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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
amisse Vineger and all sowre sauces and drinks are not good for that they turne to melancholy It is most hurtfull herein to be sad and carefull Concerning the cure Neither this humor neither the former of themselves require any emission of blood for that the state of those bodies which they possesse is already too cold but if it chance to be mixed with blood then at the very beginning it shall bee convenient to let blood premising some solutive clyster or lenitive medicine Next the humor and body must bee prepared with such syrups or decoctions as do respect melancholy as with Burrage and Buglosse and Fumitory and tops of Hops and Cetrach and such like Then the humor must bee purged with such purgative medicines as respect the humor as with Sena Polipody the black Mirabolans Epithymum with Catholicon and if need be Diasen●a and confectio Hamech When as the humor is somwhat stayed by purging then must we come to locall medicines which first must be to repell next to resolve Such as repell must bee moderately hot because the humor is cold of it selfe as the leaves of the Terebinth tree and of the Cipres tree and the roots of Cyprus boyled in vineger wherewith the part is to bee bathed To resolve this or such like may do well Take of the tender Bay leaves and of Camomill Dill Penyrioll of Basill and the roots of the Flower-de-luce boyle all together and with the water bathe the part and stamp the herbs into a pulp whereunto adde the flower of Barly and Fenygreek and Linseed with some Capons grease or oesipus or Goose grease and May-butter and apply it warme to the place and so change it often And if one thing cannot doe good wee must devise some other for it falleth out oftentimes that some one thing may doe good at some times and sometimes it can do no good and being applyed a little while it doth good and being longer to the part it doth harme Now if the Gout come not of any severall humor but by the mixture of mo then is there a great discretion to be used of the Physitian either to judge of the predominant humor or of the manner of their mixture and accordingly to apply his remedy As if choler or blood or phlegm or melancholy be predominant then the medicines or cure must cheifly be appropriated to that somewhat respecting the rest or if there be an equall mixture of all which doth seldome befall then there must be such a mixture of things for the cure as shall respect all not doing harme to any but good unto all And this makes the Gout so hard to bee cured for if in a deflux one only humor would descend we should easily know it and sooner amend it but it falleth out for the most part that one brings downe another and mo do concurre and such as are of a contrary nature as choler and phlegm then groweth it out to bee hard both to judge of the cause and determine of the medicine for that that doth good to the one may do harme to another Thus in rude manner I have gone over the Gout first shewing the nature and essence thereof Next in giving the causes thereof Thirdly in delivering the signes whereby each cause is to bee known Then in discussing whether it may bee cured or no. And lastly what method or kind of cure is convenient for the Gout in respect of such causes whereof it proceedeth Now because hee that hath once had the Gout and he that feareth lest he shall have it would gladly have some meanes how to avoid it It remaineth that I set down an order of preservation which albeit I cannot do so absolutely for that it must cheifly be referred to the person affected so that one only rule cannot serve all because we are not all alike in constitution in diet and such like yet I will endevor a generall order which shall bee good for all such to observe as would bee willing to avoid the Gout And first in these diseases that are reciditive and chronicall long lasting diseases the the cheifest and principall point is to observe a good diet This diet must concerne certaine points first that it bee such as doth not breed distillations and rheumes Next that it bee such as doth not frait the body too full of humors Thirdly that it be such as doth not breed any weaknesse in any principall part or in the joynts To these purposes first we must take choice of the ayre avoyding a moist and cold situation as by some river and standing poole or marrish ground or moted habitation Cloudy or rainy and misty weather is naught wherein we must keep within and keep a good fire Hippocrates saith that the Southerne winds do fill the braine full of rheumatick matter because from the meridionall point they blow crosse over the seas and by the vapours thereof are made moist so that being hot of themselves and moist by the sea they become unwholsome disposing things to putrifaction and filling them with too great store of moisture wherefore they in this case must bee avoyded A cleare ayre wherein the Sunne shineth the wind standing somwhat Eastward or Northward is best In meats and drinks wee must observe certaine points as the substance the quantity the quality the time of taking them and the order how they are to be taken First for the substance the meat should bee of a good substance breeding good humors and of no hard digestion as Mutton Veale Capon Chicken Partridge Feasant Pullet Rabbet Wilde fowle is held but of a grosse substance but Woodcock Snight Mallard Teale Whinder Heathcock and generally such as have the whiter flesh may be taken but Goose Duck and such as are of a black flesh are reproved Beefe is of a hard grosse substance Hart Hinde Buck and Doe are the like And because they are prepared with much pepper and salt and thereupon wee poure in great store of wine they procure much inconuenience Salt meats breed no good juyce nor humor Fish is a moist meat but being such as wee call petrosas or saxatiles that live by rocks or upon gravelly waters being boyled with some of the hot herbs Whiting-gurnat Haddock are good Sammon if it bee boyled in water and vineger with rosemary may bee eaten Pike is not amisse especially if it bee taken in a scowre or put into a stew to be clensed So Bream and Carp should be used and generally such fish as live in muddy or in grosse water either is to be rejected or to bee corrected in the keeping or dressing Herbs breed no good substance especially in our Climate for that the heat of the Sunne is not sufficient to concoct their watery moisture and to bring them to a perfection wherefore wee use them for sauces and not for food Some roots may bee good as Carrot Skirwirt and the Parsnep if hee