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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A02409 Gutta podrica: a treatise of the gout The severall sorts thereof. VVhat diet is good for such as are troubled therewith. And some approved medicines and remedies for the same. Perused by P.H. Dr. in Physick. Holland, Philemon, 1552-1637.; Holland, William, 1592-1632. 1633 (1633) STC 12539; ESTC S103571 36,467 56

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of greife is incident to men of middle age and such as are of a sanguine complexion and do use a full diet with little exercise and much rest Thirdly the Gout is a greife in some by way of distemperature and this doth fall out as occasion is offered as some by standing long in cold water may have the Gout by reason of a cold distemperature which is wrought into the part by the cold water And some by much travell on foot in hot weather may have the Gout by reason of a hot distemperature procured unto the feet by overmuch travell and heat Lastly in some the Gout is a greife by way of corrosion not that it eateth the flesh but in that it gnaweth and fretteth that the patient somtimes thinketh that dogs do gnaw his bones This kinde befalleth cholerick persons and such as use an ill diet breeding in them store of ill humors So is it evident that the Gout is a greife and what kinde of greife which is profitable to him that will give help thereunto for by the manner of the greife wee come unto the cause thereof and so accordingly apply the remedy It followeth that it is a greife of the feet There are foure reasons why the feet are more afflicted with these greifes than other parts are First in respect of their place for that they are the lowest parts in the body the upper put downe their superfluities to them where they remayning procure in some one manner or other as is before specified a paine The second cause is for that the feet are not of so compact or solid substance as some other parts are of but have a thinne composition with many void and empty receptacles and therefore in more abundant sort do receive and reteine the superfluities of other parts The third cause is for that the feet are more in motion than other parts and the nature of motion is to make attraction of humors unto the moved part and consequently a paine The fourth is a debility naturally incident more to the feet than unto other parts for that they are situate farthest from the fountaine of heat which is the heart They also consist of such substance as is of a cold complexion so that both for lack of the comfort they should have from the heat of the heart as also in respect of their owne composition the feet are weaker than the other parts and the weaker goeth still to the wall for they receive the annoyances of the stronger because they are not of strenght to resist and therefore must of necessity yeeld to their paine Now why in the Gout the feet should feele such greevous paine this is the reason for that they consist of many joynts and have for their motion and sense many nerves which are the instruments of motion and sense whatsoever part is most neruous is also most sensible and therefore the feet upon any little offence are pained or greeved the more Another reason is this that about every joynt is wrapped a skinne and when as a humor hath insinuated it selfe betweene that and the joynt in distending of that untill it bee resolved it worketh an intolerable greife and it is so hard to resolve it as that sometimes it doth indurate or grow into an hard substance which is called nodosa Podagra the knotted Gout And these two causes of the dolorous state of the feet are accidentally growing from the part it selfe affected In respect of other causes I have given other reasons before in the fourefold distinction of greifes Now it doth follow that this greife in the feet is occasioned by some distemperature There are eight sorts of distemperatures foure simple and foure compound The foure simple are too hot too cold too moist too dry The foure compound too hot and dry withall too moist and cold withall too hot and moist too dry and cold with all And these inequalities come by reason of some unequall mixture of the foure elements in us and the dominion of some one or other above the rest The foure elements whereof wee are compounded are the fire the ayre the water the earth the element of fire is hot and dry the ayre hot and moist the water cold and moist the earth cold and dry Of these foure mixed together come the foure temperaments or complexions The cholerick hot and dry where the fire hath the dominion the sanguine hot and moist wherein wherein the ayre hath the dominion the phlegmatick cold and moist wherein the water hath the dominion the melancholick wherein the element of earth is predominant and of these foure temperaments come the foure humors to wit choler hot and dry blood hot and moist phlegm cold and moist melancholy cold and dry Of these foure humors are framed and maintained all the parts of mans body so that if they offend either in the first composition in any inequality or after by disorder of diet be made unequall then do they breed either in the whole or in some part the like inequality And hence it commeth that we have hot and dry diseases as Fevers and we have cold and moist diseases as the Palsey Apoplexie the falling sicknesse and divers moe also we have diseases of the blood as inflammations and likewise of melancholy Which all diseases as some in some one part and some in some other may come of the distemperature of the same part so the Gout may also come of a distemperature in the feet either bred therein originally or by some disorder procured unto them as hereafter in the causes which procure the Gout shall appeare It followeth that it is occasioned eyther by some distemperature or irregular humor The humors of the body are either good and naturall and then nature rejoyceth in them for that they nourish the body and maintaine it in good health and long life Or else they are naught and contrary to nature for that they procure diseases and destruction unto it as when they are possessed with putrifaction Or else they are neither good altogether neither bad but semimali halfe naught and this state of the humors I call irregular because they are not altogether over-ruled by nature and that in three respects for either they offend in quantity in being in greater abundance than the nature of the body requireth or they offend in quality being too hot or too cold or too sharp and rodent or else they offend in substance when as they are declining some what from a good and naturall state unto an unnaturall There are three sorts of bodies considered in physick the body healthfull the body diseased and thirdly the body neither perfectly whole neither diseased but in a neutrality between both which is after two sorts either when a sick body recovereth and groweth toward health then it is neither whole nor sick or when a whole body is declining from a healthfull state and groweth to bee sick