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A50152 XCIX canons, or rules learnedly describing an excellent method for practitioners in physick / written by Dr. J. Macallo [sic], physitian in ordinary, first to Rodolphus, late Emperor of Germany, and after his death, physitian in like manner to K. James. Macollo, John, 1576?-1622.; Rudolf II, Holy Roman Emperor, 1552-1612.; James I, King of England, 1566-1625. 1659 (1659) Wing M113B; ESTC R43414 28,981 122

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24. When the disease is in its vigour it is then necessary to use a very slender diet as well for the greatness of the Symptomes as for the coction of the humours for nature must not be hindred in the coction of the humours by the coction of the meat Canon 25. When the Disease is violent and quick it immediately causeth extream pain and dolour wherefore a most sharp weak diet is then most requisite because such a disease is in the vigour the first dayes as the grievous Symptomes which do incontinently accompany from the beginning do bear witness for a sharp sickness is that which attains to its height in the first four dayes or little after Canon 26. So soon as the sickness by its violence doth shew that it is drawing near the height then a strict diet must be enjoyned but when the height is long in continuing as it falls out in long diseases then a larger diet would be used till the approching to the height or a little before and then it must be restrained strict and small diets are dangerous in long diseases because they abate the spirits which ought to be preserved in their integtity to the end they may resist the height of the disease Canon 27. When the body is not clear the more it is nourish'd the more it is hurt for seeing that the body full of vicious humors hath more need of evacuation then nutrition it appears that they should not be too much nourished because these evil humours gather'd a long time in the body do spoyl the food newly received so that thereby the Chacochymie or evil digestion is augmented to the double which falls out chiefly when the stomach is foul for even as mixing clear water with muddy it becometh all muddy and troubled so the meat although pure and clear of it self yet taken by a great quantity into a foul body becomes wholly corrupt Canon 28. A larger diet must be granted to children then to old folks and a mediocre to those of a middle age because old men endure hunger easily and next to them such as are entring into the declining age young men worse and worst of all boyes for such as are growing have much of the naturall heat and therefore have much need of nourishment otherwise the body would consume but there is little heat in old bodies therefore they need not much nourishment for too much would choak them Canon 29. The great Cavities in the body in Winter and in the Spring are naturally hotter then at any other time and the sleep longer wherefore in these the diet may be larger by the Cavities the stomack is understood the whole belly containing the guts and the rest of the natural parts which are appointed for digestion If any one desire to know why the naturall heat is augmented in Winter Aristotle attributes the cause to the circumsisting air which is then colder by which means it driveth the natural heat inward whereas in Summer it extends itself ordinarily through the whole body towards the heat which is without as familiar to it Hence it is that in the Summer the substance is dissipated and exhales but in the Winter it is holden in and keeps there and therefore all the coction is the better made Canon 30. As to the form and manner of diet one should eat less in the Somer and in the Harvest and more often but in the Winter and Spring more seldome but more abundantly because in the Somer and the Harvest one doth hardly digest meat but in Winter very easily and in the Spring moderately well Canon 31. Such bodies as have been extenuated by long sickness must be nourished gently and repaired by little and little and those bodies that have been suddenly brought down must be speedily restored Canon 32. When the sickness gives intermission and leisure then it is time to give meat to the Patient but during the access and increase of the disease he must abstain for meat is then hurtful because it withdraws nature from the digestion of the humour to the concoction of the nouriture and because by it the disease is augmented Canon 33. Amongst the operations of Chyrurgery Phlebotomy or drawing of blood keeps the first rank because it is the common remedy of diseases which proceed of plenitude or fulness for by it an evacuation is made of the humours equally that course being for such infirmities the most exquisite of all other Canon 34. Phlebotomy is not onely a remedy evacuative but also revulsive and derivative for it is profitable to turn the course of the Flux to the opposite part or desire to turn it aside to the neighbour part Canon 35. In hot Fevers blood must be drawn even to the fainting of the spirits and heart if strength will bear it which course must be used in great inflammations and