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A14264 Enchiridion medicum containing an epitome of the whole course of physicke: with the examination of a chirurgion, by way of dialogue betweene the doctor and the students. With a treatise contaning a definition of all those difenses that do chiefly affect the body of a man, and an antidotary of many excelllent and approued remedies for all diseases. Published for the benefit of young students in physicke, chirurgian, and apothecaries. Pomarius, Petrus.; Hobbes, Stephen. 1609 (1609) STC 24577; ESTC S101306 91,960 299

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the health of man the 3. is Pathologia and is exerc●●ed in searching out the sickn●●● the cause the 4 is Semcou●●e and is exercised in hewing the signe either o●●ife or death the 5. is Therapeutica and that teacheth the order of curing affects besides nature and vnder this last part is comprehended three other parts Dieta compositio medicamentorum and Chirurgia Doct. I see you are reasonably wel acquainted with the definition and diuision of the art But you told me but now that physick was the study of things natural of things not natural and of things against nature tell mee what are those things that you terme naturall Stud. Those things that are termed Res naturales naturall are seuen Elements temperaments humours spirits parts faculties and functions in the knowledge of which Physiologia or the knowledge of naturall things is exercised Doct. Tel me then what is an Element Stud. Element is a body most pure and simple the least part of the same wherin Elementum quid it is which c●● not be diuided into any other kind and of it all things natural haue their originall beginning This definition is taken out of Galen and Aristotle and therefore cannot be denied Doct. How many Elements are there Stud. There are are foure Elements viz. the fire which is extreame hotte and moderately drie the aire extreame moist and moderately hot the water extream cold and moderately moist the earth extream drie moderately cold In heat the fire with the aire and in drines with the earth in moisture the aire with the water and in heat with the fire in coldnesse the water with the earth and in moisture with the aire the earth in drines with the fire and in coldnesse with the water doe all consent and agree And as the water to the fire is extreame contrary so is the aire to the earth of the mixture of these Elements all naturall bodies haue their composition And yet it is nothing necessary that they be equally mingled in the body but according to that that hath dominion the body is named cholerick sanguin phlegmatick or melancholick and haue their denomination of the foure naturall humors viz. choler blood flegme and melancholy which take their qualities of the Elements for choler is hot drie according to the nature of the fire and blood is hot and moist according to the nature of the aire flegme is cold moist according to the water melancholy in no point doth disagree from the earth Doct. You haue well declared how naturall bodies are framed by the mixture of the Elements let me heare how briefly you can shew me the differences of temperatures Stud. Temperatures are in number Temperamentum nine whereof there are eight do exceed and therefore they may be better called distemperatures then temperatures the ninth is temperate for it doeth exceed in no quality Of distemperatures there be foure simple and foure compound the simple are heat cold drines moisture of the which ioyned together distemperatures are made The ninth is neither hot cold dry nor moist it is framed of them all and that is it which the Grecians do call 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 that is Bene temperatū or according to the Arithmeticians 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Tēperamentū ad pondus a cōplexion measured by weight because there are as many degrees of heat as there are of cold of drines as there are of moisture the other which be distemperatures be not measured by weight but by dignity as in the heart wel tempered heat doth exceed in the braine well tempered moisture doth exceed in the fatte wel tempered cold in Temperamentum secund iustitiam distributiuam the bones wel tempered drines and this is called temperamentum secundùm iustitiam distributiuam a temperature rightly measured or disposed with equality Doct. But is it possible to find a body so complexioned that we may say here is a body framed of the foure Elements ad pōdus that is to a iust equal proportiō Stud. I am perswaded that it is altogether impossible for any man to find such a body that the soure Elements may be said to be equally proportioned in him for either heat or moisture hath still the predomination or coldnes and drines And yet I thinke it not to be impossible but that there may be such a body but hard to be found as hard to come by as Quintilians Orator or the wise man which the Stoicks defined a man harder to come by then the rich Iewell the Philosophers stone which although diuers brag that it may be framed yet it