of the Guts and admitted into the Lacteal Veins ought to be transferr'd and driven forward through the same to the Cistern or common Receptacle or Passage of the Thorax situated about the Loins 2. This Motion is deprav'd when it is hindred in one or more places and Chyle moves too slowly forward or is quite Stopt and Stands still 3. Chyle is hindred in its Motion through the Lacteal Veins when being too Thick and Tough it is driven forward too slowly 4. Chyle is made over-viscous because of such-like Food taken too plentifully or too long 5. Chyle is stopt in its Motion and stands still in the Lacteal Vessels when they are Obstructed somtimes by the foremention'd Chyle over-viscous Coagulated in them other-times by the Phlegm of the Guts Driven forward into them and there Coagulated 6. Phlegm of the Guts is Driven forward into the Lacteâ—l Veins as often as it is Dissolv'd by the Motion of the Body or vehement Exercise or Heat of the Air wâ—â—â— sort soever of the Sun Fire Bath c. as also somtimes by a Feaverish Burning and other things then also concurring in the Body especially Dissolv'd upon taking hot or warm Drink and so becoms fluxil and fluid 7. The same Phlegm is Coagulated as also over Viscous Chyle in the Lacteal Veins rarely by Coldness of the Air suddenly following Heat to wit when the Body is carried out of an hot place into a cold out of a Bath into a Cellar or open Northern Air and the Belly being less cover'd than ought admits sharp coldness through the open Pores but more frequently by Drink too cold taken in abundance soon hasting to the Guts and not only powerfully cooling both the Guts themselves with all parts near them and so the Lacteal Veins but thickning and coagulating what is Contain'd in them 8. The over-Viscous Chyle or Phlegm of the Guts being thus Coagulated in the Lacteal Veins and an Obstruction made in more or fewer of their Branches is stopt and settles presently in the same whatsoever is driven into them out of the Guts either of Liquor rising from the continual conflux of Choler the Juice of the Panereas and the Phlegm of Spittle or of Chyle or Drink only drunk plentifully and it does by degrees more and more distend the same so far that at length they burst and consequently either first this manifâ—ld Mâ—isture receiv'd into them and intercepted in its Motion is pour'd out between the Membranes of the Mensenterie or presently after into the Cavity of the Belly 9. I take this often to be the Breeding of the Dropsie Ascites and chiefly when it is produc'd suddenly by much Drink as in a Burning Feaver with an urgent and permanent Thirst join'd I remember has been done within three days time 10. This Obstruction may be Prevented 1. By taking heed of using over Viscous Food and especially from Ravening any 11. 2. By Vsing Medicins that Correct and Educe Phlegmatic and Viscous Humors often mention'd 12. An Obstruction made or prudently conjuctur'd to be in the Lacteal Veins by the aforesaid Contrary Causes mutually may be Cur'd by Medicins that do powerfully Cut especially Sudorific Aromatics rather taken often than together and at once only For so I have observ'd that Obstructions are more happily easily quickly and safely Open'd 13. To this end therefore the following Mixture taken at short spaces by Spoonfuls to break forth the Sweat may be us'd and afterward to be given when it comes forth though not so often then â„ž Parsley-Water â„¥ ii Fenel simple Treacle-Water of each â„¥ i. Sp. of Salt Armoniac 20 drops Syr. of Carduus Benedictus â„¥ i. M. Or â„ž Fematory-Water â„¥ iii. Scurvy-grass Water Aqua Vitae of Matthiolus of each â„¥ i. distill'd Vinegar â„¥ ss Crabs-Eyes pouder'd Ê’ ss Salt of Wormwood Diaphoretic Antimonie of each â„¥ i. Syr. of the five Roots â„¥ i. M. 14. The Lacteal Veins will of their own accord Close again after their Obstruction is taken away as happens to a Vein open'd 15. The Waters Collected in the Cavity of the Bâ—lly by various Humors flowing out through the Vessels Burst and producing the Dropsie Ascites being peccant in Place will be remov'd out of that place both by strong Hydragogues and also Sudorifics and a Paracenthesis or boring the Belly 16. The Hydragogues are often propos'd in this Work among which the best are prepar'd of Elder or Dwarf-Elder Jalap-Root Elaterium and Gum-Gotte not neglecting Crystals of Silver 17. Sweats to this end may be given usefully both by what is taken in often and newly mention'd and especially by a moist or dry Bath join'd together 18. And if these profit not in a short time you must hasten to a Paracenthesis not that common one so very dangerous but a new one that is so very safe by a Silver hollow Needle gently thrust into the Belly about four fingers breadth below the Navel and so many at its Sides and drawn out again after a sufficient effusion of Water and again at another time or day thrust into the same Hole except it be judg'd fit to make a new Hole elsewhere 19. This Chirurgical Operation is void of danger because the Needle being drawn out there will no more Liquor run but apply the Plaister Diapalma or the White one boil'd or any like it whereby the bored Place is not only fenc'd against all the injuries of External Air but its Consolidation promoted 20. But this Paracenthesis must not be delay'd lest whilst it is too long delay'd the Humor collected in the Belly get an hurtful Acrimonie and by degrees corrode and corrupt the Membranes and hence the Substance of all the parts contain'd and so make the Disease incurable CHAP. XVIII Of the Sanguification of Chyle in the Right Ventricle of the Heart deprav'd 1. CHyle carri'd continually to the Passage of the Thorax out of the Lacteal Veins and there confus'd with the Lympha whencesoever flowing goes forward with it into the Jugular or Left Axillar and hence the Cava or hollow Vein where it is mix'd with the Blood with which it is driven forward into the Right Auricle and then Right Ventricle of the Heart to be chang'd into Blood 2. We think that this Change of Chyle into Blood begins in the Jugular or Left Axillar Vein but chiefly in the Trunk of the Hollow Vein connex'd to them and absolv'd in the Right Ventricle of the Heart and perfected partly in the Lungs partly in the Left Ventricle of the Heart and Great Arterie 3. The Chyle has its Rudiment of Blood if I may be Judg from the Blood Descending to the Heart with which it is confus'd in the aforesaid Vessels 4. The Chyle also receives its Form of Blood from the Choleric Blood Ascending to the Heart and as well flowing together in the Right Ear of the Heart as especially in its Right Ventricle with the Lymphatic Blood with which we said Chyle was mixt and raising an Effervescency of great Moment
hours 7. Or because of the high Volatility and Acrimony of Choler whence the Blood is not only more Dissolv'd but the Lympha also more sluggish as we judg it happens in the Pest and all Malign Feavers in which the Sick so oft are suddenly and unexpectedly extinguish'd 8. The same Vital Esservescency is Abolisht 2. By the fault of the Lymphatic Blood Descending which is by reason of the over Acidity of Lympha whereby Choler is not only opprest and as it were suffocated in the Heart and together with Choler the Vestal and Vital Fire or the Blood it self extreamly coagulated is made unfit for its naturally following Rarefaction 9. We scarce ever think that such a Defect can be thought of Lympha for which the Vital Effervescency may be Abolisht unless perhaps the Passage of the Thorax be somwhat Prest Wounded or Burst and therefore the greatest part Standing still or Run out another way Neither seems it probable that all the Conglobated Glandules from which we judg the Acidity of the Lympha procedes can be so affected alone that therefore the Acid Lympha should be deficient in the Heart For as often as the Body is congeal'd with Cold the extreme Parts are not less but more seiz'd on by it than the internal Glandules that lie hid in which besides the Lympha is not so much diminish'd as corrupted by Cold although then its Motion be both alter'd and disturb'd as we observe it falls out in the Stuffing of the Head in which all Motion of a Humor both to the Nostrils and also to the Jaws is Stopt first with an Heaviness of the Head whence the name Gravedo afterward the Humor Distills more plenteously and often thinner and sharper than is wont to wit Sowrish Salt and then this Disease is properly call'd either Coryza whilst it runs out by the Nostrils or Bronchos whilst it is carri'd down to the Jaws and begets an Hoarsness as a Cough when it slides down farther into the Sharp Arterie of the Lungs and provokes and compels them to a more mov'd and violent Expiration 10. The same Vital Effervescency is Abolish'd 3. By too many Vapors rais'd in the most vehement Effervescency and so employing all the space in the Right Ventricle of the Heart and hence in the Vessels of the Lungs that the Fire then also breaking out is choak'd by them and extinguish'd otherwise it had been Vital neither is there further place granted to the new Effervescency presently following 11. The Vital Effervescency is Abolish'd by too many Vapors in the Right Ventricle of the Heart not only in as much as the space in the Vessels of the Lungs is deni'd to new Blood that should raise an Effervescency and consequently undergo a Rarefaction but also in as much as the Lungs being extremely distended by the aforesaid Vapors can neither be farther unfolded nor reciprocally complicated nor yet Respiration very necessary to temper the Heat of Blood can be perfected 12. But the same is yet abolish'd 4. By too much Blood filling all the Vessels Veins and Arteries in the Plethora call'd at or in the Vessels and Athletic Habit and that for want of Space to receive the Blood although meanly to be Rarefi'd after a due Effervescency 13. The same Vital Effervescency is Abolish'd 5. By the over-potent Vital Fire rais'd in the Heart rarefying the Blood more than enough and to an Height whence by the defect either of a Space large enough in which it may be receiv'd or sufficient Cooling whereby the hot Blood might be temper'd our Vital Fire is often Suffocated in the most Burning Fevers by its own fault 14. The Effervescency of Blood somtimes Ceases in the Right Ventricle of the Heart for a time not only short but often very notable to wit for one or two days the Pulse and Respiration to be concluded taken away to outward Sense as is always in the most grievous kind of Hypochondriac Suffocation and the Syncope and also somtimes in a lighter kind of the aforesaid Suffocation and Swouning Fits join'd with the Pulse stopt to Sense such as is frequently observ'd in these Regions 15. For we must not pass it by that the Pulse and Respiration are not always taken away to Sense in every Hypochondriac Suffocation or lighter Swouning Fits although they be perpetually more or less hinder'd or diminish'd seeing the Voice it self and Speech somtimes are more or less hinder'd 16. The chief Cause of this Effervescency Ceasing for a notable time is viscous and also Acid Phlegm not too much exceeding in plenty otherwise it would be Abolish'd with Death following join'd to the Lympha and hence to the Descending Blood and carri'd to the Heart 17. The Cause of the same Effervescency Ceasing a short while about a quarter half or a whole hour is judg'd by me to be a Viscous also and Acid Vapor or Wind-piercing out of the Small Gut through the Lacteal Veins and Passage of the Thorax to the Heart 18. For as this Viscously-Acid Phlegm is more plenteous or solid or more consistent or less in quantity or more Vaporous so it will hinder our Vital Effervescency more or longer or less or shorter while and seem to take it away at least to External Sense seeing it may deservedly be doubted whether indeed and actually it be taken or may be taken away without the Patient's Death the solution and determination of which Doubt will depend on the Prejudice or Opinion of every one given about the following Question to wit Whether Life can remain without a continual and new Sustentation and Generation of the Vital Fire Or whether the same could be extinguish'd for a while and again be kindled and restor'd in the Heart of its own accord or by help of Medicins before that a deadly Corruption possess the Blood and the other Humors 19. Our Vital Fire may be said to be kindled and restor'd in the Heart of its own accord when Acid and Viscous Phlegm being join'd in too much plenty with the Descending Blood doth so oppress Choler coming with the Ascending Blood that for a space there is no power of it observ'd till by the help of this same Choler the aforesaid Phlegm being reduc'd and brought back by degrees to some mediocrity a new Fire rises up and restores Life to the Body perhaps taken away for a time 20. By the help of Medicins our Vital Fire may be said to be kindled and restor'd when in the aforenam'd Diseases one or two Drops of some very Aromatic Oil with a little Aromatic Spirit of Wine or any other convenient Liquor once or often pour'd into the Mouth of the Sick who is in the Agonie of Death pierce to the Blood infected and worst affected with the aforesaid Viscously-Acid Phlegm may raise or stir up suddenly or by degrees the Vital Fire it self languishing or extinct by correcting or amending Phlegm and also strengthning and relieving Choler 21. But an ingenious Searcher of Truth may question
Whether such an Aromatic Oil fitly call'd Balsam of Life or any other like it whose stupendious force in such a case is not unknown as well to them that are Expert in the Art of Chymistry as Skilful in the Practice of Physick be join'd to the Blood almost condenst to Death by Phlegm Viscously-Acid in the Right Ventricle of the Heart or elsewhere 22. As much as I am able to attain by the best of my Understanding that I may study to satisfie this Question saving to every Man his particular Judgment I judg it no wise absurd to think that this Conjunction of the Aromatic and then truly Vital Oil with Phlegm Viscously-Acid too much thickning Blood happens in the Vessels of the Lungs seeing that nothing offers to hinder that some part of the over-thick Blood may be driven forward into the Arterie of the Lungs before either the Pulse or Respiration be taken away to Sense This being asserted it will not be difficult to explain how the strength of the Aromatic and Vital Oil should pierce easily to the Right Ventricle of the Heart as I conjectur'd then more or less open'd and also by the Blood it self not less coagulated in the Arterie of the Lungs then too much in the aforesaid Ventricle and therefore less fluid 23. These things being inserted as it were by a Parenthesis to incite Wits note that the wonted Effervescency and hence the Rarefaction of both sorts of Blood flowing together to the right Ear of the Heart and therefore both the reciprocal Expansion and Contraction of the Heart and the Pulse it self is more or less hindred and stopt by both the mention'd Causes to wit Phlegm and a Vapor Viscously Acid which is observ'd therefore not to be in the Syncope and certain kinds of Hypochondriac Suffocation hitherto to be reduc'd altogether to Swounings 24. Among the six Non-natural Things an Vnexpected grievous Sorrow of Mind or Terror and somtimes the biting Cold of Air or Water makes that Cessation of the Vital Effervescency somtimes and oftner in Persons dispos'd to it because of the Viscous and Flatulent also and Acid Humors now already in the Body in Women especially and others of a more fearful Nature 25. II. This Effervescency of the Blood Descending and Ascending to the Heart is Diminish'd and so becoms Less or Weaker by the fault of either the Choleric or Lymphatic Blood 26. Of the Choleric when Choler is not sharp enough or is too little in the Ascending Blood 27. Choler is produced in the Body not sharp enough 1. Because of the over-cold and moist Air. 2. Because of Phlegmatic Watry Oily Acid but not Sharp and Aromatic Food and Sauces over-long us'd 3. Because of much and deep Sleep 4. Because of Rest and sluggishness of Body 5. Because of the Mind void of Care fearful and sad 6. Because of the Monthly Courses or wonted Sweats supprest 28. Choler is found too little in the Ascending Blood for the same Causes newly mention'd and chiefly by a Choleric Loosness or over-great emptyings of Choler wrong done whence the natural quantity of Choler is diminish'd 29. By the fault of the Lymphatic Blood the aforesaid Effervescency is Diminish'd when the Lympha of the Glandules in the Blood is not Sowr enough or too Little or over-Viscous 30. This Lympha is found in the Blood not Sowr enough 1. Because of Hot or Rainy Air. 2. Because of Phlegmatic Watry Oily or Aromatic but not Acid Food and Sauces 3. Because of much and deep Sleep 4. Because of sluggishness and too much Rest of Body 5. Because of the Mind void of Care or Angry 6. Because of the Monthly Courses or a wonted Loosness supprest 31. The Lympha comes too Little to the Blood for the same Causes newly recited and especially because the Lympha stands still or is carri'd another way by reason of the Glandules ill affected in the Stuffing of the Head and other such-like Diseases 32. The Lympha is too Viscous in the Blood 1. By such-like Food long us'd 2. By the Cold and Sharp Air. 3. By a grievous and long-continuing Sorrow of Mind 33. III. The same Effervescency of both sorts of Blood flowing together in the Heart is Encreas'd and becoms Greater or more Potent by the fault of either or of both 34. Of the Choleric when Choler is too Sharp or Plenteous in the Blood Ascending 35. We nam'd the Causes of over-Sharp Choler in Chap. 1. Sect. 6 7. And Chap. 11. Sect. 18. And Chap. 18. Sect. 14. 36. Choler is too Plenteous in that Blood both when it is found more than naturally Plenteous in its Bag and when its Descent to the Gut is hindred and also when it abounds that is is provok'd by an External or Internal Cause to Pour it self out any way as is wont to be in the Disease Cholera and several Burning Fevers 37. The Gall is too plenteous in its Bag chiefly by the frequent use of Bitter especially Aromatic and Sharp Sauces and Medicins 38. The Descent of Choler to the Gut is hindred by reason of any Narrowness whatsoever that is in its Passage to the Gut 39. Summer-Fruits frequently stir up the Disease Cholera of which in Chap. 15. Sect. 8. Chap. 29 c. 40. We intend to give you the Causes and Manner of the rise of Burning Fevers below in Chap. 29 c. 41. Let it suffice that we have here noted Choler may abound by an inward Cause that is be provok'd and compell'd to pour it self out of its Bag as often as some of a Volatil Acid Liquor pierces thither together with the Blood and forces Choler to raise an Effervescency whence no wonder if it runs out at any Passage given and now being carri'd to the Guts stirs up Vomitings or Choleric Loosnesses or being carri'd to the Liver and thence rushing to the Heart breeds Burning Fevers 42. The Vital Effervescency in the Heart is encreas'd by the fault of the Lymphatic Blood when the Lympha is not so Plenteous as Volatil and Sharp though too Little flowing to the Heart with the Descending Blood 43. And such is the Lympha by the abuse of Sauces or such like Medicins such as are Wine of the Maise and Rhenish a little Sowr and also Spiritous strong Wine Vinegar Citron Juice us'd with Spiritous Wine Spirit of Nitre c. 44. But if Choler together with Lympha be peccant after the aforesaid manner who sees not that this Effervescency of both sorts of Blood must yet be hurt and encreast of necessity 45. IV. The same Effervescency is perfected more Quickly because of too little Phlegm in the Blood and Choler and Lympha therefore too sharp and less temperd 46. Phlegm is too Little in the Blood 1. Because of Summer and subtil hot Air. 2. Because of Food or Sauces and Medicins very sharp and Aromatic too plenteously us'd and others neglected which are wont to breed Phlegm 3. Because of a vehement long continu'd motion of the
〈◊〉 〈…〉 We have often prescrib'd in this Treatisâ—â— and â—â—pecially in Chap. 9. Sect. 23 c. those thing◠〈◊〉 Amend and Discuss Vapors and Wind. 〈…〉 Solid Reasons compose the Mind troubled 〈…〉 and diâ—arbing all the Humors in the Body 〈◊〉 â—o the Sick Minâ—â— by Manly reasoning and by potently compelling its Assent both to former serenity and also leading and confirming it patiently and stoutly to bear the most troublesom things when they cannot be alterd 128. 5. By what means both hurtful Food and vitions Air ought to be shund or corrected is often told before 129. Seeing that the Vnequal Afflux to the Heart one while of Choler anon of Lympha or of any other hurtful Humor which stirs up an Inordinate Effervescency of Blood in the Heart arises as well from divers Passions of Mind as the other Non-natural Things diversly but suddenly and reciprocally invading the Sick it may be Cur'd also by divers helps as well Spiritual consisting in a consequent reasoning as Corporal known by the name of Medicins often to be chang'd or ingeniously to be mixt according to the diversity of accompanying Symptoms 130. Seeing all these things may without difficulty be had out of what is aforesaid lest we should cause loathing by continually repeting them to the Reader we will rather hasten to what follows studying brevity CHAP. XX. Of the Motion of Blood through the Lungs affected 1. THe Blood raising an Effervescency waxing Hot and Rarefying in the Right Ventricle of the Heart opens its Passage by degrees more and more till by that displaying the provoked Heart contracts its musculous substance by the help of the Animal Spirits and also presses out the Blood containd into the Artery of the Lungs out of which being pourd through the substance of the Lungs which seems most probable to me into the Vein of the Lungs goes on unto the left Ear of the Heart and its left Ventricle 2. And whilst the Blood goes through the Lungs it is mildly temperd in its Heat and warmness and more or less condensd by the Air suck'd in lest the newly kindled Vital Fire in the Heart and Blood should be Suffocated by over-plenteous Vapors raisd up by too much heat 3. This Motion of Blood through the Lungs is Affected 1. When there is None 2. When it is too Slow 3. When it procedes too Swiftly 4. When the Blood is driven forward another way than it ought 4. I. There is No Motion of Blood through the Lungs 1. Because of its Defect in the Right Ventricle of the Heart the Hollow Vein being greatly wounded and almost all the Blood that should otherwise flowd to the Heart effusd within or without the Body 5. 2. Because of its Coagulation and Concretion although I can scarce imagine a sudden exceeding great one unless perhaps in the most grievous Syncope by a Sowr sharp Humor carri'd abundantly to the Heart as we observ'd has often been done by sowr Spirits infus'd by a Syringe into some notable Vein of a Dog 6. 3. Because of the Contraction of the Heart ceasing in a most vehement Apoplexie by reason of the Motion of the Animal Spirits through the Nerves to every part hinderd 7. 4. Because of too much Filling again of the Vessels of the Lungs both often in an extreme Plethora and seldom in any Obstruction of most of the Vessels of the Lungs 8. When this Vniversal Motion of Blood through all the Vessels of the Lungs is very much hindred and ceases or is Extinguisht by the defect of Blood or Suffocated by its plenty or standing still they soon die unless suddenly the Blood abounding be diminisht by breathing a Vein or flowing more plenteously be turnd another way as the Matter requires 9. When the Blood ceasing to move only in some Vessels of the Lungs by reason of an Obstruction stands still there for some time it breeds a Peripneumonia that is an Inflammation of the Lungs 10. II. Blood is mov'd more slowly through the Lungs either 1. because of its Viscousness produc'd by Phlegm alike Viscous whencesoever arising 11. Or 2. because of the Narrowness of their Vessels though not extreme 12. Or 3. because of the Scarcity of the Animal Spirits moving the Heart more weakly whether they have been consum'd too much by Grief Watchings solicitous Meditations Cares Wearyings of the Body c. Or if they have not been repais'd by protracted Hunger at least the defect or neglect of Spiritous Food 13. III. Blood is mov'd more speedily through the Lungs Either 1. because of its encreast Fluidity by any serous Humor abounding in it 14. Or 2. because of over-great Heat in the Heart stirâ—d up any way together with a more potent and therefore swifter Rarefaction of Blood 15. Or 3. because of a Sharp Humor or Vapor carri'd together with the Blood to the Heart and provoking it to a more frequent contraction of it self and expulsion of the Blood contain'd 16. IV. The Blood driven forward through the Lungs is mov'd another way than should be 1. When it breaks forth into the Sharp Arterie out of its Vessels corroded or burst and is anon cast out by the Mouth in the Haemoptoc that is Spitting of Blood 17. 2. When it is essus'd into the Substance of the Lungs out of its Vessels any way opend and produces a Peripneumonie 18. 3. When it falls out of its Vessels Wounded into the Cavity of the Brest where being gatherd and chang'd into Matter constitutes an Empyema or Spitting of Matter 19. The Vessels of the Lungs are often Corroded by sharp and salt or sowr Humors falling down out of the Head to the Lungs seldom if ever by such-like carri'd together with Blood to the Lungs 20. The same Vessels are Burst 1. By a Cough Crying aloud Leaping or any other over-vehement Mâ—tiâ—n of Body 21. 2. By Blood waxing too potently warm in the Heart and withal too much Distending the Vessels of the Lungs by waxing too thin 22. The same Vessels are Wounded by any sharp Instrument a Knife Sword or any other like it struck into the Lungs through the Brest or Midrif piercing and cutting their Vessels 23. I. The Motion of Blood in and through the Lungs Deficient because of its defect in the Right Ventricle of the Heart cannot be Cur'd 24. A strong and sudden Coagulation and Concretion of Blood is to be esteemd Incurable but that which comes by degrees and is gradually encreasd may be Cur'd by Medicins that break and temper the over-sharp Acidity and so such as are both Spiritous and Oily and especially have a Lixiviat Salt although volatil oily Salts do chiefly conduce to Man as consisting of all and every thing that is aforesaid and are not only transfus'd most speedily every way in the Body but do potently enough though mildly effect and perfect the desired amendment of the over-sharp Sowr Humor if diluted and often us'd in a convenient Liquor 25. Among the Medicins commonly known Crabs-Eyes are
