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ID	Title	Author	Corrected Date of Publication (TCP Date of Publication)	STC	Words	Pages
A43020	Morbus anglicus: or, The anatomy of consumptions Containing the nature, causes, subject, progress, change, signes, prognosticks, preservatives; and several methods of curing all consumptions, coughs, and spitting of blood. With remarkable observations touching the same diseases. To which are added, some brief discourses of melancholy, madness, and distraction occasioned by love. Together with certain new remarques touching the scurvy and ulcers of the lungs. The like never before published. By Gideon Harvey, M.D.	Harvey, Gideon, 1640?-1700?	1666 (1666)	Wing H1070; ESTC R221901	86,504	264

disgrace of being deposed of all his Offices and Dignities Fates not much differing from this befell also Cardinal Woolsey and many other Grandees upon the like occasions In fine it 's a common observation among the Spanish Polititians that the surest Stratagem to be quite rid of a Statesman that stands in the way and besides to avoid popular clamours and censures is to depose him of all his dignities and imprison him where without question the apprehension of his disgrace or the pernicious air of a Prison will soon set a period to the course of his days or at least put him upon some revengeful attempt whereby he may be rendred a riper object for a publick Scene This by the way to illustrate to you the danger of a pain in the Soul and the near sympathy there is between her and the body Touching the manner of causality whereby grief effects such fierce symptoms viz. a sudden Death and a lingring Consumption may be collected out of the preceding discourse upon an Amorous Consumption to wit the former is caused through a full and sudden irruption breaking in of thick Melancholique blood into the Ventricles narrow rooms of the heart thereby choaking the vital spirits and putting a stop to the hearts pulsation which if intermitted but three or four Pulses portends a certain death The latter is atchieved by a gradual suppression of the vital spirits through heavy tartarous dreggish blood which namely the spirits defecting must necessarily cause an extinction of the innate heat and spirits for whose nutrition they are designed and so consequently a perfect Consumption must be the ultimate issue Add hereto the restlesness and intermission from sleep grieved persons are molested with whereby the blood is much dryed the spirits consumed and melancholy increased Moreover as melancholick blood doth so much suppress the vital spirits so it 's very unapt for ministring matter for new spirits or being converted into flesh because of its grosseness and crudity Neither doth that blood continue long so as I said before but acquires an acrimony whereby it 's much intended heightned in its devouring and consuming quality CHAP. X. Of a Studious Consumption MOderate labour of the body is universally experienced to conduce to the preservation of health and curing many initial beginning Diseases but on the contrary the toyle of the mind to destroy health and generate Maladies by attracting the spirits out of the entire body from their task of Concoction Distribution and Excretion to the brain whither they carry along with them clouds of vapours and excrementitious humours of the whole thereby excessively annoying the brain and its faculties impelling it into various Diseases as Catarrhs defluxions of humours stupors numness imminution lessening of the memory and imagination impairs of the external senses as dulness of hearing or seeing imbecillity weakness in stirring or walking c. Likewise the other parts of the body being deprived of their spirits sustain very considerable damages as the Stomach happeneth to be weakned in its Concoction whence crudities and loss of appetit the Spleen and Liver in their Offices of defaecation whence vitious melancholick dreggish sulphurous blood and obstructions of the Bowels and Vessels the Heart in its distributing the blood to all the parts of the body and strength of pulsation whence an Atrophia or want of nutriment in the parts the immediate cause of a Studious Fastard Consumption Add hereto a sedentary sitting life appropriate to all Students crushing the bowels and for want of stirring the body suffers the spirits to lye dormant and dull whence costiveness dispersing malign putrid fumes out of the Guts and Mesentery a thick double skin that tyes the Guts together into all parts of the body occasioning head-ach flushing of the blood to the head feavers loss of appetit and disturbance of Concoction It is beyond imagination to conceive the sudden destructive effects of a Studious life some eight or ten years since there dyed at Abington one Pendarves an incomparable hard Student and Minister of that Town who being dissected his Lungs were found to be withered and dryed up into an exact resemblance of an ordinary Spunge in point of substance and bigness The like Emblems we find frequently in Universities where Scholars daily drop away of Consumptions Neither is it an extraordinary observation to see Consumptions in the Faces of hundreds of the late Preaching Divines witness else their thin Jaws and number of Caps CHAP. XI Of an Apostematick Consumption APostems although internal do rarely cause Consumptions before they break unless seated