imply_v that_o the_o gout_n be_v a_o disease_n wherein_o violence_n be_v do_v to_o nature_n in_o some_o part_n or_o other_o of_o the_o body_n but_o this_o be_v a_o novelty_n to_o i_o that_o you_o add_v viz._n that_o it_o be_v a_o inward_a deep-lurking_a and_o for_o the_o most_o part_n invisible_a little_a swell_a and_o that_o that_o swell_a be_v cause_v by_o a_o damp_n etc._n etc._n entreat_v you_o that_o you_o will_v vouchsafe_v to_o express_v this_o more_o plain_a and_o to_o render_v reason_n thereof_o and_o first_o why_o you_o call_v it_o a_o internal_a and_o deep-lurking_a tumour_n an._n the_o better_a to_o distinguish_v it_o from_o other_o windy_a swell_n in_o respect_n of_o its_o seat_n for_o whereas_o those_o other_o lie_n between_o the_o flesh_n and_o skin_n this_o lie_v deep_a underneath_o the_o membrane_n that_o cover_v the_o bone_n as_o hereafter_o shall_v be_v more_o large_o prove_v qu._n but_o why_o do_v you_o add_v that_o it_o be_v a_o little_a and_o most_o invisible_a swell_n an._n because_o it_o be_v so_o indeed_o qu._n but_o pray_v sir_n take_v care_n that_o you_o run_v not_o against_o sense_n out_o of_o a_o blind_a zeal_n of_o produce_v a_o novelty_n for_o be_v not_o the_o tumour_n which_o manifest_v itself_o in_o the_o gout_n big_a and_o conspicuous_a enough_o an._n you_o do_v not_o distinguish_v between_o the_o disease_n itself_o and_o the_o symtom_n which_o be_v the_o stumble_a stone_n of_o many_o even_o learned_a man_n and_o the_o want_n of_o this_o very_a distinction_n seem_v to_o i_o to_o have_v be_v the_o main_a if_o not_o the_o only_a obstacle_n why_o they_o have_v not_o light_v upon_o the_o true_a cause_n of_o the_o gout_n and_o why_o they_o have_v take_v quid_fw-la pro_fw-la quo_fw-la qu._n what_o then_o be_v to_o be_v do_v not_o to_o mistake_v herein_o an._n you_o must_v ever_o make_v a_o difference_n between_o the_o swell_a which_o be_v cause_v by_o the_o morbific_a gouty_a matter_n and_o that_o which_o be_v consequent_a to_o the_o gout_n and_o this_o be_v to_o be_v lay_v as_o a_o fundamental_a truth_n never_o to_o be_v remove_v viz._n that_o the_o humour_n which_o make_v the_o external_a palpable_a and_o visible_a swell_n in_o the_o gout_n be_v not_o the_o gout_n or_o dolorifique_a matter_n which_o be_v not_o so_o much_o my_o word_n as_o the_o word_n of_o that_o famous_a physician_n of_o dort_n call_v john_n van_n beverwyck_n deliver_v by_o he_o in_o his_o book_n of_o the_o gout_n and_o which_o he_o have_v borrow_a out_o of_o the_o description_n of_o that_o disease_n which_o that_o learned_a and_o experience_a professor_n of_o physic_n at_o wittenberg_n daniel_n sennertus_n leave_v behind_o he_o which_o also_o be_v the_o reason_n that_o i_o shall_v place_v that_o aqueous_a and_o serous_a tumour_n among_o the_o symptom_n of_o the_o gout_n where_o also_o it_o be_v to_o be_v handle_v and_o not_o here_o where_o we_o speak_v of_o the_o disease_n itself_o qu._n what_o be_v not_o the_o humour_n that_o cause_v the_o outward_a and_o visible_a swell_n the_o gout_n or_o dolorific_a matter_n a._n no_o they_o differ_v very_o much_o from_o one_o another_o and_o may_v be_v sufficient_o distinguish_v by_o those_o that_o will_v attentive_o consider_v qu._n wherein_o consist_v this_o difference_n ans_fw-fr in_o this_o that_o the_o one_o be_v the_o cause_n of_o the_o disease_n the_o other_o a_o symptom_n which_o will_v be_v make_v very_o clear_a when_o we_o shall_v come_v to_o treat_v of_o this_o symptom_n but_o in_o part_n to_o satisfy_v your_o curiosity_n pray_v mark_v the_o ratiocination_n of_o the_o late_o name_v beverwyck_n say_v in_o the_o quote_v book_n that_o the_o humour_n which_o make_v the_o swell_a be_v not_o proper_o the_o peccant_a matter_n be_v from_o hence_o evident_a because_o that_o in_o the_o beginning_n before_o the_o part_n swell_v the_o great_a pain_n be_v feel_v and_o the_o same_o grow_v less_o when_o the_o swell_a appear_v it_o be_v true_a that_o that_o learned_a man_n adher_v still_o to_o the_o opinion_n of_o the_o saltish_a serum_fw-la affirm_v that_o it_o be_v a_o serous_a humour_n pervade_v by_o a_o salin_a acrimony_n that_o cause_v the_o gout_n but_o herein_o he_o as_o well_o as_o the_o great_a sennertus_n have_v mistake_v mean_a time_n it_o be_v certain_a that_o the_o external_a tumour_n be_v not_o the_o morbid_v matter_n itself_o for_o the_o reason_n give_v and_o which_o be_v more_o some_o podagrical_a person_n endure_v great_a pain_n without_o the_o appearance_n of_o any_o visible_a swell_n chap._n ii_o of_o the_o inward_a tumour_n of_o the_o gout_n and_o how_o it_o be_v most_o invisible_a qu._n i_o shall_v for_o the_o present_a rest_n content_v with_o the_o proof_n allege_v until_o we_o come_v to_o the_o symptom_n but_o when_o this_o symptomatical_a or_o accidental_a swell_n of_o the_o gout_n be_v present_a do_v you_o then_o observe_v two_o sort_n of_o swell_a in_o this_o disease_n one_o inward_a the_o other_o outward_a an._n i_o do_v so_o of_o which_o two_o the_o first_o be_v that_o which_o i_o say_v in_o the_o description_n to_o be_v a_o swell_a that_o be_v little_a and_o for_o the_o most_o part_n invisible_a qu._n why_o do_v you_o say_v so_o an._n because_o it_o be_v indeed_o small_a and_o for_o the_o most_o part_n can_v be_v see_v by_o the_o sharp_a eye_n of_o the_o body_n though_o it_o be_v see_v by_o the_o eye_n of_o reason_n for_o although_o you_o outward_o perceive_v no_o swell_a you_o may_v not_o thence_o infer_v that_o there_o lurk_v none_o within_o forasmuch_o as_o the_o contrary_n be_v true_a in_o these_o and_o other_o swell_n see_v the_o proof_n hereof_o in_o a_o couple_n of_o observation_n of_o the_o skilful_a physician_n and_o chirurgeon_n hildanus_n in_o his_o second_o part_n the_o 37_o and_o 38_o concern_v dangerous_a and_o desperate_a tumour_n in_o the_o muscle_n of_o the_o stomach_n in_o which_o nothing_o preternatural_a of_o swell_a or_o other_o disorder_n can_v be_v see_v outward_o qu._n if_o this_o tumour_n can_v be_v perceive_v by_o the_o eye_n whence_o do_v you_o then_o know_v that_o there_o be_v a_o inward_a one_o an._n from_o the_o violent_a pungent_a beat_v distend_v and_o continual_a pain_n to_o be_v easy_o perceive_v by_o one_o finger_n qu._n but_o it_o seem_v by_o what_o you_o intimate_v in_o the_o description_n of_o the_o gout_n that_o sometime_o this_o tumour_n may_v be_v see_v an._n yes_o it_o may_v for_o at_o time_n it_o appear_v plain_o enough_o though_o few_o artist_n take_v it_o for_o a_o gouty_a swell_n mislead_v by_o the_o external_a appearance_n of_o it_o which_o be_v in_o the_o form_n of_o a_o small_a hard_a pimple_n on_o the_o place_n of_o the_o part_n affect_v of_o which_o you_o have_v a_o manifest_a proof_n in_o pareus_n the_o french_a chirurgeon_n treat_v of_o a_o distemper_n in_o a_o young_a woman_n at_o bourdeaux_n that_o have_v such_o a_o tumour_n on_o her_o thigh_n though_o pareus_n do_v not_o record_v it_o for_o such_o qu._n when_o may_v this_o tumour_n be_v perceive_v by_o the_o eye_n an._n then_o chief_o when_o the_o gouty_a cause_n attack_n the_o patient_n not_o about_o the_o joint_n of_o the_o limb_n but_o in_o or_o about_o the_o middle_n of_o those_o place_n with_o a_o boil_a pain_n wherein_o nature_n labour_v as_o much_o as_o she_o can_v though_o she_o be_v not_o strong_a enough_o to_o expel_v the_o peccant_a matter_n at_o which_o time_n if_o you_o observe_v it_o careful_o some_o tumour_n appear_v as_o be_v say_v above_o this_o i_o have_v find_v not_o only_o in_o myself_o but_o very_o notable_o in_o another_o that_o be_v a_o young_a man_n employ_v here_o in_o the_o foundery_a of_o batavia_n call_v martin_n smith_n of_o breslaw_n who_o have_v the_o gout_n in_o his_o right_a foot_n without_o a_o considerable_a afflux_n of_o humour_n the_o evil_a settle_a on_o the_o midst_n of_o his_o foot_n in_o the_o form_n of_o a_o protuberant_a hard_a pimple_n or_o button_n which_o i_o also_o by_o the_o help_n of_o god_n do_v present_o cure_v so_o that_o he_o the_o same_o hour_n without_o any_o pain_n go_v out_o of_o the_o house_n to_o his_o workhouse_n which_o can_v be_v attest_v by_o the_o physician_n thomas_n flory_n and_o the_o chief_a chirurgeon_n warner_n leuretius_n as_o eye-witness_n that_o see_v it_o with_o great_a admiration_n chap._n iii_o of_o the_o next_o and_o always_o concomitant_a cause_n of_o the_o gout_n qu._n a_o after_o you_o have_v sufficient_o make_v out_o that_o the_o gouty_a matter_n cause_v a_o swell_a for_o the_o most_o part_n invisible_a be_v please_v to_o explain_v to_o we_o what_o be_v the_o next_o and_o always_o accompany_v cause_n of_o this_o tumour_n which_o to_o know_v i_o think_v to_o be_v of_o great_a importance_n an._n you_o judge_v aright_o forasmuch_o as_o the_o cure_n have_v always_o a_o respect_n to_o the_o