Midrif is for the most part drawn into consent to make an Hicket by the Stomach first affected and especially by Sharp Vapors or Wind or Humors whencesoever procedeing and piercing what way soever to the Membraneous Centre of the Midrif and provoking it by pricking or corroding to perform that Convulsive Motion 11. Therefore I judg the true Cause of the Hicket to be whatsoever is apt to compel the Midrif to a violent but not continu'd and presently interrupted or ceasing and again often a repeating Contraction of it self whether it be found in the Stomach to which hurtful and sharp Medicins or Food rather to be call'd Poison are to be referrd or the same rise up out of the small Gut by the Vitious Effervescency of the Humors meeting raisd in the form of an Humor Vapor or Wind and so affect the upper Orifice of the Stomach especially by corroding that the Midrif encompassing it is also affected or the same being shut up in the Cavity of the Thorax or Belly immediately frets the Midrif or is carri'd to it through its Vessels and sticking in its Substance corrodes its sensible parts or compells it any other way to that troublesome and convulsive solitary and moreover continually repeating contraction of it self 12. If any shall observe both the external and internal evident Causes of Sneezing he will find it is raisd one while by the brightness of the Sun shining either immediately or from the Snow Ice Water a Looking-Glass c. by means of reflection othertimes by sharp things to wit Onions Mustard Radish c. or by things mov'd or drawn to the Nostrils or taken in at the Mouth other-times also by sharp Humors falling down from the Head to the Nostrils in a Stuffing of the Head or Snuffle of the Nose or from Vapors or Rifts likewise sharp ascending out of the Stomach or Small Gut and provoking the Nostrils so that there is always felt a pulling of the Nostrils of what kind soever Whence all these divers Causes do deservedly seem so far to produce a Sneezing in as much as they move the Nostrils those parts ascrib'd to Expiration by provoking and pulling them to expel that trouble the Air together being potently expir'd through the Nostrils with which vehement Excussion of the Air a vehement Shaking also of the Universal Body uses to concur 13. The Cause of a Cough is whatsoever can pull the Sharp Arterie of the Lungs or any way provoke and molest it 14. And indeed the Cause of a Moist Cough is observd to be manifold for somtimes certain things coming from without or taken in at the Mouth and being wrong carri'd into the Sharp Arterie do soon raise a troublesome Cough At other-times the Humors and for the most part Phlegmatic of several kinds either Sharp and Salt or Sowr or Mild and Insipid other-whiles thin and fluid or thick and viscous somtimes Blood pure or mixt with other Humors and somtimes Purulent Matter falling down from the Head and piercing into the same Sharp Arterie do compel the Lungs to Cough Again Humors likewise Various Blood Purulent Matter and perhaps Phlegm or a Serous Humor carri'd out of the Substance or Vessels of the Lungs into the same Arterie do breed a Cough 15. As often as Blood coming out of the Lungs is sent forth with a Cough so often this Disease is call'd a Spitting of Blood and Haemoptoic Passion 16. A Dry Cough has for its External Causes both cold Air and Drink receivd largely and troubling the Sharp Arterie but for Internals somtimes a very viscous or very thin and sharp Catarrh scarce yielding to the Air that is vehemently expir'd somtimes Vapors or Wind elevated from the small Gut and Ventricle through the Gullet and suckt into the Lungs together with the Air or insinuating themselves from the same Gut through the Lacteal Veins into the Heart Vessels of the Lungs yea their Substance even to the Sharp Arterie and provoking it continually to Cough without excluding it self 17. The manifold Diseases noted in Expiration Deprav'd may be Cur'd 1. By taking away or correcting their External Cause 2. By curing any Internal Diseases of the Solid Parts 3. By Amending any Harms of the Parts Containd and also by diminishing their Abundance and by Correcting their vitious Qualities and by removing out of place or moving out those that are peccant in place c. 18. And that we may begin at the Hicket as often as hurtful and sharp Food or Medicins or rather Poison are in the Stomach unless they can be temperd and corrected by those that Alter they are to be Expelld either by a Vomit upward the shorter way or by a Purge downward the longer way which is also to be understood of any Humors found in the Stomach or Small Gut and causing the Hicket 19. We have often before proposd Medicins that Alter and Correct the Humors as also any thing taken in what way soever peccant so that it seems not necessary to repete them here again we only admonish you this one thing That Opiats do conduce before all other things in curing any Hicket not only in as much as they temper any sharp Humors but moreover in as much as they blunt the Sense of the Stomach and perhaps also make the Animal Spirits more slow of Motion if they be us'd by times in a small quantity and so long till the Hicket either ceases or is notably diminisht 20. Among Vomits I here prefer Antimonials before all others both because they do most happily empty any Humors promiscuously and because they are most friendly to Mans Nature by degrees bringing all the Humors in Man after a peculiar manner to a most laudable state which power I doubt whether it be in other things likewise but know it is in Antimonie whatsoever Men blinded with their Prejudices prate to the contrary both otherwise Learned and Unlearned 21. But beware lest they be together taken in too great quantity seeing indeed every Excess is an Enemy to Nature and it is always safer that they be given in a less than in a greater Dose for no harm will at any time follow the first though often the latter for notwithstanding the Opinion of many Pretenders as well as Unskilful Physicians neither do other Purgers and especially Antimonials rightly prepar'd and us'd in a less quantity and emptying no Humor upward or downward hurt any which I having very many times experienc'd do testifie but they always then are profitable either by amending the hurtful Humors in the Body or by preparing them farther for the following Purge which I would chiefly have noted by Younger Physicians for whose sakes this my little Treatise is publishd and not for the Elder who are verst in the Works of Art and therefore need not my Information much less for the obstinate rejecting any thing of an other Man 's by Prejudice or Envy and no less unskilfully than wickedly carping at them 22. When therefore
and the farther â—arming of the Ulcerated Part is not only hindred but moreover the total Cure hereof is promoted especially if according to the vehemency of the Disease or various largeness of the Ulcer one or two drops of it be us'd thriâ—e four times or oftner in a day in a Spoonful of any Pectoral Decoction or Mixture or at least Sugard Beer 37. The same Blood carried whencesoever into the Sharp Arterie of the Lungs lest it clotter there and hence corrupt is to be kept Dissolvd by convenient Medicins or is to be Dissolvd again and Voided To which purpose Crabs-Eyes together with Diaphoretic Antimony are to be preferd before many others being dissolvd in a little distild Vinegar and taken some grateful things being added seeing that they do the main Work here For Example take the following Form by Spoonfuls â„ž Hyssop Fenel-Water of each â„¥ i. Matthiolus his Aqua VitaeÊ’ ii Distilld Vinegar â„¥ ss Crabs-EyesÊ’ ss Diaphoretic Antimony ℈ i. Syr. of Maiden-Hair â„¥ i. M. 38. But in such Mixtures as have Crabs-Eyes dissolvd in Vinegar beware lest Syrups made of Mucilages be added to them such as are that of Marsh-Malows Jujubs Violets and such-like because presently or soon after they thence become thick like Mucilages and unfit for use which will not easily be if the Syrups us'd be prepar'd of Aromatics and especially fresh enough seeing many become more viscous in length of time 39. When by the proper Disease of the Lungs Blood pure or corrupted into Matter is voided by Coughing there is greater danger wherefore we must hasten the more to its Cure lest the opportunity here if any where urgent be lost by delay for the singular Substance of the Lungs is easily infected and corrupted but difficultly restor'd and repaird 40. Therefore must we not cease from the use of Medicins that cure the efflux and corruption of Blood burst out of the Vessels of the Lungs till the evil be wholly taken away Yea I advise that a sparing use of mild Medicins should be continu'd for some time after the Disease is cur'd to sense whereby the part once affected may be strengthned against the access of a new evil and therefore easily again affected 41. As in other Cases always so here you must diligently attend to the Medicins that most conduce to every particular Body whereby they may be preferd before the rest and as long as they profit continue in the use thereof And as soon as ever they are observd to profit less substitute others in their room and so the Health of the Sick is to be promoted every way 42. A Dry Cough arising from cold Air or Drink may be Cur'd by often stopping Expiration whereby the Heat in the Lungs and Jaws being encreasd the harm arising and molesting by external cold may be corrected 43. Let me therefore here admonish you in general that the Breath held as long as may be and so also the Cough being hindred by force will not a little conduce to allay and mitigate any Cough and especially a Dry one by which means I have often observd both in my self and others that a Cough otherwise troublesome enough has been wholly taken away or diminisht as in like manner I have often noted the Hicket also so Cur'd 44. When very Viscous Humors are the Cause of a Dry Cough they are wont to be amended and corrected by those that potently Cut being continually swallowd in a small quantity for which use the Bechic White Troches Alicampane-Root pouderd and reduc'd with Sugar into Tablets or Pieces cut c. may serve if they be held in the Mouth and being dissolv'd with the Spittle are continually carri'd down together with it into the Sharp Artery 45. Catarrhs that are Salt and Sharp breeding a Dry Cough may be corrected and temperd by the Pills of Hounds-Tongue or Styrax c. so often mentiond by Me not neglecting Hydragogue Purges 46. Vapors or Wind rising up to the Lungs from the Small Gut through the Lacteal Veins raising a Dry Cough require for their Cure Medicins 1. That Temper or Educe Humors which are always Phlegmatic and Choleric and somtimes also Acid. 2. Such as Discuss Vapors and Wind or asswage them as well in their rising as after it The most whereof are often before propos'd and among others in Chap. 9. Sect. 29. my Carminative Spirit of great power in curing this Disease happily CHAP. XXIV Of the Nourishment of the Lungs Deprav'd 1. HItherto I have thought with others that own the Circular Motion of Blood that the Blood is not only alterd by the Air Inspir'd but moreover that it is driven forward out of the Right Ventricle of the Heart into the Lungs to be nourisht by it Whence as the Lungs alone receive this Blood so I thought they alone were nourisht by it until last year an Artery arising from the Descending Trunc of the Great Artery was discoverd by the Observation of the most diligent Anatomist and famous Embalmer of Bodies Dr. Frederic â—uysch a Physician at the Hague containing in a public Discourse An Explanation of the Valvul's in the Lymphatic and Lacteal Vessels and some rare Anatomic Observations and because it accompanies the widenings of the Wind-pipe call'd by him Bronchialis and as it carries the Blood elaborated and perfected in the Left Ventricle of the Heart to the Lungs it is assign'd by him for their Nourishment 2. But although when I came to Print this Chapter it happend opportunely that there was a Body of a Youth who perisht with Cold to be Cut in the public Hospital and I sought diligently the Artery in it aforesaid by the mentiond Treatise but without success yet would I not therefore herein mistrust so famous a Man but rather lament that a few days after I was hindred against all right by some through preposterous spite less addicted to the Common Good and oft hurful whereby I could not Dissect the Body of a Youth dead of Difficult Breathing and search out the second time the forenam'd Artery to demonstrate i Ì„t in public for the sake of many Students earnestly desiring to know this thing by ocular Inspiction especially seeing that the same Dr. Ruyseb had in one word shewn me the way to observe it more certainly and had also told to others that the same thing had happend more than once which had happend to me 3. Whether therefore the Lungs receive their nourishing Blood by this Bronchial Artery or together by that of the Lungs as oft as by reason of the Effervescency of the Blood Ascending and Descending vitiated in the Right Ventricle of the Heart the Blood rising from both is vitious the Nourishment of the Lungs will be deprav'd and that sooner more easily and potently than any other part of the Body if they be nourisht in part at least by the Blood coming out of the Right Ventricle of the Heart being less temperd than the other effus'd out of the left Bed of the Heart
most happily in a few weeks and hitherto hath livd sound Let none rashly carp or laugh at that which is commonly done by many conceited the reason whereof they know not 25. The Ill Nourishment of the Lungs may be Cur'd divers ways according to the diversity of the Humors then together peccant and producing that Depravation always adding those call'd Pectorals and friendly to the Lungs We have often before handled every Depravation of the Humors 26. I doubt how little Knobs arising in the Lungs and not easily known unless by conjecture very uncertain ought or may be Cur'd unless perhaps the more fixt Antimonial Medicins can do it being indued with an universal force of purifying Mans Body from all Harm and Impurity 27. If any would diminish the Encreasd Nourishment of the Lungs he ought to use Food somwh thicker and less spongy at least Sauces or Medicins that hinder stop or repress if it be lawful to say so the too great rarefying of food such as I think Pearl Coral Lacca Chalk c. are if they be seldom taken in a small quantity CHAP. XXV Of the Perfection of Blood in the Left Ventricle of the Heart Deprav'd 1. IT is known by the Circular Motion of Blood that Blood is driven forward to the parts of the Universal Body and so to the Lungs of which we have spoken in the preceding Chapter out of the Left Ventricle of the Heart Whence it is not undeservedly askt Wherein differs each Blood effus'd out of each Ventricle of the Heart To which I Answer It differs in this That 1. the Blood of the Left Ventricle gets a new Alteration in the Lungs by the Air Inspir'd And perhaps 2. somthing may come to the same Blood either from Spittle or from another Glandulous Liquor moistning the sharp Artery and mixing it self with the Blood together with the Air and so far also after a certain manner Altering and Tempering it 2. And I plainly doubt whether moreover any thing else happen to the Blood in the Left Ventricle of the Heart nor hitherto do's any notable Sign of it come into my Mind whence I may conclude it 3. Wherefore I can at present only assert this That the Blood going through the Artery and Vein of the Lungs and perhaps the middle substance of the Lungs comes out of the Left Ventricle of the Heart temperd less hot and rarefi'd and so more mild than out of the Right both by the Inspired Air or Spittle or any other Glandulous Liquor and that its Perfection seems to me to consist in this That its manifold Particles first potently Effervescing or Rarefi'd and much sundred from each other now being mildly Temperd and Condensd do again close more or less slackly and so they become more apt as well to Nourish the Containing Body as to produce several Humors in the Body and so to preserve Life 4. Therefore this Perfection of Blood is Deprav'd chiefly when the same Blood is too little or too much Temperd or also is too much Kindled and Rarefi'd or otherwise Corrupted by the Air Inspir'd or the Humors of the Body communicated to it with the same Of which see what is said in Chap. 21. 5. The Blood may be corrupted by the Inspir'd Air when it is much defil'd by any Wind or Exhalations whencesoever proceding and mixt with it and communicates its harm to the Blood carri'd through the Lungs whence the same harm divers ways infecting the whole Mass or its greater or less part by degrees is somtimes disperst every way other-times adheres to one part chiefly and manifests the force of its malignity in it as we have known it in the Pest and other Epidemic Diseases for the most part depending on the Air ill-affected 6. This Perfection of Blood is also deprav'd by the Humors mixt with it Ascending or Descending either Choler or Lympha or the Liquor arising from that Three-fold Sway in the Guts or also Chyle so far exceeding in an ill quality that it cannot again be Temperd Conveniently or Sufficiently by the Inspird Air. 7. We related in Chap. 21. how the most Depravations of Air Inspir'd are to be amended 8. We intend to tell you how the same Air defil'd and corrupted with a malign Quality ought to be corrected where we intend to treat of the Pest and Malign Fevers 9. Lastly By what way and means the Humors carri'd with the Blood to the Right Ventricle of the Heart and so far corrupting it that it cannot be enough temperd by the Inspired Air or other Humors mixt with it in the Lungs ought to be restor'd to former integrity is to be sought out of the Cure propos'd before of every kind of the nam'd Humors ill affected and still to be propos'd all over CHAP. XXVI Of the Motion of the Heart and Arteries or the Pulse Deprav'd 1. THe sides of the Ventricles of the Heart are by little and little Distended and Vnfolded by the Blood driven forward into them out of the Veins and its Earlets and that partly in Plenty partly and chiefly by the Rarefaction filling them again because of the Effervescency of it till the same Blood be pour'd out by their following Straitness into the Arteries annext to them which therefore are Laid open as a little after bound together and that by a Motion somtimes manifest to Feeling and Sight which is known among Physicians by the name of the Pulse 2. For by the Pulse the Physicians understand the two-fold opposite and contrary yea reciprocal Motions of Expansion and Contraction in the twofold parts mentiond according to its Sides or Tunicles And the Motion of Dilatation and Straitning according to the Cavity of the Ventricles of the Heart and Arteries 3. We think the Right Ventricle of the Heart is Displaid both by the Plenty of the Blood driven in and by the Largeness of it soon Rarefying by the Effervescency and the Left Ventricle by the Plenty of the over-hot and as yet boiling Blood howsoever more or less temperd in the Lungs by the Air Inspir'd and Both Ventricles are Straitned by the musculous Substance of the Heart contorted wonderfully like a writhd Shell contracted by the Animal Spirits filling its Fibres after the manner of the other Muscles 4. We also judge the Arteries are Displaid by the Blood Expelld by the Contraction of the Heart into Them and the same are again Straitned by the Animal Spirits filling their annular Fibres and Narrowing their Cavity 5. The Pulse is felt by Physicians not so much in the Heart it self as in the Arteries and especially in both Wrists where they are more manifest to the Sense of Touching Although the Pulse of the Arteries may be observd also about the Temples and moreover at the Neck as the Motion of the Heart by laying the hand on its Region chiefly when its Palpitation urges that cannot be enough distinctly known by the Pulsation of the Arteries or when a little or no Pulse is felt in the Wrist