amongst the Glandules in the Mesentery where I have observed them to occasion a very discernable extenuation which Symptom seems very strange in that case since a Physician can scarce find any sensible cause of so visible an evil the principal intrails giving no sign of the least distemper and the appetit consisting as formerly In such a case many would impute the foresaid Consumption to obstructions no other cause disease or part appearing suspicious for a deep latent Apostem in the Mesentery if of no great mole bigness cannot be sensibly discovered but by conjecture only since the touch cannot penetrate so deep as to reach it because of its deep situation neither can the relation be expected from the Patient because the part affected is inseusible In the Hospital at Leiden some twelve or fourteen years ago I observed the like accident in a boy who perceiving his flesh to shrink every day more and more although without the least sense of any disease that should cause it applyed himself to a Physician of the Town where he then lived who imputed the cause of his Consumption to obstructions of the Liver and Spleen a trodden Sanctuary for hidden diseases and prescribed him a Deoppilative opening and Purgative Apozem not questioning his Cure The youth finding no benefit doubted his Doctor had mistaken the Disease upon this resolves to go to the University to see what the Professors could make of it who all cryed out against Hypochondriack Obstructions except Prof. Lindanus who conjectured it might be some hidden abscess in the Mesentery which breaking some few days after was discovered to be an Apostem of the Mesentery by the evacuation of the matter by stool How an Apostem in the Mesentery breaking causes a Consumption of the parts is apparent viz. by immitting purulent fumes into the Arteries and Veins corrupting and affecting the blood with a malign quality which proving very offensive to the parts in subverting and poysoning their innate temperature is rejected by 'em whereby they are forced to wither for want of nutriment The said purulent vapours crowding into the substances of the principal and sub-principal parts viz. the Heart Brain Spleen and Liver do likewise so infect poison and destroy their Innate temperaments that they immediately begin to languish in their offices to the great prejudice of all the body But it 's not so manifest by what means an Apostem

Proper Consumption which we do here describe To be an habitual or hectick confirm'd or radicated slow extenuation against nature or rather a devouring of the Fleshy and Spermatick parts of the body through an immediate slow corruption of the Essential mixture viz. the Radical moisture and the Innate heat Whence you may deduct that ordinary extenuations of a Month or two more or less are not to be nominated Proper Consumptions which relating to the profound Balsamick mixture speak great danger of death difficulty of cure and implicitly a long space of time before any such offence against nature can be offer'd because of the deep latency hidden situation of the substantial principles Consumptive extenuations must be against nature to exclude natural ones occasioned through want of food required to fill up the vacuities empty spaces between the Pores of the parts that happen through their daily dissipation or dissolution but it 's rather an Absorbing sucking up or devouring of the parts by Corrupting their Fundamentals whereby every part doth not only shrink but grows sensibly less in its substance so as the parts as far as they are consumed can never be recovered or made greater by reason of the dissolution and corruption of their Fundamental mixture and the return of their substantial principles into their first elements unless it were possible to infuse new substantials into them which to imagine faisible portends a man to want a grain of his right Reason and certainly none but such as pretend to be meer Chymists would assert that Potable Gold aurum potabile or Gold Chymically reduced to a liquor or a thin oyle thereby being render'd potable or sit to be dranck contains a vertue of recruiting or augmenting Natures Essentials which if possible it 's requisite the said Potable Gold should be endued with a capacity of being agglutinated glewed and assimilated converted into a likeness to the Innate heat and Radical moisture or at least be virtuated with a power of generating the said essentials out of the humours within the Vessels The former of these instanced ways is rejected because it 's impossible a mineral as Gold is that is inanimate dead and incapable of receiving life and of another genus kind should be converted into the highest and purest degree of an animate substance as the Spermatick essentials are for if minerals are not convertible into another Species though of the same Genus much less can they be surmised reducible into a Species of another Genus Certainly what can not be expected from animated plants yea Animals living moving Creatures which though belonging to the same Genus are only convertible into flesh and other dissipable parts but not into Spermatick ones it 's a vanity to look far in dead minerals Touching the vain effects of Aurum potabile you may read more at large in the second part of my Philosophy Book 1. Chap. 1. Par. 5. In summa unless it were imaginable to infuse the same animate living Sperm