of_o the_o heat_n the_o salt_n and_o tartarous_a humour_n be_v then_o more_o heap_v up_o and_o then_o after_o this_o the_o old_a they_o grow_v the_o more_o they_o be_v afflict_v with_o it_o by_o reason_n of_o the_o weakness_n of_o the_o native_a heat_n and_o the_o imbecility_n of_o the_o expulsive_a faculty_n for_o man_n for_o the_o most_o part_n live_v not_o so_o temperate_o as_o woman_n sustain_v great_a labour_n be_v more_o addict_v to_o venery_n and_o hurt_v thereby_o but_o woman_n on_o the_o contrary_a be_v more_o temperate_a and_o beside_o they_o have_v likewise_o their_o monthly_a evacuation_n by_o and_o with_o which_o nature_n be_v wont_a to_o thrust_v forth_o together_o with_o they_o all_o the_o vicious_a humour_n and_o so_o to_o expel_v they_o out_o of_o all_o part_n of_o the_o body_n whereupon_o likewise_o it_o be_v that_o hypocrates_n in_o the_o six_o of_o his_o apborism_n aphoris_n 29._o write_v that_o woman_n be_v not_o trouble_v wâ—th_o the_o gout_n until_o after_o their_o course_n fail_v and_o leave_v they_o but_o the_o truth_n be_v that_o it_o be_v not_o always_o â—o_o that_o either_o woman_n or_o man_n that_o be_v above_o or_o under_o the_o aforesand_n age_n aâ—e_v whole_o â—ree_v they_o this_o malady_n and_o albeit_o that_o hypocrates_n in_o the_o 6._o sect_n of_o his_o aphorism_n aphorisin_n 30._o write_v that_o young_a man_n before_o the_o use_n of_o woman_n be_v not_o at_o all_o trouble_a with_o the_o 〈◊〉_d and_o that_o it_o be_v a_o thing_n very_o rare_o see_v that_o youth_n be_v herewith_o affect_v yet_o 〈…〉_o its_o sometime_o find_v so_o to_o be_v and_o that_o even_o these_o be_v trouble_v with_o it_o as_o we_o may_v likewate_fw-mi see_v many_o that_o be_v above_o fifty_o year_n old_a take_v oftentimes_o with_o the_o gout_n and_o i_o myself_o 〈◊〉_d late_o see_v a_o learned_a man_n that_o in_o the_o sixty_o second_o year_n of_o his_o age_n be_v 〈…〉_o fit_v of_o the_o gout_n neither_o also_o be_v eunuch_n although_o that_o hypocrates_n in_o the_o six_o sect._n of_o his_o aphorism_n aph._n 28._o do_v except_o they_o always_o whole_o free_a from_o this_o malady_n as_o we_o shall_v anon_o show_v you_o further_o in_o the_o nanth_n question_n chap._n 3._o sign_n diagnostic_n the_o very_a malady_n do_v sufficient_o appear_v of_o itself_o gout_n the_o diagnostic_n sign_n of_o the_o gout_n and_o the_o sick_a person_n complain_v of_o a_o pain_n about_o the_o joint_n in_o their_o foot_n hand_n knee_n and_o other_o part_n unto_o which_o there_o be_v afterward_o add_v a_o swell_a a_o redness_n and_o for_o the_o most_o part_n a_o fever_n and_o indeed_o when_o the_o gout_n begin_v first_o of_o all_o to_o invade_v a_o person_n it_o likely_a take_v he_o first_o in_o the_o great_a toe_n of_o his_o foot_n and_o that_o most_o common_o the_o left_a and_o so_o in_o all_o the_o other_o joint_n the_o pain_n most_o of_o all_o consist_v and_o stay_v in_o the_o place_n affect_v without_o spread_v any_o further_o but_o in_o the_o sciatica_n this_o pain_n be_v not_o feel_v only_o in_o the_o joint_n by_o the_o which_o the_o head_n of_o the_o thigh_n be_v insert_v into_o the_o hip_n but_o it_o be_v from_o hence_o by_o the_o nerve_n and_o membrane_n carry_v unto_o the_o very_a buttock_n by_o the_o way_n where_o the_o nerve_n spring_v from_o the_o loin_n and_o the_o great_a bone_n by_o the_o latin_a physician_n call_v the_o o_o sacrum_n or_o holy_a bone_n and_o from_o thence_o the_o pain_n be_v also_o extend_v unto_o the_o calf_n of_o the_o leg_n and_o unto_o the_o foot_n according_a to_o the_o guidance_n and_o conduct_n of_o the_o nerve_n and_o in_o other_o joint_n also_o as_o lie_v outward_o there_o be_v wont_v manifest_o to_o appear_v a_o swell_a and_o redness_n and_o a_o great_a heat_n to_o be_v perceive_v but_o now_o in_o the_o sciatick_a painful_a affect_v these_o thing_n do_v not_o so_o plain_o appear_v in_o regard_n the_o place_n affect_v lie_v very_o deep_a and_o because_o that_o therein_o that_o place_n the_o top_n of_o the_o skin_n have_v not_o many_o vein_n disperse_v here_o and_o there_o in_o it_o in_o a_o word_n in_o the_o gout_n that_o which_o most_o especial_o trouble_v the_o sick_a person_n be_v the_o pain_n he_o feel_v and_o a_o impotency_n in_o his_o motion_n and_o upon_o this_o there_o follow_v watch_n and_o restlessness_n a_o dejection_n of_o the_o body_n strength_n and_o other_o symptom_n all_o which_o lucian_n in_o his_o tragopâ—dagra_fw-la have_v very_o elegant_o describe_v but_o now_o in_o reckon_v up_o the_o sign_n by_o which_o the_o difference_n of_o the_o cause_n and_o the_o different_a humour_n may_v be_v discern_v cause_n the_o sign_n of_o the_o cause_n the_o most_o of_o physician_n be_v very_o long_o and_o prolix_a and_o they_o take_v much_o pain_n in_o reckon_v up_o the_o sign_n of_o the_o gout_n from_o the_o blood_n choler_n phlegm_n and_o black_a choler_n or_o melancholy_n but_o since_o that_o as_o we_o tell_v you_o before_o those_o humour_n can_v proper_o be_v say_v to_o excite_v the_o gout_n but_o only_o that_o they_o be_v either_o stir_v up_o and_o down_o by_o that_o humour_n that_o be_v the_o cause_n of_o the_o gout_n or_o that_o be_v attract_v by_o the_o pain_n of_o the_o part_n affect_v they_o flow_v together_o thereunto_o we_o shall_v therefore_o in_o this_o regard_n here_o spare_v ourselves_o the_o labour_n further_o to_o treat_v of_o they_o but_o yet_o nevertheless_o if_o for_o the_o better_a order_n of_o the_o cure_n the_o knowledge_n of_o the_o affluent_a humour_n seem_v to_o be_v altogether_o necessary_a and_o requisite_a it_o appear_v from_o the_o general_a discourse_n of_o a_o inflammation_n in_o which_o we_o have_v declare_v what_o a_o pure_a phlegmone_n be_v and_o what_o sign_n it_o have_v as_o also_o the_o sign_n of_o oedematodes_n of_o erisypelatodes_n and_o also_o of_o schirrbode_n what_o sign_n these_o have_v and_o indeed_o from_o the_o sign_n of_o the_o humour_n predominant_a in_o the_o body_n which_o we_o have_v elsewhere_o explain_v and_o likewise_o from_o the_o quality_n of_o the_o swell_a and_o by_o the_o observe_n of_o those_o thing_n that_o benefit_n or_o hurt_v the_o sick_a person_n it_o may_v easy_o be_v know_v what_o humour_n it_o be_v that_o flow_v together_o with_o it_o and_o yet_o notwithstanding_o it_o be_v here_o acknowledge_v by_o the_o more_o learned_a and_o able_a physician_n even_o those_o who_o have_v assert_v that_o the_o gout_n proceed_v from_o divers_a humour_n that_o there_o be_v little_a heed_n to_o be_v give_v or_o regard_v to_o be_v have_v unto_o those_o sign_n that_o be_v take_v from_o the_o colour_n heat_n or_o the_o like_a accident_n since_o that_o very_o many_o thing_n occur_v which_o may_v be_v the_o cause_n as_o of_o the_o colour_n so_o likewise_o of_o the_o heat_n and_o coldness_n of_o the_o member_n contrary_a unto_o the_o nature_n of_o the_o peccant_a matter_n for_o the_o humour_n as_o guainerius_n say_v that_o be_v the_o true_a and_o proper_a cause_n of_o the_o gout_n abide_v in_o the_o bottom_n of_o the_o member_n do_v not_o for_o the_o most_o part_n change_v the_o superficies_n of_o the_o say_a member_n and_o so_o then_o the_o colour_n of_o the_o member_n can_v afford_v we_o any_o sign_n or_o token_n at_o all_o but_o it_o may_v possible_o so_o happen_v that_o a_o humour_n abound_v in_o the_o body_n may_v by_o pain_n be_v stir_v up_o and_o darw_v unto_o the_o place_n affect_v and_o there_o it_o may_v cause_v a_o swell_a and_o yet_o nevertheless_o it_o may_v not_o be_v the_o cause_n of_o the_o gout_n chap._n 4._o prognostic_n i._o the_o gout_n for_o the_o most_o part_n be_v a_o disease_n not_o mortal_a gout_n prognoslick_n of_o the_o gout_n for_o albeit_o that_o the_o strength_n may_v be_v much_o impair_v by_o pain_n and_o for_o want_v of_o rest_n insomuch_o that_o the_o sick_a person_n may_v at_o length_n be_v force_v to_o take_v their_o bed_n yet_o this_o be_v not_o do_v but_o in_o a_o long_a time_n and_o we_o see_v that_o such_o as_o be_v trouble_v with_o the_o gout_n do_v oftentimes_o live_v long_o and_o attain_v unto_o old_a age_n to_o wit_n for_o this_o cause_n that_o nature_n by_o certain_a interval_n thrust_v forth_o unto_o the_o joint_n those_o vicious_a humour_n from_o which_o other_o more_o dangerous_a disease_n may_v have_v be_v generate_v and_o so_o by_o this_o mean_n free_v the_o principal_a part_n from_o vicious_a humour_n ii_o if_o yet_o notwithstanding_o there_o happen_v any_o dangerous_a inflammation_n or_o pernicious_a fever_n or_o that_o nature_n fail_v and_o lie_v under_o the_o burden_n so_o that_o it_o can_v no_o long_o expel_v the_o vicious_a humour_n the_o patient_n life_n may_v then_o be_v much_o endanger_v and_o if_o any_o such_o dangerous_a symptom_n be_v join_v together_o with_o the_o vehement_a pain_n of_o