Viscous Phlegm that stuck in the Passages of the Pancreas Which any that seriously weighs and examins the special and commonly call'd Specific Medicins for happy curing of Intermitting Fevers will easily acknowledg 75. As oft as Intermitting Fevers are not ended suddenly and by Medicins us'd by art or chance or by the Non-natural Things not naturally us'd and exceding custom but vanish away slowly and almost insensibly so oft if any observe all which befal the Sick he will find that the reason of this Solution is wholly to be ascrib'd to the same Non-natural things and somtimes to Medicins but very moderat ones and therfore such as do slowly and less observably produce this worthy Effect 76. Having now fully proved the rise of Intermitting Fevers as Intermitting from the Juice of the Pancreas Obstructed and Standing still in its Lateral Passages the next thing in course is that we deduce all the Symptoms in Fevers though never so different if notable both from the same and also from other Humors join'd with it and so prove and confirm our Opinion of Fevers and their Rise at least in part as we hope already prov'd 77. The Juice therefore of the Pancreas being made more sowr then naturally it is by its above-nam'd Obstruction and poured out into the Cavity of the small Gut after it has pierced through the obstructing Phlegm forth-with rises up against Choler meeting it and so raises an Effervescency with it sharper then usual and indeed varying according to the variery of Phlegm also adjoining 78. For so long as that Acid Juice by the help of Phlegm over-powers Choler it produces Coldness â—â—â—fâ—â—â—nt very much in many Circumstances 79. For 1. most frequently there is vehement Cold i◠〈◊〉 Râ—â—iâ—â— of the Loins where there is a conflux of the three fore-mentioned Humors in the Small Gâ—tâ— when the aforesaid Juice is more Acid and 〈◊〉 is not very viscous by which piercing the Tâ—nicle of the Guts it afflicts them with Coldness 80. 2. In the same Region of the Loins there is little or no Coldness felt when the Phlegm of Spittle is very Viscous and hinders the piercing of the Juice of the Pancreas to the Tunicle of the Gut whence Coldness molests one while in the middle of the Belly to wit about the end of the small Gut another while in the extreme parts of the Body only 81. 3. Coldness seems chiefly to molest in the Inner Parts of the Head when it abounds with a Phlegmatic Humor to which the Acid Juice or its Vapors joining manifest themselves there more then elsewhere and so torment the Sick whilst a Destillation of Rheum does assault and attend 82. 4. By these same Vapors if more gentle and also by the mixture of Phlegm of the Guts becoming more flatulent and going to the Lungs there are raisd in the beginning of most of the Fits Yawnings as also Gapings Vnquietness and weariness of the Lims by the same dispersd through the Habit of the Body 83. 5. At other times these over-sharp Vapors being less mixt with Phlegm but different in degrees of Acrimony do produce somtimes a Shivering somtimes a Stifness 84. 6. These same Vapors when they are more Acrimonious do breed Gnawing Pricking and so Griping Pains of the Belly as when they have much Phlegm mixt with them they then breed more weighty and beating Pains 85. 7. These same Vapors being both flatulent and acrimonious cause the Pulse in the beginning to be more frequent because of their Irritating the Heart when they come thither which by Degrees grows Lesser when Cold increasâ—s by reason of the increasd Acidity in these Vapors that arise the Blood being more coagulated and so less fit for its rarefaction Whence no wonder if beside all this the Pulse be made Weaker together with the whole Animal Motion which therfore can scarce or not at all be observd whil'st Coldness doth molest 86. But where all the Juice of the Pancreas becoming sharper by the Obstruction is effus'd into the Small Gut and Choler getting dominion again becoms sharper either by it self or is made sharper by reason of the vitious Effervescency made with the aforesaid Juice the Vapors which are then raisd for the most part more Choleric 1. do usually cause an Anxiety about the Midrif and somtimes a Queasiness and Vomiting or besides a Loosness of which we intend to speak more largely hereafter 87. 2. These same Vapors being very Choleric and partly rising up to the Ventricle and hence up to the Jaws partly passing through to the Heart and Lungs do provoke Thirst 88. 3. Likewise when Choler hath gaind dominion in the Heart the Blood by degrees rarefies more and the Pulse becoms greater and stronger although the former frequency remains which is increasd by an irritation of the Acrimony of Choler and the rarefaction of Blood at the Heart 89. Though chiefly the Heat and Burning in the Heart and thence in the whole Body is encreasd by Choler successivly over-ruling 90. And no Wonder if then 5. a driness of the Tongue do accompany such a Heat seeing Vapors effus'd out of the Blood and carri'd into the Lungs through the sharp Artery do dry the same 91. Neither is it a wonder if 6. Breathing be more difficult and encreasd seeing the Blood is much rarefi'd 92. As also if 7. Heat Pain and Pulsation of the Head chiefly do vex the Sick seeing no part of the Body hath so many Arteries and receivs so much Blood as the Head in which Region of the Temples the same Pulsation is felt more troublesom then elswhere because of the remarkable winding clefts of the Brain through which great Arteries are carri'd 93. Neither Wonder if 8. Watchings and somtimes a Raving do so frequently molest for then of necessity the Animal Spirits are vitiated and mov'd troublesomly and hindred of natural Rest or at least Tranquility wherfore the empty Mind of the Sick is disturbd and oft distracted 94. And after the preternatural heat and fury of Choler made sharper by the Juice of the Pancreas also sharpned after the same manner by its Obstruction begins to remit and the Humors are dispos'd to serenity and former tranquillity of the whole Body which during the troublesom Fit were more confus'd one with another do now sensibly separate and loosen from one another again yea some of them also are voided by Vrin or Sweat together with Drink taken pretty liberally 95. And as Watchings molest while the Fit continues so when it declines a pleasant Sleep uses to overtake the wearied and recreat them again 96. Which if the Humors of the Body more closely united separate from one another only in part the Sleep is observd less quiet and grievous with Dreams or Watching which testifies the Diseases rather to encrease then decrease 97. But that we may prosecute in order all the kinds of Fevers mentiond I. Chill Fevers arise from the Juice of the Pancreas over-Acid and joind to Phlegm plentiful and
wounded by Art or chance or mischance 33. 7. The same happens to too great an Effusion if Seed coming away either of its own accord or especially by immoderat Venery 34. 8. The same often is after an over-great Evacuation of the Humors by Vomit Stool Urin Sweats c. and especially when it com's with great Pains or a vehement Agitation of Body 35. 9. The same com's to pass when either the Water of Hydropical Persons or Matter in those that have putrefi'd Lungs is pour'd out excessivly 36. 10. The same is observd to come to pass by a Sting or Bite of certain Poisonous Creatures 37. 11. This same Evil accompanies the Fits of certain Intermitting Fevers either soon in the Beginning or often in the Encrease or in its Vigor seldom when it Declines unless perhaps by too large Sweats 38. 12. Somtimes a Swouning comes upon certain very vehement Pains of the Teeth the upper Orifice of the Stomach the Guts Bladder c. 39. 13. The same Swouning oppresses some after too much Motion and extreme Weariness of Body 40. 14. Somtimes a Swouning is produc'd by a great Heat either of the Sun or Fire or Bath or Fever 41. 15. Nor is it seldom that a Swouning happens by Hunger or Thirst too long and sorely vexing 42. 16. Yea somtimes Swouning happens to certain Women giving Suck by too great loss of Milk chiefly depending on the potent sucking of a strong Infant and somtimes by the very grievous Pain of the Clefts of the Paps or otherwise ill-affected 43. From the mention'd and such-like manifest Causes diligently considered and diligently compar'd with those which we have before propos'd we judg every Swouning is to be deriv'd next and immediatly from the Blood it self coming from both parts to the Heart and all those which are joind both according to and beside Nature and are carri'd together with it to the Heart and so disturb and change its natural Effervescency thâ—â— Râ—refaction of the Blood is not only diminisht but the Heart it self is not enough expanded and contracted and the Blood not sufficiently effus'd into the Arteries and therfore the Pulse is felt Less and more Languishing yea somtimes None 44. For if to make a laudable Pulse be requir'd as we think 1. Blood returning from every and both places to the Right Ventricle of the Heart 2. Choler Joind to the ascending Blood 3. Lympha returning from every place with the Descending Blood 4. A singular Lâ—quâ—r arising and soon after straind through the Lacteal Veins from the conflux of Choler and the Juice of the Pancreas and Spittle in the Small Gut and perhaps 5. Air attracted into the Lungs by Inspiration and nâ—xt in some part of it with the Blood circulating through them whil'st the rest is again thrust one in the Expiration next following and soâ—â—â—inâ— 6. 〈◊〉 although it be not always but 〈…〉 taken in driven to the Heart I say if all tâ—â—â— be requirâ—d to make a laudable Pulse as every on◠〈◊〉 be both present and rightly disppo'd but i◠〈…〉 reâ—f thâ—sâ— be wanting wholly or in part or 〈◊〉 thâ—re in tâ—â—rger â—loâ—ty or come thither endow'd with a â—raâ—gâ—â—â—â—lâ—ity or others go together also not râ—quir'd and therfore necessarily hurtful without dâ—â—â—â— there will bâ— some wrong to the Pulse beside the spâ—â—â—ng of the â—â—â—ctions wont to be in the Heart 45. And to remain in our present business 1. the Pulse will be deficient more or less in greatness and strength by an Universal Defect of Blood after a notable Haemorrhagie or Hunger much prolong'd whence the Blood will not only be deficient but other Humors also in the Body Choler the Juice of the Pancreas Lympha and the rest that are necessary to make the Vital Rarefaction of Blood and so the Pulse great 46. 2. The same Pulse will be deficient in Greatness and hence in Strength by the defect of Choler in a great Loosness and Vomiting and especially the Disease Cholera whence if Choler be carri'd to the Heart in a lesser quantity and at length perhaps none is it a wonder if a less or no Effervescency be sâ—ird up in It if there be a less or no Rarefaction of Blood if a less or no Expansion and Contraction of the Ventricles of the Heart follow and the Pulse be felt either Less or None 47. 3. The same Pulse will be Deficient in Greatness and hence in Strength by the Defect of Lympha with too Great a Sweat with which that the Lympha is also diminish beside the Animal Spirits Acids no less then Spiritous Volatil Medicins much recreating and restoring those that Sweat seem to evince By the defect of Lympha somwhat Sowr the Mean Consistency of Blood and its Effervescency will be deficient whence it will neither enough rarefie in the Heart nor will its Explication and Complication be great enough whence the Pulse will also be observd of necessity Less then is Naturally 48. 4. The same Pulse will be Deficient in Greatness and hence in Strength by the Defect of the Liquor arising from the Three-fold Sway in the Guts in a troublesom Vomiting and Loosness especially continual For this being in part or wholly excluded the Blood will necessarily want its benefit we judg in an other place that it conduc'd to procure the natural Coagulation of Blood if therfore the Blood be more or less destitute of it and is not repaird continually for want of this as is newly said the Blood will be less apt to rarefie and open the Ventricles of the Heart and the Pulse will necessarily follow a Less 49. 5. The same Pulse will be Deficient in Greatness and hence in Strength by the Defect of Air to be Inspir'd in any straitness of the Mouth and Nostrils or Jaws or sharp Artery for which the Air coming in less plenty cannot bestow the desired coolness on the Blood or any other Change wherfore the Blood being driven through the Lungs more slowly and not making a sufficient place for the new Blood following out of the Right Ventricle of the Heart hinders the Contraction of the Heart and is the Cause of the Pulse hitherto Less 50. 6. The same Pulse will be deficient in Greatness and hence in Strength by the Defect of Chyle both in a preposterous Hunger whether voluntary or compeld and in the Fermentation of Food or Separation or Transcolation or Conveyance any way hindred For unless Food be taken daily and especially in the accustomd time by which the Chyle drawn from it may be carri'd to the Heart the Blood continually lost will not only be unrepaird but the Humors flowing together in the Heart and Small Gut will act too much or amiss upon themselvs and the rest of the Blood and somtimes will make the Blood more or less consistent and hitherto unfit to the due or sufficient Rarefaction of it self and the Explication and Complication of the Ventricles of the Heart whence there will necessarily follow a Less
ungrateful or like smell of any thing to raise an Effervescency and produce Vapors as well glutinous as sharp to be transmitted to the Heart 9. Hence it is that in the most kinds of Hypochondriac Symptoms the Palpitation of the Heart is so frequent and familiar 10. Hence it is that so often about the beginnings of Intermitting Fevers while Cold still urges or remits as also in their Vigour when the Heat is exceding the Palpitation of the Heart is perceivd troublesom 11. Beside the noted Humors and Wind somtimes there are observd Fleshy Tumors or Bone like or Gristle-like Excrescencies in the substance of the Heart to which a Palpitation being joind till Death was not undeservedly ascrib'd 12. Worms found in the Pericardium by pricking the Heart or a Sharp Humour by biting may be the Cause of an unwonted Palpitation as also a Wound given to the Heart 13. The Causes noted in the two latter Paragraphs as they are difficult to be known if not impossible so neither can they be cur'd 14. The most frequent kind of Palpitation of the Heart mentiond in the former place when the Fit molests may be Cur'd if it rise from Wind by Medicius that both Cut and Discuss and especially Temper an Acid Acrimony often propos'd before For Example ℞ Parsley Fenel-Water of each ℥ i. ss Matthiolus his Aqua Vitae ℥ i. distild Oil of Mace 4 drops Sp. of Salt Armoniac 20 drops Laudanum 3 Grains Syr. of Mint ℥ i. M. Let the Sick take one Spoonful of this Mixture every quarter of an hour till he get some ease 15. If the Palpitation of the Heart be thought to be produc'd from a Viscous and Sharp Humor the same Altering Medicins that Cut and Temper Acrimony are to be us'd yea somtimes if the Fit persevere long which is usual use those that empty out the Humor 16. To Cut and Temper the nam'd Humor the Mixture newly prescrib'd or one like it may conduce And to Educe it I prefer before all others Pills to be made of Gums seeing They loosen the Glutinous Humors and dispose them to be easier carri'd out For Example ℞ Gum-Galbanum dissolvd in Vinegar of Squils and again thicknedʒ ss Vitriol of Mars calcin'd white ℈ i. the Troches Alhandalʒ ss Diagridium 15 Grains Oil of Carua's 6 drops M. make them into xxv Pills to be guilded Take five or seven in the Morning the Stomach being empty drinking upon it half an hour after Broth or Beer boild with a little Bread and aromatiz'd with Mace 17. They who abhor Pills may use a Decoction prepar'd of such as Cut Aromatics and Purgers for which end we commend the following very bitter and efficacious ℞ The Root of Smallage ℥ i. of Angelicaʒ i. Shavings of Lignum Sanctum ℥ iii. Berries of Laurelʒ ii Pulp of Colocynthisʒ i. Seeds of Carua ℈ ii Orange-peelʒ ii Boil them according to Art in pure Water in ℥ xxx of what is straind dissolv the solutiv Syr. of Roses with Senna ℥ iii. Sp. of Wine rectifi'd ℥ ii M. Let the Sick take ℥ iii iv or v. If the Sick purge little or nothing by so much he may drink as much or more as the Physician thinks fit either in the same day or the next and so diminish and educe the hurtful Humor by easie purging 18. Out of the Fit such-like may and ought to be us'd both Alterers and Emptiers and that daily For the nam'd Humors cannot be weakned unless in length and continuance of time which are also to be educ'd by Intervals being more stubboru and past amending where it is safer to empty them at times and by degrees then to cast the Sick into more grievous Diseases by trying the same together and at once CHAP. XXXVI Of the Flowing of Blood out of the Left Ventricle of the Heart through the Great Artery to all the Parts of the Body deprav'd 1. THe Blood being perfected in both Ventricles of the Heart and the Lungs between is carri'd at last through the infinite Branches of the Aorta or Great Artery to all Parts of the Body wherby They may be Nourisht and out of it Liquors farther Vseful or Unuseful for their dispensing in Mans Body are separated in several places and again sent back to the Mass of Blood or are excluded straight out of the Body 2. This Flowing of Blood through the Arteries is deprav'd somtimes either Vniversally or in some Parts and that 1. when it flows too slowly or not at all or 2. is mov'd too quickly or too potently or 3. so flows into the Substance or Cavities of the Parts that it sticks there or flows out of the Body 3. The Blood flows Vniversally too slowly or also is quite stopt and stands still in its Motion 1. in the Plethora call'd in the Vessels by defect of a sufficient space to receive the Blood perfected in the Ventricles of the Heart and therfore also more rarefi'd 4. 2. In a Swouning and Syncope as also a Universal Languishing of the Body because the Blood is not fit to rarefie as was largely said and explaind in Chap. 34. 5. The same Blood flows particularly more slowly through the Arteries or is also somtimes stopt and stands still because of any kind of Straitness in the Arteries of some Part and especially a Compression or Obstruction for I can scarce conceive that a Stopping Uniting together or Setling can have place in the Arteries 6. The Arteries may be Comprest by an over-hard Tumor near them by hard binding c. 7. The Arteries may be Obstructed and especially the Capillaries both by Glutinous Phlegm carrid together with the Blood through Them and either of its own accord or by degrees again closes or coagulated by the Cold of the Air piercing thither through the Pores of the Skin then compacted from the Blood It self because of External Gold or a Sowr Humor injoining it self thither 8. The Blood is Vniversally mov'd through the Arteries too swiftly or too potently in all Burning Fevers as well Continual as Intermitting as long as the Pulse remains not only too frequent but together Greater and Stronger for after that the Blood is then so far rarefi'd that it distends the Vessels too much and makes a Plethora at the Vessels the Pulse usually becoms both Less and Weaker till by letting Blood by opening a Vein a greater space is prepar'd to receive the Blood and together the Vital Fire being near Suffocation is as it were recreated and stird up by the same means whence the Pulse also is then again both Greater and Stronger 9. In like manner the Blood mov's Vniversally too Potently and too swiftly in the Palpitation of the Heart because of the Heart as well forc'd as provok'd to an over-frequent contraction of it self 10. The same happens after a notable but not extreme Effusion of Blood and that either of its own accord or artificial or by chance to wit by a Wound receivd casually or by force 11. The Blood mov's
Effervescency of Blood in the Right Ventricle of the Heart deprav'd Page 118 Chap. 20. Of the Motion of Blood through the Lungs deprav'd Page 146 Chap. 21. Of the Alteration of Blood by Air Inspir'd and Expir'd deprav'd Page 154 Chap. 22. Of the Inspiration of Air deprav'd Page 158 Chap. 23. Of the Expiration of Air deprav'd Page 169 Chap. 24. Of the Nourishment of the Lungs deprav'd Page 182 Chap. 25. Of the Perfection of Blood in the Left Ventricle of the Heart deprav'd Page 189 Chap. 26. Of the Motion of the Heart and Arteries or the Pulse deprav'd Page 191 Chap. 27. Of Fevers in General Page 197 Chap. 28. Of a Fever of One Day Page 206 Chap. 29. Of Synochal commonly call'd Containing Fevers Page 217 Chap. 30. Of Intermitting Fevers Page 240 Chap. 31. Of Synechal or Continual Fevers so especially call'd Page 287 Chap. 32. Of an Hectie Fever Page 290 Chap. 33. Of Malign Fevers Page 297 Chap. 34. Of a Vniversal Languishing as also of Swenning and the Syncope Page 300 Chap. 35. Of the Palpitation of the Heart Page 333 Chap. 36. Of the Flowing of Blood out of the Left Ventricle of the Heart through the great Artery to all the Part 's of the Body deprav'd Page 338 Chap. 37. Of the Nâ—urishment of all the Parts deprav'd and in special of an Atrophia or Pining Page 342 Chap. 38. Of an over-Fleshy and Fat Constitution of the Body Page 346 Chap. 39. Of a Cachâ—xie and in special Anasarca and Lâ—ucophlegmatia Page 348 Chap. 40. Of the Reslux of Blood through the Veins from all the Parts to the Right Ventricle of the Heart deprav'd and in special of an Inflammation Page 354 Chap. 41. Of the Generation and Separation of the Animal Spirits in the Brain and Cerebellum deprav'd Page 369 Chap. 42. Of the Motion of the Animal Spirits through the Nervs deprav'd Page 382 Chap. 43. Of the over-perfecting of Blood in the Spleen deprav'd Page 392 Chap. 44. Of the Generation of Choler deprav'd Page 396 Chap. 45. Of the Retention or Excretion of Choler in its Pag deprav'd Page 407 Chap. 46. Of the Motion of Choler to the Gut hindred and in especial of the Jauâ—dice Page 412 Chap. 47. Of the Mâ—tion of Choler to the Blood through the Liver deprav'd Page 43â— Chap. 48. Of the Mixing of Choler with the Blood in the Liver deprav'd Page 432 Chap. 49. Of the Preparation of Lympha of the Glandul's in the Conglobated or great Glandul's deprav'd Page 435 Chap. 50. Of the Motion of Glandulous Lympha through the Lymphatic Vâ—ssits and Thâ—râ—cie Passage to the left Juguler or Aâ—illâ—r Vein As also the Dropsie of the Brâ—â— Page 450 Chap. 51. Of the Preparation of Spittle in the Conglomerated or Clusterd as well upper as lower Glandul's of the Jaws deprav'd Page 456 Chap. 52. Of the Motion of Spittle into the Mouth and Gullet deprav'd Page 464 Chap. 53. Of the Generation of the Juice of the Pancreas deprav'd Page 466 Chap. 54. Of the Motion of the Juice of the Pancreas to the small Gut and its Effervescency with Choler deprav'd Page 474 Chap. 55. Of the Separation of Vrin in the Kidneys deprav'd Page 477 Chap. 56. Of the Descent of Vrin from the Kidneys through the Ureters and its Passage into the Bladder deprav'd Page 498 Chap. 57. Of the Retention of Vrin in the Bladder and its Excretion through the Vrethra deprav'd Page 500 Chap. 58. Of the Excretion of Sweat deprav'd Page 506 The Author and my Worthy Friend having both largely Epistoliz'd to this Work I think it needless to add farther save to let the Reader know that where he meets with â„¥ it signifies an Ounce Ê’ it signifies a Dram. ℈ it signifies a Scruple semis Half M. an Handful when plac'd in a Receipt M. Mix them when at the end of a Receipt Sp. Spirit Syr. Syrup The Authors Cholagogue Electuary Chap. 2 Sect. 46 Hydragogue Electuary Chap. 7 Sect. 55 Carminative Spirit Chap. 9 Sect. 29 Plaster Discussing Wind. Chap. 14 Sect. 58 Egregious Preservative Water Chap. 28 Sect. 31 Diascordium Chap. 58 Sect. 22 Of Oily Volatil Salt being so frequently commended in the most Chapters of this Book and kept as a Secret by the Author see my Advertisement at the end of the Book ERRATA PAge 8. Sect. 4. line 8. for there read thence P. 10. S. 16. l. 2. those things which P. 46. S. 10. Vomiting and its contracting Motion is turnd only in it self As P. 48. S. 22. Matter seeing it usually follows P. 126. S. 39. blot out Chap. 29 c. P. 144. S. 123. manifest them to P. 154. S. 3. read as Nitrous P. 163. S. 24. hence to the Right P. 187. S. 23. Inflamable The other small ones the Reader is desired to correct A New Idea of the Practice of PHYSICK The Distribution of the Work 1. IN our delivering a Practice of Physick for our Auditor's sake and profit compendiously and indeed not much unlike the Platerian Method we will first propose those Diseases which are more single seeing the knowledg of Compound and Complicated Ones is easilier opened if the former be known 2. And seeing Man's Health is manifâ—â—ted by the perfection of all his Functions and his Sickness by the hurt and deficiency thâ—reof we judg it fit to treat of the Diseases in order that are obvious to Physicians in practice according to the diversity of the Functions in Man that are hurt because they either constitute produce or follow them 3. All which serve either to preserve the Individual or to propagate our Kind 4. The Functions which are to preserve the Individual are well-divided into the Natural Functions sâ—rving to the various change of Food and the Animal Functions in the knowledg of any Things by the External and Internal Senses and hence consisting of the various motion of the Mind and Body 5. So we will distribute our Practice into three Books which shall treat of the Diseases belonging to I. The Natural II. The Animal Functions III. Those pertaining to Generation deprav'd 6. For rarely is one Function only hurt in the Sick but for the most part there are more hurt together Which if they depend one of another or of the same cause only the Sick shall be said to be troubled with only one Disease which has its denomination from the chief and most grievous or most notable Symptom but if they do not depend one of another and arise from divers causes then shall the Sick be said to be afflicted with divers Diseases and those of a differing Name 7. Those things which are received into Man to preserve Natural Life are either Meat to be swallowed or Air to be sucked in 8. Although there be the greatest necessity for such as Breath to suck in Air and Man cannot want Air so long as Food yet because breathing of Air seems to be ordained to alter Food in the right Ventricle of the Heart in some only nâ—t in every
