cured by bleding but require other remedies The third error That opening of a veine is vnnâ—edefull except the disease be present This also is confuted by Galen de Opt. sect ad Thrasis Cap. 37. For the most part saith hee we vse remedies as purgagion and bleeding when the diseas is not present but future The fourth error That Phlebotomy must be done in the iudgement day of a disease Auicen impugneth this in quart primi chap. de Phlebo saying Neither must bleeding nor purgation be done in the day of the mouing of a disease nor when the same hath Crisim â— iudgement But if it be possible let there be rest This is also proued Aphorism 21. Qua iudicatur vel iudâ—cata sunt c. The fift error That bleeding dulleth the sight Gallen remoueth this error li. de Curand ratio per sangui missio Chapitul 7. Some haue a weake sight hauing aboundauce of bloud Euacuate such either with purgation if there bee other humors beside bloud or by bleeding and so detracting of bloud doth good not dulling but quickening the sight 6 The sixth error is that in fulnes alwaies a veyne must bee opened Gaben confuâ—eth this error 4. de vict in morb acut Commen 19. Plenitude is not alwaies cured by bleeding but by rubbings many and oft batlings and by abstinence 7 The seauenth error is that bloud must be let the wombe beeing very laâ—atiue this Hyppocrates refelleth 4. de vict in morb acut cap. 118. If it bee needefull to withdrawe blâ—ud from any you must stay the wombe and so let bloud and Galen in the same place saith If the belly bee flowing let not bloud lest the fluxe continuing the strength of the body bee cast downe 8 The eighth error is That there is no difference of the times of the yeare to let bloud in Galen contrary to this writeth ad Glanco cap. 14. Those Phisitions which consider not of the state of the times and withdraw bloud they kill men Et 4. de vict in morb acut is Commentar 19. If the Aire be too hote and dry we refraine from bleeding though the sickenes bee vehement and the age of the party youthfull A sufficient confutation of the supposed necessitie of annuall bleeding Cap. 24. THere commeth here to my minde a common opinion among the ignorant people which do certeinly beleeue that if any person be let bloud one yeare he must be let bloud euery yere or else he is I cannot tell nor they neither in how great danger VVhich fonde opinion of theirs whereof so euer the same sprong first it is no more like to be true than if I should say when a man hath receiued a great wound by chaunce in any part of his body whereby he looseth much bloud yet after it is healed he must needs haue the like wounde againe there the next yeare to auoid as much bloud or els he is in daunger of great sicknes yea also in hasard to lose his life which opinion if I did affirme to be true albeit it be most false yet I might vse the like reason authoritie to defend it that the comon people vse in the defence of theirs For they can say nothing if they be asked why they thinke so but that they haue heard many to say so Therefore I would wish that no man should credit this folish opinion being most false vnlesse he can shew some good reason for it which I am sure no man can do This I think that like as bloud letting is not good against al diseases so is it not good in all persons as we haue set it down in the 9 Chapter but only in those that wil be content to vse afterward a moderat conuenient diet Those therefore that do abound with bloud wil be let bloud to preserue themselues froÌ„ the danger of any disease that is like shortly to ensue must long time after be content to vse a moderat diet For intemperat persons gluttons great drinkers wine bibbers they doe not only receiue no commoditie at al by bleeding but often times greater hurt than if they had bin without it For within 3 or 4 dayes after they fill stuffe them selues with more rawe iuices humors by vnmeasurable dyet than they had before and often times these die through convulsion And hereupon we are to note that there is such force in moderat diet to eschew sicknes that without obseruation thereof Phlebotomy is to no purpose And therefore if this coÌ„mon saying of the comoÌ„ people be true in any namely that they must be let bloud ofteÌ„ thâ—r are once let bloud it is only true in such as keep ill diet presently after bleeding Therefore to conclude this Chapter I councell al persons to beware of excesse after opening of a veine Ofincision of Arteries Chap. 25. AS a veine is opened according to our former discourse hitherto so somtime also an arterie is opened that is to say only such a vein wherein the vitall spirites mixed with the blod do runne flowe but for the hard stinting of the fluxe from an arterie Phisicions are in doubt to make insicion thereof and yet some sometime practise it as in the disease called Vertigo If in opening of a veine we chance to stick an arterie we can very hardly by by stint the bleeding and although the matter fall out very well that the wound or incision be brought to a skarre by diuision yet there will be a dilation or spreading abroad of the cut arterie stil as Galen witnesseth lib. de Curand ratio per sang missio Cap 21. 