disease_n do_v an._n not_o that_o the_o organ_n of_o motion_n be_v attack_v hurt_v or_o torment_v but_o only_o that_o the_o periostium_fw-la be_v put_v out_o of_o its_o natural_a posture_n which_o be_v manifest_a from_o hence_o that_o as_o soon_o as_o this_o membrane_n be_v restore_v to_o its_o natural_a state_n you_o can_v perceive_v the_o least_o defect_n in_o those_o organ_n qu._n why_o then_o do_v the_o pain_n increase_n and_o grow_v more_o violent_a upon_o touch_v or_o move_v the_o part_n affect_v an._n this_o come_v not_o to_o pass_v because_o that_o the_o organ_n of_o motion_n or_o their_o membrane_n do_v suffer_v but_o because_o that_o the_o membrane_n be_v already_o distend_v by_o the_o touch_n or_o motion_n thereof_o it_o come_v to_o suffer_v and_o to_o stretch_v a_o new_a whereupon_o new_a pain_n must_v follow_v chap._n x._o of_o the_o symptom_n of_o the_o gout_n qu._n forasmuch_o as_o there_o be_v find_v many_o and_o different_a symptom_n in_o the_o gout_n will_v it_o not_o be_v proper_a to_o make_v a_o distinction_n between_o they_o thereby_o to_o come_v to_o the_o true_a knowledge_n of_o they_o an._n you_o will_v do_v very_o well_o to_o distinguish_v first_o the_o symptom_n in_o general_a from_o the_o disease_n itself_o and_o then_o to_o make_v a_o distinction_n between_o the_o symptom_n themselves_o qu._n what_o distinction_n be_v there_o to_o be_v make_v between_o the_o symptom_n of_o the_o gout_n an._n this_o that_o the_o symptom_n that_o arise_v and_o vanish_v with_o the_o disease_n be_v to_o be_v distinguish_v from_o those_o that_o be_v breed_v not_o from_o the_o gout_n but_o from_o the_o symptom_n of_o the_o gout_n qu._n which_o be_v the_o symptom_n that_o do_v immediate_o accompany_v the_o gout_n and_o be_v bear_v and_o die_v with_o it_o an._n of_o these_o there_o be_v but_o two_o already_o speak_v of_o viz._n the_o vitiate_a motion_n and_o the_o violent_a pain_n these_o come_v and_o go_v away_o with_o the_o disease_n follow_v the_o gout_n as_o a_o shadow_n do_v a_o body_n qu._n which_o of_o these_o two_o symptom_n be_v the_o chief_a and_o most_o grievous_a an._n the_o pain_n which_o be_v not_o the_o disease_n itself_o or_o the_o cause_n of_o the_o gout_n as_o have_v be_v already_o say_v nor_o yet_o be_v it_o a_o simple_a symptom_n in_o regard_n it_o be_v a_o cause_n of_o other_o symptom_n especial_o when_o it_o be_v violent_a qu._n what_o symptom_n be_v occasion_v or_o rather_o cause_v thereby_o an._n inflammation_n fever_n faint_n sleepiness_n loss_n of_o strength_n afflux_n of_o humour_n qu._n be_v it_o certain_a that_o all_o these_o six_o accident_n be_v cause_v by_o the_o rage_a pain_n of_o the_o gout_n an._n dr._n paul_n barbette_v reckon_v they_o all_o among_o the_o effect_n of_o the_o gouty_a pain_n when_o he_o treat_v of_o the_o symptom_n of_o wound_n in_o his_o chirurgery_n p._n 165._o of_o his_o dutch_a edition_n beside_o that_o it_o be_v manifest_a that_o most_o of_o these_o do_v then_o first_o appear_v when_o the_o pain_n grow_v violent_a and_o disappear_v with_o the_o diminution_n and_o cease_v of_o the_o pain_n qu._n whence_o come_v it_o that_o these_o symptom_n that_o be_v cause_v by_o the_o gout_n not_o only_o in_o divers_a patient_n but_o also_o in_o the_o same_o show_v themselves_o at_o one_o time_n more_o than_o another_o and_o differ_v so_o much_o from_o one_o another_o an._n it_o come_v from_o the_o great_a or_o lesser_a intenseness_n of_o the_o efficient_a cause_n the_o pain_n which_o receive_v its_o degree_n from_o the_o quality_n and_o quantity_n of_o the_o gouty_a matter_n for_o the_o more_o malign_a and_o abound_a the_o damp_n be_v the_o more_o grievous_a also_o be_v not_o only_o the_o proper_a symptom_n but_o also_o these_o accident_n of_o the_o gout_n qu._n do_v the_o rage_a pain_n excite_v in_o all_o gouty_a person_n these_o symptom_n all_o together_o and_o at_o once_o an._n not_o so_o for_o in_o body_n that_o have_v but_o little_a serosity_n in_o the_o blood_n the_o first_o five_o symptom_n do_v appear_v but_o not_o at_o all_o or_o very_o seldom_o the_o six_o and_o last_o which_o be_v the_o afflux_n of_o humour_n in_o other_o who_o abound_v in_o that_o serosity_n the_o afflux_n of_o moisture_n will_v be_v perceive_v first_o of_o all_o and_o often_o without_o inflammation_n again_o when_o the_o gouty_a matter_n lurk_v deep_a as_o in_o the_o sciatica_n and_o in_o the_o gout_n of_o the_o shoulder_n you_o be_v not_o then_o to_o reckon_v upon_o the_o change_n of_o colour_n and_o the_o afflux_n qu._n that_o rage_a pain_n do_v cause_n inflammation_n be_v easy_o understand_v but_o how_o do_v they_o produce_v fever_n faint_n sleepiness_n and_o loss_n of_o strength_n an._n the_o intolerable_a pain_n draw_v to_o the_o heart_n cause_v there_o a_o fever_n and_o faint_v and_o pass_v to_o the_o brain_n produce_v there_o wake_v whence_o must_v necessary_o follow_v loss_n of_o strength_n chap._n xi_o of_o the_o external_a serous_a tumour_n which_o often_o manifest_v itself_o in_o the_o gout_n qu._n be_v it_o worth_a while_n to_o treat_v somewhat_o more_o large_o of_o this_o tumour_n than_o of_o the_o other_o symptom_n cause_v by_o the_o pain_n an._n it_o be_v very_o necessary_a because_o by_o this_o symptom_n many_o learned_a man_n have_v be_v so_o mislead_v as_o to_o take_v it_o for_o the_o gout-breeding_a matter_n itself_o or_o at_o least_o not_o to_o distinguish_v it_o from_o the_o sickness_n itself_o whence_o as_o from_o a_o fruitful_a soil_n have_v spring_v so_o many_o error_n about_o the_o gout_n and_o especial_o about_o the_o proxime_fw-la cause_n thereof_o yea_o this_o be_v the_o only_a cause_n that_o so_o many_o physician_n and_o chirurgeon_n be_v so_o much_o wed_v to_o the_o notion_n of_o humour_n that_o they_o dare_v almost_o take_v it_o for_o grant_v that_o the_o gout_n can_v be_v without_o this_o swell_a and_o afflux_n of_o humour_n insomuch_o that_o if_o they_o meet_v with_o any_o gouty_a person_n in_o who_o they_o can_v find_v this_o swell_a or_o change_n of_o colour_n although_o they_o find_v great_a pain_n they_o will_v rather_o discard_v they_o out_o of_o the_o number_n of_o the_o gouty_a than_o acknowledge_v that_o sometime_o there_o be_v no_o humour_n at_o all_o accompany_v the_o gout_n qu._n but_o since_o the_o affluxed_a humour_n which_o breed_v the_o external_a swell_n be_v neither_o in_o whole_a nor_o in_o part_n the_o cause_n of_o the_o gout_n what_o shall_v we_o make_v of_o that_o tumour_n and_o its_o matter_n an._n it_o be_v a_o symptom_n which_o be_v no_o inseparable_a companion_n of_o the_o gout_n yea_o never_a