deservedly mentiond being dissolvd in Wine a little Sowr or in a little distild Vinegar whereby they may the easier mix with the Acid Humor peccant in the Body For Example ℞ Hyssop Fenel-Water of each ℥ i. ss Matthiolus his Aqua Vitae ℥ i. distild Vinegarʒ ii Crabs-Eyes pouderdʒ ss Syr. of Scurvy-grass ℥ i. M. Or ℞ Mint-Water ℥ ii ss Simple Treacle-Waterʒ vi Tincture of Castorʒ ii Sp. of Salt Armoniac ℈ i. Oil of Orange-Peel 6 drops Syr. of Fenel ℥ i. M. The first Mixture will be less effectual but more grateful the latter less grateful but more efficacious both us'd by Spoonfuls will conduce to temper the too sharp Acid Humor although the latter is to be preferd when any thing of Tartness shall be observd to concur whose chief sign is any Straitness tending to the Hypochondriac Suffocation whether it rise up to the Jaws or stick about the Midrif and beget inexplicable anxieties to the Sick continually threatning a present Swouning 26. The Contraction of the Heart ceasing in a vehement Apoplexie will never be Cur'd nor easily prevented unless by very Spiritous and Aromatic Liquors often us'd Matthiolus his Aqua Vitae Apoplectic Waters and such-like mean while not neglecting other things that correct and educe the Antecedent Causes of the Apoplexie to be propos'd elsewhere 27. A Plethora of Blood is soon and safely Cur'd by a sufficient Emptying of it by opening a Vein whether it be together and at once or by repeted turns according to the peculiar nature and strength of the Sick For there are many who cannot bear to have much taken away together but soon fall into a Swouning by which seeing none can at any time receive any good I had rather that it should be prevented as often as may be and every Cure be done securely rather than rashly seeing it often happens to those rash Blood-Letters that they educe Life together with the Blood Whereof there is no danger if the Blood be taken in a smaller quantity by short spaces to be stopt as soon as the least sign appears of a present Swouning and after that if the Disease still require again to be taken away with more benefit to the Sick 28. The Reason Generation and Cure of an Obstruction and Inflammation following it shall particularly be treated anon in Chap. 40. 29. II. The over-slow Motion of Blood through the Lungs may be Cur'd 1. By Correcting its Phlegmatic Viscousness by Medicins that Cut and Attenuate whether Spiritous or Salt or Oily or somtimes Acid us'd either alone or prudently mixt often propos'd 30. 2. By taking away the present Straitness of the Vessels diversly according to the diversity of the Causes peccant but of these things elsewhere 31. 3. By Repairing the want of the Animal Spirits contracting the Heart too weakly both by taking often Food very Spiritous strong Wine and especially its Spirit as well simple as many ways Aromatiz'd with the addition of divers things seldom alone and pure often broken and diluted with the mixture of grateful watry Liquors and also by shunning and moderating Cares and Watchings night Studies prolongd Weariness of Body c. 32. III. The over-swift Motion of Blood through the Lungs may be Cur'd 1. By diminishing its Fluidity by Thickning Food or Medicins 33. Of Food use Feet and other extreme parts of Brutes abounding with Gelie and so Fishes and especially Sea-Fish 34. Let the Drink be Red Wine and a little harsh or Steeld Beer or made Medicinal with any more grateful Astringents 35. Among Medicins we mention Diascordium new Treacle and every kind of Sealed Earth Harts-Horn c. 36. The Pills of Hounds-Tongue correct the Salt Serous Humor before all other things taken daily once or twice to two or three Grains instead whereof these of Styrax following may be prepar'd and us'd in like quantity ℞ Styrax Calamita Juice of Licorice thickned or extracted Olibanum red Myrrh Opium of Thebes of eachʒ ss Oriental Saffron ℈ i. with Syr. of white Poppies as much as is sufficient Make it a Mass of Pills 37. If Troches please better use the following form or one like it ℞ White Henbane white Poppie-Seeds of each ʒ ss Male Frankincense red Myrrh of each ℈ i. best Saffron ℈ ss Juice of Licorice thickend ʒ i. Sugar of Marsh-malows ℥ ss Gum-Dragon dissolvd in Rose-Water ʒ i. M. to be small Troches according to Art Let the Sick keep one of these often in his Mouth and swallow it by degrees Also Opium of Thebesʒ ss may be mixt with Them whence any Acrimony of Humors may more powerfully be corrected 38. 2. The over-quick Motion of Blood through the Lungs may be Cur'd by tempering its Heat encreasd in the Heart by Sowr and Watry things of which consists Sempervivum Majus Plantane Nightshade Sorrel c. that allay the heat of Blood more mildly or more potently 39. 3. The same over-quick Motion of Blood through the Lungs may be Cur'd by Tempering the sharp Humor carri'd to the Heart by those that are Spiritous Oily and especially Opiats and others often mentiond and also when it abounds Educing it by Hydragogues often mentiond 40. Sharp Vapors also carri'd to the Heart are to be Temperd with the same and Discussd by Spiritous Diaphoreties having both a Simple and Oily Volatil Salt Their new Production ought to he hindred especially by Opiats and Anodyns most convenient to the Constitution and Accompanying Symptoms 41. IV. The Blood Essus'd through the Lungs Mov'd another way than whither it ought may be Cur'd 1. In the Spitting of Blood the burst or corroded Vessels being speedily Consolidated by the Mixture describ'd in Chap. 9. Sect. 20. or one like it being oft taken by Spoonfuls presently Turning the Blood from the Lungs that flowd too plenteously in a Plethora by a Vein opend in the Arm or in either or both Feet Lastly The Sharp Salt or Sowr Humors that descend from the Head being Corrected by those before mentiond in Sect. 35 c. Opiats and mild Aromatics Also by Curing or Shunning Coughing Shouting Leaping or any other too vehement Motion of the Body 42. When the Vessels of the Lungs are distended near breaking by the Blood Kindled and waxing too thin the Blood is to be let out speedily by Opening a Vein and temperd moreover taking cooling Julaps in a sufficient quantity especially prepar'd of those that are Watry and Sowr For Example ℞ Barley-Water ℥ xx Julap of Roses ℥ iii. Oil of Sulphur prepar'd by a Glass-Bell as much as suffices for an Acidity grateful to the Sick M. Let the Sick often drink a moderat Draught till the Heat be observd to be moderat 43. The Cure of a Peripneumonie is to be seen in Chap. 40. 44. The most Wounds of the Great Vessels of the Lungs are wont to be deadly but the Cure of the Lesser and also of Spitting of Matter shall be given elsewhere CHAP. XXI Of the Alteration of Blood by Air Inspired and Expired Deprav'd
6. The Primary Differences of the Pulse felt in the Wrist may be reduc'd to three chief Heads the Strength Greatness and Frequency of the Pulse For the Swiftness ascrib'd to the Pulse may indeed be conceivd by the Mind but not toucht and felt with the Fingers And Hardness is but seldom found in the Pulse and always in a Praeternatural State when as those aforementiond are observd both in a Natural and Non natural Pulse 7. A Pulse is call'd Strong when the Artery smites forcibly the Fingers of him that Touches but Weak when it happens only gently and lightly 8. The Pulse is said to be Great when the Artery is unfolded much and with a large space but Little when little and in a narrow space 9. The Pulse is call'd Frequent when the expansion and smiting of the Arterie is observd in the same space of Time ofter then otherwise or in others and Rare when it is less oft then is wont or ought to be 10. The Pulse is call'd Moderat or Mean which is the middle between the extrem's of the three foresaid Differences 11. A Strong or Potent and Valid Pulse is causd by the Animal Spirits plenteously carri'd to the Musculous Substance of the Heart strongly contracting it whence it is never preternatural upon its own account yet somtimes upon the account of the Cause provoking 12. A Weak Pulse oft follows a Vniversal Defect of the Animal Spirits in the Universal Body at least partly in the Heart it self somtimes a Sluggishness and Drowsiness or Unmovableness of the Universal Body 13. A Vniversal Defect of the Animal Spirits is both because of Defect of the Blood by a notable Effusion and Haemorrhagie of it somtimes by prolonged Hunger and because of the Effervescency and Rarefaction of Blood hindred in a Syncope Hypochondriac Suffocation c. whence a Weak Pulse always concurs with one Little And because of the Spirits exhausted with Cares Hunger Watchings or too much Motion or Agitation of the Body and because of the ill affected Brain being averse to the separation and preparation of the Spirits 14. The Animal Spirits will be Deficient in the Heart peculiarly if the Nervs tending to it be wounded â—â—r I seareâ— think that they alone the others being well can become unfit to let the Spirits pass through by any moisture 15. The Animal Motion of those that walk in Sleep testifies that Sluggishness and Drowsiness of the Animal Spirits is not always to be found in Sleep or Drowsiness it self and the Pulse it self in a grievous Sleepiness oft very Strong Whence it is manifest that Narcotics as such do not so affect the Animal Spirits perhaps or all the Nerves equally as the Organs of the external Senses or the Nerves tending to them 16. But Sluggishness and Drowsiness is always found in the Animal Motion by Frost and any vehement cold of Air Water and other things although we may doubt whether the Animal Spirits Themselves or rather the Maseles be then indeed and by themselves affected by cold seeing unless its Cause be extremâ— that Drowsiness of the Parts according to Motion may be prevented or also overcomd by a vehâ—ment agitation of the Body which could not be if Drowsiness had seiâ—d on the Spirits which bâ—ing moâ—â—ble and subject to the Government of the â—â—ad the Museles may the easier be freed from Drowsiness by their more plenteous afflux to them 〈◊〉 is wâ—nt 17. A Great Pulse follows an ample and full Rareâ—â—◠〈…〉 the Sâ—â—tness of the Arteries concurâ—â—â—â— 18. A 〈◊〉 Pulse happens both by a small Rarâ—â—◠〈…〉 and by the Hardness of the Arterie 〈…〉 cannot be much displaid 〈…〉 â—â—s for its Cause either the 〈…〉 so that it cannot be enough receivd by the Greatness of the Pulse only or the Hardness of the Arterie in a mean Rarefaction of Blâ—nd whâ—◠〈◊〉 Greâ—â— Pulse is conjoind there to Oâ—â— Frâ—queâ—â— hâ—re Onâ— Little or any thing else oft pulling the Heart 〈◊〉 Coâ—tract it sâ—lf 20. Lastly A â—â—â—re Pulse haps by a small and slow Rarefaction oâ— Blood 21. The â—â—â—nty of Animal Spirits follows a due Vse of Foâ—d abounding with a Volatil Spirit and their Fermentation in the Stomâ—ch and Separation in the Gats and Effervescency in the Heart and especially beside the laudable Productions of all the other Humors the Separation of the most Spiritous Part compleat in the Brain and Cerebellum As Their Defect beside those we mentiond in Sect. 13 14. all contrary â—o these fore mentiond as is manifest by treating of the nam'd Functions Deprâ—v'd 22. The Blood Rarefies much when it is laudable â—nd a potent Fire is stird up in the Heart when the â—ffervescency is which yet when it is too Great â—â—e Blood Rarefies more than enough and thereupon â—â—l as is wont to be in Burning Fevers 23. The Blood Rarefies less or Little when it is â—â—ess fit to rarefie and more fluid or viscous then is usuâ—â—l or a more Sparing Fire is stird up in the Heart â—nd not enough to rarefie the Blood suffiâ—iâ—ntly 24. The Natural Hardness of the Arteries is to be scrib'd to the Thickness of their Coats as the Praeâ—ernatural is commonly wont to be ascrib'd to the Inâ—ammation of the Membrans 25. The Blood Rarefies very much and suddenly when both it is more fit to rarefie and a sharper Fire 〈◊〉 kindled in it and the Heart 26. The Heart is Oft or continually pulld to Câ—â—â—ract it Self both by and Sharp thing carri'd together with the Blood to it be it a Sowr or a Lixiviaâ— Salt or mixt of both as is Salt Brine and by any Vaporous or Windy Thing piercing into the Ventricles of 〈◊〉 Heart and a little but not too much unfolding its Sides and so indeed that they may again be contracted and by any Thing without the Heart tâ— wit containd in its Pericardium that corrodes and pâ—iâ—ks it So we found a Salt and Sharp Humor thrâ—â— years agoe in the Pericardium by which as well theâ— Memorane of the Pericardium as of the Heart was corroded and fretted 27. A Small and Slow Rarefaction of Blood procedes either from Its exceding Viscousness or from thâ— Fire more sparingly breaking forth in the conflux 〈◊〉 both Bloods or from Both concurring together Foâ— it can scarce ever be that Choler or Lympha shoulâ— be very sharp the Universal Blood being for somtime too Viscous unless in regard of Diet and espâ—cially of Food somtimes holer more Sharp somtimes Lympha and the Juice of the Pancreas mâ—â—â— Sowr somtimes Spittle and Phlegm be bred mâ—â— Visâ—â—us which easily haps when Men use Food 〈◊〉 many soâ—ts apt to breed one while one another tiâ—â— another ill Humor and moreover use now hot anâ— cold Air and besides are immoderat in the Motiâ— of their Bâ—dy and Mind c. 28. How the mentiâ—nd kinds of a deprav'd Pulâ—â— ought to be Help'd is not difficult to conclude 〈◊〉 what is propos'd here and there 29. So the other Differences and
and Weaker Pulse 51. The Pulse will be Less and more Languishing not only by the Defect but somtimes also the Excess of the fore-nam'd Humors For 1. the abundance of Blood call'd a Plethora hinders that the Blood by the defect of space and place cannot be expeld plenteously into the Arteries nor therfore the same be much and enough rarefi'd in the Right Ventricle of the Heart nor that the sides of the Heart can be much unfolded and again folded 52. Yea 2. Choler being carri'd in a greater plenty to the Heart especially in Burning Fevers doth not only rarefie the Blood more then is wonted and too potently with an over-great and strong Pulse but after it has at length filld all the spaces of the Vessels in that too great rarefaction by distending them and constituting the Plethora at or in the Vessels so call'd or to be call'd however it keep the hurtful Heat yet it cannot for want of Space spread out the Blood as before and produce a Great and Strong Pulse which is rather observd Less and Weaker gradually by the deficient Rarefaction of the Blood and the Explication and Complication of the Ventricles of the Heart till by any effusion of Blood there is a new Place prepar'd to receive the rest more rarefi'd together with a greater and stronger Pulse soon concurring 53. 3. The Lympha somwhat sowr if it com's in too great plenty to the Heart will also make the Pulse Less and so more Languishing because it will give a more firm and solid Consistency to the Blood then that it can be duly and enough rarefi'd sufficiently to dilate the Ventricles of the Heart whither a notable constriction may succede altogether necessary to make a Great and Strong Pulse 54. 4. The same is to be said of that Three-fold Liquor of the Small Guts if especially its office be to give to the Blood a natural coagulation depending on a somwhat tart sowr Liquor For when this is encreasd the Coagulation also of the Blood will be encreasd on the contrary its fitness to rarefie will be diminisht the Pulse will be diminisht and will also become Weaker 55. Seeing that a great plenty of laudable Air drawn into the Lungs cannot but be useful a Lesser or more Languishing Pulse cannot be expected nor derived from it 56. Yet 5. may the Pulse become Less and Weaker by Chyle carri'd to the Heart after any manner in a greater plenty in as much as it fills the Vessels of blood too much both effects encreases a Plethora 57. If both the Blood and other mentiond Humors carri'd with it to the Heart could produce a Less and more Languishing Pulse the quantity being either deficient or exceding certainly they will no less perform the same when they are peccant in an hurtful quality For 1. the Blood either too fluid or solid is unfit for its laudable Rarefaction which being deficient we have often already shown you that a Less and more Languishing Pulse follows 58. So 2. Choler Glutinous and not sharp enough will less effervesce and more sparingly send forth fiery parts whence the Blood will less rarefie and at length the Pulse will be Less and Weaker 59. 3. Lympha either too Sowr or Tart will not only render the Blood more glutinous and so less fit to rarefie but moreover will not only blunt Choler and its fiery parts whencesoever breaking forth and so will give occasion both for a Less and more languishing Pulse 60. 4. You may think and speak the same of the fore-namâ—d Three-fold Liquor either too sowr or Tart. 61. 5. The North and sharper Air conduceth much to coagulate the Blood much and hinder its Rarefaction 62. If 6. Food too Sowr or Tart be taken in the Chyle will also be made like it from which the noted inconveniences may be expected with a Less and Weaker Pulse 63. A Less and Weaker Pulse is caus'd also by other Things carried to the Heart beyond the Laws of Nature when the Humors are either corrupt in the Body or Vapors or Wind raisd by them or Poison piercing in at the Mouth Nostrils or Pores of the Skin or any other way into the Body come to the Heart together with the Blood and either too much loosen or dissolve or too much coagulate or curdle the Blood or render it unfit any other way for its due Rarefaction as we have before explaind at large 64. And that we may more closely apply all that we have hitherto premis'd to a Swouning and Syncope and deduce more clearly the Nature and Generation of both Diseases because in both the Pulse is not only observd Less and Weaker or None but the Animal Functions also Sense and Motion are not a little weakned let us see if and how so divers Diseases can be produc'd of one and the same Cause 65. The Symptoms therfore which are wont to be common to each Disease are to be considerd and distinguishd from those which are peculiar to a Syncope for a cold and glutinous Sweat breaks forth in a Syncope but not in a Swouning in which not so much as Coldness of the Vniversal Body is always observd although it be constant with a Syncope but the other Symptoms are often wont to be noted in each Disease Whence it is manifest that these Diseases do partly differ in degrees partly somthing more grievous uses to accompany a Syncope continually 66. If any examin with an attentive Mind all the Symptoms fore-mentiond as also the External or Manifest Causes and compare them with those which we have now deduc'd largly of a Less as well as Weaker Pulse he may easily conclude that each Disease and especially a Syncope do's chiefly arise from a sowr Liquor carri'd in a more large plenty to the Heart which obtains rule in the Blood not neglecting in the mean while the Glutinousness of several Humors 67. That this may be more evident we are pleas'd to weigh both the noted Symptoms and the mentiond Causes in order and for Younger Physitians sake especially Learners build all things on a sowr and glutinous Humor abounding 68. We have said the Sign of a Swouning at hand is for the most part 1. a Cardialgie or Tickling in the upper Orifice of the Stomach And what is more apt to stir up each of these Diseases than a sowr Humor Which if it be milder and ascend to the upper Orifice of the Stomach in the form of a Vapor will only tickle and gnaw the said part but if it be too sharp will bite the same and cause a troublesom Pain known by the name of Cardialgie 69. We added 2. that somtimes a Compression and Gaping of the Heart precedes Although the Compression of the Heart is caus'd by a Phlegmatic Humor both plenteous and glutinous and gaping from Flatulent Vapors yet because these Diseases are observd not to urge the Sick so perpetually as to infest them before the Swouning suddenly to follow therfore we must acknowledg