in_o dâ—et_n and_o the_o weakness_n of_o the_o bowel_n and_o sometime_o likewise_o it_o be_v supply_v from_o the_o suppression_n of_o the_o course_n in_o woman_n and_o the_o sudden_a stoppage_n of_o the_o hâ—morthâ—ids_v 〈◊〉_d both_o sex_n and_o than_o it_o be_v heap_v up_o in_o the_o vein_n and_o artery_n whereupon_o also_o so_o â—oon_o as_o ever_o iâ—_n begin_v to_o be_v move_v and_o to_o become_v as_o it_o be_v boil_v hot_a there_o be_v almost_o always_o a_o feaveâ—_n join_v with_o the_o arthritis_fw-la yea_o and_o sometime_o the_o fever_n be_v terâ—â—areâ—_n in_o the_o say_v arthritis_fw-la and_o hence_o it_o likewise_o come_v to_o pass_v that_o in_o the_o arthritis_fw-la the_o urâ—â—giveth_v 〈…〉_o and_o manifest_a sign_n and_o token_n of_o the_o humour_n that_o be_v peâ—â—an_n in_o the_o vein_n and_o hence_o it_o be_v 〈◊〉_d galen_n himself_o rencheâ—h_v we_o in_o the_o three_o section_n apâ—â—â—nm_fw-la 20._o that_o in_o little_a â—â—ellings_n and_o pain_n of_o the_o joyâ—â—_n the_o deepâ—â—_n part_n of_o the_o body_n be_v throughâ—â—_n purge_v the_o â—â—tious_a humour_n be_v thrust_v from_o the_o more_o principâ—â—_n part_n unto_o the_o outside_n and_o supersicies_n oâ—_n the_o body_n neither_o can_v there_o any_o thing_n else_o be_v prove_v by_o firm_a and_o soâ—ud_a reason_n all_o which_o be_v truâ—_n as_o be_v allege_v and_o the_o care_n stand_v thus_o and_o it_o be_v most_o undeniable_a that_o the_o humour_n the_o cause_n of_o the_o arthritis_fw-la be_v contain_v in_o the_o vein_n and_o artery_n there_o can_v no_o reason_n be_v render_v or_o any_o necessity_n either_o in_o nature_n or_o else_o in_o the_o disease_n why_o these_o humour_n ought_v necessary_o first_o of_o all_o to_o asceâ—â—_n up_o 〈◊〉_d the_o head_n before_o they_o be_v carry_v into_o the_o foot_n in_o regard_n more_o especial_o â—â—at_a there_o be_v a_o open_a and_o strait_a way_n by_o which_o themay_n be_v move_v through_o the_o vein_n and_o artery_n and_o 〈◊〉_d carry_v into_o the_o joint_n and_o that_o the_o matter_n the_o cause_n of_o arthritis_fw-la be_v carry_v unto_o the_o joint_n through_o the_o vessel_n and_o not_o without_o they_o appear_v also_o even_o from_o hence_o that_o the_o vein_n in_o those_o joint_n that_o be_v like_a to_o be_v invade_v by_o the_o arthâ—â—â—â—_n swell_v up_o and_o grow_v big_a when_o it_o first_o begin_v and_o in_o that_o the_o humour_n exciting_a the_o arthritis_fw-la if_o repel_v medicament_n be_v unreasonable_o apply_v run_v back_o again_o into_o the_o vein_n and_o artery_n and_o be_v either_o transmit_v unto_o the_o noble_a part_n and_o there_o excit_v acute_a fever_n anxiety_n of_o heart_n and_o other_o dangerous_a and_o deadly_a symptom_n or_o else_o it_o be_v sudden_o convey_v into_o another_o joint_n whereupon_o the_o pain_n which_o but_o ere_o while_o infest_a the_o foot_n instant_o if_o repeller_n be_v unadvised_o administer_v thrust_v itself_o forth_o and_o appear_v in_o the_o hand_n which_o can_v not_o be_v do_v be_v it_o not_o that_o the_o humour_n be_v move_v through_o the_o vessel_n for_o it_o be_v not_o at_o all_o possible_a that_o the_o humour_n which_o but_o just_a now_o be_v in_o one_o of_o the_o toe_n shall_v under_o the_o skin_n be_v so_o sudden_o carry_v up_o into_o the_o hand_n and_o if_o the_o humour_n shall_v in_o some_o space_n of_o time_n mount_v up_o thither_o under_o the_o skin_n yet_o it_o must_v of_o necessity_n cause_n pain_n in_o all_o those_o part_n through_o which_o it_o pass_v as_o we_o may_v often_o take_v notice_n in_o those_o pain_n that_o arise_v from_o the_o serous_a wheyish_a humour_n descend_v without_o the_o skull_n that_o the_o pain_n be_v first_o of_o all_o in_o the_o head_n and_o then_o afterward_o it_o be_v excite_v in_o the_o neck_n and_o then_o in_o the_o shoulder_n blade_n and_o the_o back_n and_o that_o at_o the_o length_n both_o the_o humour_n and_o the_o pain_n descend_v even_o unto_o the_o thigh_n which_o do_v not_o at_o all_o happen_v in_o the_o arthritis_fw-la and_o moreover_o it_o oftentimes_o come_v to_o pass_v that_o a_o man_n by_o wrath_n or_o 〈…〉_o cast_v into_o the_o arthritis_fw-la which_o happen_v most_o certain_o from_o the_o 〈…〉_o sudden_o move_v in_o the_o vein_n and_o artery_n but_o if_o the_o head_n shall_v 〈◊〉_d these_o humour_n sensible_o and_o by_o degree_n heap_v up_o in_o its_o own_o skin_n this_o can_v 〈…〉_o happen_v and_o again_o if_o the_o fountain_n and_o original_n of_o this_o malady_n be_v under_o the_o 〈…〉_o head_n why_o be_v not_o then_o the_o cure_n chief_o direct_v to_o that_o seat_n and_o why_o 〈…〉_o â—â—sicatories_n cautery_n and_o issue_v apply_v unto_o the_o neck_n see_v that_o 〈…〉_o a_o fit_a place_n than_o this_o to_o be_v find_v whereby_o the_o matter_n gather_v 〈…〉_o the_o skull_n and_o the_o skin_n of_o the_o head_n may_v be_v evacuate_v and_o furthermore_o 〈…〉_o the_o original_a of_o the_o humour_n be_v always_o in_o the_o external_a part_n of_o the_o head_n then_o of_o necessity_n there_o will_v be_v present_a likewise_o some_o sign_n thereof_o heap_v up_o there_o and_o descend_v which_o yet_o in_o the_o most_o be_v not_o at_o all_o take_a notice_n of_o their_o head_n be_v altogether_o safe_a and_o sound_a when_o yet_o their_o joint_n be_v invade_v by_o the_o arthritis_fw-la 〈…〉_o indeed_o among_o other_o the_o sign_n of_o the_o humour_n heap_v up_o reckon_v the_o â—â—avinâ—ss_n of_o the_o head_n for_o one_o as_o also_o overmuch_o desire_v of_o sleep_n a_o external_a pain_n or_o the_o head_n and_o which_o be_v stiâ—d_v up_o only_o by_o the_o touch_v thereof_o especial_o if_o the_o hair_n be_v kemb_v back_o but_o never_o so_o little_a a_o oedematous_a waterish_a swell_a like_a unto_o soft_a wax_n lie_v under_o the_o skin_n more_o especial_o in_o the_o hinder_a part_n of_o the_o head_n but_o he_o reckon_v up_o for_o sign_n of_o the_o humour_n flow_v downward_o a_o pain_n run_v up_o and_o down_o from_o the_o neck_n or_o by_o the_o shoulder_n into_o the_o arm_n and_o hand_n or_o else_o turn_v down_o by_o little_a and_o little_o along_o the_o back_n into_o the_o hip_n knee_n and_o foot_n there_o arise_v sometime_o some_o kind_n of_o sense_n and_o ceiling_n of_o cold._n but_o indeed_o it_o can_v at_o all_o be_v deny_v that_o these_o sign_n be_v present_a when_o there_o be_v a_o serous_a and_o wheyish_a humour_n heap_v up_o together_o in_o the_o head_n and_o fall_v down_o by_o the_o external_a part_n of_o the_o body_n but_o they_o very_o seldom_o appear_v in_o the_o arthritis_fw-la it_o be_v most_o manifest_a by_o experience_n that_o such_o as_o be_v trouble_v with_o the_o arthritis_fw-la be_v yet_o for_o the_o most_o part_n very_o well_o in_o their_o head_n neither_o do_v such_o as_o be_v take_v with_o the_o arthritis_fw-la always_o perceive_v that_o deflux_n of_o humour_n from_o the_o head_n and_o the_o pain_n proceed_v therefrom_o as_o but_o even_o now_o we_o tell_v you_o and_o grant_v indeed_o that_o it_o be_v so_o that_o in_o the_o begin_n of_o the_o arthritis_fw-la the_o head_n may_v likewise_o in_o some_o where_o it_o be_v but_o weak_a be_v offend_v and_o that_o there_o may_v be_v a_o kind_n of_o heaviness_n and_o pain_n perceive_v therein_o yet_o nevertheless_o neither_o do_v this_o sufficient_o prove_v that_o the_o humour_n the_o cause_n of_o the_o arthritis_fw-la be_v generate_v in_o the_o head_n in_o regard_n that_o the_o very_a same_o often_o happen_v in_o fever_n although_o the_o cause_n of_o the_o fever_n be_v not_o generate_v in_o the_o head_n but_o the_o head_n be_v then_o offend_v by_o its_o consent_n with_o other_o part_n for_o when_o the_o humour_n boil_v with_o heat_n in_o the_o artery_n and_o vein_n and_o that_o they_o begin_v to_o be_v move_v they_o partly_o rove_v and_o run_v up_o and_o down_o by_o their_o own_o impetuous_a motion_n this_o be_v proper_a unto_o they_o when_o they_o abound_v and_o swell_v up_o and_o partly_o they_o be_v by_o nature_n thrust_v forth_o hither_o and_o thither_o and_o then_o they_o more_o especial_o siez_fw-fr upon_o the_o weak_a part_n until_o at_o the_o length_n they_o seat_n and_o fix_v themselves_o in_o one_o certain_a place_n and_o therefore_o it_o be_v not_o at_o all_o to_o be_v wonder_v at_o that_o in_o such_o person_n as_o have_v weak_a head_n and_o head_n that_o be_v otherwise_o very_o subject_a to_o excite_v defluxion_n in_o the_o first_o invasion_n of_o the_o arthritis_fw-la some_o of_o the_o humour_n now_o about_o to_o ruâ—h_v forth_o unto_o the_o joint_n shall_v be_v pour_v out_o by_o the_o capillary_a vein_n under_o the_o skin_n in_o the_o head_n and_o there_o excite_v pain_n and_o other_o symptom_n which_o yet_o notwithstanding_o do_v nothing_o at_o all_o patronize_v this_o opinion_n of_o fernelius_n since_o that_o even_o those_o very_a humour_n be_v not_o breed_v and_o collect_v under_o the_o skin_n of_o
as_o platerus_n right_o call_v they_o and_o distinguish_v they_o from_o the_o arthritick_n pain_n although_o he_o be_v mistake_v in_o this_o that_o he_o determine_v that_o these_o pain_n and_o defluction_n be_v only_o in_o the_o fleshy_a part_n of_o the_o muscle_n whereas_o indeed_o they_o be_v equal_o about_o the_o joint_n may_v be_v excite_v in_o the_o fleshy_a place_n and_o membrane_n of_o the_o muscle_n but_o yet_o i_o can_v persuade_v myself_o that_o the_o arthritis_fw-la proper_o so_o call_v return_v by_o certain_a interval_n and_o have_v always_o one_o time_n of_o duration_n shall_v thence_o be_v generate_v for_o if_o the_o humour_n shall_v fall_v down_o betwixt_o the_o flesh_n and_o the_o skin_n it_o must_v first_o of_o all_o seize_v upon_o the_o part_n nigh_o unto_o the_o head_n and_o upon_o the_o joint_n see_v that_o as_o galen_n express_o teach_v in_o his_o 2._o b._n of_o the_o difference_n of_o fever_n chap._n 11._o those_o fluxion_n that_o be_v from_o the_o head_n be_v wont_v in_o the_o first_o place_n to_o infest_v the_o part_n near_o unto_o the_o head_n as_o the_o ear_n eye_n tooth_n gum_n and_o the_o glandule_n that_o lie_v next_o or_o the_o breast_n and_o lung_n and_o the_o muscle_n of_o the_o back_n whereupon_o such_o like_a pain_n from_o a_o defluxion_n present_o in_o the_o very_a first_o beginning_n of_o the_o descent_n of_o the_o humour_n from_o the_o head_n be_v perceive_v in_o the_o neck_n before_o and_o behind_o and_o in_o the_o shoulder_n blade_n but_o they_o scarce_o ever_o descend_v into_o the_o toe_n which_o indeed_o be_v most_o of_o all_o infest_a by_o the_o arthritis_fw-la that_o same_o thin_a serous_a humour_n vanish_v by_o the_o way_n which_o happen_v not_o in_o the_o arthritis_fw-la in_o which_o the_o pain_n be_v wont_v first_o of_o all_o and_o that_o very_o sudden_o to_o be_v excite_v for_o the_o most_o part_n in_o the_o very_a end_n of_o the_o toe_n for_o what_o solenander_n write_v concern_v a_o certain_a noble_a person_n as_o we_o may_v find_v it_o in_o the_o 24._o consil_n of_o his_o four_o section_n who_o be_v trouble_v with_o the_o arthritis_fw-la about_o the_o latter_a end_n of_o the_o winter_n have_v as_o he_o say_v the_o humour_n therefore_o move_v