22. The bleeding of an arterie is hardly stayed partly for the heat of the arterial bloud which is very quickly moued by spreading abroad openeth the arterie whereupon incision of an arterie greatly furthereth the bleeding partly because the motion of the arteries neuer ceaseth as Galen witnesseth lib. 2. Cap. 20. de Sanitate tuend whereby also it commeth to passe that the wounds of the arteries are the more slowly cured For such things as are to be healed require rest ease Gal. lib. 5. Cap. 8. metho medend commet 6. lib. 6. Aphoris The opening of an arterie is to be vsed when the body is repleate with thinne windie and verie hote bloud For the seat of subtile thinne windâ—â— bloud whereof the naturall heat and vitall spirites are ingendred is in the arteries and to is the hotest bloud which commeth from the hotest member that is the heart and which is carried into the other members of the bodie conteined likewise in the arteries The receptacles of the thicker bloud wherwith the â—â—eÌ„bers are nourished is in the veines Vpon what occasion Galen did cut an arterie he himselfe sheweth Cap. 22. dv Curand â—at per sanguinis missio being warned saith Galer by certeine dreames of which two among the rest most plainly appeared vnto mee I weâ—t to cut that arterie of the right hande which is betweene the
outmost parts of the body more mightily than if to the affects wee onely vsed either scarification or only leches Boxings without scarification which are called easie cuppings do not apparantly withdrawe bloud but only the spirites yet it doth pull backe vnto it humors and forcible fluxes and applyed to the contrarie part it stayeth effusion of bloud in any place wheresoeuer chiefely when infirmitie of strength will not permit revulsion by opening of a veine Moreouer it stayeth fluxes of the wombe or of humors and applyed to the member where the fluxe of humors is it turneth the same anothet way Also it prouoketh outwardly that fluxe of humors which lyeth deep in the bodie therfore it serueth as a remedie in astonishmentes palsies in veterat paines it wasteth winde spirites included in any member and therefore quickly stayeth tremblings or pantings of the heart or else-where within the bodie the hicket colick paines of the raines And this present kind of remedie is without daunger neither hurting the bodie nor weakening the strength That easie light boxings are best for revulsion as to pull back Termes appeareth by Hippo. 5. Aphoris Aphoris 50. Simulieri menstrua sistere volueris Cucurbitulam quam maximam sub mammis defige If thou wouldst stay Termes in a woman apply a good great cupping glasse neare or aboue her pappes And Galen 5. lib. Ther. Metho with easie boxing applyed Hypocondiis i. the sides short ribbs aboue the nauill where the Liuer lyeth on the right side and the Splene on the left affirmeth bleeding at the nose to be stayed being applyed on the Liuer or right Hypocondrion if the fluxe come foorth of the right nosthrill and on the left Hypocondrion and on the Splene if from the left and vpon them both if it proceed from both the nosthri's Againe gentle cupping is vsed in such persons as are alreadie euacuated in stuffed bodies wee vse them not nor in inflamed members nor in the beginning of other affectes but where as nothing else hath beene before or where the bodie hath beene alreadie euacuated In this case of revulsion by cupping without scarification as in fluxe of Termes as ye heard out of Hippo and in fluxe of bloud from the nose as ye heard out of Galen be verie circumspect to apply the cupping glasses on the member set ouer against the place from wheÌ„ce wee purpose to pul-backe according to rectitude of position that the place cupped may haue agreement with the place from whence wee purpose to reuoke Otherwise wee doe no good as we shewed before speaking of revulsion in bleeding Chap. 6. Againe gentle cupping is vsed without scarification when wee will drawe humors from deepe and inward partes of the bodie to the outward members Therefore Galen 13. Method Medend saith that it is caeteris attractiuis fortius stronger than any other attractiues thus in harde apostumations it draweth the matter outward yea and by it hard apostumations may be remoued if generall euacuation haue gone before according as the fulnesse in the patient requireth Againe it is vsed without scarification when we stay any member or bring a member to his proper place Thus when the bowels fal down we applie Ventosas aboue the bellie to reteine them or bring them back Also it is vsed without scarification to dissolue windines as in the collick so a cer em fat woman troubled with the collick tooke two narrow mouthed pots did put them magret brasen vessel she did put the vessel of brasse to the fire afterward applyed the two hot pots to her bellie first