begin_v and_o seldom_o end_v with_o that_o disease_n which_o i_o think_v i_o can_v so_o plain_o make_v out_o as_o that_o the_o most_o ordinary_a capacity_n shall_v understand_v it_o to_o be_v so_o qu._n do_v then_o this_o serous_a swell_v not_o always_o accompany_v the_o gout_n as_o a_o inseparable_a symptom_n an._n no_o for_o beside_o that_o some_o gouty_a person_n seldom_o or_o never_o perceive_v this_o tumour_n cause_v by_o affluxed_a humour_n as_o i_o have_v experience_v and_o many_o writer_n must_v witness_v common_o there_o be_v no_o affluxed_a humour_n find_v in_o the_o sciatica_n qu._n but_o do_v this_o swell_v never_o begin_v with_o the_o gout_n an._n it_o be_v never_o perceive_v in_o the_o begin_n of_o the_o gout_n for_o though_o in_o many_o patient_n this_o tumour_n very_o soon_o follow_v upon_o the_o gout_n yet_o if_o it_o be_v well_o observe_v it_o be_v never_o of_o the_o same_o age_n with_o the_o gouty_a tumour_n which_o in_o order_n of_o time_n always_o precede_v it_o yea_o if_o care_n be_v have_v its_o birth_n may_v sometime_o be_v altogether_o prevent_v by_o be_v timely_a ready_a to_o evaporate_v this_o dolorifick_a damp_n by_o a_o speedy_a application_n of_o my_o matchless_a discharge_n remedy_n as_o i_o have_v often_o experiment_v on_o myself_o and_o shall_v further_o teach_v in_o the_o second_o part_n treat_v of_o the_o cure_n of_o the_o gout_n qu._n but_o as_o this_o symptom_n never_o begin_v with_o the_o disease_n do_v it_o neither_o end_n always_o with_o it_o as_o other_o symptom_n do_v an._n no_o this_o symptom_n alone_o survive_v the_o gout_n yea_o the_o cause_n whence_o it_o rise_v end_v not_o with_o it_o for_o as_o for_o the_o most_o part_n it_o first_o appear_v when_o the_o sickness_n be_v at_o its_o height_n and_o the_o pain_n rage_v so_o it_o be_v often_o see_v a_o good_a while_n after_o the_o gouty_a pain_n and_o then_o by_o good_a mean_n and_o some_o patience_n dispel_v qu._n it_o seem_v then_o that_o the_o pain_n which_o be_v the_o cause_n of_o this_o symptom_n cease_v the_o outward_a tumour_n do_v not_o vanish_v at_o the_o same_o time_n an._n no_o for_o very_o often_o the_o limb_n remain_v swell_v as_o before_o and_o it_o require_v some_o day_n
and_o some_o trouble_n before_o this_o swell_a can_v be_v remove_v yea_o if_o you_o do_v not_o take_v care_n it_o not_o only_o lame_v the_o patient_n but_o also_o deform_v he_o by_o nodes_fw-la and_o schirre_n whereby_o the_o motion_n of_o the_o limb_n be_v for_o ever_o destroy_v qu._n what_o then_o be_v to_o be_v do_v to_o judge_v aright_o of_o this_o symptom_n an._n you_o must_v hold_v it_o for_o a_o certain_a truth_n that_o the_o humour_n which_o in_o the_o gout_n breed_v the_o swell_a be_v not_o the_o peccant_a or_o gout-breeding_a matter_n qu._n to_o make_v i_o the_o better_o comprehend_v this_o pray_v give_v i_o a_o clear_a description_n of_o this_o swell_a which_o have_v be_v the_o occasion_n of_o so_o many_o error_n and_o have_v deceive_v so_o many_o learned_a man_n an._n it_o be_v a_o preternatural_a swell_n in_o the_o fleshy_a part_n consist_v of_o a_o serous_a humour_n pervade_v with_o saltishness_n by_o the_o sharp_a pain_n penetrate_v into_o the_o limb_n and_o it_o be_v soft_a pale_a and_o cold_a qu._n but_o how_o may_v we_o best_o distinguish_v this_o swell_a from_o the_o gout_n an._n if_o it_o be_v view_v at_o the_o time_n when_o its_o efficient_a cause_n be_v go_v for_o than_o it_o may_v be_v see_v in_o its_o true_a essence_n and_o quality_n and_o look_v no_o otherwise_o than_o a_o serous_a humour_n be_v wont_a to_o do_v qu._n i_o see_v you_o make_v two_o sort_n of_o swell_n in_o the_o gout_n an._n i_o do_v so_o the_o one_o be_v windy_a which_o be_v the_o gout_n itself_o the_o other_o serous_a which_o be_v a_o symptom_n and_o they_o differ_v exceed_o from_o one_o another_o qu._n wherein_o consist_v that_o difference_n an._n chief_o in_o these_o particular_n 1._o in_o respect_n of_o the_o name_n which_o they_o receive_v from_o their_o several_a cause_n for_o the_o gouty_a tumour_n come_v from_o wind_n take_v the_o name_n of_o windy_a tumour_n the_o other_o come_v from_o a_o serous_a humour_n be_v call_v the_o serous_a tumour_n 2._o in_o respect_n of_o the_o part_n or_o place_v affect_v for_o whereas_o the_o windy_a tumour_n distend_v the_o membrane_n of_o the_o bone_n the_o serous_a fill_n the_o carncous_a part_n as_o water_v a_o sponge_n and_o render_v the_o flesh_n very_o spongy_a 3._o in_o regard_n of_o the_o sign_n for_o whereas_o the_o inward_a swell_n excite_v grievous_a and_o intolerable_a pain_n the_o serous_a none_o or_o little_a 4._o the_o internal_a swell_n be_v a_o proper_a disease_n the_o other_o be_v raise_v by_o the_o pain_n and_o be_v a_o symptom_n breed_v by_o consent_n of_o part_n qu._n but_o since_o that_o the_o serous_a tumour_n in_o the_o gout_n be_v not_o produce_v by_o any_o external_n cause_n but_o by_o a_o internal_a what_o be_v this_o cause_n an._n the_o violent_a pain_n as_o have_v be_v often_o say_v which_o be_v here_o the_o cause_n of_o the_o afflux_n of_o humour_n it_o be_v know_v by_o artist_n that_o pain_n draw_v humour_n after_o it_o which_o therefore_o be_v by_o they_o assign_v to_o be_v one_o of_o the_o principal_a cause_n of_o the_o afflux_n of_o humour_n qu._n but_o be_v these_o humour_n of_o which_o this_o kind_n of_o swell_v consist_v draw_v into_o the_o suffer_a part_n by_o the_o pain_n alone_o an._n artist_n be_v wont_a to_o add_v that_o sympathize_v nature_n as_o a_o kind_a mother_n succour_v the_o suffer_a part_n by_o send_v moisture_n to_o it_o and_o according_o this_o swell_a shall_v be_v generate_v by_o sympathy_n of_o consent_n of_o the_o part_n qu._n what_o benefit_n or_o ease_n do_v the_o part_n affect_v receive_v from_o sympathize_v nature_n by_o her_o send_v those_o humour_n thither_o an._n that_o the_o rage_a pain_n be_v thereby_o mitigate_v and_o render_v more_o tolerable_a qu._n in_o what_o manner_n be_v that_o do_v or_o how_o do_v the_o convey_v humour_n assuage_v the_o enrage_a pain_n an._n though_o this_o be_v difficult_a to_o explain_v yet_o i_o can_v agree_v to_o the_o common_a opinion_n import_v that_o the_o pain-breeding_a matter_n by_o mean_n of_o the_o convey_v humour_n be_v drive_v outward_a and_o disperse_v through_o the_o neighbour_a flesh_n and_o so_o the_o suffer_a member_n for_o a_o great_a part_n free_v of_o the_o pain-causing_a matter_n for_o the_o convey_v humour_n can_v by_o no_o mean_n approach_v or_o come_v to_o the_o dolorifick_a matter_n much_o less_o fotch_v it_o out_o of_o its_o deep_a seat_n and_o dislodge_v it_o because_o it_o be_v so_o fast_o impact_v and_o include_v under_o so_o firm_a and_o close_o a_o bone-membrane_a qu._n what_o be_v then_o in_o your_o opinion_n the_o reason_n why_o the_o sharp_a pain_n be_v often_o diminish_v upon_o the_o afflux_n of_o moisture_n not_o only_o in_o the_o gout_n but_o also_o in_o the_o toothache_n etc._n etc._n an._n methinks_v it_o be_v probable_a that_o it_o be_v do_v after_o this_o manner_n the_o musculous_a fleshy_a part_n be_v by_o the_o convey_v humour_n render_v soft_a plump_a and_o more_o spongious_a and_o consequent_o gentle_a do_v not_o in_o the_o first_o place_n press_v against_o or_o rather_o resist_v so_o much_o the_o sensible_a and_o distend_v periostium_fw-la as_o before_o when_o the_o carneous_a part_n have_v but_o their_o own_o native_a and_o proper_a moisture_n second_o the_o periostium_fw-la be_v by_o the_o convey_v moisture_n from_o without_o make_v gentle_a may_v with_o less_o pain_n be_v stretch_v and_o it_o may_v also_o come_v to_o pass_v that_o by_o that_o little_a warmth_n which_o this_o serous_a matter_n have_v in_o it_o