from_o the_o head_n because_o they_o be_v not_o sudden_o augment_v but_o increase_v by_o little_a and_o little_a and_o run_v from_o joint_n to_o joint_n from_o foot_n to_o foot_n and_o from_o thence_o into_o the_o knee_n and_o that_o from_o hence_o they_o ascend_v and_o seize_v upon_o the_o hand_n and_o after_o this_o insinuate_v themselves_o into_o the_o joint_n of_o the_o elbow_n this_o i_o say_v seem_v unto_o i_o a_o thing_n very_o improbable_a for_o if_o the_o humour_n have_v fly_v from_o the_o head_n it_o ought_v first_o of_o all_o to_o have_v infest_a the_o elbow_n and_o then_o the_o hand_n first_o the_o knee_n and_o then_o the_o foot_n whereas_o here_o the_o quite_o contrary_a be_v do_v it_o seem_v more_o agreeable_a to_o truth_n that_o this_o be_v do_v from_o the_o nature_n of_o the_o humour_n and_o the_o great_a abundance_n thereof_o for_o when_o it_o be_v more_o thick_a in_o the_o winter_n time_n it_o be_v be_v move_v the_o more_o slow_o but_o when_o once_o there_o be_v great_a store_n thereof_o heap_v up_o nature_n first_o of_o all_o drive_v it_o forth_o unto_o the_o extreme_a part_n which_o when_o they_o can_v not_o possible_o receive_v all_o of_o it_o she_o then_o afterward_o thrust_v it_o forth_o likewise_o unto_o the_o more_o near_o neighbour_a part_n neither_o indeed_o can_v i_o see_v any_o way_n by_o which_o this_o humour_n heap_v up_o without_o the_o skull_n shall_v be_v carry_v down_o straight_o and_o direct_o unto_o the_o foot_n and_o not_o ramble_v and_o rove_v up_o and_o down_o hither_o and_o thither_o like_a as_o do_v those_o pain_n from_o defluxion_n and_o be_v it_o so_o indeed_o that_o the_o brain_n do_v likewise_o sometime_o suffer_v certain_a symptom_n and_o that_o the_o pain_n may_v first_o of_o all_o begin_v in_o the_o nook_n of_o the_o neck_n and_o may_v after_o this_o seize_v upon_o the_o shoulder_n afterward_o upon_o the_o elbow_n and_o last_o upon_o the_o hand_n yet_o notwithstanding_o that_o be_v not_o at_o all_o yet_o prove_v which_o ought_v to_o be_v to_o wit_n that_o this_o humour_n descend_v without_o the_o skull_n betwixt_o the_o skin_n and_o the_o flesh_n for_o first_o of_o all_o how_o the_o gout_n podagra_fw-la come_v to_o be_v breed_v in_o the_o foot_n be_v not_o show_v in_o this_o manner_n and_o moreover_o albeit_o the_o humour_n flow_v within_o the_o vein_n and_o artery_n there_o may_v the_o very_a same_o symptom_n be_v produce_v in_o the_o brain_n which_o can_v not_o at_o all_o be_v if_o the_o humour_n be_v move_v without_o the_o skull_n under_o the_o skin_n and_o also_o the_o same_o pain_n in_o the_o nock_n shoulder_n and_o elbow_n fot_o while_o nature_n be_v endeavour_v to_o expel_v that_o vicious_a humour_n by_o the_o ascend_a trunk_n of_o the_o great_a hollow_a vein_n and_o artery_n there_o may_v very_o easy_o by_o the_o jugular_a vein_n and_o artery_n something_o flow_v into_o the_o brain_n which_o may_v there_o excite_v some_o kind_n of_o symptom_n and_o before_o ever_o it_o come_v so_o far_o as_o the_o hand_n it_o may_v easy_o happen_v that_o nature_n may_v by_o those_o branch_n that_o be_v disperse_v throughout_o the_o nook_n and_o the_o shoulder_n thrust_v forth_o something_o into_o those_o part_n and_o whereas_o all_o the_o joint_n in_o the_o whole_a body_n as_o also_o the_o part_n that_o lie_v about_o they_o receive_v their_o nourishment_n from_o the_o vein_n and_o artery_n there_o be_v no_o joint_n in_o the_o whole_a body_n into_o which_o likewise_o the_o humour_n the_o cause_n of_o arthritis_fw-la may_v not_o flow_v in_o by_o the_o very_a same_o vessel_n so_o that_o there_o will_v be_v no_o need_n at_o all_o of_o seek_v for_o blind_a and_o hide_a way_n and_o passage_n even_o from_o the_o most_o remote_a part_n and_o that_o i_o may_v in_o the_o last_o place_n likewise_o grant_v this_o that_o it_o may_v possible_o be_v that_o such_o like_a serous_a humour_n abound_v in_o the_o vein_n may_v also_o be_v thrust_v forth_o into_o the_o head_n and_o pout_v out_o under_o the_o skin_n and_o upon_o the_o approach_n of_o the_o arthritick_n paroxysm_n and_o nature_n set_v herself_o upon_o the_o work_n of_o expulsion_n they_o may_v likewise_o be_v move_v and_o by_o the_o neck_n may_v descend_v into_o the_o back_n yet_o notwithstanding_o these_o be_v not_o those_o humour_n that_o breed_v arthritis_fw-la but_o descend_v under_o the_o skin_n and_o pull_v the_o membrane_n in_o the_o outside_n of_o the_o body_n they_o excite_v those_o rove_a and_o slit_v pain_n yea_o and_o sometime_o also_o they_o breed_v a_o spurious_a and_o bastard_n pleurisy_n but_o they_o be_v very_o easy_o take_v away_o by_o friction_n discuss_v medicament_n and_o sweat_v the_o arthritis_fw-la yet_o still_o temain_v franciscus_n india_n a_o philitian_n or_o verona_n in_o his_o first_o b._n of_o the_o gout_n chap_n 4_o render_v this_o thing_n very_o intricate_a while_o he_o write_v that_o the_o member_n that_o send_v forh_fw-mi these_o superfluity_n be_v various_a and_o very_a many_o and_o especial_o the_o head_n the_o stomach_n the_o intestine_n the_o livia_n and_o the_o kidney_n and_o that_o those_o fluxion_n be_v indeed_o more_o especial_o from_o the_o head_n and_o from_o the_o brain_n because_o that_o although_o those_o humour_n draw_v their_o original_a from_o the_o intestine_n and_o from_o the_o stomach_n and_o other_o member_n before_o they_o flow_v unto_o the_o part_n of_o the_o joint_n they_o first_o of_o all_o ascend_v into_o the_o head_n and_o from_o it_o be_v afterward_o transmit_v unto_o the_o part_n lie_v underneath_o it_o but_o yet_o he_o do_v not_o indeed_o deny_v that_o those_o humour_n proceed_v from_o the_o whole_a body_n for_o if_o faith_n he_o the_o body_n be_v altogether_o free_a from_o superfluity_n no_o humour_n will_v at_o all_o slow_a in_o and_o yet_o nevertheless_o he_o deni_v that_o the_o matter_n do_v immediate_o flow_v from_o the_o whole_a body_n unto_o the_o joint_n see_v it_o can_v possible_o be_v that_o the_o humour_n which_o be_v find_v in_o the_o stomach_n or_o the_o intestine_n or_o in_o the_o liver_n or_o spleen_n shall_v so_o sudden_o from_o these_o part_n flow_v unto_o the_o joint_n unless_o by_o the_o incitation_n of_o nature_n it_o be_v drive_v forth_o by_o those_o way_n that_o lead_v unto_o the_o joint_n now_o he_o determine_v that_o those_o way_n be_v the_o vein_n muscle_n and_o nerve_n the_o vein_n to_o wit_n that_o be_v destine_v for_o the_o nourish_a of_o the_o hand_n and_o arm_n do_v carry_v the_o excrementitious_a humour_n that_o have_v their_o existence_n throughout_o the_o whole_a body_n unto_o the_o
be_v often_o foment_v with_o a_o linen_n cloth_n wet_a in_o the_o decoction_n of_o guajacum_fw-la and_o sarsaparila_fw-la for_o the_o same_o the_o alum_n water_n even_o now_o describe_v be_v very_o good_a or_o if_o the_o evil_n be_v stubborn_a some_o ointment_n must_v be_v lay_v upon_o they_o with_o powder_n of_o precipitate_a such_o as_o be_v propose_v before_o or_o precipitate_v mix_v with_o four_o time_n as_o much_o of_o the_o white_a of_o a_o egg_n which_o lay_v upon_o such_o excrescense_v of_o the_o arsehole_n in_o 24._o hour_n space_n extract_v and_o root_n they_o out_o after_o ward_n dry_v and_o cool_a thing_n must_v be_v lay_v on_o some_o cut_v off_o the_o french_a wart_n with_o scissors_n and_o afterward_o take_v out_o the_o root_n with_o the_o medicine_n even_o now_o propose_v also_o if_o the_o extreme_a part_n of_o the_o wart_n be_v touch_v with_o oil_n of_o vitriol_n it_o dry_v up_o and_o fall_v off_o fall_v of_o the_o hair_n the_o fall_n of_o the_o hair_n which_o be_v join_v with_o this_o disease_n do_v happen_v rather_o from_o the_o gnaw_v off_o of_o the_o root_n of_o the_o hair_n than_o from_o other_o cause_n hair_n fall_v of_o the_o hair_n both_o in_o the_o head_n and_o beard_n which_o that_o it_o may_v be_v cure_v general_n be_v premize_v first_o the_o hair_n must_v be_v shave_v off_o if_o the_o patient_n will_v allow_v it_o for_o all_o do_v not_o admit_v of_o it_o especial_o religious_a man_n who_o disease_n must_v be_v keep_v private_a as_o hercules_n saxonia_n write_v the_o lieu_n vener_n cap._n 38._o then_o astringent_a thing_n must_v not_o be_v use_v by_o the_o use_n of_o which_o the_o evil_a be_v make_v worse_o and_o ulcer_n and_o pain_n of_o the_o head_n do_v follow_v upon_o it_o the_o matter_n be_v retain_v but_o those_o thing_n rather_o be_v to_o be_v use_v which_o do_v discuss_v and_o cleanse_v away_o that_o vicious_a matter_n which_o eat_v of_o the_o hair_n as_o a_o lie_n in_o which_o have_v be_v boil_a guajacum_fw-la and_o its_o bark_n farsaparilla_o leave_v of_o fumitory_n betony_a scabious_a southernwood_n wormwood_n penyroyal_n asarabaca_fw-la agrick_n and_o if_o the_o skin_n be_v dry_a mallowsmarshmallowe_n pellitory_n of_o the_o wall_n must_v be_v add_v then_o the_o other_o medicine_n must_v be_v apply_v which_o be_v propound_v lib._n 5._o pract_n par_fw-fr 3._o sect_n 2._o cap._n 3._o and_o 4._o all_o which_o if_o they_o satisfy_v not_o particular_a suffumigation_n for_o the_o head_n and_o face_n must_v be_v prepare_v of_o quicksilver_n and_o cinnabar_fw-la by_o which_o remedy_n in_o the_o space_n of_o six_o or_o nine_o day_n the_o fall_n of_o the_o hair_n be_v stay_v but_o for_o the_o most_o part_n if_o universal_a purger_n and_o emptier_n be_v apply_v and_o the_o matterknaw_v the_o hair_n be_v take_v away_o and_o proper_a lotion_n be_v use_v afterward_o hair_n do_v succeed_v of_o its_o own_o accord_n in_o the_o place_n of_o that_o that_o fall_v away_o see_v more_o in_o the_o place_n allege_v the_o alope_n et_fw-fr capil_n deflu_fw-fr pain_n also_o most_o grievous_a pain_n do_v often_o afflict_v those_o who_o be_v sick_a of_o the_o venereal_a disease_n pain_n the_o cure_n of_o pain_n but_o they_o be_v most_o commodious_o take_v away_o by_o medicine_n proper_a to_o this_o disease_n but_o sarsaparilla_n be_v chief_o good_a to_o take_v they_o