sufficientlye knovvne vvith all the diseases of all other partes But vve must generallye note that the most assuredst signe of the imbicilitye of anye parte chaunceth through the vntemperatnes and badde formatiō of the same for if so be that the Temperamente had binne goode and by consequence the formative virtue had binn stronge she should as then exactlye have formed that parte for by the operation is the operator therof knovvne VVherfofe Aristotle is of opinion that the incomplete creation hath her deformity through the vvante of the frigide could nature and the imbicillity of the Sperma Similitude for even as vve see that the Mechanicall operatours or handyecraftes men can not make any peece of vvorke so perfect so neate of a badd peece of stuffe as they might vvell easily doe of a good and apt and tractable peece of stuffe vvhich is not spoyled nor corrupted All vvhich is before approvede by the thirde rule sect 1. of the sixte Epidemiorū Hippocratis founded on an excellēt Axioma in the commētaries of Galē vvhere be sayeth Imbicilla membra multum pravumque excrementum colligere consueverunt Such a congregatiō excrescence of venoūous excrementes vvhich chaunce to congregate themselves together in such deformed partes doe drounde choacke Suffocatiō of the naturall calidity oftentimes corrupte the naturalle caloure first of all of the diseased parte and then of the vvhole bodye after the vvhich must necessarilye follovve death vvithout the Chyrurgiane being able to remedy the same or vvith any aequitye might therof be blamed although notvvithstanding oftētimes the Princes great Lordes vvhich of these matters have smalle knovvledge vvithout occasiō doe blame reproache theire Chyrurgians yea some times also accuse them require of the magistrate to have punished themselves also vndeservedlye punishe theire Chyrurgians Accidental imbicillity Touching the accidētalle imbicillity vvhich hath binne from the beginning of the first creation it is certayn that as vve have sayed of the momorsions or Bittes even so in like sorte vve may saye of the diseases that the first are verye nocent vnto the last For Quae non possunt singula multa nocent a little therafter Gutta cavat lapidem non vi sed saepe cadendo VVe doe not throughe sicknes a mende the pitcher goeth so often to the vvell till that in the end he returne broken home agayne For all diseases are of so venoumous a nature that although they are cleane cured yet they relinquishe some badde reliques in the parte vvherthrough they may the easyer returne agayne vvherfore of our Divine Hippocrates it is called Philostrophes The one disease follovvinge the other is very troublesome vvhich signifyeth noe return agayn or at the least such partes are as then most subiected to receave some nue disease also the sayed Hippocrates sayeth farther in his Booke of internall diseases that all aegritudes vvhich follovv any other disease are allvvayes most cōmonlye mortall because shee findeth the naturall forces debilitated vvhich vve allsoe must vnderstande of the vvoundes vvhich are receaved in anye partes of the body vvhich before have once binn vvounded An ague being cured commonlye leaveth an Empirema after her These dispositiones are of oure Physiciones called Diatheses and are esteemed to have great forces for the generatione of diseases or for an incurable confirmation of the same In like sorte allso relinquesheth an Empirema after her vvher by that Personne is made more subicte to receave more agues that in such a sorte as a hott ovē vvhich hath once binne heated is more apte agayn to receave the heat as in exāple ther be any on vvhich hath once binn vvounded agayn being vvounded especiallye in the same place vvher before he vvas vvoūded it is impossible that the sayed parte shoulde have the same force virtue or vigour to repugme and to resiste for the curatiō vvhich before shee hath hadde before ever shee vvas vvounded and that in such sorte as in a Corselet or harnas vvherone hath binne a shott and having gotten a crushe or bendinge in allthoughe the same be beaten and malleated smothe agayne yet it vvill never be beatē so smoothe nether so playne strong as it vvas before it hadde the shott Nether can can I heer praetermit to recite those vvhich have itenerated and travelled throughe the Sudatorye regione and passede throughe the driveling or sputaminouse climate beinge agayn ready to travell the same vvay being grevouslye vvounded vvher there is one vvhich is safelye returned from the iournye vvith good fortune there are three yea foure vvhich by the vvay doe faynte and so dye vvherfor as thē vve admire vvhy they are not cured or vvhye their resanation is so tardife not considering that the vvounded vvas halfe before corrupted The vvoūded vvhich have binn in the drivelinge climate can verye difficultly be cured that his humors have vvholy binne aultered throughe the venoumousnes of the foresayed disease or havinge binne cured therof have as yet retayned any aulteratione in the Liver or in anye other internalle partes vvhich gathereth continuallye many venoumous excrementes vvhich the foresayed parte vvithout anye cessation dischargeth