couering the same with alynnen cloth so shee was healed Item it is vsed without scarification to mittigate paines that in all apostumations and colliks generally whether the same be cauâ—ed of cholenke matter stegme or windines Galen lib. 13. Metho Medond Cap. aâ—firmeth 〈◊〉 it wasteth wind so careth the cause iâ— it come thereof or it mittigateth the pâ—ine aâ—beit it doe not perfectly cure it of what matter so euer it come VVith scarifying it is vsed in inflamed members stuffed or vexed with paine in the disease called Scirrhus which is a haâ—dâ—â—â—s growing in the fleâ—h within the skinne called commonly kirnels in fluxes that are stayed in a certaine place Also when the parts are filled with sharp matter or outwardly infected with venome or when we will draw the matter from one member to another Also it is vsed with scarification in sharpe diseases when the strength is weake and nature not able to tollerate bleeding And thus you haue heard in what cases boxing is vsed without scarifying with scarifying which is a worthie and profitable obseruation The difference betweene Ventosas Phlebotomy is that Phlebotomy euacuateth the grosse bloud and the other subtile and thinne bloud Againe Ventosas are called attraction per vacuum and differeth froÌ„ attractions made by medicine or not made per vacuum Attractiue medicines which do purge attract euacuat some certeine determined humor Phlebotomy all the humors indifferently and Ventosas or attraction per vacuum that humor that is most subtile and thinne among them all in that part The difference betweene the attraction made by Ventosas and that made by leaches is this that the leaches drawe humors from the profound and deepe places and Ventosas but from the superficiall partes Item fat persons are not to vse cupping for it is with them as with water pypes in the ground which being filled and stopped with earth or other matter stay the water course that it cannot run so the veynes in the body are like those water pipes and are sometime so filled with fleshy fat that the bloud cannot haue his course thorow them and therefore the veynes in fat folke beeing either so strict or so stopped the Ventosas cannot withdrawe from them but with great violence and if they attract any thing it is the most subtile bloud the grosse bloud cannot passe thorow the stopped places Concerning the time they are not to bee vsed at the new of the moone because then the humors are quiet and so hardly drawen nor in the last quarter for this season being cold the humors are not easily attracted but in the middle season when the humors are flowing and are not too colde and vse them in the third houre of the day for then by reason of heate the poores are opened and the bloud beeing then easily mooueable is with the more facility attracted to the members and from the members After bathings we are not to vse them for there were to bee feared too great a fluxe of bloud yet if we can perceiue the bloud to bee too grosse wee may to subtiliate the same vse bathing before in such a case as was saide in the rules of Phlebotomy That these pointes thus generally spoken of me hitherto may in particulâ—r with more profit yet now be set downe wee will before we conclude proceede therein a â—itle further to the
made in theÌ„ than in others When the veine is opened we oft also loose the band from the vpper partes that the bloud may runne the better If the bloud run sufficiently let it alone if but slowly that through fault of the incisioÌ„ amend it If throgh grosnes of the bloud or of any other cause let the patient bend his fist hard together or turne the staffe about in his hand or by coughing or lowd speaking let him enforce the sinewes Muskles sydes And if need so require bath the wound with warme water If he be fearefull or faint harted when he seeth the bloud that it be stayed through feare leaue off a while til the strength be recouered by such meanes as we shal declare anon Yea albeit the bloud flow reasonably wel yet it is good in the midst of bleeding to stop it with the finger both to recreat the strength that it be not too much wasted also that the filthie corrupt bloud may with the more speede come from the inmost partes so be expelled The quantitie of bloud passed forth is to be considered as wee shewed before 14 15 Chapters that it may be stayed in due time in this behalfe therof two regards are to be had especially First the necessitie of the disease Secondly the constancie firmenes of natural strength wherof looke in the foresaid places more at large After good bloud apeares bleed no more for feare of the crampe convulsion palsie dropsie such like In a simple plenitude to auoid imminent dangers it shal be sufficient only to abate the abundance albeit a mediocritie stil remain But in an vniuersal disease as is a feuer a mediocritie will not serue but bloud is abated more then so And in inflamations we are not only to regard the quantity but in like maner the alteratioÌ„ of the colour