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A62094 A new idea of the practice of physic written by that famous Franciscus De Le Boe ... the first book, of the diseases either constituting, producing, or following the natural functions of man not in health : wherein is containd ... a vindication of the spleen and mother translated faithfully by Richard Gower ...; Praxeos medicae idea nova. Liber 1. English Le Boƫ, Frans de, 1614-1672.; R. G. (Richard Gower); Nedham, Marchamont, 1620-1678. 1675 (1675) Wing S6338; ESTC R21520 308,539 559

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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 Lacte●l Veins as often as it is Dissolv'd by the Motion of the Body or vehement Exercise or Heat of the Air w●●● 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 manif●ld M●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 ℞ Parsley-Water ℥ ii Fenel simple Treacle-Water of each ℥ i. Sp. of Salt Armoniac 20 drops Syr. of Carduus Benedictus ℥ i. M. Or ℞ Fematory-Water ℥ iii. Scurvy-grass Water Aqua Vitae of Matthiolus of each ℥ i. distill'd Vinegar ℥ ss Crabs-Eyes pouder'd ʒ ss Salt of Wormwood Diaphoretic Antimonie of each ℥ i. Syr. of the five Roots ℥ 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 B●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
〈◊〉 〈…〉 We have often prescrib'd in this Treatis●● and ●●pecially in Chap. 9. Sect. 23 c. those thing● 〈◊〉 Amend and Discuss Vapors and Wind. 〈…〉 Solid Reasons compose the Mind troubled 〈…〉 and di●arbing all the Humors in the Body 〈◊〉 ●o the Sick Min●● 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 stir●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 M●ti●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
All which ought to be dissolvd in convenient Liquors and often given to the Sick For Example out of parts of Plants only ℞ Mint Fenel Water of each ℥ i. Scurvygrass Water Aqua Vitae of Matthiolus of each ℥ ss Laudanum 2 grains Syr. of Mint ℥ 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 Tartariz●'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 ℞ Betony-Water ℥ ii Aqua Vitae of Matthiolus ℥ i. Confection of Alkermesʒ i. Syr. of Burrage ℥ 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 E●●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
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
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
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
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 th●● R●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 L●qu●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 n●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 so●●●in● 6. 〈◊〉 although it be not always but 〈…〉 taken in driven to the Heart I say if all t●●● be requir●d to make a laudable Pulse as every on● 〈◊〉 be both present and rightly disppo'd but i● 〈…〉 re●f th●s● be wanting wholly or in part or 〈◊〉 th●re in t●●rger ●lo●ty or come thither endow'd with a ●ra●g●●●●l●ity or others go together also not r●quir'd and therfore necessarily hurtful without d●●●● there will b● some wrong to the Pulse beside the sp●●●ng of the ●●●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 s●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
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-nam●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
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
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
Body 4. By prolong'd Wakings 5. By grievous and persevering Cares and Solicitudes of Mind 6. By a Phlegmatic Diarrhaea or any other preternatural Defluxion or Flux of a Phlegmatic Humor in a Distillation of Rheum Cough Dropsie c. 47. V. On the contrary the same Effervescency proceeds over-slowly by reason of the abundance of Viscous Phlegm especially in the Blood and some kind of sluggishness of Choler and Lympha following it 48. We related the Causes of over-Viscous Phlegm in Chap. 2. Sect. 7 and 9. 49. VI. The self-same Effervescency is Deprav'd and becoms Vitious several ways when it is observ'd either Vnequal somtimes Greater again presently Lesser one while too Quick presently over-slow or is Inordinate and again ceases a little or is interrupted again presently repetes and becoms more Potent no order being observ'd as it happens somtimes in several kinds of Hypochondriac Suffocation in which the Pulse is felt somtimes weak rare little comprest yea somtimes none at all again it is perceiv'd strong frequent great or wonderfully troubled with a notable Palpitation of the Heart 50. The Cause of this Unequal Effervescency is the Unequal Quantity of Choler or Lympha or the Liquor arising from the foremention'd three-fold prevailence in the Guts or of other Humors that as yet perhaps are wont to be mixt with the Blood and not as yet enough perceiv'd by any join'd to either Blood 51. For where More of Choler enters into the Heart with the Ascending Blood the Effervescency will be Greater and Quicker whence also a Greater and more Frequent Pulse where on the contrary Less of it comes there will be a Lesser and also Slower Effervescency rais'd and also the Pulse Lesser and more Rare 52. But where more of Lympha shall come with the Descending Blood to the Heart there will procede a Less and Slower Effervescency together with a Less and more Rare Pulse contrarily where Less of it shall flow out there will be a Greater and Quicker Effervescency produc'd and a Greater and more Frequent Pulse 53. When the Nature and Strength of the Liquor rising out of the Three-fold Humors that Flow together to the Small Gut shall be more clearly discern'd by us we can more solidly and certainly determine of the Harms that follow their vitious Constitution Which also is to be understood of other Humors if as we suspect there may yet be more which are mixt either immediately or mediatly with the Blood flowing back to the Heart 54. We therefore note this here that so we may stir up others to search the Truth with us that as yet lies hid to Physicians in many things intending to rejoice and congratulate as we have done to others already their greater felicity perhaps in searching out the same thing before us and always to return due thanks to God the Giver of all Good for the benefit bestowed on Man-kind by any not intending to envy any ones pains diligence invention and other things thereto appertaining or to blame with Reproaches after the manner of certain sluggish lazy Men and ill-employing their leisure 55. We judg the Cause of the Inordinate Effervescency of Blood to be the Vnequal Flowing to the Heart not only either of Choler or Lympha c. only or together but of both or of more Whence there is a greater