into the vvounded parte And soe most commonlye the occasione of death commeth throughe the inordinate state of life in eatinge Gluttony is the occasion of much evel and drinckinge vvithout observinge anye rule of victitation hauntinge also of vvoemen and not suffering themselves to be handled of the handes of the Chyrurgian as the cause requireth it be ether in tenting of the vvounde by inscisione by cauterisatian by keepinge himselfe quiet vvhich all aunciente Chyrurgians so highly and exactlye commaūde Ease is goode for al vvoundes to the furtherāce of the curatiō of the vvoūde follovvinge the sayinges of Celsus that Optimum Medicamentum quies abstinentia is Soe that I am intended as of a thinge that is of all men knovvne not much in this place to speake therof althoughe notvvithstanding it is oftentimes the occasione of death hovv lightly soever they be vvounded yea allsoe and of greate vvoundes being cleane out of daunger throughe theire inordinate manner of lyfe especiallye in eatinge and drinckinge doe agayne fall therin and come to a farre more vvorse estate then ever before they vveare yea and sometimes allsoe dye therof for it is most certayne that More ther are which of Gluttonye dye heere Then of blowes or shottes to death come neere So that vve vvill novve handle or treacte Consideration on the time of the yeare of the times of the yeare There is nothīg more manifest then that many vvounded personnes might of theire vvoundes be cured if soe be the time of the year vveare such as it vveare requisite it should that is if soe be the foure seasons of the yeare reserved their naturall temperature quallity It is also apparent that the intemperature of the ayr the disordre of the time the
the boulder illustraete the operatione of his arte and give iudgement ther of vvithout anye scoffe or checke and be able to give a true reporte vvhen that by the aucthoritye of some learnede chyrurgiane or by the aucthorytye of some Potentate he shal be therin imployede ordayned to reporte his opinione ether of the vvounded persons life ordeath haultnes or criplenes Even as alsoe the foresayed Hippocrates sayeth in his Porrhet that the Chirurgiane must ende voure him selfe to have a vvise grave gesture Hippocratesin his Porrhet because that if it soe chaunce as he adiudged it shoulde he might reape honoure goodvvil not onlye of the patient but alsoo of all the circumstants and behoulders Contrarilye if that othervvyse it happened or chaunced then he sayed and iudged it shoulde and that his iudgemente fayle him he shal not onlye of all mē be hated but alsoe be esteemed as an ignorant sottishe fellovve Beyonde all this Galenus sayeth and testifyeth vnto vs that by our vpright and sincere iudgement by the frendes Kindrede of the patiēte althoughe he come to dye vve shal be liberated freede from all badde reportes sclaunders because that throughe the death vvhich consequentlye follovved nothinge shal be alleagede agaynst vs. What a Chyrurgiane ought to knovve in giving iudgemēt And for the givinge of such a perfect and complete iudgement it is necessarye for the chyrurgiane not to be ignorāt vvhich partes of the bodye beinge vvounded easylye or difficultlye may be cured vvhich of thē are praesent death and in fine the tokens hovv to knovve vvhat partes are vvounded or hurte because that out of ther natures quallityes dispositiōs vve may certaynlye hope or mistruste of theire health and safetye Such iudgemente therfore ought to be taken out of the verye beinge and substance or essence of the vvoūded parte alsoe of the vse the actione and situatione of the same there must alsoe be noted the proportione and figure of the same vvounde and the accidentes or other chaunces vvhich are incident vnto her consideringe alsoe the complexione and temperature of the bodye the sexe the age on his handelinge and trafiqve māner of livinge the contrye the constitutione of the time then praesent and one the time and season of the yeare All greate vyoundes are dangerous To conclude all men that have receaved a greate vvoūde are ether in daunger of death or in daunger of beinge mutilate VVe eesteme and accounte the vvounde to be large for thre occasions A great vvounde is taken three māner of vvayes The firste vvherof is because that through her latitude or vvidnesse circumiacente places shee hath a threefoulde survayinge and measuringe to vvit in length brédthe and debthe as some there are vvhich be deepe broadlye carvede or right overthvvarte or crosse vvyse vvholye percīge throughe the principalle muscles of anye parte by the vvhich alsoe somtimes the bones are hevved cutte quite through broken vvherfore some times they must be stitchte bound and ligated together or because that the vaynes the arteryes or the sinneus themselves come to be squised and plettered The secōde cōcerninge the vvorthynes of the vvounded parte for although the vvounde be but little in her meatinge yet notvvithstandinge vve esteeme her to be greate because that the strengthe and actione of the vvounded parte or member is verye necessarye for the vvhole bodye ' and for the vvhole lyfe of man vvhich parte havinge lefte his