into the substance and penetrails depth of the parts it 's ridiculous to expect reparation from any other means which makes it apparent that it 's more easie to generate a new man than to repair one that 's partly consumed in his substantials This by the way but to return to the explanation of the forestated description Putrid Feavers depend upon the putrefaction or a tendance to Corruption of the blood whose immediate effect is the corruption of the said nutritive nourishing humours but mediately and swiftly if tending to death corrupting the essential principles of the parts where as in a Proper Consumption the corruption is immediate and slow Likewise other Diseases as Dropsies Jaundises Ptisicks c. to arrive to the period of life must necessarily cause a corruption of the essentials though slow yet not immediately but mediately by corrupting the blood Not to be desicient in any thing that may add to the illustration of the subject of this Chapter we shall annex Galen's definition of a Simple Tabes or perfect Consumption lib. de Tabe A Consumption is the dying of a living Creature through dryness This description is generical extensible to Consumptions of Ulcerated Lungs and those that attend simple Hectick Feavers and so far it 's agreeing to ours that it confirms the latter branch viz. that it 's a devouring corruption of the essential mixture which consisting chiefly of an oyly moisture is corruptible through dissipation or being dryed away which Galen here intends by dryness to wit the drying away of the Balsamick moisture Moreover Galen's Commentators make mention of a two fold dryness the one concomitated with a heat which they call a Torrid Tabes the other with a coldness termed Ex morbo Senium when the parts are consumed through extinction of their native heat and dissipation of their Radical moisture Gal. in the forecited Book subjects all the parts of the body to a simple Consumption or Tabes excepting the Lungs which being of a moist and soft temperature seem not at all disposed to suscept any dryness But on the contrary it 's ordinary for Smiths Cooks and others whose imployment is conversant about the Fire to incurre such an extreme dryness of their Lungs that in the dissection of their Carcasses they appear liker Spunges than moist Lungs the like observation you 'l read below touching the withered Lungs of one Pendarves CHAP. VI. Of the nature and kinds of Bastard Consumptions IMproper or Bastard Consumptions are only slow growing extenuations or wastings of the fleshy parts directly moving to a True and Proper Consumption by reason of some indisposition of the intern parts humours and insluent spirits In proper Consumptions there is a devouring of the Spermatick parts and essentials here only of the flesh and humours So that a Bastard Consumption is curable with ease because it 's no more than a superficial and growing malady relating to the consumed fleshy parts but the other implyes a very difficult cure not by restoring the Spermatick parts which as we shewed in the preceeding Chapter is impossible but only by stenting and removing the corruption of the forementioned essentials A Bastard Consumption chiefly comprehends these following 1. An Hypochondriack Consumption 2. A Scorbuick Consumption 3. An Amourous Consumption 4. A Consumption of Grief 5. A Studious Consumption 6. An Apostematick Consumption 7. A Cancerous Consumption 8. An Ulcerous Consumption 9. A Dolorous Consumption 10. An Aguish Consumption 11. A Febril Consumption 12. A Cachectick Consumption 13. A Verminous Consumption 14. A Consumption of the Rickets 15. A Pockie Consumption 16. A Poysonous Consumption 17. A Bewitch'd Consumption 18. A Consumption of the Back 19. A Consumption of the Kidneys 20. A Consumption of the Lungs All these tending to a True Consumption unless anticipated prevented by a mortal acute Disease do justly come under the notion of Bastard or growing Consumptions Neither is' t our purpose to treat farther of of these Diseases than relating to Consumptions the

and sometimes burst out at the toes into a water 5. The appetit is quite lost 6. A sensible Hectick Feaver ever growing higher in the night then in the day because the cold of the night stops the pores it 's known by a quick hard low uneven in motion and fortitude Acre or stinging Pulse and a glowing heat of their body an hour or two after Victuals 7. It 's ordinary for Consumptives in this degreeto entertain their visiters with strange rambling discourses of their intent of going here and there or doing this and that as if they did in no wise expect to change their dwellings into a grave 8. They are extremely fretful and peevish never well at rest but always calling for this or that or changing their seats or posture of lying or sitting 9. They are incident to Convulsions in their Necks and Gripes in their Bellies 10. They are very subject to Nocturnal pollutions or evacuations of the Sperm without Phansie the reason whereof Aristotle gives 5. Probl. 