this Juice of the Pancreas is of it self the sooner will it acquire by its obstruction a greater and sufficient Acrimony to penetrate the Phlegm obstructing easier and sooner and on the contrary the more obtuse or sowr and little this Juice is so much the slowlier can it acquire a sufficient Acrimony to cut through the Phlegm 123. Therfore by how much the less and less glutinous Phlegm obstructing is and the Juice of the Pancreas be more Acid and Plentiful so much the sooner will a new Fit of an Intermitting Fever arise and so a Quotidian that is one returning in the space of about 24 hours 124. Again how much the more viscous and plentiful Phlegm obstructing is and the Juice of the Pancreas more obtuse or tart and little so much the slower will the new Fit of the Intermitting Fever be a coming and so a Quartan or Quintan c. 125. But as oft as 1. Phlegm obstructing and Juice of the Pancreas are in a medium or 2. The Juice of the Pancreas is of it self too acid or plentiful and Phlegm obstructing too viscous or plentiful or 3. the Juice of the Pancreas is less and less Acid and Phlegm lesser and less Glutinous so oft new Fits of the Fevers will return almost every other day and then they will be Tertians much differing in their Symptoms beyond what other Intermitting Fevers do and indeed because of the newly mentiond possible threefold respect of Phlegm obstructing and the Juice of the Pancreas piercing through it 126. And here you may note that Intermitting Fevers do but seldom return in the exact Interval of natural days of 24 hours but return quicker or slower for the most part wherfore then they are said to anticipate the appointed and expected Time for some hours which is disliked or to come later which is commended although it matters not whether the Fits anticipate or come later if so be that their continuance and the grievousness of Symptoms daily accompanying be diminishd to which a Physician should chiefly give heed when he prognosticates by Art and would foretel a change certainly to come 127. From what hath already been said the Causes of Intermitting Fevers both manifold and compounded of divers may without much difficulty be found out and assignd to wit the Obstruction both various and in divers Lateral passages of the Pancreas 128. But there still remains a difficulty not to be despis'd which is more requisit in explaining the multiplication of any simple Intermitting Fevers to wit Quartan or Tertian that is its change into a double or triple which I judg to be so oft as new Phlegm is dissolvd in the Body and especially in the Small Gut by an Error committed in Diet or Medicins Poisons rather not rightly us'd and hence driven forward together with the Blood every whither therfore also to the Pancreas which being again coagulated in one or more of its passages formerly not afflicted by what cause soever breed an Obstruction different from the former more or less which breeds a Fever more or less grievous then the former And if daily Experience do not evince certainly it abundantly confirms this to be so 129. And seeing I cannot observe any more notable difficulty about the Causes of Intermitting Fevers which I judg could make any scrupling to the Ingenious and Judicious who attentively consider what is above-said and chiefly to those who do accurately observe natural things I betake my self directly to handle their Cure 130. As we have considerd Intermitting Fevers in searching and assigning their Causes both as they are Intermitting and as they are accompani'd with various Symptoms and as they return in divers Intervals so now we will keep our Method in their Dogmatical Cure propos'd and will attend to the same seeing that the Cure according to Art will be easier and more succesful when they are accurately and rightly observd 131. Because therfore the Juice of the Pancreas is the apparent and determind Cause of Intermitting Fevers as Intermitting when it is made more acid and sharp by reason of the Obstruction of its Lateral Passages caus'd by Phlegm coagulated in them and hence carri'd down into the Small Gut after the Phlegm Obstructing is opend and there raising an Effervescency vitiously with Choler and Phlegm of the Guts meeting after that creeps with them in what form soever to the Right Ventricle of the Heart and therein by stirring up the Heart causes a more frequent Pulse not only by its Acrimony or Flatulency but moreover alters and troubles divers ways the Vital Effervescency and Sanguification it self and produces all other Symptoms above noted and explaind in divers places the Cure wherof will be performd if I. Phlegm obstructing more or less glutinous and coagulated be cut and dissolvd and thence remov'd because peccant in place and carried down at least to the small Gut or wholly carri'd out of the Body II. If the Acidity and Acrimony encreas'd of the Juice of the Pancreas be Temperd and Corrected III. If its vitious Effervescency with Choler in the Small Gut be hindred or amended 131. I. Phlegm obstructing will be Cut most
â—n the Dogmatic and Rational Cure of Intermitting Fevers seeing they are the Cause why Phlegm Obstructing is more or less glutinous why the Juice of the Pancreas is more or less sharp and also why the Fit varies in all its Circumstances and Symptoms 195. For as oft as Choler has dominion in the Body Phlegm is less clammy and the Juice of the Pancreas not so sharp and therfore the Fever will be Cur'd easilier and quicker when rightly cur'd 196. But when Phlegm over-rules the other Humors in the Body the Juice of the Pancreas and Choler and Phlegm it self obstructing more slower in its Cure though easie enough having almost all the Symptoms lighter 197. When a Sowr Humor abounding in the Body excedes the other Humors Choler will be more broken and sluggish Phlegm being somtimes more glutimous and chiefly when the Sowr Humor inclines to tartness and joind more compleatly to the saltish part of Choler and making the serous part Salt like Brine together with Phlegm over-fluid and then the Fever is more slowly and more difficultly cur'd 198. And after what manner we must procede in the Dogmatical Cure of these Fevers so many ways different among themselvs no less confirmd by large Experience then apparent with solid Reason any excelling in Ingenuity as well as Judgment may easily collect from what is said For we bid all that are destitute of such endowments of Spirit to bid adieu to Dogmatical Physic 199. And as Simple so are multipli'd Intermitting Fevers to be cur'd