naturall vse and actione it consequentlye follovveth that the personne must immediatly discease dye as vve may by experience see that daylye chaunceth in the vvoundes of the Braynes of the Harte and in the vvoundes of the Liver Thirdelye because that some vvoundes are of a vvorser nature dispositione as beinge venoumede rebellious and entermingled vvith some badde and dolorous accidentes vvhich sometimes farre surpasse excell the vvounde it selfe as it is evidentlye planlye to be seene in the vvoundes of the Ioynctes vvhich immediatlye may fall into a verye exceedinge badde estate because that those partes and places are circumligatede or clothed vvith verye smalle store of fleshe beinge onlye decked co verede vvith the Tendones vvith sinnues vvith Ligaments that verye tender and sensible pellicle Perioflium by the vvhich these partes or members are in more daunger of fallinge into a convulsione of sinnues into Phrensye payne and inquietude as much as a farre more greater vvounde in anye other parte of the bodye Those vvoundes are accounted incurable vvhich doe happen in the Braynes Woundes vvhich are esteemed incurable or in the ventricle of the same in the Harte entrāce of the stomacke in the Vena Cava the entrāce of the Liver the backe bone quite throughe the Lunges in the small guttes or entralles the stomacke the Kidnies or in anye greate vaynes or arteryes about the throate Woundes that be difficulte to cure But these vvoūdes vvhich vvil difficultlye be curede are they by the vvhich the Longes the Liver the mēbrane of the Brayns the Milte the Matrix or vvombe the blather anye of the greate guttes or the Middelriefe are vvoūded vvith verye small vvounde Alsoe are those vvoūdes daungerous vvheras the greate vaynes Woundes that are daungerous Arteryes vnder the Emunctoria or arme pittes in the Hockes or bēdinge of the knees are vvounded and indeed all vvoundes are suspitious in all places vvheraboute anye greate Vaynes or Arteryes are situated placed because that throughe theire effusione of bloede the vvounded persone is berefte af all his abilitye forces the vvoundes of the Secrete partes or privityes and the vvoundes of the Testicles are alsoe by this reasone verye perillous daungerous as alsoe are these vvhich happen and chaunce to light betvveene the fingers The figure or forme of the vvoundes There is alsoe greate heede to be taken one the manner forme of the vvoūde for those vvoūdes vvhich chaunce or come by crushinge or pletteringe are farre vvorse then those vvhich are onlye hevvede so that it is much better to be vvoūded vvith a sharpe edgede or cuttinge svvorde thē vvith anye other blunte vveapone vvhich is not sharpe The rounde or circle vvoundes are vvorste difficultest to be curede but the certayneste easyeste to be cured are those vvhich passe by the lēngth of the fibres right like a linye or line The vvoundes of the Hippe vvhich are receaved in the membranous muscle What the vvoundes of the hippe are are verye exceedinge daungerous especiallye if it be a thruste or stabbe or else vvhē the apertione of the same is verye smalle hath noe issue but it is soe much the vvorse if it soe chaunce ther be anye fracture or separatione of bones it be vvhere it vvil in anye place of the hippe so farre forthe as if the vvounde be in anye internalle parte of the Hippe about the greate vaynes then the vvounde is passinge
last issueth out of the mouth of the vvounde greate quantitye of filthye matter The signes of a vvounded Liver are these The Liver beinge hurt naÌ„lye that out of there right syde they avoyde a greate quaÌ„titye of bloode Both sydes of the bodye are as it vveare plucked tovvarde the backe bone The patieÌ„t is verye pale in his face as if he vveare halfe deade His eyes are fallen invvardes and hath intollerable payne beinge ignorant throughe his impatientie vvhat he shal doe he ist best at ease vvhen he lye th one his bellye he hath a verye prickinge stinginge payne vvhich dravveth tovvarde his breste and also toevvarde the sydes of the same Heavinge and contractinge his shoulders togeather must he breathe and somtimes throughe parbrakinge he avoydethe choller Hath a verye violent fervent pulse he is easylye inceÌ„sed to ire sorrovve somtimes he hath an ashe coloured face his vrine alsoe soÌ„tymes verye bloodye his stoels like matter and dye most coÌ„monlye vvith the Hickcoughe VVheÌ„ the kidnyes are hurte then desceÌ„deth as it vveare by degrees coÌ„methe the payne into the flanckes Of the vvounds of the kidnies and soe forvvarde vnto the testicles the patient can verye difficultlye be released of his vrine he pisseth bloode or at the least his vvater is bloodye Somtimes his vrine is quite retaynede by the vvhich occasione the patieÌ„te beinge extreamlye svvollene dieth The milte beinge hurte If the Milte be hurte or vvounded then the bloode issueth out of the left syde of the pacieÌ„te is blak of coloure The same syde alsoe the stomacke beginne to be indurated harde the patieÌ„t vvaxeth thirstye the payne retracteth it selfe tovvardes the breste as in the vvoundes of the Liver The vvoÌ„be beinge hurte Novv the VVombe beinge hurte the vvomaÌ„ hathe greate