substance of bloud and when great paine or inflamation is in places neere the incision stay not the bloud before the paine begin to asswage or the colour of the bloud to change For alteration of colour sheweth that the same bloud vnlike the other that good is proceeded from the inflamed part If the humor cleaue fast to the member or that by euacuation the strength of nature bee wasted then wee are vrged to stay bleeding before the bloud doo chaunge in colour and to detract that which remaineth by reiterating Phlebotomy either the same day or the day after Hyppocrates 2. vict acuto 10. In the cure of the Pluresie writeth that in the cure of that disease the inner veyne of the arme is speedily to be opened and bloud plentifully to be withdrawen vntill the same appeare far redder than it did at the first or that for pure and red bloud the same appeare swart and blacke which both happen in Plurisies If the bloud were before rawe crude vndigested and that it come from the inflamed place neere an incision it becommeth redder or yeallower because this bloud is horter than that which went before If it were at the first thus coloured namely redde or yeallowish than when it commeth from a member inflamed it turneth to be black and swart thorough adustion and thus you see how to stop the fluxe of bloud by the quantity by the substance and by the colour of the same As wee are to consider the foresaide thinges in the bloud so are wee to consider strength in the Pacient Of defect of strength these are the signes The fluxe of bloud relenting paâ—e colour in the face gapings stretchings noise in the eares webs in the cies and defect of seeing All these shew a decay of the spirits oflife they shewe faintnes of the heart and that the bodily parts are forsaken of inward heate To these may bee added the hicket and a desire to vomit which commeth of fluxe of the humor to the mouth of the stomacke as were already shewed But the most certaine and assured marke is the alteration of the Pulse which changing from thicke to slow from great to little from strong to weake from equall to vnequall prognosticate defect of nature and a perturbation in the body not much vnlike Epilepsia that is the falling sickenes If these come through feare or of humors nipping the stomacke stay bleeding recreate and strengthen the Pacient a while that afterward the residue of the euacuation may be perfected The waies to recouer and fetch strength againe if the same giue ouer before a conuenient and commodious quantity of bloud may be taken are these to cast colde water on the face of the Pacient to sprinckle vppon the face white odoriferous wine to put to the nose of the same party vineger strong wine muske or other aromatick thinges if these helpe not wee must close vp the veyne a while with the finger and if neede be the euacuation is to be imparted or diuided But to auoide all these accidents the remedy is to let bloud the party lying in his bed for so the partes of the body are reduced into one equality of position whereby the principall parts mutually bestow one on an other inward heat and vitall spirits if the Patient bee not brought againe by the foresaide thinges then prouoke vomit by tickling in the throat or by pouring in a litle oile for the force of vomiting stirreth vp strength and draweth away weakenesse of the stomacke and heart and presently after recouery renue the strength of nature with wine iuce of Pomgranats broth of flesh with the receit called Diamoâ—cho and other cordiall things The instrument may bee annointed with oile or other such liquor that it may inflict the wound without paine and for the most part the wounde must bend somewhat aslaunt or crookedly The incision is made two waies as Hyppocrates saith one straight Secundum rectum or Edirecto downeright the other contrary crookedly or a swash In these two waies wee must vse great discretion to vse them as neede requireth and not deceiue our selues vsing the one when wee should the other as many are deceiued in these daies To shewe which of these is to bee preferred would require a long discourse whereof read at large Fuchsius in his Apologie against Brachelius There is newe kinde of instruments to let bloud withall nowe a daies as the Rapier Sword and long Dagger which bring the bloud letters sometime to the Gallowes because they strike too deepe These instruments are the Ruffians weapons more malitious than manly But in this practise the veyne must be opened with a fine Launcet no fleme with a beard like a bloud-iron wherewith Smiths let horses bloud for they will sometime cut a veyn thorough on both sides causing a crampe and deadly convulsion And here I giue aduise that no Surgion except he be very skilfull himselfe open any veyne without the counsaile of the learned Phisition or the iudgement of some others that haue auncient and tried experience in the practise Ignorant Barbers doo great hurt herein