unless the Physician have more need of circumspection here for the Interval of Intermission or Remission and the exact observation of fit Seasons seeing they are somtimes shorter other-times more seldom which being neglected the Cure it self is also commonly neglected or perverted 200. I said the Interval not only of the Intermission but also Remission is shorter as well in Multipli'd as Simple Intermitting Fevers because there is oft observd no full Intermission of a Fever but only a Remission by reason of the Duplication and Multiplication of new Fits in which time those things are chiefly to be done which are or ought be performd with some disturbance of both the containing and containd Body to which Purges and Vomits chiefly belong which unless they be taken in a convenient time they oft hurt much but profit nothing as many Sick do daily experience to their great loss He is therfore truly an Happy Physician whom other mens dangers make cautious CHAP. XXXI Of Synechal or Continual Fevers so especially call'd WE have before in Chap. 27. Sect. 12. taught that there were Fevers that were continually â—ermanent yet having new Fits daily or in the third â—urth or an other day which they commonly and well â—all Quotidian-Continual Tertian-Continual Quarâ—an-Continual c. Fevers seeing that they are comâ—ounded of Continual and Intermitting Fevers concurâ—ing although many Physicians judg and teach otherwise being more attent to the pleasure of their Authors then the Observation of the Sick whence they name them not compounded but singly Continuals 2. For the most part there is no Cold observd in any â—ew Fit because the continu'd Heat of Those without Fits is wont to break and overcome the lesser â—owrness of the Juice of the Pancreas the Acrimony and Oiliness of Choler exceding 3. Yet somtimes either a small Shivering or little Stiffness is perceivd in any Fit that is as often as the over-weak Acrimony of Choler cannot suppress the great Acidity of the Juice of the Pancreas whencesoever arising but it manifests it self at least after a certain manner by cold or a fretting of the membranous parts and a light concussion of the fleshy Pannicle following it 4. For the most part Intermitting Fevers so coupled with Continuals are Tertians seldom Quotidians much less Quartans 5. The notable and most grievous kind of these Tertian Fevers is call'd Causos or a Burning Fever in which a great Heat persevering to the end vexeth and molests the Sick though remitting a little by Intervals and hence again more grievously afflicting And beside that most troublesom Heat Thirst is then wont vehemently to molest the Sick as on the contrary Hunger is wont to be abated Driness and Blackness of the Tongue often attends these with Chops and a filthy Exulceration of the Lips horrible Scabs afterward growing upon them Neither is the grievous Head-Ake unusual in these Fevers together with a Raving vehement enough In some the chief Symptom is a difficult Gnawing of the Stomach very troublesom to the Sick with or without Vomiting The Hicket also grievous to many molests several A Loosness overtakes others or Bleeding at the Nose Also often large Sweats are sent forth together with an intensness of the Fit or Vrin is voided plenteously whence the Bodies of the Sick in a short while suffer a kind of wasting and that Fever is particularly call'd Colliquans 6. In Quotidian Continual Fevers a Bruising Pain doth often enough shake the Loins and Back and Lims of the Sick Yea somtimes with a new Fit of the Fever they also fall into a Swouning or Syncope whence it is then call'd a Syncopal Fever 7. As therfore as well Synochal as Intermitting Fevers so those Compounded of both have receivd a singular denomination from the grievous Symptoms accompanying both among the Common People and among Physicians that practice Physic and in the Cure not without cause attentive 8. The Primary Cause of these Synechal Fevers whereby they molest the Sick with a great and continual Heat is Choler peccant by too much Acrimony and Inflamedness whence it doth not only perpetually raise a vitious Effervescency in the Right Ventricle of the Heart but also in the small Gut and especially the Juice of the Pancreas coming by fits being made too sharp because of its stoppage and producing an obscure fit 9. The chief Cause of the troubles of those Fevers with an almost perpetual Coolness or Shivering is judg'd by me to be the Lympha and especially all the Juice of the Pancreas peccant with a Sowr Acrimony and then continually driving forward Vapors a little Sowr out of the small Gut every way especially at the producing of a new Fit and so stirring up a wandring sense of Cold. 10. The Cause and Reason of the other Symptoms usually accompanying these Fevers may be easily drawn from those things that are spoken in the preceding Chapters so that it is not needful to stay longer on this matter 11. So also the way of Curing Them is not hard to be taken from what is afore-said by following the Cure of Synochals in the most and using moreover those things in a convenient time which will mildly loosen an Obstruction in one or more of the Passages of the Pancreas and correct the Juice it self hitherto too sharp 12. The Opening of a Vein then chiefly conduces when there is exceding Heat and the provoking a Sweat by mild Aromatics and Volatil Salts when there are signs of a Sowr Humor
any way troublesom and lastly Purging by Stool or Vomit when Choler swells or molests being plenteous CHAP. XXXII Of an Hectic Fever 1. AN Hectic Fever is much spoken of among Physicians in which an Heat a little troublesom to the Sick is perceivd beside an over-frequent as also Little and Weak and after a certain manner Hard Pulse which notwithstanding is a little sharpned and encreasd one or two hours after Meat and again returns a little after to its former equality and is perceivd to be greater about the Arteries then the other parts of the Body A continual and lingring Leanness of Body following wherby this Fever being reduc'd to its extremity is call'd Marasmodes 2. Seeing that always a little after the taking in of any Food and so the sending down of their more fluid part to the Guts this Fever is more or less sharpned any may believe and not without cause that a notable faultiness of Spittle always concurr's to produce it or that it depends on it 3. Hectic Fevers are observd somtimes to arise immediatly from the Non-natural Things too much exercise of Body or continu'd labor somtimes from most vehement