53. because sharp colliquations falling to the spermatick parts excite the excretive faculty 11. Aristotle among his Problems doth likewise write that Consumptives are very apt to breed Lice which probably are engendred out of their clammy sweat by a putredinal heat that attends them 12. Their Cheeks appear oft of a rosie red colour especially after meat 13. At last they spit out peices of their Lungs it may be small grisly bits that are eaten off from the Lung pipes or small light uneven pieces of spungy flesh 14. If you desire a particular remarque whereby to know which of the parts are most apt to consume first that so you may be forewarned in time I 'le resolve you A Consumption is no where so visible as at the fingers ends whose flesh commonly shrinks before any other part of the body and that for two reasons 1. Because it 's the finest tenderest and most delicate kind of flesh consisting of a most exact temperature whereby it 's the better disposed for the touch no part of the body feeling so exactly which tender consistence renders it the more colliquable and consumptive 2. Because the heat of the body reflecting at the fingers ends redoubles and is more intense than in any other part as doth more evidently appear in Feavers The last and third degree foretell the nearness of their fate which for the most part follows within three or four dayes upon the appearance of these signs which Hippocrates doth orderly digest in 5 Aphor. 14. and 7. Aphor. 72. After the evacuating of blood upwards follow a Tabes an exquisite Consumption and evacuation of matter upwards after a Tabes a defluxion from the head after a defluxion a loosness and a stoppage of the expectoration and after the stoppage death To be more particular 1. There is a loosness whereby the matter that should be evacuated upwards by Cough is drawn downwards or rather fixt in the Lungs not only so but the Spirits that should actuate the Lungs in the expectoration are consumed dispersed and drawn downwards whereby the Lungs are rendred unable of Coughing up the purulent matter which remaining causes a stoppage that doth suddenly choak the heart 2. A shedding of the hair is another fatal sign hapning only at last when the body is quite dryed up and contains not so much excrementitious moisture as to nourish the hair read 5. Aphor. 12. Quibuscunque tabidis capilli fluunt c. 3. A stinking breath a sign the purulent matter is affected with the worst degree of putrefaction the immediate effect whereof is a faetor or stink 4. The Nails of the Fingers and Toes bending or turning crooked like the claws of a Beast This arrives because the flesh underneath is consumed whereupon they are dryed into a crooked round shape like horns that bend crooked by being over dryed by lying in the Sun or before the Fire 4. Frequent sweats especially on their breast 5. Rhases lib. 4. Con. writes that Consumptives when they are near death grow light headed This sign holds true in some but not in others many dying with their perfect understanding and memory Yet this is frequent that their sight grows dimme and therefore can not see at that distance they could before which makes them oft imagine they see strange things which they don't Their hearing is also grown very dull upon a sudden for otherwise Consumptives in the first and second degree have a very sharp hearing 6. their voice is very hoarse 7. The spittle of Consumptives being powred upon burning coals stinks very strong 5. Aphor. 11. Cum tabi implicitis quod tussiendo excluditur sputum graviter oleat dum carbonibus ardentibus infunditur capillique defluant funestum 8. they fetch their breath at last very easily yet not without the sense of a great clogg at their Stomach and a whiesing or whisling in their Wind-pipe 9. Their Pulse is intermittent every sixth or eighth Pulsation in others it's caprizans myurus or formicans 10. Their Feet and Legs dye first which commonly are cold and dead a quarter of an hour or more before the other parts Thus we have delineated the whole History of a Consumption that absolves its course without spitting of blood There remains only an observation or two upon that which is attended with a bloody sputation which either happens at the beginning whereupon necessarily follows the spitting of matter according to that Aphorism Post sanguinis sputum pur is sputum c. Whether the matter expectorated be fleam or pus matter that 's bred in an ulcer is known by stirring it with a stick if it be fleam it will cleave and stick if pus it will divide and separate or thus being dropt into a Bazon of Salt-water if it descends to the bottom in a grayish powder like flower it 's purulent matter if it swims its ' a fleam if it partly swims and partly sinks it 's a mixt substance If the Ulcer in the Lungs be deep in the Parenchyma it 's discovered by a hard Cough and if almost reaching to the Ambient Membrane then there is a sore kind of pain with a hard cough but if the cough be painful and the matter comes up easie it 's a sign the Ulcer is in the wind-pipe as the expectorated cartilaginous particles do further declare The Patient having for a while cough'd up purulent matter is ever and anon upon a fit of coughing fretting or anger or any other commotion of humours apt to expectorate small quantities of diluted blood with fleam Wee 'l put an Epilogue to this Chapter inserting only the signs of matter expectorated through the Lungs from a suppuration of the breast The proper signs of a suppuration are comprehensively mentioned by Hippocrates lib. de coac praenot 49. Those that are grown suppurated especially upon a Pleurisie and Peripneumonia which is also to be supposed upon a Squinsie the suppuration whereof is more dangerous than any other are troubled