payne in her flanckes in her Haunches in her hippes she avoydeth bloode partlye throughe the vvounde and partlye throughe her privityes after the vvhich somtimes follovveth a parbrakinge of Cholera Others caÌ„ not speake some lye out of memorye others vvhich doe not rage say that they are troubled vvith greate payne in there sinnues in ther Eyes vvhen they dravve tovvarde deathe they are troubled vvith the same accideÌ„tes vvhich vve have recited of the Harte The Middle reefe VVhen the middle reefe or Diaphragma is vvouÌ„ded theÌ„ are the sydes of the patieÌ„t dravvne shruncke vpvvardes they have exceedinge greate violent payne internallye in the backe bone they have verye retardate breathe and there issueth out of the vvounde frothye bloode The entrance of the stomacke The entrance of the stomacke beinge hurte the patiente beginnethe to have the hick vp avoydeth choller vvhen as he eateth or drincketh he casteth it strayghte vvay froÌ„ him agayne he hath a smalle feeble obscure pulse he getteth a little coulde svveate vvith a coolinge of all externalle partes The stomake the gutts The stomacke that gutte Ieiunum have hoth of them one manner of token because that there meate drincke issueth out of the mouth of the vvounde somtimes beinge halfe digested and altered in Chylum they feele a payne as if a man vvoulde rente teare there Harte out of there bodyes they gett hardnesse in ther sydes soÌ„times alsoe parbraketh the patient Cholera vpvvards throughe the mouth his spittle is bloodye betveen these tvvo is noe other difference then that the gutt IeiunuÌ„ hath his place situatione somvvhat lovver then the stomacke The bladder beiÌ„ge hurte vve feele payne Hurtes of the bladder in the flanckes that parte of his bellye a little aboue his privityes extendethe stretchete it selfe in steade of vrine the patieÌ„t pisseth bloode or else the vrine issueth forthe of the vvouÌ„de the entrance of the stomacke is perturbed out of ordre vvherfore the vvounded vomite Cholera or at the least are afflicted vvith the hick cough they beginne to vvax coulde in handes feete and consequentlye ensueth death ⧠Instructione how to give a certayne reporte of all woundes whatsoever before the magistrates Cap. 4. ALl such vvhich before anye magistrates Codsideratione to be had before the giuinge of reporte of anye vvouÌ„ded or sicke personne vvil are disposed to give reporte instructione shallby noe meanes intrude themselfves before that of the magistraete they shal be requested therto sent for seinge that most commonlye proferede vvitnesse is repraeheÌ„dable he that taketh such a thinge in hande ought first of all to visite and see the patient because he might ripelye and dilligeÌ„tlye consider of al thinges namelye especiallye one the greatnes of the dissease one the situatione place of the same not onlye as theÌ„ may give good instruâ—one but alsoe one all occasioÌ„s on the praedictione fore sayinge of the vvoundes vvithout havinge vnadvisedlye therin hasted him selfe for it is a harde and difficulte matter to give a perfecte coÌ„plet iudgement of the end of all vvouÌ„des or other sicke persoÌ„nes because of the accidentes vvhich might chaunce thervnto for those vvouÌ„des vvhich vve doe not esteeme of soÌ„times are occasione of death coÌ„trarylye those of the vvhich vve expected nothinge but death are yet notvvithstandinge cured VVe knovve that some ther are cured healed notvvithstandinge althoughe they vveare vvounded in the Membrane or pellicle of the Braynes yea some vvhich vveare hevvede in the substaÌ„ce of there Braynes as I alsoe remember some to have bin cured vvhich vveare hurte in the luges in the Middlereefe in the Liver in the smalle guttes or eÌ„tralles the Bladder the Kidnyes or in the Matrix or vvombe Althoughe vve accordinge to the iudgemeÌ„t reason of the aunciente professors esteeme such vvoundes to be deadlye incurable Contrarylye vve se some meÌ„ men dye of smalle and vndiepe vvoundes vve must therfore in such thinges make a distinction amonge the vvounded for some ther are vvhich are of soo goode a temperature and state of bodye that of a greate and large vvounde vvhich in anye other mans bodye vvear praesent dea the they are cured contralye there are others vvhich beinge vvounded in anye externalle partes vvhich are nothinge noceÌ„te or dauÌ„gerous to the lyfe of the patient vvithout anye penetratione of the vvhich notvvithstandinge they chaunce to dye ether of the badde coÌ„stellatione or constitutione of the time or by the refluxione of anye badd humors vnto the vvounded parte Some meÌ„ dye of a small vvound Althoughe therfore that some vvoundes are curable and alsoe of a good constitutioÌ„ dispositione vvithout anye badde or coÌ„trarye signe therin to be marked but for all that vve may not give anye absolute iudgement or reporte of the same but muste onlye say that the vvounde is curable soe farre forth as there be nothinge praetermittede vvhich consisteth and belongeth as vvell in the patient as vnto the Chyrurgiane vvhich hathe him inhandes it belongeth alsoe vnto the circuÌ„stantes and vnto other externall