Anger and especially from an immoderat Sorrow and Sadness of Mind somtimes from Watchings long continu'd often from too much Hunger as also Food of little or bad Juice and such-like 4. Yea Hectic Fevers are observd to follow other Diseases and especially Fevers of one day proceding from a great error in Diet and also Continual and Intermitting Fevers very dangerous or vehement and most frequently the Inflammations of most of the Bowels especially of the Lungs and Apostem's and Vlcers following them 5. And seeing Heat is little in an Hectic Fever and therfore rarely troublesom to the Sick and the Pulse Little and Weak I judg that then the Liquor of the Conglomerated Glandul's is chiefly peccant and not only Spittle but the Juice of the Pancreas also with an encreasd Viscousness and not a molesting Sowr or Harsh Acrimony although I have somtimes found this also grievous Whence who can wonder or deny that Choler is also too sluggish and all may see that Lympha is likewise too much blunted 6. And therfore I judg the Cause of a troublesom Pining in an Hectic Fever to be too much Viscousness of all the Humors and so of the Blood because of which the Nourishment of the Parts is daily diminishd and the cause of the Sharpness happening one or two hours after Food is taken to be Spittle in like manner too Glutinous by reason of which the more fluid part of Food descending sooner to the Guts and meeting with Choler is at least in part opend into such-like Vapors and carri'd to the Heart and there more rarefi'd stirs up the Pulse more frequent then is wonted and being soon driven all over causes a little Redness in the face and a mild Heart in the rest of the Skin and elswhere stirs up other Symptoms according to the divers Constitution of the other Humors and Parts 7. The Appetite of all Food is diminishd and at last dejected by the noted viscous Toughness of all the Humors to wit without an external Cause as too much Meat c. the Loathing of them also attending and moreover their Fermentation Separation of Vseful Parts from Vnuseful ones Sanguification Generation of the Animal Spirits c. is hindred and destroyd Whence the Toughness and Sluggishness of Choler Spittle the Juice of the Pancreas and Lympha is daily augmented and so the Evil becom's by degrees greater and at length incurable 8. When an Hectic Fever is produc'd by too much Motion and over-long Weariness of the Body then I think that not only the Animal Spirits but also the Watry part of Blood is too much exhausted and therfore both Sharpness more inwardly united being made sharper all the Humors are made too Viscous and all the Natural Functions as was above said are destroyd 9. When an Hectic Fever arises from most vehement Anger then I affirm a Sowrness is drawn to consent by Choler then having an exceding Acrimony and the same being made in like manner sharper promotes the noted inward Union of both being Sharp 10. When an Hectic Fever is stird up by Sorrow and an immoderat Sadness of Mind then I think all the Humors become more Glutinous by the Juice of the Pancreas too Tart. 11. When an Hectic Fever is made by prolongd Watchings then I think the Animal Spirits being too much consum'd the Acrimony in either Sharpness being encreasd their Vnion becoms more narrow and all the Humors are bred too sluggish and tough 12. When an Hectic Fever follows over-long Hunger then I judg that the Acrimony of both is encreasd by want of Food asswaging both kinds of Sharpness and furthermore a more compleat Vnion being made the Humors become more viscous 13. When the same Hectic Fever happens by Food containing little mild nourishing Juice then that coms to pass that was newly mentiond but slowlier 14. When an Hectic Fever arises from the defect of better Food or because of Pica from the neglect of Food of an evil to wit Glutinous or otherwise Fat or Sharp Juice over-long us'd then the Humors will be over-glutinous sooner or more slowly either of themselvs or by chance as we have already explaind at large 15. When an Hectic Fever succedes Those of One Day then its Original is to be requir'd according to the divers Errors of Diet producing them as is newly explaind 16. When an Hectic follows Fevers without Fits then when they take their rising from vitious Choler it is to be ascrib'd partly to the Acrimony of Choler according to Sect. 9. partly to Medicins that alter it if long and plenteously us'd and so corrupting and thickning the other Humors together 17. When Intermitting Fevers turn to an Hectic then the Humors breed it that are most peccant be they more or fewer according to what has been said 18. Lastly when an Inflammation gone into an Aposteme of the principal Bowels and especially of the Lungs breeds an Hectic Fever then the whole Mâ—ss of Blood is infected by Matter and gets a singular Glutinousness which being communicated to the other Humors spoils them with the same fault and renders them unfit to perform the Natural Functions rightly 19. Although in Leanness of Body all the kinds of an Hectic Fever do agree yet will the Cure of Every of them differ not a little according to the diversity of Causes so diversly producing it 20. Yet in General because of the hurtful Toughness and Glutinousness of all the Humors those Medicins may be us'd which mildly amend and correct it to wit all gentle Aromatics and Oily Volatil Salts as they that cut and alter every Viscous Thing and reduce it into its natural state 21. And such are to be selected as do most conduce to and agree with the Constitution both natural and present of Every Sick Person which the Physician may easily find