Confusion and Disturbance in it one while with a notable Palpitation of the Heart presently with its Motion and Pulse taken away to Sense in the Hypochondriac Suffocation so often observable 56. Although the Palpitation of the Heart and grievous Swouning arises somtimes from Humors carri'd with the Blood to the Heart producing a vitious Effervescency yet we think that it is oftner produc'd by Sharp Vapors elevated from the Small Gut because of a vitious Effervescency there also rais'd and then carri'd to the upper Orifice of the Ventricle and Gullet and also to the Heart through the Lacteal Veins and Passage of the Thorax disturbing the Effervescency of the Blood and irritating the Heart 57. I. Seeing the Effervescency of Blood wholly Abolisht is Incurable diligent heed must be taken that it as often as may should be Shund and Prevented in time which will be 1. where the Defect of Choler is to be feard by the Disease Cholera after the hurtful Effervescency of Choler then raging and it s too great Effusion into the Guts is ally'd of which see Chap. 15. Sect. 26 29 and 34. by Repairing and Renewing Choler by the use of any Sharp and Oily Aromatics as the Distill'd Oils of the Leaves and Flowers of Rosmary Majoran c. of the Seeds of Anise Fenel Carua c. of the Rinds of Citron Oranges c. of Cinamon Nutmegs Mace Cloves c. 58. These Aromatic Oils if they be united artificially with the Spirit of Wine are call'd by some Balsams or Elixirs of Life whereof one or two drops being given in a convenient Liquor especially Wine do restore the Vital Strength Languishing for the defect of Choler and seem to snatch those out of the Jaws of Death that otherwise were dying do somtimes raise again those that were esteem'd for dead 59. Hither also do appertain all Volatil Salts though they that are Oily are more effectual than the rest and therefore to be preferd 60. The Abolisht Effervescency of Blood may be Prevented 2. Where there is fear thereof both in the Pest and also in Malign Feavers by reason of the High Volatility and Acrimony of Choler then peccant by Fixing and Coagulating and Tempering it by very Tart Acids Verjuice crude Alum Acacia or in place thereof the thickned Juice of Hypocistis or Wild Plums c. Among Chymical things the Spirit of Nitre Salt Vitriol Sulphur Alum and such-like are deservedly approv'd and commended especially often distill'd and made more mild with the rectifi'd Spirit of Wine 61. By all these Choler will not only be corrected but the diminisht consistency of the Blood will be restor'd and the sluggishness of the Lympha also amended and so the Vital Effervescency of Blood for diverse Causes almost Abolisht will be preserv'd and restor'd 62. The same Abolishment of Blood vitally Effervescent in the Right Ventricle of the Heart where by reason of too much Acidity of Lympha there is fear lest the Vital Fire be opprest and suffocated together with Choler at least the Blood too much coagulated by it cannot conveniently be rarefi'd may 3. be prevented by Correcting and Breaking the faulty Acidity of Lympha by the foremention'd Oily Volatil Salts and Aromatic Oils as well pure as farther elaborated into the foremention'd Balsams of Life Which seeing they hitherto conduce may deservedly be us'd almost in all danger of Life that happens without great heat manifest both to the External Senses and lying hid in Malign Fevers and especially burning and vexing the Midrif 63. Not only the excedeing Acidity of Lympha may be diminish'd by the same Oily Volatil Salts but Choler also prest and almost
and the farther ●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 thri●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 ℞ Hyssop Fenel-Water of each ℥ i. Matthiolus his Aqua Vitaeʒ ii Distilld Vinegar ℥ ss Crabs-Eyesʒ ss Diaphoretic Antimony ℈ i. Syr. of Maiden-Hair ℥ 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 ●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 ̄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
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 ●●r I seare● 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 extrem● that Drowsiness of the Parts according to Motion may be prevented or also overcomd by a veh●ment agitation of the Body which could not be if Drowsiness had sei●d on the Spirits which b●ing mo●●ble and subject to the Government of the ●●ad the Museles may the easier be freed from Drowsiness by their more plenteous afflux to them 〈◊〉 is w●nt 17. A Great Pulse follows an ample and full Rare●●● 〈…〉 the S●●tness of the Arteries concur●●●● 18. A 〈◊〉 Pulse happens both by a small Rar●●● 〈…〉 and by the Hardness of the Arterie 〈…〉 cannot be much displaid 〈…〉 ●●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 Bl●nd wh●● 〈◊〉 Gre●● Pulse is conjoind there to O●● Fr●que●● h●re On● Little or any thing else oft pulling the Heart 〈◊〉 Co●tract it s●lf 20. Lastly A ●●●re Pulse haps by a small and slow Rarefaction o● Blood 21. The ●●●nty of Animal Spirits follows a due Vse of Fo●d abounding with a Volatil Spirit and their Fermentation in the Stom●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 ●o these fore mentiond as is manifest by treating of the nam'd Functions Depr●v'd 22. The Blood Rarefies much when it is laudable ●nd a potent Fire is stird up in the Heart when the ●ffervescency is which yet when it is too Great ●●e Blood Rarefies more than enough and thereupon ●●l as is wont to be in Burning Fevers 23. The Blood Rarefies less or Little when it is ●●ess fit to rarefie and more fluid or viscous then is usu●●l or a more Sparing Fire is stird up in the Heart ●nd not enough to rarefie the Blood suffi●i●ntly 24. The Natural Hardness of the Arteries is to be scrib'd to the Thickness of their Coats as the Prae●ernatural is commonly wont to be ascrib'd to the In●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 C●●●ract it Self both by and Sharp thing carri'd together with the Blood to it be it a Sowr or a Lixivia● 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 t● wit containd in its Pericardium that corrodes and p●i●ks it So we found a Salt and Sharp Humor thr●● years agoe in the Pericardium by which as well the● 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 th● Fire more sparingly breaking forth in the conflux 〈◊〉 both Bloods or from Both concurring together Fo● it can scarce ever be that Choler or Lympha shoul● be very sharp the Universal Blood being for somtime too Viscous unless in regard of Diet and esp●cially of Food somtimes holer more Sharp somtimes Lympha and the Juice of the Pancreas m●●● Sowr somtimes Spittle and Phlegm be bred m●● Vis●●us which easily haps when Men use Food 〈◊〉 many so●ts apt to breed one while one another ti●● another ill Humor and moreover use now hot an● cold Air and besides are immoderat in the Moti● of their B●dy and Mind c. 28. How the menti●nd kinds of a deprav'd Pul●● ought to be Help'd is not difficult to conclude 〈◊〉 what is propos'd here and there 29. So the other Differences and