at_o first_o it_o be_v now_o come_v near_o the_o periostium_fw-la do_v somewhat_o attenuate_v the_o include_v gross_a damp_n and_o so_o the_o better_a dispose_n it_o to_o evaporate_v qu._n but_o do_v the_o affluxed_a humour_n occasion_n no_o mischief_n an._n very_o much_o and_o sometime_o more_o than_o the_o gout_n itself_o for_o without_o care_n it_o cause_v dislocation_n of_o the_o suffer_a member_n and_o the_o nodes_fw-la chap._n xii_o of_o the_o dislocation_n qu._n how_o be_v it_o possible_a that_o the_o gout-breeding_a matter_n shall_v cause_v a_o dislocation_n an._n by_o the_o plenteous_a stock_n of_o humour_n convey_v and_o draw_v in_o qu._n but_o how_o do_v this_o abundant_a moisture_n fall_v into_o the_o cavity_n of_o the_o joint_n forcible_o thrust_v the_o bone_n out_o of_o their_o cavity_n an._n not_o so_o but_o it_o be_v do_v in_o manner_n follow_v pain_n and_o nature_n cooperate_a the_o one_o by_o draw_v in_o the_o other_o by_o convey_v bring_v such_o a_o quantity_n of_o humour_n to_o the_o suffer_a part_n for_o example_n the_o hipp_n that_o thereby_o in_o time_n the_o strong_a ligament_n which_o tie_v the_o bone_n together_o be_v so_o ouze_v through_o that_o be_v debilitate_a they_o stretch_v and_o grow_v so_o lax_n that_o the_o bone_n fall_v out_o of_o its_o cavity_n and_o so_o cause_v dislocation_n of_o which_o we_o have_v many_o sad_a example_n qu._n do_v not_o this_o mischief_n fall_v often_o out_o in_o other_o case_n an._n it_o may_v happen_v in_o all_o the_o member_n of_o the_o body_n and_o then_o especial_o when_o a_o unskilful_a or_o imprudent_a master_n by_o the_o use_n of_o wrong_a mean_n occasion_v yet_o a_o great_a afflux_n of_o humour_n than_o have_v be_v already_o draw_v in_o by_o the_o pain_n and_o furnish_v by_o nature_n of_o which_o pareus_n record_v a_o memorable_a example_n in_o the_o dislocation_n of_o the_o knee_n cause_v by_o a_o parisian_a master_n call_v greaulm_n fol._n 256._o qu._n may_v this_o dislocation_n be_v prevent_v by_o art_n an._n very_o well_o as_o shall_v be_v show_v in_o that_o part_n of_o our_o book_n which_o be_v to_o treat_v of_o the_o cure_n of_o the_o gout_n and_o its_o symptom_n chap._n xiii_o of_o the_o nodes_fw-la qu._n be_v there_o yet_o more_o danger_n to_o be_v apprehend_v from_o this_o symptom_n or_o its_o matter_n an._n there_o be_v for_o if_o you_o take_v not_o great_a care_n it_o will_v change_v into_o a_o incurable_a scirrbus_n or_o hard_a tumour_n which_o in_o the_o gout_n be_v call_v nodes_fw-la according_a to_o that_o of_o ovid_n tollere_fw-la nodosam_fw-la nescit_fw-la medicina_fw-la pedagram_n qu._n when_o come_v this_o swell_a to_o change_v to_o such_o a_o hardness_n an._n to_o borrow_v the_o word_n of_o beverovicius_n when_o the_o thin_a humour_n be_v insensible_o exhale_v and_o the_o sediment_n rest_v behind_o then_o will_v that_o turn_v into_o hard_a knob_n which_o burst_v of_o themselves_o or_o be_v open_v render_v a_o chalky_a or_o such_o like_a matter_n whereby_o our_o limb_n be_v not_o only_o deprive_v of_o motion_n but_o also_o dispose_v to_o crookedness_n qu._n how_o many_o way_n be_v these_o stony_a swell_n generate_v an._n two_o either_o of_o themselves_o or_o by_o the_o unskilfulness_n of_o the_o pretend_a artist_n qu._n when_o of_o themselves_o an._n the_o evaporation_n of_o the_o subtle_a or_o thin_a
part_n of_o these_o humour_n may_v be_v cause_v by_o the_o natural_a and_o innate_a warmth_n of_o the_o suffer_a part_n assist_v by_o the_o adjacent_a part_n as_o also_o by_o the_o preternatural_a heat_n of_o the_o inflammation_n of_o the_o same_o without_o any_o other_o external_a cause_n whereupon_o the_o gross_a thick_a saltish_a and_o carthy_a part_n as_o the_o sediment_n and_o relic_n remain_v in_o the_o limb_n be_v coagulate_v and_o concrete_v qu._n i._o understand_v you_o very_o well_o but_o i_o pray_v tell_v i_o also_o how_o may_v this_o come_v to_o pass_v by_o the_o unskilfulness_n of_o practitioner_n an._n when_o they_o apply_v too_o strong_o repel_v or_o dry_v or_o too_o much_o cool_a remedy_n which_o drive_v the_o thin_a part_n inward_a or_o dispel_v they_o and_o so_o harden_v and_o render_v incurable_a the_o thick_a stuff_n whereas_o they_o shall_v use_v moderate_o warm_a mollify_a remedy_n thereby_o to_o expel_v and_o consume_v the_o whole_a matter_n qu._n do_v these_o nodes_fw-la when_o they_o be_v cause_v without_o the_o application_n of_o perverse_a remedy_n grow_v on_o leisurely_o an._n they_o do_v so_o when_o they_o be_v breed_v of_o themselves_o for_o the_o foundation_n of_o this_o chalky_a matter_n be_v once_o lay_v it_o be_v raise_v and_o increase_v more_o and_o more_o upon_o every_o new_a afflux_n and_o from_o time_n to_o time_n scale_v over_o until_o it_o come_v to_o that_o bigness_n that_o it_o only_o hinder_v the_o motion_n of_o the_o limb_n and_o render_v it_o crooked_a but_o can_v also_o stay_v or_o have_v room_n no_o long_o under_o the_o skin_n but_o make_v it_o first_o protuberant_a burst_v it_o at_o length_n in_o piece_n qu._n sure_o a_o ignorant_a practitioner_n can_v bring_v this_o to_o pass_v much_o soon_o an._n so_o he_o can_v and_o to_o such_o a_o degree_n that_o the_o poor_a patient_n in_o the_o very_a first_o fit_n of_o the_o gout_n be_v for_o ever_o deprive_v of_o the_o motion_n of_o the_o suffer_a limb_n of_o which_o we_o have_v in_o banda_n a_o example_n of_o a_o lieutenant_n of_o we_o now_o lie_v here_o in_o garrison_n call_v jan_n van_fw-mi haerlem_n qu._n but_o may_v not_o this_o grow_a of_o tophe_n or_o nodes_fw-la be_v prevent_v and_o hinder_v an._n very_o well_o as_o shall_v be_v teach_v in_o the_o cure_n of_o the_o symptom_n of_o the_o gout_n qu._n will_v you_o proceed_v now_o to_o the_o second_o principal_a you_o intend_v viz_o the_o cure_n of_o the_o gout_n an._n i_o will_v after_o you_o have_v hear_v what_o i_o have_v to_o say_v of_o the_o nature_n and_o cause_n of_o the_o gout_n its_o seat_n and_o part_v affect_v its_o diagnostick_n symptom_n and_o the_o necessity_n of_o distinguish_v these_o latter_a not_o only_o from_o the_o disease_n itself_o but_o also_o from_o one_o another_o all_o which_o have_v make_v way_n to_o judge_v the_o better_a of_o a_o fit_a remedy_n to_o cure_v the_o same_o see_v we_o can_v hope_v for_o cure_n before_o the_o malady_n be_v thorough_o understand_v the_o second_o part_n of_o the_o cure_v of_o the_o gout_n chap._n i._n treat_v of_o the_o cure_n of_o the_o gout_n in_o general_n qu._n have_v there_o not_o be_v at_o all_o time_n man_n that_o have_v pretend_v to_o the_o skill_n of_o cure_v the_o gout_n ans_fw-fr yes_o indeed_o but_o experience_n have_v put_v they_o to_o shame_n for_o whereas_o they_o have_v promise_v cheap_a and_o sure_a remedy_n against_o this_o painful_a disease_n their_o promise_n have_v notorious_o fail_v and_o their_o patient_n have_v be_v at_o last_o abandon_v remediless_a see_v hereof_o among_o other_o fabritius_n hildanus_n his_o second_o part_n p._n 174._o where_o he_o speak_v of_o one_o who_o he_o call_v a_o monster_n that_o high_o brag_v he_o can_v conquer_v that_o great_a enemy_n of_o mankind_n the_o arthritis_fw-la or_o gout_n but_o be_v confute_v by_o very_o sad_a experience_n qu._n why_o do_v he_o call_v he_o a_o monster_n ans_fw-fr because_o of_o that_o monstrous_a and_o mischievous_a mean_n by_o he_o use_v whereby_o he_o kill_v his_o gouty_a patient_n see_v in_o the_o same_o hildanus_n his_o second_o part_n p._n 87_o that_o unhappy_a preparation_n of_o quicksilver_n for_o the_o gout_n qu._n but_o have_v none_o of_o the_o best_a physician_n of_o europe_n in_o so_o many_o age_n find_v any_o sure_a remedy_n against_o this_o disease_n ans_fw-fr none_o that_o i_o know_v