astrolicalle venoume other funestall influences doe make the vvoundes incurable or els verye difficulte to be cured and chaungeth the habitude and complexione of men throughe the chaunginge of the time through the Astronomicall constellation vvhich over vs is praedominating As if so be the vvinter vvhich ought indeede to be coulde The irregulatede season of the yeare aultereth our bodyes vveare vvarme the summer vvhich ought to be vvarm is coulde Also vvhen it is novv hott theÌ„ could novv drye theÌ„ moyste vvithout the time of the yeare requiringe the same to be othervvyse then he ought to be vvhoe caÌ„ doubte therof but the same must be preiudiciall to the vvouÌ„ded patieÌ„t because our bodyes heere bye receave mervaylouse suddayne alterations chaunginges vvherthrough out vitall spirites humors are vvondrouslye vvith great daunger aultered observinge the sayinge of Hippocrates vvhich avoucheth that all repentine subite permutatioÌ„ hovv soever the same may be are vnto our bodyes very preiudicialle All repentine suddayne chaunge is daungerouse The divrnalle experience demoÌ„strateth the same vnto vs for if so be in the vvinter in stede of a drye coulde vvinde there respire a southvvest vvind vvith vvarmishe shovvres of rayne ther then coÌ„monlye follovve greate corruptiones in our humors vvherthroughe the vvoundes doe putrifye and gangraenize The infected ayre may also be an occasion of the death of manye vvounded persons hovv little soever they soÌ„times are vvounded because vvithout ayre vve can not Live vvhich allvvayes such as it is vve must receave We can not live vvithout ayre that not oÌ„ly through the mouth through all the conductes of our bodye poroâ—tyes of our skinne through our Arteryes vvhich are situated vnder the porosityes of our skinne froÌ„ vvhence the foresayed ayre doth dravve tovvardes our Lunges soÌ„vvhat to cool the harte refreshe it be as it vveare a nouriture vnto the same froÌ„ vvhence the sayed ayer is farther spreade devided throughe our vvhole bodye vvherby it theÌ„ chaunceth that if so be the same be corrupted infected consequently also the foresayed Harte vvith some other of the noble vvorthiest partes are polluted in steade of beinge praeserved mayntayned in theire forme virtue The malignante ayre polluteth the harte Galen in the ninth of his Methodes attributeth so much to the ayr that he sayeth that the especiallist principalist demonstratioÌ„ to cure anye dissease must be observed out of the ayre because vve caÌ„ in noe sorte be vvanting or missinge the communitye and vse therof Besydes al these occasiones there are yet certayne times of the yeare vvhich are irrepreheÌ„dable yet cleane contrarye to certayn disseases for vvhoe is he that doubteth that the starre Canicula doth not disturbe the vvynes Virtves of the doggedayes causethe the same to boyle vvhere he lyeth in the fellers as by experieÌ„ce vve finde in Plinio vve may reade that the same also causeth our blood to boyle vvithin our vaynes Lib. 14. Chap. 18. that soÌ„times there follovveth such a superfluous sangvinatioÌ„ that by noe meanes it can be restaygned by the vvhich meanes the same also flovveth tovvard the vvounded parte vvhich before vvas tormeÌ„ted vvith sufficient payne enoughe In like sorte also vve perceave the Autumne The Autumne is enimye to all pulmonicall vvoundes or Hurvest to be an enimye to all vvoundes of the Lunges as is appareÌ„t by the 10. rule the 3. of the Aphorismes becavse they oftentimes chaunge into fistles or into pectorall Apostemationes The penetrable coulde is allsoe a sore enimye to all vvouÌ„des in the Heade Aphor. 3. lib. 5. Farthermore Hippocrates dissuadeth vs Lib. de aere VVe must not purge in the dogg dayes aquis locis to administer any physicke vnto the patientes in the greate constellation of the starres vnder the Solsticium nor vnder the Aequinoctialles because of the greate perturbations alterations vvhich as then are in our bodyes by the vvhich meanes the vvoundes as theÌ„ are farre more molestious mortalle vvhich must al so be vnderstode of the greate vvyndes thunderinges the effectes vvherof are so admirable tirrible in inanimate thinges vvherbye vve may the lesse admire at the greate alterationes vvhich they doe cause in the vvoundes disseases of mens bodyes vvhich bodye is the most sensiblest and the most dilicatest amongst all the animate bodyes Besydes this vve have spoken of the times saysons of the yeare An excellent observation vve may also adde heeruÌ„to that the Carpenters the Architectors doe alsoe observe a choyse of the fellede cut dovvne vvoode vvhich at this time or at that saysone of the moone hath binne felled esteeminge the vvoode to be more moyste replete vvith vvormes more subiecte to corruptioÌ„ vvhich is felled in the ful Moone that more durable yea all most incorruptible The inanimate thinges doe feele the effectes of the Moone vvhich is felled in the decreace of the Moone as in Palladio vve may reade in his Treatise of Ianuary NoveÌ„bre Caesar also sayeth the same in his commentaryes on Arat that the Moone hath not onlye povver over that vvhich hath receaved seÌ„sibilitye but that alsoe the stones the bones and the VVoode doe perceave the effectes of the Moone vvhich