away_o therefore_o if_o the_o pain_n be_v very_o urgent_a on_o the_o first_o day_n you_o must_v take_v a_o great_a quantity_n of_o sarsaparilla_n and_o a_o less_o of_o guajacum_fw-la and_o though_o the_o matter_n be_v dissolve_v and_o melt_v the_o pain_n be_v increase_v till_o the_o second_o week_n because_o sarsa_n have_v a_o extraordinary_a attenuate_a faculty_n without_o any_o astriction_n of_o the_o bowel_n yet_o we_o must_v not_o desist_v from_o the_o use_n of_o it_o but_o the_o patient_n must_v be_v tell_v of_o it_o afterward_o when_o the_o pain_n be_v cease_v we_o may_v increase_v the_o quantity_n of_o guajacum_fw-la and_o china_n root_n may_v be_v add_v also_o to_o mitigate_v those_o pain_n but_o by_o interval_n almost_o every_o week_n give_v proper_a purge_v medicine_n but_o to_o the_o place_n pain_v apply_v fomentation_n of_o guajacum_fw-la leave_v of_o penyroyal_n sage_n rosemary_n chamomel_n flower_n oil_n of_o white_a lily_n also_o of_o rue_n scorpion_n viper_n guajacum_fw-la be_v good_a if_o the_o pain_n be_v very_o urgent_a we_o may_v give_v also_o laudanum_n opiate_n upon_o the_o use_n of_o all_o which_o if_o the_o pain_n depart_v not_o those_o mercurial_a unguent_n which_o we_o propound_v before_o in_o the_o universal_a cure_n must_v be_v anoint_v on_o the_o place_n pain_v or_o by_o the_o addition_n of_o wax_n make_v cerote_n of_o they_o and_o lay_v they_o on_o the_o part_n pain_v or_o some_o other_o plaster_n above_o propound_v to_o which_o also_o may_v be_v add_v castor_n hermodactil_o root_n orice_n and_o other_o arthritical_a medicine_n especial_o vigo_n cerote_n of_o frog_n be_v of_o good_a use_n to_o lay_v asleep_a those_o pain_n and_o this_o cerot_n of_o platerus_n be_v good_a too_o take_v of_o quicksilver_n three_o ounce_n stir_v it_o with_o one_o ounce_n of_o turpentine_n wash_v with_o aqua_fw-la aquavitae_fw-la add_v bear_n grease_n the_o marrow_n of_o a_o calf_n leg_n of_o each_o a_o ounce_n and_o half_a oil_n of_o white_a lily_n chamomel_n dill_n bay_n worm_n or_o fox_n of_o each_o half_n a_o ounce_n spike_n or_o turpentine_n two_o dram_n euphorbium_n frankincense_n of_o each_o half_n a_o ounce_n liquid_a styrax_n six_o dram_n hermodactil_n two_o dram_n castor_n one_o dram_n wax_v as_o much_o as_o be_v sufficient_a make_v a_o cerote_n also_o the_o aforesaid_a lavatory_n prepare_v of_o mercury_n former_o propound_v apply_v to_o the_o part_n pain_v especial_o the_o leg_n do_v allay_v the_o pain_n the_o run_v of_o the_o reins_o the_o run_v of_o the_o reins_o reins_o the_o cure_n of_o the_o run_v of_o the_o reins_o which_o also_o be_v frequent_a in_o this_o disease_n be_v not_o to_o be_v stop_v at_o the_o beginning_n nor_o rash_o whenas_o nature_n do_v endeavour_v to_o purge_v the_o virulent_a matter_n through_o that_o place_n which_o if_o it_o be_v suppress_v fly_n up_o to_o the_o head_n nay_o infect_v the_o whole_a body_n but_o if_o it_o do_v not_o stop_v when_o the_o decoction_n have_v be_v use_v till_o the_o three_o week_n let_v the_o region_n of_o the_o loin_n and_o perinaeum_n be_v anoint_v with_o astringent_a oil_n make_v of_o mastich_n mint_n rose_n myrtle_n but_o let_v medicine_n be_v give_v of_o the_o seed_n of_o the_o chast-tree_n lettuce_n hemp_n to_o which_o add_v a_o double_a quantity_n of_o the_o powder_n of_o sarsaparilla_n and_o those_o medicine_n may_v be_v give_v either_o in_o the_o form_n of_o a_o powder_n or_o with_o syrup_n of_o water_n of_o lily_n be_v reduce_v into_o the_o form_n of_o a_o electuary_n it_o be_v good_a also_o if_o every_o day_n there_o be_v give_v two_o or_o three_o dram_n of_o waterlilly_n with_o one_o or_o two_o scruple_n of_o turpentine_n some_o also_o do_v give_v for_o this_o run_v of_o the_o reins_o green_a mercury_n precipitate_v or_o the_o rozin_n of_o guajacum_fw-la and_o turpentine_n which_o be_v wash_v with_o violet_a water_n and_o add_v the_o yolk_n of_o a_o egg_n and_o the_o decoction_n of_o sarsaparilla_n it_o be_v reduce_v into_o the_o form_n of_o a_o potion_n a_o consumption_n at_o last_o it_o often_o happen_v consumption_n a_o consumption_n that_o either_o by_o the_o violence_n of_o the_o disease_n or_o the_o cure_n not_o right_o order_v the_o sick_a come_v into_o a_o deep_a consumption_n for_o the_o cure_n of_o which_o the_o common_a medicine_n for_o a_o consumption_n will_v not_o suffice_v but_o there_o be_v need_n of_o specific_v which_o kind_n of_o remedy_n audovicus_n septalius_n animadvers_fw-la lib_fw-la 7._o n._n 214._o do_v propound_v and_o write_v that_o by_o it_o he_o have_v whole_o free_v very_o many_o from_o this_o disease_n and_o from_o such_o a_o consumption_n but_o it_o be_v prepare_v thus_o take_v of_o choice_n sarsaparilla_n cut_v small_a six_o ounce_n infuse_v it_o twenty_o four_o hour_n in_o fifteen_o pound_n of_o warm_a water_n in_o a_o warm_a place_n in_o a_o vessel_n shut_v afterward_o boil_v it_o with_o a_o gentle_a fire_n till_o five_o pound_n be_v waste_v then_o with_o a_o spoon_n perforate_v take_v out_o the_o sarsaparilla_n and_o bruise_v it_o in_o a_o marble_n mortar_n then_o cast_v it_o into_o the_o same_o water_n again_o add_v two_o pound_n of_o lean_a veal_n coriander_n seed_n prepare_v one_o ounce_n or_o instead_o of_o it_o so_o much_o of_o the_o shave_n of_o guajacum_fw-la or_o three_o dram_n of_o yellow_a sander_n slice_v according_a to_o the_o condition_n of_o the_o patient_n body_n and_o humour_n and_o the_o vessel_n be_v cover_v let_v it_o boil_v again_o with_o a_o gentle_a fire_n till_o
seat_n of_o the_o joint_n stick_v fast_o in_o these_o more_o straight_o and_o narrow_a place_n where_o all_o the_o part_n that_o end_v there_o be_v join_v together_o and_o enfold_v the_o one_o within_o the_o other_o whereas_o elsewhere_o they_o may_v more_o free_o be_v move_v up_o and_o down_o and_o have_v room_n enough_o to_o disperse_v themselves_o hither_o and_o thither_o and_o indeed_o the_o truth_n be_v that_o now_o and_o then_o that_o humour_n be_v also_o diffuse_v into_o other_o part_n and_o there_o be_v a_o certain_a nameless_a author_n who_o in_o the_o eight_o section_n of_o his_o b._n of_o the_o gout_n add_v unto_o the_o writing_n of_o the_o principal_a physician_n tell_v we_o that_o these_o kind_n of_o fluxion_n do_v not_o only_o infest_v the_o hand_n foot_n and_o all_o the_o joint_n but_o that_o it_o likewise_o make_v a_o impression_n upon_o the_o very_a head_n upon_o the_o very_a liver_n yea_o and_o sometime_o upon_o the_o very_a heart_n itself_o and_o hieronymus_n capivaccius_n also_o in_o his_o consil_n collect_v from_o scholtzius_n consil_n 226._o make_v mention_n of_o the_o gout_n pain_n in_o the_o side_n by_o reason_n of_o which_o the_o sick_a person_n be_v constrain_v to_o lie_v upon_o his_o back_n neither_o be_v he_o able_a to_o move_v his_o side_n and_o a_o person_n of_o honour_n once_o tell_v i_o as_o i_o remember_v that_o a_o certain_a man_n afflict_v with_o the_o gout_n feel_v likewise_o very_a fore_n and_o grievous_a pain_n in_o his_o very_a yard_n and_o it_o be_v relate_v unto_o i_o by_o a_o honourable_a lady_n that_o a_o kinswoman_n of_o she_o be_v trouble_v with_o the_o gout_n a_o certain_a marl_n for_o so_o she_o call_v it_o and_o indeed_o not_o unfit_o break_v forth_o also_o in_o her_o forehead_n so_o that_o it_o may_v have_v be_v even_o sweep_v off_o like_o sand_n and_o grain_n of_o salt_n but_o the_o truth_n be_v the_o cause_n breed_v the_o gout_n if_o it_o be_v in_o great_a abundance_n it_o may_v likewise_o be_v diffuse_v into_o other_o part_n beside_o the_o joint_n but_o yet_o notwithstanding_o it_o do_v not_o breed_v the_o gout_n any_o where_o else_o but_o in_o the_o joint_n but_o now_o it_o may_v here_o in_o this_o place_n and_o that_o not_o without_o good_a cause_n be_v demand_v how_o it_o come_v to_o pass_v that_o those_o person_n that_o be_v afflict_v with_o the_o gout_n do_v yet_o so_o seldom_o suffer_v any_o convulsion_n but_o only_o a_o pain_n whenas_o yet_o the_o nervous_a part_n be_v here_o affect_v erastus_n why_o those_o who_o be_v trouble_v with_o the_o gout_n do_v seldom_o suffer_v any_o convulsion_n the_o opinion_n of_o erastus_n and_o indeed_o so_o twinge_v and_o pull_v by_o the_o sharp_a humour_n that_o there_o may_v seem_v to_o be_v great_a cause_n for_o the_o exciting_a of_o a_o convulsion_n thomas_n erastus_n in_o his_o 4._o disputat_fw-la against_o paracelsus_n think_v this_o to_o be_v the_o cause_n that_o the_o humour_n that_o be_v pour_v forth_o about_o the_o nerve_n be_v waterish_a and_o phlegmatic_a and_o therefore_o do_v more_o loosen_v then_o extend_v they_o and_o if_o this_o be_v not_o the_o cause_n he_o confess_v ingenious_o that_o he_o be_v altogether_o ignorant_a of_o it_o and_o know_v not_o what_o it_o be_v but_o yet_o we_o do_v not_o acknowledge_v this_o for_o the_o only_a true_a cause_n neither_o be_v it_o indeed_o a_o truth_n that_o the_o humour_n exciting_a the_o gout_n be_v simple_o waterish_a and_o phlegmatic_a that_o rather_o loosen_v than_o extend_v the_o part_n as_o we_o shall_v hereafter_o prove_v and_o as_o it_o appear_v even_o by_o the_o pain_n itself_o which_o be_v most_o sharp_a and_o intolerable_a and_o therefore_o i_o conceive_v the_o cause_n hereof_o to_o be_v in_o the_o place_n affect_v to_o wit_n that_o not_o the_o very_a nerve_n themselves_o as_o they_o be_v insert_v into_o the_o part_n destine_v unto_o motion_n u.z._n the_o muscle_n that_o serve_v thereunto_o be_v affect_v but_o rather_o the_o membrane_n and_o the_o membranous_a ligament_n which_o part_n be_v not_o ordain_v for_o motion_n neither_o serve_v they_o thereunto_o and_o therefore_o although_o they_o suffer_v most_o grievous_a pain_n yet_o nevertheless_o they_o excite_v no_o convulsive_a motion_n unless_o haply_o the_o brain_n be_v draw_v into_o consent_n like_a as_o we_o may_v plain_o see_v the_o truth_n of_o this_o in_o the_o pain_n of_o the_o tooth_n the_o eye_n the_o pleura_fw-la membrane_n