Consumption of several parts 37. But wherin that Vnfitness of the Blood to nourish consists whether it be bred of one sort only or manifold in several Men those things that hitherto are communicated to me or observd by me are not sufficient whence I may give the solution of this Doubt 38. And now having offerd the most Differences of Synochals both according to their various Causes and the more noted and grievous Symptoms accompanying them the next thing is that at length we subjoin to their Causes a Method of Curing every one of them agreeing both with Reason and Experience and therfore Dogmatical 39. I. Therfore a Synochal Choleric Fever may be Cur'd 1. By Correcting the Salt Sharpness of Choler chiefly by more temperd Acids the dulcifi'd Spirit of Salt c. 2. By Amending the Inflameable Oiliness of Choler by somwhat harsh Acids Sempervive the greater Plantane c. 3. By ●●iminishing Choler if it be observd never so little to abound which is usual by Cholagogues but more mild and a little sowr or joind with Acids the Creme or Crystals of Tartar Salt of Tartar Vitriolated c. and that soon in the beginning or after that by the help of Altering Medicins Choler being over-intirely joind with the Blood begins to be again separated from the same and made fit to be totally voided which is chiefly to be expected from Acids oft mention'd but more mild or artificially temperd 40. Among Compound Medicins for correcting the salt sharpness of Choler the following Decoction oft to be us'd in a day in a small quantity and warm may conduce ℞ The Root and Leavs of Sorrel M. ii The Leavs of Strawberries Violets of each M. i. Boil them in Barley-Water adding to ℥ xx of what is straind Syr. of the Juice of Citrons ℥ iii. Sp. of Salt dulcifi'd ℈ ss M. 41. To Amend the Oily Inflameableness of Choler the following Decoction may be prescrib'd in like manner to be us'd ℞ Plantane Root ℥ i. The Leavs of Sempervive the greater Purlan of each M. i. Boil them in pure Water adding to ℥ xx of what is Streind Syr. of Purslan ℥ iii. Oil of Sulphur prepar'd Per Campanam what suffices for a grateful Acidity M. 42. To separate Choler again from the Blood be●ng over-intirely mixt with it the following Decoction may conduce being us'd after the same manner as the former ℞ The Root of Dandeleon with its Leavs M. ii The Herb of Fumitory M. i. Boil them in pure Water adding to ℥ xx of what is Straind simple Syr. of Succory ℥ iii. Salt of Tartar Vitriolatedʒ i. M. 43. Lastly To diminish or empty out Choler Loosned from the Blood by the preceding Decoction or a Medicin like to it and dispos'd to be voided out gradually and mildly together with the rest abounding or turgid in its Bag the following Decoction to be taken twice or thrice a day warm to ℥ iii. or iv may serve beside others both single and compounded oft noted before ℞ Succory-Root ℥ ii Endive-Leavs M. ii Damask-Rose-flowers M. i. Creme of Tartar or Crude Tartar ʒ ii Boil them in a glaz'd Earthen Vessel in pure Water adding to ℥ xx of what is straind Syr. of Succorie with Rhubarb ℥ iii. M. 44. Yet because of the Cure of Fevers arising from Choler any way peccant it suffices not to direct their Cure to Choler it self Their Cause whereby a Fever will neither be encreasd nor fed but farther we should attend to all the Symptoms accompanying these Choleric Fevers and to all Changes therefore happening to both Bodies as well the Containing as Containd more things are to be us'd for their intire and perfect Cure 45. Wherfore by reason of an Exceding Heat stird up and of the Pulse encreasd in Greatness following a greater Rarefaction of Blood by the Fire encreasd in the Heart least the Vessels at length being by degrees more and more distended should burst or be opend any other way or over-Vital Fire be suffocated because of the hindred motion of Blood in the Heart or elswhere by its over-rarefaction filling its Vessels a Place is to be prepar'd for it by letting a sufficient quantity of Blood out at a Vein opend in the Arm Hand Foot or elswhere 46. And by this letting out Blood because it appears by daily experience that the heat of Blood is not a little diminisht thus far also an opening a Vein is to be ●●●●●nd whether that troublesom Heat be temperd 〈◊〉 of sharp and fat Vapors more plenteously ●●us'd together with the Blood or it happen by any other Cause that may diversly be feignd according to any Bodies prejudice 47. Thirst then very importunate may be allayd by degrees by the Decoction prescrib'd in Sect. 40 41. or the Tincture of Roses describ'd in Sect. 20. of the preceding Chapter or the following Julap or any like it oft taking a little of it which I prefer before much Drink drunk at once because every sudden change is deservedly judg'd by Hippocrates hurtful to Nature and therfore dangerous ℞ Barley-Water ℥ xx Syr. of Purslan ℥ ii of the Juice of Citrons ℥ i. Spirit of Salt dulcifi'dʒ ss M. 48. The thick Juice extracted out of certain Seeds by the help of any Water and the Mucilage such as we draw out of the Seeds of Quinces Flea-wort c. with Rose-Water or any other that is convenient will asswage the troublesomly Dry or also ●●ven Tongue Some of this should be kept for a sp●●● in the Mouth and again spit out which should 〈◊〉 be repeted 49. The same may be obtaind if the Leavs of Sempervive the Greater have their out Rind p●●ld off and put into pure or Rose-Water hence oft laid upon the Tongue and be ever and anon renu'd 50. Pure Water will do the same if a little of it be kept in the Mouth and again spit out after gargling and oft repeted Instead also of pure Water a Decoction of Turneps or a mild Emulsion such as follows may be us'd ℞ Cleansd Barley boil'd till it crack ℥ ii With its Decoction make an Emulsion of ℥ xv adding Julap of Roses or simple Syr. of Violets ℥ i. M. 51. To this end also the Yolk of an Egg beaten and mixt with ℥ iii iv or v. of Rose-Water or any other grateful to the Sick and a little Sugar may in like manner be us'd a spoonful of it at a time being taken into the Mouth and afterward either swallowd or again spit out 52. II. A Glandular Synochal Lymphatic Fever may be Cur'd if 1. soon in the beginning whilst Shivering yet continues the following Mixture be taken by spoonfuls in short intervals ℞ Parsley-Water ℥ i. ss Fenel simple Treacle-Water of eachʒ vi Syr. of Fenel ℥ i. Sp. of Salt dulcifi'd ℈ i. M. For by the help of this the Shivering will not only be diminisht but moreover the sowr sharpness of Lympha temperd and the Heat that would afterward follow will at least in part