being of the MooÌ„infected vvexeth full of vvormes vvherfor the common phraise of the Lavvyers or Iuristes is as yet observed de Lignis sua Luna caesis vvhich being soe vvherfore shoulde not vve also esteeme a vvounde to be more moyste in a fulle Moone more subiected to putrefactione then in the decreace of the Moone seinge that man is tender of fleshe farre more subiected vnder the domination subiectione of the Moone the influences therof then those thinges Man is subiecte vnto all inflvences vvhich are inanimate have nether life nor sensation Above all these praecedente reasons and experiences it is manifest a commoÌ„ axiome that all terrestrialle corps are ruled governed by the caelestiall or supernall influences Through all vvhich foresayed occasions the humors oftentimes being so corrupted polluted after death ther are certayn apostematioÌ„s foure in divers places of the body yea somtimes allso in some of the vvorthyest partes of the body as in the Liver in the Braynes in the Milte in the Lunges or in any ioynctes accordinge vnto the imbicillitye of any of the partes of the body vvhich have binne debile apt to receave such impurity of the bodye vvhich beinge thervvith out of all measure charged expellethe froÌ„ him the forsayed impure humors in anye of the sayed feeble partes vvhich therafter is chauÌ„ged into puruleÌ„t matter the vvhich there possessinge more place makinge more concavitye theÌ„ is requisite doe expell froÌ„ them certayne faetide venoumous vapours participate the same vnto all the other vvorthiest partes out of the vvhich insueth Inquietude Agues ConvulsioÌ„s or Spasmus Phrenesye
in the end necessarily must follovve death perceaving the vvouÌ„des to vvaxe blacke dry vvithout being able to iudge therof or to knovve the occasioÌ„ vvherof this might proceed notvvithstaÌ„ding hovv erudite Corrodinge matter causeth manye accidentes experte soever the ChyrurgiaÌ„ be nether being possible for him hovve small soever the vvounde be to save the PatieÌ„t haviÌ„g noe signe vvherbye he may knovv vvhether that venoumouse matter hath implanted it selfe in any of the sayed vvorthyest partes or not Nether Can the physicione cure all those Which are incurable and without repose CoÌ„stitutioÌ„ of the vvouÌ„ded Let vs therfore novv consider serche out the pecvliare coÌ„stitutioÌ„s of the vvounded some ther are vvhich have little blood tovvardes the resanatioÌ„ of their vvoundes others have to much vvhich notvvithstaÌ„ding is nether to the curation goode enoughe nor pure enoughe Hippocrates speakinge of those vvhich have to little bloode in the 24. rule of the fourthe section in the sixt Epid sayeth that those vvhich have theire entralls hott as it vveare burninge theire fleshe could have binn badlye nourished Which are vnhealth same poeple vvhich commonly vve call vnhealthsame poeple vvho having receaved in theire bodyes some great vvouÌ„d are most coÌ„monly alvvayes very difficulte to be cured for vvant of materialles vvhich also vve may see to be in aged persons vvheÌ„ as they are any vvhear vvounded or by chaunce breake their legges VVe have also an excellent rule in Hippocrate vvhich is the 6. Aphorisme of the sixte sectione vvhere he sayeth Hydropicorum A notatable sentence lentiginorum on other places he addethe theruÌ„to Vlcera non facile sanantur of those vvhich are troubled vvith the Dropsy because theire bloode is to cleere vvaterishe of the lentiginouse because theire bloode is to sharpe or tarte for that occasione can make noe goode combinatione or healinge vvhereby this might be occasion to vvit vvhether it be through nature or by the inordinate maÌ„ner of life of eating or drincking it becaused as by the drincking of stronge vvynes or by eatinge of garlick of Onions of Porrhy of pouldred or saulted meate or of spices as the suldiours vveare vvonte to doe that is little beloÌ„ging to our purpose Nether can I heer praetermit to speke Perturbation of minde of the perturbaÌ„ce of the minde vvherthroughe most commonlye the Martialistes are very much afflicted vvhich through the generosity of their courage if so be that in any assault battayle or skirmishe they have not valiaÌ„te enoughe born theÌ„selves or at the least not to the coÌ„tentatioÌ„ of their Capitayne have not as Caesaristes behaved theÌ„selves fought are therfore blamed of those vvhich are their enviours such as hate theÌ„ vvheriÌ„ they doe so vehemeÌ„tlye vexe greeve themselves that it ircketh theÌ„ doe so melancholize themselves therin that they doe vvholy neglect theÌ„selves desiring vociferatinge for death rather theÌ„ to live soe miserablelye in dishonoure VVherfore also it may happen in the same beinge greevouslye vvouÌ„ded that vvhich happened to the Lord of Aussun vvhich vvas one of the most valiant most magnanimouse gentlemen of all FrauÌ„ce of vvhome it vvas coÌ„monly for a proverbe sayed Hardines of Assun the hardines and valoure d'Aussun causeth vs to adhibite credite thervnto vvho throughe I knovve not vvhat mischaunce suddayn astonishmeÌ„t in the first charge of the battayle at dreux ther arrived as it vvear overvvhelmed him such a disgrace for the vvhich he so greeved him selfe