of_o they_o rather_o call_v the_o gout_n ludibrium_fw-la medicorum_fw-la and_o the_o disease_n of_o rich-man_n though_o it_o seize_v also_o on_o the_o poor_a who_o if_o they_o can_v be_v help_v will_v soon_o lose_v that_o name_n hence_o it_o be_v become_v a_o proverbial_a say_n viz._n that_o he_o who_o undertake_v to_o perform_v something_o extraordinary_a be_v like_o he_o that_o pretend_v to_o cure_v the_o gout_n which_o pretender_n be_v usual_o send_v to_o the_o court_n of_o king_n and_o prince_n to_o practice_v their_o skill_n on_o they_o who_o will_v not_o sail_v to_o make_v such_o man_n rich_a as_o shall_v perform_v such_o undertake_n qu._n what_o be_v the_o matter_n then_o that_o the_o true_a remedy_n have_v not_o be_v find_v hitherto_o be_v the_o fault_n in_o the_o physician_n or_o in_o the_o gouty_a patient_n ans_fw-fr in_o both_o but_o most_o in_o the_o former_a as_o not_o know_v the_o true_a nature_n of_o this_o disease_n notwithstanding_o all_o their_o dispute_n and_o discourse_n about_o it_o qu._n what_o do_v you_o think_v of_o cardanus_n his_o say_n in_o the_o praise_n of_o the_o gout_n viz._n that_o whosoever_o will_v stop_v the_o source_n of_o the_o gout_n stop_v withal_o the_o source_n of_o life_n do_v not_o this_o imply_v that_o the_o gout_n be_v incurable_a ans_fw-fr he_o will_v say_v that_o the_o root_n of_o the_o gout_n can_v be_v total_o pull_v out_o though_o you_o may_v strip_v off_o the_o leave_n that_o be_v remove_v the_o outward_a accident_n thereof_o chap._n ii_o that_o the_o gout_n be_v curable_a by_o burn_v with_o moxa_n q._n but_o pray_v let_v i_o know_v your_o opinion_n in_o this_o matter_n be_v the_o gout_n a_o incurable_a evil_n and_o cardanus_n his_o say_n true_a a._n i_o or_o the_o comfort_n of_o all_o the_o gouty_a i_o here_o open_o and_o joyful_o declare_v that_o it_o be_v curable_a q._n but_o be_v not_o this_o a_o presumptuous_a arrogance_n a._n no_o for_o the_o good_a god_n in_o compassion_n to_o mankind_n have_v be_v please_v not_o only_o to_o bring_v i_o to_o the_o true_a knowledge_n of_o the_o nature_n and_o condition_n of_o this_o disease_n but_o also_o to_o direct_v i_o to_o a_o specific_a and_o proper_a remedy_n thereof_o which_o remove_v this_o sore_a evil_n it_o be_v now_o through_o the_o divine_a goodness_n in_o our_o power_n to_o quell_v and_o tame_v this_o giant_n without_o make_v ourselves_o guilty_a of_o any_o vanity_n q._n what_o mean_n be_v this_o i_o pray_v a._n it_o be_v the_o harmless_a burn_v with_o moxa_n which_o be_v three_o or_o four_o or_o more_o time_n repeat_v according_a to_o the_o condition_n of_o the_o place_n which_o the_o gout_n have_v seize_v on_o pull_v the_o enemy_n out_o of_o his_o fastness_n mark_v it_o the_o rage_a gout_n in_o the_o height_n of_o its_o rage_n be_v first_o stop_v in_o its_o carrier_n and_o soon_o after_o force_v to_o pack_v away_o q._n be_v this_o possible_a a._n it_o be_v for_o i_o have_v successful_o experience_v it_o on_o myself_o and_o many_o other_o chap._n iii_o how_o and_o for_o what_o this_o remedy_n be_v use_v q._n but_o to_o speak_v with_o order_n of_o the_o cure_n of_o the_o gout_n what_o be_v above_o all_o to_o be_v consider_v in_o this_o disease_n a._n the_o suffer_a part_n and_o labour_a nature_n be_v to_o be_v succour_v without_o delay_n and_o the_o part_n affect_v to_o be_v deliver_v of_o the_o enclose_a damp_n the_o cure_n principal_o consist_v herein_o viz._n in_o give_v a_o outlet_a to_o the_o gout-breeding_a or_o peccant_a matter_n and_o even_o in_o force_v it_o to_o evaporate_v q._n which_o then_o be_v the_o remedy_n that_o perform_v so_o great_a a_o effect_n be_v it_o not_o know_v in_o europe_n where_o have_v it_o be_v find_v out_o a._n it_o be_v moxa_n best_a know_v among_o those_o of_o china_n and_o japan_n so_o celebrate_v value_v and_o commend_v there_o that_o no_o other_o remedy_n be_v to_o be_v compare_v therewith_o upon_o the_o account_n of_o its_o excellent_a performance_n consider_v that_o there_o be_v few_o pain_n in_o the_o body_n for_o which_o they_o do_v not_o use_v it_o with_o great_a benefit_n chap._n iu._n what_o moxa_n be_v and_o where_o to_o be_v have_v q._n but_o what_o be_v this_o moxa_n ans_fw-fr it_o be_v a_o very_a soft_a and_o woolly_a substance_n make_v by_o a_o very_a skilful_a preparation_n out_o of_o a_o certain_a dry_a herb._n q._n what_o name_n have_v that_o herb_n out_o of_o which_o
by_o lay_v they_o on_o glow_a wood-coal_n where_o they_o must_v lie_v until_o you_o see_v they_o begin_v to_o fall-in_a and_o then_o they_o be_v to_o be_v take_v off_o and_o roll_v stiff_o together_o betwixt_o the_o palm_n of_o the_o hand_n and_o then_o to_o be_v unroll_v and_o display_v again_o be_v yet_o warm_a and_o moist_a and_o so_o lay_v on_o the_o escar_n continue_v this_o until_o it_o be_v time_n to_o heal_v up_o the_o wound_n when_o the_o leaf_n be_v prepare_v again_o after_o the_o former_a manner_n be_v to_o be_v lay_v on_o with_o the_o smooth_a side_n to_o the_o skin_n by_o which_o mean_v it_o will_v heal_v up_o without_o leave_v a_o mark_n upon_o the_o part_n and_o much_o better_a than_o if_o you_o have_v employ_v the_o best_a plaster_n q._n why_o must_v these_o leaf-plaister_n lie_v a_o great_a while_n upon_o the_o part_n with_o the_o rough_a side_n and_o at_o last_o only_o with_o the_o smooth_a side_n a._n because_o the_o rough_a side_n draw_v out_o and_o the_o smooth_a side_n heal_v q._n be_v there_o nâ—thing_v else_o to_o be_v observe_v touch_v these_o vegetable_a plaster_n a._n they_o be_v to_o be_v keep_v from_o fall_v off_o by_o some_o compress_v of_o linen_n rag_n and_o to_o be_v refresh_v or_o renew_v twice_o in_o 24_o hour_n q._n but_o in_o case_n the_o burn_a place_n can_v not_o well_o endure_v the_o use_n of_o linen_n compress_v how_o then_o may_v these_o leaf-plaister_n be_v secure_v from_o fall_v off_o a._n you_o may_v lay_v over_o they_o a_o diapalma_n or_o basilicum-plaister_n only_o to_o keep_v the_o leaf_n upon_o the_o escar_n q._n but_o if_o plantin-leaves_a be_v not_o to_o be_v have_v may_v not_o other_o leave_v serve_v a._n in_o that_o case_n you_o may_v use_v red_a cabbage_n or_o colts-foot-leaves_a and_o if_o these_o can_v be_v have_v employ_v the_o say_a diapalma_n or_o basilicum-plaister_n which_o may_v chief_o stand_v you_o in_o good_a stead_n when_o you_o be_v travel_v by_o water_n or_o land_n chap._n vii_o of_o the_o admirable_a effect_n of_o this_o caustick_a q._n may_v a_o man_n rest_n in_o this_o application_n and_o expect_v the_o desire_a cure_n a._n you_o may_v by_o god_n blessing_n and_o the_o physician_n may_v look_v for_o honour_n consider_v that_o in_o so_o do_v he_o cure_v sure_o without_o inconvenience_n and_o even_o with_o pleasure_n q._n then_o it_o seem_v there_o be_v no_o danger_n in_o the_o right_a use_n of_o this_o remedy_n a._n none_o at_o all_o yea_o it_o be_v such_o a_o one_o than_o which_o there_o will_v hardly_o be_v devise_v a_o better_a and_o of_o which_o you_o will_v real_o see_v a_o wonderful_a effect_n for_o the_o good_a of_o the_o patient_n q._n will_v it_o succour_v nature_n with_o most_o speed_n and_o free_v she_o of_o the_o evil_a that_o encumber_n and_o torment_n she_o a._n it_o will_v whereas_o hypocrates_n l._n 6._o aph._n 49._o say_v that_o the_o gout_n require_v 40_o day_n to_o cure_v it_o which_o galen_n second_v with_o the_o add_v this_o condition_n viz._n if_o the_o physician_n understand_v his_o work_n and_o the_o patient_n do_v his_o part_n in_o observe_v careful_o what_o be_v prescribe_v but_o this_o our_o moxa_n by_o mean_n of_o the_o burn_v describe_v draw_v this_o wolf_n with_o speed_n out_o of_o his_o den_n and_o deliver_v the_o patient_n instant_o