will depart slowly yea in the use of any Medicin profiting so long as the Sick doâ—s not only amend by it but can â—â—e it withouâ— loathing and dislike As soon therfore as it câ—ases to please or benefit though the most grateful oâ— also best Medicin prescribe an other or the same to be given in another form 25. In a long continued Cachexie the Medicins are always convenient that Correct and Evacuate tough and glutinous Phlegm seeing that all Prolongd Diseases depend on it either wholly or at least in part 26. If a Humor Sowr or like Salt Pickle be coupled with Glutinous Phlegm which commonly happens or a Lixivial or Choleric Salt which seldom happens Medicins that satisfie both Indications are to be joind together which are oft propos'd and mentiond by the help whereof the gaining of Health lost may somtimes be expected sooner other-times flower CHAP. XL. Of the Reflux of Blood through the Veins from all the Parts to the Right Ventricle of the Heart deprav'd and in special of an Inflammation 1. AS the Universal Blood is carri'd through the Arteries from the Heart to all and every Containing Part of the Body both to Enliven Nourish and Encrease them and also to separate all the Humors or useful and unuseful things Containd any way fâ—om the remaining Mass so the same Blood remainiâ—g after this manifold benefit many ways bestowed on both Bodies yea many ways despoild of sâ—â—e part of it self and decaid is again carri'd from all the same Containing Parts through the Veins to the Heart there to be renewd by the mutual Mixture and after that the Effervescency and Vital Rarefaction of several Parts concurring 2. This Flowing of the Blood and reciprocal and altering Reflux is now known and made known by the name of the Circular Motion 3. The Blood is somtimes hindred in its Reflux when it either Stands still and stops in its Vessels and Ways or is effus'd out of them whether it be within the Substance of the parts beside it or Cavities of the Body or it hap out of the Body 4. The Blood stands still in its Vessels either because of a great Plethora and that call'd at the Vessels or by a straitness one while by Their Compression another time by their Obstruction made 5. We sufficiently mentiond the Plethora at the Vessels in Chap. 36. which may be seen there 6. The Veins are Prest to hinder the Reflux of Blood somtimes by hard Tumors near other-times by Bands about the parts straitly binding the Veins as well as Arteries 7. The Veins somtimes are obstructed by the Blood it self or Phlegm Coagulated and compacted in them other-times though seldom by a Stone bred in them and by degrees more encreasd 8. I would have the Hollow Substance of every part referd to the Veins through which I think with many that the Blood for the most part goes out of the Arteries into the Veins 9. The Blood is Coagulated both by the great Coldness of the Air or Water very much affecting the parts and by Medicins potently Astringent or Tart communicated to the Blood from without or within and Congealing it 10. Phlegm is Coagulated in the aforesaid Vessels by the same Causes most frequently by the Cold of the Air Water Drink or other things suddenly invading the Parts before warm either Externally or Internally and again there curdling and thickning the Phlegm specially Viscous by what Cause soever dissolvd especially in the small Gut and hence carri'd to the Blood and together with it driven forward every way 11. Phlegm in the small Gut is wont to be Loosend 1. By the hot Air of the Sun Fire Bath c. 2. By Food as also Medicins both Spiritous and Aromatic or abounding with a Volatil Salt 3. By a vehement Motion of Body whither Frictions and Coverings may be referd 4. By immoderat Anger 5. By prolongd Watchings 12. Where note how much the more causes do concur and are peccant in a greater excess so much the easier sooner and more plenteously the nam'd Phlegm is loos'd and transferd toward the Blood 13. The Blood standing and by little and little collected in its nam'd Vessels distends them more and more and so that somtimes they burst or any other way give it an Out-let whence there then happens an Effusion of Blood out of its Vessels whether it stick in the Substance of the adjacent Parts or be collected in a near Cavity of the Body or be wholly pourd out of the Body 14. The Blood Inclos'd as yet and standing in the Capillarie Vessels and perhaps in the middle sinuous substance of any of the Parts or Effus'd amâ—â—◠〈◊〉 mean plenty at least gatherd without those its wonted ways but opend and patent into any kind of porous and especially fleshy or membranous substance of their parts that are near or their spaces between presently of its own accord waxes hot and produces a troublesom Sense of Heat in a sensible part and being by degrees corrupted is wont to turn into Purulent Matter Whence the first Change is call'd an Inflammation as the latter and Abscess or Aposteme 15. I judge the Blood is kindled and breeds an Inflammation in as much as out of it being in Vessels very much distended or standing in any other Parts the Spiritous and more Volatil and Subtil parts that are wont to temper both the Acid and Salt Parts do afterward begin to vanish whence both being made Sharper do more sharply rise up one against another and stir up an Hot Effervescency because of the Oily Parts of the Blood present yea by degrees do so corrupt the Blood as to turn it into Matter different according to the variousness of the Blood corrupted 16. Blood Effus'd into some Cavity naturally void of Humors as of the Brest or Belly and there Collected and Corrupted into Matter constitutes a Suppuration 17. The same Blood Effus'd into the hollow Parts of the Body the Stomach Guts or Vrinary Bladder makes a various change because of the several Humors then mixt with it unless it be soon sent out of them 18. The Effusion of the same Blood out of the Body is call'd in general an Haemorrhagie although in particular this name is given to Blood bursting out at the Nostrils as the same when it flows out of the Vessels of the Fundament is call'd Haemorrhois and Blood distilling every Month out of Womens Wombs is known by the name of Monthly Courses and that which uses to be evacuated plenteously after Birth that way the Lochia 19. Where it is to be noted that there is no natural Efflux of Blood beside both newly mentiond proper to Women of which variously deprav'd we intend to speak at large if God permit in the Third Book of this Work For every other Haemorrhagie whether coming of its own accord or by chance or if it be procur'd by Art or whether it be hurtful or useful always happens beside the ordinary course of Nature seeing that
of the Pancreas may be suppli'd in perpetuating an Effervescency with Choler 10. I can easily admit that an Obstruction plac'd about the Orifice of the Passage of the Pancreas opening into the small Gut may be immediatly remov'd by reason of the commerce of an Acid Spirit with Phlegm by the mentiond Medicin taken in at the Mouth and carri'd to the small Gut without farther transmitting it through the Lacteal Veins the Passage of the Thorax the upper Hollow Vein the Right Ventricle of the Heart the Artery and Vein of the Lungs hence through the Left Ventricle of the Heart the Great Artery to the Pancreas whil'st this Phlegm is loosend and dissolvd by it piercing thither 11. The more sparing Motion of the Melancholic Juice risen from an Obstruction of the lesser Passages of the Pancreas may be restor'd by Remedies propos'd in the fore-cited 30th Chap. Sect. 132 c. as also in Chap. 50. Sect. 13 c. 12. A more speedy Motion of the Juice of the Pancreas made by reason of its Watriness and Volatility perhaps proceding either from Mineral Waters or Volatil Salts more abundantly taken may be allaid by abstaining from farther use of them and mean while using those things that may give it a greater consistency such as are sharp and tart things oft taken in a small quantity 13. To the Motion of the Juice of the Pancreas vitiated follows also the vitious Effervescency with Choler in the small Gut of which because we have on purpose treated in Chap. 11. of this Book what is spoken there may be transferd hither in part and so be red there CHAP. LV. Of the Separation of Urin in the Kindeys Deprav'd 1. AS the best part of Food and that which is useful to the Body is separated from the Food taken in and fermented in the Ventricle being fluid and of a milky colour and carri'd under the name of Chyle through the Lacteal Veins toward the Heart whil'st the unuseful and excrementitious parts go away by Stool keeping a thicker consistency so again the serous superfluous part is separated in the Kidneys out of the Chyle chang'd into Blood which whilst the principal part of Blood flows back to the rest of its Mass it distills through their capillar fleshy parts into its Funnel and is sent hence through the Ureters to the Urinar Bladder so nam'd from the mentiond Serous part then constituting Urin in which it is gatherd by little and little till it be afterward voided again 2. The Glandulous fleshy parts are observd to be shut up in the substance of the Kidneys and stretchd forward into membranous Pipes joind to its Funnel and having peculiar Passages appropriated to the dropping of Urin. 3. This Vrin because it is observd Salt even in those in whom the Serous Part of their Blood is found insipid any may suspect and not without cause that the Matter of Vrin undergoes some singular Change in the Kidneys while it is streind through the mentiond fleshy Parts although it seem to me at least very probable that the Blood as well as Chyle is prepar'd in the Heart in its Vital Effervescency for the Separation of the Urinar Serous Part and that the same is absolvd in the Kidneys although I have not hitherto attaind the reason of it however I think it happens after the manner of Precipitation 4. This Separation of Vrin is deprav'd 1. When there is None 2. When it is more Sparing 3. When more Plenteous 4. When by reason of both the Liquor and what is Containd in it it haps several ways vitious in Colour Odour Savour Thickness c. 5. There happens No Separation of Vrin in the Kidneys oft by the fault of the fleshy parts Obstructed or otherwise ill-affected seldom perhaps by fault of the Blood or its serous part to wit unfit for its Separation and that because of a more intire mixing of the Heterogeneal Parts 6. Those fleshy parts may be Obstructed by much and glutinous Phlegm any ways loosend in the small Gut and confusd with the Blood being afterward again coagulated in the Kidneys together vitiating their fleshy parts by an External Cold imprudently receivd and there severing from the Blood in part at least with the Urinar Serous Part and sticking in the fleshy parts and by degrees filling and obstructing their Passages 7. The Harm com'd to the fleshy parts by external Cold may perhaps be a straitning and binding of their spongie parts by reason of which the Phlegm dissolvd by the Serous Liquor flowing through may the easier stick and be stopt in them till at length filling their Passages it may hinder farther passage of Urin through them 8. The Heterogeneal parts of Blood are more intirely mixt and so the same becoms unfit for a Separation of its Serous part as oft as the Acidity of Lympha is more sharp so that the Vniversal Blood grows too much together its alone fluidness remaining 9. This Acidity of Lympha may become sharper both in the Conglobated Glandul's and in the Conglomerated Glandul's of the Pancreas by an external very sharp Cold or a great and unexpected Sorrow or Terror of Mind the notable abuse of Acid things and thus far very sharp first concurring and preceding 10. The Separation of Vrin becoms more Sparing by reason of the same but lighter Causes as a Loosness and chiefly Sweat plenteous 11. The Separation of Vrin becoms more plenteous by reason of Drink taken in and so accustomd which is always to be observd or by reason of the fleshy parts of the Kidneys if not too open according to its Chanels so at least constituted that they may separate more of a Serous Liquor from the Blood then ought as happens in a Diabetes or by reason of the Blood ill-affected for a Separation and sending away of the Serous part more abundant then is wont or because of wonted Sweats or a Serous Loosness suppresd 12. The Blood is ill-affected to a more plenteous dismissing of it self by the vital Effervescency after a certain manner vitiated by Volatil Salts and other Diuretics plenteously taken at any time whence the Blood is made not only more fluid but besides less thickned and less united according to its serous parts with the rest wherfore Urin departs both more easily and abundantly from it in the Kidneys 13. Vpon the account of the Liquor of Vrin it is observd vitiated 1. In its Colour when the same becoms Watry that is endued with a consistencie and watry colour which coms to pass by defect of its Salt and Choleric part making it more or less of a colour somwhat Yellow For that is to be noted that Urin consists of two parts both Watry and Salt which being joind together make the Liquor of Urin to have an Orange Colour and mean Consistency Whence after that much and especially piercing and therfore Diuretical Drink such as is Water but chiefly Mineral Waters thin and Diuretical Wine such-like Beer c. is
living Creature we will rather begin at the taking of Food baing vitiâ—aed and then handle the wayes how breathing is hurt where Food carried out of the right Ventricle of the Heart in and by the Lungs hath need thereof The First Book of the Practice of PHYSICK OF Diseases either constituting or producing or following the Natural Functions hurt CHAP. I. Of Thirst Deprav'd 1. WE therefore assign the first place among Natural Functions to Thirst because the first Natural Passion of Man newly borâ— is to Thirst and by sucking Milk out of the Breast asswages his Thirst 2. This Thirst is vitiated chiefly when it is either augmented or depraved for seldom is it lessened or taken away with loss to Man neither can we believe that Thirst or its Cause is truly taken away in certain raving People with driness of Mouth and burning heat of Body because they are insensible and do not observ it 3. I take Thirst augmented to be deduced for the most part from too sharp Choler carried down into the small Gut and there so raising an effervescency with the Juice of the Pancreas or Sweet-Breads flowing thither that thence are elevated Salt Vapors but not bitter to the Ventricle or Scomach and Gullet and there produce a sense of Drought 4. This Choler being too sharp or its Salt Vapors if they pierce through the Lacteal Vessels to the Heart the like may be said of the same Choler carried thither by its passage through the Liver and infect the Blood too much with its saltness nothing hinders but that the Spittle then should turn more or less salt or sharp which will less temper Thirst and rather augment it 5. Another cause also of Thirst augmented is a Salt Humor distilling from the Head to the Gullet and there producing a perceivance of Drought and Thirst and then either falling thence also down to the Venâ—â—icle or drawing forth Matter for Salt Vapours in the small Gut by which in like manner a greater Thirst is stirred up 6. Besides the now-reâ—ited Internal Causes more External Causes of augmented Thirst may â—â—â—carâ— And 1. indeed the Aer heated by the Fire or Sâ—â—â— â— Food salted or aromatically sharp and dry 7. In like manner the Exercise of Body and vehement motion do encrease Thirst and among the Passions of the Mind Anger chiefly or a great terror and also prolong'd Watches and the Body both too costive and too loose much Sweating Vrine voided plentifully a notable evacuation of Blood Milk or Seed c. 8. And in like manner as the Lixivial Salt either abounding or too sharp in Choler augmmâ—nts Thirst so the other parts in Choler being vitiated seem to deprave it which seeing it may be manifold both on the account of the manifold parts of which Choler is composed wherein every one may be faulty it is difficult exactly and distinctly to prosecute and accurately to describe every one of those Kinds and the causes of its depravedness 9. Add that both the Juice of the Panereas and Phlegm of the Guts can not a little deprave Thirst by waxing vitiously fervent with Choler by a vitiousness peculiar to it self 10. The Cause of depraved Thirst can be attributed to none particularly of the six non-natural Things so called yet to a vitious effect of more things concurring togâ—ther with them by us as yet not to be explain'd 11. Thirst augmented is Cured chiesly with watry Liquors which dilute the lixiviat Salt of Choler and deduce it to the Bladder and with sowr things which potently destroy and change its Acrimony and with Oily Liquors asswaging its sharpness as Milk and Emulsions prepar'd of oâ—ly Seeds 12. So Watry Acid or Sowr and oily â—â—quors may fitly be om dâ— and then they will effect more For Example sake take this following Form â„ž Barley-water â„¥ xxx Flowers of Râ—d Roses â„¥ ss Spicit of Vitrol what suffices to make a gratefu s we taste Let hese stand in warm Water of and for three hours or till the Water be reddish called Tincâ—ur of Râ—ses to which when strain'd add Syrup of Jâ—jubs â„¥ iii. M. and let it be a most grateful Julep 13. If any cannot take Acids let him use this following â„ž Barley-water â„¥ xx Cinamon-water â„¥ i. Syrup of Violets â„¥ ii ss Lapis Prunellae or Nitre â—urified by Solution and CoagulationÊ’ i. M. 14. The party thirsting may use either of these Juleps by spaces taking â—a moderate Draught thereof till Thirst be restrain'd 15. If a milky Emulsion do please better take this following Form â„ž Barlâ—y clearsâ—d and boiled till it burst â„¥ i. Sweet Almâ—nds cleansedÊ’ ii with Barlâ—y-water make an Emuâ—siâ—n to â„¥ xii adding Julep of Roses â„¥ i. M. 16. To make this Emulsion more grateful and to strâ—ngtheâ— the Sick and Wâ—â—k add sâ—me Cinaâ—â—â—-water or to discuss Wâ—â—â— a little Fenel-water and use it by turns 17. But where Rest cannot be obtain'd and is dâ—â—â—â—◠〈…〉 tâ—â—◠〈…〉 of White-Poppy Seâ—ds with the other things â—â—d make an Emulsiâ—â— of these so two things are done by one laâ—our 18. Sometimes to deceive Thirst especially where the Sick are not pleas'd with much Water some of the aforesaid Lapis Prunellae or Niter purified may be kept in the Mouth in which case also grateful Pellets of Sugar and Juice of Citrons or Barberies are proper 19. Mutton or Veal-Broth also asswage Thirst being boiled with much Water and without Salt 20. As often as a Salt Catarrh or the like Spittle is the cause of Thirst augmented so often administer such Physick for it as will temperate that saltness by Pills of Hounds-Tongue and such like and then if Salt serous Matter abound in the Blood purge it by Stool or Vrine of which hereafter 21. Depraved Thirst is cured by those things which correct the Constitution of Vitious Choler the Juice of the Pancreas and Phlegm in the Guts or of other Humours which because they are not now so manifest all universal Things which do amend any Humors what-ever may with profit be us'd and chiefly volatil oily Salts but somewhat moderate ones and indeed joyn'd to watry Liquors and by turns given in Wine not too strong CHAP. II. Of Hunger dâ—prav'd 1. HVnger is call'd the Appetite of Mâ—ats as Thirst is of Drinâ—s 2. The chief kinds of Hanger vitiated are when it is Augmented Diminish'd Abolish'd and many wayes Deprav'd 3. I judg the chief Cause of Natural Hunger to be the remainders of Food fermented in the Ventricle and there staying and still more and more fermented by part of the Spittle adhering to them being continually swallow'd down and at length raising a some-what sowr and grateful Vapour which pleasingly affects the upper Orifice of the Ventricle and so produces Hunger 4. This Natural Hunger especially where Food is with-held somwhat longer than ordinary is encreas'd even in healthy People by the Juice of the Pancreas carri'd down to the small Gut and after the separation and farther descending of Food
opprest may be strengthned and the over-Coagulation of Blood it self be diminisht and reduc'd to its natural state 64. The Abolishment of the same Bloody Effervescency where the necessary space for rarefying Blood is so employ'd that the Extinction of the Vital Fire is nigh endangerd by too many Vapors both in the Right Ventricle of the Heart and Vessels of the Lungs may 4. be Prevented by Dissipating the aforesaid Vapors already produc'd and Hindring their new breeding 65. The aforesaid Aromatic Oils and any but especially Oily Volatil Salts do dissipate and discuss Vapors always selecting those things which are prepar'd of the parts of Plants apt of themselvs to discuss Vapors and such-like things found out by Experience 66. A new production of Vapors may be hinderd by the same Aromatic Oils and Volatil Salts as also by any others that cut the Viscousness of the Phlegmatic Humors as Acids but chiefly by the Spirit of Nitre whose Power in curing this Disease is singular and stupendious 67. The same Abolishment of the Effervescency of Blood may be prevented 5. Where all the Vessels are fill'd with Blood in a Phlethoric and Athletic Habit by Diminishing the Abundance of Blood by a sufficient Letting it out with opening the Vein once or oftner as the matter requires and need urges 68. The same Abolishment of the wonted Vital Effervescency in the Blood may be Prevented 6. Where there is fear of a Suffocation by too potent a Fire arising in the Right Ventricle of the Heart rarefying the Blood too much in the most Burning Fevers by Tempering that Heat whencesoever arising and especially by Acids taken together with Drink and aforementiond in Sect. 60. farther by changing and correcting the hot Air for colder the close for more open the still for more blown the moist for drier 69. Because we think that our Vital Fire for the most part arises from Choler especially when it is too burning therefore being guided by Reason we judg that those Remedies are especially then to be us'd which most conduce to correct Choler such as also we have mentiond Experience Accompanying 70. The same Vital Effervescency ceasing for a longer or shorter Space both in the Syncope and Hypochondriac Suffocation may be Cur'd by the so often prov'd Aromatic Oils and any Volatil but especially Oily Salts always making variety of Mixtures together with choice of Simples according to the diversity of Symptoms Accompanying 71. For as where the above-nam'd Suffocation urgeth Castor and its Tincture extracted with rectifi'd Spirit of Wine and the Spirit of Salt Armoniac are deservedly preferrd before many others so where Cold much urgeth as well Externally as Internally in the Syncope or other Diseases like it I commend the Distilld Oil of Cloves before all others as yet found out by me which is not ungrateful nor do I disprove the Oil of Turpentine less grateful seeing that with the Oil of Vitriol it stirs up an Effervescency join'd with a great heat 72. For Example take this following Mixture ℞ Penyroyal-Waten ℥ ii Simple Treacle-Waterʒ vi Tincture of Castorʒ ii Distilld Oil of Mace of Amber of each three drops Syr. of Fenel ℥ ss M. Let this be Us'd in the Hypochondriac Suffocation taking it often by Spoonfuls 73. To this Mixture may be added Sp. of Salt Armoniac ℈ i. whence it will be much stronger or you may add 3 4 or 5 drops of it to every Spoonful or apply to the Nostrils a Glass with a narrow neck containing the aforesaid Spirit in the most grievous kind of this Disease for by its sharp smell the Sick for the most part are wont to be rais'd both from that Suffocation and from the Epilepsie 74. In fear of the Syncope or other lighter Swounings join'd with troublesom and formidable Cold prepare the Mixture following of Medicins commonly to be sold in the most Shops in like manner to be taken by Spoonfuls in short spaces ℞ Mint-Water ℥ ii Aq. Vitae Matthioli ℥ i. or Tincture of Cinamon ℥ ss Oil of Cloves 6 drops Syr. of Scurvy-grass ℥ i. M. 75. I commend the afore-nam'd Volatil Salts and Aromatic Oils not only because I am taught it by daily experience but because Reason perswades the same Reason I say drawn from the Analysis of those Salts and Oils and of Swounings and from the Efficient Cause of Hypochondriac Suffocation Viscous and Acid Phlegm or likewise Viscous and Sowr Vapors or Tart ones also put together For those Salts and Oils have power to dissolve and cut that which is Viscous and to temper and correct that which is Sowr and Tart and again to discuss and dissipate what is Vaporous and Windy 76. Where the Sick more like Dead than Alive cannot open his Mouth nor shut it much less duely swallow any thing then it will be commodious instead of the prescrib'd Mixtures to have 3 4 or more drops of the approv'd Aromatic Oils either Simple or more Compounded or only confus'd and a little shaken or by greater Art and daily Circulation more intimately joind with the rectifi'd Sp. of Wine pourd into the Mouth of the Sick to the Jaws by a Silver or Gold Funnel whereby they may pierce both into the Ventricle and Guts whence for the most part the Cause of so great an Evil is driven forward every where and into the Sharp Arterie of the Lungs unto the Blood it self sticking in the Vessels of the Lungs and every where correct and amend the urgent harm 77. Among the Antecedent Causes and Non-natural Things Sorrow of Mind may and ought to be prevented both by Philosophical and Theological Reasons defending the Mind in time against every trouble the Same now present and urging should be taken away and overcome with them although for the most part it is slowly and by little and little 78. The Mind also may be defended and prepar'd against the Fear to be expected and foreseen to bear stoutly any Adversity whence the Mind will then be less affected by the Terror given whose harms will again presently vanish as on the contrary a Timerous Mind will be smitten more potently and more grievously esteeming every contrary thing though the least for the most grievous being not fitted or us'd to bear or endure any thing 39. All are affected powerfully by an unexpected Terror though the Fearful and Sluggish more powerfully and longer The Stout and Wise lightlier and shorter for Reasons newly given 80. When the Vital Effervescency of Blood ceases by the pinching Coldness of Air or Water the Body of the Sick is not only to be carri'd into milder Air but not hot or the Parts affected to be remov'd out of chillish Water but moreover the Sense is to be stirrd up in the External Parts with stronger Frictions yea Medicins prepar'd of Aromatic Oils and Volatil Salts and especially such as also will move Sweats are to be given or pourd in at the Mouth whereby the Coldness and its Cause together with the Blood or Lympha