can neuer be attained vnto so we may imagine such a man to bee as by the consent of nature was neuer framed nor is euer like to be But if there be any that can find a man that is neither too grosse nor Definition of a temperate man too slender nor very ful of haire nor yet smoth without haire nor soft nor yet hard blacke nor white hot nor cold drie nor moist and to be brief such a one that keepeth a meane without al excesse if I say we can find such a one then are we sure we haue a body complexioned ad pondus and to just proportion Doct. Then you conclude there can be found no body so framed that it may be termed Corpus temperatum an pondus Stud. It is very true Read fernel L●onar Tuc. Iohn Rolanus Doct. Then shew me the iudgement and signes of Temperaments Stud. That was I minded to performe if you had not spoken thereof for it is to no end to know the differences of temperatures if we know not the signes of the same also First then we know by the touching heate from cold moysture from drithe and those that are of a soft disposition of body the flesh being laxe and thinne them wee iudge to bee moyst those that haue a thicke and a hard skinne them wee iudge to be drie Then wee proceed as well to physicall actions as to morall neither doe wee account physicall onely naturall but vitall and the animall also Morall actions are assects of a body concupiscible angry and rationall for Galen in one booke doth teach that Animimores sequuntur temperamentū corporis that the disposition of the mind doth follow the temperature of the bodie In men that by nature are hot the heart and the Artiers beate vehemētly but in men of a cold disposition the heart and pulse beate remisly and slowly men of an hot dispositiō are very much inclined to lust and venerie the cold disposition is for the most part very flow or vnable notwithstanding it sometimes doth happen that the hot complexion proueth vnfit for Venus because the members of generation are ouer cold The hot complexion is prone vnto anger they are of a proud and hautie stomack but the cold are feareful sober and of an abiect mind the hot complexion is crafty subtill
and ingenious but the cold is dull slowe and obtuse in vnderstanding the hot complexion hath swift motions of the mind but the cold is of a slow and dull spirit In like manner in hot complexions the teeth doe soner grow and increase then in the cold We must also consider the forme and shape of the body whether it bee fat or leane because that leauenes doth argue an hot body and the fatnes a cold bodie which is to bee vnderstood by nature not by disease or by custome as in extraordinarie cares immoderate vse of Venus too vehement and often exercise and long fasting all these cause a leane and a thin body so in like manner idlenes much banquetting and delicious liuing doth sometimes cause that a body naturally giuen to bee leane may grow fat And so also a cold disposition may grow leane by greefe by cares by hunger such like for the body may be so macerated that it may waxe leane contrary to nature Besides the cold complexion is not so hairy as the hot as may be perceiued by Eunuchs and women which are of a glaber and smooth skinne The signe that is taken from the colour of the haire is deceitful because that the colour of the haire is chāged with the age by the dominiō of a red yellow black or white humor for in the first age the haires that Calidi sunt vilosi et birsuti are yellow heate increasing through age they waxe black at the length the same heare vanishing and much slegme increasing they waxe white In like manner by things receiued into the body the constitution is discerned for the hot complexion is offended with hot things as wine not delayed vehement exercise meates with hot spices and they fall quickly into hot diseases as into Feuers and other cholerick diseases but those hot things are beneficiall vnto cold complexions Moreouer the temperatures of the principall parts as of the heart the liuer the braine and the testicles and of those necessarie parts of life as the stomach and the lungs are knowne by their proper signes as Galen teacheth in his Arteparua of which for the most part Oribasius and Paulus haue written and set forth in their Synopses Doct. Well I would haue you as Def. hum Humor esl succus naturalis guo corpus totum nutritur souetur et conseruatur briesly discourse of humors to the intent wee may not stand ouer long about this first part which is called Physiologia Stud. I haue already sayd that there are foure principall humors bloud choler slegme and melancholy these are called Primogeniti filij quatuor elemētoruin for choler is of the nature of the fire Omne liquidum fluxile corpus humidum flegme of the water the melancholick humor of the earth bloud of the aire for bloud is hot and moist as is the aire Doct. Wee will not stand long to discourse of humors because I am perswaded that you are sufficiētly studied therein but tell me your opinion is bloud the onely nourishment of the body or no Stud. It is the opinion of Aristotle that Sanguiaem solum my●●ire bloud is the only