more swiftly and potently to a certain and determind Part because of Blood effus'd out of the same yet not in too great or high a quantity because where this happens the rest of the Blood is carri'd thither yea is so carri'd out that by its defect the Vital Fire is diminisht in the Heart and the Blood deficient and little however rarefi'd there can less open the Ventricles of the Heart and therfore can less provoke its Musculous Substance to contract it self therfore the Blood is less driven every way and at last fails unless Life be speedily helpt after a Universal Languishing 12. The Blood effus'd flows into the Substance of the Parts or Cavities of the Body and is gatherd there out of the Arteries any way internally opend and lying open as the same flows out of the Body and Arteries hurt about the superficies of the Body 13. A Plethâ—ra at the Vessels for its Causes argues an healthy Constitution of the Body and a more liberal use of the best Food a Mind void of Cares little Exercise of Body much sleep and such-like 14. We have spoken of the Causes and Cure of Blood less apt to rarefie in Chap. 34. where you may see them which make hither 15. We must speak elswhere of the Rising Causes and Cure of several Tumors and of an Obstruction of the Vessels of Blood and its Causes Effects and manner of Curing it we intend to propose more in Chap. 40. 16. Of Fevers as also a Palpitation of the Heart we have professedly treated before but of the several Differences and Causes and Cure of Wounds perhaps we may comment elswhere God willing 17. We will therfor admonish only one thing among many that make for a Cure of the noted Diseases from the Flowing of Blood through the Arteries deprav'd of Curing a Plethora at the Vessels so call'd soon and safely to wit that it may be absolvd by a sufficient letting Blood out at an opend Vein where I would have you observe that according to the proper Constitution of every one to be Cur'd the Blood be let out at one or more times and that somtimes in a greater somtimes in a less plenty 18. The Encreasing of the same Plethora may be prevented 1. by diminishing the quantity of Food which is of much and laudable Juice and by substituting in its place Food of more difficult Fermentation and that which contains less of a nourishing Juice 19. 2. By daily exercising and wearying the Body more 20. 3. By withdrawing by little and little somthing from Sleep 21. 4. By calling into use and Encreasing Cares and serious Occupations of the Mind which ought not to be too much vexing 22. 5. When by these means the too great encrease of Blood cannot yet be enough hindred endeavour must be us'd that moreover the Blood nevertheless more encreasd should be diminisht in time by opening a Vein CHAP. XXXVII Of the Nourishment of all the Parts deprav'd and in especial of Atrophia or Pining 1. THe general Vse of Blood carri'd to all and every of the Parts is their Nourishment or repairing of the Particles by degrees departing from them and perishing as also in Youth their Encreasing to a decent bulk and bigness 2. This Nourishment and Eucreasing of all the Parts is deprav'd somtimes either Vniversally or Particularly and that often according to the Flesh of the Muscles and Fatness seldom according to the Substance of the Bowels and Bones 3. This Depravation happens when 1. that Nourishment is Deficient in an Atrophie or Pining 2. when it is too Much specially in Fleshiness or Fatness 3. When it is Vnequally or Evilly in a Cachexie Anasarca Leucophlegmatia Rickets c. 4. In this Chapter we will Treat of an Atrophia or Defect of Nourishment in the following of the rest 5. The Nourishment of the Body is wont to be Deficient manifestly as is said upon the account of Fatness and the Musculous Flesh and not upon the account of Gristles Bones or the Substance of Bowels 6. When Fatness only is consum'd and is not equally repaird 〈◊〉 may be call'd Leanness when the Flesh is together diminisht and is not restor'd Pining Neither is it a new thing to observe Men whose Fat only decays but somtimes also those whose Flesh perishes more then their Fatness 7. This double Atrophia is often Vniversal through the Universal Body but not so often Particular and in some determinate Parts only especially in the Lims 8. This Atrophia happens often by the Fault of Blood seldom by the fault of the Part affected 9. The Atrophia happens by the fault of Blood when it is either deficient in the Universal Body or some part or is unfit to repair the Parts that grow lean 10. Blood is Deficient in the Vniversal Body both because of a voluntary or forc'd Hunger by any kind of notable Effusion of Blood by the defect of convenient Food by too much Motion of Body by Watchings too long continu'd by permanent Cares by too much and too long heat of Air and because of a Loosness prolong'd 11. The Blood is usually Deficient in some Part because of its hindred Flowing unto or into It and so the Cutting or Compression whatsoever of the Arteries tending to it by the Vnjointing of the Bones hard Tumors Bonds c. 12. The Blood is unfit to nourish and repair the Body Containing and its Parts more or fewer because of a vitious Quality or Vitious Salt Viscous Purulent c. Humors mixt with it 13. The Blood oft retains a vitious quality after great Symptoms and Diseases gone before Burning Fevers the Dysenterie c. or as yet present an Hectic Fever either single or Tisical Wasting and slowly or suddenly consuming the Body Although I then think the vitious Humors are to be considerd which produce the noted Fevers and do moreover vitiate the Blood and make it unfit to nourish the Body especially Matter infecting and corrupting the Blood in a Tisic 14. We have in several places and still intend to propose in this Treatise the rising of Vitious Salt Viscous Purulent c. Humors whence they may be sought 15. Pining happens by the fault of the Parts to be Nourisht when they suffer some harm by what Cause soever and especially External and Accidental to wit by a Chance Contusion great Wound c. whence the Vessels carri'd through Them are not only burst or cut but the Flesh it self and the Membrans c. are wasted and vitiated wherfore the Blood is not only deficient but the Food also coming to them is corrupted 16. The Cause of Pining which some seek or place in the Defect of the Radical Moisture or Inbred Heat or the Inward Temperament chang'd into too hot and dry I think is to be sought and found in Choler Lympha and also Spittle and the Juice of the Pancreas not feignd and commented and so Chimaerical but actually existing observd by many and sensible Humors but after