1. THe most do judg that Respiration was ordaind to temper the heat of Blood over-heated by the Effervescency newly describ'd in the Right Ventricle of the Heart because a more evident Heat is observd in the Universal Body and especially in the Heart of those living Creatures that have Lungs and therefore a double Ventricle in the Heart which that it is allayd and temperd by the Air Inspired is evident by inconveniences following the Air that is less fit to moderate it 2. As I do not deny that this is so I judg the Air inspired does chiefly conduce again to condense the Blood much rarefi d in the Right Ventricle of the Heart 3. But how or after what manner and way the Inspired Air alters the Blood to both these ends is not so manifest I think it is in as much as the Nitrous and somwhat Acid parts are disperst in the Air that are able to condense the hot and rarefi'd Blood and mildly lay its heat 4. I distinguish between the Somwhat-acid and Nitrous parts of the Air seeing that the more or less Acid is more simple and the Nitrous more compounded to wit of Acids but not any but such as are also Oily joind with a lixiviat Salt which the artificial that is Chymical Solution and Composition of Nitre makes manifest 5. That manifold parts flie in the Air not only Watry Fiery and Earthy but also Oily Spiritous Lixiviat and Acid Salts divers ways more or less mixt with all of these the many Experiments not unknown to sedulous Searchers of Chymical Changes do evince although most abstruse to Lazy Counterfeit Philosophers every-where and pratling Cavillers which somtimes if the Matter require we intend to publish for their sakes who are good and addicted to one Truth with many others out of our own Observations as yet unpublished by the blessing of God plenteous enough though our Adversaries snarle at it 6. This Tempering to be made in the Lungs no less useful than necessary by Air Inspired is Deprav'd either when there is None or too Little or somtimes too Much. 7. There is no Tempering of the Blood when very hot and quiet Air is the cause whence a Man often fals into a grievous Swouning or Death it self The Blood being highly rarefi'd and fluid and therefore overwhelming and suffocating its internal Fire for want of the newly mentiond Nitrous or Acid parts 8. The Blood is more sparingly temperd by the Air Inspired with the same Cause but lighter when the Sowr and Nitrous Parts are fewer or more sluggish at least fewer are suckt in by Inspiration than were desired to temper equally the present and urging heat and rarefaction of Blood 9. Fewer Parts of Acid or Nitrous Air are drawn in because of Inspiration it self hindred which is to be explaind in the next following Chapter 10. The Nitrous or Acid parts are too Few or Sluggish in the Air by very great Heat or Moisture in it a Sign whereof moreover if not also a Cause is usually a great Calm of Air. 11. The Oily parts of the Air rarefie potently but the Salt and Sowr are allayd and become too sluggish by the Beams of the Sun both Fiery and Spiritous the most frequent cause of the hot Air as being dissolvd by watry or rainy Moisture they are weakned whence no wonder if such being suckd in are less fit to temper the heat of the Blood 12. The use of Bellows so very useful in moderating the heat of the Air by a mild agitation evinceth the quiet Air to be less fit to temper the Blood than when it is but a little mov'd 13. As it is evident that Cold is produc'd by any Wind or by the motion of the Bellows from the Sense of Cold in the external parts receiving the Air so mov'd which I judg is partly by the discussion of the Fiery Parts collected about us the heat of the Air urging and therefore producing a greater heat in us partly by the bringing together and gathering of the Nitrous and Acid Parts first either broken or driven away every whither and remov'd from each other by the fiery Parts at least by more plenty and efficacy of those fiery less perceived by Sense 14. The Blood carrid through the Lungs is too much Temperd that is Condensd and Coold by the Air Inspir'd when the Nitrous or Acid parts abound in the Air by which often especially in the Winter-Season the North Wind blowing and in the Regions near the cold Zone and chiefly when the Universal Body was first too hot then Blood is so coagulated in the Lungs that it begets an Obstruction in its Vessels or middle windings of the Lungs whence follows always a Stoppage of Blood it self and somtimes a Bursting of the Vessels by their Distension and an Effusion of Blood together with a Peripneumonie encreasd by the Blood continually flowing to it and after the Aposteme is opend a Consumption of the Lungs call'd Phthisis and afterward for the most part Death 15. The Tempering of Blood in the Lungs Abolisht and Diminisht may be Cur'd by changing the very Hot Air with Cold whether Natural or Artificial For such Air Caves and Cellars under ground not seldom Nitrous are wont to contain Such do we make by Art by diluting Nitre or Salt Armoniac in Water and presently pouring it out on the Chamber-floor or by sprinkling sharp Vinegar alone or mixt in like manner with Water or in like manner casting sowrish Plants or their Leaves and Flowers in the Chambers by the help of all which we encrease Sowr and Nitrous Parts in the Air. 16. The great Calm of Air by the Winds quite laid is artificially to be stird by Bellows or any other way stirring up the Wind. 17. The moisture of Cloudy Air is corrected by making a clear fire with Wood. 18. The following Chapter will teach how Respiration hindred may be Cur'd 19. The too great Condensation and Cooling of Blood carri'd through the Lungs may be Cur'd by changing the over-sharp and cold Air for hotter and more calm and by kindling in a fit Chamber Fires great enough and by using Medicins that allay the Nitrous and Acid parts of Air admitted 20. How to Cure the other harms following this chill Air Inspir'd and before mention'd shall be shown beneath in Chap. 40. where expresly shall be handled of an Inflammation CHAP. XXII Of the Inspiration of Air Deprav'd 1. WE said in the former Chapter that the Air was both Inspir'd and also Expir'd mildly to condense and cool the Blood waxing hot out of the Right Ventricle of the Heart and driven forward through the Lungs to the Left Ventricle 2. This Inspiration of Air happens as often as at the expanding of the Midrif downward and elevating the Thorax upward the Lungs adjoind to both are together dilated as we judg we have proved it abundantly in many things in Our Eighth Physical Disputation 3. The same Inspiration of Air is Deprav'd 1. When
Asthma Incubus and Hypochondriac Suffocation joind with the Fear or Sense of Strangling To which we may add an Interrupted and Hindred Inspiration in the Hicket Sighing and pricking pains of the Pleurisie 22. In a simple Hard Breathing the Inspiration is wont to be little and also quick but in an Orthopnaea less quick and much greater and indeed with the Neck streight and stretcht forth as in an Asthma there is observd besides a more difficult Inspiration proceding with Labour a Wheazing or Snoaring in the Brest together with a Cough in which often somthing is spitted out often nothing with the Night-Mare to them only that sleep and especially on their Backs a Dream of weight pressing the Midrif and threatning a Suffocation is join'd whence Melancholic People are often wont to dote wonderful things to themselves of a certain or uncertain Person hated The Jaws are so streind in the Hypochondriac Suffocation depraving Inspiration more commonly befalling People awake than asleep that the Sick think themselves in danger of Strangulation 23. In an Hicket Inspiration is interrupted by uncertain and unequal Intervals by reason of the Convulsive Motion of the Midrif somtimes more othertimes less which suffers a continued though lesser Interruption joind with oftness whilst Sighs do urge as in a Pleurisie it is chiefly interrupted as often as the Feverish Heat urging more there is an endeavour of more Breath 24. Every Dyspnaea is stirrd up both for the most part by Wind or Vapors produc'd in the Small Gut by Phlegm rarefi'd by Choler and rising up partly through the Stomach and Gullet to the Mouth hence perhaps piercing farther into the Pipes of the Lungs with the inspired Air and partly being carrid plenteously through the Lacteal Veins and Passage of the Thorax to the upper Hollow Vein hence the Right Ventricle of the Heart lastly the Vessels of the Lungs and their spungie Substance it self stick there and so hindring their explication no less requisite than complication thence strangely and sorely vexing the Sick and somtimes by viscous Phlegm falling down out of the Head and seizing on the Pipes of the Lungs and producing a divers narrowness in them Whence according to the simplicity or complication of these Causes and so a greater or less harm sundry kinds of the Dyspnaea do arise and somtimes less other-times greater 25. In the Asthma and Orthopnaea for the most part both Causes concur although in the Asthma which is call'd Hidden Vapors or Wind only seems in my thoughts to molest and that the same do effect all in the Hard Breathing and Hypochondriac Strangulation whosoever attentivly examins and weighs all the Symptoms then befalling the Sick will easily acknowledg 26. We intend to give you the Breeding and Cure of the Hicket Sighs and the Pleurisie in the next and 40th Chapter 27. I. We have related somthing of the Cure of the Syncope and the most grievous kinds of Hypochondriac Suffocation in Chap. 19. Sect. 70 c. which may there be seen 28. The Inspiration of Air Abolisht the Brest and Midrif being deficient together in their Motion by the defect of the Animal Spirits in the most grievous Apoplexie is Incurable because any impediment cannot be soon enough taken away by which the rising of the Nerves is so comprest that Passage for the Animal Spirits through Them to the lower parts is deni'd 29. The Inspiration of Air Abolisht because the Sharp Arterie is much straitned may be estemed for Incurable unless the Blood Matter Phlegm or any other thing which fills it be soon expelld with strong Expiration or the Band that straitens it in its Strangulation be taken away 30. The same Inspiration Abolisht the Mouth and Nostrils being both stopt may be Cur'd by taking away forth-with the Causes stopping lest otherwise Death follow in a short while 31. So the Inspiration of Air Abolisht by an Obstruction of the Jaws and chiefly of the Throat may be Cur'd by speedily removing any Cause of an Obstruction either by drawing it out or by forcing it into the Gullet and hence to the Stomach 32. The same may be Cur'd there being an extreme Straitness of the Throat because of the Squinsie molesting by curing the Squinsie any way by letting of Blood in the Limbs to turn it away and under the Tongue to draw it forth and by Cataplasms and Gargarisms both of a potently Cutting Ripening Faculty and such-like 33. If the Inspiration of Air be Abolisht by the compression of the Throat by an Halter it may be Cur'd if the Halter be loosd or cut in time 34. II. The over-Frequent Inspiration of Air 1. Because of the encreasd Kindling and Rarefaction of Blood in the Heart may be Cur'd that Heat being allaid as well by Letting Blood as by temperat Acids or Salt Nitre either pure or after it has been fir'd by the help of Sulphur into the Salt or Stone call'd Prunellae 35. 2. The Inspiration of Air not sufficient and therefore ton Frequent arising by the hindred due explication of the Brest the Gristles being of a bony hardness and so inflexible cannot be Cur'd unless by softning the Gristles which what Medicins can perform is known as yet but to a few although there have been some who have even softned any Bones bow'd them variously and again have hardned them according to their pleasure which is admirable 36. The Cure of an Hindred and over-Frequent Inspiration because of the Pain of the Pleurisie follows the Cure of the Pleurisie to be had in the general Method of Curing any Inflammation of which see Chap. 40. 37. 3. The Inspiration of Air two Frequent and hindred following an Inflammation of the Midrif may be Cur'd that being cur'd according to the forecited general Method 38. The same Inspiration hindred because the Midrif is hindred in its expansion may be Cur'd in the Dropsie call'd Ascites by emptying Water out of the Cavity of the Belly any way when the Woman is with Child by sending out the Birth in the Tympanie when the Stomach or Guts are distended with Wind by thrusting them forth or by their own ceasing 39. 4. The Inspiration of Air not Sufficient and too frequent following the Substance of the Lungs either made too Fleshy and Solid or Wrinkled is by me esteem'd Incurable 40. The same caus'd by a Peripneumonie may be Cur'd it being Cur'd after the manner of other Inflammations 41. The same when to be ascrib'd to a mean straitness of the notable Branches of the Sharp Arterie may be Cur'd the Cause of that Straitness being taken away somtimes Internal filling its Branches more or less somtimes External and sticking in the substance of the Lungs and compressing them of which in general we must speak elsewhere 42. Here you may observe as often as the Sharp Arterie is stopt with Phlegm whether fluid or viscous or sharp or mild or with Blood clotterd or dissolvd or with Putresi'd Matter thick or thin or somtimes in those that are
Quick-Lime but only on Salt of Tartar Sp. of Salt Armoniac ℈ i. Oil of Anise vi drops Syr. of Fenel ℥ i. ss M. 70. If 5. this Fever be grievous with Bloody Purgings or at least joind with sharp Pain beside the newly mentiond Mixtures the Clyster prepar'd of Cows Milk Turpentine and the Yolk of an Egg such as that in Chap. 13. Sect. 51. may chiefly conduce being oft injected during the Disease 71. IV. A Salivary or Phlegmatic Synochal Fever may be Cur'd If 1. the Viscousness of Spittle and hence of Phlegm be Corrected and Amended by Medicins either Aromatical that is having an Oily Volatil Salt or temperd sowr things or both mixt together and that according to the various Constitution of the other Humors Choler and the Juice of the Pencreas Of which sort many are here and there and also in this Chapter propos'd together with convenient Forms to practice with successfully See Chap. 14. Sect. 45 c. 72. If 2. Flatulent Vapors bred by it raising both in the Stomach and Guts first a Distension and Inflation afterward an Irritation in the Heart an over-Frequent Pulse a Wheazing in the Lungs at length sleepiness in the Brain be Discussd and their new rising Hindred To this end Medicins mentiond in Chap. 14. Sect. 56 c. may conduce 73. If 3. the Appetite be dejected it should be Restor'd by the dulcifi'd * Vnless it be dulcifid it is too corrosive Sp. of Salt Elixir Proprietatis and such like temperd Acids mixt with ordinary Drink or with other Liquors and Mixtures to be us'd by Spoonfuls primarily convenient for the Distemper and if besides Deprav'd more or less it should be Corrected 74. The Cure of Synochal Fevers nam'd from grievous and very urgent Symptoms ought to be the same which we propos'd unless that then as always in other Cases there ought to be an exact and careful account had of those most grievous Symptoms 75. For all the Professors of Physic are deceivd and do no less injure their Students then Patients who think at least teach that any Diseases may be cur'd by Art when their grievous and therfore urging Symptoms are neglected all which they would have cease of their own accord when the primary Diseases are Cur'd seeing that we daily observe with great loss of Mortals by their stubborn obstinacy and negligence of these smattering and prating small Physicians the Sick are as oft sooner taken away by their grievous Symptoms then the Diseases cur'd alone are removd by their Medicins 76. Add that Medicins convenient to remove or diminish any Symptoms amend and together correct the depravations of Humors or solid Parts on which those Symptoms immediatly depend The Diseases therefore are together remov'd whilst the Symptoms are remov'd Neither do we doubt with some famous Physicians to refer the Depravations of Humors to the number of Diseases because the Parts containd are not less requir'd to the Compleatness of the whole Body and Functions then the Parts Containing 77. I. Therefore to a Dogmatical Cure of Burning Synochal Fevers Blood is forthwith to be Let out plenteously and frequently enough whereby that Great Heat may be diminisht or remov'd which is so much the more to be done if a Plethora that is abundance of Blood be present 78. Blood being Let as much as the Patients strength can commodiously bear while Choler is yet turgid and there is hope of carrying it down to the Guts and anon with success of carrying it out a mild Cholagogue such as is the Decoction noted in Sect. 43. may be safely given and that an hour after the opend Vein is tied by which if in a short while that is in two hours space they go not to Stool more therof ought to be taken till it purge which succeding Altering Medicins and such as allay Heat and Thirst are oft to be us'd of which we have spoken in Sect. 47. and elswhere 79. Neither doth it suffice to let Blood or purge Choler once but those Evacuations are oft to be iterated not neglecting Altering Medicins till by the diminisht feverish heat it appears that the Cause of this Fever is Diminisht or remov'd or overcom'd 80. II. If I have rightly conjectur'd when I suspected a Leipyrian to consist of a Choleric and Pancreatical Fever it may be Cur'd by using Medicins which correct the exceeding sowrness of the Juice of the Pancreas and abounding oiliness of Choler and concentrate any sowr thing and imbibe and contemper any Oily Liquor 81. They that do both these are Pearl Coral Crabs-Eys and all kinds of Shels chiefly those calcin'd Chalk c. if they be oft taken in a small quantity 82. Besides Medicins may be us'd that somtimes temper Cold more somtimes Heat as this or that doth more molest the Sick Such as are oft before mentiond more being to be prescrib'd in the next following Chapter 83. III. A Fever having the Tongue and Jaws colourd blackish red a dry Heat accompanying may be Cur'd if beside Universal Remedies convenient to that Fever enough burning and such as are to be sought from what is already said those be in special us'd which are observd to conduce to the Heat Driness and vitiated Colour of the parts of the Mouth 84. Gargarisms are chiefly mention'd prepar'd with Water or the Decoction of Plantane Lettice Night-shade Purslan Privet Strawberry-Leavs Prunel or Brunel which name they say was given it from that Disease because it is believd to be proper for it before all others Hony-suckle c. the sowr and tart Juices of Blackberies Barberies Sorrel Citron c. being somtimes added 85. Here also is commended among Chymical things Nitre prepar'd with Sulphur and therfore call'd Salt Prunella 86. Let this following be the Form of the best Gargarism ℞ Prunel Willow Strawberry-Leavs of each M. i. whole Barley 1 Pugil make a Decoction in pure Water dissolving in ℥ xii of what is straind Diamorωn ℥ i. Lapis Prunellaeʒ ss M. to be a Gargarism with which warm let the Sick oft wash and gargarize his Mouth 87. In this Disease also for the most part an Opening of the Ranine Veins under the Tongue conduceth and that as oft as they are observd to be tumid and manifest to us the Quinsie at hand or molesting For it is no new thing that the Quinsie should be coupled to this Fever 88. Pouderd Chalk made with Creme to the consistency of a Liniment will asswage dry and remove those filthy Scabs of the Lips being appli'd to them as also the white Ointment Camphorated in like manner us'd 89. IV. A Fever attended with a grievous and furious Raging may be Cur'd by giving beside what is before mentiond those things especially which will not only promote Sleep but powerfully and mildly temper a sharp choleric Humor and so asswage its over-sharp Effervescency with an Acid. 90. To this end Opium will conduce beyond any commonly known Medicine and any Opiat thence prepar'd Yet do I
