Effervescency of Blood in the Right Ventricle of the Heart deprav'd Page 118 Chap. 20. Of the Motion of Blood through the Lungs deprav'd Page 146 Chap. 21. Of the Alteration of Blood by Air Inspir'd and Expir'd deprav'd Page 154 Chap. 22. Of the Inspiration of Air deprav'd Page 158 Chap. 23. Of the Expiration of Air deprav'd Page 169 Chap. 24. Of the Nourishment of the Lungs deprav'd Page 182 Chap. 25. Of the Perfection of Blood in the Left Ventricle of the Heart deprav'd Page 189 Chap. 26. Of the Motion of the Heart and Arteries or the Pulse deprav'd Page 191 Chap. 27. Of Fevers in General Page 197 Chap. 28. Of a Fever of One Day Page 206 Chap. 29. Of Synochal commonly call'd Containing Fevers Page 217 Chap. 30. Of Intermitting Fevers Page 240 Chap. 31. Of Synechal or Continual Fevers so especially call'd Page 287 Chap. 32. Of an Hectie Fever Page 290 Chap. 33. Of Malign Fevers Page 297 Chap. 34. Of a Vniversal Languishing as also of Swenning and the Syncope Page 300 Chap. 35. Of the Palpitation of the Heart Page 333 Chap. 36. Of the Flowing of Blood out of the Left Ventricle of the Heart through the great Artery to all the Part 's of the Body deprav'd Page 338 Chap. 37. Of the Nâ—urishment of all the Parts deprav'd and in special of an Atrophia or Pining Page 342 Chap. 38. Of an over-Fleshy and Fat Constitution of the Body Page 346 Chap. 39. Of a Cachâ—xie and in special Anasarca and Lâ—ucophlegmatia Page 348 Chap. 40. Of the Reslux of Blood through the Veins from all the Parts to the Right Ventricle of the Heart deprav'd and in special of an Inflammation Page 354 Chap. 41. Of the Generation and Separation of the Animal Spirits in the Brain and Cerebellum deprav'd Page 369 Chap. 42. Of the Motion of the Animal Spirits through the Nervs deprav'd Page 382 Chap. 43. Of the over-perfecting of Blood in the Spleen deprav'd Page 392 Chap. 44. Of the Generation of Choler deprav'd Page 396 Chap. 45. Of the Retention or Excretion of Choler in its Pag deprav'd Page 407 Chap. 46. Of the Motion of Choler to the Gut hindred and in especial of the Jauâ—dice Page 412 Chap. 47. Of the Mâ—tion of Choler to the Blood through the Liver deprav'd Page 43â— Chap. 48. Of the Mixing of Choler with the Blood in the Liver deprav'd Page 432 Chap. 49. Of the Preparation of Lympha of the Glandul's in the Conglobated or great Glandul's deprav'd Page 435 Chap. 50. Of the Motion of Glandulous Lympha through the Lymphatic Vâ—ssits and Thâ—râ—cie Passage to the left Juguler or Aâ—illâ—r Vein As also the Dropsie of the Brâ—â— Page 450 Chap. 51. Of the Preparation of Spittle in the Conglomerated or Clusterd as well upper as lower Glandul's of the Jaws deprav'd Page 456 Chap. 52. Of the Motion of Spittle into the Mouth and Gullet deprav'd Page 464 Chap. 53. Of the Generation of the Juice of the Pancreas deprav'd Page 466 Chap. 54. Of the Motion of the Juice of the Pancreas to the small Gut and its Effervescency with Choler deprav'd Page 474 Chap. 55. Of the Separation of Vrin in the Kidneys deprav'd Page 477 Chap. 56. Of the Descent of Vrin from the Kidneys through the Ureters and its Passage into the Bladder deprav'd Page 498 Chap. 57. Of the Retention of Vrin in the Bladder and its Excretion through the Vrethra deprav'd Page 500 Chap. 58. Of the Excretion of Sweat deprav'd Page 506 The Author and my Worthy Friend having both largely Epistoliz'd to this Work I think it needless to add farther save to let the Reader know that where he meets with â„¥ it signifies an Ounce Ê’ it signifies a Dram. ℈ it signifies a Scruple semis Half M. an Handful when plac'd in a Receipt M. Mix them when at the end of a Receipt Sp. Spirit Syr. Syrup The Authors Cholagogue Electuary Chap. 2 Sect. 46 Hydragogue Electuary Chap. 7 Sect. 55 Carminative Spirit Chap. 9 Sect. 29 Plaster Discussing Wind. Chap. 14 Sect. 58 Egregious Preservative Water Chap. 28 Sect. 31 Diascordium Chap. 58 Sect. 22 Of Oily Volatil Salt being so frequently commended in the most Chapters of this Book and kept as a Secret by the Author see my Advertisement at the end of the Book ERRATA PAge 8. Sect. 4. line 8. for there read thence P. 10. S. 16. l. 2. those things which P. 46. S. 10. Vomiting and its contracting Motion is turnd only in it self As P. 48. S. 22. Matter seeing it usually follows P. 126. S. 39. blot out Chap. 29 c. P. 144. S. 123. manifest them to P. 154. S. 3. read as Nitrous P. 163. S. 24. hence to the Right P. 187. S. 23. Inflamable The other small ones the Reader is desired to correct A New Idea of the Practice of PHYSICK The Distribution of the Work 1. IN our delivering a Practice of Physick for our Auditor's sake and profit compendiously and indeed not much unlike the Platerian Method we will first propose those Diseases which are more single seeing the knowledg of Compound and Complicated Ones is easilier opened if the former be known 2. And seeing Man's Health is manifâ—â—ted by the perfection of all his Functions and his Sickness by the hurt and deficiency thâ—reof we judg it fit to treat of the Diseases in order that are obvious to Physicians in practice according to the diversity of the Functions in Man that are hurt because they either constitute produce or follow them 3. All which serve either to preserve the Individual or to propagate our Kind 4. The Functions which are to preserve the Individual are well-divided into the Natural Functions sâ—rving to the various change of Food and the Animal Functions in the knowledg of any Things by the External and Internal Senses and hence consisting of the various motion of the Mind and Body 5. So we will distribute our Practice into three Books which shall treat of the Diseases belonging to I. The Natural II. The Animal Functions III. Those pertaining to Generation deprav'd 6. For rarely is one Function only hurt in the Sick but for the most part there are more hurt together Which if they depend one of another or of the same cause only the Sick shall be said to be troubled with only one Disease which has its denomination from the chief and most grievous or most notable Symptom but if they do not depend one of another and arise from divers causes then shall the Sick be said to be afflicted with divers Diseases and those of a differing Name 7. Those things which are received into Man to preserve Natural Life are either Meat to be swallowed or Air to be sucked in 8. Although there be the greatest necessity for such as Breath to suck in Air and Man cannot want Air so long as Food yet because breathing of Air seems to be ordained to alter Food in the right Ventricle of the Heart in some only nâ—t in every
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
after the same manner 12. When the Swouning is again loosd and the Sick seem to return to themselv's then the Heart is wont to stir again yea often to palpitate and the Pulse is not only felt by degrees greater and stronger but also more frequent and the External together with the Internal Senses though never so Languishing as yet being by degrees restor'd the anxiety and compression also of the Heart and other Symptoms are observd to be diminisht and at last vanish away unless that Weariness and Tiring of the Vniversal Body depart more slowly 13. The most grievous and singular kind of Swouning is the Syncope in which the Sick fall on a sudden as it were surpris'd with cold Air a sudden and almost unexpected Tinkling in the Ears preceding presently there is no Pulse nor Respiration observd which is proper to the Syncope and most grievous Hypochondriac Suffocation Mean while a cold and glutinous Sweat breaks forth and all the Parts of the Body wax cold and pail yea often Vrin and the Excrements come away so that they are more like dead then living 14. Seeing all these Diseases are manifested by both a Less and more Languishing Pulse you may call to mind what we handled in Chap. 26. of the various Differences of Pulses and their Causes whereby you may the easilier understand that which is chiefly to be observd here to wit that an Universal Languishing and a Swouning and Syncope are the Symptoms of the Vital Function that is next pertaining to Life 15. Seeing therfore that in all the noted Diseases the Pulse is observd both Less and more Languishing then is Natural I think that their Cause is always Glutinousness encreasd in the Blood and the other Humors severd from it and also somtimes an encreasd Acidity in the Juice of the Pancreas Lympha and perhaps also in Spittle it self 16. When the Infant hath got such-like Blood and such-like Humors in his Mothers Womb from over-glutinous Seed of the Parents or at least by the Mothers Blood then he will have an Vniversal Languishing bred with him often occurring in Practice 17. When though the Infant be born in health the Man contracts sooner or later an harm like it in the Blood and all the Humors by degrees from the faultiness of Diet often above noted then that Vniversal Languishing is call'd Acquir'd often obvious in Practice 18. Lastly when too much Glutinousness in the Blood coms or remains after any Disease that rises not slowly but speedily and of late not rightly Cur'd by the fault of the Physician Patient or By-standers then that Vniversal Languishing may be call'd Symptomatical too frequent in Practice 19. I said after a Disease not rightly cur'd by the fault of a Physician Patient or By-standers For the Physician may be deceivd and cure the Patient amiss especially when he is blinded and conceited with Prejudices not enough minding those things that Help and Hurt and had rather his Patient should die then he change his own Opinion though never so erroneous and confuted the condition of the Sick growing daily wors and wors 20. Here also may the Sick be in a fault when he doth not only neglect or despise the safe Counsel of a Prudent Physician but especially is abus'd to his hurt by hurtful things 21. Yea also the By-standers may err when they are not only too indulgent of the morose Sick but moreover disswade them from the best Prescriptions of Skilful Physitians instead of which they dare give them hurtful and forbidden things 22. I added that too much Glutinousness might come to or remain in the Blood and Humors It Comes to the Blood when Medicins that Thicken and Stuff the fluid and thin Humors are too much or too long us'd It Remains in it when Medicins that Cut and Attenuate are not given strong enough or long enough in Diseases arising from the Glutinousness of the Humors 23. When Acidity is joind with Glutinousness of all the Humors encreasd from a great error in Diet in the Liquors of any Glandul's and especially those of the Pancreas then either a Swouning or also Syncope is easily joind to the Vniversal Languishing according as both Errors are lighter or more grievous although it is no new thing that a Swouning but not Syncope is produc'd without a notable Clauâ—â—iness of Humors which I think was scarce ever observd without it but rather Death the External Cause being most grievous as indeed more is requir'd to produce a Syncope then Death 24. Because there is a less Rarefaction of Blood and therfore a less Pulse in an Universal Languishing by reason of the Toughness encrâ—aâ—d of all Humors that constitute or produce the same Blood it becoms of necessity Weaker for unless the Ventricles of the Heart be much dilated they cannot be much nor therfore potently straitned Add that Blood tough and clammy is unsit to breed plenteous and subtil Animal Spirits for which cause also the Pulse will be weaker then is natural 25. The Pulse will also then be more Rare because all the Humors are more Mild shall I say or more Dull and therfore raising a weaker Effervâ—sâ—â—ncy and less provoking the Heart to Contract it self either upon the account of its Acrimony or Effâ—rv scency and so of the Vapors arising unless the Pulse be more stird up in regard of any External Cause 26. And this is the usual Generation of an Universal Languishing but the Production of a Swouning and Syncope Diseases more difficult to be known and explaind as it is usually describd by the Vital Spirits which because it satissies not me I will endeavour to deduce it otherwise by degrees in a few words from their manifest Causes as more known Principles 27. Both a Swouning and somtimes a Syncope is observd to follow 1. Certain Smells inspird with the Air either grateful or ungrateful of themselvs as of Musk Civet Roses Cinamon c. the Smoak of a Candle put out c. 28. 2. The sight of Things or Persons ungrateful and envi'd breeds a Swouning in some 29. 3. The same is observd to be by the Taking in of these things that are any way ungrateful 30. 4. Prolongd Hunger is a common cause of Swouning 31. 5. Among the Passions of the Mind Joy excâ—ling has been observd to produce a Swouning or Syncope and sâ—mtimes Death it self It has been â—â—â—wn that the same has often come to pass by a veâ—â—â—â—◠〈◊〉 A Swouning doth not seem so much 〈…〉 or Anger as that a Man is dispâ—â—â—◠〈◊〉 who will sooner fall into this Evil if he 〈…〉 and sâ—ddenly by both the contrary Pâ—llâ—â—â—â—f the Mind that is if an unexpected and 〈…〉 happens about the same object to one that 〈◊〉 â—â—â—â—ful or fearful if Terrâ—r and Fear and therfore 〈◊〉 râ—â—ulaâ—â— iâ—â—te one that is very Angry 32. 6. 〈◊〉 â—â—ouning or Syncope is wont to come upon a Great Effusion of Blood out of the Nostrils Womb Haemorrhoids or other Vessels opend and
divers manners chang'd and vitiated 17. In an extreme Pining beside the Hippocratical Face consisting in the Temples fall'n the hollowness of the Eyes the Nostrils sharp the Chops giving out and the Mouth gaping the Ribs in the Brest stands out and the Gristle call'd Ensiformis is seen crooked the Sholder blade and Collar bones appear like Bows the spine of the Back shows it self the Belly appears fall'n and contracted the Buttocs are lank or consum'd the Legs Arms Feet and Hands with Fingers are beheld dry and Swellings about the Joints seem to stand out the Nails are crookt the Hair falls off and the Skin becoms limber wrinkled swart and dry mean while the Veins swell out being conspicuous and wan every where and the Universal Body is observ'd in some almost transparent and pellucid 18. All Physicians testifie whom Experience favours that a Pining especially after it has continu'd for some time is hard to Cure and oft-times Incurable although the most think that it is not hard to cure in the beginning so that it be known 19. Pining may be Cur'd 1. by Repairing the Vniversal or Particular Defect of Blood and by using the best Food in a moderat quantity and by removing or amending every Cause of that Defect of which we have spoken or will elswhere 20. 2. The same Pining may be Cur'd by Correcting any kind of Fault in the Blood and by Removing from it every vitious Humor mixt with it by those that Evacuate most convenient for every one Vomits Purges by Stool and especially Diuretics or Sudorifics and moreover Salivating Medicins of which we have spoken elswhere whence they may be selected which are most profitable here 21. The Correction of Blood alterd and vitiated several ways may be vari'd according to the variety of their faultiness by using Medicins most fit for every Fault unless you have at hand Vniversal Correctors such as are made most efficacious of Minerals and Metals and other things less determinat to the parts of Living Creatures and therfore the best and in special of Antimony Gold Iron Vitriol Coral Pearl c. whence the Tinctures and Sulphurs c. to be made of these above-said are not undeservedly mentiond and commended 22. The same Pining may be Cur'd 3. by Repairing the harm of the Parts to be nourisht com'd by a mischance of which thing we intend to speak professedly in the Chirurgical part of Physic CHAP. XXXVIII Of an over-Fleshy and Fat Constitution of the Body 1. WE said in the former Chapter that Nourishment was too much notably both in the Fleshy Excrescency of the Muscles and in Fatness whence the whole Body is observd greater which is not equally when the Substance of the Bowels or Glandul's increase to too great a bulk by reason of which there are Tumors only thought to be every where produc'd 2. The Musculous Habit of the Body becoms more Fleshy by much and laudable Blood the Motion of Body and moderat Exercise concurring the Life void of anxious Cares a moderat or more prolongd Sleep a large taking in of Food of much Juice and easie to ferment 3. The Body becoms over-Fat in Habit and Superficies as within by Blood too Fat to produce which the healthy Constitution of the Body conduces yet an Acid Juice concurring plenteous enough but mild and temperd as Choler over-sparing and not very sharp the Motion of the Body little Life also without corroding Cares Sleep pleasant and too long continual and much taking in of fat Food 4. The Body is seldom loaden with much or too much Flesh but commonly with Fat 5. Too great an Encrease of the Musculous Flesh may be Cur'd 1. by speedily Diminishing Blood with opening a Vein 2. By Exercising the Body much and longer then is wonted to a Weariness notable enough 3. By Employing and Vexing the Mind with grievous and solicitous Cares 4. By Encreasing Wakings and by lessening Sleep 5. By Using more sparingly Food of much and the best Juice or in their stead taking those that less nourish or are more difficultly fermented 6. The same Fatness of Body may be Cur'd 1. By Using often and plenteously any sharp Sauces both Sowr and Aromatic that is salt or bitter which as well make the Glandulous Liquors more Acid as Choler more bitter and sharp Such are Vinegar Juice of Citrons Spirit of Salt c. Pepper Cloves Cinamon Mace Ginger Cresses Rocket Mustard â—ny Radish and chiefly Horse-Radish c. 2. By Moving the Body much 3. By vexing the Mind with Cares 4. By daily lessening Sleep 5. Wholly abstaining from Oily and Fat Food for so by little and little the superfluous Fat will not only be consum'd but its new encreasing hindred CHAP. XXXIX Of a Cachexie and in special Anasarca and Leucophlegmatia 1. THe Nourishment of the Body peccant in quality may and is wont to be call'd a Cachexie in which the Native Skin and especially Colour of the Face languisheth and is chang'd pale and somtimes yellow or livid and very wan as in some swart red or somwhat redish together with little Pimples rising up commonly in the Nose and Cheeks of several sorts 2. In the most kinds of a Cachexie a Dyspnaea concur's which is more encreas'd when the Body is mov'd especially over-much and in ascending an high place And then most usually a Palpitation of the Heart and a Pulsation of the Arteries about the Throat and Temples manifest to Sight is produc'd Commonly there is a Weariness of the Vniversal Body and Thighs especially Often a pressing and vexing pain of the Heart urges which uses to be encreasd after Food taken in Yea for the most part there is a lingring Fever and that either Continual or Intermitting or Compounded of both Vrin coms away often Crude or Watry seldom Thick or Troubled unless they be troubled or chang'd by another Disease accompanying or an External Cause At length the Universal Body waxes Lean and Pines in some as in others the same Swels and is Turgid And an Anasarca comes by a Serous Humor as a Leucophlegmatia by a Phlegmatic and more viscous Humor and an Ascites from both at least the former when the Belly with the Thighs only is troubled 3. A Cachexie spares none nor People of any Age although most frequently it siezes on Women because of their Monthly Courses Staying too long and hindred or any way Supprest it is also often enough wont to accompany the Hypochondriac Disease and its notable kind the Scurvy 4. The Cause of every Cachexie is the Blood endued with a vitious quality because of which although the parts of the Body be a little and for some time nourisht yet are they not nourisht as is requir'd but their nourishment is deprav'd several ways according to the variety of the quality peccant whence also more kinds of a Cachexie are observd to be distinguisht both according to the diversity of Heat chang'd and especially of the Symptoms conjoind 5. The Quality
come within the reach of that Motto in the Duke's Theatre Vniversus Mundus exercet Histrioniam And besides this it serves for divers purposes more Concerning which give me leave because it may be of use to make publick here what I not long since privately wrote upon an eminent occasion thus 'T is a common trick among the Tribe of Dissectors to open Bodies of their own or other Mens Patients in pretence to satisfie themselves and the deceased's Kindred touching the cause of Death and thence they always pick out enough before the admiring By-standers to justifie themselves and their own mistakes by reasons to prove that the Patient was incurable or else they will be sure to collect dirty matter enough to cast upon any Physician whom they envy whose hap it may have been to have given Physick before them to the same Patient especially if he be not of their Honorary number hundreds of able Practitioners and Learned have been thus artificially blasted So that it were well if this famous City of London would take Notice of such crafty Abuses for the future For though somtimes when upon opening of Bodies the internal parts appear decayed or corrupted in their Tone and Substance 't is manifest then what brought on Death yet not so at other times seeing most Diseases lying in the variations of Blood and Humors Spirits and Ferments of the Parts are in their Causes remote from such ocular inspection let none in these Matters be gull'd hereafter For that nothing certain can be concluded from the stagnation of Blood or other Humors found in any place or passage of the Body after Death is evident in this that Nature upon Death's approaches being driven to most violent motions doth extravasate intravasate throw Blood and Humors in and out here and there and every-where Cap-a-pe through the most abstruse and unperceivable Passages So that if stagnant or coagulated Blood or other Humour be found in any part by Anatomizing it cannot be concluded it was so before death For it was well said of old by Celsus the most prudent of all Physicians in his Preface Neque quicquam esse stultius quà m quale quid vivo homine est tale existimare esse moriente intò jam mortuo which is in plain English That nothing is more foolish than to imagine that things within a Man should be in the same state when he is dying as they were when he was living much more when he is actually dead From hence also observe what mistakes Physicians may be led into by blind supposals and conjectures of Blood or other matter lodged in this that or other secret Passage of the Vessels or Bowels to be causes of Diseases when they proceed thereupon to raise fanciful Doctrines whereby to manage practice in After-time and order Cures by Calculations secundùm ductus Hypotheses Anatomicos No Man can be against a due enquiry into Anatomy so far as concerns a being acquainted with the Structure Figure Scituation and Connexion of the Parts of the Body especially in Cases of Chirurgery wherein its greatest use doth lie and of this also it becomes a Physician not to be ignorant who ought also to be a Chirurgian though the sine-finger'd Academick Education of Physicians in England hath here unhappily divided the two Faculties the Professors of the one being brought up to Talk the other to Work the one in their youth to speculative Philosophy the other from their very first youth in practiceâ— Drudgery if I may so call it in comparison with the other from whence 't is observable we are always furnished with far more able Chirurgians than Physicians Consider what greater Men ever had we in the World for the old way of Physick formerly than those that were bred up Chirurgians Galen himself was bred a Chirurgian And where now will you find among the Galenists of our Nation Men for Physick to be named after those famous Persons bred Chirurgians such as were Pareus Chalmetaeus Pigraeus Guillemeau Ingrassias Felix Wurtzius Fallopius Vesalius Carcanus Severinus Marchetti Spigelius and the two Fabricii one an Italian the other a Swisse viz. Hildanus and ab Aquapendente whose Judicious Works and great Performances made them renowned through the world But now forsooth a Chirurgian with us is made so little a thing by our Doctoral Confederates that when he hath a Patient they expect he should not presume to prescribe any thing of Internal Physick for the promoting his Cure though none can judg so well what is fit to be done as himself so that if he gives way he remains liable to the possibility of having his Work spoiled either by the ignorance or sometimes the malice of another Person that knows little or nothing of the management of a Chirurgical Curation Besides if our Chirurgians were excluded as that 's the desire and aim of the others from the Practice of Physick I wonder where his Majesty for his Fleets and the Merchants for theirs â—â—n which the Wealth and Glory of this Kingdom doth depend would be supplyed with Able Practitioners for the Sick at Sea the greatest sicknesses both Acute and Chronick being there predominant Not from the fine breed of the Scholastick Family whose Learning so much as it is and that is in but a very sâ—w of them lies quite beside the way that leads to the more noble â—â—â—ally of Physicians insomuch that when they first come to Town with the Learned Cushion-Cap and Scarlet the very Apothecaries Boys are able to tutor them in Town-practice laugh at them and tell Tales behind their backs Wherefore seeing the Juniors are not fit to be trusted aboard with the Seamen and the Seniors never did serve nor mean to do it and nothing but another great Plague can send them out of London Which way can the Sea or our Armies be served with Physick and Chirurgery if Surgeons-Hall be not to be lookt on as a Colledge of Physicians and for which of their good Services to the Crown Kingdom and City will the other Society ever have the confidence to seek an Authority to tuck the Necks of all other Physicians Chirurgians and Apothecaries under the Girdle of their Jurisdiction But 't is to be hoped the Nation will ere long be convinced that the Laboratory the Work-house is the way to be traced before we enter the Library an Apprenticeship from our Youth to work and study under a Practiser is that only which can make one a Doctor all the rest is but flocci nauci nihili pili c. Whereupon 't is to be hoped also we shall one day think it high time that a Reformation be thought of that the present formal way which none of the Antients knew will be left and our Youth for Physick instead of being Academians be bred up more Mechanico instituted in the Operative before the bend themselves upon the Contemplative and Philosophizing part of Physick For Aristotle said well Nihil in intellectu quod