from_o his_o pain_n and_o anguish_n q._n but_o be_v this_o way_n of_o cure_v sure_a a._n so_o sure_a that_o it_o fail_v not_o but_o be_v always_o beneficial_a and_o the_o success_n of_o it_o be_v so_o manifest_a that_o it_o can_v be_v doubt_v q._n but_o you_o do_v add_v that_o it_o will_v cure_v with_o pleasure_n which_o i_o understand_v not_o since_o you_o have_v above_o acknowledge_v that_o this_o burn_v be_v not_o without_o some_o pain_n a._n i_o mean_v thus_o that_o the_o cure_n be_v pleasant_a in_o regard_n that_o upon_o a_o little_a sharp_a pain_n which_o last_v but_o a_o short_a time_n there_o follow_v a_o great_a pleasure_n and_o joy_n the_o fruit_n of_o this_o short_a pain_n be_v great_a and_o every_o way_n delightful_a forasmuch_o as_o the_o poor_a patient_n discharge_v from_o the_o intolerable_a pain_n of_o the_o gout_n instead_o of_o his_o doleful_a lamentation_n and_o outcry_n have_v now_o cause_n to_o rejoice_v and_o to_o break_v out_o into_o thanks_o q._n but_o be_v this_o all_o which_o the_o burn_a with_o moxa_n produce_v a._n no_o for_o the_o same_o be_v timely_o use_v hinder_v the_o afflux_n of_o humour_n though_o not_o always_o total_o yet_o at_o least_o in_o great_a part_n q._n what_o benefit_n arise_v from_o thence_o a._n thereby_o be_v prevent_v all_o the_o mischief_n which_o otherwise_o may_v be_v occasion_v by_o the_o afflux_n of_o humour_n such_o as_o be_v dislocation_n and_o nodes_fw-la whereas_o it_o be_v certain_a that_o those_o who_o use_v this_o way_n of_o burn_v due_o and_o mature_o shall_v never_o have_v cause_n to_o complain_v of_o those_o grievous_a effect_n q._n if_o all_o this_o be_v true_a this_o remedy_n may_v be_v extrol_v to_o the_o sky_n a._n not_o only_o that_o but_o it_o enable_v the_o patient_n to_o be_v upon_o his_o leg_n and_o to_o follow_v his_o vocation_n if_o it_o be_v not_o too_o toilsome_a and_o even_o to_o travel_v without_o any_o considerable_a trouble_n by_o the_o same_o also_o he_o be_v exempt_a from_o all_o other_o tedious_a and_o costly_a stuff_n salve_n ointment_n plaster_n etc._n etc._n chap._n viii_o show_v that_o this_o burn_v with_o moxa_n go_v beyond_o all_o other_o remedy_n of_o europe_n hitherto_o use_v against_o the_o gout_n q._n but_o when_o the_o physician_n of_o europe_n and_o other_o part_n from_o hence_o have_v better_o understand_v the_o nature_n of_o the_o gout_n will_v they_o not_o be_v able_a to_o find_v out_o a_o better_a remedy_n against_o it_o a._n it_o be_v probable_a that_o upon_o the_o acquisition_n of_o the_o true_a knowledge_n of_o this_o disease_n they_o will_v not_o deviate_v so_o far_o as_o before_o from_o the_o way_n of_o cure_v it_o and_o that_o in_o all_o probability_n they_o will_v eschew_v many_o error_n and_o mistake_n but_o they_o will_v never_o find_v out_o any_o better_a remedy_n than_o this_o burn_a with_o moxa_n it_o be_v the_o best_a because_o the_o speedy_a cleanly_a and_o safe_a yea_o the_o most_o genuine_a most_o secure_a and_o most_o accommodate_v mean_n that_o can_v be_v excogitated_a by_o man_n q._n may_v not_o the_o enclose_a wind_n which_o you_o say_v cause_v all_o the_o trouble_n be_v draw_v out_o by_o sudorifick_v cupping-glass_n issue_n leech_n or_o common_a caustic_n a._n by_o sudorifick_v possible_o there_o may_v be_v effect_v the_o great_a ease_n but_o the_o evil_n will_v not_o be_v full_o remove_v see_v that_o thereby_o only_a the_o subtle_a of_o the_o gourty_a damp_n will_v be_v exhale_v and_o for_o cupping-glass_n issue_n leech_n and_o caustic_n none_o of_o they_o be_v able_a to_o fetch_v out_o this_o evil_n from_o its_o deep-lurking_a hole_n which_o be_v under_o the_o close_a and_o firm_a membrane_n which_o invest_v the_o bone_n q._n be_v it_o not_o advisable_v to_o employ_v anodines_n a._n by_o no_o mean_n because_o the_o pain_n be_v thereby_o not_o remove_v but_o only_o palliate_v and_o dull_v but_o be_v afterward_o raise_v up_o into_o great_a rage_n q._n be_v not_o let_v of_o blood_n beneficial_a as_o many_o will_v maintain_v a._n let_v of_o blood_n be_v better_a omit_v for_o these_o reason_n first_o because_o according_a to_o the_o opinion_n of_o the_o best_a it_o be_v not_o advisable_a when_o the_o pain_n be_v rage_a to_o open_v a_o vein_n second_o it_o be_v not_o the_o blood_n that_o be_v peccant_a or_o faulty_a but_o the_o ill-conditioned_n damp_n which_o indeed_o run_v together_o with_o the_o blood_n and_o spirit_n in_o the_o vessel_n but_o do_v never_o so_o mix_v with_o the_o blood_n as_o to_o make_v one_o body_n but_o may_v easy_o be_v sever_v whereas_o it_o be_v otherwise_o with_o the_o blood_n and_o spirit_n they_o two_o make_v up_o one_o body_n as_o the_o heat_n and_o water_n constitute_v hot_a water_n or_o as_o wine_n and_o the_o spirit_n thereof_o make_v one_o body_n of_o wine_n three_o by_o blood-letting_a the_o noxious_a damp_n be_v draw_v inward_o to_o the_o heart_n and_o there_o occasion_n much_o mischief_n and_o the_o benefit_n you_o look_v for_o from_o it_o will_v not_o countervail_v the_o harm_n four_o the_o force_n of_o the_o patient_n be_v thereby_o diminish_v and_o nature_n be_v enervate_v in_o her_o conslict_n with_o the_o disease_n whereas_o a_o good_a artist_n ought_v always_o to_o befriend_v nature_n by_o strengthen_v she_o against_o her_o enemy_n and_o a_o wise_a physician_n will_v not_o be_v forward_o to_o shed_v blood_n but_o preserve_v it_o as_o the_o treasure_n of_o life_n and_o as_o a_o seaman_n in_o a_o tempest_n will_v
not_o throw_v his_o bread_n over_o board_n but_o rather_o such_o commodity_n as_o he_o can_v be_v without_o so_o a_o good_a physician_n will_v keep_v the_o blood_n of_o his_o patient_n and_o drive_v out_o ill_a damp_n q._n what_o do_v you_o think_v of_o salve_n oil_n or_o other_o unctuous_a medicament_n in_o this_o case_n a._n they_o close_v the_o pore_n and_o obstruct_v evaporation_n q._n what_o opinion_n have_v you_o of_o hot_a pickle_n humane_a urine_n warm_a cowdung_n etc._n etc._n a._n they_o be_v mean_n which_o be_v apt_a to_o mitigate_v yea_o sometime_o to_o remove_v the_o pain_n but_o not_o always_o or_o very_o slow_o nor_o radical_o q._n will_v not_o a_o hot_a iron_n be_v convenient_a to_o make_v this_o damp_n exhale_v as_o be_v practise_v in_o the_o sciatica_n upon_o jacobus_n vincus_fw-la ambassador_n of_o the_o prince_n of_o lansbergen_n witness_n dr._n nicolaus_n tulpius_n burgemaster_n of_o amsterdam_n in_o his_o observation_n ch_n 26._o p._n 228_o by_o which_o mean_v that_o gentleman_n be_v free_v from_o his_o trouble_n a._n it_o be_v too_o sierce_a and_o withal_o too_o dangerous_a a_o remedy_n practicable_a indeed_o notwithstanding_o the_o contrary_a judgement_n of_o fabrit_fw-mi hildanus_n in_o his_o 6_o part_n p._n 501_o but_o it_o be_v better_a to_o use_v our_o gentle_a way_n of_o burn_v which_o by_o far_o cause_v no_o such_o pain_n and_o be_v more_o beneficial_a without_o put_v nature_n so_o hard_o to_o it_o to_o confirm_v this_o i_o shall_v now_o only_o add_v what_o herl_n say_v in_o his_o examen_fw-la of_o chirurgery_n p._n 364._o viz._n the_o burn_n with_o a_o red-hot_a iron_n be_v too_o violent_a a_o way_n for_o surgeon_n and_o too_o painful_a for_o patient_n and_o can_v seldom_o be_v use_v without_o hurt_v the_o flesh_n and_o muscle_n and_o doubtless_o all_o physician_n and_o surgeon_n will_v be_v of_o the_o same_o mind_n as_o soon_o as_o this_o way_n of_o burn_v with_o moxa_n shall_v come_v to_o their_o knowledge_n my_o opinion_n be_v that_o they_o will_v never_o make_v use_n more_o of_o a_o hot_a iron_n but_o in_o such_o case_n wherein_o the_o say_v burn_v be_v not_o powerful_a enough_o as_o for_o example_n in_o the_o rottenness_n of_o bone_n and_o the_o like_a