tough enough mean-while Choler being very slow 98. II. Burning Fevers arise from Choler then Sharp and Oily and Plentiful the Juice of the Pancreas being less sharp and Phlegm but little and less tough 99. III. The Fevers call'd Epialae I judg to be two-fold Intermitting Fevers but both caus'd by the Juice of the Pancreas too sharp and Choler also sharp and so indeed that continually the Coldness of the one concur's with the Heat of the other and the new Fit of the first and Coldness return when the Heat of the latter begins to be augmented and molest the Sick 100. IV. I ascribe Thirsty Fevers to the over-sharp Salt in Choler which if much Oiliness also accompany Thirst is troublesom chiefly in Heat but if it be more gentle then even while Cold molests and its hurtful quality is more manifested at the meeting and vitious Effervescency of the Juice of the Pancreas forcing out after its feverish obstruction 101. V. I derive Hungry Fevers from the Juice of the Pancreas obtaining a more grateful Acidity but pâ—tent by its obstruction when it ascends to the Ventricle breeds both that cruel Hunger and somtimes Fainting and other Symptoms except Meat be given 202. VI. The Juice of the Pancreas breeds Heart-aking Fevers by getting a Corroding quality chiefly when Choler is also sharp and their concourse make a potent Effervescency whence exceding sharp Vapors rising to the upper Orifice of the Ventricle do sharply bite and gnaw it 203. VII Griping Fevers arise from the same Juice of the Pancreas both too sharp and too tart by its obstruction and putting forth its Acrimony one while into the Small other times into the Thick Guts With which if Viscous Phlegm and Choler at least moderatly Sharp do concur they raise Wind which distend the Belly together with the Guts and beget the Colic pain an importunate Companion of this Fever 104. VIII Swouning Fevers have their rise also from the Juice of the Pancreas but more Volatil then Sharp in Acidity by its obstruction Choler being little and slow then whence the same breaks forward without delay through the Lacteal Veins piercing towards the Heart not only all over and raising a cold Sweat but forthwith does so coagulate the Blood also that for a season it cannot be rarefi'd sensibly nor yet the Pulse observd till Choler get some strength when this hurtful Juice begins to cease and the Sick seems then to return from the Dead to Life 105. IX I attribute Strangling Fevers to Sowr Vapors of the Juice of the Pancreas growing more sowr by its obstruction stird up in its Effervescency with Choler and not only rising to the Ventricle and Throat but also to the Thoracic Passage by the Lacteal Veins to the Heart and Lungs and causing somtimes a Sense of Suffocation in the Gullet and a true Suffocation in the Lungs 106. X. I also ascribe Difficulty-Breathing Fevers to Vapors after the same manner but less Sowr of the Juice of the Pancreas less Sowr join'd to Viscous Phlegm in the Small Gut and so more Flatulent from which all the Symptoms reckoned Sect. 32. may be easily and only deduc'd and commodiously enough explain'd 107. XI Asthmatic Fevers have their rise in my Judgment from Viscous Phlegm found in the Small Gut which being dissolvd by the Juice of the Pancreas raise a Feverish Fit and being carri'd with it together to the Heart and Lungs and sticking there causes a Breathing with Snorting whil'st many or few Belches come forth by the same and make a more grievous or lighter longer or shorter Fit 108. XII Coughing Fevers are caus'd by Vapors most commonly seldom Wind and not so Viscous as Sharp partly to be ascrib'd to the Juice of the Pancreas partly to Phlegm in the Guts but sharper and more biting so often as they come to the Lungs and provoke and compel Them to cough continually 109. XIII Catarrhal Fevers arise from Humors in the Head gradually gatherd and dissolvd by the Cause of an Intermitting Fever carri'd thither and mov'd every way according to its Distillation and Defluxion 110. XIV Gouty Fevers are to be found in the Juice of the Pancreas so corrupted that it chiefly assaults with it Choler with which it does vitiously effervesce and raise the most grievous Pain or less Sharp rising against Viscous Phlegm and not sharp Choler is much dulld of the same and hinders the Motion of the part with a Phlegmatic Tumor rather then an Acute Pain Where it is to be noted that often daily or every other day the Feverish Fits which return do not afflict the Sick with a notable or troublesom Coldness or Heat but rather with a light Pain of the Head and moreover a Thirst the Pulse also being too Frequent and too little at first and then somwhat Greater whereby a New Fit is observed the Gouty Pains also being imbitterd after some hours and so that although they remit again in part either slower or quicker yet do they not wholly intermit but though the Feverish Fit be ended yet notwithstanding the grievous or more light Pains of the Joints still continue till at length they depart either of their own accord or by art 111. XV. The Symptoms that attend Distrastracting Fevers do prove the new Feverish Fit to arise from Choler chiefly sharp enough of it self and sharper by meeting with the Juice of the Pancreas 112. XVI All may see that Vomiting Fevers arise from the same Choler very Volatil and somtimes also sharp meeting with the Juice of the Pancreas and so much stird up by its consequent Vitious Effervescency and rising up to the Ventricle which the excretion of Choler somtimes Yellow othertimes greenish doth confirm 113. XVII Fevers with a Loosness are wholly to be assign'd to Choler also but less Volatil and more sharp and still made sharper by meeting with the Juice of the Pancreas which by gnawing the Guts having dissolvd the Phlegm therof do provoke them to thrust forward what is containd in them 114. XVIII I take Sweating Fevers to arise from the Juice of the Pancreas more Volatil then sharp and therfore rather dissolving then coagulating the Mass of Blood 115. XIX I am perswaded that Vrining Fevers arise from the same Cause but less Volatil seeing that not only the Matter of Sweat is the same with that of Urin but where Sweat is hindred by external Coldness there Urin is voided more plentifully 116. XX. I deduce Spitting Fevers from the same Juice of the Pancreas being so vitiated by its Obstruction that when it produces a Feverish Fit it is carri'd more plentifully to the Salivary Glandul's and so affords the Spittle more plenteous and fluid matter 117. From what has been said I suppose that the Causes of many other Intermitting Fevers with most grievous Pain of the Head and Teeth and other parts or any other notable Symptom may easily be unfolded by those which are Ingenious wherfore before we come to the Cure of all
All which ought to be dissolvd in convenient Liquors and often given to the Sick For Example out of parts of Plants only â„ž Mint Fenel Water of each â„¥ i. Scurvygrass Water Aqua Vitae of Matthiolus of each â„¥ ss Laudanum 2 grains Syr. of Mint â„¥ i. distild Oil of Cloves and Mace of each 2 drops M. 115. Let none wonder that in the propos'd Mixture to be taken often by Spoonfuls I add Laudanum seeing we have often before assorted that Opium hath an exceding power to hinder and mitigate the vitious Effervescency of Sharp Humors both in the small Gut and in the Heart and elswhere without which Effervescency hurtful and somwhat Acid Vapors and such as cause the Diseases which are now to be Cur'd are not wont to be raisd 116. Several things prepar'd and very efficacious of the parts of Living Creatures may be added to the foresaid Mixture or one like it as the Tincture of Castor the Salt Spirit of Salt Armoniac or Vrin the Volatil Salt and Oil of Blood Bones Horns Hoofs c. the Ods should be rectin'd and not ony be freed in part from the smatch of the Fire but moreover be made more piercing and more potent Which Rectification is commodiously done with Spirit of Wine Tartarizâ—'d 117. The newly mentiond Volatil Salts and Oils may be given in a Spoonful of any Liquor Water Wine Beer Broth c. 118. None but he who has tri'd will be easily perswaded of the wonderful efficacy of the aforesaid Medicins and their exceding power not only in preventing but moreover in diminishing and soon curing Swounings and the Syncope For these Remedi's may be us'd not only before the Fit or when it coms but when it molests by warily pouring in a little of them into the Mouth and by applying or anointing the Nostrils with them For their volatil force is every way disperst and piercing to the inmost parts is easily joind to its like that is Volatil Vapors and alters changes tempers and corrects them so that they cease not only to provoke or pull the Sensible parts or affect them with a sense of Coldness but chiefly too much to condens the Blood and so far to cloud Life and almost blot it out with their Acidity 119. Others also may be us'd when a Swouning or Syncope urges as is usual which may stir up any External Senses such as are Frictions of the External Parts Shoutings Application of Sharp Things about the Nostrils and Mouth of Vinegar Rhenish-Wine Cinamon-Water Aqua Vitae of Matthiolus the Apoplectic Antepileptic Treacle c. Waters Manifold Fuming as well moist as dry Vinegar alone or joind with Cinamon Cloves or others Amber Partridg-Fethers and such-like well enough known by the common People 120. When the Fit is ended either of its own accord or by Art the Strength both Animal and Vital for the most part prostrated is to be recreated by Spiritous as well as Aromatic Medicins For the Animal Strength is wont not a little to languish afterward whether or no because the Spirits are not bred in the Brain during the Fit yet are they restor'd forth forth with strong Wine or its Spirit sparingly us'd 121. And Aromatics use to repair the Vital Strength so call'd whether or no because they do more agree with Choler which is not a little broken and weakned both in the small Gut and in the Heart by Acid Vapors If therfore some Aromatics be joind with Wine or the Aromatic Spirit of Wine be us'd both Faculties being Debilitated may be helpt by one and the same Work For Example â„ž Betony-Water â„¥ ii Aqua Vitae of Matthiolus â„¥ i. Confection of AlkermesÊ’ i. Syr. of Burrage â„¥ i. M. to be us'd often by Spoonfuls CHAP. XXXV Of the Palpitation of the Heart 1. THe Palpitation of the Heart is deservedly referd to its Motion and Pulse deprav'd against Nature which I think is to be estem'd its Convulsiv Motion seeing it is indeed an inordinate forct and often also vehement Motion of the Heart For there is not always a notable vehemency whence the Palpitation of the Heart uses to differ much in degrees 2. This inordinate Motion of the Heart may be manifested by the Pulse of the Arteries in part and after a certain manner yet not plainly and fully whence there is need that for the most part the Hand should feel under the left Pap although in a vehement Palpitation of the Heart the same Motion may be seen as also heard often at a notable distance 3. For it happens somtimes that there is such a vehement Palpitation of the Heart and such a smiting of the Ribs that they are broken by it or driven forth in younger and more tender People and remain sticking out 4. There are also as we hinted before some degrees in the Palpitation of the Heart upon the account of its greater or less vehemency whence somtimes it will not be manifest unless you apply your hand to the Brest somtimes it is soon manifest to Seeing and also Hearing 5. I take the Cause of the Palpitation of the Heart to be whatsoever is apt to stir it up to the inordinat and somtimes also vehement Contraction of it self without intermission whether it be containd within the Ventricles of the Heart or in its Substance or it be without the Heart yet continually pulls bites or pricks it for a time or always Whence a certain Palpitation of the Heart is noted perpetually troubling the Sick another urging for the time and again urging or wholly departing 6. Whatsoever is effus'd out of the Veins and Eâ—â—lets into the Ventricles of the Heart and is again soon expeld by its Contraction into the Arteries becoms somtimes the Cause of a Greater or more Potent Pulse but not of Palpitation to produce which there is need that its Cause should stick to or in the Heart and continually provoke it to Contract it self which therfore will be both inordinat and unequal and besides together vehement 7. Now having examind and weighed those things which I have both observd in the Sick troubled with a Palpitation of the Heart and also seen noted of other Physicians I judg this Palpitation of the Heart for the most part arises from Humors or Wind very Viscous and together Sharp carri'd to the Ventricles of the Heart and sticking in them and continually provoking the Heart to an inordinat and unequal Contraction of it self 8. These Humors and Wind may be more frequently carri'd out of the small Gut to the Heart whether they be driven forward of their own accord being mov'd by their vitious Effervescency or being stird up are carri'd by a more stird Motion of Body especially in their ascending a steep place or a grievous Passion of Mind Anger Fear Sorrow or Joy or be in like manner constraind or urg'd by an External Cause as the Heat or sharp coldness of Air by sweet or sowr Food by a potent and that somtimes sweet other times
divers manners chang'd and vitiated 17. In an extreme Pining beside the Hippocratical Face consisting in the Temples fall'n the hollowness of the Eyes the Nostrils sharp the Chops giving out and the Mouth gaping the Ribs in the Brest stands out and the Gristle call'd Ensiformis is seen crooked the Sholder blade and Collar bones appear like Bows the spine of the Back shows it self the Belly appears fall'n and contracted the Buttocs are lank or consum'd the Legs Arms Feet and Hands with Fingers are beheld dry and Swellings about the Joints seem to stand out the Nails are crookt the Hair falls off and the Skin becoms limber wrinkled swart and dry mean while the Veins swell out being conspicuous and wan every where and the Universal Body is observ'd in some almost transparent and pellucid 18. All Physicians testifie whom Experience favours that a Pining especially after it has continu'd for some time is hard to Cure and oft-times Incurable although the most think that it is not hard to cure in the beginning so that it be known 19. Pining may be Cur'd 1. by Repairing the Vniversal or Particular Defect of Blood and by using the best Food in a moderat quantity and by removing or amending every Cause of that Defect of which we have spoken or will elswhere 20. 2. The same Pining may be Cur'd by Correcting any kind of Fault in the Blood and by Removing from it every vitious Humor mixt with it by those that Evacuate most convenient for every one Vomits Purges by Stool and especially Diuretics or Sudorifics and moreover Salivating Medicins of which we have spoken elswhere whence they may be selected which are most profitable here 21. The Correction of Blood alterd and vitiated several ways may be vari'd according to the variety of their faultiness by using Medicins most fit for every Fault unless you have at hand Vniversal Correctors such as are made most efficacious of Minerals and Metals and other things less determinat to the parts of Living Creatures and therfore the best and in special of Antimony Gold Iron Vitriol Coral Pearl c. whence the Tinctures and Sulphurs c. to be made of these above-said are not undeservedly mentiond and commended 22. The same Pining may be Cur'd 3. by Repairing the harm of the Parts to be nourisht com'd by a mischance of which thing we intend to speak professedly in the Chirurgical part of Physic CHAP. XXXVIII Of an over-Fleshy and Fat Constitution of the Body 1. WE said in the former Chapter that Nourishment was too much notably both in the Fleshy Excrescency of the Muscles and in Fatness whence the whole Body is observd greater which is not equally when the Substance of the Bowels or Glandul's increase to too great a bulk by reason of which there are Tumors only thought to be every where produc'd 2. The Musculous Habit of the Body becoms more Fleshy by much and laudable Blood the Motion of Body and moderat Exercise concurring the Life void of anxious Cares a moderat or more prolongd Sleep a large taking in of Food of much Juice and easie to ferment 3. The Body becoms over-Fat in Habit and Superficies as within by Blood too Fat to produce which the healthy Constitution of the Body conduces yet an Acid Juice concurring plenteous enough but mild and temperd as Choler over-sparing and not very sharp the Motion of the Body little Life also without corroding Cares Sleep pleasant and too long continual and much taking in of fat Food 4. The Body is seldom loaden with much or too much Flesh but commonly with Fat 5. Too great an Encrease of the Musculous Flesh may be Cur'd 1. by speedily Diminishing Blood with opening a Vein 2. By Exercising the Body much and longer then is wonted to a Weariness notable enough 3. By Employing and Vexing the Mind with grievous and solicitous Cares 4. By Encreasing Wakings and by lessening Sleep 5. By Using more sparingly Food of much and the best Juice or in their stead taking those that less nourish or are more difficultly fermented 6. The same Fatness of Body may be Cur'd 1. By Using often and plenteously any sharp Sauces both Sowr and Aromatic that is salt or bitter which as well make the Glandulous Liquors more Acid as Choler more bitter and sharp Such are Vinegar Juice of Citrons Spirit of Salt c. Pepper Cloves Cinamon Mace Ginger Cresses Rocket Mustard â—ny Radish and chiefly Horse-Radish c. 2. By Moving the Body much 3. By vexing the Mind with Cares 4. By daily lessening Sleep 5. Wholly abstaining from Oily and Fat Food for so by little and little the superfluous Fat will not only be consum'd but its new encreasing hindred CHAP. XXXIX Of a Cachexie and in special Anasarca and Leucophlegmatia 1. THe Nourishment of the Body peccant in quality may and is wont to be call'd a Cachexie in which the Native Skin and especially Colour of the Face languisheth and is chang'd pale and somtimes yellow or livid and very wan as in some swart red or somwhat redish together with little Pimples rising up commonly in the Nose and Cheeks of several sorts 2. In the most kinds of a Cachexie a Dyspnaea concur's which is more encreas'd when the Body is mov'd especially over-much and in ascending an high place And then most usually a Palpitation of the Heart and a Pulsation of the Arteries about the Throat and Temples manifest to Sight is produc'd Commonly there is a Weariness of the Vniversal Body and Thighs especially Often a pressing and vexing pain of the Heart urges which uses to be encreasd after Food taken in Yea for the most part there is a lingring Fever and that either Continual or Intermitting or Compounded of both Vrin coms away often Crude or Watry seldom Thick or Troubled unless they be troubled or chang'd by another Disease accompanying or an External Cause At length the Universal Body waxes Lean and Pines in some as in others the same Swels and is Turgid And an Anasarca comes by a Serous Humor as a Leucophlegmatia by a Phlegmatic and more viscous Humor and an Ascites from both at least the former when the Belly with the Thighs only is troubled 3. A Cachexie spares none nor People of any Age although most frequently it siezes on Women because of their Monthly Courses Staying too long and hindred or any way Supprest it is also often enough wont to accompany the Hypochondriac Disease and its notable kind the Scurvy 4. The Cause of every Cachexie is the Blood endued with a vitious quality because of which although the parts of the Body be a little and for some time nourisht yet are they not nourisht as is requir'd but their nourishment is deprav'd several ways according to the variety of the quality peccant whence also more kinds of a Cachexie are observd to be distinguisht both according to the diversity of Heat chang'd and especially of the Symptoms conjoind 5. The Quality