contraries as thus Let not the instrument be oyled euacuat not too much â—loud lastly forbeare exercise motion of the arme What veines are to be opened both in generall particular diseases Chap. 21. SOmetime are opened veines sometime arteries Of opening of an arterie wee purpose to speake afterward in a Chapter by it selfe And now of opening onely of a veine which is vsed in many members Sometime in the arme called Manus magna somtime in the hand called Manus parua somtime in the feete somtime in the nose somtime in the forehead lipps toung palat or roofe of the mouth sometime in the corner of the eye toward the forehead sometime in one place sometime in another as this discourse following doeth plainly teach It is knoweÌ„ to those that haue seen Anatomies that there are in the bodie of man two sortes of veines Generall speciall Fiue veines are opened in Manu magna in the great hande that is ab ascellis vsque ad cubitum that is from the elbowe forwarde or downward as Rhazes faith in 7. ad Almonsor Chap. 21. and Auicen in quarta i. Chap. 20. VVhere note that Phisicions by the great hande do meane the whole arme together with the hand as by the foot the whole legg from the hippes or huckle bone to the soale of the foote The common or generall veines which appeare in the middest of a mans arme are these The first is Humeraria or Humeralis in Greek called Omiata because by the shoulder it commeth to the hande It is also called in Latine Vena exterior the outward veine because it goeth along on the outside of the arme It is againe called Cephalica or the veine of the head This veyne is most apt and fit and most safe to bee opened for diseases of the vppâ—r parts of mans body it is lesse dangerous than the rest because there is no sinew or artery vnder it to hinder or indanger the opening thereof If a man chaunce not to touch it at the first stroke he may be bold to strike it againe for there is I say no ieoperdy to cut any muskle It is opened with a long cut to let out grosse bloud and albeit there be no feare of any sinew artery or Tendon vnderneath it yet wound it not too deepe for feare of apostumation This veyne is taken when the parts aboue the breast or necke as the face or heade are discased Therefore it is opened profitably for passions of the heade as Hemicrania the Mygrame and Mania Madnesse which commeth of too much abundance of good bloud hauing recourse vnto the heade And such other like hote passions of the head proceeding of hoâ—e matter Also Cephalica is taken in headach watchings and paines of the eies If it bee opened for headach purge a day before with a certaine quantity of Pils of Hiera simplex according as the learned Phisition shall appoint thee to take If you cannot finde out this veyne in the arme take his braunch about the thombes ende Galen cap. decimo sextode Curand raâ—io per sanguin missio Cephalica opened cuacuateth and pulleth backe from those parts which are aboue the canell bone of the throat called Clauicula and this it doth with the more celerity and greater speede if it be opened in the arme more weakely and with lesse speede if it be taken but in the braunch thereof that is betweene the forefinger and the thombe Inward and outward affects of the head whether they be but yet a beginning or that they are in Statis maximo in the greatest force are cured and drawen backe by opening Humeraria veyne in the right arme if the affects be on the right part or side of the heade or in the left arme if the paine be on the left side This practise may be done not so speedily but at more leysure only to preuent the foresaid cuils to come by opening the braunch of Caephalica iust betweene the thombe and the forefinger These affects are oft remoued without opening of a veyne as are also sometimes frensies rauinges apoplexies euen by scarrification of the shoulders by boxing and bleeding at the nose Item eies inflamed and burned with sharpe droppinges and cies that water are remedied First by opening of Humeraria on that side where the paine is most and afterward the matter of these affects is pulled backe by applying cupping-glasses to the hinder part of the necke and shoulders The second generall veyne in the arme is the inner veyne of the same called of the Greekes Haepatitis Of the Latins Fecoria or Lienaris late Phisitions call it Basilica or Regia in the right arme it is called Hepatica the veyne of the Liuer and in the left arme Pulmatica the veine of the lungs it is also called vena interior and it commeth or groweth thorough the armehole Fuchsius calleth it Axillaris that is the veyne comming from the liuer to the arme hole Of Axilla which is the arme hole or hollow place vnder a mans arme where the haire doth grow The opening of this veyne is very doubtfull and dangerous both for the artery and muskle that lyeth vnder it and alfo for the manifold and vncertaine course of the sinewes in that place specially it maketh a man more doubtfull in the inner bought of the arme than in other places because there the arme is lesse fleshy Ignorant Barbers