the Jaws through the Arteries together with the Blood I altogether think the Arthritics are to be distinguisht from the Catarrhals As often as I had opportunity to observ very exactly the Rise and Progress of the Gout by my Patients faithful narration even so oft I have minded that it has risen together with a Continual or Intermitting Fever Whence the Gout was not a little augmented by the return of the new Fits of the Intermitting Fever till it was either chang'd into a Continual Fever or ceased of its own accord or was Cur'd by Art the Pains of the Joints persevering nevertheless 37. XV. As Continual so Intermitting Fevers are oft attended with Mad and Raving Fevers call'd by the Dutch Rasende Koortsen from their Raving seldom indeed during Cold but oft when Heat does follow the Head-ach and Pulsing of the Temples and then ceasing by degrees with the Fit again and that after Sleep either pleasant or troublesom with wakings 38. XVI The Emetic or Vomiting Intermitting Fevers are so call'd from the Vomiting that somtimes continually other-times by intervals are very troublesom either when the Cold begins or in its continuance or in the appearance or encrease of Heat so much the more grievous that the Sick are not thereby eased but more griev'd Whence that Vomiting is deservedly judg'd Symptomatical and not Critical 39. XVII So Intermitting Fevers also are observ●d from a great and frequent Purging and somtimes also with Gripes much troubling and weakening the Sick at divers times of their Continuance therefore to be call'd Emptying or Cleansing Fevers 40. XVIII The Fits of most Intermitting Fevers use not only to end with a Sweat good for the Sick and therfore then to be esteem'd Critical but oft for the most part of the Fit a great Sweat hurtful to the Sick and therefore Symptomatical most commonly hot seldom cold Breaths out of the whole Body or a particular part as the Head Breast Abdomen or Lims which makes the Sweating Fevers Such also are Continual Fevers observd to be that are known by the Name of The English Sweat 41. XIX But Intermitting Fevers are also observd with almost a continual Urining and that Symptomatical weakening the Sick not Critical and easing them which therfore may fitly be call'd Vretic Fevers 42. XX. Lastly that I may put an end to these partly new names Intermitting Fevers are observd to be accompanied with a grievous and troublesom Spitting and therfore to be nam'd Spitting Fevers 43. Without doubt there are yet many more Kinds and Differences of Intermitting Fevers to be nam'd from their grievous and molesting Symptoms but let it suffice to have mentiond the most notable ones which I being much hurried could call to Mind 44. If any ask me the Causes of Intermitting Fevers differing so many ways among themselvs I answer That one cause makes an Intermitting Fever as Intermitting and another makes it of this or that Kind in as much as it returns in this or that day or is accompanied with these or other grievous Symptoms 45. If any where certainly in assigning the true Cause of all and every Intermitting Fever the great difference of Doctors of Physic is observd lastly mine also perhaps varies not a little from the Opinion of the rest I now intend more deeply to enquire more accuratly to examin and explain more exquisitly then ever I did before all this hard and intricat business chiefly upon their account who never heard or are like to hear me publicly or ever have hall or may have conference with me about this Matter Which I will do as much as I may for my Concerns and Distractions daily encreasing rather then decreasing and therfore perpetually withdrawing my Mind from an attentive Meditation wholly requisite here my privat Auditory tarrying for the same and the Printer daily urging 46. There is therfore requir'd to produce an Intermitting Fever that is which returning somtimes in certain other-times uncertain now in shorter othertimes in longer Intervals and indeed after a total Cessation and that also somtimes longer othertimes shorter by new Fits longer and shorter likewise both on the account of Cold and Heat which seeing it is not in the Blood otherwise it would be a Continual Fever is mixt with it and carri'd to the Right Ventricle of the Heart and truly 1. From such a part of the Body which should communicate it self by its Vessels with the Heart either immediatly or mediatly For here we suppose as our Foundation the Circular Motion of Blood both prov'd abundantly by others and Us also elswhere 47. 2. From such a part and by such Vessels in which it may by an External Cause consisting almost in the Non-natural Things so be infected and afflicted that it may be suddenly stopt in some part in its Motion and that for some time and hindred now longer other-whiles shorter lest it should constantly come to the Heart 48. 3. It should be such a thing as either for its stopping alone and standing still in its Place or Vessels of its own accord or for any other Internal Cause concurring to be nam'd or demonstrated should acquire such a vitiation from which where after that an open passage to the Heart is restor'd to it by what way soever either alone or joind to others also to be determind all the Symptoms though never so divers and observable in the manifold Kinds of Intermitting Fevers describ'd may commodiously be deduc'd and confirmd by a rational and certain Cure For We command all Hearty and Worthy Students of Physic the Queen of Arts once and always to bid farewel to the Commentations and vain Fictions contrary to the Practice of Physic 49. 4. It should be such an Impediment which for a time may bind up such an Humor stopt before and after it has got an Out-let by what cause soever at last it should return to its former Nature and therfore should likewise stop the like Humor to the former so long in the same place till the same as the former pour'd out by away prepar'd after what manner soever should produce a new Fit and that should be so long continu'd by course til at length unless the sick perish first either of its own accord or by chance or by art the noted Impediment should be corrected or taken away and the Intermitting Fever be Cur'd by the same 50. If therfore we should attentively consider that all the Humors of the Body of Man for we leave the oeconomy of Brutes to Ferriers to be weighed and explaind are prepar'd in their proper Places or be kept there and after that be carri'd through their Vessels to the Right Ventricle of the Heart we shall observe that beside the Blood returning to the Heart by the Veins from all the Containing Parts 1. Choler mixes as well immediatly by its Passage through the Liver with the Blood Ascending as mediatly with the Blood Descending through its Passage to the Gut in the Guts the Lacteal Veins and