q._n what_o think_v you_o of_o spanish_a fly_n now_o of_o so_o frequent_a use_n of_o which_o jobus_n van_n mekeren_n write_v in_o his_o observation_n that_o he_o have_v use_v they_o with_o much_o benefit_n against_o the_o gout_n follow_v the_o advice_n of_o dr._n vopisus_n fortunatus_n p._n lempius_fw-la a._n i_o esteem_v that_o all_o intelligent_a physician_n and_o surgeon_n will_v much_o rather_o make_v use_n of_o our_o moxa_n for_o the_o good_a of_o their_o patient_n they_o know_v sufficient_o the_o venemousness_n of_o those_o spanish_a fly_n and_o how_o hurtful_a they_o be_v to_o the_o bladder_n and_o other_o viscera_fw-la and_o have_v use_v they_o long_o enough_o of_o necessity_n because_o they_o know_v no_o better_a mean_n and_o it_o be_v remarkable_a what_o aquapendente_fw-la warn_v of_o the_o quality_n of_o spanish_a fly_n in_o his_o art_n of_o chirurgery_n ch_n 3._o p._n 246._o conclude_v with_o these_o word_n that_o it_o be_v madness_n to_o use_v this_o deadly_a remedy_n q._n be_v the_o burn_a with_o moxa_n less_o painful_a than_o that_o with_o a_o iron_n a._n incomparable_o less_o nor_o be_v it_o so_o dangerous_a according_a to_o the_o golden_a rule_n of_o hypocrates_n lib._n 2._o aph._n 12._o that_o to_o heat_n much_o and_o sudden_o be_v dangerous_a but_o to_o do_v it_o by_o little_a and_o little_a and_o slow_o be_v without_o danger_n and_o this_o be_v it_o what_o the_o expert_a physician_n guilandin_n confess_v in_o prosper_n alpinus_n de_fw-fr medic._n aegyptiorum_n ch_n 12._o in_o that_o remarkable_a practice_n of_o the_o burn_a in_o cairo_n and_o thereabouts_o which_o chapter_n high_o deserve_v to_o be_v consider_v q._n but_o sir_n do_v you_o not_o apprehend_v that_o the_o egyptian_a manner_n of_o burn_v will_v go_v beyond_o that_o with_o your_o moxa_n a._n not_o at_o all_o be_v well_o assure_v that_o the_o egyptian_n will_v be_v very_o glad_a to_o exchange_v their_o cotton_n and_o stramineous_a linen_n with_o our_o moxa_n as_o soon_o as_o they_o shall_v know_v the_o admirable_a virtue_n and_o effect_n thereof_o nor_o be_v the_o burn_v with_o moxa_n by_o far_o so_o painful_a as_o all_o the_o world_n will_v judge_n when_o they_o shall_v see_v and_o compare_v both_o q._n then_o i_o pray_v sir_n be_v please_v to_o repeat_v in_o short_a what_o remedy_n it_o must_v be_v that_o shall_v free_v a_o man_n from_o this_o disease_n a._n the_o genuine_a cure_n of_o this_o evil_a which_o attack_n suddenly_z and_o will_v not_o bear_v delay_n without_o great_a injury_n to_o the_o patient_n consist_v in_o the_o removal_n of_o the_o cause_n and_o require_v a_o remedy_n have_v these_o follow_a propriety_n first_o it_o must_v powerful_o open_a not_o only_o the_o pore_n of_o the_o skin_n but_o those_o also_o of_o the_o membrane_n of_o bone_n second_o it_o must_v attenuate_v the_o cold_a thick_a damp_n and_o resist_v their_o malignity_n three_o it_o must_v strengthen_v the_o innate_a heat_n and_o the_o expulsive_a force_n of_o the_o part_n affect_v thereby_o the_o better_a to_o master_n and_o remove_v the_o evil._n now_o the_o burn_a with_o moxa_n perform_v all_o this_o it_o strong_o draw_v out_o from_o the_o deep_a and_o resist_v all_o malignity_n it_o attenuate_v the_o cold_a and_o crass_a vapour_n lurk_v under_o the_o membrane_n consume_v or_o extract_v they_o and_o so_o disburthen_v nature_n of_o her_o enemy_n last_o it_o so_o corroborate_v the_o weak_a suffer_a parâ—_n that_o it_o will_v not_o so_o easy_o receive_v and_o lodge_v again_o damp_n of_o that_o nature_n chap._n ix_o show_v that_o this_o burn_v be_v very_o tolerable_a qu._n but_o do_v you_o think_v you_o can_v easy_o induce_v your_o patient_n to_o undergo_v this_o burn_v a._n certain_o be_v well_o instruct_v they_o will_v quick_o submit_v to_o it_o though_o that_o kind_n of_o burn_v which_o hitherto_o have_v be_v use_v in_o europe_n have_v make_v man_n very_o averse_a from_o that_o way_n q._n how_o may_v they_o be_v best_o persuade_v to_o it_o a._n i_o will_v rather_o have_v they_o persuade_v by_o other_o prudent_a and_o understand_a person_n than_o by_o the_o physician_n himself_o for_o as_o to_o he_o it_o will_v be_v more_o advisable_a he_o shall_v seem_v himself_o cool_a in_o this_o business_n and_o stay_v to_o be_v entreat_v q._n but_o in_o case_n they_o will_v not_o be_v induce_v to_o it_o out_o of_o that_o perverse_a apprehension_n what_o then_o a._n if_o they_o be_v so_o delicate_a as_o not_o to_o submit_v to_o so_o slight_a a_o pain_n they_o deserve_v not_o to_o be_v cure_v and_o so_o must_v keep_v their_o disease_n but_o i_o presume_v it_o will_v be_v with_o you_o as_o it_o be_v at_o first_o with_o i_o who_o have_v from_o a_o idle_a fear_n refuse_v this_o burn_a be_v afterward_o constrain_v by_o the_o grievous_a and_o rage_a pain_n to_o desire_v the_o use_n thereof_o and_o since_o that_o gouty_a person_n must_v day_n and_o night_n combat_v against_o the_o intolerable_a pain_n of_o the_o gout_n certain_o they_o will_v not_o easy_o be_v afraid_a of_o this_o innocent_a way_n of_o burn_v i_o have_v see_v weak_a and_o timorous_a woman_n and_o young_a maid_n which_o make_v nothing_o of_o it_o in_o respect_n of_o the_o pain_n they_o have_v endure_v in_o their_o tooth_n and_o head_n not_o now_o to_o speak_v of_o child_n who_o without_o much_o cry_n and_o tear_n have_v endure_v this_o burn_a to_o be_v cure_v of_o that_o kind_n of_o dropsy_n call_v the_o tympanite_n and_o of_o other_o infirmity_n and_o particular_o of_o convulsion_n q._n but_o many_o doctor_n and_o surgeon_n be_v like_a to_o condemn_v this_o remedy_n as_o new_a and_o unknown_a and_o so_o render_v it_o suspect_v among_o their_o patient_n a._n the_o effect_n will_v soon_o silence_v you_o and_o convince_v you_o of_o envy_n and_o ignorance_n q._n but_o may_v not_o this_o disease_n be_v cure_v by_o gentle_a remedy_n a._n no_o you_o may_v indeed_o mitigate_v the_o pain_n by_o gentle_a mean_n but_o not_o remove_v the_o cause_n nor_o root_v the_o evil_a out_o of_o the_o part_n affect_v which_o may_v best_o be_v do_v by_o this_o our_o burn_v chap._n x._o of_o the_o qualification_n require_v in_o the_o person_n that_o be_v to_o perform_v this_o burn_a q._n be_v every_o one_o fit_a to_o perform_v this_o burn_a a._n no_o certain_o but_o it_o must_v be_v one_o that_o have_v a_o perfect_a knowledge_n of_o what_o be_v requisite_a to_o it_o both_o before_o and_o after_o and_o that_o be_v experience_v in_o it_o because_o considerable_a mistake_n may_v be_v commit_v therein_o q._n what_o be_v the_o particular_n of_o which_o this_o artist_n must_v be_v well_o