use of strong Drink and abounding with a Volatil Spirit and substituting in its place more watry and somwhat tart unless any thing else hinder CHAP. XI Of the Vitious Effervescency of Choler and the Juice of the Pancreas together with Phlegm continually rais'd in the small or thin Gut 1. CHoler and the Juice of the Panereas do not only flow together into the small Gut when the Food fermented is driven forward out of the Stomach to the Guts but continually and so also at that time are they carri'd thither when no Food is taken in or carri'd down to the Guts and of necessity they stir up an Effervescency in their Concourse there for the somwhat contrary dispâ—sition of their Parts mild and friendly to Nature in Hâ—alth that is as long as both is well dispos'd and temper'd but vitious and hurtful where either or both of them is intemperate and over-sharp 2. Because that Phlegm is always observ'd according to Nature to reside in the small Gut and to rise from Spittle continually swallow'd down upon which account the aforesaid Effervescency is somwhat chang'd I take it that in that Conflux of these two Humors the more fluid part of Phlegm adhering to the sides of the small Gut is dissolv'd and that the same being join'd with the most part of Choler and the Juice of the Pancreas encreasing pierces into the Lacteal Veins to the Heart whilst the tougher and more viscous part of the same Phlegm with some part of the other Humors also viscous goes by degrees to the thick Gut and being there mixt with the Excrements makes them more viscous and yellow 3. This Three-fold Humor rising from Choler the Juice of the Pancreas and the Phlegm of Spittle and hasting with the Lympha to the Heart seems to me to give the natural Consistency and Coagulation to the Blood as I judg the natural consistency of Blood howsoever vitiated for the most part to be attributed to the same three-fold Humor variously vitiated 4. Therefore I am perswaded that the Effervescency is rais'd up by this Conflux of these three Humors because I do not only judg it may be concluded that the Juice of the Pancreas is sowr by divers Diseases befalling Man unnaturally but that same is most abundantly evinc'd by the industry of the most ingenious Anatomist Regnerus de Graaf my most Beloved Scholar as is manifest by his Dissertation of the Nature and Vse of the Juice of the Pancreas a year since in this University publickly disputed I being President 5. It is impossible that such Juice of the Pancreas which is any manner or degree sowr should mix with Choler abounding with a bitter and volatil Salt but presently an Effervescency should be rais'd thence which may be confirm'd with infinite Examples to be had from Chymistry and elsewhere 6. That this Effervescency in time of Health is very mild is even manifest because it is not perceiv'd in healthy People which notwithstanding is often so manifest and hainous in Sick People that it bewrays it self by Gnawings Distensions Gripes Coldness Heat Belchings c. both in the Region of the Loins and in the left Hypochondrium and also somtimes in all the Belly 7. Which aforesaid Effervescency is many ways vitious 1. Because of over-sharp and saltish-Choler whence I am perswaded that Thirst for the most part is Encreast and the Diarrhea most commonly takes its rise 8. 2. Because of Choler fatter than natural whence I take it that the Heat in the Region of the Loins only or besides in the whole Body is produc'd 9. 3. Because of the over-Acidity and Acrimony of the Juice of the Pancreas whence other things being alike I judg that coldness is stirr'd up most commonly in the mention'd Region of the Loins and afterward distributed into the whole Body which is manifest in the beginning of almost every Intermitting Feaver 10. 4. Because of the Juice of the Pancreas Tart and harsh to which I ascribe the rising of such-like Vapors producing the Hypochondriac Suffocation and also of Pains wonderfully racking and contorting the Guts 11. 5. Because of over-viscous Phlegm from which such-like Wind is wont to be bred distending the Guts and Ventricle or more-over other parts chiefly when Choler is over-sharp or otherwise the Blood is made tough and viscous known by the name of Melancholic 12. Where Choler and the Juice of the Pancreas are both peccant in their proper Acrimonie most grievous pains are stirr'd up in the small Gut and the Disease Cholera or Dysenterie c. do often couple them and almost always an inordinate Feaver about all which we intend to speak in their proper place 13. Where moreover Phlegm is very viscous or otherwise vitious there the rise of the Diseases Suffocation or Hypochondriac Melancholy the Scurvy Cholic and other such-like Diseases more grievous daily manifests it self now in this or that and commonly in a changable form 14. Of the almost innumerable Diseases that rise from the vitious Effervescency of these three Humors flowing together in the small Gut we may Treat almost through the whole Practice of Physick seeing the most depend on it 15. For by this vitiated mingling not only hurtful Humors are produc'd but often Wind Vapors or ill-Rifts causing much hurt to Man 16. Therefore it concerns that every Physician should search out and inquire diligently as the Matter concerns the Nature and Qualities both Natural and Temperate and also Preternatural and changing from its proper temper which causes infinite harm to Man of these three Humors 17. The Effects and Diseases proceeding from this vitious Effervescency are most moted and daily although the reason and rise of them for the most part is unknown to us 18. Over-sharp Choler follows 1. Over-sharp Food at least sauc'd with sharp and very aromatical things 2. Summer-Air or hot by any other Cause 3. An over-vehement Motion of the Body 4. Over-long Watches 5. Frequent Anger and Cares 6. Overcostivness 19. Choler over-fat is chiefly caus'd by such-like Food plentifully us'd Oil Butter c. as also by Medicins Aromatical very oily too often and long us'd distil'd Oils as also by the Spirit of Wine especially prepar'd with oily things as that with Anise-Seeds c. 20. The exceeding Acidity of the Juice of tâ—â— Pancreas arises 1. by such-like Food Sauces or Medicins us'd too much too often or too long 2. By Winter-Air too cold or at least too sharp 3. By Fear and any Sorrow or grievous Solicitude of Mind 4. By continuing Watches which consume the Animal Spirits and by consequence increase the Acrimony of any Humors 5. By a continu'd and vehement Motion of Body exhausting those Spirits 6. By Costivness 21. The tartness of the Juice of the Pancreas arises especially from such-like Food or rather Sauces or Medicins and unripe Fruits ill us'd Apples Pears Medlars Chesnuts Olives Verjuice c. as also from grievous Sorrow continuing long chiefly join'd with Solicitude 22. Phlegm over-viscous
Drink to wit Rhenish-Wine c. that thereby a Synochal Fever be bred no wonder if Heat not only sharper but together greater be then stird up by over-sharp and together over-fat Choler concurring and a most frequent Pulse be joind with one greater but not the greatest 22. But V. when Spittle is peccant with such a Viscousness whence not only the Fermentation of Food is less commodious but moreover usually two hours after they are taken in the Pulse being now frequent becoms still for some space more frequent with Heat seldom indeed manifest or troublesom to the Sick yet somtimes notable to By-standers and Physicians beside the encreasd redness of the Cheeks I judg that that Change haps both as to the Pulse over-frequent both continually and yet more after Food taken in and as to any kind of Heat then together observable in as much as Spittle tending to the small Gut the Stomach being empty doth so vitiate the Effervescency of Choler and the Juice of the Pancreas that a Liquor proceding from these three is not only dull'd but moreover Vapors somwhat flatulent arise from it and indeed more plenteous and more volatil when the most fluid Part of Food slides down to the Guts usually two hours after it is taken in Which Vapors being carri'd to the Heart both provoke it to a more frequent Contraction of it self and being carri'd every way together with the Blood breed an Heat not so great indeed or very sharp or grievous and troublesom to the Sick yet coupled with driness of the Skin enough manifest had for a sign of Heat encreasd and with redness of the Cheeks according to their notable oft encreasd plenty and volatility whilst in the mean time a more frequent Pulse indeed and little and weak enough is observd the Leanness of the whole Body concurring and daily encreasd by reason of the Blood made daily over-viscous and unfit to nourish the Body 23. And now we have reduc'd all Synochal Fevers upon the account of their Causes that are wont to be notably peccant in Mans Body to the four primary Differences we think fit to consider and here weigh in a few words also some of their Differences taken from the more grievous Symptoms eft accompanying them after the Example of Famous Practitioners and chiefly Great Platerus not mentioning farther a Catarrhal Fever of which we spake in Sect. 11. 24. And the first place will we give to a Burning Fever among the Greeks 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 so call'd from its exceding heat and burning most urging Which exceding Heat because it is observd not only in Continuals Synechals that have a Fit returning every other day but also in Containing Synochal Fevers we deservedly mention here a Burning Fever To which no wonder if a dry Thirst which you can scarce quench be a present Companion 25. Some give the second place to a Fever call'd Leipyrias in which all the time of the Disease the External Parts are cold while the Internal Parts burn 26. These Fevers challenge the third place that chiefly are troublesom with Heat and an obscure redness of the Jaws whence the Tongue also is not only Dry by ting'd with a blackish red Colour This Disease by reason of the said Colour is call'd Breune as well among the Dutch as Germans and is oft Epidemical 27. The Fourth place we give to Raving Fevers so call'd because of a grievous Raving such as is oft observd in many Fevers somtimes inclining to raging which happens to the Sick in a few days space and doth not a little trouble the By-standers chiefly when such Fevers are Epidemical and at length kill the Sick Convulsions coming upon them Constant Watchings use to accompany them and a great Pain in the Head is wont to precede a Raving 28. Wasting Fevers so call'd may take the Fifth Place in which the Body is wont in a short time to be consum'd and grow lean 29. In the Sixth Place we will mention Malign Fevers suddenly dejecting the Vital Strength without manifest Causes and Reasons and unexpectedly killing the Sick which for the most part are also wont to be epidemical They also have the other Symptoms more mild usually then is wont beside a weaker Pulse But of these we intend particularly to treat in Chap. 33. 30. I. Choler both primarily and only peccant not only in a Salt Acrimony but moreover in a very inflameable Oiliness is the Cause of a Burning Synochal Fever Wherefore the greatest Pulse is wont to concur beside one over-frequent and in the beginning at least strong enough together with troublesom Watchings and an obstinate Thirst 31. II. Because I do not remember that I ever observd the Leipyrian Fever therfore I the more hesitate in assigning its true Cause especially seeing those things do not satisfie which others bring rather from their Prejudices I my self have once lately observd such a Fever then from those things that ought to be observd in the Sick and so be propos'd 32. Yet if ever of which I much doubt a Leipyrian Fever be Synochal and I may conjecture somthing of its Cause I think that it then consists of a Double Fever Choleric and Pancreatical and so indeed that such-like Vapors may be continually raisd in the small Gut by the Juice of the Pancreas universally over-sowr which may be confus'd only with the Mass of Blood and breed a Sense of Cold in the habit of the Body whilst a burning Heat is stird up in the Internal Parts by a Fever due to Choler more oily then sharp 33. III. The Cause of a Fever having an obscure red Colour of the Tongue and Jaws accompanying seems to be Choler both over-sharp and fat chiefly hurtful to Spittle and the Glandulous Liquor of the Jaws and more closely adhering to them where it is expir'd in the form of a Vapor together with the Air wherefore beside the troublesom heat of the Universal Body the Lips also somtimes are cloven and exulcerated yea loaden with filthy Scabs 34. But wherein that peculiar Constitution of vitiated Choler consists by which it is more adverse to the Mouth and Humors carried thither then to others hitherto I cannot determine unless it come by the Oiliness of Choler 35. IV. The Cause of Raving Fevers so to be call'd from a notable and grievous Raving accompanying at least for some days is Choler peccant both in a Salt Acrimony more and an encreasd Oiliness less that so diminishes the viscousness of the Juice of the Pancreas which therfore causing a vitious Effervescency with it being made sharper makes an Humor not much unlike black Choler from which together with Watchings the Head-Ake hence Raving at length a Convulsion and lastly Death it self is produc'd 36. V. The Cause of a speedily Wasting Fever is Choler quickly bringing such a Constitution to the Blood by which the same becoms unfit what way soever to nourish the Body and yet needing more plenty of Food because of the Feverish
the Lymphatic Passage of the Brest 2. The Lympha mixes it self immediatly with the Blood Descending by its Lymphatic Vessels and their Trunk 3. The Juice of the Pancreas is only mediatly mixt with the same Blood Descending through its proper Passage the Guts the Lacteal Veins and Passage of the Brest 4. Lastly The Spittle in like manner mediatly only mixes with the Blood Descending through its Passages the Mouth Throat Ventricle Guts Lacteal Veins and Passage of the Brest and together with it is drawn forward to the Right Ventricle of the Heart 51. Beside which four Humors seeing hitherto none are known to be carri'd to the Right Ventricle of the Heart of necessity we must judg the Cause of Intermitting Fevers as Intermitting to be deduc'd from One or More of them since all may see that the Blood when ill-affected causes a Continual and not an Intermitting Fever because of its perpetual Motion to the Heart 52. If the Blood stand still any where presently there arises an Inflammation which if communicated to the rest of the Blood in like manner produces not an Intermitting but Continual Fever To which somtimes is coupled an Intermitting Fever and especially a Tertian and then from both for a Continual Tertian to arise is no new thing nor wonder for reasons manifest enough by what is said beneath 53. The Blood therfore herein being laid aside I. None will judg that Intermitting Fevers as Intermitting can be deduc'd from Choler who hath diligently considerd that it cannot be so infected and afflicted in its Passages suddenly by any External Cause so as to be stopt either wholly or in part in its motion for a time and again either of its own accord or for any other demonstrable Internal Cause should find a way by which it may produce the Symptoms above noted by what way soever it 's brought to the Heart and that either alone or joind with others 54. I do not deny that Choler is turnd into smaller or bigger Stones and also into a Stony Crust in its Passages through the Liver But as neither coms suddenly so neither is it observd that either of them were dissolv'd by any Internal but only External Cause nor yet so that any thing like to Intermitting Fevers can thence be deduc'd 55. In like manner somtimes Choler is judgd not to be carri'd down to the Small Gut from what cause soever when the Excrements are obscurly white and thicker then usual But an Intermitting Fever is not always observd to accompany the Jaundies although often it doth which therfore cannot be taken thence for an impediment of Choler 56. II. Neither from the Lympha can Intermitting Fevers as Intermitting be deriv'd For besides that the most Symptoms accompanying them for the most part and observable chiefly in the Abdomen cannot be expected even in a Dream from the Lympha besides if Intermitting Fevers did depend of and were produc'd by the Lympha then either all or but part of the Lympha were faulty as though it were hindred and farthered again reciprocally in its Motion to the Heart If all where and what kind of Impediment could that be whether or no in all the Conglobated Glandula's Muscles and Bowels or in all the Lymphatic Vessels or their Trunk about their insertion into the Jugular or Axillar left Vein But if only a part thereof then which and where Whether that which goes only to the Heart from all or some only of the Conglobated Glandules Or whether it be hindred in all the Glandules But these Glandules are rarely found to swell or be hard and that only when the Head is stuft or in Catarrhal Fevers of which we spake in the former Chapter scarce ever though the Intermitting Fever be very troublesom the Causes whereof we search so that by how much the more diligently any searches the Rise and Motion of the Lympha as also its Supply and Vessels so much the less will he encline to ascribe the Cause of Intermitting Fevers as such to the Lympha 57. III. Intermitting Fevers as Intermitting in no wise seem to be deduc'd from Spittle For that we transfer not hither more Arguments from what is now said of Lympha although somtimes for that is not perpetual a little before the Feverish Fit or together with its Beginning the Spittle is observd to flow more plentifully or slowly unto the Mouth notwithstanding the same Spittle is not noted to be such that the molesting Symptoms of every Intermitting Fever I say not all but even the most frequent may folidly be ascribed to it The Spittle is not always I say carri'd which if so should wholly be carri'd in the time of Intermission more slowly to the Mouth and more plenteously while the Fit begins or molests and somtimes the contrary somtimes neither happens But the Vitiations which are found in the Spittle do nothing less then testifie the primary but rather the secondary Vitiation of Spittle as it will more evidently appear from what is to be said hereafter 58. IV. Any Man may easily think that Intermitting Fevers as Intermitting are to be deduc'd from the Juice of the Pancreas who shall observe with an attentive Mind all and every of the Requisites noted in Sect. 46 c. to produce them to concur here and only here 59. For 1. This Juice is carri'd from the very Pancreas in such a Part which by its Vessels and proper Passages as it is said in Sect. 50. mediatly communicates with the Right Ventricle of the Heart 60. 2. The same Juice is carri'd by such Vessels to wit the Lateral or Side Passages in one or more wherof it may be so infected and afflicted by an External Cause that it may suddenly be stopt in some part in its motion and hindred for a certain time least it should continually go to the Heart 61. And that falls out as oft as Phlegm which uses to be much gatherd and accumulated in the Small Gut is dissolvd either by Heat of Air or a vehement Motion of Body or Watchings prolongd or Care of Mind or Anger continu'd or Meats Sauces or sharp Medicins or else by any other Cause and then being mixt with the Blood is carri'd together with it all over to all parts of the Body and being joind more or less every where with all the Humors is carri'd with the same in their Vessels Whence as in other places so in the Lateral Passages of the Pancreas I mean the strait ones the same Phlegm thickens stops the same Passages and hinders that the Juice standing still there cannot go into the Middle and Greater Passage and so forward for some sudden External Cause which is apt to Coagulate Phlegm as Air frozen or blown with chill Winds or with any Blast causing cold Rain or any Water touching the Body and afflicting it with its coldness Drink of any cold Liquor especially when taken in a large quantity A sudden and especially unexpected Terror and great Grief of Mind c. 62.