the Lymphatic Passage of the Brest 2. The Lympha mixes it self immediatly with the Blood Descending by its Lymphatic Vessels and their Trunk 3. The Juice of the Pancreas is only mediatly mixt with the same Blood Descending through its proper Passage the Guts the Lacteal Veins and Passage of the Brest 4. Lastly The Spittle in like manner mediatly only mixes with the Blood Descending through its Passages the Mouth Throat Ventricle Guts Lacteal Veins and Passage of the Brest and together with it is drawn forward to the Right Ventricle of the Heart 51. Beside which four Humors seeing hitherto none are known to be carri'd to the Right Ventricle of the Heart of necessity we must judg the Cause of Intermitting Fevers as Intermitting to be deduc'd from One or More of them since all may see that the Blood when ill-affected causes a Continual and not an Intermitting Fever because of its perpetual Motion to the Heart 52. If the Blood stand still any where presently there arises an Inflammation which if communicated to the rest of the Blood in like manner produces not an Intermitting but Continual Fever To which somtimes is coupled an Intermitting Fever and especially a Tertian and then from both for a Continual Tertian to arise is no new thing nor wonder for reasons manifest enough by what is said beneath 53. The Blood therfore herein being laid aside I. None will judg that Intermitting Fevers as Intermitting can be deduc'd from Choler who hath diligently considerd that it cannot be so infected and afflicted in its Passages suddenly by any External Cause so as to be stopt either wholly or in part in its motion for a time and again either of its own accord or for any other demonstrable Internal Cause should find a way by which it may produce the Symptoms above noted by what way soever it 's brought to the Heart and that either alone or joind with others 54. I do not deny that Choler is turnd into smaller or bigger Stones and also into a Stony Crust in its Passages through the Liver But as neither coms suddenly so neither is it observd that either of them were dissolv'd by any Internal but only External Cause nor yet so that any thing like to Intermitting Fevers can thence be deduc'd 55. In like manner somtimes Choler is judgd not to be carri'd down to the Small Gut from what cause soever when the Excrements are obscurly white and thicker then usual But an Intermitting Fever is not always observd to accompany the Jaundies although often it doth which therfore cannot be taken thence for an impediment of Choler 56. II. Neither from the Lympha can Intermitting Fevers as Intermitting be deriv'd For besides that the most Symptoms accompanying them for the most part and observable chiefly in the Abdomen cannot be expected even in a Dream from the Lympha besides if Intermitting Fevers did depend of and were produc'd by the Lympha then either all or but part of the Lympha were faulty as though it were hindred and farthered again reciprocally in its Motion to the Heart If all where and what kind of Impediment could that be whether or no in all the Conglobated Glandula's Muscles and Bowels or in all the Lymphatic Vessels or their Trunk about their insertion into the Jugular or Axillar left Vein But if only a part thereof then which and where Whether that which goes only to the Heart from all or some only of the Conglobated Glandules Or whether it be hindred in all the Glandules But these Glandules are rarely found to swell or be hard and that only when the Head is stuft or in Catarrhal Fevers of which we spake in the former Chapter scarce ever though the Intermitting Fever be very troublesom the Causes whereof we search so that by how much the more diligently any searches the Rise and Motion of the Lympha as also its Supply and Vessels so much the less will he encline to ascribe the Cause of Intermitting Fevers as such to the Lympha 57. III. Intermitting Fevers as Intermitting in no wise seem to be deduc'd from Spittle For that we transfer not hither more Arguments from what is now said of Lympha although somtimes for that is not perpetual a little before the Feverish Fit or together with its Beginning the Spittle is observd to flow more plentifully or slowly unto the Mouth notwithstanding the same Spittle is not noted to be such that the molesting Symptoms of every Intermitting Fever I say not all but even the most frequent may folidly be ascribed to it The Spittle is not always I say carri'd which if so should wholly be carri'd in the time of Intermission more slowly to the Mouth and more plenteously while the Fit begins or molests and somtimes the contrary somtimes neither happens But the Vitiations which are found in the Spittle do nothing less then testifie the primary but rather the secondary Vitiation of Spittle as it will more evidently appear from what is to be said hereafter 58. IV. Any Man may easily think that Intermitting Fevers as Intermitting are to be deduc'd from the Juice of the Pancreas who shall observe with an attentive Mind all and every of the Requisites noted in Sect. 46 c. to produce them to concur here and only here 59. For 1. This Juice is carri'd from the very Pancreas in such a Part which by its Vessels and proper Passages as it is said in Sect. 50. mediatly communicates with the Right Ventricle of the Heart 60. 2. The same Juice is carri'd by such Vessels to wit the Lateral or Side Passages in one or more wherof it may be so infected and afflicted by an External Cause that it may suddenly be stopt in some part in its motion and hindred for a certain time least it should continually go to the Heart 61. And that falls out as oft as Phlegm which uses to be much gatherd and accumulated in the Small Gut is dissolvd either by Heat of Air or a vehement Motion of Body or Watchings prolongd or Care of Mind or Anger continu'd or Meats Sauces or sharp Medicins or else by any other Cause and then being mixt with the Blood is carri'd together with it all over to all parts of the Body and being joind more or less every where with all the Humors is carri'd with the same in their Vessels Whence as in other places so in the Lateral Passages of the Pancreas I mean the strait ones the same Phlegm thickens stops the same Passages and hinders that the Juice standing still there cannot go into the Middle and Greater Passage and so forward for some sudden External Cause which is apt to Coagulate Phlegm as Air frozen or blown with chill Winds or with any Blast causing cold Rain or any Water touching the Body and afflicting it with its coldness Drink of any cold Liquor especially when taken in a large quantity A sudden and especially unexpected Terror and great Grief of Mind c. 62.