cause_n of_o the_o disease_n and_o since_o it_o be_v in_o vain_a to_o hope_v for_o a_o recovery_n as_o long_o as_o there_o be_v a_o error_n or_o mistake_n about_o the_o peccant_a or_o gouty_a matter_n qu._n have_v physician_n be_v of_o one_o opinion_n herein_o an._n no_o for_o some_o have_v assign_v the_o cause_n to_o be_v a_o slimy_a and_o cold_a humour_n some_o a_o mixture_n of_o gall_n and_o slime_n some_o a_o crude_a indigested_a and_o impure_a blood_n other_o a_o serous_a humidity_n mix_v with_o a_o acrimonious_a saltness_n other_o wind_n with_o a_o mixture_n of_o the_o four_o know_a humour_n other_o ill-conditioned_n wind_n alone_o qu._n whence_o i_o pray_v arise_v this_o great_a diversity_n of_o opinion_n an._n from_o thence_o only_a that_o as_o have_v be_v already_o intimate_v they_o have_v not_o distinguish_v the_o gout_n from_o its_o symptom_n which_o have_v so_o abuse_v they_o with_o the_o notion_n of_o the_o humour_n that_o they_o have_v put_v those_o out_o of_o the_o list_n of_o gouty_a person_n who_o in_o their_o gout_n perceive_v no_o afflux_n of_o humour_n absolute_o require_v the_o same_o in_o this_o disease_n notwithstanding_o that_o such_o as_o find_v no_o serous_a swell_n in_o their_o gouty_a distemper_n do_v feel_v full_a as_o much_o pain_n as_o other_o that_o be_v wont_a to_o find_v that_o afflux_n who_o grievous_a pain_n also_o be_v considerable_o abate_v upon_o the_o swell_a qu._n which_o then_o be_v in_o your_o judgement_n the_o next_o and_o immediate_a cause_n an._n we_o have_v express_v it_o in_o our_o above-recited_n description_n of_o the_o gout_n to_o wit_n that_o it_o be_v a_o vapour_n or_o damp_n dry_a and_o cold_a and_o mix_v with_o malignity_n qu._n but_o many_o will_v look_v upon_o this_o as_o a_o airy_a and_o windy_a fancy_n and_o no_o solid_a truth_n an._n if_o man_n shall_v divest_v themselves_o of_o prejudice_n and_o mature_o consider_v all_o what_o have_v be_v say_v and_o be_v yet_o to_o follow_v i_o shall_v then_o expect_v a_o more_o favourable_a judgement_n and_o a_o unanimous_a consent_n to_o my_o doctrine_n qu._n according_a to_o your_o theory_n the_o gout_n be_v to_o be_v reckon_v among_o windy_a swell_n an._n so_o it_o must_v be_v because_o ground_v upon_o experience_n the_o mistress_n of_o fool_n qu._n but_o be_v not_o this_o a_o quite_o new_a opinion_n or_o have_v there_o ever_o be_v any_o learned_a man_n that_o have_v deliver_v the_o same_o an._n when_o i_o late_o enumerate_v unto_o you_o the_o various_a opinion_n concern_v the_o cause_n of_o the_o gout_n you_o may_v remember_v that_o the_o last_o of_o they_o be_v that_o which_o place_v it_o in_o mere_a wind_n now_o among_o those_o doctor_n sennertus_n reckon_v guainerius_n and_o matthaeus_n de_fw-fr gradibus_fw-la two_o eminent_a physician_n and_o as_o far_o as_o i_o can_v find_v the_o chinese_n doctor_n be_v all_o of_o that_o mind_n beside_o that_o ancient_a physician_n guido_n de_fw-fr culiaca_n though_o in_o the_o gout_n he_o follow_v the_o humorist_n relate_v that_o he_o have_v read_v in_o some_o prescription_n of_o health_n give_v to_o the_o pope_n of_o rome_n that_o this_o disease_n do_v arise_v from_o wind_n and_o the_o royal_a chirurgeon_n pareus_n p._n 534._o assign_v for_o the_o certain_a cause_n of_o the_o run_a gout_n a_o very_a thin_a fuliginous_a matter_n which_o be_v nothing_o else_o but_o a_o subtle_a smoky_a damp_n or_o spirituous_a substance_n qu._n but_o pareus_n do_v not_o speak_v so_o of_o the_o other_o kind_n of_o gout_n ans_fw-fr it_o be_v true_a that_o he_o affirm_v it_o of_o the_o run_a gout_n but_o then_o i_o must_v say_v that_o that_o kind_n do_v not_o at_o all_o in_o its_o essence_n or_o next_o cause_n differ_v from_o the_o other_o gout_n but_o only_o in_o some_o quality_n relate_v to_o the_o thinness_n and_o thickness_n of_o damp_n those_o from_o whence_o proceed_v the_o run_a gout_n thin_a and_o subtle_a and_o those_o which_o cause_n the_o other_o gout_n courser_n and_o thick_a and_o it_o be_v notorious_a that_o almost_o all_o intelligent_a physician_n assign_v damp_n for_o the_o next_o cause_n of_o tooth-aches_a headache_n pleurisy_n at_o least_o bastard_n pleurisy_n colick_n and_o epilepsy_n disease_n which_o in_o name_n indeed_o place_n and_o some_o symptom_n differ_v from_o the_o gout_n but_o not_o in_o their_o true_a essence_n they_o be_v so_o near_o akin_a to_o one_o another_o that_o they_o acknowledge_v but_o one_o and_o same_o cause_n qu._n it_o be_v true_a that_o some_o learned_a man_n have_v affirm_v wind_n or_o damp_n to_o be_v the_o next_o cause_n of_o the_o gout_n but_o other_o have_v reject_v that_o opinion_n and_o for_o their_o ground_n of_o do_v so_o i_o shall_v produce_v but_o one_o argument_n for_o all_o which_o m._n beverwyck_n allege_v out_o of_o sennertus_n in_o his_o treatise_n of_o the_o gout_n say_v all_o sickness_n which_o arise_v from_o wind_n do_v not_o last_v so_o long_o as_o the_o gout_n and_o make_v use_n of_o this_o reason_n for_o his_o deny_v the_o flatus_fw-la or_o wind_n to_o be_v the_o true_a cause_n of_o the_o gout_n and_o further_o in_o his_o medicina_fw-la p._n 62._o treat_v of_o tumour_n in_o general_a he_o declare_v that_o the_o windy_a swell_n do_v vanish_v easy_a of_o all_o what_o you_o can_v say_v to_o this_o objection_n i_o long_o to_o hear_v ans_fw-fr those_o great_a man_n speak_v here_o only_o in_o general_n of_o windy_a tumour_n and_o what_o they_o say_v be_v only_o true_a of_o such_o windy_a swell_n as_o lurk_v under_o the_o skin_n or_o in_o fleshy_a part_n not_o in_o those_o that_o lie_v in_o deep_a part_n and_o under_o firm_a and_o thick_a membrane_n as_o in_o the_o gout_n and_o other_o hide_a or_o manifest_a swell_n raise_v from_o latent_fw-la wind_n see_v the_o proof_n hereof_o in_o hildanus_n p._n 6._o ob_n 40._o in_o a_o tympanite_n that_o be_v refractory_a to_o all_o remedy_n qu._n what_o then_o be_v the_o true_a cause_n why_o the_o gout_n be_v so_o long_a a_o cure_n be_v the_o gouty_a cause_n the_o damp_n so_o difficult_a to_o be_v with_o speed_n remove_v and_o evaporate_v ans_fw-fr the_o gouty_a damp_n be_v easy_a enough_o to_o be_v evacuate_v and_o it_o be_v even_o forward_o to_o be_v exhale_v but_o there_o be_v a_o notable_a obstacle_n which_o hinder_v the_o speedy_a performance_n of_o it_o and_o that_o be_v this_o the_o impacted_a and_o enclose_a damp_n which_o cause_v the_o windy_a tumour_n in_o the_o gout_n seek_v a_o passage_n to_o issue_v out_o at_o but_o find_v none_o partly_o because_o of_o the_o grossness_n of_o the_o damp_n partly_o and_o chief_o by_o reason_n of_o the_o close_a and_o firm_a membrane_n of_o the_o bone_n under_o which_o it_o lurk_v especial_o since_o the_o place_n in_o which_o this_o cold_a damp_n lodge_v enjoy_v but_o little_a warmth_n for_o the_o attenuate_a of_o this_o gross_a damp_n and_o expel_v it_o through_o the_o small_a pore_n of_o that_o membrane_n qu._n but_o i_o pray_v sir_n let_v i_o know_v what_o be_v the_o chief_a motive_n that_o have_v induce_v you_o to_o make_v damp_n the_o only_a next_o cause_n of_o the_o gout_n ans_fw-fr first_o this_o remedy_n which_o i_o here_o offer_v as_o that_o which_o sudden_o cure_v this_o disease_n for_o if_o it_o be_v true_a that_o the_o medicine_n declare_v the_o disease_n as_o physician_n afirm_v with_o their_o master_n hypocrates_n i_o must_v then_o conclude_v that_o no_o humour_n but_o only_o a_o spirituous_a thing_n be_v the_o cause_n of_o this_o disease_n second_o observe_v the_o sudden_a motion_n of_o the_o gouty_a matter_n sometime_o dislodging_n in_o a_o very_a short_a time_n from_o one_o limb_n to_o another_o from_o the_o hand_n to_o the_o foot_n from_o one_o foot_n to_o the_o other_o etc._n etc._n fly_v as_o it_o be_v with_o swift_a wing_n from_o above_o to_o beneath_o and_o back_o again_o i_o find_v myself_o oblige_v to_o judge_n that_o these_o be_v not_o humour_n but_o some_o spirituous_a matter_n able_a to_o do_v such_o thing_n chap._n iu._n of_o the_o quality_n of_o the_o damp_n that_o cause_v the_o gout_n qu._n of_o what_o quality_n i_o pray_v be_v these_o gouty_a damp_n ans_fw-fr the_o above-recited_n description_n say_v that_o they_o be_v dry_a cold_a and_o ill-conditioned_n qu._n why_o do_v you_o say_v they_o be_v dry_a ans_fw-fr the_o better_a to_o distinguish_v these_o damp_n from_o windy_a humour_n qu._n why_o cold_a be_v there_o not_o a_o hot_a as_o well_o as_o a_o cold_a gout_n ans_fw-fr as_o there_o be_v but_o one_o next_o cause_n which_o for_o quality_n be_v always_o cold_a so_o be_v the_o distinction_n of_o a_o hot_a and_o cold_a gout_n vain_a my_o opinion_n agree_v with_o that_o of_o fernelius_n that_o all_o gout_n arise_v from_o a_o cold_a cause_n qu._n but_o with_o what_o reason_n can_v you_o maintain_v this_o opinion_n ans_fw-fr irrefragable_o by_o the_o