of Blood is faulty both by the Natural Humors concurring to the Constitution of the Blood in the Heart but having a vitious quality and by the Non-Natural Things so call'd vitiating some of the nam'd Humors and Blood it self and so corrupting them that an ill Nourishment of the Body follows 6. The Natural Humors that are wont to be confus'd with the Blood and hitherto known are Choler and Lympha of the Conglobated Glandul's and the other Parts of the Body as also Spittle and the Juice of the Pancreas joind together with Choler in the Small Gut and compounding a singular Liquor to be mixt with Lympha and so the Animal Spirits returnd any way to the Blood all which I scarce think that any verst though but a little in the Art of Physic and addicted to the Truth can deny to be affected with a vitious quality and to communicate it self with the Blood 7. We have noted several Depravations of these before and shall yet relate more whence they may be requir'd that make hither 8. As several Depravations of Humors are somtimes by degrees insensibly produc'd in the Body so the same are somtimes bred suddenly and sensibly by the Non-Natural Things or others to be noted with the name of Poison peccant in a notable excess and very much troubling or corrupting all things in the Body 9. The Depravations most frequent and manifest are Acrimony both Acid and Salt-like Pickle and somtimes a Lixivial Salt and too much Viscousness or Fluidity the Causes of which and manner of breeding we have often propos'd and explaind before whither we remit the Studious Reader lest being too oft spoken it be tedious to the Nice 10. The reason of the mentiond Symptoms will easily be known to any that thinks oft and weighs that as oft as the Blood whence-soever hath been made Vitious and producing a Cachexie so often all the nam'd Humors seeing they arise from the Blood are also bred faulty whence likewise not only both the Appetite of Food is deprav'd but moreover their Fermentation wherfore Anxieties about the Midrif and a pressing Pain of the Heart follow as well before as after its being taken in 11. But when part or the whole Mass of Food ill Fermented is driven forward through the small Gut the Juice of the Pancreas and Choler which are confus'd with it being alike vitious do not only corrupt the expected Separation of useful and unuseful parts but also here happens a vitious Effervescency of these Humors yea often manifold Vapors or Wind being raisd out of that vitious Mixture do not only encrease the fore-describ'd Anxiety but carri'd to the Heart do breed its Palpitation and carri'd to the Lungs make a difficult Breathing and driven every way breed the noted Weariness 12. From the same Vitiousness of all the Humors a Continual and Slow Fever depends in as much as they raise a vitious Effervescency in the Right Ventricle of the Heart among many other Symptoms they likewise make the Pulse more Frequent then is wont and so preternatural 13. And seeing the Sick through unquietness often lay their Bodies bare that were coverd with Cloaths it easily happens that Phlegm being carri'd through the Vessels of the Pancreas is coagulated there and breeds an Obstruction by which the Juice standing still may be the Cause of a manifold Intermitting Fever and it will be sooner and easier if the Body run down with Sweat and the Pores of the Skin are open or the Air be colder and sharper 14. Vrin comes away Crude and less Colourd or Thick because of the Humors mentiond over-sharp incorporating with the Blood or Watry abounding which diminish the desired Effervescency so that the Separation much less Excretion of the Excrementitous Parts to be voided together with Urin being requir'd and useful doth not follow And as then all the Parts are ill Nourisht so the Skin of the Face expos'd to the Air and Sight before all others gives signs of its harm by Heat according to the variety of several Humors most peccant 15. When the Acrimony of the Humors concurs then is it manifested internally with Pains or externally with Pimples 17. When the vitious Humors abound together in Plenty then several kinds of the Dropsie at length succede if not the Universal Body grows Lean by degrees 18. The Cachexie which in special happens to Women because of their Monthy Courses flowing less commodiously or in due season God willing we intend to give the Reason and Generation therof in the Third Chapter of the Third Book 19. From wâ—at has been said here and elswhere the pâ—â—â—â—ction of every Hypochondriac and Scorbutic Cachâ—â—ie may â—â—sily be deduc'd by a Judicious and 〈◊〉 â—â—â—us Physician â—â— And that we may pass on to the Cure of the 〈…〉 kâ—ow that if any where then for certain 〈◊〉 his Gâ—lden Precept is to be observd accuratly propos'd in the following Distich Principiis obsta sero Medicina paratur Cum mala per longas invaluere moras Resist beginnings late is Physic us'd When the Disease delaid is deep infus'd For unless the Cachexie be helpt in time it becoms oft by degrees so stubborn and rebellious that it can be cur'd only late or never Therfore are the Sick and their Parents or Kindred or Friends to be admonisht by their ordinary Physicians though unaskt so soon as the â—â—gns of a Cachexie beginning manifest themselves in the Colour of the Face chang'd that that Evil as it is in the Proverb be not neglected in the Blade seeing that it is soon wont to take deep root and hard to be rooted out which afterward cannot be overcome unless by an Herculean Labour 21. The Cure of every Cachexie will consist in the Correction and Amendment of the Blood any way vitious Where the kind of the Vitiâ—usness and true Canse is to be observd whether it be one or manifold 22. As therfore this or that Humor is primarily and most peccant after this or that manner and depending on this or that Error committed in the Non-natural Things hath vitiated the Blood and produc'd a Cachexie so are the Medicins to be selected which may mildly and by degrees alter and reduce both the noted Humor and the Blood it self to their natural constitution or if they cannot be clearly and wholly amended yet do they empty out by dâ—grees the same at least corrected after a certain manner mean while not neglecting the Non-natural Things or others producing or cherishing these Evils which unless they be corrected or shund the happy wisht for Cure and laudable Success of what is to be done will be expected in vain 23. You have often told you before by what Medicins and Forms the mentiond Corrections and Emptyings of several Humors may and ought to be perfected where they may be seen 24. We must therfore persevere a while in the Vse of convenient Medicins and especially when the Cachexie has continu'd for a space and fixâ— its growth which
it consentaneous to Reason that they are so as he admonishes 12. Which things so observd being suppos'd or granted the Separation of Choler may be expected in the mentiond Glandulous Kernels as the same most Ingenious Man very probably thinks that all Purifying and Separation of the Juice whether Excrementitious or Vseful out of the Mass of Blood is had in the Glandules only 13. And although according to the Experiments of that Illustrious Malpighius admitted I seem at least in part to change the Place and Manner of the Separation or Generation of Choler hitherto believd and assign'd by me and the Manner whereby I judg'd Choler was mov'd yet I see not that the Vse of Choler which I esteem the chief thing to perfect a Body of Physic and whereat I aim is refuted 14. For although his Experiments being suppos'd Choler be separated in the Glandulous Kernels of the Liver and some part of it be carri'd streight way through the Hepatic Passages of Choler toward their Trunc to that of the Guts and another part through the Roots of the Bag to its Cavity and thence through the Cystic Passage to that same of the Guts and the Gut it self yet doth it not follow thence 1. that nothing of the same Choler passes out of the same Kernels to the least Branches of the Hollow Vein implanted also in the Kernels 2. That none of the same Choler carri'd through the noted Hepatic Passages of Choler passes into the Branches of the Port Vein closly conj ind to them For it is neither provâ—d hitherto by Him nor any other as I know of that Choler is separated out of the Venal and not Arterial Blood It is indeed said but not prov'd by Him or any else that the Port Vein doth supply the Office as an Artery which being Hepatic is not wanting but appearing 15. Before I procede to the Motion of Choler I have one thing to admonish of its Rising even according to the Experiments of the mentiond Malpighius that it is to be determind two-fold the one single of Choler receiv'd out of the Glandulous Kernels through the least Branches of the Biliar Hepatic Passage and driven forward streight way toward the greater Trunc the other double of Choler admitted through the Roots of its Bag out of the same Glandulous Kernels and anon carri'd to the Bag it self and staying â—here a while and getting if not a new then at least a farther change before it be poured out through the Cystic Passage Whence perhaps as is set down in Sect. 8. the Choler receivd out of the Passage of Choler alone is more pale fluid and less bitter then that which is gatherd in its Bag. 16. None ever deni'd that Choler is mov'd to the small Gut seeing it may easily be cleard by evident experiments but many deny that it is carri'd upward through the Liver and the Branches of the Hollow Vein to its Trunc and so with the Blood to the Heart as for me I do not doubt now to assert being mov'd with two Arguments especially least I should be too long wherof one argues Motion through the Hepatic Passage of Choler to be possible the other that it is necessary 17. None can deny that Choler may be carri'd through the Hepatic Passage to the Heart that knows there is an open way for it through this Passage and hence through the Hollow Vein which the Experiment made by me and others describ'd in my Sixth Physical Dispute Sect. 51. proves which is by thrusting in a Pipe and then blowing Wind into the mentiond Passage out of which Wind is observd by degrees to have pierc'd to the Trunc of the Vena Cava and the Right Ventricle of the Heart and so to the Lungs themselvs seeing all those parts are puffd up by that Wind. 18. The Jaundice demonstrates Choler to be necessarily carri'd out of the Liver toward the Heart not only out of its Glandulous Kernels but also out of its Bag through the Passage of the Liver whether it be ascrib'd to the Passage into the Guts Obstructed as is the common Opinion of Physicians or be caus'd by the Spiritousness of the Vniversal Choler and especially that of the Cystica encrest that is elaborated in its Bag according to Sect. 15. which I judg to be most consentaneous to Truth for Reasons oft to be propos'd in Chap. 46. 19. As therfore in the Jaundice in the preternatural state of Man either all or at least the most of Choler is manifestly carri'd toward the Blood so in a mean Health and a natural State of Man we must wholly conclude that much of it is carri'd thither especially seeing not one solid and binding reason against this Motion is hitherto offerd by any as far as I know 20. Now these things of the Rising and Motion of Choler being chang'd after a certain manner according to Experience the Use assignd to it by Me remaining still let us see how many and what ways every one uses to be deprav'd the Separation or Generation of Choler may be deprav'd 1. When it is more or less Deficient 2. When too Much. 3. When bred variously with a Vitious Quality 21. 1. The breeding of new Choler is more or less Deficient both by the fault of Blood and of the Glandulous Kernels 22. This coms to pass by fault of the Blood as oft as the useful and necessary parts that are requir'd in it to repair and restore Choler are intangled and detaind in it and so hinder its Separation 23. All Aromatics especially those that are bitter and Volatil Salts chiefly those that are Oily do conduce to repair Choler 24. The Contraries to Choler are Acids and especially Tart as also Viscous and Earthy things hindring its Separation 25. The Blood becoms so 1. by cloudy and cold and so North Air. 2. By viscous and tart Food 3. By much and deep Sleep 4. By sorrow and terror of Mind 5. By too much rest of Body 6. By a more Costive and somtimes loose Body 26. Choler may be Deficient by the fault of the Glandulous Kernels as oft as they are less apt to promote its Separation although it is not yet evident what kind of ones are requir'd to that end 27. I have at least observd this that Medicins rendring the Blood fit for the Separation of any Humor do likewise render the Parts in and from which all Separations come apt to finish the same Separation whence I conclude that there is such an affinity between the Parts and Humors to be Separated in them that the Blood and Parts appropriated to that Office are helpt or hurt by the same thing From which affinity I hope it will come to pass that the Nature of every Part serving to every Function or Separation will somtime be found out by any call'd to it 28. II. The Separation of Choler out of the Blood is Encreasd in like manner somtimes by the fault of Blood other-times of the Glandulous Kernels 29. It
against me will be laid to sleep those Men that may hap to read it will assent to its Truth But as for the Four Champions I say no more than this I shall let their Names die with themselves Two of them are gone already the third I hear is often buried in Ale at a place called The Hole in the Wall and the Fourth hath asked me pardon before Company confessing that he was set on by the Brotherhood of the Confederacy Nor was this All but the Design was followed up and down by slandering that I used dangerous Medicins in regard I had in that Book magnifiâ—d the good Effects of Remedies Chymically prepared and their safety if well made and their force above all other in Curation of the most pertinacious deplorable Diseases of which I have lived to see the World for the most part so abundantly convinced that the more ingenious sort of Mankind have concluded that he who is not well-skill'd in the use of those Remedies is not worth the name of a Physician Insomuch that the wiser Sort of the Opposite Party when some years ago they saw the great Men of the Kingdom disposed and had set their hands to an Instrument for erecting a new Society of Physicians upon the Chymical account they judged it their only Plea to be made use of to divert that hopeful and most necessary Intent to alledge in defence of their Diana that Themselves were Chymists and used Chymical Remedies as much as others arguing thence that it was needless to set up any other Society beside their own Whereupon we may take notice that being then in a fright their allegation implies they were glad to confess the usefulness of that Way which their Predecessors were wont in the time of my Youth when I first came to Practice exceedingly to decry and noted with a black Coal all those that used such Medicins not sparing even the Learned and most Meritorious Men of the Faculty such as Sir Theodore de Mayerne who was Martyr'd once before for a Quack by the Colledge of Paris and here also in England I have known some would then allow him no better a Title to whom I may add that most worthy Man old Doctor Rugeley and might name divers of like worth who did no other than what Greg. Horstius Sennertus Riverius and all Men truly Learned and Wise have done and do that is join the Chymick and Galenick Matter of Medicin both together in their Practice as they see occasion require But as for the Doctrine of Galen and his Way of enquiring into the Vertues of Plants and Animals merely by ponderation and preponderation of First and Second Qualities 't is vain in comparison of the more excellent way which is the examining of their Natures by the Principles and Operations of the Chymists in which number though I be the least of a thousand yet I have a purpose to publish some Essays of my own to discover what may be done by more able Men towards an advancement of Knowledg in the Powers of Plants in the forementiond way for though I have as I said been vilely calumniated yet I think no Man hath at all times made more constant use of Animals and Vegetables in his Practice than I have done as my Bills at the Apothecaries will shew Some years ago there was a more ready Opportunity to scandalise me when my Matter of Medicine being prepared in my own House was kept private to my self and so my Adversaries might maliciously say of it what they would Therefore as soon as I found the Company of Apothecaries had erected a Laboratory at their Hall for supply of their Shops with Medicins of all sorts of the Chymical Preparation so that a Man might be sure upon the Publick Stock and Credit of the Company to be served with them faithfully prepared my Heart rose with pleasure to congratulate them in an Undertaking so necessary for the Kingdom it being the Main Matter wherein their Trade was deficient because what Chymick Medicins were used before to make up the Physicians Prescript were for the most part bought of private Operators of whom we could have no Considence for due Preparation in comparison of what in reason we ought now to have seeing the Security is grounded upon the Reputation of a Worthy Company of this Honourable City who cannot well be supposed to prevaricate for Profit seeing what is done this way is by Common Consent which being well managed will conduce much more to Profit Reputation and Interest to each particular Man in his Shop through the satisfaction which will arise to every Patient by the benefit which is like to answer the expectation of each Family from those Medicins rightly prepared And so from the time that I observed this being to form divers Treatises for Publick View I have cased my self of the Toil I had taken upon me and wholly referred Patients with Bills to receive Medicins dispensed by the Apothecaries Hands And if I have any thing of worth that is my own Peculiar or that I have learnt by rolling about to observe all sorts of Practitioners I freely contribute it in the open way of Practice daily to stop the mouths of lazy proud and malicious Men the greatest part of which are in plain Terms ignorant even of Literature or but Smatterers in it though stiff Pretenders till they hap to be sifted by a compleat Man of Letters So farewel Octob. 13. 1674. Marchamont Nedham An Index of the Chapters Comprehending all the Diseases of this Book Chap. 1. OF Thirst deprav'd Page 3 Chap. 2. Of Hunger deprav'd Page 7 Chap. 3. Of Loathing Victuals Page 19 Chap. 4. Of the taking in of Food hindred Page 22 Chap. 5. Of swallowing Food hindred Page 24 Chap. 6. Of the Retention of Food in the Stomach hindred Page 25 Chap. 7. Of the Fermentation of Food in the Ventricle hindred Page 28 Chap. 8. Of the Expulsion of Food to the Guts deprav'd Page 40 Chap. 9. Of Loathing Belching and Vomiting Page 44 Chap. 10. Of the Separation of Chyle from the Excrements deprav'd Page 50 Chap. 11. Of the Vitious Effervescency of Choler and the Juice of the Pancreas together with Phlegm continually raisd in the small Gut Page 58 Chap. 12. Of the Propulsion and Expulsion through the Guts of what is containd in them deprav'd and in particular of a Costiv Body Page 65 Chap. 13. Of a Loosness Page 67 Chap. 14. Of various Pains of the Guts Page 78 Chap. 15. Of the Vomiting of what is containd in the Guts and namely of the Disease Cholera and Ileos Page 93 Chap. 16. Of the Straining Chyle through the fleshy Crust of the Guts deprav'd Page 105 Chap. 17. Of the Motion of Chyle through the Lacteal or Milkie Veins deprav'd and the Dropsie Ascites oft following it Page 106 Chap. 18. Of the Sanguification of Chyle in the right Ventricle of the Heart deprav'd Page 110 Chap. 19. Of the Continual and Vital
and more or less temperd in them by the Air Inspir'd 4. The Nourishment of the Lungs is Deprav'd 1. When it is Diminisht or Abolisht and they pine more or less 2. When it is Ill-nourisht and the Lungs get a Substance and Consistency harder or more compact than is naturally or on the contrary softer or more flaccid or also unequal c. For 3. I scarce think and that very seldom that the Nourishment of the Lungs may be Encreasd if we speak properly as long as their Substance is laudable 5. The Lungs Pine more or less somtimes in both sides somtimes in either and in this or that Lobe by the fault of either It self or the Blood or Matter 6. By the fault of the Blood when it is Purulent especially in a Pleurisie tending to an Aposteme and communicating its Matter to the Lungs either immediatly or by means of the Blood whence Leanness not only of the Lungs but of the Universal Body is wont to follow 7. Leanness may hap by fault of the Lungs when by an External or Internal Cause they become unfit to assimilate to themselves the Blood duly flowing in which I have oft observd happens Internally by an Vleer Externally by a Suppuration in both places by Matter Corrupting not only the Blood of what sort soever carri'd to them but also the very Substance of Them so that they cannot longer be nourisht by any Blood 8. In the Year 1662. we found in the Academic Hâ—spital the Right Lung wrinkled wan and Lank and in my judgment Consum'd in a Watry Suppuration of the right side consisting of Matter and Serous Liquor Whitish collected together which evil I thought was to be ascrib'd to the Purulent Water about it 9. In Tisical People for certain the Lungs are not only corrupted and therefore also moreover pine but besides the Vniversal Body consumes because of Blood in like manner corrupted by Matter adjoind and by â—egrees so corrupting all the Parts that they become â—nfit to perfect natural Nourishment 10. The Nourishment of the Lungs is Deprav'd â—y either or both kinds of Blood vitious at least having Vitious Humors mixt with it whence seldom the Lungs only but also the other parts of the Body â—re together affected and ill-nourisht 11. To these Causes depending sometimes on Choâ—er somtimes on the Juice of the Pancreas somtimes on Spittle somtimes on the Liquor rising from this Ternarie somtimes on Chyle somtimes on Lympha â—ny way vitiated somtimes on Serous Liquor not seâ—arated in the Kidneys but remaining in the Blood contrary to Nature and if there be more things which may and are wont to vitiat the Blood is ascribd the rising of Tubercl's oft observd here and there in the Lungs and the change of their soft and spongie Substance into a Fleshy Tumorous and harder and more solid many ways than is wont or otherwise declining from their Natural Consistency 12. The Nourishment of the Lungs is to be believd Encreasd when they keep their natural consistency and manner of substance and yet grow out too much and do so fill the Cavity of the Brest that thereby Inspiration is rather hindred than made difficult An Example whereof I have several times had in Dissection after Death 13. I judg the Cause of this encreasd Nourishment of the Lungs to be partly Their best Constitution partly the Vse of Food most apt to nourish the Lungs and perhaps the Lungs taken out of younger Living Creatures 14. The Signs of all these kinds of deprav'd Nourishment of the Lungs may be sought out of other Functions together Deprav'd and 1. The Sign of it more or less Deficient must be enquir'd after from Respiration variously deprav'd together with some kind at least of Leanness of the rest of the Body coming upon it and especially after a Suppuration or Vlcer bred in the Lungs and so a Tisic 15. II. The Ill Nourishment of the Lungs may partly be known by Respiration Deprav'd partly by any kind of a Cachexie of the rest of the Body whose diversity will manifest one only Humor or together with others peccant 16. III. Respiration hindred without an evident Cause there being a laudable Constitution of the rest of the Body will signifie the Nourishment of the Lungs Encreasd 17. By such Conjectures I think several Kinds hitherto noted by few of Deprav'd Nourishment of the Lungs may be distinguisht and manifest from one another 18. The Nourishment of the Lungs Deficient because of Purulent Blood or Matter it self in a Pleurisie or other Inflammations degenerating into an Aposteme carri'd to them any way may be Cur'd partly by conveniently Curing the foresaid Diseases partly by freeing the Blood from Matter partly by taking out of the Lungs the entred harm by Matter 19. We will propose the Doctrine and Cure of a Pleurisie and other Inflammations in Chap. 40. 20. Any Antimonial Medicins will free the Blood from Matter perhaps before all others whether they be Diaphoretic or Purgers and Vomiters which I have often observd even in a Tisic and an inveterat great Ulcer of the Lungs have brought away a good quantity of Matter by Stool and Urine so that then for many days no Matter was cast forth by a Cough And that there had been a great Ulcer in the Lungs and moreover manifold the Dissection I made of the Body after Death did manifest 21. The Harm ascrib'd to Matter may be taken out of the Lungs whether it be a deep Vlcer or only a superficiary Exulceration both by Vulnerary Decoctions so call'd and also by any Balsam of Sulphur and especially that of Anise-Oil more grateful 22. Let this or one like it be a form of an accomodated Vulnerary Decoction for the Lungs in this Case which â„ž The Root of Licorish slic'd â„¥ i. of Aristolochie â„¥ ss The Leaves of Speedwel Seabious Saracens-Comfrey Ladies-Mantle Winter-Green of each Man i. Raisins of the Sun ston'd â„¥ iv Boil them in Barley-Water in â„¥ xxx of what is Straind dissolve Syr. of Hyssop of Oak of Jerusalem of each â„¥ i. M. Let the Sick drink â„¥ i. or ii of this Decoction oft in a day to which one Drop of the mentiond Balsam of Sulphur may be added or us'd apart in another grateful Liquor twice or thrice daily 23. I still account the Balsam prepar'd in like manner of the truly Sulphureous and Infameable Flowers of Antimony to be the more excellent whose great Vertues I have oft experienc'd 24. The Harm of the Lungs that follows a Suppuration may be Cur'd either by carrying Matter out of the Cavity of the Brest by a Paracenthesis made in the Brest or by emptying it out by Stool or Vomit which I remember was some years since done by a Chirurgion and Empiric living in the Country by a singular Decoction by the help whereof though the Sick being grievously affected in his Brest and by degrees pining was esteem'd incurable by several Physicians and famous Chirurgions yet was he cur'd