tough enough mean-while Choler being very slow 98. II. Burning Fevers arise from Choler then Sharp and Oily and Plentiful the Juice of the Pancreas being less sharp and Phlegm but little and less tough 99. III. The Fevers call'd Epialae I judg to be two-fold Intermitting Fevers but both caus'd by the Juice of the Pancreas too sharp and Choler also sharp and so indeed that continually the Coldness of the one concur's with the Heat of the other and the new Fit of the first and Coldness return when the Heat of the latter begins to be augmented and molest the Sick 100. IV. I ascribe Thirsty Fevers to the over-sharp Salt in Choler which if much Oiliness also accompany Thirst is troublesom chiefly in Heat but if it be more gentle then even while Cold molests and its hurtful quality is more manifested at the meeting and vitious Effervescency of the Juice of the Pancreas forcing out after its feverish obstruction 101. V. I derive Hungry Fevers from the Juice of the Pancreas obtaining a more grateful Acidity but pâ—tent by its obstruction when it ascends to the Ventricle breeds both that cruel Hunger and somtimes Fainting and other Symptoms except Meat be given 202. VI. The Juice of the Pancreas breeds Heart-aking Fevers by getting a Corroding quality chiefly when Choler is also sharp and their concourse make a potent Effervescency whence exceding sharp Vapors rising to the upper Orifice of the Ventricle do sharply bite and gnaw it 203. VII Griping Fevers arise from the same Juice of the Pancreas both too sharp and too tart by its obstruction and putting forth its Acrimony one while into the Small other times into the Thick Guts With which if Viscous Phlegm and Choler at least moderatly Sharp do concur they raise Wind which distend the Belly together with the Guts and beget the Colic pain an importunate Companion of this Fever 104. VIII Swouning Fevers have their rise also from the Juice of the Pancreas but more Volatil then Sharp in Acidity by its obstruction Choler being little and slow then whence the same breaks forward without delay through the Lacteal Veins piercing towards the Heart not only all over and raising a cold Sweat but forthwith does so coagulate the Blood also that for a season it cannot be rarefi'd sensibly nor yet the Pulse observd till Choler get some strength when this hurtful Juice begins to cease and the Sick seems then to return from the Dead to Life 105. IX I attribute Strangling Fevers to Sowr Vapors of the Juice of the Pancreas growing more sowr by its obstruction stird up in its Effervescency with Choler and not only rising to the Ventricle and Throat but also to the Thoracic Passage by the Lacteal Veins to the Heart and Lungs and causing somtimes a Sense of Suffocation in the Gullet and a true Suffocation in the Lungs 106. X. I also ascribe Difficulty-Breathing Fevers to Vapors after the same manner but less Sowr of the Juice of the Pancreas less Sowr join'd to Viscous Phlegm in the Small Gut and so more Flatulent from which all the Symptoms reckoned Sect. 32. may be easily and only deduc'd and commodiously enough explain'd 107. XI Asthmatic Fevers have their rise in my Judgment from Viscous Phlegm found in the Small Gut which being dissolvd by the Juice of the Pancreas raise a Feverish Fit and being carri'd with it together to the Heart and Lungs and sticking there causes a Breathing with Snorting whil'st many or few Belches come forth by the same and make a more grievous or lighter longer or shorter Fit 108. XII Coughing Fevers are caus'd by Vapors most commonly seldom Wind and not so Viscous as Sharp partly to be ascrib'd to the Juice of the Pancreas partly to Phlegm in the Guts but sharper and more biting so often as they come to the Lungs and provoke and compel Them to cough continually 109. XIII Catarrhal Fevers arise from Humors in the Head gradually gatherd and dissolvd by the Cause of an Intermitting Fever carri'd thither and mov'd every way according to its Distillation and Defluxion 110. XIV Gouty Fevers are to be found in the Juice of the Pancreas so corrupted that it chiefly assaults with it Choler with which it does vitiously effervesce and raise the most grievous Pain or less Sharp rising against Viscous Phlegm and not sharp Choler is much dulld of the same and hinders the Motion of the part with a Phlegmatic Tumor rather then an Acute Pain Where it is to be noted that often daily or every other day the Feverish Fits which return do not afflict the Sick with a notable or troublesom Coldness or Heat but rather with a light Pain of the Head and moreover a Thirst the Pulse also being too Frequent and too little at first and then somwhat Greater whereby a New Fit is observed the Gouty Pains also being imbitterd after some hours and so that although they remit again in part either slower or quicker yet do they not wholly intermit but though the Feverish Fit be ended yet notwithstanding the grievous or more light Pains of the Joints still continue till at length they depart either of their own accord or by art 111. XV. The Symptoms that attend Distrastracting Fevers do prove the new Feverish Fit to arise from Choler chiefly sharp enough of it self and sharper by meeting with the Juice of the Pancreas 112. XVI All may see that Vomiting Fevers arise from the same Choler very Volatil and somtimes also sharp meeting with the Juice of the Pancreas and so much stird up by its consequent Vitious Effervescency and rising up to the Ventricle which the excretion of Choler somtimes Yellow othertimes greenish doth confirm 113. XVII Fevers with a Loosness are wholly to be assign'd to Choler also but less Volatil and more sharp and still made sharper by meeting with the Juice of the Pancreas which by gnawing the Guts having dissolvd the Phlegm therof do provoke them to thrust forward what is containd in them 114. XVIII I take Sweating Fevers to arise from the Juice of the Pancreas more Volatil then sharp and therfore rather dissolving then coagulating the Mass of Blood 115. XIX I am perswaded that Vrining Fevers arise from the same Cause but less Volatil seeing that not only the Matter of Sweat is the same with that of Urin but where Sweat is hindred by external Coldness there Urin is voided more plentifully 116. XX. I deduce Spitting Fevers from the same Juice of the Pancreas being so vitiated by its Obstruction that when it produces a Feverish Fit it is carri'd more plentifully to the Salivary Glandul's and so affords the Spittle more plenteous and fluid matter 117. From what has been said I suppose that the Causes of many other Intermitting Fevers with most grievous Pain of the Head and Teeth and other parts or any other notable Symptom may easily be unfolded by those which are Ingenious wherfore before we come to the Cure of all
and Weaker Pulse 51. The Pulse will be Less and more Languishing not only by the Defect but somtimes also the Excess of the fore-nam'd Humors For 1. the abundance of Blood call'd a Plethora hinders that the Blood by the defect of space and place cannot be expeld plenteously into the Arteries nor therfore the same be much and enough rarefi'd in the Right Ventricle of the Heart nor that the sides of the Heart can be much unfolded and again folded 52. Yea 2. Choler being carri'd in a greater plenty to the Heart especially in Burning Fevers doth not only rarefie the Blood more then is wonted and too potently with an over-great and strong Pulse but after it has at length filld all the spaces of the Vessels in that too great rarefaction by distending them and constituting the Plethora at or in the Vessels so call'd or to be call'd however it keep the hurtful Heat yet it cannot for want of Space spread out the Blood as before and produce a Great and Strong Pulse which is rather observd Less and Weaker gradually by the deficient Rarefaction of the Blood and the Explication and Complication of the Ventricles of the Heart till by any effusion of Blood there is a new Place prepar'd to receive the rest more rarefi'd together with a greater and stronger Pulse soon concurring 53. 3. The Lympha somwhat sowr if it com's in too great plenty to the Heart will also make the Pulse Less and so more Languishing because it will give a more firm and solid Consistency to the Blood then that it can be duly and enough rarefi'd sufficiently to dilate the Ventricles of the Heart whither a notable constriction may succede altogether necessary to make a Great and Strong Pulse 54. 4. The same is to be said of that Three-fold Liquor of the Small Guts if especially its office be to give to the Blood a natural coagulation depending on a somwhat tart sowr Liquor For when this is encreasd the Coagulation also of the Blood will be encreasd on the contrary its fitness to rarefie will be diminisht the Pulse will be diminisht and will also become Weaker 55. Seeing that a great plenty of laudable Air drawn into the Lungs cannot but be useful a Lesser or more Languishing Pulse cannot be expected nor derived from it 56. Yet 5. may the Pulse become Less and Weaker by Chyle carri'd to the Heart after any manner in a greater plenty in as much as it fills the Vessels of blood too much both effects encreases a Plethora 57. If both the Blood and other mentiond Humors carri'd with it to the Heart could produce a Less and more Languishing Pulse the quantity being either deficient or exceding certainly they will no less perform the same when they are peccant in an hurtful quality For 1. the Blood either too fluid or solid is unfit for its laudable Rarefaction which being deficient we have often already shown you that a Less and more Languishing Pulse follows 58. So 2. Choler Glutinous and not sharp enough will less effervesce and more sparingly send forth fiery parts whence the Blood will less rarefie and at length the Pulse will be Less and Weaker 59. 3. Lympha either too Sowr or Tart will not only render the Blood more glutinous and so less fit to rarefie but moreover will not only blunt Choler and its fiery parts whencesoever breaking forth and so will give occasion both for a Less and more languishing Pulse 60. 4. You may think and speak the same of the fore-namâ—d Three-fold Liquor either too sowr or Tart. 61. 5. The North and sharper Air conduceth much to coagulate the Blood much and hinder its Rarefaction 62. If 6. Food too Sowr or Tart be taken in the Chyle will also be made like it from which the noted inconveniences may be expected with a Less and Weaker Pulse 63. A Less and Weaker Pulse is caus'd also by other Things carried to the Heart beyond the Laws of Nature when the Humors are either corrupt in the Body or Vapors or Wind raisd by them or Poison piercing in at the Mouth Nostrils or Pores of the Skin or any other way into the Body come to the Heart together with the Blood and either too much loosen or dissolve or too much coagulate or curdle the Blood or render it unfit any other way for its due Rarefaction as we have before explaind at large 64. And that we may more closely apply all that we have hitherto premis'd to a Swouning and Syncope and deduce more clearly the Nature and Generation of both Diseases because in both the Pulse is not only observd Less and Weaker or None but the Animal Functions also Sense and Motion are not a little weakned let us see if and how so divers Diseases can be produc'd of one and the same Cause 65. The Symptoms therfore which are wont to be common to each Disease are to be considerd and distinguishd from those which are peculiar to a Syncope for a cold and glutinous Sweat breaks forth in a Syncope but not in a Swouning in which not so much as Coldness of the Vniversal Body is always observd although it be constant with a Syncope but the other Symptoms are often wont to be noted in each Disease Whence it is manifest that these Diseases do partly differ in degrees partly somthing more grievous uses to accompany a Syncope continually 66. If any examin with an attentive Mind all the Symptoms fore-mentiond as also the External or Manifest Causes and compare them with those which we have now deduc'd largly of a Less as well as Weaker Pulse he may easily conclude that each Disease and especially a Syncope do's chiefly arise from a sowr Liquor carri'd in a more large plenty to the Heart which obtains rule in the Blood not neglecting in the mean while the Glutinousness of several Humors 67. That this may be more evident we are pleas'd to weigh both the noted Symptoms and the mentiond Causes in order and for Younger Physitians sake especially Learners build all things on a sowr and glutinous Humor abounding 68. We have said the Sign of a Swouning at hand is for the most part 1. a Cardialgie or Tickling in the upper Orifice of the Stomach And what is more apt to stir up each of these Diseases than a sowr Humor Which if it be milder and ascend to the upper Orifice of the Stomach in the form of a Vapor will only tickle and gnaw the said part but if it be too sharp will bite the same and cause a troublesom Pain known by the name of Cardialgie 69. We added 2. that somtimes a Compression and Gaping of the Heart precedes Although the Compression of the Heart is caus'd by a Phlegmatic Humor both plenteous and glutinous and gaping from Flatulent Vapors yet because these Diseases are observd not to urge the Sick so perpetually as to infest them before the Swouning suddenly to follow therfore we must acknowledg
a new closing be remov'd 31. The Palsie and slackness of the Substance of the Bladder may be cur'd by Medicins to be prescrib'd in the following Book 32. An extreme Distension of the Bladder by Vrin too long held in may be Cur'd by thrusting in a Wax Candle being first oild through the Vrethra to its Cavity and again anon by drawing out the same or if the Matter do not so succede by thrusting into the Bladder a Silver or Leather Squirt or one made of Whales Fins more truly to be call'd then Bones and also oild and letting out the Urin through it 33. In a Dysurie the Orifice of the Bladder or Vrinar Passage fretted or ulcerated may be Cur'd as well internally by the Balsam of Sulphur with Oil of Anise Amber or Juniper taken to 2 or 3 drops twice or thrice daily in a convenient Liquor Metheglin Spanish Wine or in a Vulnerary Decoction as externally the same being Syring'd in to several drops in such a like Decoction and for some time kept in the Bladder or Passage harmd the hand being prest abut the Nut of the Yard and that often renewing it daily 34. If the Humors corroding and Acid or Salt like Pickle be still carri'd down into the Bladder they are to be Corrected with Crabs-Eyes Pearl c. and chiefly with Volatil Salts often daily us'd in a small quantity in a convenient Liquor 35. The same in part at least temperd if moreover they abound in the Body are to be diminisht and evacuated with Hydragogues 36. The Medicins before mentiond may also conduce in the Cure of the Strangury 37. The Bladder burst asunder or Wounded or Vlcerated in its inner parts is Incurable 38. The Bladder Wounded or Vlcerated from without may be Cur'd by Medicins appropriated to consolidat Wounds and cleans Ulcers to be propos'd elswhere Which is also to be understood of curing a Wound or Vlcer of the Vretha CHAP. LVIII Of a deprav'd Excretion of Sweat 1. AS Vomiting so also Sweating seems not to me a Natural Excretion but either Non-natural or Preternatural or Physical and that either Artificial or Critical 2. I do not judg Sweat to be a Natural Excretion because in Healthy People moderatly using the Non-natural things I have not hitherto observd any Sweat breaking forth 3. I judg the Excretion of Sweat to be Non-natural as oft as a Non-natural thing exceding the Golden Mediocrity mov's it as hot or rainy Weather much Meat or Drink and chiefly hot a more vehement Motion of Body a great and burning anxiety of Mind c. which ceasing Sweating ceases again 4. I judg a Sweat Preter-natural which is raisd by the Humors corrupted or by Poison taken in weakening or killing a Man 5. I call a Sweat Physical which is either Critical driven forward for the profit and health of the Sick of its own accord by the Humors that are in Man or Artificial by Art by Medicins taken within the Body or us'd outwardly as a Bath Rubbings c. 6. This Excretion of Sweat is to be thought deprav'd 1. when a wonted and neither troublesom nor hurtful Sweat to the Party is wholly or in part hindred whencesoever 7. 2. When a Non-natural Sweat is suddenly stopt 8. 3. When a Physical or Critical or Artificial Sweat is more or less hinderd 9. 4. When some of these Sweats is so urg'd and encreasd that a Man is worse by it 10. 5. When a Sweat breaks forth much weakening a Man with or without a Fever 11. 6. When an Insipid Sweat which is wont to be most usual and not in the least hurtful breaks forth Salt or Bitter or Sowâ— 12. A wonted Sweat not hurtful befals a Man in a neutral state and so to one that is less healthy and it follows at least in my esteem such a Constitution of the somwhat-contrary Humors departing from a laudable Mediocrity by which an Effervescency producing a useful Sweat may be raisd and so preserving the Blood from a corruption that might breed a notable Disease seeing that it being hindred or remov'd the same Man is easily overtaken by a grievous Disease which is hindred wholly or in part by more grievous or lighter Causes to be propos'd in the following Sect. 13. 2. A Non-natural Sweat is suddenly stopt both by the external Cold of Air Water a Shirt Bed or other Coverings or Cloaths entring into the Body running down of a Sweat and every where open through the Pores and not only binding them but moreover bringing a notable Change to wit a Coagulation or some other hurtful thing to all the Humors much mov'd every way through every Vessel and by the alone removing of Coverings or Cloaths and making the Body naked and by a sudden rest of the Body much mov'd before and by an unthought-of Terror stopping or at least troubling any motion of the things Containd 14. 3. A Physical and as well Critical as Artificial Sweat is more or less hindred by the same external Cold imprudently receivd into the naked Body or by a grievous and unexpected Motion of Mind chiefly by an astonishing Sorrow or Terror 15. 4. Any Sweat of it self hurtless or useful may be too much urg'd and encreasd by Air more hot by Nature or Art by Food especially such as may be drunk taken plenteously or hot by a vehement motion of Body by molesting Anger and Care by Cloaths almost oppressing the Body and by potent Sudorifies imprudently us'd 16. 5. A Sweat coming forth of its own accord with or without a Fever and weakening a Man and therfore preternatural seems to arise from a vitious Effervescency of the Humors flowing together to the small Gut and breeding a dissolving and cutting Liquor by which carri'd to the Heart the universal Mass of Blood is so chang'd and dissolvd that its Serous parts do easily separate from the rest and break forth through the Pores of the Body in the form of a Sweat 17. I judg that this Liquor doth most resemble a somwhat-Acid Volatil Salt seeing that Sweat is easily sent forth by one like it 18. 6. A Salt but like Pickle Sweat breaks forth from such a like Serous part being in the Blood as a Bitter Sweat from Choler keeping its bitterness and mixt with the Serous part of Blood but an Acid Sweat from Lympha or the Juice of the Pancreas more sowr and keeping its taste in the Serous part of Blood 19. A Diminisht or Supprest wholly harmless or useful Sweat may be encreasd or restord 1. By removing all its Causes 2. By stirring up Heat in the Air. 3. By covering the Body with warmd and sufficient Cloaths or Coverings 4. By giving Food and chiefly such as may be Drunk both plenteous and hot as Broth Wine Beer and such-like 5. By moving and stirring the Body again preposterously given to rest as much as strength shall permit 6. By driving out of the Mind great Sorrow and Terror by effectual reasons 7. By using Sudorifies especially