and sorrovved that vvithin fevv dayes therafter vvith sorrovve he died havinge solemlye svvorne that he vvould never anye more eate or drincke vvith vvhich resolution hedyed Contrarily the souldiors soÌ„times doe so valiauntly coÌ„bate by the vvhich they vvexe so couragious doe so ioy theÌ„selves therin therby doe so exalt theÌ„selves that their harte of teÌ„times is inflamed puffed vp vvith pride of their victory honoure vvhich they reape enioy VVhich causeth great alteratioÌ„ chauÌ„ge as vvel in the body of the one as of the other And to speake truth The perturbaâ— are of gâ—ate effect forces in our bodyes such motioÌ„s turbatioÌ„ of the minde are of great forces in the body of man they cause therin ether great aegritudes disseases or els death for if to be the motions and perturbations of the minde have pover to increace the naturall caloure or to diminis he the same of causing the same to dravve in vvardes or to expell the same outvvardes to spreade it selfe by the vvhole bodye such motioÌ„s of the naturall calour vvhich doe reduce vvith theÌ„ the vitall spirites the blood is an occasioÌ„ of all disseases of health ther must then certaynlye subseqvute that the sayed motions and perturbationes of the soule and minde have all povver in their handes of our healthe So that it is even as Aristotle Lib. de motu animalis Chap. 5. sayeth that the motions and turbations of the minde doe cause such a remotioÌ„ and alteration of the naturall caloure as Hippocrates also testifieth the same vnto vs sect 5. of the 6. Epidemiorum Galenus Cap. 5. secundae de Symptomatum causis and Chap. 5. of the seconde of Methodes Through pertubations of the minde a man may dye vvhere he demoÌ„strateth that ther are manye vvhich throughe motione and perturbatione of the mindes have died VVherfore Galen also on the 14. rule of the 4. section of the sixt Epidemiorum those vvhich internallye have a sharpe corrodent caloure vvherfore by by soe much the more vve must prohibite the vvounded to abstayn from ire and choler and from all turbations of the minde vvherbye the humors might be moved The sayed Galen in his booke de sanitate tuenda demonstrateth that all turbations of the soule all motions of the minde do ingendre greate quantitye of Cholera vvherby are caused great inflaÌ„matioÌ„s fluxions in the vvounded parte and per conseqvence a Gangraena and somtimes in the end a suddayne death Amongst all other turbations of the spirites Ioy is that vvhich ought to cause the least accidentes vnto our bodyes notvvithstanding vvas the same so immoderate and violent in Chilonio lacedemonico Suddayne death of Ioy. in Diagero Rhodiano both the vvhich soe ioyed themselves perceavinge their children victoriouslye to returne over theire enimies that of ioy they both immediatlye and suddaynlye died for through such immoderate ioy the bloode and the vitall spirites of the Harte are vvith such vehemeÌ„cy reverted from the Harte and diffused and disperced throughe the vniversall bodye that the Harte is vvholye destitute of his naturall caloure the persone must necessarilye fall into syncopizatione or fayntnes out of vvhich commonly follovveth death Virtues of moderate ioy But if the ioy be moderate it fortifyeth and strengtheneth the animale the naturalle virtues stirreth vp the vitall spirites suggerateth the digestione and is consequently commodious for all the
constitutione of mans bodye vvherthrough the Ioynctes are throughely soacked moystened because of the humiditye vvhich is disperced throughe the vvhole massa of the bloode soe that by this meanes the vvoundes are better mundified and incarnated and those partes doe increace and pingvifye Effects of Cholera In like sort alsoe doth Cholera or anger and yet also more then the immoderate ioy because heerby besydes all this that in the spirites humors of the bodye is caused greate corrvptione and they throughe theire greate heat caloure chaunce to inflame and by this meanes consequently the vvhole habitvde of the body is replete vvith putride agues hovv little sicke soever the persone be vvhich foresayed agues if they chaunce to afflict the patient vnto death as it oftentimes happeneth vve most commōlye then attribute the same vnto his vvound Accidentes of sorrovve as if of the Chyrurgiane he had not binne vvell handled and not to the ague Is it not evidente enoughe vnto vs vvhat accidentes are caused throughe sorrovv and greefe hovv healthfull sovnd soever the personne be vvhich is thervvith intrapped for she soe reserateth and as it vveare strictly occludeth the Harte that by noe meanes there can engendre anye vitall spirites and hovv fevv soever ther are yet they may not be dispercede vvith the bloode throughe the vvhole body because the same is grosse and tenebrous by the vvhich the vitall virtues and al theire accōplices are debilitated so that in the end a man is in his minde vexed hebede The melācholicke doe hate thēselves the Harte omitteth all ioy pleasure he odiously hateth himselfe fallinge into desperatione and raginge havinge lost his livelye coloure in his face consuming the body vvherby oftentimes must follovv death It vvill not also be alienate vnto