divers manners chang'd and vitiated 17. In an extreme Pining beside the Hippocratical Face consisting in the Temples fall'n the hollowness of the Eyes the Nostrils sharp the Chops giving out and the Mouth gaping the Ribs in the Brest stands out and the Gristle call'd Ensiformis is seen crooked the Sholder blade and Collar bones appear like Bows the spine of the Back shows it self the Belly appears fall'n and contracted the Buttocs are lank or consum'd the Legs Arms Feet and Hands with Fingers are beheld dry and Swellings about the Joints seem to stand out the Nails are crookt the Hair falls off and the Skin becoms limber wrinkled swart and dry mean while the Veins swell out being conspicuous and wan every where and the Universal Body is observ'd in some almost transparent and pellucid 18. All Physicians testifie whom Experience favours that a Pining especially after it has continu'd for some time is hard to Cure and oft-times Incurable although the most think that it is not hard to cure in the beginning so that it be known 19. Pining may be Cur'd 1. by Repairing the Vniversal or Particular Defect of Blood and by using the best Food in a moderat quantity and by removing or amending every Cause of that Defect of which we have spoken or will elswhere 20. 2. The same Pining may be Cur'd by Correcting any kind of Fault in the Blood and by Removing from it every vitious Humor mixt with it by those that Evacuate most convenient for every one Vomits Purges by Stool and especially Diuretics or Sudorifics and moreover Salivating Medicins of which we have spoken elswhere whence they may be selected which are most profitable here 21. The Correction of Blood alterd and vitiated several ways may be vari'd according to the variety of their faultiness by using Medicins most fit for every Fault unless you have at hand Vniversal Correctors such as are made most efficacious of Minerals and Metals and other things less determinat to the parts of Living Creatures and therfore the best and in special of Antimony Gold Iron Vitriol Coral Pearl c. whence the Tinctures and Sulphurs c. to be made of these above-said are not undeservedly mentiond and commended 22. The same Pining may be Cur'd 3. by Repairing the harm of the Parts to be nourisht com'd by a mischance of which thing we intend to speak professedly in the Chirurgical part of Physic CHAP. XXXVIII Of an over-Fleshy and Fat Constitution of the Body 1. WE said in the former Chapter that Nourishment was too much notably both in the Fleshy Excrescency of the Muscles and in Fatness whence the whole Body is observd greater which is not equally when the Substance of the Bowels or Glandul's increase to too great a bulk by reason of which there are Tumors only thought to be every where produc'd 2. The Musculous Habit of the Body becoms more Fleshy by much and laudable Blood the Motion of Body and moderat Exercise concurring the Life void of anxious Cares a moderat or more prolongd Sleep a large taking in of Food of much Juice and easie to ferment 3. The Body becoms over-Fat in Habit and Superficies as within by Blood too Fat to produce which the healthy Constitution of the Body conduces yet an Acid Juice concurring plenteous enough but mild and temperd as Choler over-sparing and not very sharp the Motion of the Body little Life also without corroding Cares Sleep pleasant and too long continual and much taking in of fat Food 4. The Body is seldom loaden with much or too much Flesh but commonly with Fat 5. Too great an Encrease of the Musculous Flesh may be Cur'd 1. by speedily Diminishing Blood with opening a Vein 2. By Exercising the Body much and longer then is wonted to a Weariness notable enough 3. By Employing and Vexing the Mind with grievous and solicitous Cares 4. By Encreasing Wakings and by lessening Sleep 5. By Using more sparingly Food of much and the best Juice or in their stead taking those that less nourish or are more difficultly fermented 6. The same Fatness of Body may be Cur'd 1. By Using often and plenteously any sharp Sauces both Sowr and Aromatic that is salt or bitter which as well make the Glandulous Liquors more Acid as Choler more bitter and sharp Such are Vinegar Juice of Citrons Spirit of Salt c. Pepper Cloves Cinamon Mace Ginger Cresses Rocket Mustard â—ny Radish and chiefly Horse-Radish c. 2. By Moving the Body much 3. By vexing the Mind with Cares 4. By daily lessening Sleep 5. Wholly abstaining from Oily and Fat Food for so by little and little the superfluous Fat will not only be consum'd but its new encreasing hindred CHAP. XXXIX Of a Cachexie and in special Anasarca and Leucophlegmatia 1. THe Nourishment of the Body peccant in quality may and is wont to be call'd a Cachexie in which the Native Skin and especially Colour of the Face languisheth and is chang'd pale and somtimes yellow or livid and very wan as in some swart red or somwhat redish together with little Pimples rising up commonly in the Nose and Cheeks of several sorts 2. In the most kinds of a Cachexie a Dyspnaea concur's which is more encreas'd when the Body is mov'd especially over-much and in ascending an high place And then most usually a Palpitation of the Heart and a Pulsation of the Arteries about the Throat and Temples manifest to Sight is produc'd Commonly there is a Weariness of the Vniversal Body and Thighs especially Often a pressing and vexing pain of the Heart urges which uses to be encreasd after Food taken in Yea for the most part there is a lingring Fever and that either Continual or Intermitting or Compounded of both Vrin coms away often Crude or Watry seldom Thick or Troubled unless they be troubled or chang'd by another Disease accompanying or an External Cause At length the Universal Body waxes Lean and Pines in some as in others the same Swels and is Turgid And an Anasarca comes by a Serous Humor as a Leucophlegmatia by a Phlegmatic and more viscous Humor and an Ascites from both at least the former when the Belly with the Thighs only is troubled 3. A Cachexie spares none nor People of any Age although most frequently it siezes on Women because of their Monthly Courses Staying too long and hindred or any way Supprest it is also often enough wont to accompany the Hypochondriac Disease and its notable kind the Scurvy 4. The Cause of every Cachexie is the Blood endued with a vitious quality because of which although the parts of the Body be a little and for some time nourisht yet are they not nourisht as is requir'd but their nourishment is deprav'd several ways according to the variety of the quality peccant whence also more kinds of a Cachexie are observd to be distinguisht both according to the diversity of Heat chang'd and especially of the Symptoms conjoind 5. The Quality