also is invited to an easie Out-let or at least dispos'd to cease 16. The Clyster also prescrib'd in the former Chapter may be given to loosen the Body or a convenient Suppositorie given as we have noted there of Alume which I prefer before all others CHAP. XIII Of a Loosness 1. AS often as the Propulsion of what is contain'd in the Guts and their Expulsion happens quicker and especially oft'ner or more plentifully than is wont and ought so often one is said to be troubled with a Loosness 2. A Loosness is distinguisht into divers sorts and specially by reason of the different thing voided For 1. somtimes Food it self is voided Meat and Drink crude and unchang'd and as they were if not when taken in at the Mouth then as swallow'd down the Gullet in the Disease call'd Lienteria 3. 2. Somtimes the same Food is sent out fermented and duly chang'd in the Stomach but not Separated in the Guts into Chyle and Excrements but are Pultis-like and whitish such as those that have the Jaundice do often void whence I may say and not foolishly that this Loosness may be call'd a Loosness belonging to the Jaundice to wit one kind of the Disease call'd Caeliaca 4. 3. Somtimes Food both fermented and sever'd into Chyle and Excrements though as yet confus'd together are voided in the other kind of the Disease Caeliaca which for distinction-sake we name the Chyle-like Loosness 5. 4. Somtimes not the Food only but watrish and choleric Humors are often or plentifully voided in a Diarrhea or Choleric Leosness thence call'd 6. 5. Somtimes Phlegmatic Humors thick and viscous are frequently and plentifully voided in a Phlegmatic Diarrhea thence call'd other-times small and serous milder or sharper in the Serous Loosness thence call'd 7. 6. Somtimes fat and oily Excrements are voided in the fat or unctious Loosness thence to be nam'd 8. 7. Somtimes more pure Blood is voided in a Bloody Purging to which I think I may refer the Plux of the Haemorrhoids other-times a Liquor like the washing of Flesh in the Flux call'd of the Liver 9. 8. Somtimes Matter and Purulent or corrupted Stuff is voided in any Purulent Dejection so call'd familiar to a Dysenterie to which a Tenesmus seems partly to be refer'd and partly to a Phlegmatic Dejection seeing that it is a perpetual endeavour to sit down and void with a little both frothy and purulent voided 10. Because in the Lienterie Food is usually voided both unchang'd and a little after it is taken in it is apparent it comes by the Fault of the Stomach presently rising up to expel what was received in concerning which Disease its Causes and Cure we have spoken before in Chap. 6. 11. Seeing that in the Jaundice-like Flux the Food is voided enough Fermented it is manifest that it proceeds from the defect of the Separation of Chyle and Excrements by reason of either the Absence or Sluggishness of Choler of which we have spoken in Chap. 10. 12. Seeing that in the Chyle-like Flux Chyle comes come or less with the Excrements the Fermentation of Food and Separation of Useful and Unuseful Parts being intire the straining of Chyle through the Spongie Crust of the Guts into the Lacteal Veins will be Hurt of which hereafter in Chap. 16. 13. Seeing that in a Choleric Diarrhea Choleric and Watry Humors or Serous are effus'd then that Choler upon the account of its Salt is too sharp and fluid and the Phlegm of Spittle or Juice of the Pancreas is too watry and also fluid is manifest as well by what is voided as by Thirst accompanying 14. A Phlegmatic Diarrhea is caus'd primarily by Viscous Food and such as do breed much Viscous Phlegm and secondarily by the cold and sharp Air both encreasing and coagulating Phlegm in the Blood and also Separating it in the Brain or Glandules of the Brain against Nature whence arise Phlegmatic Catarrhs by which sliding down to the Jaws and swallow'd down this Diarrhaea is often bred 15. Also much Sleep a drowsie resting of Body dall Wit rainy or else moist Air c. helps much to heap up Phlegm in the Body 16. A Serous Diarrhaea arises most frequently from the Juice of the Pancreas Serous and also such-like Spittle seldom from watry and serous Humors distilling and swallow'd down from the Brain toward the Jaws 17. The Juice of the Pancreas and Spittle become more watry and mild according to the plenty of watry Drink taken in after that moist Air coming or the Excretion of Urine or a wonted Sweat failing 18. The same are serous and sharp or saltish by the use of both watry and salted Food whereby they are not only over-thin and fluid but over-sharp also and Saltish 19. Phlegm both viscous and watry or Serous is separated beside Nature in the Brain or its Glandules perhaps alwayes the Heat of the Universal Body and Head especially preceding whencesoever and a Phlegmatic Humor carri'd plentifully to the Brain being then in the Body or Blood and presently the coldness of Air following and piercing through the most open Pores with a subtile Air coagulating the aforesaid Humor in divers parts of the Brain whence whether an Obstruction happen in the Lymphatic Vessels and the breaking thereof after too much distension and hence an Effusion of what is contain'd or a Phlegmatic Humor depart otherwise from the Blood at least it uses to run under the name of a Catarrh somtimes in the Nostrils othertimes on the Jaws and thence either into the rough Arterie or into the Gullet by which being carri'd into the Ventricle and Guts it seems to afford Matter to this Serous Diarrhaea 20. A fat and oily or unctuous Loosness almost follows the use or abuse of too fat Food 21. A bloody Flux always rises from some Vessel of a Vein or Arterie in the small or thick Gut seldom in the Stomach or any other part unnaturally burst cut or open'd any other way and sending the contain'd Blood to the Guts 22. We intend to speak in its proper place of the manifold opening of any Vessels their various Causes and divers Cure 23. The Flux of the Hemorrhoids not very familiar to certain Sick People is either Critical which uses to ease them or Symptomatical much weakening the Sick 24. The Flux of the Liver if ever seen by others not by me as I know is to be deduc'd from much serous Matter mixt with the Blood and also relaxing the Vessels 25. The Blood becoms serous by too much use of watry Drink Water Beer c. and also of Spirit of Wine it self whereby at length the firmness of all Parts is weaken'd and the Tone almost gone 25. Seeing that both Matter and Slime rises from the corruption of the Blood and that after an Inflammation in an Aposteme or an Ulcer either deep or superficiarie or an Exulceration whence soever arising such a thing ought to have place as often as the Dejection is observ'd Purulent
Whether such an Aromatic Oil fitly call'd Balsam of Life or any other like it whose stupendious force in such a case is not unknown as well to them that are Expert in the Art of Chymistry as Skilful in the Practice of Physick be join'd to the Blood almost condenst to Death by Phlegm Viscously-Acid in the Right Ventricle of the Heart or elsewhere 22. As much as I am able to attain by the best of my Understanding that I may study to satisfie this Question saving to every Man his particular Judgment I judg it no wise absurd to think that this Conjunction of the Aromatic and then truly Vital Oil with Phlegm Viscously-Acid too much thickning Blood happens in the Vessels of the Lungs seeing that nothing offers to hinder that some part of the over-thick Blood may be driven forward into the Arterie of the Lungs before either the Pulse or Respiration be taken away to Sense This being asserted it will not be difficult to explain how the strength of the Aromatic and Vital Oil should pierce easily to the Right Ventricle of the Heart as I conjectur'd then more or less open'd and also by the Blood it self not less coagulated in the Arterie of the Lungs then too much in the aforesaid Ventricle and therefore less fluid 23. These things being inserted as it were by a Parenthesis to incite Wits note that the wonted Effervescency and hence the Rarefaction of both sorts of Blood flowing together to the right Ear of the Heart and therefore both the reciprocal Expansion and Contraction of the Heart and the Pulse it self is more or less hindred and stopt by both the mention'd Causes to wit Phlegm and a Vapor Viscously Acid which is observ'd therefore not to be in the Syncope and certain kinds of Hypochondriac Suffocation hitherto to be reduc'd altogether to Swounings 24. Among the six Non-natural Things an Vnexpected grievous Sorrow of Mind or Terror and somtimes the biting Cold of Air or Water makes that Cessation of the Vital Effervescency somtimes and oftner in Persons dispos'd to it because of the Viscous and Flatulent also and Acid Humors now already in the Body in Women especially and others of a more fearful Nature 25. II. This Effervescency of the Blood Descending and Ascending to the Heart is Diminish'd and so becoms Less or Weaker by the fault of either the Choleric or Lymphatic Blood 26. Of the Choleric when Choler is not sharp enough or is too little in the Ascending Blood 27. Choler is produced in the Body not sharp enough 1. Because of the over-cold and moist Air. 2. Because of Phlegmatic Watry Oily Acid but not Sharp and Aromatic Food and Sauces over-long us'd 3. Because of much and deep Sleep 4. Because of Rest and sluggishness of Body 5. Because of the Mind void of Care fearful and sad 6. Because of the Monthly Courses or wonted Sweats supprest 28. Choler is found too little in the Ascending Blood for the same Causes newly mention'd and chiefly by a Choleric Loosness or over-great emptyings of Choler wrong done whence the natural quantity of Choler is diminish'd 29. By the fault of the Lymphatic Blood the aforesaid Effervescency is Diminish'd when the Lympha of the Glandules in the Blood is not Sowr enough or too Little or over-Viscous 30. This Lympha is found in the Blood not Sowr enough 1. Because of Hot or Rainy Air. 2. Because of Phlegmatic Watry Oily or Aromatic but not Acid Food and Sauces 3. Because of much and deep Sleep 4. Because of sluggishness and too much Rest of Body 5. Because of the Mind void of Care or Angry 6. Because of the Monthly Courses or a wonted Loosness supprest 31. The Lympha comes too Little to the Blood for the same Causes newly recited and especially because the Lympha stands still or is carri'd another way by reason of the Glandules ill affected in the Stuffing of the Head and other such-like Diseases 32. The Lympha is too Viscous in the Blood 1. By such-like Food long us'd 2. By the Cold and Sharp Air. 3. By a grievous and long-continuing Sorrow of Mind 33. III. The same Effervescency of both sorts of Blood flowing together in the Heart is Encreas'd and becoms Greater or more Potent by the fault of either or of both 34. Of the Choleric when Choler is too Sharp or Plenteous in the Blood Ascending 35. We nam'd the Causes of over-Sharp Choler in Chap. 1. Sect. 6 7. And Chap. 11. Sect. 18. And Chap. 18. Sect. 14. 36. Choler is too Plenteous in that Blood both when it is found more than naturally Plenteous in its Bag and when its Descent to the Gut is hindred and also when it abounds that is is provok'd by an External or Internal Cause to Pour it self out any way as is wont to be in the Disease Cholera and several Burning Fevers 37. The Gall is too plenteous in its Bag chiefly by the frequent use of Bitter especially Aromatic and Sharp Sauces and Medicins 38. The Descent of Choler to the Gut is hindred by reason of any Narrowness whatsoever that is in its Passage to the Gut 39. Summer-Fruits frequently stir up the Disease Cholera of which in Chap. 15. Sect. 8. Chap. 29 c. 40. We intend to give you the Causes and Manner of the rise of Burning Fevers below in Chap. 29 c. 41. Let it suffice that we have here noted Choler may abound by an inward Cause that is be provok'd and compell'd to pour it self out of its Bag as often as some of a Volatil Acid Liquor pierces thither together with the Blood and forces Choler to raise an Effervescency whence no wonder if it runs out at any Passage given and now being carri'd to the Guts stirs up Vomitings or Choleric Loosnesses or being carri'd to the Liver and thence rushing to the Heart breeds Burning Fevers 42. The Vital Effervescency in the Heart is encreas'd by the fault of the Lymphatic Blood when the Lympha is not so Plenteous as Volatil and Sharp though too Little flowing to the Heart with the Descending Blood 43. And such is the Lympha by the abuse of Sauces or such like Medicins such as are Wine of the Maise and Rhenish a little Sowr and also Spiritous strong Wine Vinegar Citron Juice us'd with Spiritous Wine Spirit of Nitre c. 44. But if Choler together with Lympha be peccant after the aforesaid manner who sees not that this Effervescency of both sorts of Blood must yet be hurt and encreast of necessity 45. IV. The same Effervescency is perfected more Quickly because of too little Phlegm in the Blood and Choler and Lympha therefore too sharp and less temperd 46. Phlegm is too Little in the Blood 1. Because of Summer and subtil hot Air. 2. Because of Food or Sauces and Medicins very sharp and Aromatic too plenteously us'd and others neglected which are wont to breed Phlegm 3. Because of a vehement long continu'd motion of the
Asthma Incubus and Hypochondriac Suffocation joind with the Fear or Sense of Strangling To which we may add an Interrupted and Hindred Inspiration in the Hicket Sighing and pricking pains of the Pleurisie 22. In a simple Hard Breathing the Inspiration is wont to be little and also quick but in an Orthopnaea less quick and much greater and indeed with the Neck streight and stretcht forth as in an Asthma there is observd besides a more difficult Inspiration proceding with Labour a Wheazing or Snoaring in the Brest together with a Cough in which often somthing is spitted out often nothing with the Night-Mare to them only that sleep and especially on their Backs a Dream of weight pressing the Midrif and threatning a Suffocation is join'd whence Melancholic People are often wont to dote wonderful things to themselves of a certain or uncertain Person hated The Jaws are so streind in the Hypochondriac Suffocation depraving Inspiration more commonly befalling People awake than asleep that the Sick think themselves in danger of Strangulation 23. In an Hicket Inspiration is interrupted by uncertain and unequal Intervals by reason of the Convulsive Motion of the Midrif somtimes more othertimes less which suffers a continued though lesser Interruption joind with oftness whilst Sighs do urge as in a Pleurisie it is chiefly interrupted as often as the Feverish Heat urging more there is an endeavour of more Breath 24. Every Dyspnaea is stirrd up both for the most part by Wind or Vapors produc'd in the Small Gut by Phlegm rarefi'd by Choler and rising up partly through the Stomach and Gullet to the Mouth hence perhaps piercing farther into the Pipes of the Lungs with the inspired Air and partly being carrid plenteously through the Lacteal Veins and Passage of the Thorax to the upper Hollow Vein hence the Right Ventricle of the Heart lastly the Vessels of the Lungs and their spungie Substance it self stick there and so hindring their explication no less requisite than complication thence strangely and sorely vexing the Sick and somtimes by viscous Phlegm falling down out of the Head and seizing on the Pipes of the Lungs and producing a divers narrowness in them Whence according to the simplicity or complication of these Causes and so a greater or less harm sundry kinds of the Dyspnaea do arise and somtimes less other-times greater 25. In the Asthma and Orthopnaea for the most part both Causes concur although in the Asthma which is call'd Hidden Vapors or Wind only seems in my thoughts to molest and that the same do effect all in the Hard Breathing and Hypochondriac Strangulation whosoever attentivly examins and weighs all the Symptoms then befalling the Sick will easily acknowledg 26. We intend to give you the Breeding and Cure of the Hicket Sighs and the Pleurisie in the next and 40th Chapter 27. I. We have related somthing of the Cure of the Syncope and the most grievous kinds of Hypochondriac Suffocation in Chap. 19. Sect. 70 c. which may there be seen 28. The Inspiration of Air Abolisht the Brest and Midrif being deficient together in their Motion by the defect of the Animal Spirits in the most grievous Apoplexie is Incurable because any impediment cannot be soon enough taken away by which the rising of the Nerves is so comprest that Passage for the Animal Spirits through Them to the lower parts is deni'd 29. The Inspiration of Air Abolisht because the Sharp Arterie is much straitned may be estemed for Incurable unless the Blood Matter Phlegm or any other thing which fills it be soon expelld with strong Expiration or the Band that straitens it in its Strangulation be taken away 30. The same Inspiration Abolisht the Mouth and Nostrils being both stopt may be Cur'd by taking away forth-with the Causes stopping lest otherwise Death follow in a short while 31. So the Inspiration of Air Abolisht by an Obstruction of the Jaws and chiefly of the Throat may be Cur'd by speedily removing any Cause of an Obstruction either by drawing it out or by forcing it into the Gullet and hence to the Stomach 32. The same may be Cur'd there being an extreme Straitness of the Throat because of the Squinsie molesting by curing the Squinsie any way by letting of Blood in the Limbs to turn it away and under the Tongue to draw it forth and by Cataplasms and Gargarisms both of a potently Cutting Ripening Faculty and such-like 33. If the Inspiration of Air be Abolisht by the compression of the Throat by an Halter it may be Cur'd if the Halter be loosd or cut in time 34. II. The over-Frequent Inspiration of Air 1. Because of the encreasd Kindling and Rarefaction of Blood in the Heart may be Cur'd that Heat being allaid as well by Letting Blood as by temperat Acids or Salt Nitre either pure or after it has been fir'd by the help of Sulphur into the Salt or Stone call'd Prunellae 35. 2. The Inspiration of Air not sufficient and therefore ton Frequent arising by the hindred due explication of the Brest the Gristles being of a bony hardness and so inflexible cannot be Cur'd unless by softning the Gristles which what Medicins can perform is known as yet but to a few although there have been some who have even softned any Bones bow'd them variously and again have hardned them according to their pleasure which is admirable 36. The Cure of an Hindred and over-Frequent Inspiration because of the Pain of the Pleurisie follows the Cure of the Pleurisie to be had in the general Method of Curing any Inflammation of which see Chap. 40. 37. 3. The Inspiration of Air two Frequent and hindred following an Inflammation of the Midrif may be Cur'd that being cur'd according to the forecited general Method 38. The same Inspiration hindred because the Midrif is hindred in its expansion may be Cur'd in the Dropsie call'd Ascites by emptying Water out of the Cavity of the Belly any way when the Woman is with Child by sending out the Birth in the Tympanie when the Stomach or Guts are distended with Wind by thrusting them forth or by their own ceasing 39. 4. The Inspiration of Air not Sufficient and too frequent following the Substance of the Lungs either made too Fleshy and Solid or Wrinkled is by me esteem'd Incurable 40. The same caus'd by a Peripneumonie may be Cur'd it being Cur'd after the manner of other Inflammations 41. The same when to be ascrib'd to a mean straitness of the notable Branches of the Sharp Arterie may be Cur'd the Cause of that Straitness being taken away somtimes Internal filling its Branches more or less somtimes External and sticking in the substance of the Lungs and compressing them of which in general we must speak elsewhere 42. Here you may observe as often as the Sharp Arterie is stopt with Phlegm whether fluid or viscous or sharp or mild or with Blood clotterd or dissolvd or with Putresi'd Matter thick or thin or somtimes in those that are
Midrif is for the most part drawn into consent to make an Hicket by the Stomach first affected and especially by Sharp Vapors or Wind or Humors whencesoever procedeing and piercing what way soever to the Membraneous Centre of the Midrif and provoking it by pricking or corroding to perform that Convulsive Motion 11. Therefore I judg the true Cause of the Hicket to be whatsoever is apt to compel the Midrif to a violent but not continu'd and presently interrupted or ceasing and again often a repeating Contraction of it self whether it be found in the Stomach to which hurtful and sharp Medicins or Food rather to be call'd Poison are to be referrd or the same rise up out of the small Gut by the Vitious Effervescency of the Humors meeting raisd in the form of an Humor Vapor or Wind and so affect the upper Orifice of the Stomach especially by corroding that the Midrif encompassing it is also affected or the same being shut up in the Cavity of the Thorax or Belly immediately frets the Midrif or is carri'd to it through its Vessels and sticking in its Substance corrodes its sensible parts or compells it any other way to that troublesome and convulsive solitary and moreover continually repeating contraction of it self 12. If any shall observe both the external and internal evident Causes of Sneezing he will find it is raisd one while by the brightness of the Sun shining either immediately or from the Snow Ice Water a Looking-Glass c. by means of reflection othertimes by sharp things to wit Onions Mustard Radish c. or by things mov'd or drawn to the Nostrils or taken in at the Mouth other-times also by sharp Humors falling down from the Head to the Nostrils in a Stuffing of the Head or Snuffle of the Nose or from Vapors or Rifts likewise sharp ascending out of the Stomach or Small Gut and provoking the Nostrils so that there is always felt a pulling of the Nostrils of what kind soever Whence all these divers Causes do deservedly seem so far to produce a Sneezing in as much as they move the Nostrils those parts ascrib'd to Expiration by provoking and pulling them to expel that trouble the Air together being potently expir'd through the Nostrils with which vehement Excussion of the Air a vehement Shaking also of the Universal Body uses to concur 13. The Cause of a Cough is whatsoever can pull the Sharp Arterie of the Lungs or any way provoke and molest it 14. And indeed the Cause of a Moist Cough is observd to be manifold for somtimes certain things coming from without or taken in at the Mouth and being wrong carri'd into the Sharp Arterie do soon raise a troublesome Cough At other-times the Humors and for the most part Phlegmatic of several kinds either Sharp and Salt or Sowr or Mild and Insipid other-whiles thin and fluid or thick and viscous somtimes Blood pure or mixt with other Humors and somtimes Purulent Matter falling down from the Head and piercing into the same Sharp Arterie do compel the Lungs to Cough Again Humors likewise Various Blood Purulent Matter and perhaps Phlegm or a Serous Humor carri'd out of the Substance or Vessels of the Lungs into the same Arterie do breed a Cough 15. As often as Blood coming out of the Lungs is sent forth with a Cough so often this Disease is call'd a Spitting of Blood and Haemoptoic Passion 16. A Dry Cough has for its External Causes both cold Air and Drink receivd largely and troubling the Sharp Arterie but for Internals somtimes a very viscous or very thin and sharp Catarrh scarce yielding to the Air that is vehemently expir'd somtimes Vapors or Wind elevated from the small Gut and Ventricle through the Gullet and suckt into the Lungs together with the Air or insinuating themselves from the same Gut through the Lacteal Veins into the Heart Vessels of the Lungs yea their Substance even to the Sharp Arterie and provoking it continually to Cough without excluding it self 17. The manifold Diseases noted in Expiration Deprav'd may be Cur'd 1. By taking away or correcting their External Cause 2. By curing any Internal Diseases of the Solid Parts 3. By Amending any Harms of the Parts Containd and also by diminishing their Abundance and by Correcting their vitious Qualities and by removing out of place or moving out those that are peccant in place c. 18. And that we may begin at the Hicket as often as hurtful and sharp Food or Medicins or rather Poison are in the Stomach unless they can be temperd and corrected by those that Alter they are to be Expelld either by a Vomit upward the shorter way or by a Purge downward the longer way which is also to be understood of any Humors found in the Stomach or Small Gut and causing the Hicket 19. We have often before proposd Medicins that Alter and Correct the Humors as also any thing taken in what way soever peccant so that it seems not necessary to repete them here again we only admonish you this one thing That Opiats do conduce before all other things in curing any Hicket not only in as much as they temper any sharp Humors but moreover in as much as they blunt the Sense of the Stomach and perhaps also make the Animal Spirits more slow of Motion if they be us'd by times in a small quantity and so long till the Hicket either ceases or is notably diminisht 20. Among Vomits I here prefer Antimonials before all others both because they do most happily empty any Humors promiscuously and because they are most friendly to Mans Nature by degrees bringing all the Humors in Man after a peculiar manner to a most laudable state which power I doubt whether it be in other things likewise but know it is in Antimonie whatsoever Men blinded with their Prejudices prate to the contrary both otherwise Learned and Unlearned 21. But beware lest they be together taken in too great quantity seeing indeed every Excess is an Enemy to Nature and it is always safer that they be given in a less than in a greater Dose for no harm will at any time follow the first though often the latter for notwithstanding the Opinion of many Pretenders as well as Unskilful Physicians neither do other Purgers and especially Antimonials rightly prepar'd and us'd in a less quantity and emptying no Humor upward or downward hurt any which I having very many times experienc'd do testifie but they always then are profitable either by amending the hurtful Humors in the Body or by preparing them farther for the following Purge which I would chiefly have noted by Younger Physicians for whose sakes this my little Treatise is publishd and not for the Elder who are verst in the Works of Art and therefore need not my Information much less for the obstinate rejecting any thing of an other Man 's by Prejudice or Envy and no less unskilfully than wickedly carping at them 22. When therefore