thinking to open Basilica open oftentimes a great sinew hard by it which is like a veyne and so the vitall spirits and life it selfe oft runneth out together with the bloud and this doo ignorant Barbers take in cure for headach and want of sleepe when they should take Cephalica of whose dangerous boldnes we spake before Chap. 19. This veyne emptieth from those parts which are beneath the necke as are the breastes sides lungs heart liuer spleene and marrow yea it emptieth from the middle part of the body vsque ad Clauiculam to the canell bone of the throate and iâ— opened to helpe passions of the brest stomacke spleene and liuer and also to helpe Pluresies of the sides If ye cannot spie it in the arme seeke the braunch of it betweene the fourth and the little singer the liuer and heart are the roots of this veyne Seuerall fulnes being no affect of any particulâ—r part without choice may be withdrawen from any veyne yet most commonly it is done with greatest profit from the inner veyn of the right arme which principally euâ—cuateth from vena caua the hollow veyne and the liuer So also is fulnes of choler taken fromthe inner veyne of the right arme as melancholly repletion is abated from the inner veyne of the left arme according to the sâ—ituation of the Milt In which regard the Basilica of the left arme is called aboue Lienaris That repletion which commeth of a filthy gathering together of raw and crude humors must equally bee taken out of both armes In the cure of Feuers this order of bleeding is to
bee obserued A simple Sinochus feuer or a simple feuer putrified or caused through putrifaction of humors requireth to haue the Basilicam of the right side or arme opened So doth an hote pestelenciall feuer simple and not compound So doth a tertian and a continuall quotidian A quartan requireth the inner veyne of the left arme This is also the Methode in pure intermittant and discontinuing feuers if either the plenitude or accidents will haue vs to open a veyne Revulsion of matter from those partes placed betweene the canell bone of the throate and the raines is done from the right Basillica or left as the disease requireth if the right parts be affected open for revulsion Basilicam dextri brachii If the left the other Basilica Open this veyne in the arme if great and speedy bleeding be needefull If a more slacke and remisse bleeding will serue the turne seeke the braunch of it in the hand betweene the little finger and the fourth as some say from the right kidney to the left and passing ouer the bottome of the stomacke Inflammations in the gut called Colon which is a great gut rising from the left side to the right or in which is the disease called the Collick albeit the same be vnder the raines yet they are cured by revulsion opening Basilicam or the inner veyne of the arme For so the beginnings and deriuations of the veynes doo shew In inflamations of the lungs take the Basilica or inner veyne of the left arme rather than of the right because the veynes of the lungs come from the right side of the hart which part of the heart is placed toward the left part of vena caua so by the left wing ruÌ„neth into the left arme This order of incision also helpeth spitting of bloud thorough extreame coughing the disease called Tabes trembling of the heart and such like In a á¹–luresie open the Basilica of the arme according as the paine shall happen in the right or left side In a Pluresie of the right side the right Basilica and so contrary Item the interior veyne is taken in inwarde and outward apostumations of the brest or midriffe and in inwarde Vlcers which cause vs to spit bloud Thus also by opening of Basilica are cured inflamations on the shoulders and vnder the arme holes except they come to the very bought of the arme for then it were very dangerous to open the very part or member inflamed but in this case we open a veyne in the hand e directo that is straight In paines and inflamations of the Liuer wee open the right Basilica and so the left Basilica when the Milt is inflamed grieued or ill affected and in all these wee must take the veyne in the arme if much bleeding be needefull and if not then the veyne in the hand Deriuation from the Spleene is not made as some do think into the veynes called Hymorroide but into the belly So deâ—iuation from the hollownes of the Liuer is made also into the belly A postumations in the Raines when the veynes also all full of bloud are repelled by the right Basilica if the right kidney bee grieued by the left Basilica if the left kidney bee ill affected If excessiue fulnesse doo not vrge in these apostumations the revulsion is better attempted out of the lower veynes which are straight and right as out of the right or left anckle Affects of the belly as immoderate fluxe of termes are stayed by opening Basilica in the arme which draweth the fluxe vpwardes So doo also cupping-glasses applyed either to the paps or nauill That revulsion which is made by opening Basilica in the