it ℞ The Leavs of Rosmary Majoran Hyssop Sage Garden-Rue Mountain-Calamint Curld Mint Wild Time of each Man ss Cut these in like manner and put them into a Bag and pour upon them Wine or Beer and use it as was said daily 96. Seeing many approve of Wormwood Wine if the tast of Wormwood please you you may ad● some of it to the rest 97. When the Sick detaind with a Universal Languishing are also molested with Wind then Aromatic Seeds may in like manner be us'd before other parts of Plants and many may be prescrib'd according to the Form and imitation of the following Form ℞ The Seeds of Coriander Sweet Fenel Anise of eachʒ ii of Smallage Parsley of eachʒ i. ss of Cardamom Carua of eachʒ i. Beat them round and put them into a Bag pouring upon them Wine or Beer for daily use 98. Such Medicinal Wines and Beer may be prepar'd most commodiously of sundry parts of Plants joind together after the Example of the following Form ℞ The Roots of the Aromatical Reed Alicampane of eachʒ ii the Leavs of Majoran Sage of each Man i. the Flowers of Rosmary ●love-Gilliflowers Arabian Staechas of each 2 Pugils Seeds of Poley Mountain Sweet Penel Sharp Cinamon of eachʒ ii Nutmegs dri'd Orange Peel of eachʒ i. Cut and roundly Beat them put them into a Bag ●nd pour upon them presently Wine or Beer in a con●enient Vessel for Use 99. Although Medicins that Amend Glutinous Phlegm may most commodiously be continu'd for a time in the form of Wine or Beer yet may you both prescribe and use the same in the form of a Pouder Electuary Tablets Decoction Pills or any other more pleasant to the Sick So many Aromatic Species are in use among Practitioners most convenient in this case such as are Diacalamint Diagalangal Dialacca the Greater Diambra Dianthos c. To which if four times six times or eight times as much Sugar dissolvd in a convenient Water be added they may easily be reduc'd into Tablets The same if put among Hony or a fit Syrup will make convenient Electuaries to which you may also add divers Conservs For Example ℞ Conserve of the Flowers of Betony ℥ i. of Rosemary Eye-bright of each ℥ ss the Species Diambraʒ ii Diagalangalʒ i. Syr. of Mint what suffices M. for a Conserv This Conserv is to be ●●ten somtimes in a day to the quantity of a Nutmeg 100. I cannot contain my s●lf without admonishing Younger Physicians here diligently to beware in Correcting Glutinous Phlegm that they use not Medicins with much Sugar and very much Sugard seeing that Phlegm is not so much thence amended and loosned as encreasd yea daily made more glutinous Whence after an ill yea the worst manner even here in Belgia the fruitful breeder of all sorts of Phlegm many Physicians negligent of those things that Hurt use shall I say or abuse the Conserv of Red Roses daily taken in a large quantity in almost every Cough continu'd a while threatning a Consumption of the Lungs yea rather furthering it already begun whence the Vleer risen in the Lungs is not only not cleansd dri'd up and consolidated but moreover a Sense of Weight and intolerable cold is raisd in the Region of the Stomach together with the Appetite dejected and by this means the Evil is at length incurable Which evil manner of some they imitate who after the manner of Beasts follow the Flock of them that go before and go whither they go not whither they should go 101. What I have newly said of the Conserv of Red Roses may also be understood of Emulsions ill us'd in this case by certain even Old Physicians whether they be made of cleansd Barley and the greater cold Seeds so call'd or sweet Almonds because they ought only to be us'd seldom to asswage some Symptoms and again be laid aside And that the Matter is so Experience will teach every one that desires to be Wise being also the Mistris of Fools 102. They who are better pleasd with Pills then other Forms may have these and some like them prescrib'd ℞ Gum Galban prepar'd with Vinegar ℈ ii White Amber select Mastich of each ℈ i. Male Frankincense Red Myrrh best Castor of each ℈ ss Vitriol of Mars dri'd white in a slow fireʒ ss distild Oil of Mace 8 drops Make them into forty Pills to be guilded Three or five of these Pills may be taken at any time and especially in the Morning fasting or in the Evening one hour after Supper or at both times wherby they will correct Phlegmatic Humors sooner and more potently or more slowly and more mildly and at length do the same benefit to Man 103. If an Old Wives Veneration possess any of the Old Physicians only delighting in Decoctions he may here also imitate them and use the following Form of Prescription or one like it ℞ The Roots of Valerian Acorus of each ʒ ii of Smallage ℥ i. the Herbs of Betony Balm Horehound Savory Scabious the Tops of Centaury the Less of each Man ss the Leavs of Rosmary Roman Camomile Arabian Staechas of each 1 Pugil the Seeds of Sweet Fenel Bishops-Weed of each ʒ ii the Berries of Juniper ℥ i. of Laurel ʒ i. ss Boil them on a gentle Fire the Vessel being clos'd in clean Water to 〈◊〉 xl To what is straind add Syr. of Oak of Jerusalem Hyss p Mugwort Staechas of each ℥ i. Tincture of Cinamon ℥ i. ss M. Two or three ounces of this Decoction may be once or twice daily taken at any time Least any should in vain trouble himself thinking with many who are less mov'd with Reason then with Custom that all Medicins are safely taken only when the Stomach is empty of Food seeing I have found the contrary true in many cases especially as to those that Alter and Correct the Humors For I have daily Observd that Altering Medicins but mild which only I would have Physicians use are often us'd a little before or after Food taken in yea together with them then at another time with greater benefit to the Sick Nor is Reason contrary to this Experience for so the power of the Medicin mildly mixes and incorporates it self not only with Spittle in the Stomach but with the Three-fold Humor flowing together in the small Gut yea also to the Universal Blood and all the other Humors in the Right Ventricle of the Heart and all the Arteries and Veins wh●rby the desired Amendment and Correcting of It or Them is performd sooner easier and more happily 104. Hitherto we have propos'd Medicins commonly known and approv'd of all and if any being taught to be wiser then common People erect his Mind to Chymical Preparations and Medicins more effectual and so more safe if they be both rightly prepar'd and administred we will commend unto him both Tinctures and Extracts and Oils artificially made of the foresaid and Volatil especially Oily Salts to be prepar'd by Art of most of the Parts of
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 ●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