after Narcoties are first conveniently us'd a Vomit has been taken and little or nothing is cast out upward or downward and the Hicket still urges and signs of the Humors remaining in the Stomach or next Gut raising this Evil do remain then you may safely give the Sick a new Vomit either the same day and then in less quantity or another in the next in a somwhat greater quantity whereby the peccant Humors will be more corrected or expelld upward or downward or both ways For so the truly Rational and Dogmatic Cure of the Hicket will be most safely and no wise unpleasantly and soon enough absolvd chiefly leaning on Experience and hence Sound Reason not Weak or Commentitious and so false 23. If the Vitious Humors be voided by the Vomit taken and the Sick be weari'd by vomiting an Aromatical Mixture may conduce as being most convenient to dissipate the molesting Vapors sticking about the Stomach together with Opiats added in a small quantity and the most apt to asswage the stirrd up too potent Effervescency of Choler and and the Juice of the Pancreas by Vomiting and to procure Sleep mildly and to stay the Hicket more For Example â„ž Mint-Water â„¥ ii Matthiolus his Aqua Vitae or Simple Treacle-Water â„¥ ss Confection of AlkermesÊ’ i. Laudanum 2 Grains Syrup of Mint â„¥ i. M. Let the Sick often take a Spoonful of this Mixture till he find his Body dispos'd to Sleep which that he may the sooner take let him lie down commodiously 24. To this Mixture may be added Sp. of Nitre six or eight drops as often as Wind also molests which often happens 25. If the Sick do less incline to Vomit and be not troubled with Loathing it is better that the Humors peccant be Empti'd downward and that according to their Variety somtimes with Cholagogues other-times with Phlegmagogues or Hydragogues only or at other-times with several of these mixt together as the Matter requires as is set down before 26. And because all Obstinat Diseases have their rising from over-Viscous Humors at least acknowledg them to be conjoind to their Cause therefore in an Obstinat Hicket the Medicins that both cut and educe viscous Humors are not to be neglected To which end our Magisterial Pills describ'd before in Chap. 14. Sect. 50. as also the Decoction propos'd in Chap. 2. Sect. 35. may conduce But there is no need that such should be daily us'd unless they educe little for where they cause many Dejections it is safer that they be taken only in the third or fourth day and only such as cut and correct the Humors any way peccant and discuss Vapors and Wind or otherwise such as are Corroborating often mentiond should be us'd in the days between 27. When the Hicket is the Symptom of any other grievous Diseases an Acute Fever Inflammation c. it is wont to remit of its own accord when they are cur'd although then nothing hinders that Opiats being added and moreover taken with Sudorifics or any kind of altering Medicins and appropriated to correct the Primary Disease or the vitious Humor may be us'd together By which if a mild Sweat should be promoted and the other Symptoms together-with the Hicket be diminisht we may hope well of restoring the Sick but if not then ill 28. Sneezing which takes its rising from External Causes is soon wont to cease when those are taken away or shund But that which acknowledgeth Internal Causes both sliding down from the Brain and rising up from the nether parts may be Cur'd both by Correcting the Sowrly-Salt Humors in the Stuffing of the Head and Viscous Phlegmatic Humors for the most part joind with them both by Oily and Spiritous Aromatics and by Educing them partly by Stool by Hydragogues and Phlegmagogues partly through the Nostrils or Mouth by mild Sneezers or Masticatories and by Correcting the Humors that raise a vitious Effervescency in the Stomach and chiefly in the small Gut and driving sharp Vapors upward to the Nostrils by the forementiond Spiritous and Oily Medicins not neglecting or omitting Opiats and by Educing the same down ward rather than upward if they abound by Medicins often propos'd Where Sudorifics use to avail very much which not only thrust out but together amend the Vitious Humors 29. A Cough may be diversly Cur'd according to the diversity of its Cause For when any thing is let in from without and carri'd into the Sharp Arterie of the Lungs and is either put forth again by Coughing only or being mitigated with a little Beer Drunk upon it the Cough soon ceases or at least is by little and little allaid 30. The Phlegmatic Humors falling down from the Head into the forenam'd Arterie require for their Correction if Sowr Crabs-Eyes Coral Pearl c. If Salt Gum Dragon and Arabic the Roots of Marsh-Malows and Sugar thereof Licorice-Root and its thickned Juice the Pils of Hounds-Tongue or of Styrax prescrib'd in Chap. 20. Sect. 36. or the Troches in Sect. 37. 31. Phlegmatic Humors in no wise Sharp but Insipid if they be both Thin and Watry need the same Pills and Troches to Correct and Thicken them 32. If they be Thick and Viscous they require both Sowrish-Sweet things and Aromatics simple Oximel and that of Squils adding the Syrup of Hysop of the two and five opening Roots and such-like to Attenuate and Cut them whether they be swallowd slowly after the manner of a Loch or they be us'd by Spoonfuls diluted with Aromatic Waters 33. The same manifold Phlegmatic Humors in the Blood at least in the Head when abounding are to be Diminisht by Hydragogues and Phlegmagogues and somtimes Diuretics and Sudorifics yea somtimes we must have recourse to Salivation it self which may be stirrd up divers ways 34. Blood carri'd down from the Head into the Lungs and raising a Cough is to be stopt in its Efflux by Opening a Vein if a Plethora concur or a notable Heat of Blood or a Suppression of its wonted Emptying Although its over-great Heat may also be allai'd with things Sowr and especially a little Tart. For Example take this following Decoction â„ž Plantane-Leaves M. ii Sempervive the Greater Wood-Sorrel-Leaves of each M i. Boil them in Barley-Water adding to â„¥ xx of what is Straind Syr. of Jujubs â„¥ iii. Salt Nitre purifi'dÊ’ i. or Lapis PrunellaeÊ’ ss or Sp. of Nitre 20 drops M. for a Decoction Let the Sick take often a mean Draught of this to allay any over-great heat of Blood and hence any bursting forth of Blood that may follow 35. The same Blood is to be stopt in its Flux by Conglutinating the opend Vessels by the Mixture prescrib'd in Chap. 9. Sect. 20. or one like it often mentiond before 36. The Corruption of Blood into Purulent Matter â—s to be prevented all manner of ways and especially by the Balsam of Sulphur with Anise-Oil or any other not ungrateful as by the help of this the turning of the Blood into Purulent Matter
somtimes at that time and even uncertainly which therfore who might not fitly name them Inordinat and Wandring 21. But although the most Fevers are wont to invade the Sick with a greater or less Sense of Cold Heat somtimes lighter other-times more grievous succeding it yet are there not wanting such as only Cold or only Heat or neither accompanies manifest to the Sense as well of the Sick as of Physicians or by-Standers Let none think as is commonly said That the essence of every Fever Consists in Heat encreasd beside Nature in the Heart hence disperst through the Vniversal Body 22. None who hath weighd accuratly with an attentive Mind both the Fabric and Ways or Vessels of the Containing Body and the natural Motion of the Containd Body that is of the Blood and other Humors will deny that the Cause of Continual Fevers is requir'd Continual that is continually carri'd to the Heart As on the contrary the Cause of Intermitting Fevers is not continually but only by Intervals carri'd thither and therefore apt to be hindred in its motion to the Heart 23. Seeing Cold and Heat are deservedly numbred as the chief and more frequent Symptoms among the most of manifold Fevers we must diligently enquire into the most probable Causes of both and hence into the Causes of the Continual Heat after the first Cold overcomd or both of Cold and Heat returning by Intervals or of Heat stird up only in a divers and determinate time For those things being lookd into and determind it will not perhaps be very difficult to explain the Fevers though most divers and to extricate the Mind desirous of Truth from almost infinite difficulties to be mov'd by any 24. That therefore omitting the Opinions of others for I think it behoovs every Man to prove his own I may in a few words relate That that seems true even to me I judg I. That the Cause fâ— every Continual Fever is Choler or Lympha under which I comprehend the Juice of the Pancreas and so Spittle it Self in as much as they are carri'd to the Heart or Both vitious and raising such an Effervescency in the Right Ventricle of the Heart whence the Pulse is continually produc'd more freauent 25. But I deduce Cold observable about the first bâ—ginning if a Continual Fever depend on Choler alone primarily vitiated from the same vitious Choler together with the Juice of the Pancreas raiâ—ing an Effervescency vitious in the small Gut and that such as somwhat sowr Vapors are carri'd up by the said Juice and being anon driven every way breed a light Cold every where which yet a little after gives place to Heat bred by the same Choler carri'd to the Heart 26. But if a Continual Fever depend on Lympha alone primarily vitiated seeing it follows both the Conglobated Glandul's and also in part the Conglomerated Glandul's and so the Pancreas it selt ill-affected what wonder if the Juice of this being made somwhat more Sowr breed a vitious Efferveseency with Choler in the small Gut and together send form somwhat sowr Vapors which being disperst through the Universal Body every where stir up a Sense of Cold divers according to its greater or less Harm 27. But if a Continual Fever depend both on Choler and on Lympha together vitiated Cold troubling the Sick about its beginning is produc'd from the mentiond Causes conjoind 28. After the preceding Cold somtimes more grievous somtimes lighter Heat is wont to follow in the most of Continual Fevers and much greater and more troublesom from Choler alone primarily peccant whence therfore Burning Fevers do arise but much less and more mild and somtimes None from Lympha alone primarily peccant chiefly when much Phlegm together abounds in the Sick to which Chill Fevers are to be ascrib'd Lastly Heat being mean from both together vitiated and separating it self again after a certain manner 29. When the Lympha is vitiated and the Glandul's that are in the Brain are together much affected First A Stoppage of the Head that is a Burthensom Pain in the Head if we follow the proper signification of Words is wont to be raisd and a little after both somtimes Coryza when the Liquor falling down from the Brain distils to the Nostrils and somtimes an Hoarsness or Cough when it distils to the Jaws or Lungs known by the name of a Catarrh whence the Fevers then accompanying are wont to be nam'd Catarrhal Fevers 30. II. I judg the Cause of all Intermitting Fevers to be the Juice of the Pancreas in some part of it standing still in one â—r more lateral Passages of the Pancreas obstructed and made sharper by its stay there and piercing through Phlegm more or less viscous the Cause of the noted Obstruction a way being prepar'd by force by that sowr Acrimony and effus'd into the small Gut and there raising a vitious Esservescency with Choler and Phlegm and indeed producing different Cold in the beginning of the Fit somtimes more grievous somtimes lighter somtimes longer somtimes shorter till at length when no more of it retaind against Nature and so vitiated flows out the same is overcom'd again which is usually by Choler partly before comprest and as it were supprest now again being returnd to it sâ—lf partly sliding down continually whence the Mixture rising from both and Phlegm and being carri'd to the Right Ventricle of the Heart is the Cause of the Heat following somtimes greater somtimes less somtimes none as Choler and Phlegm are variously affected to the Juice of the Pancreas always at least then in part vitiated 31. III. I judg the Cause of Fevers compounded of Continual and Intermitting Fevers and not quite Intermitting but Remitting only and again stird up both Causes of each newly mentiond together concurring 32. IV. I judg the Cause of Continual and Mild Fevers in the mean time stird up about Two Hours after any Food taken in commonly call'd Hectic Fevers to be chiefly Spittle vitious and giving occasion for vitious Chyle because of more Glandul's together affected by which Chyle so carri'd to the Heart the Esservescency being deprav'd the Pulse is still stird up more frequent then before 33. In like manner as I judg all Cold in any Fevers to be deriv'd partly and chiefly from the Juice of the Panereas as sâ—wr and perhaps somtimes also from Lympha in like manner being more sowr partly from Phlegm either Insipid or Acid So I think all Heat is to be attributed to Choler upon the account both of its Lixivial Salt and Oil for Oil is apt to take the force of Fire and keep it on the contrary a Sowr Liquor is apt to extinguish it and again to condense the Oil that was rarefi'd by the Fire but a Lixivial Salt especially joind with an Oil as oft as it causes an Esservescency with a Sowr Liquor produces a notable Heat And so when all are moderat and keep their requisite proportion and due manner the vital Fire is preservd in
the Universal Blood by that friendly fight but it is encreasd as oft as Choler being very Salt and Oily has Dominion on the contrary it is diminisht as oft as the power of the Sowr Liquor is greater Lastly The same is extinguisht where the extreme excess is in either or both of those somwhat Contrary 34. A Fever may in general be Cur'd Either I. By Condensing the Blood too much rarefi'd and by allaying the over Esservescency of the Blood 35. Or II. By Tempering any Sharp or Sowr or Lixivial Salt thing found in the Humors and carrid to the Heart 36. Or III. By Discussing every Vaporous Windy thing or by preventing its rising 37. Or IV. By taking away every Sharp thing pulling the Heart on the out-side 38. Among the Symptoms of Fevers that are more frequent and primary Cold is Corrected by Medicins that temper the Sowr Humor and amend Insipid Phlegm and Heat by Medicins that mitigate the Lixivial Salt and condense the Oil. 39. An Obstruction of the Passages of the Pancreas may be Cur'd by loosering at least by removing viscous Phlegm out of its preternatural place and by carrying it out by Vomit Stool Vrin or Sweat 40. And by what Means and Remedies all these may be performed will not be difficult from what is above-said and will yet be more evident from the peculiar Cure of the several kinds of Fevers to be propos'd hereafter CHAP. XXVIII Of a Fever of One Day 1. THat we may not seem rather to confound Students busied in the reading of Classic Authors than help we will treat in order the Kinds of Several Fevers as they are commonly distinguisht and propos'd 2. Therefore let us begin at the Diarian Fever which is either of one day and scarce continues the space of 24 hours call'd Ephemera or continues two three or four days call'd by certain Diaria of More days and a single pure or not putrid Synochus 3. A Diaria is wont somtimes to begin with a light shivering testifying a little Cold accompanying or preceding somtimes without it and chiefly when the Universal Body by degrees is so far heated by some Non-natural Thing that at length a little Fever is stird up wherein Heat in the Heart and Blood doth not so much begin to be encreasd as to degenerate out of a more encreasd Non-natural Heat into a Preternatural Heat which besides may deprave other Functions and produce a Pulse more Frequent then is Natural and although its Cause bâ— taken away or moderated yet remaining longer than is wont with greater or less trouble of him that is Sick 4. Heat in a Diarian Fever following a Shivering or stird up without it any way is wont neither to intermit nor to be made more intense by any new Fits but uses to persist continual to the end and remain in an Ephemera as also a Synochal Homotonus or Aemastic so call'd usually in the same degree as gradually to decrese in a Paraemastic and in an Epaemastic perpetually to increase till at length it again câ—ase by degrees 5. The same Heat is gentle mild and vaporous in an Ephemera the Skin remaining soft and moist In a Synochus somwhat greater yet not sharper when the Blood and other Humors are temperat but sharper when the Blood is more sharp by Choler or Lympha a little sharper than is natural declining a little to the nature and manner of those call'd Putrid 6. The Causes of all Diarian Fevers are the Six Non-natural Things so call'd vitiously us'd and therefore soon manifest 7. The observable Symptoms in Diarian Fevers beside the over-frequent Pulse are divers according to the diversity of the noted Causes either Alone or Adjoind 8. For when a Diarian Fever is rais'd by the alone Heat of Air to be ascrib'd either to the Sun or Fire or Bath no Shivering is observ'd but Heat alone and that by degrees more and more encreasd in the Body till at length being made Preternatural testifies the presence of a Fever not only by the Pulse greater and more frequent then is wont but also by the Pain and Pulsation of the Head and such like Symptoms anon to be recited 9. If Cold of Air or any other thing come upon the Body hot what way soever whence a Diarian Fever is raisd a light Shivering will precede the greater Heat soon after following and then in the beginning indeed the Pulse will be little but anon greater and conjoind to both more frequent other Symptoms also happening 10. So when a Diarian Fever is raisd by strong that is very Spiritous and especially Aromatic Drink taken in too much quantity a Shivering will scarce ever precede the Heat continually encreasd and at length made Preternatural and Feverish and not only manifest by a greater and more frequent Pulse but by a Heat moreover troublâ—som and by other Symptoms 11. When a Diarian Fever is bred by an over-agitation weariness and more vehement Motion the Pulse is observd not only more frequent but moreover weak beside a universal and troublesom weariness of the whole Body 12. But when a Diarian Fever is caus'd by the Passions or Motions of the Mind it owns Anger for its Cause and then the Pulse is not only more frequent and greater but moreover unequal and troubled as when it is bred by a sudden Sorrow it is Little Weak and Vnequal and about the beginning of its approach Rare and a little after more Frequent in both Cases with a more sharp Heat and a light driness of the Skin 13. When a Diarian Fever arises from Watchings prolongd and Cares a Frequent Little and Weak Pulse is wont to be a present Companion with a dryer Heat of Body and Pain of the Head carrying before it the Sense somtimes of Weight other-times of being Void or of Emptiness 14. All the Symptoms of Diarian Fevers use not a little to vary according to the various Constitution of the mentiond Causes and of the Body both Continent and especially Containd that is of manifold Humors 15. But the most Frequent Symptoms in the Diaan Fevers are a light Shivering preceding Heat somwhat more grievous following Thirst somtimes greater somtimes less Somtimes a manifest Bitterness of the Mouth somtimes none Vnquietness and Weariness of the Vniversal Body especially the Lims more or less troublesom A grievous Head-Ach with a notable Pulsation Watchings prolongd or an over deep Sleep A more stird Respiration An over-frequent and together somtimes greater and strong enough Pulse somtimes Less and Weak seldom Vnequal The Veins turgid The Skin for the most part foft and moist seldom harder and dryer The Face red and tumid Vrine in the Ephemera scarce chang'd from its natural state in the Diaria of more days more of a reddish colour Sweat breaking forth somtimes sooner somtimes later not ill smeld nor troublesom to the Sick seldom none 16. A Diarian Fever is not dangerous of its own nature whence it is terminated somtimes of its own accord