nourishment of the body preseruer therof Although some are of opinion that because some parts are spermatick and other fleshie that therefore the fleshie parts are nourished with the blond the spermarick parts with the seed and the bones with the marrow the stomach with that which is called Chilus that therefore blood is not the only nourisher To which I answere that al those parts are nourished with the bloud some immediatly as the sleshie parts some mediatly as the solid parts for the seminal liquor is nothing but bloud made white by the coctiō alteratiue of the solid parts The marrow also is framed of the bloud and therefore according to the Logicians Causa causae sit causa causati for the bloud is the materiall cause both of Causa causae sit causae causati the marrow and the seed and therefore it is not to bee doubted but that all the parts are nourished with the bloud but the stomach to be nourished with Chilus is affirmed by Galen tertīo de naturalibus facultatibus But there it is abused by the name of Nutrition for it satisfieth the animall appetite by his quality that is to say by his sweetnes but not the natural quality by his substance And it may very well be perceiued by the infant in the mothers wombe whose stomack is nourished and doth grow not by Chilus because hee receiueth no such nourishment by the mouth but materno sanguine which the liuer draweth by the veines of the nauell and therefore the stomach is nourished with that bloud which it doth containe in his veines and not by Chilus Doct. I am also of your opinion but I pray you go forwards and declare vnto mee the differences of humours Stud. I will in no wise omit the differences of humours which be in number eight foure naturall and foure vnnaturall I haue alreadie shewed that the naturall is bloud flegme choler and melancholy the vnnatural is the same turned by putrefaction or else some otherwise from their natural qualities but as for the generation of them it is by the vertue of the liuer working vpon the matter and substance of food receiued into the stomack for the nourishment of Generatio humorum the body And euen as there is perceiued in new wine foure differences of humours viz. the flower or boyling of the wine secōdly the watry substance of the wine thirdly the feces or dregges thereof and lastly the pure and sincere wine so of Chilus in the liuer part is made bloud part watrish flegme part yellow choler and part grosse or blacke choler Doct. What is bloud Stud. Bloud is a temperate humor hot and moist sweet the apt and conuenient nourishment of the body Doct. What is flegme Stud. Flegme is a cold humour moist and without sauour as it were bloud 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 crude somwhat white which is carried about with the bloud to the end to mitigate the heate of the same and that it may bee conuerted into bloud by the last digesture it helpeth the distribution of the humors and doth nourish those parts that are agreeable or like vnto it selfe Doct. What is choler Stud. Choler is an humour hot dry and bitter which as it were the froth of the bloud is carried together with the same that it may nourish the like members vnto the same it openeth the Meatus and penetrateth it is prositable to the nourishment of those parts that haue the like temperament Doct. What is melancholy or black choler Stud. Melancholy or blacke choler is a naturall humor cold and dry thick Melancholy grosse blacke and sharpe part of which is carried with the bloud to the end to make the same the thicker and to nourish the bones and the spleene and it is as
there are that do very much commend the yelks of egs poched and coxe-stones boyled in milke but that is more fitter for the cause which is emptines then to the Feuer the Patient must vse decoctions of french barly a yong cocke stusfed with barly clensed and boyled for broth is very good if hee shall be wearie of the vse of pusans he may vse white wine being made thin by delution The Patient must auoid watchfulnes venery and all other perturbations of the mind which doth dry attenuate as anger sorrow bathing is thought to be good lukewarm so that it hath a cooling faculty especially before the disease be confirmed he may tarry in this bath 3. or 4. houres giuing vnto him therein Asses milke tempered cum saccharo violato or rosato after he is out of his bath he may be annointed with cerato refrigirante galeni or vnguento rosato mesue oyle of roses violets or Mympheae Marasmus is not to bee cured and those that make their Marasmus brags that they cure consumptions doc much mistake for it is rather leannes and thinnes of body then any Hectick passion for euen as to poure oyle into a lampe where is no weeke nor match is nothing else but oleum operam perdere euen so in vaine doe wee striue to restore to nature that solid substance being by heate consumed taken away because that through nourishment a watry humor not an angry is rather supplyed to the sicke Patient Common remedies for maligne diseases and contagious vnder the example of the Pestilence THe Pestilence is a disease which