the_o colon_n intestine_a and_o the_o like_a pain_n in_o all_o which_o it_o be_v not_o the_o nerve_n appoint_v for_o motion_n but_o rather_o the_o membrane_n that_o be_v affect_v without_o any_o kind_n of_o convulsion_n and_o the_o very_a same_o happen_v in_o the_o gout_n in_o which_o the_o membranous_a part_n that_o be_v about_o the_o joint_n and_o knit_v together_o the_o extremity_n of_o the_o joint_n be_v either_o distend_v or_o twinge_v and_o pull_v by_o the_o humour_n flow_v thereunto_o there_o be_v some_o indeed_o who_o assert_v that_o the_o very_a cavity_n or_o hollow_a space_n that_o be_v between_o the_o extremity_n of_o the_o bone_n do_v receive_v the_o humour_n that_o flow_v thereunto_o and_o that_o this_o space_n be_v the_o true_a subject_n of_o the_o cause_n breed_v the_o gout_n but_o this_o be_v false_a as_o anon_o we_o shall_v show_v you_o in_o the_o three_o question_n the_o proxime_fw-la or_o next_o cause_n of_o the_o gout_n pain_n as_o in_o other_o part_n likewise_o be_v the_o solution_n of_o continuity_n which_o be_v produce_v by_o the_o afflux_n of_o the_o sharp_a humour_n into_o the_o membranous_a part_n about_o the_o joint_n either_o by_o distend_v they_o or_o else_o by_o their_o acrimony_n at_o once_o both_o prick_n and_o pull_v they_o now_o those_o thing_n that_o accompany_v this_o pain_n be_v first_o a_o impotency_n and_o weakness_n of_o the_o motion_n gout_n symptom_n of_o the_o gout_n and_o by_o the_o motion_n of_o the_o joint_a the_o pain_n be_v irritate_v and_o augment_v and_o then_o also_o a_o swell_v and_o this_o for_o the_o most_o part_n with_o a_o redness_n and_o heat_n follow_v upon_o it_o and_o be_v discern_v more_o especial_o in_o the_o extreme_a joint_n and_o yet_o nevertheless_o there_o appear_v now_o and_o then_o only_o a_o moist_a and_o waterish_a swell_n without_o any_o redness_n at_o al._n in_o the_o hip_n and_o shoulder_n blade_n be_v fleshy_a place_n there_o scarce_o appear_v any_o swell_n at_o all_o external_o but_o the_o humour_n that_o have_v fly_v thereunto_o lie_v hide_v and_o cover_v by_o the_o flesh_n and_o there_o be_v also_o a_o fever_n a_o continue_a one_o that_o almost_o always_o with_o a_o pain_n invade_v in_o the_o arthritis_fw-la or_o gout_n in_o general_n and_o oftentimes_o also_o in_o the_o gout_n of_o the_o foot_n and_o knee_n and_o the_o sick_a person_n be_v first_o of_o all_o take_v with_o a_o extreme_a chillness_n and_o then_o present_o a_o heat_n follow_v upon_o it_o and_o this_o be_v the_o cause_n that_o the_o sick_a person_n be_v so_o vex_v and_o trouble_v with_o thirst_n and_o that_o the_o pulse_n be_v change_v and_o that_o the_o urine_v become_v very_o red_a which_o oftentimes_o at_o the_o first_o beginning_n be_v waterish_a but_o now_o what_o kind_n of_o fever_n this_o be_v that_o accompany_v the_o gout_n in_o this_o many_o author_n differ_v as_o below_o in_o the_o four_o question_n we_o shall_v show_v you_o and_o sometime_o there_o be_v likewise_o other_o symptom_n that_o follow_v upon_o the_o say_a pain_n and_o among_o the_o rest_n watch_n restlessness_n and_o a_o spasm_n if_o the_o gout_n continue_v long_o and_o often_o afflict_v the_o sick_a party_n then_o at_o the_o length_n there_o be_v generate_v in_o the_o joint_n hard_a knot_n and_o knob_n from_o the_o more_o thick_a part_n of_o the_o serous_a or_o wheyish_a humour_n that_o even_o of_o its_o own_o accord_n tend_v to_o a_o coagulation_n or_o clot_v together_o and_o if_o the_o skin_n be_v open_v out_o there_o run_v a_o matter_n sometime_o fluid_a and_o white_a and_o sometime_o like_a unto_o plaster_n or_o white_a lime_n and_o sometime_o the_o matter_n be_v hard_a like_a unto_o gravelly_a stone_n that_o may_v be_v crumble_v this_o malady_n be_v likewise_o know_v to_o disperse_v itself_o among_o the_o common_a people_n the_o cause_n be_v generate_v from_o the_o general_a and_o common_a fault_n and_o vice_n either_o of_o the_o air_n or_o of_o the_o ordinary_a diet_n in_o many_o place_n but_o now_o whether_o it_o may_v at_o any_o time_n happen_v by_o reason_n of_o any_o defect_n of_o that_o kind_n of_o fruit_n we_o call_v mulberry_n we_o shall_v further_o discuss_v this_o point_n anon_o in_o the_o five_o question_n chap._n 2._o of_o the_o cause_n of_o the_o gout_n the_o proxime_fw-la or_o nigh_a cause_n of_o this_o pain_n in_o the_o gout_n be_v the_o solution_n of_o unity_n in_o the_o membranous_a part_n
then_o indeed_o the_o grief_n and_o trouble_n be_v derive_v unto_o the_o very_a bladder_n produce_v a_o difficulty_n of_o make_v water_n and_o then_o most_o especial_o it_o be_v that_o the_o whole_a leg_n from_o the_o hip_n even_o unto_o the_o very_a heel_n suffer_v pain_n fernelius_n in_o his_o sixth_z b._n of_o the_o disease_n of_o the_o part_n and_o the_o symptom_n chap._n 18_o say_v that_o the_o ischias_n or_o sciatick_a pain_n be_v absolute_o the_o most_o vehement_a of_o all_o the_o rest_n have_v not_o its_o seat_n in_o that_o joint_n by_o which_o the_o head_n of_o the_o thigh_n be_v insert_v and_o fasten_v into_o the_o hip_n but_o deep_a at_o the_o utmost_a of_o the_o buttock_n by_o which_o the_o nerve_n that_o proceed_v from_o the_o loin_n and_o the_o great_a bone_n call_v o_o sacrum_n or_o the_o holy_a bone_n be_v carry_v into_o the_o thigh_n the_o great_a and_o terrible_a pain_n be_v not_o in_o the_o hip_n alone_o but_o it_o be_v likewise_o extend_v into_o the_o thigh_n and_o into_o the_o calf_n of_o the_o leg_n and_o unto_o the_o extreme_a part_n of_o the_o foot_n to_o wit_n whithersoever_o that_o branch_n that_o be_v derive_v from_o the_o hip_n affect_v reach_v and_o extend_v itself_o but_o some_o other_o as_o platerus_n attribute_v the_o sciatick_a pain_n unto_o the_o joint_n with_o the_o thigh_n but_o here_o we_o be_v to_o understand_v that_o about_o the_o hip_n as_o also_o now_o and_o then_o in_o the_o shoulder_n there_o happen_v sometime_o a_o pain_n which_o be_v indeed_o very_a often_o most_o vehement_a and_o yet_o nevertheless_o it_o be_v not_o proper_o a_o pain_n of_o the_o joint_n in_o regard_n that_o it_o be_v not_o in_o any_o joint_n because_o it_o seize_v upon_o the_o membrane_n of_o the_o muscle_n neither_o again_o do_v it_o consist_v always_o in_o one_o and_o the_o same_o place_n but_o for_o the_o most_o part_n descend_v downward_o unto_o the_o inferior_a part_n and_o such_o almost_o be_v that_o ischiadick_n pain_n that_o aetius_n have_v describe_v out_o of_o archigenes_n and_o i_o grant_v that_o this_o pain_n have_v its_o original_n from_o the_o serous_a and_o sharp_a humour_n that_o flow_v from_o the_o head_n under_o the_o skin_n and_o stick_v about_o some_o membrane_n or_o some_o nerve_n but_o now_o that_o this_o pain_n be_v not_o proper_o the_o gout_n appear_v from_o hence_o first_o because_o it_o consist_v not_o always_o about_o the_o joint_n but_o also_o in_o the_o middle_a space_n within_o the_o joint_n and_o so_o i_o have_v here_o cure_a a_o person_n of_o honour_n that_o suffer_v such_o a_o pain_n in_o the_o very_a muscle_n themselves_o that_o be_v between_o the_o knee_n and_o the_o hip._n and_o the_o like_a pain_n often_o happen_v in_o the_o breast_n and_o there_o excite_v a_o certain_a bastard_n pleurisy_n and_o then_o second_o because_o that_o they_o very_o rare_o return_v by_o interval_n and_o constant_o at_o some_o certain_a time_n but_o often_o after_o they_o have_v afflict_v a_o man_n once_o or_o twice_o they_o return_v no_o more_o afterward_o all_o the_o whole_a life_n long_o three_o because_o those_o that_o suffer_v these_o pain_n be_v not_o afflict_v with_o the_o gout_n in_o any_o other_o part_n which_o happen_v in_o the_o true_a gout_n and_o that_o be_v proper_o so_o call_v for_o those_o that_o be_v long_o trouble_v with_o the_o gout_n be_v very_o seldom_o afflict_v with_o the_o gout_n in_o the_o foot_n alone_o but_o they_o afterward_o suffer_v pain_n likewise_o in_o their_o hand_n and_o their_o other_o joint_n and_o last_o likewise_o the_o true_a gout_n for_o the_o most_o part_n if_o not_o always_o have_v a_o tumour_n or_o swell_v join_v with_o it_o but_o now_o these_o pain_n have_v no_o such_o swell_a join_v with_o they_o not_o only_a when_o they_o be_v in_o a_o deep_a place_n but_o also_o when_o they_o be_v in_o a_o place_n that_o be_v not_o deep_a as_o it_o often_o happen_v in_o the_o shoulder_n and_o this_o come_v to_o pass_v for_o this_o cause_n to_o wit_n that_o the_o humour_n flow_v not_o out_o of_o those_o vein_n by_o which_o that_o part_n be_v nourish_v as_o in_o the_o true_a gout_n but_o we_o intend_v not_o here_o to_o treat_v of_o that_o pain_n but_o only_o of_o that_o which_o be_v proper_o the_o arthritick_n or_o gout_n pain_n but_o now_o that_o ischiadick_n or_o sciatick_a pain_n have_v this_o proper_a unto_o it_o that_o it_o be_v diffuse_v more_o abroad_o then_o in_o the_o other_o joint_n and_o oftentimes_o unto_o the_o place_n that_o lie_v next_o and_o this_o happen_v first_o of_o all_o because_o that_o the_o hip_n bone_n be_v large_a from_o whence_o it_o be_v that_o we_o distinguish_v it_o by_o three_o name_n and_o when_o it_o be_v knit_v unto_o the_o side_n of_o the_o or_o sacrum_n we_o then_o call_v it_o the_o ileum_n bone_n when_o unto_o the_o hollow_a part_n of_o the_o say_a bone_n we_o then_o call_v it_o ischium_n and_o when_o it_o be_v join_v with_o the_o forepart_n we_o then_o call_v it_o o_o pâ—bis_n or_o the_o share_n bone_n and_o then_o second_o because_o that_o the_o nerve_n that_o come_v from_o the_o loin_n and_o the_o o_o sacrum_n to_o that_o articulation_n be_v distribute_v into_o divers_a part_n and_o therefore_o the_o pain_n of_o the_o hip_n do_v sometime_o diffuse_v itself_o into_o all_o place_n and_o reach_v even_o unto_o the_o nerve_n that_o be_v derive_v from_o the_o hip._n but_o now_o this_o malady_n be_v very_o difficult_a to_o be_v cure_v by_o reason_n of_o the_o deepness_n and_o largeness_n of_o the_o place_n and_o the_o