extreme pains for if blood be drawn in hot Fevers till the heart faint the whole body is immediately cooled and the vehement heat extinguished after which there followeth a flux of the belly and a Sweat by this means some are wholly cured of a Fever and others receive great ease when the vehemency of that sickness is past this sort of bleeding is likewise good in great inflamations both for the former reasons and because it stops the flux causing the inflamation as also it hinders the growth of the Phlegmon by which likewise it appeaseth the great dolours caused by the heat of the Fever and of its inflamations wherefore there is not found a remedy more soveraign for insupportable dolours then this of Phlebotomy or bleeding Canon 36. If the sickness do require it much blood must be drawn alwayes provided the spirits do permit it but if they fail then take it by little and little and at divers times for all extreme evacuations are dangerous and chiefly bleeding all at once Canon 37. They to whom purging and bleeding are profitable ought to be purged bled in the Spring for that season is most proper to make evacuation by Phlebotomy or Pharmacy because at that time there is no extraordinary heat to weaken the body by exhalation nor great cold to make it stiff by congealing the humours in it nor yet unequall to disturb the spirits but rather a moderate temper Canon 38. There is great cause of deliberation to be had in opening a veyn upon a woman with child because a woman with child being let blood may thereby be brought to be delivered before her time if the child be great because thereby the child is robbed of its food and shall famish in the womb of the mother which will cause it to break the bounds and seek elsewhere for nourishment and all before the maturity of time except the mother abound in blood for then the fear is so needless as in case that administration be not used both the mother and the child are in danger as hath been observed upon some of the most eminent Ladies in
signifies the Guts to be ulcerate The stomach is known to be hurt when the chyle or meat doth issue forth at the wound and if the foecal matter come forth it shews the Guts to be wounded so the water issuing shews the Bladder to be wounded and when the Plura or thin skin which covers the ribs within is pierced then the wind doth blow forth at the hole Moreover the form of issuing forth is remarkable for the better understanding of the part that is troubled So the blood that proceeds out of the Arteries because of the abundance of spirits doth issue with force in a leaping manner but if flowing and deadly from the vein also if any piece of the parts troubled do come forth alone it signifies the place or seat to be near by but if it be mixed with the Excrements it declares it to be higher and further removed The Accidents point also at the place So the Pearl declares the Eye to be molested the swelling of the right Groin shews the Livor and that of the left the Spleen to be disordered The Symptomes or Accidents following the sickness manifest the place so Raving or Ravery designes the braine to be distempered the Cheeks very red shew the Lungs to be inflamed the losse of appetite speaks the indisposition of the stomach and the Excrement issuing like to the washing of raw flesh declares the debelity of the Livor Canon 5. Thus having found out the part that is troubled the next is to search whether it be by Idiopathy that is from the first proper passion or by Sympathy that is from a naturall passion assisting the other because it is requisite first to help the part that is troubled by its own proper desert so Idiopathy is a proper indisposition of the part as is the Pearle of the eye Sympathy is an indisposition which befalleth any part by the fault of another and that either because of the defluxion of an humour falling from one part to another or by reason of the defect of the natural faculty required for the action of that part sometimes it falls out that a part of a long trouble by a Sympathy in the end turnes to be troubled by an Idiopathy Idiopathy is either primative or consecutive it is therefore expedient to observe whether the disease be privative that is first or consecutive that is when it doth flow from another An Idiopathy is discerned from a Sympathy when the sore or grief is alone continually without intermission and receiveth neither encrease nor diminution by the augmentation or declination of any disease that is in any other part but remaines still in one state and condition the Remedies applyed serving for the good of the same by these signes the indisposition is Idiopathetick but when it followeth another disease and groweth according to the growth of the same and also is mitigate by the same Remedies and when the Remedies applyed to it self do not help it is then by Sympathy so the pain of the head arising from the stomach is distinguished from the dolor that comes of the proper fault of the braine in that it succeeds to a beltching and desire to Vomit to an evil smell or taste in the mouth with a falling away or Li●●chamy that is a swouning and