De Tesie doth happen vnto many and hath his beginning from a pernicious vnusual putrifactiō which doth very much exceed the condition of vulgar putrifaction Sometimes this pernicious quality hath it begining in our selues for it happeneth that sometimes the humors I could wish that our common Gardeners about London might be inhibited from planting such multituds of Cabbages or at the least might be compelled to bury deep vnder ground their rotten stalks and leaues from whence ariseth a pestilent vapour and vnusuall putrifaction at the latter end of the yere of our bodie doth so much degenerate from the natural temperature that at the length it taketh vnto it self a pernitios venemos quality so is constrained to striue with deadly venoms Somtimes it ariseth frō outward means as malign putrified exhalations which are communicated to the aire sometimes from dead fennes pooles and standing waters corrupted such as is the waters in Moore fields at London where no man was wont to walke in the euenings for stench stinking channels venemous dens and mettalin spirits arising out of the earth often times also it happeneth from the variable commistion of the Planets and then it is the hidden and admirable scourge of the most iust God for our sinnes and then it is properly called the pestilence but when it hath hit beginning from other causes it is called Morbus malignus or Febris maligna those feuers that haue their originall from Venom are for the most part deadly but not pestilential because they are not contagious The part affected is the heart by Pars affect meanes of the pestilent aire which creepeth vnto the same by the lungs through necessity of respiration whereby the vitall spirits are assailed and the humidum radicale and solid substance cleane ouer throwne We must in the beginning resist the externall cause the aire is to be purged by fire both abroad in the house for that doth separate remoue the putrifaction many waies if it be prepared of sweete woods as of Iuniper it is more better doth more refresh the vitall spirits The vitall faculty it selfe is to be strengthned by cordials as well inward as outward the better to resist venom Rec. Conseruae buglos borrag an ℥ j. Corticis semenis citri an Dr. ij Diamargirits frioidi Alexiphar macon Troch scorūde Camphora an dr j Adde si vis boli armeni terrae sigillatae tantundē Rasurae Vnicornis smaragdt ambrae an gran ss cum syrupo conseruationis citri fiat opiata vel cum saccharo in aqua violarum Buglos scabiosae cardut benedicti soluto fiat electuarum per tabellas but if these things shail seeme too hot for the summer they may be temperated with adding of Roses violets and sanders for the poorer sort may suffise the rines and seeds of the citren cornu cerui zedoaria dictaminus angelica tormentill gentian taken the quantity of Drag j. in aquae cardui or borragini To the heart must be applied Sacculus fotus Epithemita the sacculus may be prepared with red roses violets flowres of buglosse the citren rine of their decoction or distilled waters may bee made fotus and with adding of cordiall powders may be framed an Epithema There are alwaies ready in the Apothecaries shops two Alexiteriās against al venoms and venemous diseases that is treacle mithridate the which our antients haue vsed with great profit as wel for preseruatiue as for expelling presēt sicknes they were wont to giue one Dr. by it selfe or else in some cordiall water and also to apply it outwardly in the forme of a Linament vpon the region of the heart with some mice of Lymons or mixed with some Cordiall conserues in the forme of an Emplaster Some learned men doe agree that the same cacochymia is to be diminished by some gentle purge which must be vsed with some cordial decoction as for example if choler be accended and a poison may seeme to possesse all the humours the signes shew presently a cholerick feuer although by reason of the same cacoethes and conioyned poyson it be increased we may say Rec. Radicis acetosae ℥ ss Scabiosae Cichorij Pimpinellae an M. j. Decoctio cordialis Sem. citri Cardui benedictian Drag ij Flor. cordialium an P. j. Fiat decoctio in colaturae ℥ iiij infunde Rhabarbari Dra. ij ss in expressione leui dissolue syrup rosarum Solutiui ℥ j. ss adde Camphorae grana quatuor fiat potus I dare not vse any stronger purge as Diaprunum solutinum and Electuarium Desucco rosarum least nature should be disturbed and therefore we must farre lesse vse Diacrydium or Antimoni Yet there be some Physitions that doe affirme that iiij or v. graines of Antimoni being infufed in some cordiall waters to haue been giuen with good successe In all Epidimicall diseases one doeth administer this medicine Rec. Diascordij Drag j. Syrup Delymonibus ℥ ss Aquae cardui benedict ℥ ij Spirit vitrioli gut 4. Misce fiat haustus Capiat fudet and so let him take ij Nota. or iij. of the same draughts if the feuer seeme to be a synochus and the patient haue a plethoricke body a veine may safely be opened but if it be but an Ephemera or hecticke then at no hand must it be enterprised From hence aririseth that great