abundance_n of_o the_o matter_n which_o the_o wide_a place_n receive_v they_o who_o be_v infest_a by_o a_o long_a continue_a pain_n of_o their_o hip_n have_v the_o hipbone_n fall_v out_o of_o its_o place_n and_o again_o return_v into_o its_o place_n these_o have_v a_o filthiness_n and_o nastiness_n follow_v thereupon_o in_o the_o fixth_n section_n and_o 59_o aphorism_n for_o if_o by_o the_o humour_n flow_v in_o the_o ligament_n be_v relax_v the_o hip_n fall_v out_o of_o its_o place_n and_o the_o humour_n that_o be_v get_v into_o its_o cavity_n be_v make_v dull_a and_o thick_a yea_o and_o oftentimes_o it_o grow_v there_o into_o a_o stony_a hardness_n whereupon_o because_o the_o vein_n and_o artery_n be_v move_v out_o of_o their_o proper_a place_n and_o be_v press_v down_o together_o thence_o it_o be_v that_o a_o atrophy_n follow_v in_o the_o leg_n and_o if_o this_o ischiadick_n pain_n invade_v any_o one_o in_o the_o time_n of_o youth_n it_o threaten_v the_o shorten_n of_o the_o life_n because_o that_o by_o pain_n and_o hunger_n the_o sick_a person_n waste_v and_o wither_v away_o and_o from_o hence_o likewise_o the_o ischiadick_n consumption_n have_v take_v its_o name_n as_o concern_v the_o â—ure_n for_o revuision_n the_o basilick_n vein_n in_o the_o same_o side_n be_v most_o fit_o open_v but_o the_o ischiadick_n if_o it_o be_v for_o derivation_n and_o indeed_o if_o the_o pain_n extend_v itself_o more_o external_o that_o vein_n that_o be_v in_o the_o outward_a ankle_n or_o the_o saphena_n which_o be_v at_o the_o inward_a ankle_n if_o the_o pain_n tend_v more_o inward_o and_o hypocrates_n likewise_o 6._o epid._n sect._n 5._o text_n 21._o write_v that_o when_o there_o be_v kedmaâ—a_fw-mi present_a by_o which_o galen_n and_o other_o understand_v the_o fluxion_n into_o the_o hip_n than_o the_o vein_n behind_o the_o ear_n be_v to_o be_v scarify_v but_o yet_o these_o think_v not_o that_o this_o precept_n of_o hypocrates_n be_v true_a or_o that_o it_o ought_v to_o be_v follow_v but_o yet_o nevertheless_o sceggbâ—us_n defend_v hypocrates_n and_o think_v that_o he_o do_v upon_o very_o good_a ground_n propound_v that_o which_o without_o doubt_n he_o have_v observe_v by_o experience_n for_o see_v that_o the_o cause_n of_o the_o evil_n destil_v into_o the_o hip_n by_o the_o hole_n of_o the_o nook_n or_o fernelius_n his_o way_n for_o the_o take_v away_o the_o very_a fountain_n and_o source_n of_o the_o malady_n he_o right_o determine_v that_o the_o remedy_n must_v be_v administer_v about_o the_o ear_n but_o if_o all_o this_o shall_v be_v grant_v yet_o nevertheless_o those_o redmata_fw-la be_v not_o the_o ischiadick_n pain_n proper_o so_o call_v which_o belong_v unto_o the_o gout_n but_o those_o of_o which_o we_o make_v mention_v before_o the_o strong_a kind_n of_o purgation_n have_v here_o their_o place_n and_o here_o the_o caryocostine_a electuary_n be_v of_o singular_a use_n as_o also_o the_o arthritick_n pill_n pill_n faetidae_fw-la and_o the_o pill_n of_o hermodactyl_n crato_fw-mi indeed_o in_o his_o 247._o consil_n write_v that_o the_o ischiadick_n or_o sciatick_a pain_n will_v not_o admit_v of_o nor_o bear_v purge_n in_o regard_n that_o the_o humour_n have_v seat_v themselves_o more_o in_o those_o place_n but_o this_o be_v to_o
it_o excit_v most_o vehement_a and_o grievous_a pain_n neither_o let_v any_o be_v hereat_o move_v and_o wonder_v that_o we_o say_v that_o this_o matter_n be_v one_o while_o spiritual_a and_o sometime_o also_o tartarous_a and_o so_o very_o fit_a likewise_o for_o the_o generate_a of_o those_o hard_a knot_n which_o they_o call_v tophi_n for_o that_o i_o may_v speak_v with_o the_o chemist_n spinit_n may_v proceed_v from_o body_n and_o again_o body_n may_v be_v from_o spirit_n this_o matter_n in_o its_o original_n and_o while_o it_o be_v in_o the_o earth_n be_v a_o body_n and_o somewhat_o as_o it_o be_v earthy_a and_o mineral_n like_a but_o it_o come_v afterward_o to_o be_v attenuate_v in_o the_o various_a concection_n both_o in_o plant_n and_o man_n and_o so_o it_o be_v make_v as_o it_o be_v spiritual_a which_o have_v be_v acknowledge_v by_o many_o of_o galens_n follower_n and_o among_o the_o rest_n by_o cardanus_n who_o upon_o the_o 47._o and_o 49._o aphorism_n of_o the_o six_o section_n write_v that_o the_o matter_n to_o wit_n the_o cause_n of_o arthritis_fw-la be_v as_o it_o be_v a_o spirit_n and_o lucian_n in_o his_o tragopodagra_fw-la call_v it_o a_o violent_a and_o injurious_a spirit_n and_o yet_o afterward_o this_o thin_a humour_n or_o spirit_n when_o it_o have_v once_o get_v a_o fit_a place_n to_o wit_n the_o bone_n and_o the_o place_n about_o the_o joint_n it_o again_o betake_v itself_o into_o the_o body_n and_o be_v there_o coagulate_v like_o as_o it_o be_v a_o thing_n general_o well_o know_v unto_o the_o chemist_n and_o other_o salt_n spirit_n may_v again_o be_v coagulate_v and_o return_v into_o body_n and_o yet_o nevertheless_o if_o any_o one_o shall_v assert_v that_o there_o be_v likewise_o a_o volatile_a salt_n in_o the_o very_a earth_n itself_o which_o the_o plant_n draw_v unto_o themselves_o this_o do_v no_o way_n thwart_v or_o oppose_v this_o opinion_n of_o we_o but_o the_o whole_a result_n of_o the_o business_n and_o controversy_n in_o hand_n come_v all_o unto_o one_o and_o the_o same_o conclusion_n quest_n 7._o where_o the_o humour_n the_o cause_n of_o arthritis_fw-la be_v generate_v and_o by_o what_o way_n it_o flow_v into_o the_o joint_n in_o what_o place_n the_o humour_n that_o be_v the_o cause_n of_o the_o arthritis_fw-la be_v breed_v and_o by_o what_o way_n and_o passage_n it_o flow_v into_o the_o joint_n in_o this_o physician_n do_v great_o differ_v among_o themselves_o which_o disagreement_n of_o they_o have_v much_o hinder_v the_o cure_n and_o make_v it_o far_o more_o difficult_a than_o otherwise_o it_o will_v have_v be_v and_o therefore_o not_o without_o cause_n be_v it_o that_o fernelius_n in_o his_o six_o b._n of_o the_o disease_n of_o the_o part_n and_o the_o symptom_n chap._n 18_o write_v that_o from_o the_o very_a ignorance_n of_o this_o thing_n the_o pain_n of_o the_o joint_n have_v hitherto_o be_v hold_v and_o leave_v for_o incurable_a and_o call_v the_o shame_n and_o disgrace_n of_o the_o physician_n we_o have_v brief_o above_o give_v you_o our_o opinion_n as_o touch_v this_o thing_n in_o controversy_n but_o because_o there_o be_v many_o and_o those_o some_o of_o they_o of_o the_o more_o able_a and_o learned_a physician_n that_o be_v of_o another_o judgement_n and_o differ_v from_o i_o in_o their_o opinion_n as_o in_o this_o darkness_n of_o man_n mind_n it_o be_v general_o wont_a to_o be_v even_o in_o the_o great_a and_o most_o serious_a controversy_n i_o shall_v not_o think_v it_o time_n mis-spend_v nor_o my_o pain_n il_fw-mi bestow_v in_o lay_v before_o you_o with_o what_o brevity_n i_o can_v their_o several_a opinion_n and_o in_o the_o recital_n of_o they_o i_o shall_v weigh_v they_o according_o and_o first_o i_o shall_v indeed_o begin_v with_o fernelius_n who_o assert_v that_o they_o be_v much_o mistake_v who_o think_v that_o the_o humour_n the_o cause_n of_o arthritis_fw-la do_v break_v forth_o of_o the_o more_o secret_a and_o inmost_a part_n of_o the_o body_n into_o the_o joint_n for_o how_o say_v he_o be_v it_o possible_a that_o any_o pure_a and_o sincere_a humour_n can_v from_o the_o bowel_n and_o the_o most_o inward_a seat_n be_v carry_v through_o the_o vein_n or_o that_o that_o humour_n which_o be_v so_o late_o mingle_v with_o the_o blood_n shall_v now_o without_o any_o mixture_n thereof_o by_o the_o orifice_n of_o the_o vein_n fall_v pure_a into_o the_o blood_n or_o if_o there_o shall_v also_o together_o with_o the_o humour_n flow_v forth_o any_o of_o the_o blood_n which_o be_v collect_v and_o get_v together_o in_o the_o joint_n do_v it_o not_o excite_v a_o phlegmone_n and_o why_o likewise_o do_v not_o the_o crude_a humour_n which_o be_v carry_v into_o the_o joint_n by_o any_o other_o passage_n than_o by_o the_o vein_n cause_v the_o arthritis_fw-la for_o in_o the_o cacheâ—ie_n the_o crude_a humour_n that_o from_o the_o bowel_n fall_v down_o into_o the_o foot_n and_o cause_v they_o to_o swell_v do_v not_o yet_o excite_v the_o gout_n in_o they_o but_o even_o fernelius_n himself_o take_v it_o for_o grant_v and_o plain_o assert_v that_o the_o head_n be_v the_o fountain_n and_o original_a of_o this_o malady_n from_o whence_o say_v he_o a_o phlegmatic_a humour_n and_o this_o very_a thin_a flow_v forth_o into_o the_o joint_n and_o this_o humour_n as_o he_o tell_v we_o be_v not_o indeed_o gather_v together_o in_o the_o brain_n as_o who_o excrement_n be_v either_o purge_v forth_o by_o the_o nostril_n or_o else_o by_o the_o palate_n fall_v down_o upon_o the_o great_a rough_a artery_n and_o the_o lung_n or_o else_o into_o the_o stomach_n and_o the_o more_o inward_a seat_n but_o it_o be_v say_v he_o collect_v in_o the_o external_a part_n of_o the_o head_n and_o such_o as_o be_v place_v without_o the_o skull_n and_o by_o the_o top_n and_o superficies_n of_o the_o body_n run_v along_o downward_o under_o the_o skin_n for_o see_v that_o there_o be_v many_o vein_n run_v forth_o thither_o that_o be_v derive_v from_o the_o external_a jugular_a vein_n he_o conceive_v that_o they_o may_v there_o lay_v up_o their_o thin_a and_o serous_a excrement_n and_o that_o in_o regard_n the_o skin_n of_o the_o head_n be_v thick_a and_o impenetrable_a so_o that_o the_o humour_n can_v easy_o expire_v and_o breath_n through_o the_o same_o that_o therefore_o in_o progress_n of_o time_n they_o be_v there_o store_v up_o and_o from_o thence_o by_o the_o superficies_n and_o outside_n of_o the_o body_n fall_v down_o into_o the_o joint_n there_o be_v very_o many_o other_o physician_n that_o follow_v this_o opinion_n of_o fernelius_n of_o the_o which_o some_o of_o they_o will_v have_v the_o humour_n the_o cause_n of_o