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
judg any fixt Mineral Sulphur of Vitriol or Antimony more excellent 91. Opiats may be us'd both Internally and Externally many Forms whereof we have given before and in special in Chap. 28. Sect. 22 25 30 40. whence they may be sought 92. V. A speedily wasting Fever may be Cur'd by using and mixing with the other Medicins those that powerfully though mildly correct Choler too sharp together and fat To which end I commend dulcifi'd Spirit of Salt before many others and others suchâ—ike first temperd by the Spirit of Wine to be mixt with other Altering Medicins prescrib'd here and there in this Chapter 93. But always attend to the other Symptoms more or less differing in every Patient and therfore requiring some difference of Medicins in a right Method of Curing wherein the prudence and judgment of a Physician diligently examind somtimes wonderfully appears seeing that the excellent Precepts of others formed by long use of things do indeed direct but not contribute Judgment to a Younger Physician 94. We intend shortly to give you the Cure of Malign Fevers in the following 33 Chapter CHAP. XXX Of Intermitting Fevers 1. INtermitting Fevers are such as molest the Sick with divers Fits which of their own accord do wholly depart and then come again anew 2. For as oft as the Sick are troubled with a Fever returning either in certain or uncertain Intervals no Error being committed in the Non-natural Things by Internal Causes so oft it 's said to Intermit that is not continually afflict but return by Fits and again wholly cease 3. As oft on the contrary as a Fever is stird up not by Internal but External Causes and chiefly by one or more Errors committed in the Non-natural Things so oft it is call'd only a Fever till it may probably be thought to prove either Continual and that of One day with or without Fits by Symptoms accompanying it or else after some certain days its kind may certainly be determind 4. For they ascribe too much to themselvs that do vainly boast to obtain a fame of quick Judgment amongst ignorant People though oft taken in Mistakes that they can certainly determin even in the very first Invasion and at the beginning of the Invasion of any Fever whether it will be but of One day or with or without Fits and indeed whether it will be a Quotidian Tertian or Quartan-Fever Which Thrasonic boasts we willingly yield to them who feed themselvs and others with sinoak and delight in Wind. 5. The different Kinds of Intermitting Fevers are taken 1. From the divers Interval somtimes shorter somtimes longer which happens between the Fits 2. From the grievous differing Symptoms which use to accompany them 6. I. By reason of the divers Intervals Intermitting Fevers are divided into Quotidians Tertians Quartans Quintans c. in so much as they return either every day or in the Third Fourth or Fifth Day c. which we have oft told you we observ'd in Chap. 27. Sect. 13 c. to be somtimes Single other-times Manifold Double Three-fold or Compounded of Divers adding the Signs that distinguish them from one another 7. II. By reason of the grievous Symptoms as we have already said in Chap. 29. Sect. 23 c. of Synochals Intermitting Fevers get divers Names For I. they are somtimes observ'd Chill not only with Cold chiefly but with Cold only troublesom so that somtimes and most frequently a gentle Heat somtimes and more seldom none at all doth follow 8. Such Fevers even always Cold we have had in our Academic Hospital so manifest that not only at the beginning and augmentation but even in the vigor and declination yea at the end of the Fit that is always both to their Own and the By-standers and also the Physicians perceivance the Sick were troublesomly all-over cold never warm much less hot in any part And these grievous Chill Fevers are perhaps always Quotidians 9. But the more troublesom Intermitting Fevers do so oft come with Gold preceding as with Heat following that they have taken their Name from it not only in the most of the Regions of Germany and others of the North but most of the common People think they have the Fever only so long as they endure sharp Cold judging themselvs freed from the Fever so soon as Heat often not at all or but a little troublesom or grievous begins And then such most commonly are Quartans somtimes Tertians 10. II. Oft Intermitting Fevers are Burning and chiefly Tertians in which a short and light only or almost no Cold is noted or a gentle Shivering Fit to precede Heat and extreme Burning and that oft remains long and is always troublesom after the Fit is ended So that somtimes a new Fit returns before that the great Heat of the former doth wholly remit 11. But it is not necessary that therfore the Fever should be thought to have remain'd together with the Heat remaining because the Pulse remits of its former swiftness but the encreasd Heat of the Body does not return to its former temper Whence somtimes also a Continual Fever by degrees follows such an Intermitting Fever and becoms a Continual Tertian 12. But although somtimes Intermitting Fevers trouble the Sick with Cold only or Heat yet for the most part they are molested with both and Heat uses to succede Cold and then somtimes Cold somtimes Heat does most oppress them or continue longer rarely afflicting them equally For they are utterly deceiv'd who by their false Prejudices and against daily Experience do falsly teach their Pupils that the preceding Cold is overcomd by two-fold three-fold or four-fold Heat succeding either upon the account of its Continuance or Vehemence 13. For briefly to describe the History and Manner of the Invasion and Change of the most of Intermitting Fevers according to their two-fold newly mentiond Symptoms most frequent above others and most noted but withal not neglecting the rest there is wont to precede as a Fore-runner a Yauning and Gaping and somtimes a Vniversal Weariness of the Lims or Unquietness rarely Sleepiness and more or less to continue and molest 14. To one or more of these troubles there succedes for the most part at least as far as I could observ in my Patients Coldness in the Region of the Loins and truly somtimes more grievous other-times more light which a little after goes in the Passage of the Back-bone as well upward as downward to all the Remote Parts of the Body and which not only manifests it self in the Fingers and Toes but in the Nose Ears Chin Tongue yea and moreover in the Whole Skin afflicting and molesting the inward as well as the outward parts 15. It is rare that no Cold at all is perceiv'd in the Region of the Loins or not but late Which somtimes 〈◊〉 have observ'd troublesom only to the Sick in the middle of the Belly where the small Guts are wrapâ—ed round 16. But even somtimes in the Inner Parts of the
the Jaws through the Arteries together with the Blood I altogether think the Arthritics are to be distinguisht from the Catarrhals As often as I had opportunity to observ very exactly the Rise and Progress of the Gout by my Patients faithful narration even so oft I have minded that it has risen together with a Continual or Intermitting Fever Whence the Gout was not a little augmented by the return of the new Fits of the Intermitting Fever till it was either chang'd into a Continual Fever or ceased of its own accord or was Cur'd by Art the Pains of the Joints persevering nevertheless 37. XV. As Continual so Intermitting Fevers are oft attended with Mad and Raving Fevers call'd by the Dutch Rasende Koortsen from their Raving seldom indeed during Cold but oft when Heat does follow the Head-ach and Pulsing of the Temples and then ceasing by degrees with the Fit again and that after Sleep either pleasant or troublesom with wakings 38. XVI The Emetic or Vomiting Intermitting Fevers are so call'd from the Vomiting that somtimes continually other-times by intervals are very troublesom either when the Cold begins or in its continuance or in the appearance or encrease of Heat so much the more grievous that the Sick are not thereby eased but more griev'd Whence that Vomiting is deservedly judg'd Symptomatical and not Critical 39. XVII So Intermitting Fevers also are observâ—d from a great and frequent Purging and somtimes also with Gripes much troubling and weakening the Sick at divers times of their Continuance therefore to be call'd Emptying or Cleansing Fevers 40. XVIII The Fits of most Intermitting Fevers use not only to end with a Sweat good for the Sick and therfore then to be esteem'd Critical but oft for the most part of the Fit a great Sweat hurtful to the Sick and therefore Symptomatical most commonly hot seldom cold Breaths out of the whole Body or a particular part as the Head Breast Abdomen or Lims which makes the Sweating Fevers Such also are Continual Fevers observd to be that are known by the Name of The English Sweat 41. XIX But Intermitting Fevers are also observd with almost a continual Urining and that Symptomatical weakening the Sick not Critical and easing them which therfore may fitly be call'd Vretic Fevers 42. XX. Lastly that I may put an end to these partly new names Intermitting Fevers are observd to be accompanied with a grievous and troublesom Spitting and therfore to be nam'd Spitting Fevers 43. Without doubt there are yet many more Kinds and Differences of Intermitting Fevers to be nam'd from their grievous and molesting Symptoms but let it suffice to have mentiond the most notable ones which I being much hurried could call to Mind 44. If any ask me the Causes of Intermitting Fevers differing so many ways among themselvs I answer That one cause makes an Intermitting Fever as Intermitting and another makes it of this or that Kind in as much as it returns in this or that day or is accompanied with these or other grievous Symptoms 45. If any where certainly in assigning the true Cause of all and every Intermitting Fever the great difference of Doctors of Physic is observd lastly mine also perhaps varies not a little from the Opinion of the rest I now intend more deeply to enquire more accuratly to examin and explain more exquisitly then ever I did before all this hard and intricat business chiefly upon their account who never heard or are like to hear me publicly or ever have hall or may have conference with me about this Matter Which I will do as much as I may for my Concerns and Distractions daily encreasing rather then decreasing and therfore perpetually withdrawing my Mind from an attentive Meditation wholly requisite here my privat Auditory tarrying for the same and the Printer daily urging 46. There is therfore requir'd to produce an Intermitting Fever that is which returning somtimes in certain other-times uncertain now in shorter othertimes in longer Intervals and indeed after a total Cessation and that also somtimes longer othertimes shorter by new Fits longer and shorter likewise both on the account of Cold and Heat which seeing it is not in the Blood otherwise it would be a Continual Fever is mixt with it and carri'd to the Right Ventricle of the Heart and truly 1. From such a part of the Body which should communicate it self by its Vessels with the Heart either immediatly or mediatly For here we suppose as our Foundation the Circular Motion of Blood both prov'd abundantly by others and Us also elswhere 47. 2. From such a part and by such Vessels in which it may by an External Cause consisting almost in the Non-natural Things so be infected and afflicted that it may be suddenly stopt in some part in its Motion and that for some time and hindred now longer other-whiles shorter lest it should constantly come to the Heart 48. 3. It should be such a thing as either for its stopping alone and standing still in its Place or Vessels of its own accord or for any other Internal Cause concurring to be nam'd or demonstrated should acquire such a vitiation from which where after that an open passage to the Heart is restor'd to it by what way soever either alone or joind to others also to be determind all the Symptoms though never so divers and observable in the manifold Kinds of Intermitting Fevers describ'd may commodiously be deduc'd and confirmd by a rational and certain Cure For We command all Hearty and Worthy Students of Physic the Queen of Arts once and always to bid farewel to the Commentations and vain Fictions contrary to the Practice of Physic 49. 4. It should be such an Impediment which for a time may bind up such an Humor stopt before and after it has got an Out-let by what cause soever at last it should return to its former Nature and therfore should likewise stop the like Humor to the former so long in the same place till the same as the former pour'd out by away prepar'd after what manner soever should produce a new Fit and that should be so long continu'd by course til at length unless the sick perish first either of its own accord or by chance or by art the noted Impediment should be corrected or taken away and the Intermitting Fever be Cur'd by the same 50. If therfore we should attentively consider that all the Humors of the Body of Man for we leave the oeconomy of Brutes to Ferriers to be weighed and explaind are prepar'd in their proper Places or be kept there and after that be carri'd through their Vessels to the Right Ventricle of the Heart we shall observe that beside the Blood returning to the Heart by the Veins from all the Containing Parts 1. Choler mixes as well immediatly by its Passage through the Liver with the Blood Ascending as mediatly with the Blood Descending through its Passage to the Gut in the Guts the Lacteal Veins and
And perhaps this happens easier and ofter in the Pancreas then in all the Parts of the Body because Phlegm is easier and more plentifully joind and transported to the Acid Matter of the Juice of the Pancreas exceding all the other Humors in Acidity and again it separates easily when Coagulated by any Cause wherby the Separation between that Acid though not very sharp Juice and Phlegm though Clammy being only confus'd in no wise wholly mixt is promoted 63 Nor have we only Concluded that the Obstruction of the Pancreas in the Lateral Passages may be in probability by the now mentiond Causes in part contrary to it and mutually receiving one another but we have evidently cleard by ocular inspection more then once that it is actually done in our Dissections of Bodies 64. For somtimes among our Dissections even publicly several being then present in our Academic Hospital of the Sick besides other grievous Diseases we had the Bodies of those that died of Intermitting Fevers and indeed often manifold and of long continuance we forc'd in a liquid Volatil Salt coloured blew into the Passage of the Pancreas where it opens into the small Gut by a Syringe fit for this matter Which Salt because it pierced only into some and not into all the Glandules at first though the next day it opend all whilest it entred into both those that were near and remote and indeed some near as well as remote were not colourd and dy'd them of its colour there must needs be some obstacle which hindred the infus'd Liquor from passing through all the Lateral Passages of the Pancreas into the adjoining Glandules which all the Spectators beheld and without doubt could not but acknowledg the same 65. And that that hindrance was an Obstruction by a thick and viscous Humor stuffing up the Lateral Passages I therfore affirm because beside which none not the least sign of Compression or of any other kind of Straitness to which this can be ascrib'd did present it self all the Antecedent Causes as oft as they come to be known and the Symptoms wonted to accompany Intermitting Fevers and so also the most rational and certain Manner of curing them are found to agree and exactly to square with an Obstruction 66. 3. Such is the Juice of the Pancreas as that it may of its own accord get such a vitiation by its delay and standing still alone in its Lateral Passages as that then all the Symptoms of Intermitting Fevers though never so different may commodiously and without difficulty be reduc'd to it partly alone and partly joind to others hereafter to be determind and confirmd by a rational and certain Cure 67. For the Juice of the Pancreas is naturally sowrish which is cleard by several Arguments propos'd by Me in My second Disquisition of Fevers Sect. 32 c. and also by Experience in the happy success of that Ingenious Dr. Regnerus de Graaf tried often here and elswhere in Dogs and also once at Anjâ—u in a Man unhappily opprest and kill'd with a Beam falling on him and in a peculiar Exercise here expos'd to public examination at the end of the year 1664. I being Praeses 68. This Juice because it is sowrish therefore is such also which by its delay and standing still is vitiated of its own accord in any of its Passages and indeed so that first of all it becoms more Acid then usual and hence dissolvs the Phlegm obstructing its Passages either wholly and then carrying it out or at least pieces and passes through and at length both Alone and joind with other Humors afterward to be explaind is not only like to produce but indeed produces ill the Symptoms that happen in all Intermitting Fevers 69. For daily Experience testifies that any Acids become always of their own accord more Acid. So Vinegar the older so much the sowr The Reason wherof I take to be this to wit that the Acrimony of Acids is then encreasd because the Volatil Spirits that temper that Acidity do at least in part vanish away whence no wonder if any Acid Liquor being kept grows sensibly more Acid. By the same means the making of Vinegar may be promoted though unknown to many in a common place warmd with Fire or expos'd to the Sun on an House top for by these means a way is prepar'd for the more easie and speedy efflux of the Volatil Spirits 70. And as any Acid Liquors not within our Bodies do of their own accord and more encrease in Acidity so within the same the Symptoms both in Melancholic Diseases so call'd and which here is more requisite those that are observable in the beginnings of Intermitting Fevers and as they oft rise without the wrong use of any Acids so are they to be referd to an Acid Liquor these I say do prove that the Juice of the Pancreas by being stopt does grow more Acid which therfore we intend strait way to search more accuratly 71. The Jaice of the Pancreas grows Acid with standing still in its Passages because the Volatil Spirit which is naturally conjoind to it and so tempers it departs then gradually more and more 72. This Juice of the Pancreas by standing still as aforesaid becoming more Sharp and Acid begins to use its force and to Cut the Phlegm that stops its Passages which if it prevail with so much toughness and thickness that it cannot be wholly cleansd loosed and thence remov'd it pierces it then and opens a way for it self by force to pass through 73. We intend to deduce the rise of all the observable Symptoms in Intermitting Fevers from the too much Acidity of the Juice of the Pancreas and other Humors joind to it after we have premis'd in a word the fourth Requisite Sect. 49. also here to concur to wit that the Phlegm that obstructs the Lateral Passages of the Pancreas which not only compels the Juice for a time to stand still there but moreover when it has yielded it an Out-let causd by its Acrimony does presently again come together grow in one and so repairs and renues the Obstruction that was in part opend and hence stops likewise that Juice so long in the same place till being let out also as the former in an open way it produces a new Fit and that so long continu'd till the Fever and Obstruction be wholly cur d any way or the Sick himself destroy'd 74. That the nature of Viscous Phlegm is such that though it be pierc'd through yet runs together and unites again is sufficiently evinc'd by the liâ—â— change of all viscous things and also the eradicaâ—â—ng and choaking Medicins of Intermitting Fâ—vers 〈◊〉 whether they be of an inciding or cutting naâ—â—â—â— and Diuretics or Sudorifics or whether Vâ—â—â—â—â—â— or Purgers For all these seem to my appr 〈◊〉 〈◊〉 to cure Intermitting Fevers in as much as they â—â—â—cide loosen cleanse and carry down to the Gâ—ts aâ—â— somtimes totally educe out of the Body though iâ— a divers way the
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