of Blood is faulty both by the Natural Humors concurring to the Constitution of the Blood in the Heart but having a vitious quality and by the Non-Natural Things so call'd vitiating some of the nam'd Humors and Blood it self and so corrupting them that an ill Nourishment of the Body follows 6. The Natural Humors that are wont to be confus'd with the Blood and hitherto known are Choler and Lympha of the Conglobated Glandul's and the other Parts of the Body as also Spittle and the Juice of the Pancreas joind together with Choler in the Small Gut and compounding a singular Liquor to be mixt with Lympha and so the Animal Spirits returnd any way to the Blood all which I scarce think that any verst though but a little in the Art of Physic and addicted to the Truth can deny to be affected with a vitious quality and to communicate it self with the Blood 7. We have noted several Depravations of these before and shall yet relate more whence they may be requir'd that make hither 8. As several Depravations of Humors are somtimes by degrees insensibly produc'd in the Body so the same are somtimes bred suddenly and sensibly by the Non-Natural Things or others to be noted with the name of Poison peccant in a notable excess and very much troubling or corrupting all things in the Body 9. The Depravations most frequent and manifest are Acrimony both Acid and Salt-like Pickle and somtimes a Lixivial Salt and too much Viscousness or Fluidity the Causes of which and manner of breeding we have often propos'd and explaind before whither we remit the Studious Reader lest being too oft spoken it be tedious to the Nice 10. The reason of the mentiond Symptoms will easily be known to any that thinks oft and weighs that as oft as the Blood whence-soever hath been made Vitious and producing a Cachexie so often all the nam'd Humors seeing they arise from the Blood are also bred faulty whence likewise not only both the Appetite of Food is deprav'd but moreover their Fermentation wherfore Anxieties about the Midrif and a pressing Pain of the Heart follow as well before as after its being taken in 11. But when part or the whole Mass of Food ill Fermented is driven forward through the small Gut the Juice of the Pancreas and Choler which are confus'd with it being alike vitious do not only corrupt the expected Separation of useful and unuseful parts but also here happens a vitious Effervescency of these Humors yea often manifold Vapors or Wind being raisd out of that vitious Mixture do not only encrease the fore-describ'd Anxiety but carri'd to the Heart do breed its Palpitation and carri'd to the Lungs make a difficult Breathing and driven every way breed the noted Weariness 12. From the same Vitiousness of all the Humors a Continual and Slow Fever depends in as much as they raise a vitious Effervescency in the Right Ventricle of the Heart among many other Symptoms they likewise make the Pulse more Frequent then is wont and so preternatural 13. And seeing the Sick through unquietness often lay their Bodies bare that were coverd with Cloaths it easily happens that Phlegm being carri'd through the Vessels of the Pancreas is coagulated there and breeds an Obstruction by which the Juice standing still may be the Cause of a manifold Intermitting Fever and it will be sooner and easier if the Body run down with Sweat and the Pores of the Skin are open or the Air be colder and sharper 14. Vrin comes away Crude and less Colourd or Thick because of the Humors mentiond over-sharp incorporating with the Blood or Watry abounding which diminish the desired Effervescency so that the Separation much less Excretion of the Excrementitous Parts to be voided together with Urin being requir'd and useful doth not follow And as then all the Parts are ill Nourisht so the Skin of the Face expos'd to the Air and Sight before all others gives signs of its harm by Heat according to the variety of several Humors most peccant 15. When the Acrimony of the Humors concurs then is it manifested internally with Pains or externally with Pimples 17. When the vitious Humors abound together in Plenty then several kinds of the Dropsie at length succede if not the Universal Body grows Lean by degrees 18. The Cachexie which in special happens to Women because of their Monthy Courses flowing less commodiously or in due season God willing we intend to give the Reason and Generation therof in the Third Chapter of the Third Book 19. From wâ—at has been said here and elswhere the pâ—â—â—â—ction of every Hypochondriac and Scorbutic Cachâ—â—ie may â—â—sily be deduc'd by a Judicious and 〈◊〉 â—â—â—us Physician â—â— And that we may pass on to the Cure of the 〈…〉 kâ—ow that if any where then for certain 〈◊〉 his Gâ—lden Precept is to be observd accuratly propos'd in the following Distich Principiis obsta sero Medicina paratur Cum mala per longas invaluere moras Resist beginnings late is Physic us'd When the Disease delaid is deep infus'd For unless the Cachexie be helpt in time it becoms oft by degrees so stubborn and rebellious that it can be cur'd only late or never Therfore are the Sick and their Parents or Kindred or Friends to be admonisht by their ordinary Physicians though unaskt so soon as the â—â—gns of a Cachexie beginning manifest themselves in the Colour of the Face chang'd that that Evil as it is in the Proverb be not neglected in the Blade seeing that it is soon wont to take deep root and hard to be rooted out which afterward cannot be overcome unless by an Herculean Labour 21. The Cure of every Cachexie will consist in the Correction and Amendment of the Blood any way vitious Where the kind of the Vitiâ—usness and true Canse is to be observd whether it be one or manifold 22. As therfore this or that Humor is primarily and most peccant after this or that manner and depending on this or that Error committed in the Non-natural Things hath vitiated the Blood and produc'd a Cachexie so are the Medicins to be selected which may mildly and by degrees alter and reduce both the noted Humor and the Blood it self to their natural constitution or if they cannot be clearly and wholly amended yet do they empty out by dâ—grees the same at least corrected after a certain manner mean while not neglecting the Non-natural Things or others producing or cherishing these Evils which unless they be corrected or shund the happy wisht for Cure and laudable Success of what is to be done will be expected in vain 23. You have often told you before by what Medicins and Forms the mentiond Corrections and Emptyings of several Humors may and ought to be perfected where they may be seen 24. We must therfore persevere a while in the Vse of convenient Medicins and especially when the Cachexie has continu'd for a space and fixâ— its growth which
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