arthritis_fw-la to_o be_v collect_v in_o the_o head_n alone_o betwixt_o the_o skull_n and_o the_o skin_n of_o the_o head_n and_o they_o tell_v we_o that_o be_v the_o one_o only_a place_n from_o whence_o the_o matter_n flow_v down_o unto_o the_o joint_n but_o there_o be_v other_o of_o they_o who_o although_o they_o likewise_o add_v other_o way_n yet_o notwithstanding_o they_o do_v withal_o join_v this_o way_n of_o fernelius_n and_o there_o be_v very_o few_o or_o none_o of_o they_o who_o do_v not_o believe_v but_o that_o this_o matter_n do_v withal_o flow_v down_o likewise_o from_o this_o place_n of_o the_o head_n but_o in_o very_a truth_n what_o fernelius_n complain_v of_o touch_v the_o other_o opinion_n that_o by_o reason_n of_o it_o it_o so_o come_v to_o pass_v that_o the_o arthritis_fw-la be_v almost_o lest_o as_o a_o desperate_a and_o incurable_a disease_n and_o be_v term_v the_o opprobium_fw-la or_o disgrace_n of_o physician_n i_o conceive_v without_o disparagement_n unto_o any_o man_n judgement_n that_o it_o may_v more_o true_o be_v affirm_v of_o this_o his_o own_o opinion_n and_o i_o be_o of_o opinion_n that_o that_o physician_n who_o seek_v for_o the_o spring_n and_o fountain_n of_o this_o malady_n in_o the_o head_n only_o neglect_v in_o the_o mean_a time_n the_o true_a fountain_n and_o source_n thereof_o be_v scarce_o ever_o likely_a to_o cure_v the_o arthritis_fw-la for_o albeit_o it_o be_v indeed_o true_a that_o certain_a various_a flit_a and_o wander_a pain_n may_v be_v here_o and_o there_o excite_v by_o the_o serous_a humour_n fall_v down_o from_o the_o extenal_a part_n of_o the_o head_n under_o the_o skin_n by_o the_o outside_n and_o supersicies_n of_o the_o body_n yet_o notwithstanding_o the_o arthritis_fw-la be_v never_a from_o hence_o generate_v neither_o be_v that_o matter_n wont_a to_o subsist_v about_o the_o joint_n but_o for_o the_o most_o part_n about_o the_o membrane_n of_o the_o joint_n but_o now_o the_o generate_a of_o the_o humour_n that_o be_v the_o cause_n of_o the_o arthritis_fw-la be_v very_o different_a and_o of_o a_o far_a other_o nature_n for_o this_o be_v generate_v in_o the_o sanguification_n by_o reason_n of_o the_o error_n
the_o head_n as_o he_o will_v have_v it_o but_o they_o be_v sudden_o pour_v forth_o thither_o by_o the_o vein_n and_o artery_n that_o be_v send_v unto_o the_o head_n from_o the_o external_a jugular_a vein_n and_o artery_n and_o grant_v it_o indeed_o to_o be_v true_a that_o the_o arthritick_n pain_n proper_o so_o call_v be_v excite_v in_o the_o neck_n as_o he_o say_v yet_o nevertheless_o this_o be_v not_o do_v by_o the_o matter_n that_o by_o degree_n be_v collect_v under_o the_o skin_n and_o by_o little_a and_o little_o flow_v thither_o but_o because_o the_o humour_n be_v pour_v out_o thither_o through_o the_o capillary_a vein_n by_o which_o those_o joint_n be_v nourish_v for_o like_a as_o those_o humour_n be_v carry_v down_o to_o the_o foot_n by_o the_o descend_a trunk_n of_o the_o great_a hollow_a vein_n and_o artery_n so_o the_o same_o may_v be_v send_v upward_o unto_o the_o head_n and_o the_o part_n lie_v near_o about_o it_o by_o the_o same_o trunk_n ascend_v and_o that_o there_o appear_v some_o kind_n of_o difference_n of_o the_o symptom_n in_o the_o sick_a person_n it_o happen_v from_o hence_o that_o the_o humour_n flow_v and_o be_v move_v sometime_o by_o the_o trunk_n of_o the_o hollow_a vein_n and_o artery_n ascend_v and_o sometime_o by_o the_o same_o trunk_n descend_v this_o being_n more_o usual_a than_o the_o other_o and_o now_o and_o then_o by_o both_o for_o when_o it_o be_v move_v upward_o by_o the_o ascend_a before_o ever_o it_o come_v to_o the_o hand_n by_o the_o axillar_n branch_n something_o may_v easy_o be_v thrust_v forth_o by_o the_o jugular_n as_o well_o the_o external_a as_o the_o internal_a ascend_v up_o into_o the_o head_n as_o also_o into_o the_o brain_n and_o under_o the_o skin_n where_o some_o of_o these_o sick_a person_n may_v be_v infest_a with_o rest_n lessness_n and_o want_n of_o sleep_n and_o other_o of_o they_o with_o a_o drowsiness_n and_o excessive_a propension_n to_o sleep_v and_o slumber_v and_o other_o of_o they_o by_o other_o symptom_n but_o that_o that_o humour_n which_o infe_v the_o toe_n shall_v be_v collect_v under_o the_o skin_n of_o the_o head_n or_o pour_v forth_o thither_o out_o of_o the_o vein_n and_o artery_n and_o from_o thence_o flow_v down_o unto_o the_o foot_n this_o can_v be_v prove_v by_o any_o firm_a reason_n for_o what_o be_v that_o right_a and_o straight_o way_n by_o the_o which_o it_o may_v sudden_o flow_v straight_o down_o from_o the_o head_n under_o the_o skin_n unto_o the_o foot_n and_o toe_n for_o when_o the_o matter_n destil_v from_o the_o head_n under_o the_o skin_n it_o be_v disperse_v hither_o and_o thither_o and_o here_o and_o there_o it_o excit_v pain_n but_o it_o do_v not_o tend_v direct_o and_o straight_o downward_o unto_o the_o extreme_a part_n of_o the_o foot_n neither_o likewise_o if_o it_o shall_v flow_v down_o by_o this_o way_n can_v it_o possible_o as_o oftentimes_o it_o happen_v so_o sudden_o ascend_v up_o into_o the_o hand_n by_o change_v its_o way_n and_o in_o special_a as_o for_o what_o concern_v the_o excessive_a sleepiness_n and_o drowsiness_n we_o oftentimes_o find_v in_o the_o sick_a person_n and_o if_o there_o be_v any_o other_o symptom_n of_o this_o kind_n that_o arise_v even_o in_o the_o very_a brain_n itself_o these_o do_v neither_o appear_v in_o every_o arthritis_fw-la neither_o if_o they_o shall_v appear_v will_v they_o at_o all_o confirm_v the_o opinion_n of_o fernelius_n but_o rather_o confute_v it_o as_o teach_v we_o that_o the_o matter_n be_v not_o generate_v and_o move_v without_o the_o skull_n but_o that_o it_o be_v pour_v forth_o of_o the_o very_a vein_n themselves_o for_o this_o sleepiness_n and_o drowsiness_n be_v cause_v from_o the_o matter_n that_o be_v heap_v up_o within_o the_o brain_n and_o not_o collect_v without_o the_o skull_n which_o if_o it_o be_v present_a in_o the_o arthritis_fw-la it_o teach_v we_o thus_o much_o to_o wit_n that_o there_o be_v likewise_o some_o matter_n by_o the_o vein_n and_o artery_n pour_v forth_o into_o the_o brain_n itself_o and_o last_o it_o be_v manifest_a also_o by_o experience_n that_o even_o other_o disease_n and_o especial_o such_o as_o be_v acute_a who_o matter_n stick_v in_o the_o vein_n and_o about_o the_o bowel_n be_v change_v and_o turn_v into_o the_o arthritis_fw-la and_o then_o the_o thick_a uâ—ins_n be_v a_o sing_v and_o argument_n of_o the_o arthritis_fw-la nigh_o at_o hand_n and_o averro_n 7._o collig_n chap._n 3_o testisi_v that_o he_o himself_o become_v arthritick_n from_o a_o acute_a disease_n when_o nature_n by_o the_o crisis_n have_v drive_v forth_o the_o humour_n unto_o the_o joint_n and_o especial_o unto_o the_o foot_n which_o have_v not_o be_v if_o the_o arthritis_fw-la be_v generate_v from_o a_o matter_n flow_v down_o from_o the_o head_n touch_v which_o we_o shall_v likewise_o speak_v more_o hereafter_o when_o we_o come_v to_o examine_v the_o opinion_n of_o platerus_n neither_o be_v those_o thing_n of_o any_o great_a moment_n that_o fernelius_n bring_v against_o the_o other_o opinion_n which_o we_o mention_v above_o and_o conceive_v to_o be_v very_o agreeable_a to_o the_o truth_n for_o when_o he_o demand_v how_o a_o sincere_a humour_n can_v flow_v unto_o the_o joint_n by_o the_o orifice_n of_o the_o vein_n he_o call_v that_o in_o question_n which_o we_o may_v every_o day_n see_v do_v in_o person_n that_o be_v sick_a for_o nature_n retain_v the_o blood_n as_o the_o treasury_n of_o life_n and_o lest_o that_o it_o shall_v be_v defile_v and_o corrupt_v by_o the_o vicious_a humour_n it_o expel_v they_o divers_a way_n out_o of_o the_o vein_n and_o artery_n and_o certain_a it_o be_v that_o in_o the_o flux_n and_o purgation_n of_o the_o belly_n it_o thrust_v forth_o the_o vicious_a humour_n alone_o out_o of_o the_o vena_fw-la cava_fw-la or_o great_a hollow_a vein_n unto_o the_o mesaraick_n and_o from_o thence_o unto_o the_o intestine_n and_o by_o critical_a sweat_v it_o expel_v the_o vicious_a humour_n and_o these_o indeed_o sometime_o sincere_a but_o most_o common_o stink_v and_o of_o a_o very_a ill_a colour_n by_o the_o orifice_n of_o the_o vein_n end_v and_o terminate_v in_o the_o skin_n and_o the_o same_o it_o do_v in_o the_o erysipelas_n scabbiness_n small_a pock_n and_o measles_n and_o many_o other_o disease_n in_o which_o nature_n that_o so_o it_o may_v preserve_v the_o body_n safe_a and_o sound_a separate_v the_o vicious_a humour_n from_o the_o good_a blood_n and_o expel_v they_o by_o the_o orifice_n of_o the_o vein_n and_o yet_o notwithstanding_o neither_o do_v that_o serous_a humour_n always_o slow_a sincere_a unto_o the_o joint_n but_o oftentimes_o it_o likewise_o carry_v forcible_o along_o with_o it_o the_o blood_n and_o many_o time_n also_o other_o humour_n but_o as_o for_o what_o fernelius_n add_v that_o if_o the_o blood_n shall_v flow_v forth_o together_o with_o the_o say_a humour_n it_o must_v necessary_o excite_v a_o phlegmone_n this_o indeed_o often_o happen_v as_o he_o himself_o confess_v while_o as_o touch_v the_o chiragra_fw-la or_o gout_n in_o the_o hand_n he_o thus_o write_v there_o be_v say_v he_o in_o this_o affect_v a_o beat_a pain_n with_o a_o swell_a redness_n heat_n and_o for_o the_o most_o part_n with_o swell_a and_o strut_a vein_n and_o touch_v the_o podagra_fw-la or_o gout_n in_o the_o foot_n there_o be_v say_v he_o a_o swell_a present_n here_o like_v as_o in_o the_o chiragra_fw-la as_o also_o a_o redness_n heat_n and_o beat_v pain_n both_o in_o the_o part_n as_o also_o in_o the_o vein_n lie_v round_o about_o it_o all_o which_o be_v sign_n of_o a_o inflammation_n whereupon_o likewise_o it_o be_v that_o hypocrates_n in_o the_o six_o section_n of_o his_o aphorism_n aphor._n 49._o attribute_v this_o name_n unto_o the_o arthritis_fw-la when_o he_o say_v that_o such_o as_o have_v the_o gout_n be_v trouble_v likewise_o with_o a_o phlegmone_n and_o yet_o nevertheless_o every_o inflammation_n be_v not_o necessary_o suppurate_v and_o that_o in_o the_o arthritis_fw-la the_o humour_n be_v not_o suppurate_v this_o show_v not_o unto_o we_o the_o place_n from_o whence_o they_o flow_v forth_o but_o rather_o argue_v the_o nature_n of_o the_o humour_n itself_o as_o be_v altogether_o unfit_a for_o suppuration_n to_o wit_n such_o as_o be_v serous_a salt_n and_o tartarous_a the_o thin_a part_n whereof_o be_v discuss_v but_o the_o thick_a part_n thereof_o that_o be_v leave_v behind_o be_v convert_v into_o hard_a knob_n or_o knot_n for_o there_o be_v nothing_o suppurate_v but_o the_o blood_n or_o that_o which_o partake_v of_o the_o nature_n of_o blood_n and_o have_v something_o thereof_o mingle_v together_o with_o it_o neither_o yet_o do_v this_o likewise_o prove_v that_o the_o humour_n descend_v from_o the_o head_n to_o wit_n that_o this_o disease_n do_v sometime_o invade_v the_o party_n with_o a_o