another Cause also and that either deducing unactive Phlegm into act or producing Windy Vapors from the same it is very evident that a sowr Humor is requird both to stir up and encrease the force of Phlegm and to breed Vapors that cause Gaping because especially if it be a little Tart it will make the Phlegm more glutinous which may produce the Sense of Heaviness and Compression sooner and more potently and raising an Effervescency vitiously and victoriously with Choler as we taught you happend in the beginnings of the most of the Intermitting Fevers giv's occasion to Windy Vapors and so to Gaping it self 70. We said 3. that a Swouning did somtimes precede the Distension of the Belly Belches or Gripes all which seeing they arise from Wind either very mild or sharp deduc'd and deriv'd from Phlegm either viscous only or also sowr at a certain time and a little before a Swouning the Truth of our Sayings is abundantly manifest 71. We taught you 4. that Dimness and Darkness before the Eyes together with a Giddiness and Tinkling in the Ears did often precede a Swouning And who knows not that all these arise from Vapors rising from the lower parts to the Brain one time mild another time sharp having alwayes Viscous often also Sowr Phlegm for its Matter and troubling wonderfully the Motion of the Animal Spirits 72. 5. Lastly we have Observd that Retchings and Convulsive Motions do somtimes also precede Swouning And because the efficient Cause of Retching uses to be the same as that of Gaping and they only differ in the part affected hither you may transfer what we have told you before of Gaping And because that Convulsive Motions arise as we intend if God permit to shew you in the following Book from an Humor or Vapor sharp but withal sowr corroding and pulling the Beginnings of the Nerv's by course our Opinion is not a little so confirmd 73. And now we have declar'd the Symptoms that usually precede a Swouning let us also run over the others very notable which are wont to accompany It Among which although a Pulse Less and more Languid or None at least manifest to Sense cannot be reckond the last yet because for that end we have already mentiond more of its Causes lest we do one thing twice let us go on to the other Symptoms 74. In every Swouning therfore the Internal as well as External Senses are drawn into consent and are always darkned more or less yea somtimes they cease from all their Operation And that the reason of this wonderful Effect and Event may be more manifest I would have the Younger Physicians to consider for Old Men and such as are Compleat in the Art of Physic need not mine information That in every Giddiness which we told you did for the most part precede a Swouning and especially its more grievous kind the Internal as well as External Senses were troubled and after a manner darkned And seeing that it is known by manifest Experience that the swift Turning round of an External Thing seen or of the Body it self produces Giddiness the Animal Spirits in like manner being mov'd round at least confusedly stird why should we doubt when the same Spirits are in like manner mov'd disturb'd and perhaps turnd round by Vapors in the Body very much mov'd and rising up to the Brain that the Senses as well Internal as External are not only troubled and disturbd but also darkned so that they seem to cease for a time For if they then do any thing which is unknown to them yet the disturb'd and confus'd Mind not being in its power keeps no Remembrance therof 75. These things being thus laid no wonder if in a Swouning the Animal also or Voluntary Motion be Diminisht or Abolisht and Respiration it self either Obscur'd or Deficient For the Animal Motion follows the orderly and perpetual and also by the Will determind as the matter and the various Disease require Motion of the Animal Spirits through the Nervs to the Fibres of all the Muscles or those selected of which Motions seeing neither can consist intire with the disturâ—d and pervers Motion of the Animal Spirits it is necessary that in such a case the Animal Motion and Respiration also it self should be spraind and loosend 76. But the External and Internal Senses and Animal Motion will not only cease for a time because of the disturbd Motion of the Animal Spirits but also by reason of their Motion hindred or taken away which may be when they cease to be bred and separated from the Blood because the Mass of Blood is coagulated and made unmoveable by any sowr and chiefly tart thing For there is need to perform the Internal as well as External Senses and Animal Motion that the Animal Spirits should be freely and plenteously mov'd to all their Organs although it is easier to fancy according to pleasure then to point and demonstrate solidly what they are which peculiarly serve the Internal Senses Yet do we observe in any attent Function of the Mind that the Brain is intent and many Animal Spirits as it were to be spent and consumd which may so long suffice to assign some Organ to the Internal Senses until all these can be more distinctly conceivd by the External Senses and be explaind to others and at last the Assent of every one be mildly compeld to have the same Opinion 77. But let us yet confirm the propos'd Cause by those things which are wont to be observd when a Swouning ends For we said that then the Heart was by little and little mov'd and did palpitate Therfore the Cause of Swouning was such as hindred the Motion of the Heart and which being overcome and conquerd Motion is restor'd unto it 78. If therfore we have given you the true Cause of the Motion of the Heart in short before in Chap. 26. Sect. 3. and in more words have explaind it in our first Disquisition of Fevers certainly then the Effervescency in the Heart Ceasing to Sense and the bursting forth of the Fiery Parts much Diminishd and the Rarefaction of the Universal Blood Deficient and therfore the Desir'd Motion and Pulse of the Heart will be attributed to the Glutinousnes or Acidity of Humors confusd with the Blood which is then actually renewd when at least in part the extreme force and harm of a Glutinous or sowr Humor is corrected or conquerd and that by Choler or any Aromatic Liquor mov'd to the Nostrils or rather pourd into the Mouth or lastly elswhere outwardly appli'd and piercing to the Heart or any other Fire or Fomentation of the Evil. 79. For then not only the Blood again rarefies more and more by Choler or Aromatics us'd successivly obtaining rule over a Glutinous and Sowr Humor but moreover Vapors or Wind are produc'd by all which the Ventricles of the Heart are again Open'd the drowfie and sluggish Animal Spirits are stird up and anon the same Veniricles are Foulded in and
so the Blood has its Motion Restor'd yea it becoms more stird and disturbd that is there is a Palpitation of the Heart of which in the next following Chapter we intend to say more 80. Nor is Motion restor'd to the Heart only when a Swouning is ended which most commonly is inordinate and with palpitation but the Pulse by degrees gets its lost Greatness and former Strength although in the beginning it is also more Frequent the Cause and Manner of all which is newly given 81. When the Cause of so many Evils is corrected and destroy'd by degrees as was said no wonder if the other Symptoms also be easd by degrees and taken away seeing that when the Cause is taken away the Effect ceases 82. The Functions which were last weakned seem to return also more slowly although all these vary not a little according to the divers heat and fomenting of the evil which any meanly verst in Practice and attent to all may easily observe and attain them by what has been said 83. The Symptoms always joind to a Syncope also here to be weighd in a few words we shewd you was Coldness and Paleness of all the Parts of the Body but especially a Cold as well as Glutinous Sweat to which is joind perpetually an extreme Anxiety of the Heart troubling the Sick no less then if Death were at hand and no wonder seeing it is often a certain Messenger of Death hasting 84. If any can by solid and consequent reasoning deduce that chill Coldness both in the Body and in a Sweat from any thing else then from a Sowr Humor in Man he will not a little make me admire him seeing that my continual and solicitous Practice of near forty years and laborious observation of all external Causes I found nothing yet in rerum Naturâ that can manifestly breed Coldness in Man beside a Sowr Humor and whatsoever partakes therof as I have testifi'd it in several Exampl's in this Treatise and elswhere 85. Seeing I am certainly perswaded that Coldness may and is wont to be produc'd in Man by a Sowr and only Sowr Humor I may on good grounds think that a Sowr Humor or Vapor is the Cause of a Cold Sweat and Body in a Syncope mixt from some other place with the Blood and carri'd to the Heart and driven forward together with the Blood every way and sticking in the outside of the Body and there affording a Sense therof both to the Sick and By-standers and Physicians themselvs And this will I think and suppose so long till an other demonstrate another Cause hereof evident enough 86. The same Sweat is Gluâ—inous by reason of 〈◊〉 Phlegmanic Humor dissâ—lâ—d by the noted Sowr Humor and together with is expeld out and of its own accord again congealing and coagulated without the Body 87. Paleness happens to the Vniversal Body bâ— reâ—son of the same Soâ—r Humâ—r every where bred espâ—cially when there is Glutinous Phlegm an Imitator and Companion of the Sowr Humâ—r 88. An extrâ—me Anâ—iâ—ty of the Heart and Midâ—if unâ—xplainablâ—â—y the Sick doth manifest partly the hot Original or the Evil that is to say the Belly and the Parts disâ—â—nâ—â—â—ing themselvs into the Guts and especially the Pancreas partly the Fomenting of that Evil a Humor not only Sowr which may breed Pricking or Corroding or Boring Pains but moreover Glutinous which firmly adhering to all the Parts goes more slowly and difficultly from the same and therfore urges more stubbornly and being deduc'd by Choler opprest into Viscous and Tough Vapors and Wind encreases the noted Anxiety 89. And so I seem to my self clearly enough to have deriv'd the rising of an Vniversal Languishing and of Swouning and of the Syncope from slow and glutinous Phlegm partly from an Acid and somtimes also Tart Juice mixt with it it remains that we subjoin the Method and Reason of Curing those Diseases by abridging prolixity with brevity For it doth not seem necessary here to repete many things afore-said with a vain and unprofitable Labour seeing that when the Disease is rightly describ'd and known its Cure is easily understood and done 90. The Cure of an Vniversal Languishing may be always in that respect instituted alike which cannot be said of the Cure of Swouning or a Syncope because these Diseases return by Fits and then they sorely molest the Sick out of which they give them respit which to the Physicians is the best opportunity of preventing new ones in no wise to be neglected seeing they are wont to be perilous 91. There ought always to be a continual and slow Correcting and Amendment of a Glutinous and Phlegmatic Humor for an Vniversal Languishing and also for a Swouning and Syncope feard and an Emptying therof by Stool and Vrin chiefly with repeted turns where it do's together abound or cannot be wholly amended 92. Because we have often before treated of the Correcting and Emptying of a Phlegmatic Humor whither we send the studious Reader we only intend to annex here some forms of the more select Medicins for the sake of Younger Physicians 93. Therfore to Amend the Phlegmatic Glutinous Humor abounding both in the Universal Body and Blood a Medicinal Wine or Beer prepar'd with several Aromatic parts of several Plants daily to be us'd both at Dinner and Supper time and at other times in a small quantity according to the diversity of the Age Sex and Languishing it self may conduce For Example from Roots only â„ž The Roots of Angelica Galangal Acorus of eachÊ’ i. of Smallage Alicampane Fenel of eachÊ’ ii of LovidgeÊ’ i. Cut and grosly Beat them then sew them into a Bag somwhat long and put them into a Stone or Glass Vessel of a strait Mouth then pour on of laudable Wine â„¥ xxx or thereabout and let it be in a Cellar all Night in which time the Aromatic Strength of the Roots will be communicated to the Wine a draught wherof as is said may be taken twice or thrice a day and another Wine may be pourd on instead of what was drunk so long till near all the Aromatic Strength is extracted for then new Roots may be taken but first dried in the Shade which is always to be observd in all the Aromatic parts of Plants to be us'd by Infusion 94. If any please to use Medicinal Beer then instead of Wine let them pour upon the aforesaid Roots their usual Beer although then I prefer that which is Bitter before the Sweet and Observe it is safer every Night to pour upon the Roots so much Beer as will be drunk the next day because the sirâ—ngth of Beer soon fades unless shut up in an Hogshead whence somtimes whole Hogsheads somtime greater somtimes less not only of Beer but Wine also so Medicind are prepar'd for daily use whether they be Roots only or if other parts also of Plants be pâ—â— into them in more plenty 95. If Aromatic Leavs be preferd you may use the following Form or one like
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
of mans and brutes Carcases of Minerals kindled or otherwise stirrd by force of fire and more or less partaking of the nature of sulphur and by hurtful and corrupt Food in the time of dearth sieges far voyages c. and also by the Mind together and potently stirrd up by several and often contrary Passions whence divers vapors are necessarily rais'd in the Belly by several Humors ill affected and anon carri'd thence to the Heart and thence to the Brain to infect the Animal Spirits 25. I. An over little Separation of the Animal Spirits may be Cur'd 1. by using Food abounding with much and loosend Volatil Spirit Strong Wine rightly fermented and somtimes Spirit of Wine rectifi'd either single or aromatic 26. II. By Promoting or Restoring the deficient Fermentation of Food in the Stomach by Medicins propos'd in Chap. 7. Sect. 26. and 33. among which the newly mentioned Spirit of Wine is nam'd as also any Volatil Salt taking a few drops with a little Wine or any other ordinary drink once or twice at dinner and supper seeing that it also corrects all tartnes of what is taken in or otherwise corrupted in the body 27. III By Freeing the Mind from Sorrow and Fear and that by reasons whence soever taken that will stirr up and recreate the mind afflicted 28. IV. By Driving away Sloathfulness and moderatly exercising the body 29. V. By busying the Mind in serious matters but also grateful 30. VI. By diminishing Sleep by little and little daily 31. When the head is ill affected by the external Cold of Air Water or Snow or a Stoppage of the Head be also bred or the Defect of the Animal Spirits chiefly urge then I have observd the Sick to be happily and soon cur'd if whatsoever has pierc'd into the Head or any other parts of the body bringing harm to them be driven out again as soon as can be and that by Sudorifics both spiritous and volatil taken at once or which I like better often and at times as being such that not only alter and correct the Cause of Cold and other evils accompanying it but do also amend the harm entred into the Body Containing and Containd 32. To this end I commend this following Form â„ž Fumitorie Fennel-Water of each â„¥ ii Simple Treacle-Water or any other Aromatic â„¥ i. Sp. of Salt Armoniac xx drops Oil of Cloves iii. drops Mineral BezoardÊ’ ss Laudanum ii granes Syr. of red Poppies â„¥ i. M. Let the Sick take two spoonfuls of this Medicin and expect a Sweat being meanly coverd which he may facilitate and get what he desires if he always take a little of it in half an hours space till the sweat break forth for then he may use it more seldom and sparingly using moreover a little of pure broth or mixt with a little wine whereby his Strength may be recreated and made fitter to bear a Sweat longer For nothing so much helps the Sick as a Sweat continued mildly a while which Experience hath oft taught me 33. When the natural and sufficient Separation of the Animal Spirits is hindred by an Internal or Feverish Cold or any other without a feverish fit often seizing on Men then the desired Separation of the Animal Spirits so useful and necessary to mans felicity is restored sooner or more slowly by such a Sudorific as is newly mentiond rightly us'd the Sweat coming forth one while sooner another while latter 34. For by the help of this Spiritous and volatil and also Aromatic medicin or one like it the Vapors and Wind that produce the hurt and troublesom Cold in man and Srupidness of all the Senses and Dulness of Motion are discust 35. They who let Blood while such an external or internal Cold urges or think they can carry out the cause of the evil either by vomit or siege put the Sick into danger of life or at least of more grievous evils as I have seen done oft by Men more verst in reading Books then in observing the Symptoms befalling the Sick and therefore often hurting themselvs as well as others So much can the Mind anticipated do by false prejudices and therefore unfit to weigh and discern things equally 36. II. An over-Plenteous Separation and Breeding of the Animal Spirits may be Diminisht 1. by Laying aside very Spirituous Drink and in its stead substituting more Watry 37. 2. By enjoying by degrees more cold Air such as the mountain or marine especially Northern and Subterraneal 38. 3. By less stirring and exercising the Body and so giving it to quiet and sleep 39. 4. By freeing the Mind from all vehement commotion of Joy especially or Anger and keeping it appeasd quiet and almost idle 40. And because all sudden change is wont to be together dangerous there ought to be careful endeavour that the noted changes by degrees may happen in the noted non-natural things 41. And as the more open Cavities of the Brain and Cerebellum destind and ordaind to strain through the Animal Spirits do follow the mentiond errors of Diet we need not doubt but likewise a Diet somwhat contrary to the former may bring again and reduce them to a natural and laudable straitness 42. III. The Animal Spirits Drowsy and unfit for Motion may be stirra up and freed from the narcotic force mingled with them by Volatil Salts but such as are very sharp and all medicins endued with an aromatic biting Pepper Cloves Castor Garlic Horse-Radish Mustard Scurvie-grass Hedge-Mustard and such-like often us'd in a small quantity for example â„ž Scurvie-grass Hedge-Mustard Water of each â„¥ i. Tincture of CastorÊ’ i. Oil of Cloves 2. drops Syr. of Scurvie-grassÊ’ vi M. Let the Sick often take a spoonful of this mixture 43. If any pretending Physician disdain the name of a Mixture prepare a Decoction after this following form â„ž Galangal-RootÊ’ ii Horse-Radish Root â„¥ ii the leavs of Hedge-mustard M ii ClovesÊ’ ss Boil them in Water and White Wine of each alike the vessel being shut in â„¥ xx of what is straind dissolv Syr. of Scurvie-Grass â„¥ iii Tincture of Cinamon â„¥ i. M. for a Decoction Let the Sick lying in bed meanly coverd use often in a day 5. or six Spoonfuls of this Decoction wherby if possible a light Sweat may break forth to ease the Sick 44. By the help of these medicins the Animal Spirits will not only be freed from their Drowsiness but even the narcotic force bred in the Body either in length of time or receivd in from without may also be corrected and at length overcomd 45. The Sick will be raisd from Sleepiness and Stupidness usually the companion of Drowsiness by potent external Objects sharply moving the External Senses and mean while not hurting their organs So a great Light should be set before the Eyes a strong Sound should be raisd near the Ears sharp Smels applyd to the Nostrils Spirit of Salt Armoniac of Harts-Horn and such-like also sharp Spices or Salts should be put
in this Book 50. The Trembling which is bred by a lighter irritation of the Nervs carrying the Animal Spirits to the Muscles may be Cur'd the same way as a Convulsive Motion of which we have already spoken CHAP. XLIII Of the Over-perfecting of Blood in the Spleen deprav'd 1. THat Blood is carri'd to the Spleen through the Arteries and the Animal Spirits through the Nervs and that Blood is again carri'd out from the Spleen through the Veins and Lympha through the Lymphatic Vessels may be known by Anatomical Experiments to any that Desire and cannot be unknown to those that put their hand to the Work and to ingenuous Searchers of Truth 2. And seeing that beside the 4 fold already mentiond kinds of Vessels there are no other observd hitherto that can carry any thing to the Spleen or out of the Spleen the natural Function of the Spleen is deservedly drawn from them and chiefly according to that in which they have receivd somthing peculiar 3. Like as we have long ago cleard by ocular inspection that the Short vessel so call'd is not a different Vessel from the branches of the Vein of the Spleen carrying Blood back from the Spleen and Stomach but carrying it to neither 4. The admirable Texture of the Nervous Fibres about the Ingress of all the Vessels in the Spleen detected in this age by diligent Anatomists doth not a little confirm my Conjecture of making the Blood there 〈◊〉 sâ—btil and spiritous and so over-perfecting it by the Animal Spirits plenteously coming thither 5. For seeing that the Spleen neither servs for Sense nor Motion it receivs the Animal Spirits in a notable plenty for an other end and for what other benefit unless that they be joynd to the Blood flowing thither and be intirely mixt and that they make it more subtil and spiritous then is wont that is more perfect and so over-perfect then the rest of the Blood which is already perfect 7. Nor hinders it that some cut out the Spleen from living Dogs for any Creature may live although its blood be not very spiritous For the Spleen seems not given to Creatures so simply for life as for a more commodious life as the Lungs together with the right Ventricle of the Heart are given to such only as Breath Add that it is not yet manifest whether the Dogs can long survive so without any detriment to their health 7. I therfore imagin this over-perfection of Blood absolvd in the Spleen not as yet overthrown but to be requir'd and depending on the Animal Spirits is deprav'd when it is either Diminisht or also oft Encreast seeing that Vertue consists in mediocrity 8. When the over-perfection of Blood in the Spleen is Diminisht there is fear least the whole Mass of Blood becom by degrees very Glutinous and Tough such as we so oft observe wonderful Crusty in this Belgia and too much cohering in its superficies so that it can scarce be divided with a sharp knife as on the contrary when the same over-perfection of Blood is Encreast there is fear least the Vniversal Blood becorn less Consistent and do not enough conjoyn and cohere unless on the contrary it be counterveild with a tart-like Sowr humor on which its natural Coagulation seems chiefly to depend For this very cause I judge that the Blood of the Spleen is joynd in the Liver not to Lympha going forward with the Descending Blood to the Heart and carrying with it the Sowr and Tart parts of the Humors but to Choler carri'd with the Ascending Blood to the Heart and hindring the Consistency of Humors 6. This over-perfection of the Blood of the Spleen brought by Me upon the stage seems to be Dinimisht 1. by the Defect of the Animal Spirits as well Vniversal of which we have spoken in Chap. 41. as moreover Particular in the Spleen because of its Nervs either Fewer or upon whatsoever account hindred in their work 10. 2. By the Blood more Glutinous and Viscous whence it is less apt to receive its over-perfection 11. 3. The over-perfection of Blood seems to be diminisht by the fault of the spleen ill affected For when the Blood coupled with the Animal Spirits pierces through the Vessels of the Spleen and receivs some change in them there is no doubt but that somthing is to be expected should come to it from the singular Substance of the Spleen For if its Substance be more solid and firmer the Blood will not only move slower c. more hindred through its Vessels but besides its attenuation and exaltation will be less prâ—moted 12. Contrarily the same Exaltation and Attenuation of Blood in the Spleen may be Encreasd 1. by the Vniversal or Particular abundance of Animal Spirits in the Spleen following many or great Nervs inserted in it 13. 2. By the Vniversal Blood Thinner and more Spiritous by an over-immoderat use of Spiritous and Aromatic Liquors 14. 3. By the over-Tender and Loos Substance of the Spleen not only giving the Vessels a free place but facilitating the attenuation and exaltation of the Blood 15. The Diminisht Exaltation and Over-perfection of â—lood in the Spleen by reason of the Vniversal Defect â—f the Animal Spirits may be Cur'd 1. by using strong â—nd Spiritous Drink enough fermented and so the spiâ—it of Wine and chiefly rectifi'd as well single as Aâ—omatical mixt with a Volatil Salt 16. A Particular Defect of the Animal Spirits in the Spleen by too few Nervs carri'd to it is Incurable but when the Nervs are hindred they are to be freed with subtil Medicins endued with an abstersive quality which no-where is more evident then in Volatil Salts hitherto so little known to the great prejudice of mortals and therfore so seldom us'd 17. 2. Nothing doth so cut and amend over-Gluâ—inous Viscous and Tough Blood as any Volatil Salt daily us'd at any time but chiefly at dinner and supper with wine or any other convenient liquor 18. 3. The over-solid and firm Substance of the Spleen may be made looser and more tender by the so oft mentiond Volatil Salts and more mild Aromatics continu'd for a longer time seeing every chronical and continu'd disease arises from a Phlegmatic Humor at least hath it conjoind to its Cause which yields easier sooner and safer to no remedy then to a Volatil Salt us'd according to art 19. But The Encreasd Exaltation of Blood in the Spleen 1. because of a Vniversal abundance of the Animal Spirits in the universal body may be Cur'd by Medicins somwhat Tart oft us'd according to art in a small quantity and by abstaining from the daily and notable use of too Strong Drink and so all Spiritous Liquors 20. The same when it proceeds only from great Nervs carrid to the Spleen I see not how the forementiond Medicins may be safely enough us'd unless in the least quantity 21. 2. The same Exaltation of Blood in the Spleen encreasd because of its over Thinness and Spiritousness by the