when it growes with an indisposition of the stomach not receiving help from the topicks applyed to the head Canon 6. Having found out the part of the body offended the next inquisition must be of the indisposition The indisposition that hinders the Action is called Morbus or sickness that which followeth is tearmed Symptome and that which engendreth is named Cause so all the indisposition against nature is either Morbus Symptoma or Causa The Symptome is known of it self without other signes because it is objected still to some of the senses but the disease and the Causes are for the most part removed from the senses but they are known by the Symptomes which are the signes namely by the Actions hurt by the Excrements and by the Accidents of the body Canon 7. Malady or Sickness is an indisposition against nature that hurts immediately the Action of the part affected whensoever then the Action is found to be hindred or hurt then it is a disease Sickness or Malady is triple Similare Instrumentall and common the first hurts the Action of the part Similary the second troubles the use of the organick the third hinders both wherefore if the Action of the part insomuch as it is Similary be hurt the disease shall be Similare if it be so far as an Instrument it shall be instrumentall and if they both fall together it shall be common The action of the part Similare is hindered by a simple intemperature as heat cold moistness and drowth or by one composed as hot and dry hot and humid cold and dry cold and humid and that either with or without matter the use of the Organ is perverted by the fault of the greatness number scituation but oftenest by confirmation and obstruction both the one and the other is troubled by the breach or solution of continuity in the parts as by Phlegmon or Inflamation Scirrh or hard swelling or by any other tumour contrary to nature as also by Ulcer Wound Fracture or Luxation so Intemperature is a sickness Similare obstruction a disease Organick and solution of the Continuity is a sickness common The diversity of Especes or Kinds are known by the variety of the Actions hindered so the continuall desire of sleep signifies an indisposition cold and moist of the braine a continuall watching shewes a hot and dry Pulse frequent quick and unequall a Fever likewise the kind of the paine points forth the disease as a dolour inflamative a hot distemper a dolour stupefactive a cold distemper The Excrement serves also to find out the Kind of the sickness as sand in the water shews gravell the meat sent forth below without change declares a Lientery or imperfect digestion as also the Accidents of the body So the colour green shews an opilation or stopping in the Liver brown colour an obstruction in the Spleen a black Tongue a burning or Fever the nailes crooked a Consumption Prisie or Cough of the Lungs the Cheeks red a Peripneumonie or inflamation of the Lungs amongst these Accidents such as are proper and inseparable are holden for the most certain because they have a great demonstrative faculty Canon 8. The nature and scituation of the place serves much to the knowledge of the kind of the sickness for every part hath its own proper sickness so the eyes onely are subject to a Pearle the Kidnies and Bladder to the Stone the Guts to Worms and not the Stomach the heart can never suffer an Ulcer profound nor the Lung any dolour Canon 9. For the better taking the disease let diligent consideration be had to the things antecedent such as are the Nature the Habitude the Age the Country the Season the
disposition of the Arire the form of Life with the diseased and the sickness wherewith he useth to be molested for one is soonest overtaken with a disease wherewith their nature hath greatest familiarity so hot diseases are most frequently incident to hot bilious or cholerick people and cold sicknesses to cold lumpish natures and that as well to those who are such by Nature Habitude and Age as to those who are so by reason of the Region the season and the constitution of the Aire and albeit that all sorts of sickness may befall to all sorts of Persons of all Ages in all Places and Times yet they fall most frequently on the Temperament Age Place and time with the which they have some affinity an Epidemick or universall sickness is known incontinently by the running of it among the people seizing on many at one time All hereditary diseases as the Epilepsy or Falling-sickness the Gravell the Gout are suspected to be incident to Persons descended from Parents afflicted with such infirmities Moreover the kind of the disease is often found by using such things as hurt or help it for the hot intemperature doth encrease by the use of hot things but is mitigated by the use of cooling things the cold intemperature is contrary Canon 10. After the acquired knowledg of the disease search next for the Cause of it which is either externe or interne inward or outward The interne is twofold antecedent or conjoyned First then seek out the Cause conjoyned because it immediately produceth a disease it is therefore needfull to search whether it be wind or any other superabounding