arme specially the right Basilica is to be accounted generall because it draweth from the Liuer which is the fountaine it selfe from whence all fluxe of bloud commeth whether the same bee fluxe of termes or any other fluxe of bloud Revulsion made from the lower veynes is particuler not euacuating first from the Liuer the fountaine of bloud as the other doth And forasmuch as things vniuersall goe before partiticuler things therefore in inflamations vnder the kidneyes wee must first pull backe with direct opening of Basilica in the arme and afterward wee are to open the lower veynes which also haue some force to reueale but if either the fulnes or the fluxe be great it is not best first to open these v eynes below Finally imminent diseases like to arise thorough plenitude of bloud are kept backe be opening the right Basilica that is the inner veyn in the bought of the right arme The third generall veyne in the arme is the middle veyne called of some very properly and fitly venacommunis of other Cardiaca or Cordiaca venanigra and Mater and of the barbarous Phisitions Mediana It is called Media or Mediana for three considerations First inregard of the scituatioÌ„ hauing in the vpper part of the arme aboue it Cephalica vein in the lower part of the arme beneath it the Basilica veyne and so these being as it were extreames it possesseth the mids betweene them both Yea it is indeede a braunch of them both And for this cause secondly it hath the name Mediana as if it were made of them two as the meane is made or consisteth of the two extreames Thirdly it hath the name Media or Mediana for that it is Media that is in the middle in respect of euacuation Euaeuating both from aboue and from belowe aboue the necke from the necke and from beneath the necke For it springeth I say from the diuision or parting of both the other veynes that is Cephalica and Basilica By opening this veyn there is made a generall euacuation of humors through the whole body A generall or vniuersall euacuation I call it not because it springeth froÌ„ the hart as some affirme but because the fluxe commeth generally from all parts This veyne being a braunch as yee haue heard both of Cephalica and Basilica This veyne is taken when neither of the other appeareth and withdraweth bloud from them both according to the iudgment of some This veyne is the same which is called also Funiâ— brachii Cephalica and Basilica are as it were the Parents of Mediana As often therefore as thou art determined to open Basilica and that the same doo not appeare take rather the Mediana veyne than the Cephalica And if thou purpose to detract bloud from Cephalica and that the same doo not shewe conueniently open rather Mediana than Basilica and being compact of Cephalica and Basilica it withdraweth bloud indifferently from them both both from place and parts beneath and also aboue Some giue aduise vpon what ground I doo not yet see not to open Cardiaca if the Patient feele any weakenes at the heart but if necessiity of bleeding bee vrged the heart beeing enfeebled wee are rather to open Cephalica or Basilica This veyne is opened to cuâ—e â—assions of the whole body especially when they proceede of heate of the heart
application of Ventosas particularly in euâ—ry practise Boxing without scarrification are vsed to reuoke and pull backe matter called before revulsion or to turne bloud and humors aside which was called deriuation cap. 6. Thus cupping reuoketh bloud at the nose as yee heard aboue out of Galen by applying the Ventosas vnto the sides that is vpon the Lyuer and right side if out of the right nosethrills contra as before Thus we stoppe fluxe of termes applying a great cupping-glasse to the roote of the Paps as ye heard out of Hyppocrates Thus the falling downe of the wombe or matrix is reuoked by application of the cupping-glasse neere to the nauill Thus to reuoke matter from the head we apply them to the inside of the Thigh where note that this better prouoketh termes than the opening of Saphena vein Thus against stopping of termes we apply them to the inside of the Thigh where note that this better prouoketh termes than the opening of Saphena vein Thus against stopping of hemorroids we apply them to the inside of the Thigh where note that this better prouoketh termes than the opening of Saphena vein Cupping-glasses are not vsed for deriuation sake that is to turne bloud humors aside another way except when the body is first euacuated or when the humors are setled in any part and that the member is swollen in this case for deriuation sake we apply Ventosas to the hinder part of the necke than to the partes called Spatulae which ioine to the necke sometimes also to the but tocks and haunches Boxing with scarrification is vsed when some euacuation of bloud is required standing in steede of Phlebotomy as we said before when certaine occasions hinder the same First in this practise wee apply the Ventosas to the member Afterward we open that very part in many places