will depart slowly yea in the use of any Medicin profiting so long as the Sick do●s not only amend by it but can ●●e it withou● loathing and dislike As soon therfore as it c●ases to please or benefit though the most grateful o● 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 f●om the remaining Mass so the same Blood remaini●g after this manifold benefit many ways bestowed on both Bodies yea many ways despoild of s●●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 am●●● 〈◊〉 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
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 prov●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 ●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
it seems to be evident wherein its chief Cure consists and from which or which kind of Medicins it may and ought to be hoped for and expected 81. For the confirmation of this mine Assertion I produce Saffron familiar in the Cure of the Jaundice and which seeing the Fat is commended upon that very account it favours mine Opinion for Saffron is easily joind to a Volatil Spirit by the help wherof there is made an excellent Tincture and Extract by which seeing that besides the Animal Spirits are wont to be brought to rest and tranquillity yea perhaps to sleepiness sleep succeding both mild and somtimes deep enough the whole Matter becoms so much the more manifest 82. Opium it self the most potent Drowsie Allayer of the Animal Spirits is Oily and Fat giving them a slow and difficult Motion yea almost taking it away 83. The Volatil Spirits therfore may be fore'd and bound by Fat and Oily things and brought to rest and tranquillity whence it seems to be evident if as oft as the Animal Spirits joind to Choler in too great quantity or exalted in it that is strengthned in their Power and Efficacy do breed the Jaundice by making it more Volatil and movable so oft the same Jaundice is to be Cur'd its noted volatilness and moveableness being overcom'd by Medicins that are Oily and do mildly procure Sleep 84. This same seem the fixt and Anodyn Sulphurs of Minerals and Metals mildly fixing and quieting the Volatil Spirits to confirm being not without cause much estem'd by the more Skilful Chymists 85. The same Choler more or less corrected is again to be deduc'd to the small Gut by Cholagogues chiefly by the most commonly us'd Rhubarb taken any way wherfore I again mention the Decoction prescrib'd in Sect. 68. 86. IV. The ill-favourd Colour of the Skin somtimes Yellow somtimes of an obscure Green in the Jaundice is of its own accord and by degrees lost and abolisht but is sooner remov'd by subtil Sudorifics having a Volatil Salt in them whether a mild Sweat or none follow For it matters little whether Sweat break forth then also or no seeing that this Choler abiding in any Parts against Nature may be cleans'd by the said Volatil Salts apt to promote a Sweat and may be driven forth with insensible transpiration 87. For Example Let the Party Sick of the Jaundice whose Excrements are of their wonted Colour whose Appetite is restor'd whose Urin is less dyed with a red Colour whose golden Colour in the Skin is no more encreasd but rather a little lessend let him I say use often in a day one Spoonful of this following Potion by which if a Sweat breath forth a perfect Cure may be the sooner expected but if more of a red Matter and a little after setling be rather sent forth by Urin the removing of the vitious Colour from the Skin must be expected more slow yet as good â„ž Water of Grass Wormwood of each â„¥ ii Tincture of SaffronÊ’ iii. Sp. of Salt Armoniac 30 drops Mineral BezoardÊ’ ss Laudanum 4 Gr. Syr. of Fenel â„¥ i. M. CHAP. XLVII Of the Motion of Choler to the Blood through the Liver Deprav'd 1. ACcording to the Ingenious Observations of that Famous Malpighius about the true place of the Separation of Choler which I approv'd of in Chap. 44. I judg'd in Sect. 16 c. of the same Chapter that Choler also was carri'd from the Glandulous Kernels up towards the Heart with the Blood tending thither from the Liver 2. I suppose this Motion of Choler towards the Heart is seldom deprav'd that is remov'd or turnd unless perhaps in the Disease Cholera and why not so often therfore deadly 3. This Rage or Violence downward of the Vniversal at least the most of Choler if ever it have place may be ascrib'd at least in my conjecture to the vitious Effervescency of the Choleric parts of Blood raisd in its Vessels by Summer-Fruits or other such-like hurtful things taken and carri'd to the Mass of Blood because of which if not all then sure the most parts will be hastned to the small Gut and thence expeld with great force partly upward partly downward without a convenient separation of it self in the glandulous Knobs of the Liver unspeakable Anxieties of the Stomach and Gut concurring by reason perhaps of a new Effervescency also vitious and most troublesom made with the Juice of the Pancreas in the small Gut 4. This perverse and partly turnd Motion of Choler cannot be Cur'd unless the vitious Effervescency of Choler both in the Mass of Blood and in the small Gut be allayd yielding to Opiats only as I have said in Chap. 15. Sect. 34. CHAP. XLVIII Of the Mixing of Choler with Blood in the Liver Deprav'd 1. THe same Choler which is thought by me to be sent out of the Glandulous Knobs of the Liver toward the Heart seems first to be mixt with the Blood returning to the Trunc of the Hollow Vein through its Branches implanted in the Liver wherby the Vical Effervescency between the ascending and descending Blood may so be more happily raisd in the Right Ventricle of the Heart 2. This mixing of Choler with Blood seems to be deprav'd 1. when it is more loose and less 2. When it is more intire and greater 3. When it is unequal 3. I scarce think that there can be at any time just no mixing of Choler with Blood 4. I. I judg that Choler is less and more loosly mixt and so rather confus'd with the Blood when it is very Spiritous as in the Jaundice of which we have abundantly spoken in Chap. 46. or very viscous or earthy whence it will be more difficultly slowly and so more imperfectly and less united to the Blood 5. II. I judg that Choler is more and closer mixt with the Blood when it is more salt and sharp and perhaps fatter which seems to be confirmd by Burning Fevers 6. III. Choler is Vnequally mixt with the Blood in the Liver when it is not Homogeneal but Heterogeneal consisting of divers parts some sharper some duller which I think has place in the beginning of the Jaundice and other cases as yet not enough observd for we get different Choler oft enough out of the same Bag. 7. Whilst we here describe Diseases as yet not enough observd and searchd out by Practitioners no wonder if their Signs be as yet uncertain and several other things therto belonging be even now obscure which somtime may be found and determind by the diligence of others mean while we communicate those things which we hope may serve the more happy Wits 8. I. We gave you the Cure of Choler peccant in spiritousness encreasd in Chap. 46. Sect. 73 c. 9. The Cure of Choler peccant in viscousness encreasd may be most happily instituted with a continu'd use of any more sharp Aromatics and Volatil Salts 10. Choler more Earthy and prone to be Lapidescent may be cur'd with the dulcifi'd Spirit