our purpose to the a poroving of my sayinges that I heere recite that vvhich the father of eloquence hath vvrittē ad Atticum the vvordes vvherof are these It vveare an excellent matter my good frend Atticus that man could live vvithout meate or drincke but yet a farre more excellellēter matter if so be vvithout anye envie and hate vve coulde Live because those viandes vvhich vve eate doe corrupt nothīg els thē our humours but the trayterous envie and sorrovv doe consume vs evē vnto the bones Envye malice consume the bones corrode the entralls as vve playnlye may behoulde for man sickeneth through some certayne envye malice of the vvhich he by continuance of time dieth Doest thou not knovv by experience that tvvo torturors vvhich vvill deprive a mā of life that the torturer of greefe and sorrovve is the most cruellest yea then of the Gluttonye Effectes of stupefactione Nether may vve heere omitt to recense and speake of the obstupescēce feare vvhervvith the covvardes faynte harted are oftentimes touched and taken This stupor causeth in vs the same accidētes vvhich the sorrovve causeth but somvvhat greater for the time for this fore sayed stupefactione and feare expulseth from him retracteth tovvarde the harte but vvith more festination more raptnes then the sorrovv the bloode the vitall spirites vvherfor vve may perceave that the face in the time of stupefactione feare vvaxeth pale and the externall partes coulde vvith tremblinge of the vvhole body the Belly relaxateth the speech fayleth vvith a greate reverberation of the harte because that throughe the greate quantity of bloode of the spirites vvhich suddaynly doe retire thethervvardes being allmost suffocated can verye difficultlye move it selfe but greatly desireth to be refreshed and discharged of such a sarcinatione so that oftentimes ther follovveth death because the bloode being dravvne tovvardes the Harte suffocateth it selfe there by that meanes the naturall calor and the vitall spirites beīg extingvished Error of the vulgare cōmon poeple vvithout the vvhich the life of man can not be preserved If so be that anye bodye beinge vvounded through perturbatiōs of the mind doe chaūce to dye the vulgare commō poeple vvill not attribute the occasiō of death vnto chose praecedent or praenominated occasions but farre more to the negligence and ignorance of the Chyrurgian vvhich hath not intreacted him as it vveare convenient he had done Feare and nicenes doe impeach health although that those vvhich have a more sovvnder iudgement of such occasions vvill iudge clane contrarye thervnto and others The like also may be sayed of those vvhich vvill not allovv of the vvill and intente of the Chyrurgian nether of anye other remedyes vvhich vveare commodious and proffitable for his health beinge ether to timorous or delicate to suffer any apertion vvhich for his disease had binne necessarye to administre issue passage to some corrodent matter or parcells of bones that lye there praepared readye to be taken out vvhich by theire remansione in that place doe also corrupte the finitimate partes doe alter permutate the remanent part of bone and corrupt the Marrovve vvherby the health can not suddaynlye follovve as the Chyrurgiane is exoptatinge vvishinge for the same yea also by this meanes oftentimes remayne incurable by vvhich occasione the Chyrurgiane The Historye of Duke d'Aumalle aftervvardes Duke of Guyse vvith his Patient must hope for that vvhich his Patient vvill not suffer and yet notvvithstandinge is required of his disease And to this end Du Bellay reciteth in his memoryes that the Duke d'Aumall sonne to the Duke a Gvyse being mortally vvoūded vvith a splīter of a laūce vvhich pearced his Eye sayed to the Chyrurgians intreate or handle not my sonne as a Prince or mightye Lord but as a Pioner or servant vvhich vvas alsoe an occasione of his resanation because he suffered Contemplation of instrumentes that the tronchone of the Launce vvhich stucke clean through his heade to be vvith force and violence dravvne therout And if therfore vve desire to enter into the contēplatiō of the diversityes of instrumemētes vvhervvith the vvoūdes are made vve shall then finde sufficient occasion to establishe the vnexspected death considering onlye the matter vvherof the vvoundes are receaved as vvell of the small as greate vvoundes Those vvhich have vvritten of Agriculture Whervvith the vvounde is made must be cōsidered or tillage Gardening as Cato Plinius Columella say that theris greate difference vvhether a tree be vvith an Iron knife engraffed or vvith a knife of Bone And vve make little or noe differēce vvhether our bodyes are vvounded vvith Leade Iron or Brasse seing that brasse being mixed vvithe the matter of our vvoundes resolveth it selfe into viriditye vvhich corrodeth the fleshe and causeth somtimes such an inflammatiō that death therafter follovveth Nether is it sufficiēt that in shorte time vve have accommodated this mettle vnto our ruine but novv by little and little vve make it four cornerde vvhich is farre more daungerouse thē if it vveare rounde because throughe the quadrangulatenes therof it rescindeth cutteth breaketh