in the skinne onely with a small penknife for the purpose and so applying the glasses againe wee euacuate bloud But wee must not doo this before the body bee first euacuated chiefly in vncleane and corrupt bodies lest too great abundance of humors bee drawen into that part Boxing with Scarrification is vsed either in the vpper partes in the middle partes or the lower partes of the body Cupping-Glasses applyed to the forepartes of the heade offende the Senses and vnderstanding Applyed on both the middle partes of the necke or vppon Nucham Puppis they stande in steede of opening Vena Nigra and they helpe heauinesse of the browes and lighten the eie-lids they helpe scabbines of the eies they cause both the Parent and the childe begotten by him to bee forgetfull Vuerkerus Ventosas applyed to the lower part of the neckwhich is called Acheal standeth in steed of opening Basilica they helpe pains of the shoulders and gullet that is the place whereby meate and drinke passeth into the stomacke they helpe diseases of the breast caused of bloud the crampe caused of bloud and trembling of the heart Ventosas applyed to the vpper part of the necke that is the very ioyning together of the head and necke are in steed of opening Cephalica and helpe in affects of the head as the shaking and particuler palsie of the head yea and in affects of the parts of the head and therfore it profiteth for toothach paines of the eies and eares but there must goe before purging of the whole body lest matter bee drawen vp againe to the heade and fill the same and so the diseases increase againe as Galen saith 13. Method Medend cap. 4. we must beware here in this case not to apply them thus too oft because they hurt the memory VVhere as a litle before we spake of an applicatioÌ„ which serued in steed of Basilica so we say now that Ventosas applied aboue Spondiles serueth also in steede of Basilica and cleanseth the breast and yet hurteth the mouth of the stomacke and causeth trembling of the heart and therefore they are subiect to these diseases must beware howe they vse them and yet according to Rhases 2. ad Almonson It helpeth in trembling of the heart caused of repletion and with heate But it should seeme that either Rhases meant of application of Ventosas to the lower part of the necke called Acheal which indeede as we said before helpeth trembling of the heart So confounding this application with the former VVhich the rather may so seeme because it is said that they both serue in steede of Basilica or els that this application hurteth the heart is ignorantly added and put to of some vndiscrete writer Ventosas applyed to or vnder the chinne helpeth the teeth the face and the throat clenseth the heade and the Iawes especially they cleanse the face from scabs and itch Ventosas applyed in the ioyning together of Spatula with the necke profiteth in passions of the face as scab or itch and in stincke of the mouth It may be that this application is euen the selfe same which immediatly went before And thus much of particuler application of Ventosas to the vpper parts Now of their application to the middle parts of the body applyed between the two Spatula his hands or hath allanderous tongue can do they help diseases of the brest caused of bloud and a crampe comming of the same case and in these two this application agreeth with that to the lower part of the necke before called Acheal but this last application hath two discommodities for they weaken the stomack and cause trembling of heart VVhere note that this application seemeth one and the selfe same with that Super spondiles and so it is true that was there saide concerning the offence of the stomacke and heart thereby Ventosas applyed aboue or vppon the raines helpe apostumations and pushes of the thighs or haunches scabs gowt and hemorroids leprosie windines of the bladder matrix itchings of the back and all diseases of the lower parts Ventosas applyed vnder those parts called in Latine Cauillas otherwise Alchahab helpeth stopping of termes the gowt in the feete and the Sciatica gowt and thus of application to the middle parts Thirdly concerning their application to the lower parts Ventosas applyed aboue or vppon the thighs or rather the shanke from the knee to the anckle which part of the leg in Latin is called Crus they stande in steede of Phlebotomy they mundefie the bloud prouoke termes and are better than the opening of Saphena to prouoke termes in white soft and weake women Ventosas applyed to the former part of Coxa That is the Thighes or Haunches helpeth apostumations of the testicles and woundes of the Thighes Haunches and Shanks applyed to the hinder part thereof they helpe apostumations of the Arse and Buttocks and goinges out of the fundament and blames and pushes in the same part Ventosas applyed betweene the two Anches That is hypsor buttocks helpeth the two Anches and the two inner partes of the thighs or hâ—unches Also the hemorroids the gowt in the fecte and ruptuâ—s