Motion no wonder if Sense and Motion oft-times remain in any part one or more Nervs being cut asunder in it although not a little Diminisht with some Stupidness and Numness of the Part. 30. Motion may be Restor'd to the Animal Spirits through the Nervs comprest 1. the Bands straitning them being loosned or remov'd 31. The over-Hard Tumors being Cur'd by Inciding Mollifying and Resolving or Ripening Medicins of which we intend to speak elswhere 32. 3. The tough and compact Humors being Cut Mollifi'd and Resolv'd or Deduc'd and drawn forth in the manner of imperfect Matter by Medicins describ'd in Chap. 40. Sect. 33 34 35 c. 50 c. Where I mind one thing to be added that Volatil Salts may be here externally us'd with great success if in the time of using them they be joind to Fomentations and Cataplasms or be mixt with Ointments in a small quantity whose incredible benefit such as are honest and fearing God will wonder and celebrate 33. If the Nervs may be Obstructed and be indeed noted Obstructed Volatil Salts will conduce before all others both Internally and Externally us'd and oft mentiond and prescrib'd by me in this Book 34. Both Internal Sudorifics chiefly Aromatic and External Inciders and Discussers among which I again mention Volatil Salts will Correct and Remove the Phlegmatic and Watry Humors sticking about the Nervs and too much moistning and loosening their Membran's and Marrow and if the same abound much in the Body Phlegmagogues and Hydragogues may conduce us'd by turns whose forms we have oft set down before 35. II. When the Animal Spirits are carri'd through the Nervs in greater plenty then ought and should be 1. By a vehement Passion of the Mind then it is to be compos'd at least to be reduc'd to Mediocrity and Sleep is to be had for the Body even by Narcotics when the Matter requires but us'd in a small quantity by turns 36. When the same happens 2. by a continual and grievous Irritation about the Head of the Spinal Marrow in a Universal Convulsion and indeed by 〈◊〉 Acid and Sharp Spirit carri'd thither from the small Gut then 1. the sowr Humors are to be amended 2. The rising of Vapors is to be hindred and 3. Their Acrimony is to be diminisht and temperd and 4. Their Expulsion by Sweat or Insensible Transpiration is to be procur'd then 5. The Part affected by them is to be restor'd and freed from Pain and 6. The over-Motion of the Animal Spirits is to be restraind and brought to tranquillity that is a more quieted Motion All which how they may be obtaind is oft mentiond before convenient Forms of Medicins being added 37. But when the noted Irritation in a Particular Convulsion is made in a sensible part or its Nerve of the Place affected by the same sowr and sharp Humor or Vapor then the fore-mentiond Remedies conduce unless that then Externals prepar'd with Aromatics and Volatil Salts may be together us'd with great success which likewise are oft propos'd 38. But when the same Particular Convulsion arises from a Prick of the Nerve or Tendon as it is known to be somtimes by the unskilfulness precipitancy or accident or troubled Mind of the Chirurgeon in opening a Vein then most speedily pour into the Wound the Oil of Turpentine hot with the rectifi'd Spirit of Wine as Ambrose Pare in the Ninth Book Chap. 38. wrote was done by his counsel with good success in Charles the Ninth King of France 39. If this be done too late or the Wound of the Nerve or Tendon yield not to this Medicin the same is to be cut asunder cross-ways seeing it is safer for some part that its action should perish then that the Sick should be expos'd to the danger of a deadly Convulsion 40. So when the Nervs or Tendons of the Muscles are prickt by sharp Splinters of Bones soon after a Particular and at length Vniversal Convulsion with grievous Pains succeding then if possible the extreme and sharp fragments of Bones are to be cut away or if this have been neglected or could not been done and all incline to a Universal Convulsion you must hasten to cut off the part affected in the most commodious place about the Fracture of the Bone seeing otherwise the Sick must die of necessity by a Universal Convulsion 41. When a sharp Pain raisd by an Inflammation or St. Anthonies Fire c. in a more sensible part of the Muscle occasions a Particular Convulsion then diligently Labour that that Pain be diminisht as well by Internal as External Anodyns or Narcotics also and their Cause whether Inflammation or St. Anthonies Fire c. be most speedily and pleasingly Cur'd not omitting in the mean time Medicins already mentiond useful to diminish and allay the over-encreasd Motion of the Animal Spirits 44. III. Seeing the more remote Cause in the Body of a Convulsive Motion and so of the Epilepsie it self differs not from the more remote Cause of a Convulsion unless in the manner of acting here continually there by turns fretting and irritating the beginning of the Nervs no wonder if for the most part these Diseases follow and are cur'd with the same Remedies mentiond in Sect. 36. 45. But a Convulsive Motion is wont for the most part to return by Intervals somtimes longer somtimes shorter and but seldom constantly to afflict and then to kill sooner not otherwise then a Convulsion which is wont for the most part to continue long 46. A Rational and Dogmatical Cure of a Forc'd Trembling depending on an Inordinate Perpetual Motion of the Animal Spirits made with force to the trembling parts ascrib'd to Wind and Vapors mixing with them and evilly stirring them up so may be orderd if 1. the Material and Efficient Cause both of Wind and Vapors be corrected by a convenient Alteration and if it be together peccant in quantity encreasd be diminisht by a Purge and somtimes Vomit Vrin or Sweat to which ends useful Medicins and their Forms may be found here and there 47. If 2. the production of the same Wind and Vapors be hindred by Medicins oft propos'd 48. If 3. the Wind and Vapors already bred and every-where occurring be discussd or compeld to fall by Medicins in like manner oft mentiond 49. If 4. The Animal Spirits forcâ—d to an Inordinate Involuntary and Impetuous Motion by them be by little and little freed from them and reduc'd to a calm ordinat and voluntary Motion Whereof the first may be by the most subtil volatil and spiritous Medicins promoting Sweat at least Insensible Transpiration and so expelling them forth but the latter by both Anodyn and Narcotic Medicins usâ—d in a small quantity and at times which two will not be inconvenient but expedient to be given together seeing that so these commended Medicins do the easier come to the place of the Animal Spirits and hurtful Vapors and Wind and the more happily absolv both Works wherof you may find many Forms
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