sides of the noted Passages and also by the same growing together into a stone-like Matter and in like manner adhering by degrees to the noted Sides For it seems not impossible that that may befal Men somtimes which is observd so oft to happen to Cattel and Beasts in the Winter Season 3. The descent of Choler to the Gut may be wholly taken away by an Obstruction of the Passage of Choler â—nto the Gut risen either by Choler it self most glutiâ—ous overlaying and at length wholly filling that Passage by degrees more and more or by the same Choler lapidescent and likewise stopping the whole Passage 4. It is commonly receivd that Choler wholly hindred in its natural Descent ascends with force to the Liver because of the noted Obstruction of the Passage to the Gut and is so carri'd to the Blood and anon transferd with it to the habit and superficies of the Body and there breeds the Jaundice 5. And although I suppose the Jaundice may somtimes be raisd by the foresaid Obstruction yet do I not judg that that Obstruction suffices to breed it unless Choler then abiding in its Bag especially get a new change 6. And that I should be so perswaded very many both Anatomical and Practical Experiments move and in a manner constrain me which I desire may be always conjoind as oft as may be by those who desire to do any thing profitable to Mortals and so to Physic it self in the Illustration of the more obscure Natural and Physical things For it oft falls out that some Anatomical Experiments seem to contradict Practicals whence by their long comparison together and an accurat weighing of all the Circumstances Truth the more happily and profitably appears But if this be neglected our Knowledg is rather obscur'd and things now occurring to us less distinctly of themselvs are the more confus'd 7. I have Observd 1. in diffecting Icterical People that the Passage to the Gut or that call'd Cystic was not always obstructed 8. 2. I have Observd that the Excrements are not always pale in the Jaundice although less dyed then usual 9. 3. I have Observd the Jaundice oft sooner bred not only by a peculiar Poison but by a grievous and unexpected sorrow of Mind then that any can perswade either themselves or others that an Obstruction could be bred so suddenly from what Cause soever at length then present and acting in the Passages of Choler 10. 4. I have Observd the Jaundice Cur'd by Medicins and that soon enough by the help whereof any unless prepossest with Prejudice can scarce believe an Obstruction could be opend or so soon opend To this number I refer Cows Milk boild with Hemp-Seeds by the help of which only benefit I have cur'd several and known many of the Common People cur'd Hither I refer Sope prepar'd both with the Oil of Olivs of Turneps or of Whales and in like manner dissolvd in Milk and taken 11. 5. I have Observd many Infants born with the Jaundice or the Jaundice soon break forth in them after Birth 12. Seeing from these Observations it is manifest that the Jaundice may be produc'd without an Obstruction of the Passage of Choler it is deservedly askt what is or may be its true Cause 13. That this may be the more happily and easily searchd out I will premise the commonly known Symptoms that indicate the Jaundice instant or present anon I will join some others noted perhaps by few 14. The Compressive Pain therfore of the Heart so call'd most troublesom about the Lower Region of the Stomach is wont more frequently to precede and also to accompany the Jaundice in the beginning Anxieties and obscure Gripes concurring in the Right Hypochondre where both the Bag of Choler and its Passage is 15. The Excrements are usually white or of an Ash colour and not diversly dyed by Choler as at other times yea the Sick have more seldom a motion to go to Stool 16. By and by the Vrin comes obscurely red and colouring a Linnen Cloath dipt in it of a Saffron Colour 17. At length there breaks forth in the Face and Neck and more evidently in the Coat of the Eyes call'd Adnata constituting their White hence through the universal Skin of the Body a Citrine and yellow Colour yea somtimes inclining to an obscure greenness whence it is somtimes call'd the yellow somtimes the black Jaundice 18. When the Jaundice inclines somtimes a great itching is felt in all the Superficies of the Body 19. Among the External Causes I have oft seen the Jaundice bred by the abuse of Spirit of Wine and of other strong Drinks and the Dropsie Ascites succeding for the most part deadly 20. All which being rightly weigh'd I think whether the Obstruction of any Passage of Choler have place or such an Obstruction cannot be feignd that then Choler suffers a notable change by reason of which it is mov'd and carri'd more fiercely and plenteously towards the Blood with which notwithstanding it is less mixt then is wont to be but only confus'd with it and therfore it the easier severs from it and not only joins it self to the Skin and External Parts but to the Muscles also and Bowels and infects and dies them of its own Colour 21. For Choler being as it is naturally is mixt and imbodied not only loosly but most intirely with the Humors occurring both in the small Gut and also in the Right Ventricle of the Heart and that so that it cannot be more separated by them which Union is by reason of its Effervescency instituted in both mentiond places with the Sowr Humor flowing there 22. Because therfore in the Jaundice that most intire conjunction of Choler with the other Humors and according to some parts thereof a Mixture as also that mentiond Effervescency seems to be requir'd if not wholly at least in part hindred let us see wherein the Cause of both these effects yea and the Cause also of the Jaundice may be known what is requir'd in Choler to perfect each Effervescency and what may befall it as to diminish or remove it 23. It is now known to all sorts of Persons that any Effervescency happens between an Acid and Lixivial Salt or that which partakes of a lixivial Salt and in as much as it partakes thereof 24. And whoever shall examine Choler and confuse it as well with Sowr Liquors as with Lixivial Salts of any kind will easily see that Choler concurs to stir up an Effervescency by reason of its Lixivial Salt but much temperd many ways in it least there should be a potent and vehement and so hurtful inslead of a mild and to Nature friendly Effervescency in the Body 25. And if Choler has the esteme of a Lixivial Salt in stirring up an Effervescency let us go farther and see how its Salt may be affected that it becoms less apt for an Effervescency 26. Again it is known by Experience that the purest and so sharpest Lixivial Salt is
of Nitre some drops of it being for some time oft in a day taken in Wine Beer or any other Liquor 11. Choler too salt and sharp may be Cur'd somtimes by Oily somtimes by Viscous somtimes by Spiritous somtimes by Acid Things but more mild which seeing they differ much among themselvs the Physician will need prudence that according to the diversity of the other Humors then being together in the Body the most convenient Medicins be selected and us'd Whence it is no wonder if all Physicians have not always the same success although they use the same Medicins but not at the same time as neither in the same Diseases or Causes whose determination depends on a Practical Judgment rightly administring every Remedy for every Discase in its own time place and measure 12. Choler peccant in Fatness encreasd may be Cur'd both by more temperd Acid and by a more pure Lixivial Salt of Wormwood Carduus c. and a more earthy Crabs-Eyes Coral Shels c. and so by Aromatic but chiefly bitter Plants and by them that are mixt of both Salt of Tartar Vitriolated Salt of Tartar remaining in the Retort after the Spirit of Salt Armoniac is drawn off and getting an excellent Vertue by the conjoind Spirit of that-Salt and such-like 13. III. If the Sick be urg'd in short Intervals by different Symptoms to be deduc'd from Choler and it only and therfore it be very probably conjecturd that Choler is Heterogeneal and Turgid with different parts great endeavour must be made in an auxious and dubious Case that the parts of Choler which harm Man being most declind from their natural state be correcied and amended potently and mildly which is chiefly to be requir'd from the then most urgent Symptoms and somtimes bringing sudden Death in its first second or third access 14. I wish therfore that as many as profess the Divine Name of a Physician that truly Devilish Envy and therfore reproachful to Physicians although in 〈◊〉 manner proper to them being laid aside and supprest would bestow profitable pains in searching out and proposing the true Causes of the more obscure Disscuses daily occurring in Practice for the commen◠good of Mortals For I doubt not but that then many things as yet unknown perhaps to any of the Nature and Usefulness of Choler may by degrees come to light God prospering liberal and ingenious Spirits I at least do here sacredly profess and testifie before God that I have for many years taken pains incredible to the most of Men wherby I might attain to the Nature and Benefits of Choler in Man's Body and most profit both the Sick and then afterwards mine Auditors according to those things which are given me from Above in which my Heart void and free from desiring any vain glory and so quiet and assured of a good event even now rejoyceth in the midst of the many unjust Slanders Contradictions and Calumnies of several CHAP. XLIX Of the Preparation of the Glandulous Lympha in the Conglobated Glandul's deprav'd 1. EXperience confirms that Lymphatic Vessels come from every Conglobated but not so from the Conglomerated Glandul's Wherfore I think that Lympha is prepar'd in them and that partly from the more Acid part of Blood severd in the mentiond Glandul's from the rest of the Mass partly from the Animal Spirits carri'd through the Nervs to Them and mixt with it 2. But although I think the more Acid part of Blood is the chief Matter of Lympha yet do I not think that purely of it self but diluted with Water servs for this use which then I at length call Impure when moreover another part of Blood being mixt meets the same and renders Lympha less Acid or Viscous and somtimes perhaps somwhat Salt 3. For as the Serous part of Blood is naturally Insipid yet in Belgia it is found somwhat Salt in the half perhaps of Men at least as much as I could conceive by tasting the Blood let out of healthy or Sick People so it should not seem a wonder to any if in the same place also different Lympha be prepar'd For an Acid Spirit is very hardly severd from a Lixivial Fixt but more easily from a Volatil Salt such a Volatil Salt I indeed incline to believe is containd in the laudable serous part of Blood out of laudable Choler In which same serous part of Blood I suppose an Acid Spirit occurs to afford Matter for Lympha 4. As therfore the laudable serous part of Blood may be in the Body or the same may be variously chang'd by External Causes Air Food c. or Internal as the Motion of the Mind or Body Watchings c. so also Lympha may be bred out of it somtimes more Sowr somtimes a little Salt somtimes more Diluted and more Watry somtimes more Viscous c. 5. As again the Animal Spirits may be Plenteous o◠Few Pure or Impure in the Body and Their Motion to the Conglobated Glandul's may be Free or Hindred so Lympha may thus far be bred not a little different 6. As lastly the Conglobated Glandul's themselvs may occur in the Body either Whole or several ways ill-affecied even so by the fault of them the Separation both of an Acid Spirit from the Blood or from its Serous part and the Mixing of the same with the Volatil and Animal Spirit may be divers 7. Whence any may see how many ways various kinds of Lympha Vitiated may arise all which to prosecute and reckon in order in a new Matter would be tedious and perhaps impossible 8. Let it therfore suffice for the present that we noted the Fountains of Lympha Vitiated and handle the kinds observd in practice and to have designd the manner of Curing them 9. The Preparation therfore of Glandulous Lympha may be Deprav'd 1. When it is bred more Sparing 2. When more Plenteous 3. When several ways bred with a vitiated quality more or less Sowr then is naturally and somtimes a little Salt or Glutinous and if any more Depravations of Lympha shall be observd at any time 10. Seeing that all Lympha is carri'd through its proper Vessels therfore call'd Lymphatic to wit its Thoracic Trunc so call'd to the Descending Blood and with it to the Right Ventricle of the Heart wherby it may there stir up a Vital Effervescency with the Blood Ascending and died with Choler I even now suppose that Lympha is requir'd to be in a notable quantity and somwhat sowr 11. This Quantity of Lympha ought to answer in due proportion to its opposite wherby a laudable Effervescency may arise whence if the quantity of Lympha be greater Choler will be opprest and a less and weak Effervescency will arise and the Pulse will thus far be felt less but if otherwise the quantity of Lympha be less Choler will then be more essicacious and the Effervescency of Blood greater and the Pulse will thus far be felt greater 12. That which the greater natural quantity
thick yet having no notable Heat accompanying in the Body is wont to denote the Jaundice chiefly when a Cloath dipt into it is made of a Saffron Colour by it unless it be by somthing taken in 24. Vrin of a Bloody Colour may be easily known from what has been said before and chiefly if it have a filthy and somwhat black or grumous Setling which is a certain sign of Blood mixt with it 25. Other singular and more rare Colours of Vrin as Green Wan Black c. as for the most part they own singular and most grievous external or internal Causes so are they to be compar'd with Symptoms together concurring in the Sick to know rightly the Diseases then selvs and thence to form Prognostication all which to treat here were too long 26. Urin varies not only by reason of a different Colour but also in respect of its Transparence and Darkness For some is Transparent commonly call'd Clear some Thick commonly call'd Turbid or Troubled Where note that some is made and remains clear or Transparent and on the contrary some is made or remains Turbid or Thick again some is made Clear and Transparent and are afterward Troubled and Thick and such either remain or become clear again so some is voided Turbid and Thick and again grow Clear which commonly coms to pass by the falling of its Sediment 27. The most Watry as also Yellow and Red Vrin is sent Clear and Transparent which Transparence the Watry most seldom somtimes the Yellow oft Red Vrin loseth which is most frequent in a stoppage of the Head and Fevers arising from such a like Cause and call'd by many Catarrhals And these sorts of Urin thus Troubled do oft again grow clear the Sediment falling somtimes they remain Troubled to wit when the Stoppage in the Head is yet in its encrease neither a Fever nor any other Disease accompanying coms to it in its vigor 28. Urin declines from its natural Odour when it is without smell or smells Sweet or is ill-smeld 29. The most Crude or Watry Vrin is without Smell of which we spake in Sect. 13 c. 30. Vrin of a sweet Smell is seldom voided unless after certain things are taken as Turpentine whence it smells like Violets whether any such thing happen at any time from Internal Causes I now at least remember not 31. Ill-smelling and stinking Vrin doth likewise somtimes own an External Cause for example the use of Asparagus but more frequently an Internal Cause to wit a Corruption in the Blood but such by reason of which its parts remain in a slack union yea its fat parts corrupted being the primary Subject of Odours and therfore also of ill smells Separate with its Salt parts Where note the ill smell of Urin doth not so much reside in its Liquor as in the things therin Containd 32. The Savor of Vrin naturally somwhat Salt is chang'd 1. When it is voided Insipid which happens not only a little after Drink and especially Diuretical taken in plenteously and such a change of Tast is Non-natural but also when the Urin is preternatural and crude of which see Sect. 13 c. 33. 2. When Vrin coms away Bitter which procedes from much Choler carri'd to the Heart and very slackly mixt with the Blood yea infecting its Serous part and hence the Vrin with its bitterness 34. 3. When Vrin is voided Sowr which somtimes befals very sorrowful and melancholic People by reason of the Juice of the Pancreas or Lympha more Sowr and infecting the Serous part of Blood and anon the Vrin also with its Acidity 35. Of the Thinness and Thickness of Vrin we have already spoken somthing in Sect. 13 21 c. and the Cause of each there propos'd 36. The things Containd in Vrin are several wherof some swim in its Superficies some fall to the Bottom some are carri'd in its Liquor and that somtimes in its upper somtimes in its middle somtimes in its lower part lastly some adhere to the sides and bottom of the Vessel none whereof is found in Urin according to Nature 37. There are in the Superficies of Urin Bubbles and Froath Fat and Gravel 38. The ordinary Sediment and more seldom mealy or Bran-like as also little Threds Scales Gravel Stones fleshy Parts clots of Blood Purulent Matter Worms settle to the Bottom 39. There is carri'd to the upper part of Vrin a little Cloudiness in the middle that which seems to hang there call'd Euaeorema in the lower part a Setling or Sediment in which there is somtimes much or little Gravel 40. And this Triple Matter Containd to wit most frequent in the Urin of the Sick is considerd 1. By its Quantity and is little or much 41. 2. By its Colour it is White or Red or Black or of another Colour 42. 3. By its Substance either Equal when all the parts are equally thick and thin or unequal when some parts are thinner others thicker 43. 4. By its Connexion either Continual when all the parts are joind together or Separated when some parts are disjoind from the rest 44. I have most frequently observd Gravel every where in the Urin beheld by Me that arose from the Conglobated Glandul's harmd by external Cold and somtimes by long lying on the Back because of which they somtimes grow together into Stones as well red friable and softer as somwhat yellow or more pale and of an ashie most commonly harder and more solid 45. Fat swimming in Vrin unless it arises from Oil swallowd down oft procedes from a Humor Salt like Pickle more sharp separating the Oily part of Blood beside Nature from the rest of the Mass and transferring it imbib'd in the Serous part and hence in the Vrin whence it is observd so frequent in the Vrin of Scorbutic People and of others abounding with such-like Salt Humors and by the fault of them somtimes Pining 〈◊〉 if Fevers be raisd or cherishd by such-like Humors they are then call'd Wasting because not so much the Fat that is found without the Vessels is then consum'd more then usual as the Oily part of Blood within the Vessels is corrupted by the noted Humor and is partly voided with the Urin partly rendred unfit to repair any Fatness 46. I deny not that the Original of Froath and Bubbles is causd by Wind although I have oft observd that a Stoppage in the Head and Catarrhs bred in the Brain accompanies them 47. Amongst the more rare Sediments a Bran-like mealy scale-like and such-like oft occurring in Burning-Fevers are to be ascrib'd to an exceding Heat because of which certain more earthy Particls of Blood are farther scorchd and therfore being severd from the rest of its Mass are voided together with the Urin and while it cools by little and little they forsake it and fall to the bottom 48. Little Threds observd in Urin seem to own a Matter like to Hairs to wit a Volatil and Oily Salt growing together