shake_n and_o tremble_v or_o at_o least_o with_o a_o ordinary_a and_o slight_a kind_n of_o chillness_n and_o cold._n for_o this_o quake_a and_o cold_a be_v no_o sign_n at_o all_o of_o the_o humour_n descend_v from_o the_o head_n under_o the_o skin_n but_o rather_o of_o the_o humour_n be_v pour_v forth_o out_o of_o the_o vein_n like_a as_o we_o see_v the_o very_a same_o to_o happen_v in_o fever_n and_o the_o erysipelas_n other_o also_o there_o be_v as_o bustachius_fw-la rudius_fw-la who_o think_v indeed_o that_o this_o matter_n flow_v down_o from_o the_o head_n but_o than_o that_o it_o do_v flow_v unto_o the_o joint_n not_o only_o without_o the_o skull_n between_o the_o skin_n and_o the_o pericranium_n by_o the_o space_n that_o be_v under_o the_o skin_n but_o that_o it_o descend_v within_o the_o skull_n also_o by_o the_o extreme_a superficies_n of_o the_o spinal_a marrow_n other_o there_o be_v also_o that_o tell_v we_o how_o that_o it_o flow_v down_o through_o the_o very_a middle_n of_o the_o substance_n of_o the_o spinal_a marrow_n but_o if_o it_o be_v thus_o as_o they_o say_v there_o shall_v rather_o a_o palsy_n or_o convulsion_n be_v from_o thence_o excite_v and_o in_o the_o middle_a space_n by_o the_o which_o the_o humour_n shall_v flow_v the_o nerve_n shall_v likewise_o be_v affect_v other_o there_o be_v who_o join_v both_o these_o opinion_n together_o and_o these_o tell_v we_o that_o the_o humour_n do_v partly_o flow_v from_o the_o head_n and_o partly_o be_v convey_v through_o the_o vein_n and_o this_o be_v indeed_o the_o most_o common_a opinion_n which_o therefore_o platerus_n be_v very_o large_a in_o the_o explain_v thereof_o who_o teach_v we_o that_o the_o humour_n exciting_a the_o arthritick_n pain_n may_v fall_v down_o either_o within_o or_o without_o the_o vein_n within_o the_o vein_n indeed_o when_o the_o bloody_a humour_n cause_v the_o hot_a arthritis_fw-la as_o some_o call_v it_o have_v the_o fever_n synochus_n join_v with_o it_o for_o as_o by_o a_o subtle_a and_o thin_a blood_n pour_v forth_o into_o the_o superficies_n of_o the_o skin_n erysipelas_n that_o be_v accompany_v with_o the_o fever_n synochus_n or_o a_o continual_a fever_n be_v excite_v so_o likewise_o while_o it_o be_v pour_v forth_o into_o the_o seat_n of_o the_o joint_n the_o pain_n of_o the_o joint_n which_o the_o same_o fever_n likewise_o do_v accompany_v be_v breed_v so_o that_o indeed_o whosoever_o they_o be_v that_o be_v obnoxious_a unto_o both_o these_o disease_n when_o they_o be_v sieze_v upon_o by_o the_o gout_n they_o may_v then_o comfort_v themselves_o with_o a_o opinion_n and_o conceit_n that_o it_o be_v no_o more_o than_o a_o erysipelas_n all_o which_o thing_n be_v indeed_o most_o true_a and_o certain_a and_o yet_o notwithstanding_o he_o determine_v likewise_o that_o the_o serous_a or_o wheyish_a excrementitious_a humour_n be_v heap_v up_o together_o may_v excite_v the_o arthritis_fw-la and_o that_o their_o original_a be_v from_o the_o head_n and_o that_o the_o source_n and_o spring_n of_o defluxion_n have_v there_o its_o existence_n and_o that_o from_o it_o they_o flow_v down_o into_o the_o part_n lie_v beneath_o but_o that_o they_o be_v there_o sometime_o heap_v up_o together_o in_o its_o interior_a seat_n betwixt_o the_o skull_n the_o crude_a and_o impure_a blood_n afford_v matter_n unto_o it_o for_o then_o that_o part_n of_o it_o that_o be_v altogether_o unuseful_a for_o nutrition_n and_o excrementitious_a be_v by_o some_o and_o some_o heap_v up_o in_o the_o brain_n which_o when_o afterward_o it_o fall_v down_o it_o then_o breed_v the_o pain_n aforesaid_a which_o be_v accompany_v with_o a_o heaviness_n of_o the_o head_n and_o sometime_o with_o a_o great_a pain_n therein_o and_o other_o accident_n the_o sure_a sign_n and_o token_n of_o the_o matter_n there_o heap_v up_o together_o and_o he_o tell_v we_o that_o the_o excrementitious_a blood_n be_v cause_v by_o the_o vice_n and_o error_n either_o of_o the_o first_o or_o the_o second_o or_o even_o of_o the_o three_o concoction_n that_o be_v make_v in_o the_o brain_n by_o reason_n to_o wit_n of_o some_o distemper_n or_o weakness_n therein_o and_o withal_o he_o tell_v we_o that_o all_o this_o filth_n and_o excrementitious_a humour_n that_o be_v heap_v up_o in_o the_o head_n do_v either_o by_o reason_n of_o their_o too_o great_a abundance_n when_o they_o be_v stir_v to_o and_o fro_o flow_v downward_o or_o else_o they_o be_v press_v forth_o and_o pour_v all_o abroad_o by_o the_o external_a cold_a and_o the_o moystness_n of_o the_o air_n or_o else_o that_o they_o be_v stir_v up_o by_o the_o heat_n of_o the_o sun_n or_o some_o bath_n the_o pore_n and_o passage_n be_v open_v and_o the_o expulsive_a faculty_n provoke_v and_o yet_o he_o determine_v likewise_o that_o the_o very_a same_o serous_a and_o excrementitious_a humour_n may_v likewise_o be_v store_v up_o without_o the_o skull_n betwixt_o it_o and_o the_o skin_n and_o that_o it_o may_v from_o thence_o flow_v down_o into_o the_o inferior_a part_n but_o he_o teach_v we_o that_o the_o way_n and_o passage_n by_o which_o this_o defluxion_n be_v from_o the_o head_n be_v very_o various_a as_o for_o the_o humour_n collect_v within_o the_o skull_n in_o the_o basis_n of_o the_o brain_n consist_v of_o three_o cavity_n end_v in_o the_o very_a bottom_n of_o the_o skull_n he_o tell_v we_o that_o it_o be_v sometime_o strain_v through_o by_o the_o hole_n of_o the_o bone_n they_o call_v cribrosum_n bear_v some_o kind_n of_o resemblance_n with_o a_o sieve_n and_o distil_v out_o of_o the_o nostril_n and_o that_o it_o then_o excit_v that_o distillation_n we_o call_v coryza_n or_o the_o pose_v and_o that_o sometime_o likewise_o it_o be_v carry_v into_o the_o middle_a cavity_n which_o be_v full_a of_o hole_n and_o look_v towards_o the_o palate_n and_o that_o then_o it_o be_v either_o blow_v forth_o by_o the_o nostril_n or_o bring_v forth_o of_o the_o jaw_n and_o spit_v out_o by_o scream_v and_o retch_v or_o that_o descend_v into_o the_o seat_n of_o the_o eye_n it_o exstil_v forth_o by_o tear_n and_o that_o sometime_o it_o follow_v the_o conveyance_n of_o the_o nerve_n in_o the_o midst_n of_o this_o seat_n of_o which_o some_o of_o they_o pass_v through_o by_o these_o hole_n and_o that_o sometime_o it_o be_v carry_v into_o the_o hinder_a cavity_n of_o the_o skull_n which_o be_v low_a and_o wide_o it_o descend_v through_o the_o great_a hole_n in_o the_o hinder_a part_n of_o the_o head_n of_o the_o spinal_a marrow_n into_o some_o place_n of_o the_o habit_n of_o the_o body_n and_o that_o it_o stop_v either_o in_o the_o fleshy_a part_n any_o where_o or_o about_o the_o region_n of_o the_o joint_n and_o there_o cause_v the_o aforesaid_a pain_n of_o defluxion_n or_o of_o the_o joint_n but_o as_o for_o the_o humour_n collect_v without_o the_o skull_n and_o flow_v downward_o under_o the_o skin_n as_o it_o insinuate_v itself_o either_o into_o the_o joint_n or_o the_o fleshy_a seat_n he_o endeavore_v to_o produce_v divers_a kind_n thereof_o all_o which_o he_o explain_v at_o large_a but_o in_o very_a truth_n as_o we_o willing_o admit_v of_o those_o thing_n that_o he_o produce_v touch_v the_o motion_n of_o the_o humour_n without_o the_o vein_n in_o which_o he_o agree_v with_o eustachius_n rudius_fw-la so_o we_o can_v be_v induce_v to_o believe_v that_o the_o arthritis_fw-la be_v generate_v from_o thence_o for_o first_o of_o all_o the_o matter_n that_o be_v generate_v in_o the_o brain_n and_o excit_v the_o coryza_n or_o abundance_n of_o spittle_n and_o be_v cast_v forth_o by_o the_o nostril_n and_o the_o jaw_n it_o be_v of_o a_o far_o different_a nature_n from_o that_o which_o breed_v the_o arthritis_fw-la and_o it_o can_v not_o possible_o otherwise_o be_v but_o that_o if_o a_o matter_n so_o sharp_a and_o fiery_a as_o it_o be_v shall_v be_v generate_v in_o the_o brain_n it_o must_v needs_o produce_v most_o grievous_a symptom_n and_o moreover_o whether_o this_o humour_n descend_v according_a to_o the_o passage_n of_o the_o nerve_n or_o according_a to_o the_o conveyance_n of_o the_o spinal_a marrow_n it_o can_v not_o be_v but_o that_o it_o shall_v first_o of_o all_o in_o its_o passage_n cause_n either_o a_o convulsion_n or_o a_o palsy_n or_o some_o kind_n of_o pain_n before_o ever_o it_o can_v come_v unto_o the_o extreme_a part_n of_o the_o foot_n and_o toe_n and_o shall_v there_o excite_v pain_n whereas_o notwithstanding_o on_o the_o contrary_n we_o oftentimes_o see_v and_o especial_o in_o the_o begin_n of_o this_o disease_n that_o there_o be_v sudden_o a_o pain_n excite_v in_o the_o foot_n no_o pain_n at_o all_o or_o symptom_n elsewhere_o appear_v and_o furthermore_o i_o likewise_o willing_o indeed_o grant_v that_o from_o the_o matter_n heap_v up_o under_o the_o skin_n of_o the_o head_n the_o pain_n of_o defluxion_n