afore-said may be confirmd more by the Cure of the Jaundice which is not to be neglected but rather hastned because commonly a Cachexie and Dropsie or Deadly Pining succeds it 63. The Cure of the Jaundice may consist here in that 1. the more Remote Causes Sorrow of Mind the abuse of Viscous Food or of Stronger Drink be remov'd That 2. the Mean Causes Glutinous Phlegm covering or obstructing the Passage of Choler as oft as it has place or any kind of Poison changing and vitiating Choler be corrected and carri'd out That 3 the nearest Cause Choler corrupted and vitiated to wit over-Spiritous and rendred more unfit for a right Effervescency be amended and again carri'd down to the Gut That 4. lastly the ill-favourd colour of the Skin be Separated and the natural Colour restor'd 64. I. Sorrow of Mind is overcom'd and remov'd by rightly reasoning about any troublesom matters and by confirming and hardning the Mind to bear and suffer stoutly any adversity 65. The abuse of Glutinous Food is by degrees to be chang'd and in its stead other Food less Glutinous is to be us'd therfore Fishes and especially Sea-Fish is to be shund as also the extreme parts of Living Creatures and somwhat Sharp and Aromatic Sauces are to be us'd Mustard Horse-Radish and such-like that correct Viscous Humors whither Volatil Salts so oft commended by me are to be referd and added to ordinary Drink but most commodiously to Wine and us'd most profitably at Dinner and Supper although they may be also taken at any other time 66. Stronger Drinks are to be daily diminisht and at length wholly to be omitted and before all others the Spirit of Wine Yet must we allow a little Wine of good age and somwhat sweet and so somwhat fat to those that are accustomd for reasons to be mentiond anon 67. II. I have oft taught that Glutinous Phlegm may be Corrected and Cut with Aromatic and Volatil Salts whose use I also again commend 68. When it is in part corrected or to be corrected by the same means and Medicin Phlegmagogues oft before mentiond and prescrid'd will educe it yet we will add a Form here of an altering and purging Decoction by the help of which or of one like it us'd in time I have oft in a short time Cur'd People of the Jaundice ℞ The Roots of Madder Celandine the Greater Smallage of each ℥ ss Broom-Flower M. ss Seeds of Columbine Parsley Anise of eachʒ ii Crude Tartarʒ i. ss Boil them in as much as suffices of an equal quantity of White-Wine and pure Water dissolving in ℥ xx of what is straind the Syr. of Diacnicum of Succory with Rhubarb of each ℥ i. ss M. Let the Sick take twice or thrice a day so much of this Decoction as moves him to go to Stool twice or thrice and he void Choler together with Phlegm 69. As oft as the Jaundice is bred by the Poison of a Viper or any other whatsoever so oft all Sudorifics abounding with a Volatil Salt do conduce to Correct and Expel it as being such as satisfie to both Indications nor is Treacle here mentiond without cause containing the Troches of Vipers in it and several other things prepar'd of Vipers abounding with a Volatil Salt 70. Hither relates Diaphoretic Antimony taken to xv Grains and which is much better Mineral Bezoard taken to ℈ ss in any Liquor 71. Hither belongs the Volatil Salt of Harts-Horn or any made out of any part of a living Creature by Distillation and if it be more potent somtimes us'd to v or vi drops or grains in a convenient Liquor For Example ℞ Old Treacle ℈ ii Mineral Bezoard ℈ ss Salt of Harts-Horn 4 drops or Sp. of Salt Armoniac v drops Syr. of Red Poppies Fenel-Water of each ℥ ss Carduus-Water ℥ i. M. for a Draught to be taken at once which being taken let the Icteric Person be meanly coverd wherby a Sweat may be promoted 72. If the Sick had rather take a more liquid Sudorific at times and by Spoonfuls and so by little and little expect a Sweat let him oft use the following Mixture by the help of which a mild Sweat may be stird up ℞ Fumitory-Water ℥ iii. Simple Treacle-Water ℥ i. Tincture of Saffronʒ ii Laudanum 4 Grains Salt of Harts-Horn ℈ i. Mineral Bezoardʒ ss Syr. of Carduus ℥ i. ss M. 73. If the Form of a Decoction please any better the following Decoction or one like it may be prescribd for him which ℞ The Root of Vipers-Grass ℥ i. of Master-wert ℥ ss the Root of Juniper-Wood ℥ ii of Sassafras ℥ ss the Leavs of Carduus Scabious Scordium of each M. i. Juniper-Berries ℥ ii the Seeds of Columbine Nettles Shavings of Harts-Horn of eachʒ iii. Boil them according to Art in pure Water dissolving in ℥ xxx of what is straind Syr. of Carduus ℥ iii. Treacle-Water of any kind ℥ i. ss Salt of Tartar Vitriolated ℈ ii M. Let the Sick take as much of this Decoction together or only at times as is requird to drive forth a sweat mildly which afterward not coming forth Urin is voided plenteous enough which likewise is wont to help 74. III. The deprav'd and vitiated and too Spiritous Choler of such as have the Jaundice may be Amended chiefly by Oily and Fat things by the help of which the aptness of Choler for a right Effervescency seems moreover to be restor'd 75. So I have cur'd several and seen many cur'd of the Jaundice by the help of Hemp-Seed alone boild till about its cracking in Cows Milk also fat and then straind and taken twice or thrice a day to v or vi Ounces as I mentiond before in Sect. 10. 76. So I have several times cur'd the Jaundice happily by any Sope about ʒ i. being dissolvd in hot Milk and sweetned with a little Sugar us'd twice or at least once a day after I had premis'd Medicins which were mentiond before in Sect. 68. 77. I did indeed formerly think that Sope thus far profited in curing the Jaundice in as much as by its Lixivial Salt it dissolvd the Obstruction in the Passage of Choler into the Gut which seeing it cannot be said of Hemp-Seed curing the same Disease happily I now am perswaded Sope conduceth upon a twofold account both by reason of its Lixivial but Fixt Salt of which it is made and by reason of its fatness or Oil with which it is prepar'd 78. By reason of its Lixivial but Fixt Salt in as much as it being joind to Choler corrupted according to it s encreas'd Spiritousness doth diminish and correct its over-Volatilness and Spiritousness by assuming into it self some part of a Volatil Spirit abounding in it 79. By reason of its Fatness or Oil but thick and in no wise Volatil or Aromatic by the help of which it blunts the sharpness of the Volatil and Spiritous Salt ruling in Choler 80. And by this double Experiment of the Jaundice cur'd by Sope and Hemp-Seep
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