descends with it through the upper Hollow Vein to the Right Ventricle of the Heart 2. This natural Motion of Lympha through the Lymphatic Vessels and Thoracic Passage may be deprav'd 1. When it is wholly or at least after a certain manner hindred 2. When Lympha moves in another way and to another place then towards the mentiond-mentiond-Veins 3. If the Motion of Lympha through the Thoracic Passage be at any time wholly hindred I judg the Sick cannot live long after it 4. The Motion of Lympha through more or fewer Lymphatic Vesseis may be wholly hindred chiefly because of their Obstruction 5. This Obstruction may procede from Glutinous Phlegm carri'd together with Lympha through the Vessels of the same and growing together and Coagulated in them and therfore sticking in them and anon filling them up 6. Glutinous Phlegm is wont to be carri'd through the Lymphatic Vessels as oft as it especially that was in the small Gut is loosend or dissolvd by any kind of the heat of Air or a more vehement Motion of Body or Spiritous or Watry Drink chiefly warm or hot plenteously swill'd being 1st of all confus'd with the Blood through the Lacteal Veins and anon the Thoracic Passage and afterward driven forward together with it every way therfore also to the Conglobated Glandul's and hence to the Lymphatic Vessels 7. The same Phlegm is wont to be Coagulated in the Lymphatic Vessels more frequently by External Cold Air Rain Water or Snow also any way affecting the Superficies of the Body with troublesom Cold and together Coagulating any fluid thing easily Coagulable in it in any place and forcing it to grow together 8. I dare not assert nor deny whether or no as Blood so Phlegm doth Coagulate by a great and unexpected Sorrow or Terror although it seems less probable to me 9. The Motion of Lympha through the Lymphatic Vessels is hindred after a certain manner both when it is more Glutinous and therfore more slow and unfit for motion and when those Vessels are in part prest or straitned any other way 10. As oft as Lympha stands still in its Obstructed Vessels and being more and more gatherd distends them and at length bursts them so oft the same is pourd out into the next Places or Cavities near them and then Lympha is mov'd another way and to another place then it ought 11. By this Effusion of Lympha through its Vessels distributed in the habit of the Body and obstructed then burst into the next parts several Pains and also Tumors are bred commonly ascrib'd to Catarrhs Amongst which they are not the least which possess the upper part of the arm to the very shoulder and somtimes also afflict the Neck to which also they are to be referd that resemble the Sciatica which remaining in the Buttocks hinder walking 12. Some of these pains endure the parts affected to be coverd with several Cloaths and be warmd by them others are imbitterd by cloaths whence they are more difficulty Cur'd then the former 13. They commonly arise from External Cold piercing into those parts first warm till they Sweat and oft laid bare in sleep and producing various Pains yielding only to divers Medicins according to the diversity of Lympha after Phleam is Coagulated in the Vessels of Lympha and an Obstruction anon a Bursting made in them 14. For the Lympha which is more Sowr breeds pains more corroding which may be allaid by Aromatic Oils and Ointments but that which is more Salt like pickle stirs up pains yielding to oils and ointments less aromatical such as is the ointment of Poplars 15. By this effusion of Lympha out of the lateral Lymphatic Vessels obstructed and anon burst and piercing into the cavity of the Brest through the membrane that covers the ribs I judg the Dropsy of the Brest arises most commonly if not always 16. An Obstruction of the Lymphatic Vessels in the more inward parts of the Brest may be prevented by bewaring 1. that the body do not wax too hot and if this cannot be shund 2. that the Brest being made bare it do not soon cool and consequently Phlegm grow not together nor coagulate being dissolvd and every way diffus'd potently in several and therfore in the Lymphatic Vessels 17. The same Obstruction may be Cur'd if as soon as may be when it s mentiond Causes have had place and there is danger least the noted evil be bred an attenuating and cutting Medicin be taken together and at once or at times such as Sundry Treacle Waters made with the spirit of wine especially as also other Aromatics do afford Decoctions prepar'd of the woods Guajac Juniper Sassafras c Of the Roots of Masterwort China Salsaparilla butter-bur c. Of the Leavs of Scordium Carduus benedictus Carduus Mariae Scabious Dandeleon c. Of the Flowers of red Poppies Elder Chamomile c. Of the Berries of Juniper Bays Elder c. Of the Seeds of Milet Carduus c. Volatil Salts of Amber Harts-Horn c. Diaphoretic Antimony Mineral Bezoard Crabs Eyes c. For example let the following Mixture be us'd as has bin oft said to one or more Spoonfuls till a Sweat break forth â„ž Fumitorie Dandeleon Waters of each â„¥ ii Simple Treacle Water or Matthiolus his Aqua Vitae â„¥ i. Spir of Salt Armoniac XXX drops Laudanum iii. grains Diaphoretic AntimonieÊ’ ss Syr. of Carduus â„¥ i. M. 18. If the Form of a Decoction please any better let him use this following oft to â„¥ iii or iv and being well coverd let him compose himself to sleep â„ž Salsaparilla Smallage-Roots of each â„¥ i. the Shavings of Guajac and Juniper-Wood of each â„¥ i. ss the Leavs of Carduus Mariae Scabious Scordium of each M. i. Elder-Flowers M ss Milet-Seeds â„¥ ii Boil them according to Art in pure Water adding to lb iii. of what is straind Syr. of Red Poppies â„¥ iv M. 19. If the season of the year be cold or the Sick abound with much Phlegm â„¥ ii of Aqua Vitae Matthioli or any other Aromatic Water may be commodiously added to the former Decoction wherby it may serve for more Indications 20. The viscousness and toughness of Phlegm and hence of Lympha may be Corrected by the same already propos'd Medicins to be taken but in a less quantity and more seldom even when the noted Harm seems overcomd when there will not be need to urge a Sweat but to amend Phlegm and Lympha gradually only by altering them 21. The Lymphatic Vessels burst after that they are freed from the noted Obstruction by Medicins forementiond will easily be consolidated as we see it happens in the Vessels of Blood seeing that the proper Food of any part is indu'd with a faculty of conglutinating being more or less clammy or glutinous 22. Pains arising in the Lims and especially the upper part of the Arm and most troublesom in the Night after that the abundance of a Serous Humor if