humour as Blood Choler Melancholly or Phlegme or any other thing contrary to nature as Stone lump of blood wormes or any other sort of Excrement the colour and nature of the Place the kind of the dolour and the sort of the Excrement these with the predominant humour in the body will serve for Marks Canon 11. For when the part inflamed is red it is full of Blood when yellow full of Choller that which is cold and white is replenished with Phlegme when blackish with melancholy for the colour of the skin doth commonly point forth the humour that is within divers parts are appointed for the engendring of divers humours excrementitious as the Liver for breeding of yellow Choler the Spleen of black Choler the Stomach the Lungs the Braine of Phlegme the Kidnies and Bladder of Gravell and the Stone the Guts of Wormes The pain pricks sore when it is caused of choler more moderate when it proceeds of blood blunt when it comes of Melancholy Phlegme or Wind except when they make great distention through their abundance If that which issueth forth by the Excrement be a portion of that which is continued within it shews either by the substance or colour what it is we shall speak hereafter of the predominant humour Canon 12. After the knowledge of the Cause conjoyned it followeth to know whether it be alone or if it be fostered and furnished by any other Cause antecedent that which gathers is by way of congestion through the fault of the part offended and is reputed to be alone but when all the body or any part of it doth exonerate it self on the member affected of any superabounding humour which overburdeneth there is th●n the Cause antecedent which doth accompany the conjoyned so there be two sorts of Causes interne to which Remedies must be used Canon 13. The Cause antecedent of the sickness is double the one is named Plethor or Plenitude the other is named Cacochymie or evil digestion Plethor is a repletion of all the humours equally augmented or of blood onely Cacochymie is a repletion of Choler Melancholy or Phlegme the signs both of the one and the other are taken both from the causes antecedent which do gather the humours that is to say from the temperature of the whole body and of the principal parts from the age season constitution of the Air from the Region Manner of living and of the evacuation ordinarily suppressed As also from the accidents that befall all the qualities of the body such as be the color the habitude the functions animal vital and natural as from the sleep dreams pulse concoction excrements of the diseases ensuing and of the things that hurt or profit Canon 14. There be two sorts of Plenitude the one called Plenitudo ad vires in which the blood though it be not excessive neither in quantity nor quality doth nevertheless overcharge the weak forces of Nature The other is Plenitudo ad vasa the which in quantity surpasseth the natural limits or bounds and this either light or gentle that is when it filleth onely the cavity of the vein not far exceeding mediocrity or it is excessive when it extends so that it almost rends the veins through the fulness of it by too great abundance and although it be very excessive yet it may be so that Nature be not choaked by it for commonly the force grows with the blood but if it fall out that the forces are abated then it is Plenitudo super vires When then in a Plethor the body is no way by a too great weight lazy or heavy and the force or strength remains still in one state it is onely a Plenitudo ad vasa but when the body becomes heavy lazy and doiled the sleep troubled and profound seeming to carry as it were something whilst he sleeps it is then Plenitudo super vires Canon 15. The causes that engender blood in abundance are signs antecedent of a Plenitude as the Complexion temperate of all the whole body but chiefly of the Livor and the Heart or else moderately hot and humid The Age growing is another for children and young folke have much blood because they are not far from their principes or beginning of their natural generation The Spring also is a cause for in it the Blood abounds for then the cold ceaseth and the waters descend Also good fare a pleasant passed life without care with moderate exercise and sleep The naturall evacuation of Blood suppressed or the artificiall for long time intermitted The Accidents which shew the domination of Blood in the body are the signes consequent of Blood such be the colour of the face and all the body red by the ordinary custome or mixed of red and white the swelling of the Veines equally appearing through all a manifest bending of the Vessels being full of Blood by measure a laziness or weariness coming of it self without any labour under the which the joynts by reason of their weight with great difficulty do move themselves for it is when the great Veines over-full of blood do exonerate themselves into the little and they again into the Muscles that they are thus filled and bended The Habitude of the body fleshy because it doth proceed of abundance of blood yea the Mediocre fleshy accompanied with a heat benigne and vaporous this is a signe of